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is PMRT needed for this patient?
54 years old patient, PS0, no medical comorbidities (obese), no family history of breast cancer underwent a MRM + LND for left Breast invasive Carcinoma Pathology showed: - T4cm, 0Ln/18 dissected pT2N0, free margins - G3, LVI ++, - ER 50%, PR 10%, Her2 neg - Ki 30% (Source: Student Doctor Network)
Source: Student Doctor Network - May 10, 2022 Category: Universities & Medical Training Authors: Kroll2013 Tags: Radiation Oncology Source Type: forums

Psychiatrist treating obesity?
Given that some of the antiobesity medications (Contrave, stimulants, even phentermine-topiramate) as well as nonpharmacological options such as therapy (lifestyle modification, behavioral activation, motivational interviewing) are within the scope of practice for psychiatry, I was wondering how common it is for psychiatrists to be treating obesity outside of antipsychotic-induced weight gain? There are many more medications that we may not use (orlistat, GLP-1 agonists although this is... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - April 21, 2022 Category: Universities & Medical Training Authors: clozareal Tags: Psychiatry Source Type: forums

How will you escape the pit (the ER)?
A few years into practice and already starting to wonder if EM is sustainable. I’ve considered plenty of other options. The ones I keep coming back to are wound care, obesity medicine, and maybe something like the VA or teaching if a med school will hire me. In the current world though, I’m not sure what the best exit strategy is. For those of you who plan to leave the pit, how are you getting out? (Source: Student Doctor Network)
Source: Student Doctor Network - April 11, 2022 Category: Universities & Medical Training Authors: Backpack234 Tags: Emergency Medicine Source Type: forums

Switching research areas post-tenure
I'll be going up for tenure in a year or two (contemplating an early tenure application but will be meeting with may department head at the end of this month for feedback). My primary focus in research up to this point has been in mental health disparities and the intersection of mental health and SES, but I've had a long-standing interest in eating disorders that I never pursued because my undergrad didn't have any faculty who studied them, and they tend to be a more competitive area of... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - April 10, 2022 Category: Universities & Medical Training Authors: stilllooking Tags: Psychology [Psy.D. / Ph.D.] Source Type: forums

Depressed elderly w/ poor appetite and sleep, but obese - mirtazapine when?
As stated Patient and family are concerned with sleep and poor appetite but patient is technically either obese or overweight ... what would be your go to? edit: here, let me make the question more clear In a patient who is objectively overweight but who has clear concerns for decreased appetite and food intake, what's your approach in regards to the appetite? (Source: Student Doctor Network)
Source: Student Doctor Network - March 24, 2022 Category: Universities & Medical Training Authors: caxoo Tags: Psychiatry Source Type: forums

Is starting a weight loss clinic while in residency possible?
During medical school I became interested in weight loss and got heavily involved in research. I've started working through the requirements for the American Board of Obesity Medicine CME pathway and should be done in a couple weeks. Part of the requirement to state that you are ABOM certified (even though it's not a recognized ABMS specialty) is to have completed a residency program and be board certified within that specialty. I'd have the information, and feel like I know more of it... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - February 22, 2022 Category: Universities & Medical Training Authors: EMTAB Tags: Family Medicine Source Type: forums

Blood glucose level to cancel cataract surgery
Thoughts on this? What would be your BG range and cut-offs? Recently I cancelled one whose BG was 400-500 mg/dL. Pt claimed to be compliant with all her diabetic medications. Talked to her PCP and found out she was lying and that she actually ran out of her humalog a month ago. No recent A1c.. given the hx I can assume her BG in the 400-500's range for the past month. Not the healthiest patient either, with CHF exacerbation in the last 3 months, known CAD, morbidly obese. Known history of... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - January 20, 2022 Category: Universities & Medical Training Authors: coffeebythelake Tags: Anesthesiology Source Type: forums

Bupropion contraindications
Hello all, I am wondering, how strict are you with the FDA contraindications of bupropion and how would you handle the following situation? I tend to draw the line at not prescribing to people with an active restrictive or purging type eating disorder, as well as known seizure history. Now, what if you had a patient on bupropion with active anorexia and a history of seizure, whom you inherited from a colleague. You took them off bupropion and they are doing poorly. There are other options... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - December 30, 2021 Category: Universities & Medical Training Authors: throwaway2222 Tags: Psychiatry Source Type: forums

OB epidural tip
On another forum I saw a thread that mentioned unsuccessful attempts to place an epidural in OB due to being off center. When you get an extremely obese patient where you are unable to palpate or see any landmarks I always found it useful to ask the patient to point to the center of their back. They would unerringly point to the midline. Hope this helps someone at 4 a.m. (Source: Student Doctor Network)
Source: Student Doctor Network - December 24, 2021 Category: Universities & Medical Training Authors: pastafan Tags: Anesthesiology Source Type: forums

Re: Childhood obesity: are new treatment centres the solution? Of course not
(Source: BMJ Comments)
Source: BMJ Comments - December 8, 2021 Category: General Medicine Source Type: forums

Childhood obesity: are new treatment centres the solution?
(Source: BMJ Comments)
Source: BMJ Comments - November 26, 2021 Category: General Medicine Source Type: forums

Wamc ny orm 515/3.63
Preferences: 1. MD/PhD 2. DO/PhD 3. MD 4. DO Major: Psychology sGPA: 3.45 cGPA: 3.63 MCAT: 517 ORM (Chinese) Research: 300 hrs socio-psychology research, 1 pub 100 hrs honors thesis research on eating disorders, 1 pub on the way Jobs: - 1040 hrs scribing for neurologist (private practice) - 200 hrs as EKG tech & phlebotomist for internist (private practice) - Mentor for commuter freshmen at my undergrad for 1 yr Volunteer: - 100 hrs volunteering for vascular surgeon (private practice)... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - November 19, 2021 Category: Universities & Medical Training Authors: muzzybear Tags: What Are My Chances? WAMC Medical Source Type: forums

Anyone have experience working for ERC?
Got an offer for Eating Recovery Center. Total comp is 300K (260K base plus 40K in easy bonuses), full benefits. Holding a panel of 18-20 patients with residential plus PHP. Only child. Only eating disorders. Patients seen 3x per week residential, plus 1-2x per week PHP. I have a primary therapist and nurse under me that work on patients. Weekend call is phone only. Phone only for the week as well for my patients (I believe it's every week), but I've been assured that you're rarely called... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - November 14, 2021 Category: Universities & Medical Training Authors: StayOnTop Tags: Psychiatry Source Type: forums

Does the topic of research in a post bac RA position influence topic of the PhD research significantly?
Hi All, I'm coming up on I found a research coordinator position that I'm interested in. It deals with a population that I find interesting, but maybe would not want to make a career out of: people with eating disorders, specifically bulimia. It's in a great area, deals with some techniques I find interesting (neuroimaging), and is in an AMC. It's a position that I think, possibly naively, may actually be in the cards for me being that my undergrad research has been in psychobiology and so... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - October 3, 2021 Category: Universities & Medical Training Authors: gohogwild Tags: Psychology [Psy.D. / Ph.D.] Source Type: forums

Re: Closed incision negative pressure wound therapy versus standard dressings in obese women undergoing caesarean section: multicentre parallel group randomised controlled trial
(Source: BMJ Comments)
Source: BMJ Comments - October 1, 2021 Category: General Medicine Source Type: forums