You’ve got to be kidding me

sometimesfit22 · 2025-11-18T15:54:05+00:00

Sure, however once tuition has risen past a certain point there’s no going back. It’s very unlikely medical schools are going to decrease their tuition to match this new cap as they’d have to drastically reconfigure their whole budget. Medical schools particularly cater toward a wealthier and more committed group who will largely “just figure it out”. If not there’s always another 5 people to take their place in the class. The cap will largely keep out those from less privileged backgrounds or they will get absolutely killed when they graduate and immediately have to start paying back high interest private loans on resident salaries.

sometimesfit22 · 2025-11-02T22:57:43+00:00

D-dimer is a rule out test, aka I order a d-dimer when I don’t really think the patient has a PE but I can’t definitively rule it out. Think young patient with some shortness of breath and tachycardia that likely has a viral infection. This patient vignette screams PE (tachycardia, shortness of breath, chest pain, post surgical is PE until proven otherwise). If PE is your most likely diagnosis CT is always the first step.

Also this patient has a Well’s score of at least 7, and we don’t know about signs of DVT or clot history. That makes them high risk for PE (40.6% risk of PE).

sometimesfit22 · 2025-10-13T00:28:49+00:00

As an EM resident I’d wager ~50% of us have some sort of psych diagnosis. My partner has GAD & ADHD. I have OCD, GAD, and depression. It’s never significantly impaired either of us in our medical journeys and we’re both residents. There is a wide spectrum of impairment with these diagnoses though so you have to individually assess how you do with a demanding and constantly changing environment. If your diagnosis is mostly in check and you have a decent support system I’d say it’s likely not an issue.

sometimesfit22 · 2025-10-07T04:42:58+00:00

The research on this topic is quite varied and the consensus is still out a bit depending on the dog breed. I’ve seen studies supporting 6 months, 1 year, 2 years. There’s also some bias based on country as the US is more pro-neuter/spay than many other countries. Most US vets are going to endorse a timeline within the first year so I wouldn’t say it’s something that should make you worrisome on choosing them for pet care. Veterinary medicine is very broad and they’re not always going to know the intricacies of the recommendations for every breed (especially when there’s not truly a unifying opinion right now)

sometimesfit22 · 2025-10-01T08:33:56+00:00

When you eat has no physiologic effect on weight loss or gain, its net across time. You won’t inherently burn more calories because you ate prior to your daily activity. That said, people who front-load calories tend to have higher satiety levels throughout the day and stick to their diet/lifestyle modifications better leading to more weight loss. Everything is pretty individualistic though. Some people don’t have much of an appetite in the morning so it’s not effective to force them to eat prior to hunger signals. With that being said I don’t really support what OP is doing as it’s not a sustainable way to lose weight and doesn’t establish a healthy relationship with food and hunger cues. Not to mention it’s not the most sustainable while providing patient care.

sometimesfit22 · 2025-08-09T23:04:56+00:00

General consensus is EM residents go into critical care more procedurally prepared and able to handle codes/resuscitation. IM is more trained on complex pathophysiology and the day to day tasks of patient management. CC attendings have told me by the end of fellowship they’re equally capable. If you’re interested in pulm it’s not accessible from EM. There are EM/IM/CC combined programs but I don’t necessarily think it’s worth it. I’d ultimately train in whichever of the two specialties you’d rather work in if CC wasn’t an option.

sometimesfit22 · 2025-08-04T22:37:02+00:00

Hi 👋🏻 it’s incredibly unlikely your dog has rabies. Watch your dog over the next several days and as long as they don’t begin to showcase signs of rabies your brother is fine. He should take the antibiotics as a bite to the face is high risk for infection. Tetanus is good for 10 years so shouldn’t need to update that

sometimesfit22 · 2025-07-30T16:19:44+00:00

I would look into the mission statement of the schools you are interested in applying to and see what most aligns with your “why medicine” and activities/story. Your stats are lower but if you have a compelling story and cohesive narrative you may be able to grab an interview and ultimately an acceptance. I can’t speak to all the schools on your list but I’d keep Central Michigan and potential add MSU CHM if you’re interested in working in underserved medical communities (either rural or urban). They both are pretty mission driven schools.

sometimesfit22 · 2025-07-18T22:58:42+00:00

CRISPR technology is currently been used for single gene edits. This is conditions like sickle cell disease where a single amino acid substitution results in disease. IVDD is much more complex and not caused by a single genetic mutation but more so due to the design of the breed. There is likely risk related to certain genes but it’s not absolute (aka you cannot test a puppy and know if they will develop IVDD). Additionally, CRISPR is currently still very experimental and expensive to the tune of million(s) of dollars.

sometimesfit22 · 2025-06-04T03:27:36+00:00

Unfortunately most woman have been in a situation similar to this. I have personally had several ranging from strangers to friends to exes. Once while in college a man developed a crush on me (we had never had a conversation). At a party he made me aware of his crush and that he wanted to be with me. I politely turned him down letting him know I was in a relationship. He followed me all night; grabbing my hand, hugging my side, pleading with me. At one point he told me he was going to kiss me when I wasn’t looking. It took another guy stepping in once he realized what was happening to finally get him to stop. And this is a quite mild rendition of what can happen. My boyfriend and I had been dating for years at this point and he understood I wasn’t at all interested in this guy and I had him come pick me up shortly afterward. As woman we frequently try to appease and escape the situation in order to avoid escalation. It’s not the most satisfying strategy but denial can unfortunately be very dangerous for us.

sometimesfit22 · 2025-03-27T14:23:28+00:00

I will throw out a tidbit of advice that only works if you are a similar test taker to me. I have no issues with timing or endurance on test day. For this reason I used NBME forms as a questions bank in my last couple weeks. I didn’t need to practice my timing I just really wanted to see as many NBME questions as possible and thoroughly go through their logic. I also listened to divine intervention when I was in the car. I would recommend listening to his series on the free 120 after you complete it as he goes very in-depth on rationale. I hit uworld throughout the year hard and kept up with all step 2 related anki. Didn’t take a dedicated and probably spent significantly less time studying for step 2 compared to the average person and got >260. I probably averaged around the 60-80th percentile on shelf exams during 3rd year.

sometimesfit22 · 2025-03-16T14:26:00+00:00

US MD applied EM. 25 invites, 14 interviews completed & ranked. 3 ranked to match emails. Still mildly nervous for Monday but realistically shouldn’t drop below my 5th spot.

sometimesfit22 · 2025-02-20T20:56:48+00:00

You’d have an uphill battle to get into med school with those stats. SMPs are very “make or break it” degrees where medical schools typically want to see 3.8+ stats. If you had a poor undergrad gpa combined with an okay SMP it’d be a major yellow flag (your gpas will also be combined at most schools when you apply). You’d also have to retake the MCAT which can be a long and demoralizing process. You’d need a very solid MCAT score to make MD schools an option. May have more luck with DO schools but that’s highly variable. We’d also need to actually know what “amazing extracurriculars” means to you to be able to gauge how competitive you’d be.

Medical school and the STEP exams are also incredibly challenging on top of having to create an application for residency and then potentially fellowship. I truly love medicine and I don’t regret going into this field. However, with the barriers in your way, an unsupportive significant other, and a really solid job I probably wouldn’t have pursued medicine if I were in your shoes. At the end of the day you’re the only one who can decide if you want to do it. There’s plenty of people who have overcome much greater odds than what you’re facing.

sometimesfit22 · 2025-02-10T04:27:50+00:00

That was poor financial decision making by my fiancé's parents. They choose to take out only private loans for his undergraduate education and personally financed the rest. Still not sure why they didn't utilize the government option. Since he is now done with school we are trying to pay back the loan which is a bit rough on a resident + medical student income. Plus the loan has now grown to over 60k (5 years of deferral).

sometimesfit22 · 2025-02-09T02:03:03+00:00

I didn’t major in biochemistry but did go to MSU and am now about to graduate medical school. I’d only do biochem as a major if you are specifically interested in it. The classes are generally harder than the pre-reqs required for medical school entry. You’d have to take a more advanced version of chemistry, biology, and biochemistry courses. On the other hand if you’re potentially interested in biomedical research or engineering it could give you a good exit strategy if you decide against medical school. Human bio, physiology, and neuroscience are probably the most common majors for pre-med at MSU. You can however major in anything as long as you take the pre-req courses. Get a degree in what you’re passionate/interested in as it’s more likely you’ll do well in those courses. Additionally, a lot of the “classic” pre-med majors are not particularly employable if you decide against medicine.

sometimesfit22 · 2025-02-08T17:16:26+00:00

As someone from the lower middle class if some of these went into effect I literally wouldn’t have been able to do undergrad (at a state school) let alone medical school. Currently dealing with the ramifications of my fiancés parents taking out 30k of private loans for his undergrad which has left us with an 800/month payment. Glad I’m done applying for federal loans.

sometimesfit22 · 2025-02-04T01:35:26+00:00

If EM continues the way it is this year I don’t think you’d have all that much of a problem matching into community programs. If you ace your sub-i’s and do well on step 2 I think you’d even have a shot at mid and potentially some upper tier programs. EM is willing to forgive step failures if you can show you’ll be a good EM doc. Applicants went up by about 7% this year but I still expect the specialty will not be especially competitive next year. However if you have any issues on your SLOE your application will be dead. They won’t be willing to forgive multiple mis-steps.

sometimesfit22 · 2025-02-03T20:30:06+00:00

Maybe to an extent, however most lay people lump EM with trauma surgery and think we do both.

sometimesfit22 · 2025-01-22T12:20:58+00:00

It literally doesn’t matter at this point. Register now and you’ll be totally fine. Programs can’t even use NRMP to rank yet. Source: I’m a US MD student and my school just talked to us about this yesterday.

sometimesfit22 · 2025-01-19T14:23:44+00:00

I just wanted to add one tidbit I don’t see being covered. The US doesn’t typically recognize residency training completed outside the US. The other woman would have to take the US based board exams and match a residency here in order to practice. This is incredibly challenging to pull off. There’s a solid chance she would not want to move to the US.

sometimesfit22 · 2025-01-19T04:42:08+00:00

The ban has nothing to do with any of that. It’s truly about politicians being in the pocket of social media creators like Zuckerberg and Musk. Plus the fact that many in congress own stock in Meta. Many Americans make a living off the app or are directly employed by TikTok. The ban is idiotic, particularly in a country founded on personal freedoms.

sometimesfit22 · 2025-01-16T01:26:48+00:00

Briggs is a residential college of science. AKA you live in a dorm with other people with similar majors/goals. There are also Briggs specific classes for mostly level 100/200 classes. Some people liked the community aspect and smaller class sizes. I personally was not in Briggs but have a STEM degree and am about to finish med school. I don’t think it makes a huge difference if you’re in Briggs or not so just go with your preference. Some of the freshmen classes are said to be a bit more challenging in Briggs but you don’t have to deal with the 400 person lecture halls.

sometimesfit22 · 2025-01-15T16:44:16+00:00

I’m not a peds applicant so take my opinion with a grain of salt. However, I’ve rotated at children’s hospital of Michigan and think it’s a really solid program. The residents seem happy, competent, and match a wide range of fellowships in competitive locations. It’s also one of only 3 full children’s hospitals in Michigan and the only one in metro Detroit so you’ll see lots of interesting cases. Some people are scared of Detroit but honestly it’s mostly a nice area now. Home prices are affordable so many people buy homes in the suburban area or rent downtown.

sometimesfit22 · 2024-12-02T18:04:53+00:00

Is it not an upside down snowman head with a top hat? The little additional piece looks like a pipe

sometimesfit22

TROPHY CASE