jac241

9 ms·

31.
by jac241 5y ago
I think we are seeing literal survivorship bias here where the person whose texts were taken too seriously is alive to tell their tale and everyone whose weren't successfully committed suicide.
32.
by jac241 5y ago
In a psych ED it was a lot more common to use 20mg ziprasidone and 2 mg lorazepam - "20 and 2" - for acutely agitated/psychotic patients. Before anyone passes judgement on doing that ask yourself if you've actually seen
33.
by jac241 5y ago
The reason they aren't in a psychiatric hospital is because the only reasons we can involuntarily commit someone is if they are a risk to themselves or others, and like stated elsewhere in the thread is generally reassessed by a judici
34.
by jac241 5y ago
The training length for physicians is pretty much the same in all countries. In the US to become an anesthesiologist: 4 years undergrad, 4 years medical school, 4 years residency. Total: 12 years. In the UK to become an anesthesiologist: 6
35.
by jac241 5y ago
It's wild that on a site that educated people use that you're seeing people advocate for homebirths. I'm guessing that next to nobody on hacker news have seen a delivery go south and need an emergency C-section. If you'r
36.
by jac241 5y ago
"Epidural analgesia had no impact on the risk of caesarean section or long-term backache, and did not appear to have an immediate effect on neonatal status as determined by Apgar scores or in admissions to neonatal intensive care.&quot
37.
by jac241 5y ago
I live in the Midwest. Skin-to-skin is the standard of care. It is not just the coasts that do these things.
38.
by jac241 5y ago
What do you have to do before you prescribe a drug? Make a diagnosis, which is what is taught in medical school and not in pharmacy school. Pharmacists are frequently embedded in care teams in hospitals and primary care clinics where they m
39.
by jac241 5y ago
Your access to care is the result of the direct primary care model not your NP necessarily. Your NP might be good, but I'm willing to bet on average the people who have a minimum of 15,000 hours of clinical training (MDs/DOs) befo
40.
by jac241 5y ago
Cheaper salary and they order more unnecessary tests, imaging, and consults, which, what do you know, the hospital system also makes money off of. It's a win-win for the hospital, but patients and the healthcare system lose.
41.
by jac241 5y ago
Does the AMA want that or is that the purview of state medical boards? AMA doesn't set practice laws. The people who lobby against new grad MDs having the same practice rights as NPs/PAs are NPs and PAs (more NPs). NPs lobby again
42.
by jac241 5y ago
With you on this. There is no diagnostic test for glucose/dopamine depletion, and it is unlikely theory in my opinion. Even when you haven't eaten the circulatory system keeps the brain flushed with glucose from the liver or muscl
43.
by jac241 5y ago
Maybe plastic surgery, dermatology, rheumatology, and psychiatry don't, but other doctors are going to be splitting weekends and call among the members of their group. For specialties that have fewer doctors nationwide like vascular su
44.
by jac241 6y ago
I am a US medical student so I am in a hospital or clinic almost every day. Our hospital is a tertiary care safety net hospital and all the patients are sick as hell because they have poor access to healthcare. So I know what that looks lik
45.
by jac241 6y ago
Thank you for questioning this. I'll take your evidence and the evidence provided elsewhere in the thread (CONCORD-3 trial, a trial including millions of cancer patients in the US and AUS) over the secondhand anecdote of one physician.
46.
by jac241 6y ago
Maybe the urology society pushes for PSA tests but the USPTF - https://www.uspreventiveservicestaskforce.org/uspstf/topic_s... - the set of guidelines that medical students in the US are taught do not recommend PSA scr
47.
by jac241 6y ago
We do have guidelines provided by the US Preventative Services Task Force - https://www.uspreventiveservicestaskforce.org/uspstf/recomme... - and other specialty organizations may have their own. All medical students i
48.
by jac241 6y ago
The 14% gap in US population coverage is from Illinois, Nevada, Arizona, North and South Dakota, Maryland, and Kansas not providing data to this registry. Canada is only at 76.5% of their population included. If you're going with the p
49.
by jac241 6y ago
The 0.7% margin is not within the margin of error for for that cancer (breast cancer). US is 90.2 [90.1-90.4], AUS is 89.5 [89.1-90]. US compares well to other countries on Breast cancer as well, UK 85.6 (85.4–85.9), France 86.7 (85.5–88.0)
50.
by jac241 6y ago
I am with you on this. What's magical in Rails? It imports classes for you by name based on their file path, "resources" routes to one of seven methods, templates are expected to be in a directory and named based on controlle
51.
by jac241 6y ago
Glad someone brought up the residents. Guarantee any IM or surgical resident taking care of you at SF general, Columbia, NYU, Mass Gen, UPMC, etc. is spending at least 80hrs/week in the hospital and probably at least 10 more a week stu
52.
by jac241 6y ago
Would you consider Joe Rogan straight up old? He's 53.
53.
by jac241 6y ago
There are specialty board exams that you take once you're done with residency. Some are written exams. Surgical specialties do oral board exams where they present cases to you and question you on management. Pass rates for those are no
54.
by jac241 6y ago
I created an add-on (Anki Killstreaks - https://ankiweb.net/shared/info/579111794 ) that uses the killstreak feature from Halo and COD to make the reviews more fun. Has a corresponding leaderboard ( https:/&#x
55.
by jac241 6y ago
You can use the ReMemorize add-on to distribute the cards you missed over the next X days. Here's a good video explaining how to manage it: https://www.youtube.com/watch?v=UXgck-g0nQA&t=1189s . If I get home too la
56.
by jac241 6y ago
In my experience it's faster for learning because you will recall more after a study period if you do the flash cards vs. rereading things a few times. Not an either or thing as well. I would put a lot of my lecture notes in the extra
57.
by jac241 6y ago
Bury (Press = when reviewing) makes Anki not show you a card until the next day. Suspending (! to suspend all cards based on a note [if you have more than 1 cloze on a card, it will stop showing you all of them], @ just to suspend that one
58.
by jac241 6y ago
Thank you for the knowledge. I'm an M3 who hasn't had surgery, EM, or anesthesia rotations yet. Probably should have thought about the airway though...
59.
by jac241 6y ago
I'd love to see the study for this and how they controlled for the fact that being sick enough to require general at a young age probably will ding your IQ a couple points. I'm guessing they didn't do a randomized controlled
60.
by jac241 6y ago
Great point and I see that commenters above are suggesting conscious sedation (benzos) instead of general, which would probably be propofol in this case. Both benzos and propofol act at the same chloride channel...

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