Career Change - questions about finishing old prereqs, old LORs and more.
Hi everyone,
I'm looking to go back and finish up my premed courses: I have a degree from 2018 in Mathematics from a Pac-12 with some non-published research (Wet Bench Genetics work, presentations on a Mathematical Model of Cancer that I improved on as well as Algebra), some solids ECs with low-end hours Volunteering, worked in an ER for ~8 months. Tons of leadership (especially now). Nothing beyond a lower GPA that causes pause for my application.
I was diagnosed with bipolar the last...
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Source: Student Doctor Network - March 29, 2022 Category: Universities & Medical Training Authors: FatJoshPeck Tags: Nontraditional Students Source Type: forums
dexmedetomidine (POPrecedex) for agitation, and maybe delirium, and maybe dementia with behavioral disturbance?
https://www.empr.com/home/news/drugs-in-the-pipeline/dexmedetgomidine-bxcl50-schizophrenia-bipolar-disorder/
What do you think of these studies using the intensivist's best friend, aka Precedex, in PO form for agitation in Schizophrenia and Bipolar disorder? I'd wonder if this would have applications in hyperactive delirium and/or dementia with behavioral disturbance. Brand name POPrecedex is my suggestion. (Source: Student Doctor Network)
Source: Student Doctor Network - March 6, 2022 Category: Universities & Medical Training Authors: nexus73 Tags: Psychiatry Source Type: forums
Does this kind of job exist?
Does this job exist
-working mostly with patients who have schizophrenia, schizoaffective, bipolar 1, and/or OCD. May sound selfish/awful, but these are disorders I'm interested in and everything else I find exhausting
-working with patients in a secure living environment
- seeing about 5-10 patients per day and working about 3 days per week
Money not very important, I would work for as little as 90,000$ per year. I don't care much about money.
I feel so burned out in residency. I'm tired...
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Source: Student Doctor Network - February 5, 2022 Category: Universities & Medical Training Authors: Desired Member Tags: Psychiatry Source Type: forums
Persistent tachycardia in potential first-break psychosis
Hi all,
I have this patient on our unit who is in their early 20s. She presents as having severe borderline personality disorder but has a strong family history of bipolar disorder I as well. She was medication naive at presentation save for venlafaxine. The only odd thing about her is that she has persistent tachycardia into the 120s and has since her arrival. She's not dehydrated. She has negative ANA and CRP. Do you think there could be something organic underlying her mix of BPD +/-...
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Source: Student Doctor Network - January 16, 2022 Category: Universities & Medical Training Authors: Psychferlyfe3000 Tags: Psychiatry Source Type: forums
Mania without sleep disturbance
So this is one I've asked around about and have meant to post here for a while. The specific question is:
"Can a person have a full-blown manic episode and not experience any sleep disturbance?"
I realize that technically this is possible per DSM criteria, but I've only ever seen it in the case below and have never been able to find anything in the literature about true bipolar manic episodes where sleep was preserved. I've gotten slightly mixed answers from attendings, but have had a few...
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Source: Student Doctor Network - September 17, 2021 Category: Universities & Medical Training Authors: Stagg737 Tags: Psychiatry Source Type: forums
Medical/Mental Health LOA & Step 1 - Need Advice
Hey guys, I'm an M2 and need some advice regarding taking a medical LOA for mental health reasons and taking Step 1.
For some background info: I was diagnosed with Bipolar II disorder in undergrad, started treatment at the time, and have been relatively stable on the same medication for it for ~9 years now (I'm a non-trad student). I definitely still experience depressive and hypomanic episodes, but since I've been on-treatment the symptoms are relatively "minor"/muted-- I can definitely...
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Source: Student Doctor Network - April 25, 2021 Category: Universities & Medical Training Authors: NeedAdvice123 Tags: Medical Students - MD Source Type: forums
Mental health issues and licensing
I am an AMG. After medical school graduation, I was hospitalized several times for bipolar psychosis before receiving the correct diagnosis and treatment, which ended up costing me my residency (after my program found out I was admitted to a psych unit they insisted I see an outside psychiatrist who confirmed the initial diagnosis; because of this the program did not renew my contract). I did not complete intern year.
Fortunately I am now in full remission. After consultation with an...
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Source: Student Doctor Network - April 3, 2021 Category: Universities & Medical Training Authors: MD5348904 Tags: General Residency Issues Source Type: forums
Si rfa
Would a venom style needle affect the strip lesioning bipolar technique? (Source: Student Doctor Network)
Source: Student Doctor Network - January 9, 2021 Category: Universities & Medical Training Authors: paindoctor2014 Tags: Pain Medicine Source Type: forums
On leave of absence, not sure if I should go to fourth year?
Seeking opinions, please be civil.
I became ill with a schizoaffective disorder bipolar type right before I was scheduled to begin the fourth year of med school. I was studying master's of public health following the first psychotic break that happened the year before. Right now I am on a leave of absence, and given my condition I'm pretty sure I'm not going to residency (can't handle the stress).
Does it make sense then for me to go to M4 just to get the fancy M.D. after my name? I...
On leave of absence, not sure if I should go to fourth year? (Source: Student Doctor Network)
Source: Student Doctor Network - November 15, 2020 Category: Universities & Medical Training Authors: kakashi1992 Tags: Medical Students - MD Source Type: forums
RFA questions
I had a couple of questions pop up and wanted your opinions.
1. Patients with implants such as pacemaker/defibrillator, what kind of precautions do you take when performing RFA in this population? Do you put a magnet over the implanted device, perform bipolar RFA, or do you just avoid RFA in this case altogether?
2. Cervical RFAs - are any of you using the coolief needles to do this with the 2mm active tip? (Source: Student Doctor Network)
Source: Student Doctor Network - October 14, 2020 Category: Universities & Medical Training Authors: GottaHaveIt Tags: Pain Medicine Source Type: forums
Engineering Graduate School to Medicine
Hi everyone. I am a graduate student at UCLA pursuing a M.S. in bioengineering. My interests have changed recently and I am now looking to go to medical school to eventually become a psychiatrist. This decision was sparked in Jan 2020 when I found my mom and brother were using addictive, illegal drugs again. This is nothing new, drug and alcohol addiction have occurred throughout my family since I can remember. Bipolar disorder, obsessive compulsive disorder, attention deficit disorder, and...
Engineering Graduate School to Medicine (Source: Student Doctor Network)
Source: Student Doctor Network - August 25, 2020 Category: Universities & Medical Training Authors: healthEngineer Tags: Nontraditional Students Source Type: forums
bipolar disorder and baker acts
if I'm bipolar and have been baker acted 3 times between being 13 and 15 years old, will I be able to be a doctor in these upcoming years? my mother says that I will not, however, I'm not completely sure. (Source: Student Doctor Network)
Source: Student Doctor Network - April 11, 2020 Category: Universities & Medical Training Authors: Rose123902 Tags: Mental Health and Social Welfare Source Type: forums
Bipolar II
Has anyone ever come across a true bipolar II patient? Every single patient I've had so far diagnosed with bipolar II, I have had to change to some sort of trauma disorder/substance use. Even the patient I diagnosed as bipolar II, I changed the diagnosis over time as more history/symptoms of trauma came to surface. I am at a large academic center and I've seen pretty much most bread and butter cases (and a lot of zebras) but bipolar II seems elusive. (Source: Student Doctor Network)
Source: Student Doctor Network - February 13, 2020 Category: Universities & Medical Training Authors: Neuro111 Tags: Psychiatry Source Type: forums
Naturopathic Doctor
So in digging around the Spravato website and seeing whose getting on their directory in different places in the country, I made the mistake of looking up Portland, OR and saw a bunch of naturopathic doctors on the list. That in itself is concerning, a ND is prescribing Esketamine Spray, for depression patients. But it doesn't stop there, I looked up one website:
"...We work with a variety of conditions including depression, anxiety, bipolar disorder, ADHD, psychosis, schizophrenia, OCD...
Naturopathic Doctor (Source: Student Doctor Network)
Source: Student Doctor Network - February 12, 2020 Category: Universities & Medical Training Authors: Sushirolls Tags: Psychiatry Source Type: forums
False Sexual Harassment Complaint--Male Psychiatrists Beware!
OK, I am an older male NP (from a real established, "brick and mortar" midwestern nursing school, not a on-line type), and here is my story.
I work in a community mental health clinic. It is me, one other NP, and a great psychiatrist-we manage the medications of over 2000 hardcore psych patients. Probably 99.5% are Medicaid, and 70% are on SSI, or SSDI. Lots of schizophrenia, schizoaffective d/o, bipolar d/o, and BORDERLINES! I have never had any issues in over 30 years of psych...
False Sexual Harassment Complaint--Male Psychiatrists Beware! (Source: Student Doctor Network)
Source: Student Doctor Network - February 3, 2020 Category: Universities & Medical Training Authors: Midwest Headshrinker Tags: Psychiatry Source Type: forums
