medic-help

[brisk terrace]

?

and on examination inspection palpation percussion and auscultation what we get the findings

[regal patrol]

If you mean no breath sounds on auscultation

DDx would involve life threatening asthma and upper respiratory obstruction
Assuming no sound Bilaterally

Unitlateral

DDx would include :
1-Congenital diaphragtic hernia (the child was really young)

2-foreign body obstruction

3-Pneumothorax (the breathing could be diminished or absent)

4- pleural effustion (the breathing sounds could be diminished or absent)

Tbh there could be more

Not sure how much you want

[proud sable]

I believe it is not foreign body obstructions since he is in distress but it is an emergency procedure because it can be near trachea also

But the question is incomplete, there is not enough history or detail to the q

Also we wont do auscultation , i think we will do direct xray scan to see the location of foreign body and quick removal of the foreign body , who knows the child swallowed battery so its always treated as an emergency procedure since trachea is the most common site for its obstruction

Option 1,3,4 are the most suitable one

[brisk terrace]

could be severe asthma

?

[brisk terrace]

but for hx and exmn presentation we have to say the clinical part , invg is not asked in that viva

[brazen wagon]

Please someone answer 7. b.

[regal patrol]

Life threatening asthma

[regal patrol]

Answer for B
Is metoprolol
We don't use B-blockers with decompenstaed heart failure

[brazen wagon]

Yes I know , but why... Is it because it will reduce heart rate.. which will reduce CO?

[regal patrol]

Oh
Well it will cause a negative inotropic effect

So it will weaken the contraction

[wet tinsel]

nah it's digoxin

coz its chronic chf

digoxin is c/i in chronic chf

as it excarbates cardiac remodelling

lvh

left ventricular hypertrophy

beta blockers are actually given in chronic chf, believe it or not

[regal patrol]

decompenstaed

Focus on this part

[wet tinsel]

i see 6 years

[regal patrol]

I mean you are right if this was an acute case

[wet tinsel]

in acute cases, we give sypathomimetics not beta blockers

beta 1 agonists

[wet tinsel]

you would be right if it were an acute case

it would be metoprolol in acute case

oh wait

i might have made a mistake

lemme recheck my notes lol

oh yes im right

[regal patrol]

Yeah sure we give b- blockers in chronic cases

Digxoin takes long time to work so we don't give it in acute cases

That being said
According to first aid book we don't use b-blockers in case of acute decompenstaed HF

Btw why cannot I put pictures here?

[wet tinsel]

yessss

[wet tinsel]

i did say that here :)))

[wet tinsel]

ill change that in a bit

[regal patrol]

My bad then
I misunderstood your statement

[regal patrol]

Thanks

[wet tinsel]

the above is a case of chronic chf
we don't use beta blockers in acute chf
in chronic chf, we give b-blockers
we don't give digoxin in chronic chf coz it increases myocardial contractility, which we don't want in chronic chf conditions

in acute chf- we aim for reducing edema, increasing hr and increasing myocardial contractility
in chronic chf- we aim for reducing the load on heart, by vessel dilation and reducing cardiac remodelling (common in long term crisis of chronic chf)
metoprolol is a beta blocker---> used in chronic chf ---> coz it reduces heart work load
digoxin althought has vagomimetic effect (reduces hr), it also increases myocardial contractility which is indicated in acute cases but not in chronic chf

the answer is: digoxin

@brazen wagon @regal patrol
Sorry it was bothering me that i wasnt getting my thought process across

[regal patrol]

The patient became decompenstaed
Aka the case became an acute decompenstaed HF

We don't use b-blockers in this case

Digxoin needs time to work
But since the patient is already using it

She can continue

Wait a sec

Imma send you picture in dm

[wet tinsel]

"Decompensated heart failure" can be considered both acute and chronic depending on the context
the context here is '6 years'

[regal patrol]

Sure but a chronic HF can trun into acute Decompenstaed HF

Why was she hospitalised then?

[wet tinsel]

can it?

[regal patrol]

And we do give digxoin in cases of CHF

Hold as sec buddy

[wet tinsel]

acute chf*

[regal patrol]

Imma send you a picture

[wet tinsel]

wait

ill change the settings

is it working now?

[regal patrol]

Tbh it doesn't matter since the whole idea behind digxoin is to relive the symptoms

Yeah thanks

[wet tinsel]

yeah, its not worth the time actually
also im pretty sure this is a question from indian med school uni exams, there's not much thinking involved here

[regal patrol]

Why would you give it an acute case
Digxoin takes time to actually work

So wouldn't be helpful to start it acute sitting

[wet tinsel]

in acute chf, you use digoxin in conjunction with other drugs (mostly beta agonists and PDE inhibitors)

to make up for the delay

[regal patrol]

except in acute decompenstaed HF
Part about b-blockers

[wet tinsel]

im mostly basing my answers assuming that its a chronic decompensated hf

[regal patrol]

Wouldn't explain why she was hospitalised

[wet tinsel]

i mean... chronic cases do get hospitalised

[regal patrol]

For?

They do when there is a complications usually

[wet tinsel]

for idk long term damage which has accumulated to a condition where hospitalisation is the only answer

[regal patrol]

Aka complications

[wet tinsel]

yessir

[regal patrol]

Like acute complication

Acute decompenstaed HF

[wet tinsel]

.<

[regal patrol]

You can see silent chest in case of life threatening asthma

[regal patrol]

Btw thanks again for allowing me to post pictures

[wet tinsel]

nw, its on for everyone on this channel now, i should have done this ages ago

[proud sable]

Hi a-a 👋 so as you know metoprolol (b- blocker) can not be used in decompensated HF… first when someone has lets say, functional cardiac disorder or any cause that leads to reduce ventricular filling or ejection of blood——-> then decreases cardiac output ——> Heart failure. that decreases in CO also causes an initial drop in blood pressure——> triggers a compensatory mechanism, like the body wants to save the other organs bec there is not enough blood coming from the heart. The compensatory mech. is by activation of sympathetic n.s and RAAS, and that would be so helpful for the other organs and organs will get enough perfusion but the problem is that this compensatory activity that will save the other organs over time will hurt the heart ( and the heart is already has the main issue) …sympathetic, RAAS and ADH if it stays stimulated for long time, will lead to chronic stress to the heart and something called ( deleterious remodeling)——-> then decompensated hf occurs ( the heart gets so tired from that activity and even will no more responding to that compensatory sympathetic and etc.) and can’t even work properly so now we are in a state that we wish that this heart can respond to sympathetic stimulation so it can increases its heart rate and contractility not the opposite by giving him something to block it

So that’s why when the heart failure is still ( compensated) , part of the management is to give the patient beta blocker, to block that sympathetic activity from the beginning ( to reduce heart rate and myocardial oxygen demand and also decrease the vasoconstrictors ) that will help to focus on the tired heart already and prevent that state that called ( deleterious cardiac remodeling= decompensated hf) and thats why we call beta blocker ( cardioprotective) . But once the patient stabilizes from the decompensated state then we slowly start to give them the beta blocker again 😁

[proud sable]

I actually have an issue also, which is the channel and I think some other channels keep disappearing completely for days then suddenly they show up

[wet tinsel]

i have the exact opposite concept 😭

to prevent the further exacerbation of said 'deleterious cardiac remodelling', we should give beta blockers

not the opposite

by not giving beta blockers, when the heart is already remodelled for eg. left ventricular hypertrophy, you are basically dooming the heart to further complications

[wet tinsel]

it's cause you have already read the messages and there are no new messages to show.
To view those 'hidden' channels, just click on the right facing arrow '>' present on the left side of the respective folder

[proud sable]

I’m trying to find a source that can make u change your concept

[wet tinsel]

oh no

:(((((((

[proud sable]

@wet tinsel

[wet tinsel]

imma read up more, and give my answer in a few hours

[wet tinsel]

yeap, I was so wrong

sorry bout that

[proud sable]

https://tenor.com/view/the-office-how-you-doing-what's-up-wassup-bro-gif-9995434086564923625

[paper loom]

since the food reach the esophagus, the swallowing process become involuntary, right?

[regal wigeon]

Yes

[blissful jolt]

Wait can someone clarify so for ACUTE decompensated HFrEF we DO NOT give beta blockers, we give digoxin for symptomatic control?

But for long term control you give B blocker for HFrEF, correct?

[reef yacht]

if angiotensin II stimulates adh does that mean angiotensin II is indirectly implicated in a decrease in blood osmolarity?

[blissful jolt]

Yes but it only does so indirectly

A good way to memorize it is angiotensin II is part of your renin angiotensin aldosterone system which wants to INCREASE blood pressure

it does so by vasoconstriction, stimulating aldosterone (which increases sodium and water reabsorption), increasing epithelial sodium channels directly (increasing water reabsorption) and lastly increasing ADH because there are are AT1 receptors in the brain.

that's the way I understood it^ i'm still only studying for step 1

[proud sable]

hey nas 👋 no, angiotensin II will not decrease blood osmolarity... so if somone has vomiting or hemorrhage( or any cause of losing water and electrolytes) or call it volume, then the body will do everything to retain that volume(water and electrolytes) so yes angiotensin II will be activated and will stimulate ADH too ( to not letting water go out thru urine, we need that water) but at the same time angiotensin II will activate aldosterone to reabsorb the sodium and not letting it go out too bec the body already in need of that water and Na TOO (to increase osmolarity of blood)...BUT if someone is in the desert and has no access to water (dehydrated) = his blood is hyperosmolar= concentrated with the Na bec no water to dilute it, do you think the body will activate angiotensin II? No, that will lead to adding more Na to blood and the body don't need it, but in case of dehydration or hyperosmolarity of blood, the brain has receptors telling him that we need more water, so these receptors will send signals to pituitary gland in brain to stimulate ADH hormone to stop the kidney from excreting that precious water in the urine for now, and reabsorb it. but only ADH will be stimulated not the RAAS system, we don't need Na in case of hyperosmolarity states

[reef yacht]

@blissful jolt and @proud sable tysm for your answers

[regal patrol]

Now yes in acute decompenstaed HF
We don't give acute beta blockers
For digxoin, it takes long times for it to take effect
So usually it's not given in acute decompenstaed HF

But if the patient was already on digxoin, it's okay they can continue using it

[blissful jolt]

I see, so then our main med for acute hfref would be iv loop diuretics and maybe something to decrease overload and preload like a nitro?

thank you btw that makes sense

[regal patrol]

Yeah true
Treatment involves
-Oxygenation and ventilation
-diuretics
-Nitrates
-and we may give inotropic agents like dobutamine

And sorry for giving a late respond
Didn't see the message

[proud sable]

Diuretics are great drugs they can massively reduce oedema and nitrates are always a drug to be given in case of problems related to heart , even some nitrates, others such as nimodipine are still used as best drugs for heart related issues

Whenever any q related to heart comes i always envision all the most common drugs used in it and then i segregate what drugs are given for this particular problem of heart , it becomes much easier

[reef yacht]

can anyone clarify my understanding of how cortisol interacts with the liver?

cortisol acts directly on the liver by activating genes responsible for taking the amino acids and glycerol to form glucose (gluconeogenesis). Thus, cortisol is responsible for increasing blood glucose levels, pushing our physiology toward a hyperglycemic state.
- glycogenesis also occurs.
- cortisol also increases sensitivity to adrenergic receptors of the liver. thus, when norepinephrine binds to the liver the glycogenolysis pathway, the process where glycogen is broken into glucose, is enhanced. this results in an increase in blood glucose! For this reason, cortisol is known to contribute indirectly to an increase in blood glucose in the liver, as it amplifies the glycogenolysis pathway by increasing receptor sensitivity and driving glycogenesis, a process that increases the amount of glycogen available for use in glycogenolysis.

it just seems counterintuitive that cortisol stimulates glycogenesis, but simultaneously indirectly augments the glycogenolysis pathway that ultimately drives an increase in blood glucose

[blissful jolt]

Cortisol both stimulates glycogenesis and glycogenolysis. It promotes glycogen synthase in the liver to ensure glucose is stored as glycogen in times of low stress so it can be mobilized when needed. SIMULTANEOUSLY it can also indirectly augment glycogenolysis by enhancing the effects of epinephrine and glucagon during periods of fasting or stress. The latter two hormones activate glycogen phosphorylase responsible for breaking glycogen into glucose, and this esp. happens during stress.

overall think of cortisol as catabolic though

[reef yacht]

gotcha gotcha

very interesting process

[sinful umbra]

Hey

im new to med school what do yall think how should i study for biochemistry

[blissful jolt]

Is anyone taking step one or took step one?

I'm stressing TF out atm lol idk if my scores are just luck or not

3 months out nbme 30 I got 57 (lol), nbme 25 I got 63, nbme 26 I got 67, nbme 28 I got 71 and nbme 29 I got 74 I know I'm on a goold upward trend but at the same time when I review my questions I get stressed that I might have just picked the right answer by guessing

[quasi turret]

prof slides and lots of revision

[hot elbow]

Guys i need your help
Guys anyone of you got into MIT , Harvard , Yale , Penn , Princeton etc (world's top universites) . if so please dm me . i need your help.

[dreamy swan]

Is anyone here studies/works in the Biomedical Engineering field?

[hushed mountain]

Hi, what is the best way to memorize, since I have the anatomy exam in 14 days, I have to memorize everything, do you have any tips?

[dry ridge]

Understand first , I loved Sam Webster (on YouTube ) when I was learning anatomy and then repetition and memorization. Drawing it out also helps so much especially for blood supply & venous drainage

Also pictures and imgs are key literally pretend like a you’re a kid looking through a picture book

[dry ridge]

Hi, I also have a question I struggle with reading an ECG and don’t really understand the whole concept of leads, does anyone have any tips for me

[proud sable]

hiii 🫂 so I'm not sure what is exactly your level and tbh I studied EKG many years ago ☹️ and now we don't use calculation, like we dont actually calculate the number of squares to see if there is short or prolonged PR and els....but from ur q, I think you're missing the basic, so I'll try to explain that according to what I learned from dr. Rayan(bnb) long time ago, also I will share a file that might help u hopfully

we have 12 leads EKG, and it is 12 bec there is 12 different recording of electrical activity in the heart, the leads each have a name

look at that pic, lead I , II, III always showing in the left side

then comes leads avr, avl, avf..... followed by v leads = v1, v2, v3, v4, v5, v6

at the bottom of the EKG there is often one or more leads we call it ( rythm strips).. it usually lead II and in that pic, u can see lead II and v1 at the bottom( and these are multiple QRS recorded in a row to make it easier and better for the the physician to read the heart rhythm( itis like a brief)

also there is expanded lead II at the top so we can see the p wave and other things more clearly

When they put the electrodes on the chest and connected it to wires then to the recording machine, u know that each electrode placed on different places, bec the electrical activity in the heart moving in lots of different directions, but what we want is the sum of that electrical activity in the left ventricle

if u look at that heat, u can see the position of each lead, also look at the line with he arrow ( \ ) it showing that each lead observe the electrical activity from defferent view.. and thats why normally lead II show QRS pointing upward, and QRS of avr lead pointing downward

bc avr lead looking at the electrical activity going away from it so qrs will be pointed downward.. now first thing i look for quickly when i request EKG is the QRS of avr lead, if it is upward, then that means that they put the leads incorrectly and they should repeat it.

u can just imagine those leads like persons looking at a car(electrical activity of the heart) , so person avr will see the car moving away from him, but person lead I looking at the car coming towrds him

so if u know the normal EKG, then u will definitely pick any abnormality

and I will share this file it might help or maybe not

[proud sable]

ooops! it's not in my phone😁 , I will share it later maybe sorry

[dry ridge]

Thank you so much, this was such a nice simple explanation- I know feel like I understand the basics better. Now, like for reading EKG do you just memorize how an EKG looks in each heart disease. Like STEMI, you’ll see ST elevation, atrial flutter you see the anarachic EKG, etc or do you use a different method?

[finite vale]

@dry ridge we need to start paying our tuition fees to filiz 😭😭 she explained an entire lecture in 5 min

[dry ridge]

LITERALLY - i understood NOTHING in the EKG class (the professors forget were not cardiologists as well 😭)

[proud sable]

awww🥺 I'm so glad you understood my explanation, honestly, it’s hard to explain EKG from my perspective 😁 ...now regarding to your q about memorizing the abnormalities on EKG, you memorize them for sure but you have to know the anatomical locations for each wave then memorize them and that would be much easier and will make so much sense

like for example: you know that the P wave represent the electrical activity that comes from the original signal or impulse from SA node and associated with atrial contraction, so it will make sense to u if any abnormality of the p wave like absent p wave or if it altered, that means the cardiac impulse originates from outside the SA node (abnormal) .. That's an easy example of how u should know the anatomical locations

[long scarab]

Could you guys please suggest me a good book for studying microbiology and infections diseases

[long scarab]

We kindly thank her for her non profitable efforts

[dry ridge]

Thank you so much Filiz! - you’re amazing

[tiny dawn]

sketchy micro

[proud sable]

i have question for medical students :
do you memorize lectures directly or just read it many times in different days with understanding and practicing question after reading it

[long scarab]

I personally write them on a copy book, draw the figures, explain non understandable terms. When finishing the lect, only then I start Raw reciting.

Write only understandable and easy to grasp information even if you have to rephrase it to your language

[proud sable]

hey guys can someone help me in finding a research topic which is easy as a beginner

[tawdry sky]

There is something i do is called "kohra kagaz test" in which i just open up a blank paper and write down all the things i remember, well you wont be able to retain more than 50% but then do 1 more time to part which is left and done

Make sure to comprise it in 1 oage

Page*

[sturdy crater]

Good trick actually

[rotund plume]

Isnt it called blurting?

[tawdry sky]

What is blurting

[rotund plume]

Its the exact same thing you told

[tawdry sky]

Ah

Mb

[potent tree]

does this stuff actually work? I've heard agent 247 yapping about this stuff

[tawdry sky]

Lol i see what agent you talkin about

Well yea it kinda means active recalling

[potent tree]

that nishant jindal dude

usko log maze me agent 247 bolte h

[tawdry sky]

Ikr

[nova forum]

Can someone tell why i am having headaches like in the back of my head

Is kt beacuse of accumulation of gas from fapping

[tawdry sky]

Just go for a walk or run

[inland cradle]

Hey, are there biohackers, chiropractors, integrative medicine doctors here?

I am fond of these fields of medicine, I live and study in Moscow, I would like to exchange experience!

[worn jay]

does anyone here has a goob understanding on electro-physiology ? i kinda need some help

[rigid dawn]

is someone taking anatomy and physiology 2 or someone who has taken it before? i need help with heart anatomy

[true rune]

Hii, does anyone know how to differentiate between free, omental and mesocolic taenia coli in a quick way? Practical exam upcoming

[latent glade]

translate it into latin term, like free taenia is taenia libera- is it free from any attachments,
then taenia omentalis is located where the greater omentum atteches - on the colon transcersum
taenia coli/mesocolica - it is located where mesocolon attaches to the colon

[true rune]

thank you!!

[long scarab]

Let that monster rest bro

[reef yacht]

any US med school students here?

[desert totem]

i just failed my vital sign exam

[cyan cradle]

Its fine. Just practice better for next time. Its unrealistic to think just bcoz you are a med student you cant fail a exam

[reef yacht]

attempt number 1

[kindred void]

this isn't help but a confession i hate how some diseases names are so dated they dont make sense anymore

[reef yacht]

the etymology is crazy

[visual osprey]

Tomorrow I have the physiology and anatomy exam. I can't explain how scared I am. My heart is beating fast, and I cry from time to time. I like it, but I hate it at the same time.

[storm hornet]

u have got it

what unit is it

like what is the topic

[visual osprey]

I just finished studying heart. I plan to teach it as my main subject. But I've already been warned that they make you relate it to everything. So I'm missing urinary, digestive, respiratory, and endocrine studies. My fear is that if I don't pass, I can't take new subjects.

[urban wyvern]

Anyone here preparing for medical entrance exam dm me...
We can crack exam together 👊🏼

[craggy geode]

to all medical student please can u recommend for me any good telegram channels for me as a 2nd year medical student to find study material please

[kindred void]

lichen planus should be renamed it doesn't resemble its' morphology anymore

[kindred void]

in simple terms what does each letter of the qrs complex represent ?

[kindred void]

I got littmann ii classic pediatric stethoscope as a gift can I use it for older patients ?

[latent glade]

damnn i am struggling with it right now

i hate dermatology

[kindred void]

i love derma but the theory books don't resemble real cases AT ALL 😭

[latent glade]

i feel like I am spinning in circles :DD everything soo similar :DDd

[kindred void]

for real dermatology you need a dermatologist on stand by all the time to actually understand it

[latent glade]

thats true

we do have clinical rotations but still i am lost

little

[kindred void]

it do be like dat sometimes

im on cardio rotation now the only thing im scared of is my examiners

cardiologist have really big heads hope it doest get to him when i say something stupid

everyday when i wake up i listen to my heartbeat to remember what a normal one sounds like 😭

[latent glade]

i liked cardio, we had great doctor who teaches us

[latent glade]

dammn i was scared too

[kindred void]

our doctor isn't bad i guess but the examiners are known to be pretty annoying

[latent glade]

i already forget all sounds :DDD

[kindred void]

😭

same and i studied them yesterday

[latent glade]

i feel you :DDDD

[kindred void]

yeah but enjoy your dermatology it's really fun genuinly might consider it as a specialty

or psychiatry

also it's pretty good life balance keep that in mind

[latent glade]

life work balance yes yes :DDDD

[kindred void]

hey listen it does exist i think

it's like a urban legend

[latent glade]

but i was thinking about these earlier now i am not sure if I want dermatology or psychiatry either

[kindred void]

you're also stuck on both ?

[latent glade]

i agreee i mean it ironically but yea :DDD

[latent glade]

naaaah i already gave up on them

[kindred void]

what are you thinking now

[latent glade]

endocrinology, maybe reumatologyy, or some pediadrics, little surgery but not sure

soooo hard

[kindred void]

oh...

ohh........

well

i can't say i enjoy these

except maybe pediatrics but i haven't done it yet

my uncle is a pediatric kids are awesome when they're not talking

[latent glade]

heheh yea kids are fine but annoying

[kindred void]

yeah i think i'll enjoy it when i get to it

[latent glade]

where do you study?

[kindred void]

i study in egypt

but i am NOT egyptian

medicine is 5 years here

[latent glade]

wooooowww are you not sick from the water hehe

[kindred void]

and it's quite cheap

not yet please don't spoil it for me

[latent glade]

cooooool i wish that short too

[latent glade]

naaaah i heard people love egypt, nice people they say

where are you from?

[kindred void]

it's not bad but pretty challenging

[latent glade]

india?

[kindred void]

no i'm middle eastern

[latent glade]

ahaaa

[kindred void]

i don't think i need to ask where you're from your last name says it all

[latent glade]

really?? :DDD

[kindred void]

yeah.... your bio too

[latent glade]

it could be anything

ahaha

yea

but thats cheating :DD

[kindred void]

as soon as i saw that last name i knew eastern eurpean

ok let me guess

slovakia ?

[latent glade]

hahah

no waaaay how do you knowwww omg

[kindred void]

i like to call it intiution

[latent glade]

damn thats why you in university, even medicine

you cant be stupid

[kindred void]

i cant be THAT stupdi

i mispelled stupid

😭

[latent glade]

:DDDDDDDDDD

how old?

[kindred void]

22

[latent glade]

ohhh

[kindred void]

4th year now

what about you

[latent glade]

i am also 4th year but we have 6 year of medicine, and I am 23

[kindred void]

2002 ?

[latent glade]

nah 2001

[kindred void]

oh dang

you're ancient dude

[latent glade]

:((

nooooo

[kindred void]

how was it like living with dinasours

[latent glade]

amazinnggg

i wish i can tell you more about it

but i am too old to remember

[kindred void]

what you signed an NDA

why would you not

[latent glade]

what is NDA?

[kindred void]

there you go

[latent glade]

i am sorry

maybe its dementia

:DD no i really dont understand

[kindred void]

lmaao

it's okay i'm very americanized

[latent glade]

my english not good enough

[kindred void]

i understand why you'd not get it

it hasn't been an issue so far

[latent glade]

i noticed :DDD

[kindred void]

well aside from the NDA part

you made it sound like it's a felony

[latent glade]

whaaaat

felony??

[kindred void]

😭

[latent glade]

i did nothing

[kindred void]

i will use simpler english sorry

[latent glade]

😭

[kindred void]

you're becoming me now

using 😭

:DDDDD

[latent glade]

i am sad that i cant speak properly or understand :DDD

[kindred void]

your english is honestly just fine

[latent glade]

dont be polite

[kindred void]

ok your english is barely understandable

[latent glade]

:DDDDD thank you for being honest

i appreciate it

[kindred void]

no problem that was sarcastic i actually dont think your english is that bad

[latent glade]

hehhe thanks

i am tryinggg

[kindred void]

you can bestow medical knowledge on me and i can bestow english knowledge upon you

[latent glade]

hahahha

[kindred void]

it's only fair

[latent glade]

do you think so?

[kindred void]

mhm nothing wrong with exchanging knowledge

[latent glade]

ahh you think i can help you with medicine?

[kindred void]

i mean

you're 5th year

i would be ashamed if you didn't

honestly

[latent glade]

i am 4th :DDDD

4and half

[kindred void]

blah blah just say you're bad at embryou

[latent glade]

i liked embryology, but forgot everything :DDD haha

i liked histology too

[kindred void]

i only study it on exam day

[latent glade]

😮

[kindred void]

i had a really good histology teacher

[latent glade]

cool

[kindred void]

my favorite subject is physiology but i never had a good teacher for it

at some point i started learning it by my own

[latent glade]

me too

[kindred void]

i also like pharma

sketchy is a godsend

[latent glade]

me too, but too much :DDD

[kindred void]

that's true i guess

how do you spend your free time?

[latent glade]

well sleeping :DDD

i have looot hobbies, but no time for them

[kindred void]

how do you spend your free time when not sleeping

like what

[latent glade]

i like music, i sing, play piano, i paint, i do gym sometimes

i crochet :DDD

[kindred void]

sing 😳

i can sing but not well

you'd like my singing maybe if you're deaf

i always wanted to learn an instrument but never had the chance to

[latent glade]

i sing in university choir, in past in other musical groups

[latent glade]

its possible

[kindred void]

oh damn okay

[kindred void]

yeah but no one around me teaches bass

[latent glade]

i cant rate hehhe

[kindred void]

ouch that's not nice

[latent glade]

i never heard you, thats fair to say

[kindred void]

you shouldn't im not good at all

do you watch or play stuff in your free tim

that's how i spend mine i guess or talk to friends

i used to read books but stopped

[latent glade]

me too

[kindred void]

what's your favorite book

[tranquil sonnet]

if u find it i want it aswell please

[proud sable]

Could someone help me understand how complex regional pain syndrome (CRPS) and hyperalgesia occur as a neuropathic pain condition?

I'm reading some reference materials and bibliographies, but I still can't understand them

[kindred void]

im stupid but as far as i know after a nerve injury nerves could become overly sensitive amplyphing pain

reasoning behind stuff like this is usually theoretical as far as i know which makes up a huge portion of medicine so think of it as a theory more than a fact that that is how it works

[proud sable]

heyy @proud sable
It’s actually a complex topic so u are not alone in this. I saw ur question few days ago and I told myself to stay away hahahaha cuz it’s actually can’t be fully explained in just few lines but I will try my best.

Also Kenye west, you are very smart person

Hyperalgesia
Is a sign or feature. And it is one of the signs of CRPS. You say that the patient has hyperalgesia if you do pinprick and the patient exaggerates the feeling of the pain. Normally we feel the pain of pinprick and we might just say OOUCH 😁 but if the patient screams loudly then it’s HYPER-algesia. But still we need to know why he has that sign right? So it is not a disease in itself

Complex regional pain syndrome,
from it's name is a syndrome, which means : many signs and symptoms that occure together.
I'll give you a case and I think it's the best way to keep it in our mind
a man was moving his furniture in his office then he hit something and he felt a stab in his right knee, but there was no immediate deformity or swelling or any severe pain and he was walking normally. then after 2 weeks he started to feel severe pain on his Rt.knee, and could hardly walk, he said that even placing blanket or any clothing on his knee will make severe pain and discomfort, so that what brings him to the clinic, then they gave him strong pain med......
but over 2 months he starts to have swelling, increase temperature, and sweating around it, and skin spots but the left knee was normal.. they did the pinprick test= positive, which is one of the signs. but there are more signs..
The reason of this syndrome they think is that due to injury--->inflammatory chemicals and pain peptides(protiens) released by peripheral nerves----->increase sensetivity to sympathetic nerves---> then abnormal response and sensation to pain.
so they call it complex cuz there is a gap of time between the injury then the appearance of signs and autonomic symptoms.

[reef yacht]

can any of the homies explain the importance of the juxtglomerular apparatus? is it a point of contact between blood vessels, convuluted distal tubules, and Bowman's capsule, functioning to regulate blood filtrate via a feedback loop?

[proud sable]

I don't think bowman's capsule part of it, but i am not sure tho..
yes it is point of contact of blood vessels afferent art(has juxtaglomerular cells) + DCT(has macula densa cells) and of course the main cells mesengial cells...

and yes u are right it helps to regulated bl. pr. and GFR.
like in case of hypotention= there will be decrease delivery of Nacl to macula densa cells and that will stimulate RAAS ,
then RAAS will increases GFR and bl.pr
I have a picture in my book but Im not home now, if u didn't get it, I can send it here to help memorization

[proud sable]

This is what I also found in my studies, I'm glad you can confirm that I studied right hahaha , thank you very much for your help, Filiz!

[proud sable]

You know, ​Initially when I watched only few clips of the show House I thought dr. house had CRPS. but after i watched the series, I discovered that his condition was actually different, cuz patients with crps become desperate from the pain even light touch, and some lose control and become addicted to pain meds, even nerve block, ketamine infusions don't help sometimes

[reef yacht]

do eosinophils cause histamine release resulting in vasodilation and leakiness of capillaries?

or just basophils and mast cells?

[keen nymph]

it’s going to primarily be basophils and mast cells that release histamine. eosinophils may interact with mast cells to trigger the release of histamine, during something like a parasitic infection. but they don’t actually release it directly

[long scarab]

I don't know about eosinophils and basophils, all I know is that the main source of histamine is the mast cells

[hallow maple]

eosinophils are involved in allergic responses but do not directly cause histamine release

[reef yacht]

thank u guys

[sinful shard]

I also watched it...for the sake learning some medical knowledge....but then I ended up having a urge to see the romantic aspect of the series 😂

[proud sable]

Wait, does the show actually have a romantic side?

[sinful shard]

no but... at some point , the female doc started having feelings for house... that one

[dusky lagoon]

how do yall memorise sm in short time?
every line has like 3 things i gotta remember minimum
but have super less time
help pls 😭

[lost linden]

Depends on how much time you got , if it's very short time and a lot of chapters , sacrifice some of them, ask your classmates what are the important chapters you should focus on, and do spaced repetition, for example try to memorize one paragraph , then move to another one , after finishing it , try to recall the first paragraph by writing it , and the information you didn't recall, rewrite them with another color and yk those should be the one you focus on , this is what helps me when I have very short time left for my exams

[dusky lagoon]

okay so this is an entrance exam
so im not in a sch so no classmates 😭
ive about 20 days and 32 chapters

[reef yacht]

voluntarily did this to urself

gl man

[reef yacht]

i would suggest u surf the internet for pre made anki or quizlet decks

[lost linden]

Then go back to the old entrance exams and see what they focus on

[sterile quarry]

Good day, everyone. I am currently working on a research assignment and I am seeking insights specifically related to Malaysia. If there are any Malaysian individuals here who would be willing to have a brief chat, I would greatly appreciate your time and assistance. 🙏 May I ask, what are the most well-known or commonly used herbal food supplements in your country? Thank you in advance for your time and help!

[proud sable]

Does someone here use remnotes?

[proud sable]

I find good doctor better, it feels more medically accurate

Also please help me with this question and its explanation

[proud sable]

If you want a chart i have made one on how mast cell releases histamine and other allergants

[proud sable]

hiiiiiiii hope everything is going good with you🫂

[proud sable]

So the answer is choice 2

I remember this subject from usmle step1

But why

I didnt get this q

[proud sable]

Wait this is step 1 q then why they are asking it in my licensing test 😭😭

[proud sable]

Yeah i guess i am not sleeping a lot

One day sleep, one day awake

My brain is going brrrrrr

[proud sable]

Yes it is even in FA book

How are you filiz senpai

Let me explain the q hahaha

[proud sable]

Omg my exam is just a no negative marks exam why they are adding q from usmle 😭

[proud sable]

Im doing fine 😢

[proud sable]

They hate you so much,, that’s why

How to study 21 hours a day

[proud sable]

They do

They asked one q

Which component is most likely to affect the eye

Which is present in the environment

And they gave meckels diverticulum on adult

Wait! So you already done with the exam?

Yeah and i failed by 1 marks

😂😂😂😭😭😭

I am again preparing for it

So thats why i have to study 20 hours for the last 3-4 months i have left

I know it sounds crazy but i got a lot of stuff to cover

I actually passed my other licensing test for graduation so i mean it was not easy to prepare both exams together

Ohhhh no worries please, it’s okay, the problem is that the studying will never end

[proud sable]

Yeah can you give me tips

On how to study 20 hours

I mean i know its not good for health but i got no choice

Until 3 months

[proud sable]

Omg! I don’t know actually hahah
I swear that i already finished school

😭😭😭

Oh actually i found that answer

Its in first aid 😭😭

Because my licensing exam is to start internship and i was thinking to read first aid during residency exam

U know that I finished med school in my home country and i even started my specialty there, but then I had to do usmle exams in usa so I can get into residency program here😭 so imagine i studied the double

😭😭😭

I’m sorry I am so slow with typing, first I am not home , second I’m already so slow hahah

Its fine no issues maam

Actually i might prepare for usmle or maybe amc

If i crack my country’s exam in first go or maybe one year drop, but i dont i will opt for these options

[proud sable]

step one is so stressful but believe me its doable

[proud sable]

I studied chinese and passed the very difficult language test, i can speak mandarian but i think its no use lol

[proud sable]

Yes my seniors cracked it they just said 6 months of preparation and you can crack it

[proud sable]

thats awesome, u can work along studying for usmle as a medical interpreter, u just need to take a certification online

[proud sable]

Fun fact my uni suddenly imposed it even though they said that they wont put it to for us during internship

[proud sable]

Yup trying to get that once i pass my licensing exam

[proud sable]

it depends actually

They are saying that because they already studied 19 subjects

After that they passed the test i am giving

And then they passed step 1

So it was double preperation

[proud sable]

They did this 3 months before my licensing test, if we dont pass it we couldnt graduate lol

everything is doable, but as i said step 1 is so hard and stessful

[proud sable]

Yeah 😭😭😭😭

[proud sable]

noooo dont cry 😭

My prof got low marks in step 1 and then he passed in step 2 but he got rejected from hospitals i think 10-12 years ago

wait, so u don't want me to explain the q , as i understood u found it in FA book

So this is what i fear 😭

[proud sable]

Oh i got the q

I will ask you more questions 😭😭 which are crazy

[proud sable]

AWESOME

Like this

[proud sable]

BUT WHY HAHAHAHA

[proud sable]

You are my sensei

Doctor Filiz

Also you are experienced

thats in FA book

too

Yeah

First aid is great book

Too bad i got so much less time lol

😭😭😭

yeah but u need memorization

Yeah

Thats why i am going 20 hours daily

One day a sleep cycle of 6 hours and another day whole nighters

This is my plan for next 2 months

Feels like jumping from 5th floor of my dormitory

😂😂😂😂

believe i am also strugling now, i thought that i dont have to study

[proud sable]

We have to study till death 😂😂😭😭😭

My mother is senior nurse and she still studies and if i mess up she destroys me 😭😭😭

u crying a lot hahahaha

[proud sable]

I am awake from wn

😂😂😂😭😭😭

[proud sable]

my mom was a physician but actually she was forcing me to not study a lot hahahah

One thing i have observed , i slept very regularly like 7 hours 3 months ago studied properly, after some time i forgot everything, sleep also is good but if revision is not done its all 0

[proud sable]

Oh my mom also says that sometimes but also forces me

So thats why i am planning to go all insane for 3 months because i just cant

[proud sable]

revision revision revision is the key

[proud sable]

Yup and i did none

I forgot almost everything lol

studying without revision means no studying at all

I gotta redo my syllabus in 20-25 days and revise two subjects together

[proud sable]

I thought i will do q banks and it would be good , i was wrong though

like dont focus on ivermectin drug and those things hahahah

Do you recommend studying 2 subjects together if i am going 20 hours

[proud sable]

Yeah 😭

so what I was doing

is if i study for example, pulmonary physiology, then i feel myself stuck, then I switch in the night to something easy or watching vedios

but also everyone is different

Oh thats d way

maybe I am stupid

I study like micro for maybe 12 hours then 2 hours q banks, then 6 hours surgery

so dont take everything i say

No no you are right

omg

[proud sable]

I got no option i am literally forcing myself

micro is easy to forget, same as pharma

Thats why i am studying pharma daily

Just 1 hour

so if u keep studying them for 12 hours u gonna forget the next day

[proud sable]

Yup i know

Rn i am just trying to read it

Because i never studied micro properly

In my med school i just studied virology only rest i studied 3 days before exam

so i thing 6 hours micro then 6 hours something like pathophysio that needs more understanding than memorization

So i have 0 knowledge in that subject

[proud sable]

Ok doneee 👍

What about other 8 hours

but keep studying the way that u feel comfortable with

[proud sable]

revision

Yeah but i aint comfortable now lol

[proud sable]

Done

as i said studying without early revision is nothng at all

Wht i am doing is basically picking up one subject that i forgot and in remaining 5-6 hours i am revising random subject eg pediatrics

[proud sable]

Thats why i am doomed

So i have to pull 20 hours for 3 months to save myself

[proud sable]

no you are not

obviously u are so smart

I mean 😭😭😭

I gotta tryhard

[proud sable]

you can do it

3 months of complete butchering of my health lol

if someone else was able to do it

My brother also did the same for 1 year for his google examination

then u can

He studied 20 hours and had 2 kidney stones 12 mm each

[proud sable]

You are my inspiration

[proud sable]

HAHAHAHAHAHAHAHAAH

My sensei

[proud sable]

I dk how he did that till this date i find it very very surprising

Wait, look, you study and do ur part, but the rest is depending on other things so dont blame youself

[proud sable]

Yeahhh sensei

I am on the job

Whatever is present rn in future i will focus on that

Thank u so much sensei Filiz

[proud sable]

maybe there is no future ha

😁

https://tenor.com/view/cat-kitty-storm-lightning-cloudy-gif-17607709

[proud sable]

Yeah i can only make goals for the future

[proud sable]

I am so stupid dont say sensi 😭

But for the present i got the time rn which i can use

[proud sable]

No no you are intelligent

You are a doc sensei

I can call you laoshi also

[proud sable]

NOOOO i swear i am not

No no see intelligence = hardwork

You are both

[proud sable]

I have none of these but thanks
you too

[proud sable]

https://tenor.com/view/cat-dance-dancing-cat-chinese-dancing-cat-funny-cat-meme-cat-gif-18059553370350307210

[proud sable]

thia is my cat lulu

Oh nicee i lover cats

I see cats i feed them

OMG

THANK YOU SO MUCH, you just made my day

No problem sensei

I got my cats from the shelter, they were about to authonize lulu( her name was ethel) because she was so sick and they said that they should put her down

😭😭

https://tenor.com/view/cat-crying-cat-cat-meme-cat-crying-meme-crying-cat-meme-gif-3108840660812404930

but I told them, I want to try with her

now I have her for 4 years

she is so healthy and happy cat

Sensei you are a very gentle person

it turned out that she has just allergy from specific type of fish food, i didn't even take her to see a vet

My mother never allowed me to keep cats so i always fed the stray cats , they always used to come to my house daily for 2 years . After i left to china, all of them never came back 😭😭😭

[proud sable]

Oooooo

This one

[proud sable]

its okay, maybe ur mom afraid or she doesn't want u to get somthing

She actually dosent like animals

But its fine since its her house lol 😂😭

[proud sable]

ohhh thats why

[proud sable]

hahahahahahahahahhaah

Also my brother was not allowed to keep dog in his own house

So he is so mad that he is working more hard to get promoted to a higher position in google so he can keep a caretaker 24/7 for his own dog

[proud sable]

🥺

[proud sable]

I wish him and you and ur mom the best

Cant fight with my parents now both are suffering from hypothyroidism and hypertension

[proud sable]

fight is normal hahaha

[proud sable]

Thank you so much sensei you too i hope your family and you both remain in pink of their health

no i mean even if u do

[proud sable]

Yeah haha i mean my brothers way of showing anger is getting more successful 😂😂😭😭😭

[proud sable]

Yeah its daily fight lol

For small reasons like i skipped eating fruits😂😂😂

https://tenor.com/view/kat-gif-22397378

Sensei i will go i need to go to my hospital which is 3 hours far away from my location, i wanna cry and die both and smile also

please gooo

i mean

So sorry sensei , i will tease you a lot from now on

Here with my q and my anxiety

oh no worries but to be honest i started to forget a lot of things since i did step 1 and 2 long time ago

cliniical life is different

Dont worry sensei you still sre very very intelligent

completely different that what we have studied

[proud sable]

Yushhh😭

[proud sable]

I hate u 😭

[proud sable]

😂😂😂😂

take care and wish u to pass all the tests

Thank you sensei i hope i see you on top of your department 😎😎

oh god

Hehe

[proud sable]

Daily q for everyone

Even send me also here so i can practice plizzz

[rose imp]

hey i know its medic help channel but it's open to everyone in the server, so i deleted your messages since those pictures might get some people a bit sensitive

i dont think we should be posting any photo that includes blood, rash, or anything like that

[proud sable]

Oh yeah my bad really sorry

[proud sable]

I agree i am sorry, can i post things without blood and photos like normal q bank

[rose imp]

its okay😄

[rose imp]

oh yes you can! just be careful with the photos hahah

[proud sable]

Yup no photos only just word base questions

Like these

[proud sable]

Answer is 3 years , a baby is riding a tricycle which means he/she is more than 12 months , going up the stairs suggest 2year but going up and down is 2years + . Another finding of building 9 block and using pen to glitter = answer 3 years

[steel pumice]

Does anyone know about OET group? or OET speaking? Let me know if you know.

[proud sable]

Guys does anyone know how an immigrant can apply for singapore as a resident doctor what are the procedures

[proud sable]

Anyone preparing for micro exam currently, i need help in revising it faster

[brisk terrace]

anyone study buddy pomodoro?

final year medicine student

[potent vale]

@ashen mirage

she is interested

[ashen mirage]

huh

😭

sorry but no

HAHAHAHAHAHHAAH

i'm not looking for anyone rn 😭

[wet tinsel]

why dont you check in on the ims server

[agile crystal]

Wanna do it with me, i am targeting to study 15-16 hours daily, i already have a forest target going on in my server

[humble kite]

Das crazyy😭😭

[jagged obsidian]

I will do pomodoro 60 studying 10 cleaning up🤣

[humble kite]

Im sure youll need many sesh to organize it😭😭goodluck tho🔥

[jagged obsidian]

I'm halfway done, will finish it tomorrow, ty

[brisk terrace]

any one dental field student how do we approach studying dental subject any youtube videos , not deeply but superficial contents only , i have no clue about dental!!!

[cobalt bone]

im a second year med student here in india, can anyone please guide me how to start the trinity( path, pharma and micro) im so lost

[proud sable]

Cerebellum marrow and prepladder long videos at beggining and rr at last month before exams, u should prepare for neet pg study your books also but 80% focus on preparing for competitive exam even it is far away u should do it, i see people struggling for 10 years in neet pg in my prev server. Do daily 50 mcqs all custom module , mcq is best to learn pharma, preeti maam for path and mucro or first aid book is a beast for both these

[charred coral]

what even happened

[jagged obsidian]

I got crazy about a paper I could not find, got all my books and papers off the library

[fringe bison]

Yo guys anyone know someone who Studies medicine in australia (pref. Melbourne) and could help me out with applying for phd there? How can i find out if the Supervisor is cool for example?

[proud sable]

It looks like my room when i was done with my second year finals

My room condition rn lol for my graduation exam

[jagged obsidian]

Daaaamn I kinda like that

[idle moth]

i kinda miss this chaos from when i was a student haha
exams would finish and i remember feeling so free
(that feeling kind of goes away when there's not an exam marking a finish line, so to speak)

[proud sable]

❤️❤️

[proud sable]

Yeah the hell days over and sleeping for the whole day felt so good 😭😭😭 talking to your parents properly and seeing the sky 😭😭

I miss those years 😭😭 especially first year where we have to identify dissected parts and our teacher scolded us it was so funny lol

[gaunt blade]

Today's deals are hot! #mysales #bigdreams #Succcess

[proven prism]

holy Lord , my mum would've murdered me

[glad acorn]

Energy speaks louder than words👌🔥✨️

[proper cradle]

Hello, I am a second year medical student and I am struggling a bit with lectures. I find myself taking hours to finish studying a lecture only to find out next day I cannot remember most stuff the next day. How can I avoid that? I mainly study by annotating and asking myself while reading the slides. I tried anki, but making cards take a long time and when reviewing, my card speed is about 3 cards per minute. I would welcome any advice on how to speed up things a little bit.

[earnest charm]

it's hypocritical for me to say because i do the same and suffer the same, but cram studying something one time isn't going to keep most of that in your memory the next day

making flash cards is actually a method of studying on it's own, it's basically the same thing as making notes 🙂 but spaced repetition is the whole point of flash cards, reviewing it at longer intervals over the course of a week or month to force your brain to realize "i'm seeing this often, i should remember it" - eventually, the topics you've seen multiple times will come back faster, you'll be doing cards at a faster rate, and you can make the judgement to rate the terms you know as "easy" so that you see them less which gives you more room to do newer cards

if it takes too long to do, ask your classmates if they made any flash cards, look on google, or use AI the way it's intended to be used: make a list of terms and definitions, and ask chatgpt to turn them into an anki deck

keep in mind that in order for spaced repetition to work, you cannot leave studying to the last minute like i just did... my finals in three days
spaced repetition works better the longer you do it for

remember, it seems you just started using these flash cards, you can't expect speed when you haven't developed the momentum yet

[proper cradle]

I am afraid it is too late 🥲, My finals begin in like 2 weeks (which sounds like a lot compared to 3 days) but the amount of material I still have to go through is insane. Hopefully I will be able to finish.
Yeah, I will try to stick with flashcards and build some momentum with them. They are better than just writing notes, only to rarely look at them.

Thanks for the advice and best of luck for your finals, you got this!

[earnest charm]

knowing some things is better than knowing nothing - you don't only have 2 weeks, you have 2 entire weeks!

choose what appears to be the most important terms based on how you remember their frequency in being brought up in your lecture and homework, and prioritize those in your flash cards instead of every term

flash cards unfortunately don't work for what i'm learning, i need to do entire cases
but one of my friends has only just started his semester and has to memorize two hundred terms by the end of his class, and that's what i would recommend him too

[proper cradle]

This is really helpful, because when making my flashcards, I tend to try to cover every sentence in the material. I go through everything thoroughly and it takes away a lot of the time that I could be spending on stuff that are actually important, but I get this impulse of "leave no man behind" and try to cover every little thing.

[fallow wave]

is anyone here studying to be a paramedic?

[earnest charm]

same - and it oftentimes is hard to sort out what is important and what is not, and when you don't know, you tend to just go for everything... I have a hard time with it too, but I know that being able to prioritize what's important is an extremely valuable time-saving skill that people need to develop at some point

[opaque tide]

a pharmasist ?

[proven prism]

hey y'all
can someone confirm if vocal nodules are present in the anterior 2/3rd of part of the vocal fold or anterior 1/3rd part?

[dry orchid]

2/3rd part based of pressuere

[weary citrus]

Perinuclear Halo What is a paranuclear halo?Human papilloma virus (Hpv)

@gray edge I saw you too, do you have a chance to look, sorry to bother you in advance :((

[gray edge]

Sorry bro but I am in "high school". Final of this year I will do an exam to admit me on Med Uni.

[weary citrus]

I understand, thank you anyway, good luck on your exam 🙂

[wet tinsel]

!ban 830001549849264178 scam

[gleaming pumice]

Banned moonster.1

[hexed moth]

Hello! I m a first year medical student. I have recently started reviewing my anatomy n physiology books but I barely have covered any topics. I somehow passed my exams but I genuinely want to study these subjects during my break. I realized that mindmaps are a better way to remember for me. But I m finding it hard to group the topics n overall making a mindmap.

[dry orchid]

??? you pass your exams and you want to continue studynig ? In my place i would enjoy holidays

[hexed moth]

Idk how to do that either 🥲

[vital bolt]

yo i might need some help from the medics or anyone whom knows something about the heart

i have been noticing that during hot weather, my heart tends to feel heavy in my chest? like today i was sitting outside and it happened, when i get up, i feel dizzy and feel like i am about to fall. The day before i was working in the garden, again during high temps (here its about 25 degrees) and i got a very painfull ache towards my chest. Like some sort of stab-feeling? in combination with the heaviness feeling.

any help is welcome!

in my youth years, the school doctor noticed an irregular beat in my heart. i did not get followed through since he thought it got to do with "growing up". there also was a sheer rustle at that time.

oh and an insane weight loss. 5kg in 2 weeks, when im just sitting in my room studying.

[dry orchid]

go to gym, find gf or go in montains

[hexed moth]

Thanks for the ideas 💙

[dry orchid]

how did you pass the exams so soon?

[hexed moth]

I didn't pass them 'soon'. But I had studied the topics most frequently asked in the exam. I wanted to review my books thoroughly one last time.

[dry orchid]

oh it was test format ? not verbal exam

[dry orchid]

where the pain progres. Does it go in chin or arms or armpit lef or rigth ?

[hexed moth]

Yeah verbal too. They were asking some common questions.

[vital bolt]

Spread over the whole chest

[dry orchid]

you should check your doctor for EKG, rapid movements when you get up is normal, but the stabing pain can be dangerous mainly when you are hydrated.

[dry orchid]

for anatomy is best when you draw and imagine the structeres. Physiology too draw as possible and feymann technique. MInd maps i find too time consuming. and you need lots of practise soo

[hexed moth]

I indeed drew some diagrams for anatomy. Feynmann technique I should search. Yeah mind map are indeed taking a lot of time. That's why I typed here to find if someone does it too for understanding their process to do it.

[dry orchid]

yeah i tried it but did not work. check the youtube you will find this dude he is doctor he know everything about mind maps

what I found most efective is when i ask my self what is macropahge for example , but it can be harder word like epistaxis .... and find picture of it or draw it

[stone anchor]

Does someone have any advice for remembering the types of functional fibers(GVE,GVA, PVE, etc.) each branch of each cranial nerve has, like some mnemotechnics or whatnot?

[proud sable]

Guys can u help me with some q

If someone can help me dm me

[fervent pivot]

what's your q? but to be honest i'm a baby student (year 2) so i don't know but if i can try to help T°T?

(good luck i hope you'll find someone more able to me T°T)

[hot raptor]

I did not study pharmacology the whole year and now that i have 2 months for exams .. i am regretting everything 😭

[upper wagon]

Hello everyone! I am having a difficult time choosing between dentistry and pharmaceuticals studies. Can someone help me? Your knowledge, thoughts and experience on either fields can be very helpful!

[dry orchid]

you are not alone, I was lazy studying patology thougth semester now it so fc hard to study it all. But we will do it. All we can do is doing aur best more we can not do

[dry orchid]

yo if you want be more indepedepnt you should definitly go to dentristy easy exams more time to study, 5 years,

[upper wagon]

Oh that’s a great advantage that dentistry has. However does it have better job opportunities?

[dry orchid]

i study medicine but i have friend who are dentist, It really depent where you will live, but once you have your own ambulance with patients you are golden. before that is not that hard to ge job i think

plus you can specialize in variety fields

[upper wagon]

Oh I see. Thank you so much for the info!

[fervent pivot]

hello ! i'm also in med but i have a lot of friends in pharma or dentist, but i think it also depends on you geographical zone. In my country, you're as independent as a dentist as a pharm, but more responsability as a dentist (for more or less the same study time), dentist can also be more lucrative if it's what you're looking for! But i think the best is that you go ask some student from the schools you can go and contact some real dentist/pharm! In France for instance we have a good "alumni" system where you can contact student easily, and for the pro, at least in pharma, i'm sure they'll be very happy to tell you if you go to the drugstore in a no rush time ehhe

but thought decision, good luck, but i'm sure you'll find hapiness anyways eheh

[upper wagon]

I see! This was very helpful! I will do what you suggested! Thank you so much !

Have a good day!

[livid bronze]

guys does anyone know the answer to Q41 and can you please explain

[blissful idol]

Should be 5 imo… corresponding A, T, G, C and U, considering both DNA and RNA (T in DNA, U in case of RNA)

[livid bronze]

Yep but answer key says 8

[livid bronze]

that’s why idk

[blissful idol]

Oh lmao, i get it now, they said “by considering the three parts of a nucleotide” ….that means they want us to consider the sugar component too haha… so deoxyribose and ribose..that’s why the ans is 8

[livid bronze]

Ohhhhhhh so it’s Adenine, guanine, thymine or uracil, cytosine, deoxyribose, ribose and the phosphate group.?

[blissful idol]

Yeah like
The nucleotides in DNA would look like: A/T/G/C-Deoxyribose-PO4
in RNA: A/U/G/C-Ribose-PO4
so 8 DIFFERENT nucleotides

[livid bronze]

that makes alot more sense

Tysm

[kindred void]

Dermatology teachers are the absolute worst they never know what they’re talking about

[kindred void]

There is great mind maps that have already been made and available it possibly won’t cover your entire subject but gives you a general understanding that laser focusing on your curriculum won’t give you

[hexed moth]

I checked those out but they were really confusing.

[wet tinsel]

Can you share some with me pls?

I wanna check some out

I prefer making my own

[kindred void]

i don't have any but a quick google search and you'll find a lot or youtube videos where they summarize the entire subject is also an option

[past parrot]

Hey everyone, I'm a senior in dental school and planning to pursue my specialty in Germany. Do you know anyone who is in dental school there or planning to go? cause i have some questions :)

[proud sable]

How to get them

[pearl flume]

Hii guys! So I'm a graduated physician from Brazil currently pursueing to enter the Anesthesiology residency. So if anyone needs help with med school or just want to talk about clinical stuff, my DMs are open 🙂

[reef yacht]

"A(n) decrease in the glomerular filtraton rate of the kidneys results in a(n) increase in the selective reabsorption of different compounds."

can someone clarify/verify the following? ^ I previously assumed that there is a linear relationship between such absorption and GFR, but no?

or is it just that a sheer reduction in the time of contents undergoing glomerular filtration results in an increased duration of time being exposed to vasa recta capillaries?

thx in advance

[dry ridge]

I would disagree. Low GFR means kidneys don’t filter as well/kidney function is low. Selective réabsorption would insinuate a beneficial thing but low GFR is a bad thing

Idk if what I’m saying makes sense

[reef yacht]

this is my approximate reasoning... so i agree.

[reef yacht]

update: here is a snippet from a textbook

so yea, inc. GFR = inc. re-absorption. the statement i mentioned in my op was from a pre-made anki deck

[buoyant obsidian]

Anyone is studying ophthalmology?

[wet tinsel]

Me

But at an undergraduate level tho

[teal lark]

could any of you please help with the diagnosis of this hematology Q please? it's so unspecific, most people i know are stumped and cant reach a conclusion!

[teal lark]

lol sorry late reply but if i were you I'd go through the anking deck!! best way to review and consolidate year 1 and year 2 subjects 🙂

[hexed moth]

Thanks for the reply. I will check it out this year.

[quick coral]

Hi everyone, I'm a physio student and I am having trouble understanding the key differences between a radiculopathy vs radicular pain?

[tame dagger]

Radicular pain is a symptom,
While radiculopathy is a condition in which the nerve root dysfunctions
The suffixe "pathy" in medecine means disease

[quick coral]

Oh that makes way more sense when you put it like that, thank you!

[tame dagger]

@quick coral you're welcome ! Good luck

[kindred void]

If anyone is a dermatologist please hit me up i need some help with some derma terms

Whats the difference between crusty scaly hyperkeratotic plaque thick

[uneven pelican]

hello everyone, does anybody have digital book “Sabiston Textbook of Surgery”

21st version

[glad acorn]

Energy speaks louder than words👌🔥✨️

[versed light]

Shoutout to anyone studying for the MCAT. You got this!! 🤍🌟

[light oriole]

hii, can anyone explain to me how the process of the kidney works? how does the kidney process hormones? (sorry if sound a bit strange, english is not my first language jajaja)

[gleaming pumice]

If the message above contains a link to free nitro, it is most likely a phishing link. Please DON'T click on it to protect your privacy. You can notify the peeps by tagging them ( @peeps ) and they will take care of it as soon as they can. Please don't ping them if someone else already did in the chat thank you.

[dry orchid]

you mean blood pressure ?

or filration ? cuz kidney have lots of functions. generaly the specific type cell have receptors which secrete hormones when stimulates

[light oriole]

Ahhh okok but, how do they secrete the hormones???

[reef yacht]

a very common example concerns the juxtaglomerular cells.. when the afferent arteriole experiences constriction (low bp), resulting in a decreased perfusion rate, the juxtaglomerular cells cleave prorenin to renin (the active form) to increase bp via the RAAS. renin, the "initiator" of this cascade, eventually gives rise to angiotensin II and aldosterone that exert their different, but related, effects on the kidney, and at different locations.

i'm sorta kinda (really) making assumptions that u are familiar with how the kidneys work, so forgive me if not

likewise, I understand that English isn't your first language, thus making it challenging for you to ask a precise, unambiguous question

[light oriole]

ohhh thak youu, now it makes more sense to me hahaha

[reef yacht]

yea np.. for more precise "mechanisms," I suggest u peruse the literature or pickup a medical-grade physiology textbook like Costanzo, though the former is advised!

[reef yacht]

can someone explain how bicarbonate levels fluctuate in response to DKA and why

i assume its concentration decreases--excreted in the kidneys, as H+ rises? and a given physician would administer bicarb to drive the production of CO2, resulting in an increased respiratory rate?

but what about if the patient is under cardiac arrest

[cold ore]

hi guys I'm a pharmacy student in my last year (bachelor) and curretnly writing my thesis. it's about antibiotic resistance in cancer patients AND THE STRUGGLE IS REAL. i have about 20 pages rn but i have no idea how to continue. my biggest issue is the structuring of chapters. i feel like nothing makes sense anymore and I'm really stuck and have writers block or something 💀 I'd be happy if someone can give me feedback or help a little with the structuring. i just need to get into the flow again 😭 THANKS

[kindred stone]

Send it over I needed some bedtime reading anyway

[proud sable]

Cardiac arrest will result into cardiac version aka change in anatomical structure of heart, we might see oedema also , we have to reduce the pressure on kidneys so we use drugs that block certain hormonal release like Aliskiren and many others. Also for understanding the conc part you gotta go deep in metabolic chapter, where metabolic acidosis respiratory acidosis anion gap etc are taught because it will solve not only dka concept for you but other concepts for other diseases like vomiting metabolic and all

[reef yacht]

ty brother

[proud sable]

Npp

[minor magnet]

Looking here, do you consider this ecg to have a right axis deviation (due to net negative QRS surface in lead I) or normal axis (due to higher positive deflection in lead I)?

(It makes the difference whether the final conclusion is a RBBB or RBBB + Posterior Fascicule Block)

[languid seal]

hey hey! I need help with getting access to one article on "The Journal of Applied Labolatory Medicine" (specific article down below). I am not granted access thru my uni unfortunetely so i'd be glad if anyone could help me out on this one
ok this is the link to the article: https://academic.oup.com/jalm/article-abstract/10/4/983/8099411?redirectedFrom=fulltext&login=false#no-access-message

[languid seal]

and also this one on PubMed: https://pubmed.ncbi.nlm.nih.gov/18935832/

[buoyant abyss]

Would anyone have a good pharmacology textbook recommendation? Something that explains mechanisms of action simply

[glossy bramble]

Quick question what foods can i eat if i have extremely high cholesterol?

[loud plover]

hi! please be careful when asking for advice online and always refer to professionals for advice related to health

[grave tusk]

Vegetables mostly, avoid too much meat, cheese, and alcohol

Prefer eating fish

[lavish wagon]

How can I study pathology

Any tips

It’s hard on me

[buoyant abyss]

it depends on your dietary needs

[buoyant abyss]

I reckon learn & understand the mechanism of action and then just do active recall so you don't forget it

[grave tusk]

Most of the time, lot of fish instead of meat for omega 3 is enough to reduce cholesterol
And vegetables to prevent eating to much fat

This is already enough for the big majority of people
Sedentary or sportive ones

[grave tusk]

Which type of pathology xD

[lavish wagon]

I study about cell pathology from the beginning
Like what is inflammation and what his type and so on…

@grave tusk

[grave tusk]

Hmmm I see
Usually, starting to learn these things by using the mode learning of chatgpt sounds to be a good idea 🙂

[lavish wagon]

I used some prompts in ChatGPT and I saw some videos about pathology and it seems to me hard

Like if you tell me to choose Neuroanatomy or pathology. I would choose neuroanatomy

So I asked you guys if there any tips

[gleaming blade]

hi i am looking for a free sources to get medical books pdf

[languid seal]

does anyone have access to Sage Journals?

[bleak prairie]

you can try medflix 2.0 on telegram

[buoyant abyss]

yes, I can send it through

[bleak prairie]

Just take into account piracy laws of your country

Also libgen is one of the best sources for books

[buoyant abyss]

I reckon try getting it from ur uni website

cause they usually have an online copy

[gleaming blade]

Allright thank you so much 🫡

[green whale]

i dont think this is about med

[honest thistle]

Hi everybody! I'm medical student from Kazakhstan. Can anyone explain what do you study in pathology? In our system we study pathological anatomy and pathophysiology separately. And another question, what does a pathology doctor do? Thanks for the answers

[honest thistle]

Hi! Are there any doctors from Germany here? I have some questions. Thanks

Or medical students

[gloomy steppe]

i studied all my life by writing lessons at school then reading it again at home .... now when i went to the medschool i found my self rewriting all my pdf lecturers then reading it from my notebook because it better for me to memorise the things with my hand writing and i also started passing the exams and not failing at it .......... is this how my brain work or am just not used to studying using by printer or pc screen

am asking this because writing takes sooooo much time

[reef yacht]

i'd say the belief that "this is how my brain works" restricts u to that frame of kind, therefore preventing you from expanding to other learning modalities

but if it isn't broken, and u manage to acquire all the required information, why fix it?

i can just only imagine how long it takes u to write everything out, though

[proud sable]

Yes our teachers always gives us workbook whee only 10% info is added like images so we dont waste time making diagrams and have spatial memory, try using ipad with your pdfs, or some other tablet drag the images to your notes area and you will have much better spatial and recall memory.
Use ai to make questions for yourself on your competitive exam pattern . It helped me massively in med school especially during scheduled test in our internship. Trust me brother start doing it because lots of things are inage based and you need to see the image with the notes .
Even laptop is also fine. A small mini printer is best for physical notes if you dont like tech, i bought one in china and it worked wonderfully and is dirt cheap and is smaller than my hands, so its portable for you in library also.

If you don’t like that also try using textbooks, let say u study congenital hypertrophic pyloric stenosis, you need to see xray photo, you cant make one, go to your book see where the page is and mark it and in your notes (page no) this is tidious process.
I will still prefer the mini printer as stickers also come with it you can stick the diagrams on your notes . No ink is required and u can put a tape on your stickers so it doesn’t vanish with time

[noble heart]

Hey, i'm looking forward to talk to you, since you're in Xiamen,
Do send me a friend request,
cheers mate

[lethal nymph]

<@&942391219206647828>

[dull wave]

can cold water and sore throat go together?

[reef yacht]

what the what

[willow vault]

Hey everyone, I'm not a med student but I'm writing something for school about neural plasticity. I had a question about gray and white matter. Basically so far my understanding is that the majority of gray matter is neurons, and the white matter is the synapses aka the connections with the myelin layer and stuff. I don't quite understand: is the white matter 100% synapses and gray matter 100% neurons or do both have neurons AND synapses in them? Thanks in advance for the help (image is of a brain)

Cause idk if the white matter where all snypases it just seems hella long going from the shell of the brain to the center

[proud sable]

Hey Angry!! Wishing you the best in your school🫂
Regarding to neurons, so first, one neuron has 3 parts
1- cell body 2- dendrite 3-axon...
it is like head with hair (cellbody and dendrites) and tail (axon)..
The cell body with the denderites of the neuron is located in the gray matter of the brain, not the whole neuron. And the axon part located in the white matter of the brain.
The synapses mostly happen in the gray matter because, denderites synapses with another denderites of other neuron there.. then the information will travel from denderites to cell body of neuron to the axon( in white matter) then to its destination, so axons in white matter is just travelling or taking the info rapidly from and to the brain, rarely synapses occure in white matter... Also axons can be so long to reach to the foot for example, like it's 1-1.5 meter.
I drew something that might help

so I drew this bug and a foot about to step on it to show how the brain makes the body move by only 2 neurons, one neuron from the eye and other from the brain..First the eye (sensor) sees the bug then sends info to the brain. In the brain’s gray matter, you have the neuron cell bodies with their dendrites (like little hairs). That’s where synapses happen then denderite will take the info to cell body.
Once the decision to step on the bug is made, the signal travels down the long axon (the white matter) then into the peripheral nerves and finally to the muscle fibers of the foot. That’s why the foot moves.

but i didn't draw the neuron from the eye tho

[proud sable]

I thought u left discord ma’am glad to see u here again 🥹

I graduated by the way

[proud sable]

OMG!! SO HAPPY FOR YOU🥳 I’m sure you’re going to achieve amazing things💪 ALL THE BEST

you gonna apply for residency right?

[proud sable]

I’m trying to do a cortisol reset from time to time

[willow vault]

thank you so much for the explanation!

ok so axons really can be hella long

[proud sable]

Yes, it can be hella long
hella rapid
hella slow
😁

[proud sable]

Yes soon maybe nezt year

I have to qualify licensing test here but i am seeing australia or america lets seee

[proud sable]

Hahahah nice it is actually imp to do so

My teacher also taught the same way filiz maam explained

[proud sable]

Oh but why to qualify the license? You’re not in your home country?

[proud sable]

USA is actually really good!! I have a positive experience here. I don’t really get why some ppl say bad things about it, but it is really good

[proud sable]

You mean your teacher explained it or you say explain? hahaha sorry I am dumb☹️ but anyway good luck ❤️

[proud sable]

I have to qualify my home country one first, i am in my country rn, china suffering is over thank god . I dont even want to study there anymore and nor recommend anyone to study there. I went there to study medicine but it felt like i was studying language course which wont be helpful to me ever in my whole life. We were promised for english course, we got it, but then they forced us to pass such a difficult language test (even internship was forced) that would make us speak and write fluent chinese that too during mid internship, suddenly in one day bypassing their own law. I sweat so much to pass that test, but failed my licensing exam with 3 marks because of no time to study. Also 15-20 peeps in my university cant get their degree even after passing home country test why? Because they cant pass language test of china. Its harder than anatomy. The amount of rules they change overnight is insane . Luckily i escaped 😭😭 and got my degree also @proud sable maam🥹🥹🥹

[proud sable]

Maybe due to recent things going on thats why but judging the whole country on such things is not cool and we are doctors so these political things don’t matter to us and shouldnt matter to us, also the salary of doctors in usa is the best in the whole world. The work culture and ethics are also the best. Even certain hospital provide free 250 dollar card every month which can be used to eat food, free macbook and research material 😭😭🥹🥹🥹 so i dk why people complain

[proud sable]

Both 🤣🤣🤣 he explained and then asked us to explain it in osce kind of examination 🤣🤣🤣 thank you maam you tooo ❤️ its so nice to talk to you after such long time 🥹

[proud sable]

Also maam if you see from my profile you can figure it out i am ready now 🤣

[proud sable]

I’m really glad you got your degree after everything you went through there. YOU DESERVE IT💪

[proud sable]

Oh I was talking from a different perspective tho, not about salary or financial stuff haha

[proud sable]

HAHAHAHAH fake it until you make it

[proud sable]

Thank u ma’am 🥹🥹

[proud sable]

😂😂😂😂😂😂😂 I understood now

[proud sable]

😂😂😂 yeah 😎😎 luckily there is no restriction on j1 visa so I can still enter 😎

[reef yacht]

yea people here in the US simply don't realize how good their lives are in comparison to other countries, which ur comments only justify this statement...

[proud sable]

Yes , atleast in usa doctors have to follow strict ethics They wont scold u in front of everyone and in my country as well as china, you get scolded hard and treat like slaves until your residency. In china one resident came 5 sec late , she was openly scolded by the director so badly in front of everyone. She was walking behind the group of her colleagues and she was about to cry and then she has to work 70-90 hours a week, get scolded to get paid like peanuts. Oh yes also the patients are over emotional here so they can beat you , so u gotta be master of conversation here .

[reef yacht]

wow.. yea I'm definitely interested in your experience

I have no idea how med is in other countries

[proud sable]

Its fairly more strict here i mean people here think they are better than u especially in asia where they think they are the best so your seniors will bully you , till this date i have 2 seniors close to me rest nobody deserves my attention for being a tryhard bully 。Mess with the professor and gg he/she will never pass you so you have to face bullying from them and become their slave, but they also have insane amount of knowledge. Its same in china also where i saw two doctors fighting openly. But there is one thing that chinese and indian docs have lots of clinical skill due to heavy load of patients . They have very vast knowledge . The knowledge bullying thing is so much here that you also become a knowledge bully like your seniors and bully your juniors

Everyone is jealous of you if you perform really good i dk why people cant focus on their own lives. The pay is good i dont say its low its actually good , the medical entrance exam is very hard here to enter med school as well as residency but i feel usmle is the hardest because in asia cramming heavy amount of material matters whereas in usmle concepts matter. Also in 90% asian countries doctors dont know how to speak english . There were like 3% chinese doctor who actually spoke good english , 2% belonged from private hospital , so as a foreign student its hard to study under such doctors

Also especially china where the language is harder than medicine and i believe doctors should know english at all cost, this is what i believe

Oh one more thing @reef yacht the medical scam, you cant do anything about it. So my friend had small navicular fracture in china, first we were asked to pay lots of money for appointment which is bs , doctor asked him to pay 10000 yuan aka 1404 us dollars and wanted my friend to stay in hospital for 10 days, just for navicular bone fracture? If it was not a medical student he/she would get scammed. Luckily my friend went to his professor and the professor recognized us and he just added small cast worth 300 yuan aka 41 usd and my friend recovered in 3 months easily. Now same with another lady whose baby was declared dead and money was extracted ,later she found out her baby was not dead. I broke my hand one time, our uni forced us to buy insuarance every semester but i was never paid anything nor my friends who had bigger injury, even my friend here who had navicular bone fracture no refunds. Oh also patients are too emotional here so they beat doctors mostly surgeons , saw a patient grabbing collar of senior surgeon in china, Its the same in korea , japan mainly , russia and many other asian countries. This is problem with healthcare here. 🥲 thats why many docs you will see in america are immigrants mostly from asian countries because their skill is much respected in america .

[kind stag]

Does anyone have that usmle V12 anki desk

[reef yacht]

thank you for the insight, bro. I know this may be entirely anecdotal, but it has definitely left a lasting impression on me and will likely influence my future interactions and thought processes

[proud sable]

No problem brother 😄

[proud sable]

Go to medicalstudyzone.com and u will find it

Mostly not the latest but older version

[vital bolt]

hello!
I have no clue if this is the respective channel to pose this question, but here I go:
I have to write a paper where a certain philosophical stance/theory is being linked/compared to a respective scientific point of view regarding the topic of the paper.
I have chosen for time, and more precisely: time-consciousness.
As of philosophical frame-work I intend to use Husserls' account of time-consciousness.
As of the scientific frame-work I was thinking about making use of the current debat in neurological frameworks regarding how people perceive time, but also objects.

Now my question is if anyone has/had a course about neuropsychology/neurology where this topic was being discussed or if someone has the knowledge of this topic from a scientific point of view.
Any type of help is welcome!
[What I have found is neurophenomenology from Francisco Varela, which is quite outdated, therefore my question.]

[kind stag]

Yeah thanks got it

[tranquil stratus]

Should I take creatine when I'm old? Like 40 plus. And how much l theanine should I consume if I don't use it at all?

[loud plover]

Please refrain from seeking medical advice online! Its always best to consult your local healthcare provider

[proud sable]

We cant say it we dont have your reports , we dont know about your genetics neither max people here are md docs , max peep in this chat are students so the advice can be wrong. Also creatinine depends on your kidney function test aka kft . Its better you visit a doctor or consult a doctor on authentic medical apps for less cost .

[proud sable]

I had neurology but i never wrote a paper on neurology, although i am doing my research in psychiatry

[modern vale]

hey guys, any advice on how i make my self sleep less because it started to affecting my daily life and my focus

[reef yacht]

interesting question

[floral forge]

can someone please tell me how to memorise complications of any disease.. i struggle with this so much

[near moon]

u should know what's causing it

[tranquil sonnet]

Guys how disgusting biochemistry is/was , is/was it any useful?

[modern vale]

البايو كمستري صعب و سيء لكن دكاترتنا دايم يقولون انه ذي الماده اهم ماده بالطب من بعد الاناتومي و هي اكثر وحده بتفيدك بعد الاناتومي ايضا

[prisma fern]

i hope itis

[prisma fern]

dangg what

at least all that suffering is paying off if what u r saying is true lol

[reef yacht]

does anyone have a list/handbook of emergency medicine differentials, specifically concerning trauma?

[rugged hazel]

I would like it too

[leaden chasm]

i have heard air raid alarms help, not so much when you have a roomie

and get one of those apps and NFC tags, so that, when you wake up your phone will keep blaring until you scan that ag smwhere...say your kitchen or outside your door

[modern vale]

i will try it ! thanks bro

[bitter seal]

hi guys, i need help in histology of veins, arteries and capillaries

[minor magnet]

Pose your questions!!!

[leaden chasm]

even here?

the hell?

im not gonna ping again already did in math help but someone please take a look at this

[earnest charm]

they're bots, they automatically go through every single channel they can in order to send those images everywhere
don't talk to them, they're not people

[hallow maple]

<@&942391219206647828> :(

[loud plover]

Thanks

[stable path]

Hey everyone! 👋
I’m originally from South Asia and living in the U.S. right now. I finally managed to save up about $16k to start an LPN program — classes are Monday through Thursday from 4–10 pm, and 2 of those days include lab. On top of that, I’ll be working 40 hours every weekend (Friday–Sunday), so I’m trying to figure out how to balance everything without burning out.

For those who’ve been through nursing school or similar programs:
• How did you manage studying while working full-time weekends?
• Any tips for memorizing fundamentals like A&P, skills, meds, etc.?
• What helped you stay organized and not fall behind?
• Any tricks, apps, or routines that really helped you succeed?

I’m motivated and ready to grind — just hoping to learn from your experiences to set myself up the right way to help others and growing myself at the same time. Thanks in advance for any advice you can share! 🙏💪

[agile crystal]

Halo guys

[reef yacht]

anki for a&p

in the US

LPN programs aren't too bad

start studying early

so go to class prepared

[stable path]

Thank you

[agile crystal]

Brother add me i wanna tell you something

[reef yacht]

added✅

[agile crystal]

Thank uuu

[red perch]

Hey doctors, what's the best reference to master EKG interpretation ? and best books for cardiology ?

[minor magnet]

For me, mainly just practising interpreting EKG based on theoretical study. So, after studying I used to do practice ECG's while I always had a normal reference EKG besides me. This really taught me to find the suble differences and to differentiatie between normal - abnormal even if subtle.

Sometimes, just googling helped. Often, I used en.ecgpedia.org (originally in Dutch, but it's also translated) and videos.
Important for EKG's is to have a steady sequence in your interpretation, e.g. rythm and regularity -> bpm -> heart axis -> intervals (PR, ST, QRS, QT, R) -> segments -> wave progressions ....

We got the practice ECG's from the professor, not sure what sources could provide practise questions though... Someone else would maybe know that.

hope this helps!

[proud sable]

py dev ?

[agile crystal]

you can see dr deepak marwah , he has some free videos on youtube, its really good

you want book i can send you one book with really crisp and concize info about ekg

[runic cedar]

Hello everyone, I have a question about failure in medical school. For those who have failed, how did you deal with it, and how did you use that failure to achieve success? thanks

[wet tinsel]

https://litfl.com/ecg-library/
For practice ques

[crisp wedge]

if you sleep 7 to 8 hours then that is pretty natural, and you should never try to sleep less because it will hurt your focus. however if you sleep more like 10 hours or so then that maybe a 1 time thing or it maybe a more serious issue

a general rule of tumb that i always use is to ALWAYS wake up at the same time. even better sleep at the same time. because that sets your circadian rythem, and try to get sun light in the morning as soon as you wake up (get sun on your eyes but dont stare lol) because that basically signals to your brain that it is wake up time so your monkey brain stops releasing melatonin and the cortisol levels rise. and it helps locking in your circadian rhythem. it also raises the dopamine baseline for the day

this works best within the first 30-60 minutess after waking up, and if there is no sun outside its still really benifetial, even on a cloudy day. because it signals to your brain that its wake up time

[heavy coral]

hey , How do yall go about anki in the 2 weeks leading up to exams ( changing settings , ... ) ,
Will the spaced repetition still work for decks I still didn’t study ?

[reef yacht]

what do u mean in regards to "Will the spaced repetition still work for decks I still didn’t study ?"

whatever cards u haven't yet studied won't be placed in que

[heavy coral]

there are decks I made but didn't have time to go thro them

do u have tips that'll help me optimize using anki for revision

[wet locust]

anyone which to do a zoom call im available

just motivation

[modern vale]

Thank you for your reply man ill start doing it and see if it would work with me I appriciate it bro 🙏🙏🙏🙏

[fallen jolt]

How do you even use it bruh I downloaded it on browser I don’t understand it at all

[loud plover]

hello! psychology major here. in psychological terms, the term variable means anything that can change and that change can be observed. theres usually 2 kinds of variables used in the experimental method but thats a different topic altogether.
the sentence you shared talks about what makes the experimental method in psychology different from other methods, which is the fact that the experimenter can control the variable.
in terms of the sentence structure, the subject in the sentence is 'the ability to exercise precise control over a variable', verb is 'distinguishes' and object is 'the experimental method'. sometimes in sentences there isnt just one subject word but rather a phrase (group of words) that become the subject. i hope that makes sense!

also, feel free to dm or ping me if you need help with anything psychology related :) id be happy to help

[coarse escarp]

does anyone know how to differentiate chicken's duodenum, jejunum, ileum. colon and cecum through histology? is it possible?

[minor magnet]

Not sure how chickens work, but here's an overview for small intestine differention in humans:

[coarse escarp]

thank you. its kinda like pig's intestine.

and i just found out that chicken's intestine can't be differentiated by histology

[hearty gate]

Hello how can I study bio chemistry in 2 days

Some one provide me with the correct way to do that n Jesus will bless him or her

[reef yacht]

ak lectures and stryer textbook

all u need bro

then just memorize everything, regarding metabolism

I indepdent studied biochem so I didn't get the true uni experience, like the p-sets aspect of it, so I just used previous exam material I found online to assess my understanding!

gl

[dry orchid]

that crazy learn glusoce lipid metabolism and protein bc is it most question and watch basic videos on youtube

[hearty gate]

I regret didn’t study bio 😬😥

[pulsar wyvern]

honestly just spam nerdninja's videos

[reef yacht]

too long

but they're good

but bro said he had 2 days

xd

[pulsar wyvern]

yhhh I realized after lol

But for me visualization is always better than literature when it comes down to short term memory

hopefully bro passed

[night mulch]

hey when smb tells u can u also tell me too thx

hey yall im 16 and i wanna do internships at hospitals or sum i looked in to jobs at the hospital and found sum called diet ammbasador basicly u js deliver patient meals im also trying for in online interships over the summer any tips?

[frigid kelp]

Does anyone know what on earth you'd use size 0 non-absorbable taperpoint suture for in vetmed?!?!?!?

[frigid kelp]

And anybody know what tf this is???? I reverse imaged it and got 2x results but both sites had expired!!!!! I'm going bonkers

[reef yacht]

mm lowkey looks like a patch-clamp

[hearty gate]

I will never never again study after mid night

I mean what the hell is that

But I passed my exam

[minor magnet]

Looks like a bipolar cautery / coagulator

[fringe bison]

salamu alaikum, idk if you got an answer but failure in medical school doesnt mean failure in life. if you still want to study medicine and become a doctor, (im sure you know this) you can still try in another country if you can finance it.
i fought so hard to get into med school .i thought this was my purpose in life and i would rather die than not get into med school. while it is something special, i learned with time that it doesnt define me and certainly is not something i would want to do all the time because i have so many other interests. so if i would fail, i would cry and probably have to deal with disappointed family but in the end i would start something else. i think the mental pressure is the worst part of it because we think if we dont live according to the standard of hussle mentality, we are not good enough and give ourselves the "failure" stamp. but i mean, as long as you live, you have the chance to do anything really. it needs time and patience and money and definitely confidence.

hi, is there anyone who has studied outside and knows what to do to get accepted as a resident in autralia/ new zealand? how long does it take aporximately and what are the costs?🇳🇿

[reef yacht]

can someone please briefly explain why LH is low following fertilization if it is responsible for stimulating the corpus luteum, which gives rise to progesterone

like i understand that hcg eventually takes over

but progesterone remaining super high despite baseline LH kinda conflicts w my understanding.. there has to be something wrong w my knowledge lmfao

ah wait, is it the residual effects of LH that maintain the corpus luteum, but these levels dec. in expectation that fertizliation occurs, which hcg will then compensate for the absent LH?

[ocean mauve]

high progesterone causes negative feedback loop in pituitary, LH goes bye bye

[ocean mauve]

da embryo produces hcg which is an lh analog, that maintains luteum instead of LH

[lethal nymph]

I didn't stop trying and I gave myself no other issue. Dont take the next best thing. As long as you entering med school is "technically possible", then it's possible, keep trying. In many years, you wont even think of the failures as such, but as steps you had to go through to succeed

[reef yacht]

yes, but LH is responsible for giving rise to progesterone initally, right?

but ty for a reply

[ocean mauve]

Initially

[devout stag]

Hello, can I ask questions and recommendations about health here?

[earnest charm]

you can, but i highly suggest you seek professional medical care for real life cases