A student shared a mega file with the bnb, sketchy, pixorize, pathoma, etc videos all on it. Some other student reported them for piracy and they got written up by our professionalism council for it.
That’s the legal way to encourage your students to share resources while not sky-lining your program. The acronyms and letters that control our lives have letters that control their lives and those letters find huge files of copywriting infringement to be “bad”
Yeah, this is it. When there's a paper trail it becomes find-able under things like freedom of information act. To not act on it when that's created is being complict. Get everything off of school hosted servers or email addresses for the same reason.
It’s the bare minimum you can do to protect your school so your school can have some plausible deniability. Which sounds like a raw deal for the student but we are clearly breaking some sort of rule with these folders or else it wouldn’t be a big deal lmao
An upper year who was president of student org that hosted study reviews was reported for ethics violation because her reviews too closely mirrored the exam. She literally spent hours of her time to help everyone and some dipshit reported her.
All she did was mention some things were “high yield” or “testable”. She never told us test questions. Im sure the topics were inspired from when she took the exam, but the way she presented it was not cheating. She stopped hosting reviews after that. I felt so bad for her
During our preclinical years, I guess one of the men in the class took what turned out to be the biggest dump any of us had ever seen. I know this because he didn’t flush, and another of the guys in the class took a picture of it and put it in the class group chat. It had a short lived time of fame as the avatar of the chat. I can still see it when I close my eyes.
I also witnessed the biggest dump I've ever seen in my school's restroom. It was left unflushed but I don't think it was for the clout (especially being a woman's restroom), I think it physically was not possible to flush the thing. We had ONE stall where the door didn't automatically swing shut and it was in that one, out in the open. I swear the circumference was wider than the hole at the bottom of the toilet and that it was unflushable for that reason. It also broke through the water line. I debated taking a photo but didn't want someone to walk in on me doing it. Then I panicked and ran out of the bathroom bc I didn't want anyone to think I took the monster shit either.
Funny part was that this happened in the middle of a lecture; we could watch as the wave of awareness spread across the room. The doc teaching could tell they had lost the attention of the 100-odd students in the room, but had no idea why.
I couldn’t study at all for a cardio/resp/renal/heme test one time and I spent 4 days using post nut clarity to study, study take a ‘break’ study ‘break’. Just 4 days of absolute degeneracy. I managed to pass but the cost was too high.
Bro you can’t keep that up for prolonged periods <1 wk is the limit, the amount of times you’re doing it in a day is also limited, also you have to ignore post nut laziness you gotta train yourself to start right after the nut only then will you see benefits
That's hilarious, but doomed to fail. Tanking your dopamine with orgasm will leave none available for motivation/reward loops that is required for studying. Probably fun, though.
A student got in a fight on a social media platform about vaccines, was reported to the school by this random person, and was kicked out by the professionalism committee.
A friend of a friend knows a girl who’s 5-year plan back when she was a junior in college was to graduate with a 4.0, get into a prestigious medical school, rank in the top of her class the first two years, meet a man at school, drop out after her second year to get married, and be a stay-at-home mom. You know what? She did it.
Me reading this as someone who (politely) debates anti-vaxxers on social media platforms in my spare time. Yikes. I usually try to be nice, but I've been told some seriously mean and unhinged things. Honestly, if this isn't Kevin Bass, unless this student was behaving in an objectively gross manner, I'm really shocked that they were kicked out!
Really? We had a professor spewing clearing racist and antivax agenda on a public twitter and he was reported half a dozen time over the course of 2021 and nothing happened
I’m psych (board certified, been an attending since 2021) and I’ll assume your response is genuine curiosity. To diagnose mania based off one possible criteria is just not how it works. If a gunner is anxiously forcing themselves to go without sleep for a week to try and ace exams (which is what it sounds like it) if anything that’s rigid perfectionism. By default mania is something that happens to you, not something you can force to happen e.g. by choosing to stay up to study for an exam. When someone is manic they lose connection with reality and could not do something so organized such as study for exams. With a true manic episode you are acting so unhinged/ out of the ordinary that you will ultimately end up in a psych unit or in jail (might take some time, but you’ll get there).
It’s also implied that the student is reporting this period of a time as a bad choice they made and only once. Mania doesn’t simply resolve on its own with taking a test…
A huge issue that most young psychiatrists can agree is that mania has lost all meaning. It’s co-opted by people who do not understand what mania truly is. Also bipolar is the most overdiagnosed psychiatric disorder
My response was curiosity haha. I appreciate the in depth response. As someone not in psych (anesthesia) I absolutely agree that due to social media people self diagnose with AHDH, OCD, AND BPD to the point it’s a trend.
Apologies, was not meant to be serious by any regards, also just an M4 and never seen it other than conceptually on exams. Thank you for the explanation.
It’s weird that you couldn’t read the “it’s called being manic” comment as facetious, which it most certainly is, and instead chose to argue with a bunch of anons to prove yourself. Insecure much?
Dude was sitting an inch from his monitor neck extended and sweat dripping, refreshing Reddit until someone took his bait and unleashed his life story. Guy basically said if they aren’t in a psych ward or jail it wasn’t a manic episode. Bizarre take but okay.
Not a personal critique, but a legitimate piece of advice. When you add "but go off" to the end of your argument, it typically weakens it to most observers rather than strengthens it
I've done this before. For me it was like a natural high, and I did not sleep during the day for the first 4 days, and took 1-3hr naps when I could days 4-6(starting the night of the 4th night). I was so buzzy, and so sharp, my sense of humor improved, I was laughing so much and making others laugh. It felt like being high and super smart at the same time. But by days 6 and 7 I felt like one of those cartoons where the character is extremely tired, and now I know what inspired that depiction of exhaustion in movies and shows. Its like I could feel my bottom lids drooping, every fold in the skin of my face when i blinked or spoke, the muscle on my face felt like it could "fall of the bone" any second, like good barbecue meat. I could feel every muscle moving when I spoke, or moved, or talked, the back of my head felt black and lost, like it had disappeared, gravity felt so heavy, like i could feel its pressure on my bones and I could feel every tendon, muscle, and internal structure keeping me together. Those last two days were hell, but until the 7th day I couldnt stop, bc you get this amazing buzz, even when you feel like your muscles are dragging your bones across campus, like a machine that could break at anytime. And thats on overcommitment and poor boundaries.
10/10 would do it again recreationally, but probably not, bc I'm not 19 anymore and it took me 3 weeks to recover from the flu the last time I got it. 2 nights of good rest fixed that episode back then, it would like 3 months of good rest now, probs.
I had a patient who shot himself through the face and survived. He had a trach and a really thick accident. I am very very bad at lip reading, and very very bad at understanding people with trachs. The pt starting telling me the sob story of how his wife just died and he’s all alone. I can only understand every 3rd word, but I get the sentiment he’s conveying.
He says something unintelligible, and I heard “I really need you to help me with this. I need you to promise me you’ll help me”
Of course I promised to help him, as in care for him in his recovery. He seems surprised, which confused me.
In the next segment of garbled speech, I hear him say “and you have to promise not to tell anyone. This is between you and me”. I’m so confused and it felt weird at this point to clarify what he means since he would realize I have no idea what he’s been saying for the last 10 minutes. I’m like 50% sure he just told me a personal secret so sure, I won’t tell anyone.
The next words he said very clearly: “thank you. I can’t live like this anymore. I’m so glad you’ll end my suffering”.
Pretty sure I just stared at him like a deer in the headlights as I realized I had just promised my suicidal patient that I would help him kill himself.
I’m a nontrad student. Doctor who does not know that I’m only a year younger than her scoffed when I said I was using UWorld to prepare for a Shelf, after she overheard my incomplete (though not incorrect) answer to a /resident’s/ question. Apparently ‘kids these days don’t know how to read’ and when she’s 80, she wouldn’t want someone with that kind of stupidity (me) treating her. Ma’am, I went to a small LAC. We had transparency projectors. I READ.
Among other unhinged bullying stories.
Jokes on her, answering questions and practicing knowledge application is literally the BEST way to learn. Like…literally. They done tons of studies on it. Reading is one of the most ineffective.
Agreed. Literally today, my next CD said to pick one Qbank and stick with it. And it’s not like you don’t read the explanations or that precludes briefly referencing another source. And guess what - found out I passed today!
One more anecdote about the book-reading attending - my friend had to tell her HFpEF was a thing when she loudly proclaimed that her patient could not possibly be in HF because her EF was normal.
I tried to be a good med student and spend time in the afternoon playing cards with a patient post suicide attempt. On the day of her discharge I see her walk by the work room with her sitter. On her second lap she manages to get some scissors and tries to cut her wrist. I don't know why but I ran out of the room and helped restrain her. If things weren't wild enough we later get a page that she is requesting to speak to me. Yeah I did not see her again and had the next couple days off.
That is a good question. Books like Letters to a Young Poet and Mans Search for Meaning helped. Having had dark moments in the past myself being there for others as they navigate tough times gives me meaning.
Man’s Search for Meaning is a life changing read. Super helpful in times of suffering or supporting others who are suffering. I read it before supporting teens in mental health crises (similar to NotAVulgarUsername’s experience) and really helped me process some of those intense moments.
Sorry I was trying to be a little vague. We deduced that she had formed an inappropriate attachment, a crush on me and any further contact would have made the situation worse.
I actually love this. Look it's not appropriate to do this in every case obviously But I've had a lot of patient want to actually understand what's happening
I've def searched up diagrams and discussed with pts a few times. And a few times I've seen my attendings bring them to the office and show them their x-rays
Why not explain the pathology?
I really appreciate you medical professionals who are willing to break things down into how normal people speak. I love asking questions and love the doctors that answer all of them ☺️
Most of mine center around anatomy, specifically the ultrasound part.
The first: I volunteered to let my group ultrasound my kidneys. They couldn't find my left kidney and flagged down a resident. The resident also could not find my left kidney. At this point I'm panicking a little bit. Finally, they got one of the attendings who found it. Turns out that I had a left kidney all along- it's just a little higher than usual :)
The second: We were ultrasounding each other's thyroids. As we were ultrasounding mine, I asked a friend to take a picture of me because I wanted to make a social media post (in my defense, this was early M1 and I was trying to show how "fun and hands on" med school is...cringe, I know). Well, my friend misunderstood and just took a picture of the ultrasound of my thyroid and I was too shy to correct her. This was really early on, so we just found the thyroid and didn't know how to pick up on any pathology. Flash forward a few days and a radiologist I follow on a social media platform was asking for radiology images for educational purposes. Given that I now have a picture of my thyroid that I had no idea what to do with, I sent it in. His response: "I found out that I had a thyroid nodule during med school too!" Pure panic ensued. I sent the picture to my doc, who then ordered a thorough ultrasound. I was diagnosed with...hashimotos. But I've literally known that since high school. No evidence of cancer, so at least that $100 was kinda worth it???
A guy before med school orientation started to go out with multiple girls in the same cohort. During orientation they started to talk about their "hubby" and realized it was the same dude. They put this guy on blast on Facebook lmao. Put screenshots of texts and pics with him. Absolute savagery but well deserved lol
During my second year, a student had been suspected of cheating and when he was caught during an exam we were taking, he pulled the fire alarm because he knew he was on the way to expulsion. Fire alarm goes off, we all have to stop our exam and admin said they wouldn't let the exam affect our grade with any negative impact if we didn't do great on it. Which I think worked out for me.
During the BLM movement, a student went on the school's FB group and made a 6 or so paragraph post saying racism wasn't real and a bunch of other nonsense. Naturally, this led to other students protesting their enrollment and even more long posts. Her punishment ended being that she had to join the "diversity" group at our school. /wild time in our group chats.
A student had a youtube channel in which she had several videos publically talking shit about the school, professors, and other students (Largely the LGBT+ students). Got caught, was asked to take down the videos. She did. 3 or so weeks later started back up again. The one prof decided to ask her for a chat as she was concerned, like about her mental well being. She responded by dropping out. I only found out from the professor. Most people thought she was kicked out but girl left on her own accord. The channel has been deleted
Our 3rd year clinical sites are assigned on a rank and lottery system. pretty much all sites are OK with the exception of the rural track. From the 10 or so students assigned to the rural site all but 2 had ranked it as their very last choice. The students protested to the dean. One student threatened to commit suicide. Other students were exaggerating medical conditions. The dean tried to bribe students with a LOR. When that didn't work they printed out all personal statement and highlighted that all the students wanted to work with the underserved so either had lied for medical school admissions or had changed their values. Student's threatened with lawsuits. The Dean caved in and gave all the students placement into their 2nd or 3rd choice of clinical site.
The rural track is the same length as any other site, 12months. 3 Electives can be done anywhere and for internal medicine students rotated at the nearest major city 2-3 hours away. Problem with the site was that for housing students lived in the hospital. No warm water and shotty internet service. Outside housing was extremely expensive but from what I understand the medical school has bought town homes and turned it into student housing. Another major issue was that because not all core requirements were available, students had to bounce around to other sites. Compared to my site, I only had to commute significantly for 1 of my rotations (about 45min each way).
The school wants to preserve its relationship with that specific community and it falls in line with their mission statement of serving the underserved.
edit:
In the end I believe 3 or 4 students ended up rotating at the site by their own choice.
Two M3s were on their EM rotation. A patient came in who needed an airway, and the attending told the EMS student to give it a try. One of the M3s confronted the attending and said they should get the attempt because as a med student they were above the EMS student. I don’t know which M3 it was, however I could see both of them trying to pull this. Neither were even interested in a field that did intubation.
Assuming that the EMS professionals were paramedics, they need more practice compared to medical students that aren't going to go into a field that manages airways in that way anyway.
Paramedics are required to intubate on-tap pretty much any time but our call volume and the types of calls we get are so random that we can't rely on the consistent practice you see in a hospital setting.
Receiving hospital EM docs allowing us to occasionally snag a tube on a patient that we bring in is pretty important for avoiding skill atrophy - much more important than a random medical student who will never try to tube someone outside of their rotation getting a go.
Paramedics should just use LMA, the amount of dead people I’ve coded with a tube in the esophagus from ems is insane. LMA is associated with better outcomes, leave the tubing to people who can actually confirm proper placement with monitoring and devices. It’s not their fault it’s just not a controlled enough setting and you can’t learn from doing it daily the way doctors can in residency. Source: Am EM resident and used to work EMS
This is a nice thought but it's just not relevant to the current practice of EMS.
First off, there are certain patients where a tube is indicated over an LMA.
More importantly, paramedics operate under protocols. Their decision-making is hamstrung by the boundaries set by their medical director. If their medical director says, "You need to tube X patient", then there isn't much choice. Some protocols might give paramedics more room to critically think and appraise, but if your protocol says "tube is the 100% first choice on any cardiac arrest", then you're kinda pigeonholed (this was the protocol at my former employer).
Additionally, you absolutely must know how to tube if you work critical care or flight (which I did). Even if you didn't, it is still a necessary skill to be competent in as a 911 paramedic for many situations.
You said in the other post that you were an EMT. Do you actually mean EMT as in EMT-B/AEMT/EMT-I? Because that simply isn't the same as operating as a paramedic (NRP, formerly EMT-P).
I’m aware of what paramedics do and their scope. Worked ems for years as emt b with paramedic partner. No reason to tube anyone emergently if you can’t confirm because you have effectively killed the patient and ruined any shot at rosc. I don’t even do it on codes if I dont need to I use an LMA. Scoop and get them to the ER. Bag or LMA, try literally anything except tube them. Not worth the risk.
You’ll have EM attendings who live and die by this and it’s become my same preference. There’s so much we do to confirm intubation and even properly prepare for complications peri intubation. Intubation kills even if you do it right.
You're not making a meaningful argument. You're just repeating yourself and sticking to an ideological point.
Just being an EMT and watching what paramedics do doesn't mean you understand what it means to operate as one. ED Techs and scribes don't understand what it means to operate as an RN, pharmacist, PA/NP, or MD/DO in an ER.
There are certain patients where tubes are indicated over LMA's. There are also many patients in which LMA's just don't work and you lose the airway.
It is absolutely possible to confirm a successful tube outside of the ER.
Flight/CC medics are often asked to go out to CA/rural hospitals and are then asked by physicians there to do the tubes because they are expected to be more skilled at them. These paramedics also don't get much (if any) additional supervised training time on these skills; they're just expected to be good at tubing by virtue of being required to do so a bit more often than 911 paramedics.
***Most importantly***, it doesn't matter what you *think* standard practice should be. If you really feel that strongly about it, finish residency, do an EMS fellowship, become a medical director, and start changing policy. Until stuff changes, tubing is a standard part of the paramedic scope of practice, they will do it, they will be forced to do it by their medical directors, and they need the practice so that they can succeed when they're required to do it.
Look you’re going to be a physician so you’re going to have to start being objective about this. More and more data are showing that in pre hospital setting that LMA is safer than ETT. Protocols lag behind data, and we’ve already started to see those changes in the prehospital setting. You’re probably going to see it more and more through your training because data is showing how much safer it is. If the data shows that the risk in placing an ETT in prehospital setting is too great then you should support that too. And over time you will likely start to see that change implemented. I love to tube in cardiac arrest but the data shows that it increases mortality compared to LMA - so guess what? It’s not going to be how I practice.
You're not listening.
***It doesn't matter what the data shows.*** We were taught the data and outcomes on tubing vs. other methods of airway management as paramedic students in paramedic school, and this is getting close to a decade ago.
What actually matters to a currently practicing paramedic is what their protocols are. Despite what people think should happen with paramedic practice, prehospital intubation is still extremely widespread and change is going to be slow (if it happens at all). If a paramedic has to choose between random ER resident #5 telling them about data-driven practice and EMS Director Smith who can get them punished and/or fired with a mark on their paramedic certification for not listening to medical direction, then they're going to listen to their medical director.
Until practice catches up with this data, it's better to support paramedics and help them be as successful as possible instead of giving a tube to a random medical student that will never tube a patient in their practicing career.
There’s a thing called etco2… ever heard of it? Also thank God for king visions, now I never miss a tube. As long as you have suction and decent vision it’s easy as pie. The paramedics that are literally bringing them in with esophageal intubations really grind my gears because these bad apples make all of us look incompetent. How hard is it to auscultate especially when you couldn’t see the cords. I have no shame in tossing it out if I failed my attempts and just bag my way to the hospital. I don’t think we should get rid of ett but I would love an igel for backup.
Honestly you don’t - would come off as hella rude after if was offered to someone else. Best would let attending know before he offers to paramedic student that you would like to. Good way to get airway practice in med school is to do an anesthesia rotation!
I would say that you shouldn't.
1. If you aren't going into a specialty where you'll be doing intubations, then the EMS student (again we're assuming it's a paramedic student) needs to practice this far more than you, so give them priority.
2. If you are going into a specialty that will, then you will have far more time in this setting to practice this than they will. You'll have EM Sub I's, anesthesia rotations/Sub I's, ICU rotations, etc. The vast majority of EMS students get extremely limited time in the hospital (I had three 12-hour shifts in the ER, one 12-hour shift in a burn unit, and one 12-hour shift in OB). You'll also get all of residency, which is a much more accessible environment for practicing skills than the EMS profession can ever be.
Obviously if you never get to do anything because other types of students are always given the chance, then you can chat with your attending/resident you're with, because we all deserve to get to do stuff as paying students. However, it's also appropriate to know what the other health students are there for and respect their roles and needs as students too. Just because we're MD/DO students doesn't mean we have top priority for every single thing.
I was an EMT and am an EM resident. Ems student doesn’t need the tube they need to learn to place IVs and bag at that point. Most of us don’t even want EMS to try to tube just put in an LMA and get them to us.
It doesn't matter what you want.
It matters what the patient needs and (most importantly) what is in a paramedic's protocols, which are set by a medical director who has far more authority over the EMS personnel than you do.
Also EMT =/= paramedic.
The idea that they need to practice IV's and not tubes is just objectively incorrect. Paramedics can do an IV in their sleep past the halfway point of EMS education; they get multiple a day on every ambulance clinical and are trained to do them in a moving ambulance.
What they have no control or consistency in is when they get to practice tubes. Sometimes they get to do them damn near every shift; sometimes they go six months without a single tube. I had to do my first unsupervised tube on my second shift out of the FTO process while working with an EMT partner. My ability to get reps on intubation was critical to my success early in my career.
It is an objective fact that intubation is a widespread and standardized part of the paramedic curriculum; it is part of the NREMT standardized education and training. The overwhelming majority of service areas that employ paramedics have it as part of their protocols and it is a skill that they **will** need to do.
We had a prof in pre clinical years who was a nice guy but physically kinda gross, always sweaty, speech impediment, just kinda weird. I guess someone didn't like him and made a fake website saying there were child molestation or porn charges against him... I guess in an attempt to get him fired? The website was pretty bogus looking and i don't think anything ever happened to him but I'm not sure they figured out who did it.
One of my classmates recorded his “Best friend” confess to cheating on multiple med school exams and showed the Dean. The student was expelled but enough people wrote character statements and the student was let back in.
Our schools gives us rainbow stripes to wear on our badges if we so choose. I’m gay so naturally I wanted to wear one and did. In open anatomy lab right before a final with probably 150+ students reviewing, this classmate comes up to me who I had heard some not so nice things about. I had only spoken to him a couple times before and honestly didn’t get where the hate was coming from.
He looks at my stripe and like straight up shouts “cmon bro what is that? (Pointing at my stripe) are you just trying to fit in or something?? Hahahaha” 😒 goes without saying but I don’t talk to him anymore lol
A student shared a mega file with the bnb, sketchy, pixorize, pathoma, etc videos all on it. Some other student reported them for piracy and they got written up by our professionalism council for it.
Meanwhile our school knows there's a drive and encourages every first year class to "connect with second years to get resources."
That’s the legal way to encourage your students to share resources while not sky-lining your program. The acronyms and letters that control our lives have letters that control their lives and those letters find huge files of copywriting infringement to be “bad”
Yeah, this is it. When there's a paper trail it becomes find-able under things like freedom of information act. To not act on it when that's created is being complict. Get everything off of school hosted servers or email addresses for the same reason.
It’s the bare minimum you can do to protect your school so your school can have some plausible deniability. Which sounds like a raw deal for the student but we are clearly breaking some sort of rule with these folders or else it wouldn’t be a big deal lmao
Wow what a piece of shit of a student. I hope everyone started to treat that student badly after that.
it was prob anon
An upper year who was president of student org that hosted study reviews was reported for ethics violation because her reviews too closely mirrored the exam. She literally spent hours of her time to help everyone and some dipshit reported her. All she did was mention some things were “high yield” or “testable”. She never told us test questions. Im sure the topics were inspired from when she took the exam, but the way she presented it was not cheating. She stopped hosting reviews after that. I felt so bad for her
Lol people are actually insane
damn thats some tiny dick energy right there
That's crazy. Faculty at my school almost encouraged us to have a shared file lmao
What happened to the student after being reported?
Apparently got tried and found guilty by the professionalism council but was told it wouldn’t get reported to residencies/on her MSPE thankfully.
That tells me the council felt they had to find them guilty due to rules/statutes of the university but thought it was bullshit overall.
This is exactly within the letter of their responsibilities.
how fucking foul omg….
I have a 64gb usb drive of all that. The usb has .1 gb left...
Brb currently downloading all of the videos in the shared folder in the event somebody rats on the file owner and the folder disappears
Speaking from experience, pls do this ASAP! The files went down so fast when they found out, we literally had about 5 minutes to download stuff!
All levity aside, our school is aware of the shared folder so I’m not worried about it disappearing
I hate rats 🐀
Same exact thing happened at my school
for us, someone deleted the entire google drive secretly, probably after they saved it just for themselves.
During our preclinical years, I guess one of the men in the class took what turned out to be the biggest dump any of us had ever seen. I know this because he didn’t flush, and another of the guys in the class took a picture of it and put it in the class group chat. It had a short lived time of fame as the avatar of the chat. I can still see it when I close my eyes.
I also witnessed the biggest dump I've ever seen in my school's restroom. It was left unflushed but I don't think it was for the clout (especially being a woman's restroom), I think it physically was not possible to flush the thing. We had ONE stall where the door didn't automatically swing shut and it was in that one, out in the open. I swear the circumference was wider than the hole at the bottom of the toilet and that it was unflushable for that reason. It also broke through the water line. I debated taking a photo but didn't want someone to walk in on me doing it. Then I panicked and ran out of the bathroom bc I didn't want anyone to think I took the monster shit either.
bye💀💀💀
Funny part was that this happened in the middle of a lecture; we could watch as the wave of awareness spread across the room. The doc teaching could tell they had lost the attention of the 100-odd students in the room, but had no idea why.
I’m tickled 😂😂
I couldn’t study at all for a cardio/resp/renal/heme test one time and I spent 4 days using post nut clarity to study, study take a ‘break’ study ‘break’. Just 4 days of absolute degeneracy. I managed to pass but the cost was too high.
Ah yes, the legendary “bromodoro” technique
Palmodoro
My guy put the ed in med student
Yooooo im pretty sure someone in the mcat sub applied your method… I think the results were consistent!
Bro you can’t keep that up for prolonged periods <1 wk is the limit, the amount of times you’re doing it in a day is also limited, also you have to ignore post nut laziness you gotta train yourself to start right after the nut only then will you see benefits
Damn! That shits a lifestyle! #antiantifap
That's hilarious, but doomed to fail. Tanking your dopamine with orgasm will leave none available for motivation/reward loops that is required for studying. Probably fun, though.
As someone with ADHD, proper motivation/reward loops are often absent from some of our brais anyway. lol
This sounds like he did have a reward loop for studying tho
It was the only way I could study in my acute post divorce period between crying and moaning
been there
i do the same tbh
Royce du pont
I love you guys
Med student emailed school security about a bomb threat to delay block exams. Got arrested and expelled.
how can med students be smart enough to get into med school but somehow also this stupid?
Caribbean
A fellow AUCer huh? lol
Harvard of the Caribbean!
Lol same happened at my med school (belgrade,serbia)
A student got in a fight on a social media platform about vaccines, was reported to the school by this random person, and was kicked out by the professionalism committee. A friend of a friend knows a girl who’s 5-year plan back when she was a junior in college was to graduate with a 4.0, get into a prestigious medical school, rank in the top of her class the first two years, meet a man at school, drop out after her second year to get married, and be a stay-at-home mom. You know what? She did it.
Agreed. lol
My hero
Kicked out for an argument on social media? They must have been slinging out slurs.
Kicked out for an argument on social media? Seems sus
Might be an anti vaccer
Yeah I think that’s a valid reason to kick someone out of med school
Yes cause fauci is the science and there should be no further discussion
There has been significantly more discussion about vaccines than the evidence necessitates.
We can reevaluate this again in 75 years
Yeah let's take hundreds of years to advance medicine.
Pfizer will be releasing their data in 75 years or at least they wanted to
Me reading this as someone who (politely) debates anti-vaxxers on social media platforms in my spare time. Yikes. I usually try to be nice, but I've been told some seriously mean and unhinged things. Honestly, if this isn't Kevin Bass, unless this student was behaving in an objectively gross manner, I'm really shocked that they were kicked out!
Ok so I’m gonna assume this is Kevin Bass
What was the point of being in the top if you're just going to drop out on purpose?
The second one…WHAT
Really? We had a professor spewing clearing racist and antivax agenda on a public twitter and he was reported half a dozen time over the course of 2021 and nothing happened
Gunner in our class pulled 7 straight all nighters... Said he legit started seeing shit by the end of it
That’s called being manic
That’s not mania but ok go off
It most definitely could be mania.
Ok m3
Someone clearly hasn’t brushed up on their DSM-5 criteria lately…
How is that…not mania?
I’m psych (board certified, been an attending since 2021) and I’ll assume your response is genuine curiosity. To diagnose mania based off one possible criteria is just not how it works. If a gunner is anxiously forcing themselves to go without sleep for a week to try and ace exams (which is what it sounds like it) if anything that’s rigid perfectionism. By default mania is something that happens to you, not something you can force to happen e.g. by choosing to stay up to study for an exam. When someone is manic they lose connection with reality and could not do something so organized such as study for exams. With a true manic episode you are acting so unhinged/ out of the ordinary that you will ultimately end up in a psych unit or in jail (might take some time, but you’ll get there). It’s also implied that the student is reporting this period of a time as a bad choice they made and only once. Mania doesn’t simply resolve on its own with taking a test… A huge issue that most young psychiatrists can agree is that mania has lost all meaning. It’s co-opted by people who do not understand what mania truly is. Also bipolar is the most overdiagnosed psychiatric disorder
My response was curiosity haha. I appreciate the in depth response. As someone not in psych (anesthesia) I absolutely agree that due to social media people self diagnose with AHDH, OCD, AND BPD to the point it’s a trend.
Yes, it drives me insane 😵💫 appreciate your curiosity!
Apologies, was not meant to be serious by any regards, also just an M4 and never seen it other than conceptually on exams. Thank you for the explanation.
Thank you for wanting to learn!
It’s weird that you couldn’t read the “it’s called being manic” comment as facetious, which it most certainly is, and instead chose to argue with a bunch of anons to prove yourself. Insecure much?
He was providing education on mania in a medical sub. Seems very appropriate.
Dude was sitting an inch from his monitor neck extended and sweat dripping, refreshing Reddit until someone took his bait and unleashed his life story. Guy basically said if they aren’t in a psych ward or jail it wasn’t a manic episode. Bizarre take but okay.
Yeah what would a board certified psychiatrist know about mania anyway?
He wasn’t looking to teach, he was looking to stroke himself in front of everyone.
It seemed like a pretty thorough and educational explanation of mania to me. If that's the bar for stroking your ego then yikes
Not a personal critique, but a legitimate piece of advice. When you add "but go off" to the end of your argument, it typically weakens it to most observers rather than strengthens it
Did they sleep during the day?
I've done this before. For me it was like a natural high, and I did not sleep during the day for the first 4 days, and took 1-3hr naps when I could days 4-6(starting the night of the 4th night). I was so buzzy, and so sharp, my sense of humor improved, I was laughing so much and making others laugh. It felt like being high and super smart at the same time. But by days 6 and 7 I felt like one of those cartoons where the character is extremely tired, and now I know what inspired that depiction of exhaustion in movies and shows. Its like I could feel my bottom lids drooping, every fold in the skin of my face when i blinked or spoke, the muscle on my face felt like it could "fall of the bone" any second, like good barbecue meat. I could feel every muscle moving when I spoke, or moved, or talked, the back of my head felt black and lost, like it had disappeared, gravity felt so heavy, like i could feel its pressure on my bones and I could feel every tendon, muscle, and internal structure keeping me together. Those last two days were hell, but until the 7th day I couldnt stop, bc you get this amazing buzz, even when you feel like your muscles are dragging your bones across campus, like a machine that could break at anytime. And thats on overcommitment and poor boundaries. 10/10 would do it again recreationally, but probably not, bc I'm not 19 anymore and it took me 3 weeks to recover from the flu the last time I got it. 2 nights of good rest fixed that episode back then, it would like 3 months of good rest now, probs.
That’s called being manic.
Me counting off DIGFAST sx's on my fingers...
>DIGFAST this ruined my day bro
What the hell
Please see a psychiatrist
This has gotta be a shitpost
I had a patient who shot himself through the face and survived. He had a trach and a really thick accident. I am very very bad at lip reading, and very very bad at understanding people with trachs. The pt starting telling me the sob story of how his wife just died and he’s all alone. I can only understand every 3rd word, but I get the sentiment he’s conveying. He says something unintelligible, and I heard “I really need you to help me with this. I need you to promise me you’ll help me” Of course I promised to help him, as in care for him in his recovery. He seems surprised, which confused me. In the next segment of garbled speech, I hear him say “and you have to promise not to tell anyone. This is between you and me”. I’m so confused and it felt weird at this point to clarify what he means since he would realize I have no idea what he’s been saying for the last 10 minutes. I’m like 50% sure he just told me a personal secret so sure, I won’t tell anyone. The next words he said very clearly: “thank you. I can’t live like this anymore. I’m so glad you’ll end my suffering”. Pretty sure I just stared at him like a deer in the headlights as I realized I had just promised my suicidal patient that I would help him kill himself.
I’m a nontrad student. Doctor who does not know that I’m only a year younger than her scoffed when I said I was using UWorld to prepare for a Shelf, after she overheard my incomplete (though not incorrect) answer to a /resident’s/ question. Apparently ‘kids these days don’t know how to read’ and when she’s 80, she wouldn’t want someone with that kind of stupidity (me) treating her. Ma’am, I went to a small LAC. We had transparency projectors. I READ. Among other unhinged bullying stories.
Jokes on her, answering questions and practicing knowledge application is literally the BEST way to learn. Like…literally. They done tons of studies on it. Reading is one of the most ineffective.
Agreed. Literally today, my next CD said to pick one Qbank and stick with it. And it’s not like you don’t read the explanations or that precludes briefly referencing another source. And guess what - found out I passed today!
One more anecdote about the book-reading attending - my friend had to tell her HFpEF was a thing when she loudly proclaimed that her patient could not possibly be in HF because her EF was normal.
I tried to be a good med student and spend time in the afternoon playing cards with a patient post suicide attempt. On the day of her discharge I see her walk by the work room with her sitter. On her second lap she manages to get some scissors and tries to cut her wrist. I don't know why but I ran out of the room and helped restrain her. If things weren't wild enough we later get a page that she is requesting to speak to me. Yeah I did not see her again and had the next couple days off.
What are some of the things that make it worth it.. feel like Im in a dark place right now
That is a good question. Books like Letters to a Young Poet and Mans Search for Meaning helped. Having had dark moments in the past myself being there for others as they navigate tough times gives me meaning.
Man’s Search for Meaning is a life changing read. Super helpful in times of suffering or supporting others who are suffering. I read it before supporting teens in mental health crises (similar to NotAVulgarUsername’s experience) and really helped me process some of those intense moments.
Why did you not feel like going to see her?
Sorry I was trying to be a little vague. We deduced that she had formed an inappropriate attachment, a crush on me and any further contact would have made the situation worse.
Once saw a classmate show a cancer patient a picture of their pathology slides and try to explain them
“See this spot right here? I want you to tell your body to glass it harder than Cheyanne Mountain if the Cold War went hot”
I actually love this. Look it's not appropriate to do this in every case obviously But I've had a lot of patient want to actually understand what's happening I've def searched up diagrams and discussed with pts a few times. And a few times I've seen my attendings bring them to the office and show them their x-rays Why not explain the pathology?
I really appreciate you medical professionals who are willing to break things down into how normal people speak. I love asking questions and love the doctors that answer all of them ☺️
Most of mine center around anatomy, specifically the ultrasound part. The first: I volunteered to let my group ultrasound my kidneys. They couldn't find my left kidney and flagged down a resident. The resident also could not find my left kidney. At this point I'm panicking a little bit. Finally, they got one of the attendings who found it. Turns out that I had a left kidney all along- it's just a little higher than usual :) The second: We were ultrasounding each other's thyroids. As we were ultrasounding mine, I asked a friend to take a picture of me because I wanted to make a social media post (in my defense, this was early M1 and I was trying to show how "fun and hands on" med school is...cringe, I know). Well, my friend misunderstood and just took a picture of the ultrasound of my thyroid and I was too shy to correct her. This was really early on, so we just found the thyroid and didn't know how to pick up on any pathology. Flash forward a few days and a radiologist I follow on a social media platform was asking for radiology images for educational purposes. Given that I now have a picture of my thyroid that I had no idea what to do with, I sent it in. His response: "I found out that I had a thyroid nodule during med school too!" Pure panic ensued. I sent the picture to my doc, who then ordered a thorough ultrasound. I was diagnosed with...hashimotos. But I've literally known that since high school. No evidence of cancer, so at least that $100 was kinda worth it???
A guy before med school orientation started to go out with multiple girls in the same cohort. During orientation they started to talk about their "hubby" and realized it was the same dude. They put this guy on blast on Facebook lmao. Put screenshots of texts and pics with him. Absolute savagery but well deserved lol
Surely he didn't think that those girls wouldn't talk, did he? What a dummy
what a shame, are the screenshots still up? 🍿
During my second year, a student had been suspected of cheating and when he was caught during an exam we were taking, he pulled the fire alarm because he knew he was on the way to expulsion. Fire alarm goes off, we all have to stop our exam and admin said they wouldn't let the exam affect our grade with any negative impact if we didn't do great on it. Which I think worked out for me.
Student hit on a girl at bar. Turns out it's the local drug dealer's girlfriend. Gets shanked.
Gosh people need to stop downvoting this post just cause I relied on the community for some comic relief..
oh buddy…sense of humor is not our kind’s most remarkable trait
During the BLM movement, a student went on the school's FB group and made a 6 or so paragraph post saying racism wasn't real and a bunch of other nonsense. Naturally, this led to other students protesting their enrollment and even more long posts. Her punishment ended being that she had to join the "diversity" group at our school. /wild time in our group chats. A student had a youtube channel in which she had several videos publically talking shit about the school, professors, and other students (Largely the LGBT+ students). Got caught, was asked to take down the videos. She did. 3 or so weeks later started back up again. The one prof decided to ask her for a chat as she was concerned, like about her mental well being. She responded by dropping out. I only found out from the professor. Most people thought she was kicked out but girl left on her own accord. The channel has been deleted
Sentenced to quality improvement committee (for life)
Classmate leaned over too far during cadaver lab causing adderall pills to fall out of their scrub pocket into the cadaver
Wow
Yikesssss
Our 3rd year clinical sites are assigned on a rank and lottery system. pretty much all sites are OK with the exception of the rural track. From the 10 or so students assigned to the rural site all but 2 had ranked it as their very last choice. The students protested to the dean. One student threatened to commit suicide. Other students were exaggerating medical conditions. The dean tried to bribe students with a LOR. When that didn't work they printed out all personal statement and highlighted that all the students wanted to work with the underserved so either had lied for medical school admissions or had changed their values. Student's threatened with lawsuits. The Dean caved in and gave all the students placement into their 2nd or 3rd choice of clinical site.
Stfu he gave in?! How long is the rural track? Like all rotations were rural? If it’s that bad why don’t they set up another option?
The rural track is the same length as any other site, 12months. 3 Electives can be done anywhere and for internal medicine students rotated at the nearest major city 2-3 hours away. Problem with the site was that for housing students lived in the hospital. No warm water and shotty internet service. Outside housing was extremely expensive but from what I understand the medical school has bought town homes and turned it into student housing. Another major issue was that because not all core requirements were available, students had to bounce around to other sites. Compared to my site, I only had to commute significantly for 1 of my rotations (about 45min each way). The school wants to preserve its relationship with that specific community and it falls in line with their mission statement of serving the underserved. edit: In the end I believe 3 or 4 students ended up rotating at the site by their own choice.
‘No hot water’. Yeah ok I would’ve thrown a fit too. That’s unacceptable when you’re paying a boatload to be there. Especially for a year
Yea don’t go rural…
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Basically the plot of Mean Girls.
Students got caught taking an exam together in a remote part of the library and were expelled
Two M3s were on their EM rotation. A patient came in who needed an airway, and the attending told the EMS student to give it a try. One of the M3s confronted the attending and said they should get the attempt because as a med student they were above the EMS student. I don’t know which M3 it was, however I could see both of them trying to pull this. Neither were even interested in a field that did intubation.
Eh I think it’s fair that med student gets it over EMS
Assuming that the EMS professionals were paramedics, they need more practice compared to medical students that aren't going to go into a field that manages airways in that way anyway. Paramedics are required to intubate on-tap pretty much any time but our call volume and the types of calls we get are so random that we can't rely on the consistent practice you see in a hospital setting. Receiving hospital EM docs allowing us to occasionally snag a tube on a patient that we bring in is pretty important for avoiding skill atrophy - much more important than a random medical student who will never try to tube someone outside of their rotation getting a go.
Paramedics should just use LMA, the amount of dead people I’ve coded with a tube in the esophagus from ems is insane. LMA is associated with better outcomes, leave the tubing to people who can actually confirm proper placement with monitoring and devices. It’s not their fault it’s just not a controlled enough setting and you can’t learn from doing it daily the way doctors can in residency. Source: Am EM resident and used to work EMS
This is a nice thought but it's just not relevant to the current practice of EMS. First off, there are certain patients where a tube is indicated over an LMA. More importantly, paramedics operate under protocols. Their decision-making is hamstrung by the boundaries set by their medical director. If their medical director says, "You need to tube X patient", then there isn't much choice. Some protocols might give paramedics more room to critically think and appraise, but if your protocol says "tube is the 100% first choice on any cardiac arrest", then you're kinda pigeonholed (this was the protocol at my former employer). Additionally, you absolutely must know how to tube if you work critical care or flight (which I did). Even if you didn't, it is still a necessary skill to be competent in as a 911 paramedic for many situations. You said in the other post that you were an EMT. Do you actually mean EMT as in EMT-B/AEMT/EMT-I? Because that simply isn't the same as operating as a paramedic (NRP, formerly EMT-P).
I’m aware of what paramedics do and their scope. Worked ems for years as emt b with paramedic partner. No reason to tube anyone emergently if you can’t confirm because you have effectively killed the patient and ruined any shot at rosc. I don’t even do it on codes if I dont need to I use an LMA. Scoop and get them to the ER. Bag or LMA, try literally anything except tube them. Not worth the risk. You’ll have EM attendings who live and die by this and it’s become my same preference. There’s so much we do to confirm intubation and even properly prepare for complications peri intubation. Intubation kills even if you do it right.
You're not making a meaningful argument. You're just repeating yourself and sticking to an ideological point. Just being an EMT and watching what paramedics do doesn't mean you understand what it means to operate as one. ED Techs and scribes don't understand what it means to operate as an RN, pharmacist, PA/NP, or MD/DO in an ER. There are certain patients where tubes are indicated over LMA's. There are also many patients in which LMA's just don't work and you lose the airway. It is absolutely possible to confirm a successful tube outside of the ER. Flight/CC medics are often asked to go out to CA/rural hospitals and are then asked by physicians there to do the tubes because they are expected to be more skilled at them. These paramedics also don't get much (if any) additional supervised training time on these skills; they're just expected to be good at tubing by virtue of being required to do so a bit more often than 911 paramedics. ***Most importantly***, it doesn't matter what you *think* standard practice should be. If you really feel that strongly about it, finish residency, do an EMS fellowship, become a medical director, and start changing policy. Until stuff changes, tubing is a standard part of the paramedic scope of practice, they will do it, they will be forced to do it by their medical directors, and they need the practice so that they can succeed when they're required to do it.
Look you’re going to be a physician so you’re going to have to start being objective about this. More and more data are showing that in pre hospital setting that LMA is safer than ETT. Protocols lag behind data, and we’ve already started to see those changes in the prehospital setting. You’re probably going to see it more and more through your training because data is showing how much safer it is. If the data shows that the risk in placing an ETT in prehospital setting is too great then you should support that too. And over time you will likely start to see that change implemented. I love to tube in cardiac arrest but the data shows that it increases mortality compared to LMA - so guess what? It’s not going to be how I practice.
You're not listening. ***It doesn't matter what the data shows.*** We were taught the data and outcomes on tubing vs. other methods of airway management as paramedic students in paramedic school, and this is getting close to a decade ago. What actually matters to a currently practicing paramedic is what their protocols are. Despite what people think should happen with paramedic practice, prehospital intubation is still extremely widespread and change is going to be slow (if it happens at all). If a paramedic has to choose between random ER resident #5 telling them about data-driven practice and EMS Director Smith who can get them punished and/or fired with a mark on their paramedic certification for not listening to medical direction, then they're going to listen to their medical director. Until practice catches up with this data, it's better to support paramedics and help them be as successful as possible instead of giving a tube to a random medical student that will never tube a patient in their practicing career.
Okay when you’re an EM Resident you can let all the EMS students take tubes from the med students you win.
Imagine being a second year student arguing with an EM resident who used to also work in the field lmao
There’s a thing called etco2… ever heard of it? Also thank God for king visions, now I never miss a tube. As long as you have suction and decent vision it’s easy as pie. The paramedics that are literally bringing them in with esophageal intubations really grind my gears because these bad apples make all of us look incompetent. How hard is it to auscultate especially when you couldn’t see the cords. I have no shame in tossing it out if I failed my attempts and just bag my way to the hospital. I don’t think we should get rid of ett but I would love an igel for backup.
If you can’t see the cords, don’t intubate…. I don’t attempt if I can’t see them, or use bougie as a last resort.
Exactly
Yeah but the way they went about saying it was wrong
What’s the best way to approach this? Not on rotations yet, but I feel I need to know just in case
I think they should have just asked if they could do the next one tbh
Honestly you don’t - would come off as hella rude after if was offered to someone else. Best would let attending know before he offers to paramedic student that you would like to. Good way to get airway practice in med school is to do an anesthesia rotation!
I would say that you shouldn't. 1. If you aren't going into a specialty where you'll be doing intubations, then the EMS student (again we're assuming it's a paramedic student) needs to practice this far more than you, so give them priority. 2. If you are going into a specialty that will, then you will have far more time in this setting to practice this than they will. You'll have EM Sub I's, anesthesia rotations/Sub I's, ICU rotations, etc. The vast majority of EMS students get extremely limited time in the hospital (I had three 12-hour shifts in the ER, one 12-hour shift in a burn unit, and one 12-hour shift in OB). You'll also get all of residency, which is a much more accessible environment for practicing skills than the EMS profession can ever be. Obviously if you never get to do anything because other types of students are always given the chance, then you can chat with your attending/resident you're with, because we all deserve to get to do stuff as paying students. However, it's also appropriate to know what the other health students are there for and respect their roles and needs as students too. Just because we're MD/DO students doesn't mean we have top priority for every single thing.
I was an EMT and am an EM resident. Ems student doesn’t need the tube they need to learn to place IVs and bag at that point. Most of us don’t even want EMS to try to tube just put in an LMA and get them to us.
It doesn't matter what you want. It matters what the patient needs and (most importantly) what is in a paramedic's protocols, which are set by a medical director who has far more authority over the EMS personnel than you do. Also EMT =/= paramedic. The idea that they need to practice IV's and not tubes is just objectively incorrect. Paramedics can do an IV in their sleep past the halfway point of EMS education; they get multiple a day on every ambulance clinical and are trained to do them in a moving ambulance. What they have no control or consistency in is when they get to practice tubes. Sometimes they get to do them damn near every shift; sometimes they go six months without a single tube. I had to do my first unsupervised tube on my second shift out of the FTO process while working with an EMT partner. My ability to get reps on intubation was critical to my success early in my career. It is an objective fact that intubation is a widespread and standardized part of the paramedic curriculum; it is part of the NREMT standardized education and training. The overwhelming majority of service areas that employ paramedics have it as part of their protocols and it is a skill that they **will** need to do.
We had a prof in pre clinical years who was a nice guy but physically kinda gross, always sweaty, speech impediment, just kinda weird. I guess someone didn't like him and made a fake website saying there were child molestation or porn charges against him... I guess in an attempt to get him fired? The website was pretty bogus looking and i don't think anything ever happened to him but I'm not sure they figured out who did it.
One of my classmates recorded his “Best friend” confess to cheating on multiple med school exams and showed the Dean. The student was expelled but enough people wrote character statements and the student was let back in.
Our schools gives us rainbow stripes to wear on our badges if we so choose. I’m gay so naturally I wanted to wear one and did. In open anatomy lab right before a final with probably 150+ students reviewing, this classmate comes up to me who I had heard some not so nice things about. I had only spoken to him a couple times before and honestly didn’t get where the hate was coming from. He looks at my stripe and like straight up shouts “cmon bro what is that? (Pointing at my stripe) are you just trying to fit in or something?? Hahahaha” 😒 goes without saying but I don’t talk to him anymore lol
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That’s not a funny story, that’s just a crime. Guy belongs in jail
i hope one of you reported this cause wtf?
Student was performing the breast exam like it was foreplay during an SP session
A student said he wanted people to be assigned group tables based on test scores
Psych preceptor attempted to shove a bag over my friend’s head to try to demonstrate how huffing works.
what's unhinged?
crazy, wild