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  1. If you have EDS, show me a blood test or show me you bending your thumb all the way back. If you have POTS, show me your heart rate sitting vs standing when you’re actually properly hydrated and not just living off of iced coffee and soda. If you think you have MCAS, no you don’t because that’s a fake disease. Then ask yourself what the odds are that you have 3 very rare, unrelated diseases that just so happen to mimic psychosomatic symptoms and also seem to be the most popular diseases on TikTok right now.

  2. Hey bro dw a functional medicine doctor is going to run esoteric labs and recommend some weird mushroom detox lmao

  3. Dog bite? I think what you need first are tetanus jab, hRIG , and rabies vaccine. You can think later about the potential bacterial infection, think about the rabies incubation period and how it wreaks havoc on the CNS.

  4. the only dog bites in US that need rabies is if dog is street dog and ran away (you can't observe it).

  5. Not attending or ICU trained but my understanding is that you're essentially giving bicarb which will turn into co2 and worsen acidemia?

  6. Uninterested, sitting around all shift, not speaking language isn't excuse- at least try and do a physical. Won't even try to write an HPI because "we are told we shouldn't do that" ok buddy

  7. I’m glad you’ve found your love for medicine again. Tbh it feels like only psych docs love their life 😅

  8. Em. Love life lol program dependent + person dependent pop

  9. I think the most important thing is remembering there's a difference in prep for a test and learning the material. Also, if you wanna feel more or less on par, use the lecture time to just pay attention. You'll be surprised how far it takes you

  10. Notify your compliance officer or risk manager. This happens more frequently than you think.

  11. I can't imagine it being much different than cardiology machine read for ekgs

  12. Yeah you need a 280 for sure, more competitive specialties need board certifications and attending experience before doing residency

  13. Ppl said the same about medical school and I was happy all thru it.

  14. There's a literal happiness I feel when I'm in the Ed that I have not experienced anywhere else in medicine. When you know you knkw

  15. It is what it is. You're not dead. Don't blame or use this as an excuse for interviews or talk about woe is me I should have gotten higher but didn't . That's a shit you tell yourself, here on Reddit, or whoever else... not on interviews. I promise, though you're right and 100% it impacted your score, it reflects worse that despite that you're worried about how that major event impacted your score. Like, when they ask you- you are GRATEFUL she's alive, proud of yourself for putting on your boots and going through the commitment of taking the test, understanding that your knowledge is not determined by 1 score. That shit will leave a huge impact on your interview/ likability

  16. People talk a whole lot of shit. Do what you like and accept the decision as yours. All seniors I knew last year have jobs, multiple. If the fact that EM isn't as "competitive" right now deters someone from going there, good. They know what they want... that said, there should be a limit on how much you let people's opinions influence you. EM is great, I can't imagine doing anything else, it's hard, and you can make a great difference in patient care during the length of stay by what you do. That's why I chose to do it, despite all the naysayers and everyone saying shit they don't know about. Realistically, a lot of what people are saying is hearsay lol. More than half of those people haven't read the jobs report. Many of those people are grumps that swear outpatient family is better. Meanwhile family is like bro should I do an EM fellowship?

  17. Guys please remember there is no need or expectation to take abuse. There is a difference between a tough preceptor and straight up disrespectful boundary crossing. Example: attending saying bluntly that you lack certain skills in medicine - mean/ unnecessary but maybe you can just let this wash off of you. Attending calling you stupid, threatening, sexual references...

  18. Dubins etc more basic resources might be good if you genuinely don't know diddly/ want to refresh basics

  19. Another reasonable fellowship is admin, as many of those programs give you an MBA. I've considered applying to some ivy league programs doing an admin fellowship and leaving with an MBA from a top business school. Gives you many options to advance up the healthcare admin ladder, or going to the private sector.

  20. Crit care is the only real bump. Maybe tox if you score something in private industry. All specialties in EM are primarily about job diversification as they all end up still practicing EM since it generates more revenue.

  21. How much of a bump for crit? Obv dependent on region, but... generally?

  22. Ezekial chokes from everywhere, Ezekial chokes from back mount are almost never defended

  23. People don't protect their neck from back mount?

  24. You're certainly not useless. You'll forget, you'll remember, you'll forget again, you'll remember again. Trust the process. By the end of your sub-I you'll be teaching the new interns, I guarantee it.

  25. This. And then you'll be there, forgetting again. It's normal - all you have to do is know how to learn

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