Med Student Deaths
I am wondering how many of you have experienced a classmate of yours dying (either in your graduating class or a different one)? Did your school communicate with you how that classmate died (suicide, accident, illness, etc.) How many of you have experienced a classmate committing suicide? (Source: Student Doctor Network)
Source: Student Doctor Network - March 6, 2022 Category: Universities & Medical Training Authors: heartstring1 Tags: Medical Students (MD) Source Type: forums

Have an upcoming psych interview
Hey guys, Have a psychiatry interview coming up. Haven't done much psych (I am in Egypt and our system is different here we don't need to do a preliminary year to apply to psychiatry) I am preparing for a interview and wanted to discuss a few things if people didn't mind helping - If you are in a situation where a 23year old person is expressing suicidal thoughts because they are legally an adult do you still engage with their parents or is it not allowed because the patient is an adult... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - March 3, 2022 Category: Universities & Medical Training Authors: luysion Tags: Psychiatry Source Type: forums

The future of dentistry
Just saw this post from a while back on didn't see any responses to it. As someone new to the field this was a bit intimidating so I'd like to hear your thoughts on this. "I'm a dentist that graduated 18 years ago. Sounds like you're a smart kid and I'm sure what ever path you choose you will be very successful. Dental school right now it's a rip off. Paying $500K for a dental education is financial suicide. Dental insurance companies are killing the dental industry. Dental insurance been... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - March 2, 2022 Category: Universities & Medical Training Authors: ongerie Tags: Pre-Dental Source Type: forums

Working with patients who refuse your recommendations
Hi everyone, Hypothetical situation I'm sure all of us has been in - A patient with SMI, several suicide attempts and repeated hospitalizations becomes stabilized on medications then stops taking them and decompensates into an acute mood or psychotic episode several months after coming off of them. They adamantly demand to be taken off medications because they do not believe they have mental illness when they have recovered. There is no absolute indication to stop the medication. The... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - February 17, 2022 Category: Universities & Medical Training Authors: Smashing Tags: Psychiatry Source Type: forums

opiates/opioids and depression?
Just wondering what everyone's experiences with this are. Of course, this type of clinical picture in someone chronically on opiates/opioids is complex as chronic pain worsens mood and those with chronic pain generally tend to be more susceptible to psychiatric symptoms anyways. But I have encountered a share of patients on chronic high dose opioids who seemed to just be refractory to any kind of medication change and sometimes even with therapy optimized. However, on mental status exam... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - February 13, 2022 Category: Universities & Medical Training Authors: randomdoc1 Tags: Psychiatry Source Type: forums

A story of a second chance - Cheating IA (x2) and x3 MCAT retakes
TW: Suicide Me: MCAT 515 after three retakes, GPA: 3.7. I have four publications from my undergrad and gap years, Went to a top undergrad, cum laude, tutor, teaching assistant, etc, etc. To everyone around me for years, I was considered a model student. In fact, my department from undergrad awarded me the faculty award when I was graduating. People were absolutely sure that I was going to one day make something of myself. However, three years after graduation, I was still asking for... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - February 12, 2022 Category: Universities & Medical Training Authors: SecondChances1101 Tags: Pre-Medical (MD) Source Type: forums

WAMC c/o 2027
Hi all! Looking to apply this cycle to a lot of schools but to be fair I've waited years to apply so I've been saving up and I'd want the best chance possible. My cGPA & sciGPA is less than stellar, I messed up badly for awhile due to depression that is under control now that I have a support system and coping mechanisms. I've been working hard to get my GPAs up and show schools I am ready for the rigors of vet school, taking higher level science classes along with some animal science... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - February 4, 2022 Category: Universities & Medical Training Authors: OtterMayhem Tags: What are my Chances? WAMC Veterinary Source Type: forums

Insomnia meds
PGY-1 (Europe) having difficulties with patients with insomnia in the depression ward. Currently I try with my patients the following order. 1) Sleep Hygiene 2) Baldrian and natural remedies 3) Zopiclon 3,75-7,5mg (only a few weeks) 4) Quetiapin (25mg) 4) Here is where I find it hard. Usually would go with Pipamperon 40mg. I've seen colleagues go with Agomelatin, Mirtazapin, Amitriptyline, Imipramine. Yesterday I had a Patient requesting Trazodon, because she had it prescribed in the... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - February 1, 2022 Category: Universities & Medical Training Authors: Tangerine123 Tags: Psychiatry Source Type: forums

Crisis Text Line selling data to for-profit company
Suicide hotline shares data with for-profit spinoff, raising ethical questions - POLITICO The Crisis Text Line’s AI-driven chat service has gathered troves of data from its conversations with people suffering life’s toughest situations. www.politico.com I know as a suicidologist and clinician, I'm supposed to be in favor of these, but honestly, I'm beginning to think that they are a lot more iatrogenic than we'd like to admit, between stuff like this, doxxing callers, etc. Thoughts? (Source: Student Doctor Network)
Source: Student Doctor Network - January 29, 2022 Category: Universities & Medical Training Authors: futureapppsy2 Tags: Psychology [Psy.D. / Ph.D.] Source Type: forums

How much of your practice is CYA?
I've known this for quite some time, but he really came to a head today. We had a kid (<10 years old) more or less dying of COVID and sepsis with significant myocardial depression (x3 vasoactives). All the services were consulted when the patient arrived the night prior. I was getting signout from the junior attending who informed me, amongst other things, that the consultant services were "weighing the idea of IVIG". Granted, I think there is a lot of voodoo in IVIG, but when it comes to... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - January 23, 2022 Category: Universities & Medical Training Authors: SurfingDoctor Tags: Critical Care Source Type: forums

Podiatric radiologist
Anyone ever heard of a DPM working for a radiology group reading foot/ankle films/CT/MRIs? Not sure if that would even be in our scope. But the radiologists around here are terrible. Truly horrible at foot/ankle. Joint depression calc fx clear as day read as "normal xray". Tarsal coalition with talar spurring and halo sign "normal findings". Complete tear of ATFL "normal ligaments" Had a calc fracture that had a decent read but they failed to point out that the brevis tendon avulsed a... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - January 21, 2022 Category: Universities & Medical Training Authors: DYK343 Tags: Podiatric Residents & Physicians Source Type: forums

Options for dissatisfied/stressed anesthesia resident
So I am half way through my CA-1 year and I am miserable. I am unhappy with anesthesia for many of the standard reasons mentioned on this forum, ie. lack of respect, being beholden to someone else's schedule, difficult surgeons, call etc, but the thing that keeps me up most is the stress of taking care of critically ill people. I really do not think I am cut out to handle life or death situations and the stress of that grates on me daily. I feel very depressed and have a baseline anxiety... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - January 21, 2022 Category: Universities & Medical Training Authors: lemmonhead Tags: Anesthesiology Source Type: forums

School List, Please!
28 years old, non traditional post bac student, white male, public university Resident state: Ohio Undergraduate GPA (political science): 3.3 DIY Post-bac pre-med GPA: 3.1 cGPA: ~3.2 MCAT: 517 I had a post-bac 3.5 GPA until Autumn 2021 when I had too much on my plate (working full time, volunteering, health issues) EC Worked in finance for 3 years prior to wanting a career switch Volunteer at Suicide Hotline 3,000+ hours clinical full time employment at hospital (received several... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - January 17, 2022 Category: Universities & Medical Training Authors: incredicole Tags: What Are My Chances? WAMC Medical Source Type: forums

“Choice” in NICE depression guideline: a menu of starters
(Source: BMJ Comments)
Source: BMJ Comments - January 3, 2022 Category: General Medicine Source Type: forums

Burnt out and lonely
6 months into intern year at a 3 year EM program and I am filled with anxiety and stress before every shift with absolutely no motivation to continue. I feel like I haven't learned anything since July and I almost can't see myself ever being a successful attending. I want things to get better, but I just don't know what to do. I want to continue, but I just feel so depressed, unwanted, and isolated from my program. I think part of this feeling is because I'm at a program that wasn't the best... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - December 29, 2021 Category: Universities & Medical Training Authors: pillowsnice Tags: General Residency Issues Source Type: forums