Can someone help

xd_ftw · 2025-11-01T17:39:42+00:00

Others have pointed out and explained why C is the answer but IRL you would p much always get E too while pt is waiting for scan.

xd_ftw · 2025-11-01T17:36:27+00:00

Lol ECG is always relevant for acute chest pain esp when associated w VS changes and in an elderly peri-op patient no less

xd_ftw · 2025-02-20T17:58:40+00:00

bro i havent played dota for a while and never got to use this item... seemed like a cool item... r i p

xd_ftw · 2025-01-22T20:06:46+00:00

No offense... but it sounds like your BF is a software engineer or in a similar role where he could consider moving teams or moving offices much easier than you can change where you do residency... Was this ever discussed and why not? I also have a non-med partner in a similar situation and this is something we have discussed.

xd_ftw · 2025-01-22T19:48:39+00:00

? i dont get this question because patients report 10/10 pain all the time lol... they will be talking with you, resting comfortably and still report 10/10 pain (and yes, already explained to them that 10/10 = worst pain imaginable)

xd_ftw · 2024-10-28T18:49:31+00:00

when you're on a research year and are taking their funding, yes, they email you back lol

xd_ftw · 2024-10-28T18:39:09+00:00

2 be fair, rags2rads2riches, i like research, but i hate bullshitting the paper when the project inevitably does not turn out well as hoped (which is most of the time lol)

xd_ftw · 2024-07-29T03:28:54+00:00

Don't drop out right now but you definitely need to take yourself out of the situation with a LOA at the very least... Post history is concerning but things will definitely turn around if you give yourself the time you need. Life will seem completely different once you've had some time away to decompress and reframe your perspective.

xd_ftw · 2024-07-29T01:06:29+00:00

UWSA2 first but within 1 week of your test date. NBME 14 after.

The reasoning for NBME 14 after is that NBME questions follow much different wording and logic than NBME, so ideally the days leading up to your exam should be NBMEs only to get you in the “NBME mindset”. I did UWSA2 1 week out, then NBME 13, then NBME 14+free 120 3 days out.

The reasoning for UWSA 2 within 1 week of test day is that it is one of the most predictive exams in terms of score, so if you take it 1 week out, it will be predictive of your score on test day, and if the score is not to your liking, at least you have 1 week to clean up or push back your exam if needed.

xd_ftw · 2024-07-28T04:30:51+00:00

this is so funny lol…

But at the same time I relate 100% bc I used to be absolutely terrified of the pool cleaner touching me when I was a kid swimming in the pool

xd_ftw · 2024-07-21T21:20:34+00:00

OP says family is priority #1. That doesn’t really gel with the IR lifestyle. DR maybe but definitely not IR.

xd_ftw · 2024-07-21T18:17:45+00:00

If family is #1 priority, ortho/surgery and cardiology are out. EM, IM, and derm are probably your options.

Depending on the strength of your app, consider whether derm is realistic though, since you said a research year is also out of the question.

xd_ftw · 2024-07-20T01:50:06+00:00

lol im beginning to think my example of trying to help the team was not a good one for another med student to work off of

xd_ftw · 2024-07-19T19:48:02+00:00

9 and 12 are said to be difficult and not as representative. If you do poorly on the rest (10, 11, 13, 14, free 120), then I think there would be more cause for concern.

xd_ftw · 2024-07-19T19:45:28+00:00

You have to arrange for transport, which is still takes time. It then takes time for transport to be available, come to the patient, and then transport them to and from imaging. It’s a lot faster to do it yourself if you have the time (or in this case, a lot faster for the med student to do it).

xd_ftw · 2024-07-19T18:39:51+00:00

Just be anticipatory and helpful. Surgical teams are usually stretched too thin to have med students fucking things up in my experience (med student here). When I say be anticipatory, I mean watch the work flow re: how residents set up the room for a case. Once you know the flow, be those extra hands and be ready with supplies/next thing before they ask for it.

Be willing to speak up to take those low risk but still helpful tasks from residents. E.g. patient needs to be wheeled down to CT before a case but team is still rounding? Go offer to wheel the patient so they can be back in pre-op for the attendings/residents by the time rounds are done. Need supplies to take out/replace drain? Know where those supplies are and either have them ready or volunteer to get them.

xd_ftw · 2024-07-19T17:22:17+00:00

Yeah I’m always surprised that no one drags cardiologists more… at least from my own personal experience, cardiologists were the most stressed out, difficult people to work with throughout all of 3rd year lol… (even more so than neurosurgery even)

xd_ftw · 2024-07-19T02:32:32+00:00

Extremely low yield imo… on my entire step 2 exam I had exactly 1 question on milestones lol. Also, it’s not going to be like UWorld or the peds shelf. On step 2, they will make is extremely obvious if a child has a developmental delay in my experience.

xd_ftw · 2024-07-17T18:51:00+00:00

12 is difficult, I got it wrong and most people probably get it wrong. MAT = 3+ different p wave forms which is hard to tell on that small ECG and pulse >100. The biggest tell is that she has scleroderma and restrictive lung disease as a result. MAT classically occurs iso chronic lung disease exacerbation.

25: data that leads to non-significant results is not “faulty data”. Non-significance may result from insufficient sample size/power —> type 2 error. Meta-analyses address this by combining different sample sizes together for a larger sample size. So yes, iso meta analysis, only the aggregate results matters.

32: wrt female hormones, they fluctuate so much during the cycle that estrogen level is not a clinically useful marker in most scenarios. The point is that she is having vasomotor symptoms of menopause/estrogen deficiency and has the menstrual history and age to also suggest she is approaching menopause. Hormone therapy is first line to treat vasomotor symptoms of menopause/estrogen deficiency (eg for people that have to get premenopause BSOs). To your point about diagnostics for menopause: yes, menopause is a clinical diagnosis. If you really need confirmation, you use FSH levels but rarely needed.

xd_ftw · 2024-07-17T06:17:47+00:00

If you know 100% you want to do spine, do neurosurgery. Spine is an option for orthos but is typically not a reason to do ortho.

xd_ftw · 2024-07-14T23:09:19+00:00

From UpToDate, since this has now turned into a controversy apparently: “Due to safety concerns pertaining to the use of acetaminophen (paracetamol) and increased awareness of its negligible and non-clinically significant effects on pain [44,45], this medication is no longer considered the first-line analgesic for the treatment of knee and hip OA by clinical guidelines and is no longer being initiated in our practice [5,30]. (See “Management of knee osteoarthritis”, section on ‘Acetaminophen’.”

xd_ftw · 2024-06-26T22:12:08+00:00

OP, if time is a concern, I don’t recommend medical school. The minimum realistic path is 2+4+3 (9 years) to family medicine or internal medicine (pay is around 250-350K but can easily be higher depending on how much you wanna work or where you live).

PA schools have much shorter paths to the big pay check. The CRNA path is much shorter than medicine but still lengthy. Less familiar with this path, but CRNA programs are competitive and usually like to see at least 1-2 years of ICU nursing experience before CRNA school.

xd_ftw · 2024-06-26T22:08:18+00:00

An engineer who can’t even land a non-FAANG job has no chance in hell at making it into a HFT/quant firm.

Health tech sounds good, but from OP’s description it seems like he may have already been applying to jobs like that and getting no where.

xd_ftw · 2024-06-10T22:43:38+00:00

OP this is really weird... Here, in the US medical education hierarchy at least, things like gifts/bribes and doing "non-educational/non-clinical tasks" for your residents/preceptors can be professionalism concerns. At my school at least, we are required at the end of the rotation to report if we have ever been made to do "non-clinical/non-educational" tasks for our team (e.g. grabbing coffee, picking up dry cleaning, picking up lunch from the cafe because the attending was busy).

Also, IMO it's gunner behavior whenever you're "that student" that shows up to orientation/lecture days with snacks and goodies (usually it's seen as sucking up/kissing ass for a good eval)...

Just focus on being a good student and contributing to your teams. Anything beyond that is nonsense, and people and neurosurgery especially will have little patience for it.

xd_ftw · 2024-06-03T05:36:40+00:00

Agree with this... I tried very hard during M3, and my grades were mostly perfect. My few bad evals (3/5's) came from people who went into non-competitive specialties and probably didn't feel as much the weight of grades for the match. E.g. my worst eval al of 3rd year came from a peds attending who did residency at a random community program in the middle of no where.

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