ITT: Things they dont teach in med school

ITT: Things they dont teach in med school.
Share your obeservations, rule of thumb, general thoughts

>liver diseases are the most dangerous and often underestimated conditions

Aside from the sudden cardiovascular event I've seen more patients unexpectedly die of their liver disease than of heart diseases.
That yellow woman you get transferred 5 minutes before your shift ends? That has no symptoms at all other than being yellow? Watch it mate, she will deterioate lightningfast and propably be on the ICU when your next shift starts.
That guy with the coronary heart disease, the HFrEF, bypass and newly developed chest pain? He will probably be still there when the yellow woman died already.
You see your patients with compensated liver cirrhosis walk the ward without any complaints and one week later they are dying and there is probably nothing you can do about it. It still surprises me everytime this happens.

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Niggers stink.

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what do you call a med student with a 'D' average?

Pee is stored in the balls.

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doctor

Depends really. Seen younger collegues that knew a little too much and could not figure out the easiest cases. Sometimes they just dont get their shit done.
Medicine is 50% art. The most valuable clinical skills do not have anything to do with medicine itself. Many people will say: this is a good doctor just because that particular person is likeable and made the patient laugh for once.

meningitis is terrifying for everyone in a 20ft radius of the patient

Chest compressions are just defiling a corpse 99 times out of 100

Drug addicts aren’t annoying, but drug addiction often attracts those who are

The best stories come from the psych ward, not the ED

No trauma is worse than motorcycle trauma

Neurologists are the smartest doctors, the problem is they know it

If infectious disease says to do something, you’d better do it

COVID-19 is 100x more terrifying than the news would have you believe - if anything they’re giving a false sense of security. And we don’t really know what to do about it.

Nurses are meaner than doctors because they take more shit and get paid less

totally signed

>Drug addicts aren’t annoying, but drug addiction often attracts those who are

This in particular is a very interesting thought. You're totally right.

>No trauma is worse than motorcycle trauma

so much this

Also, when I was in training, a doctor showed me that methotrexate can beused as a cheap disinfectant for neoplastic ulcer.

Nah you need a C min for credit in science degrees

Another one:

>it that old asian guy has a complaint - take it seriously. Very seriously.

I realized in med school that most of the interactions doctors get with addicts are with

1) ED/hospital: overdosing patients, or those doing something violent/life-threateningly stupid, who almost are by definition in the most extreme end of a spectrum of psychiatric disease

2) outpatient Drug-seeking patients. We generally identify them because they’re cringy and annoying. I swear to god, by the time you finish medical school, everyone has seen 100 morbidly obese women in their 50s, with a drawling voice, with back or knee pain, who either say “oxy is the only thing that works” or play transparent games trying to get you to prescribe opioids, who say “I can’t go to PT because it huuuuurts!” Actually, when they’re not cringy and annoying, we have less suspicion for drug seeking and we often don’t realize they’re addicts. We may even write for them.

In other words, selection bias, with along with the poor education we get in addiction, really gives us an (understandable) attitude.

When I started asking my patients about their substance use history in a tone they perceived as more caring and less paternalistic (which took awhile to do), I was amazed at how many of my favorite, awesome, compliant patients were struggling with drugs/etoh, or had a serious use history

Fucking THIS.

White guy, black guy, Hispanic guy comes into your ED? Could be anything.

If an old Asian guy comes into your ED, you’d better get the crash cart on deck because he’s fucking dying NOW. Those dudes don’t come in unless shit has really gotten bad.

My boyfriend just got treated for meningitis. It was terrifying.

I’m not sure if we’re meaner than docs really... it’s just we can’t escape our patients and are stuck with the same group for 12 hours. After the 30th call for coffee, sandwich, morphine/Benadryl/zofran combo within the first 4 hours... well... the fuck it bucket fills up real fast haha

they don't teach how to interact with humans they work with it is super hostile

Patients would rather lose a foot than be compliant with diabetes testing and diet.

Yup. Medicine is quite easy in fact. If people wouldnt drink, smoke and drive carelessly, half of us doctors and nurses would be unemployed.

If you tell a diabetic that exercise and losing weight is better than all the metformine or sitagliptine or whatever you name it - they dont believe it. They think that tablets are magic.

Bump

what is the general perception of surgical techs in the medical world? I'm going to school for it right now and the further along I get into it, the more I've realized that I'm about to be bottom of the totem pole and not paid very well, though I do want to travel eventually.

my state recognizes surgical first assists, so I'm thinking that could be an option that I pursue further down the line, or maybe even becoming an RN, but in general I've become a little demoralized at my future position in this world.

Based and redpilled

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this is gold

This is the most educated thread I’ve ever read on Yas Forums. Knock it off.

Hmmm...Op? Is a damaged liver realy that bad? Im having a fatliver thx to too many booze and im not even fat myself. Seems like i should stop drinking right now. Ok, Tomorrow, i have to open my 2.nd Black Faxe for today.

Surgery is the most crisis-proof profession in this world, maybe apart from prostitution. So this is definately a plus. But the toll is tough. Operative fields tend to be very stressful and heavy on lawsuits. On the other hand there are so few surgeons that (at least in my country) they tend to be somewhat untouchable. You pretty much trade your soul for a good living and respect. Many people trade their souls for far less, but I wont tell you it is the best way to go. If you do it for money or fame - you'll propbably break from it in the end.

Yes it is. As long as it is just a fatty liver, you are good to go. Lose weight and drink less. When it becomes cirrhosis, you might be able to keep on living a normal life, but you might also be on the verge of death without realizing it. Liver diseases REALLY are a bitch, let me tell you that.

What do you think would be the result if suddenly diabetics didn't have to worry about incurable infections of the extremities?

An increase in dunkin donuts net worth i guess.

Seriously, though, without the risk of amputations, does diabetes become not that big of a deal?

Reason I ask is this is actually going to happen soon.

High blood sugar levels will eventually damage your kidneys, your blood vessels leading to cardiovascular events like a heart attack or a stroke and your nerves. So you are looking at dialysis, dropping dead or a lasting burning sensation in your feet. Most Type I diabetes patients tend to neglect their condition, mostly because you dont really "feel it" and boom you have a heart attack at age 30 or dialysis at age 45. Seen it all.
Thing is, your body is made to endure as much as possible and function at a high level as long as possible just because from an evolutionary point of view it suffices to keep your body working till your 30s or so, just long enough to impregnate a woman or two. From there on you just go down the drain. You may take the deal or not, its your decision in the end. Live fast and intensely or live a bit longer but not that exciting.

Based OP

>Drug addicts aren’t annoying, but drug addiction often attracts those who are
Drug addict here can confirm. I have to spend a lot of time with this population per my situation and there is a high percentage of absolutely intollerable faggots

Another one:

>do not feed a cancerous granny at 35 kilos fat free yoghurt

You would believe it, many problems in medicine have a quite simple solutions. If granny weighs as much as a feather, make sure she has enough to eat (for probably 3$) before you give her iv nutrition (for probably 150$+)

The deal is the following: keep quiet and dont wake me at 2am - you will probalby get all the drugs you want from me. Because I have no interest in curing your addiction rather than having some hours of sleep between my shifts. If you get on my nerves, I will probably think twice before giving you opioids.