Here's another question for you
When mixing 2 different locals for a regional procedure, what is the toxicity of the solution? Additive, unchanged, diluted? (Source: Student Doctor Network)
Source: Student Doctor Network - April 26, 2018 Category: Universities & Medical Training Authors: Noyac Source Type: forums
Why do we still use the PPD? And give liver toxic drugs because of it?
To step foot in a hospital, you need a PPD. But why? We have a vastly superior test (the Quantiferon) for one. But also, the PPD is a pretty crappy test given its complications.
We have the BCG cohort who all seem to magically have gotten TB and should be handed a liver toxic drug because their PPD vaguely read 1mm over debatable cutoffs. Anyone who isn't an ID doc seems to strongly defend whereas the ID docs will point out the high risk of false positives.
My point being, why can't we...
Why do we still use the PPD? And give liver toxic drugs because of it? (Source: Student Doctor Network)
Source: Student Doctor Network - April 17, 2018 Category: Universities & Medical Training Authors: MedicineZ0Z Source Type: forums
Stereotactic, partial or whole Brain RT after resection of brain mets
Hi all,
Apologies if this has already been discussed, but Im quite curious what peoples' thoughts and approaches are to radiotherapy after resection of brain metastases, particularly in light of the "NCCTG N107C/CEC·3" trial.
I recall seeing headlines about this trial suggesting SRS ought to be the standard of care now in this situation as it provides equivalent overall survival for far less toxicity.
However looking more closely at the paper Im a little dismayed by the differences in...
Stereotactic, partial or whole Brain RT after resection of brain mets (Source: Student Doctor Network)
Source: Student Doctor Network - April 10, 2018 Category: Universities & Medical Training Authors: anonymuncule Source Type: forums
NBME 17 Question - Acetaminophen Toxicity
A 20-year-old man is brought to the physician because of a 4-hour history of abdominal pain, nausea, and vomiting. He says that he had been drinking ethanol heavily all weekend, and he took three doses of acetaminophen within two hours after the onset of a severe headache Monday afternoon. This patient is at increased risk for liver injury because of which of the following actions of ethanol?
A) Activation of IgE-mediated mast cell degranulation
B) Decreased acetaminophen clearance via...
NBME 17 Question - Acetaminophen Toxicity (Source: Student Doctor Network)
Source: Student Doctor Network - April 6, 2018 Category: Universities & Medical Training Authors: bananafish94 Source Type: forums
Prostate cancer IMRT - no difference between daily IGRT and weekly KV
http://www.thegreenjournal.com/article/S0167-8140(17)32680-4/fulltext
Interesting Phase 3 study. All patients received dose escalated IMRT to prostate (78 Gy in 39 fractions) with either daily CBCT (7 mm margins) or weekly orthogs (15 mm! margins).
No difference in patient reported toxicity. (Source: Student Doctor Network)
Source: Student Doctor Network - February 11, 2018 Category: Universities & Medical Training Authors: Gfunk6 Source Type: forums
Toxicity of Aluminium in GIC
Alright everyone, I came across this issue after finding out that GIC is mostly aluminium, while on the other hand recent trends in food production try to reduce aluminium with great effort.
While there basically seems to be safely bond aluminium, I wonder if this is the case for GIC cement fillings in dental restoration as well. Here are some thoughts, hope someone can clarify this.
I came across a Clifford Consulting paper, stating that:
Some dental treatment products, such as...
Toxicity of Aluminium in GIC (Source: Student Doctor Network)
Source: Student Doctor Network - February 8, 2018 Category: Universities & Medical Training Authors: Bruuu Source Type: forums
Why are bench research labs often such toxic work environments?
There are countless posts here about PI's, postdocs, and grad students abusing, manipulating, or otherwise having aggressive/inappropriate behavior towards pre meds and/or others below them. I've had this experience myself. I was in a colon cancer bench research lab and my PI once had a full on screaming match with the senior postdoc. There were their actual words:
PI: I want you to collect the cells in the afternoon
Post-Doc: Tell *Insert my Name* to do it
PI: He's got a midterm today he...
Why are bench research labs often such toxic work environments? (Source: Student Doctor Network)
Source: Student Doctor Network - January 29, 2018 Category: Universities & Medical Training Authors: LoveBeingHuman:) Source Type: forums
Medicine at University of Ostrava
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Medicine at University of Ostrava
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7 hours ago
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Source: The Student Room - January 13, 2018 Category: Universities & Medical Training Authors: AlanAnonymouss Tags: Medicine Source Type: forums
Study Medicine in Europe
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Study Medicine in Europe
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4 hours ago
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Hi all,
I rece...
Source: The Student Room - January 6, 2018 Category: Universities & Medical Training Authors: Toxicated Tags: Medicine Source Type: forums
WAMC: Graduate Student applying in 2018
Undergraduate cGPA: 3.29. sGPA: 3.30. GPA is uptrending, my 1st semester graduate GPA was a 4.0
MCAT score: 520. Chem/Phys: 130. CARS: 128. Bio: 132. BehSci: 130.
Native born US citizen, California Resident
Ethnicity: Asian
Bachelors Degree in Biochemistry, currently working on a Masters Degree in Molecular Pharmacology and Toxicology
Clinical experience: 3,500 hours as an ED scribe.
Research: Free radical induction of cancer metastasis in lung alveolar...
WAMC: Graduate Student applying in 2018 (Source: Student Doctor Network)
Source: Student Doctor Network - December 28, 2017 Category: Universities & Medical Training Authors: bluefalcon2015 Source Type: forums
Toxic job
I need some advice on how to handle quitting a vet assistant job I got at the beginning of November. The doctor that owns and manages the practice, knows the doctor that I also work for as a kennel technician.
Some information about what has been going on:
I originally reached out the clinic in hopes to get some more vet hours as an intern, and was offered a part time vet assistant job instead. I was hired at the end of the working interview, with her knowing very well that I was not as...
Toxic job (Source: Student Doctor Network)
Source: Student Doctor Network - December 25, 2017 Category: Universities & Medical Training Authors: bamagirl16 Source Type: forums
Credentialing without finishing Residency
Greetings!
I am a first year resident, 6 months in, and contemplating finishing my first year, which qualifies me for licensure in my state, and leaving to practice on my own. My program director is absolutely malignant and i am not interested in having a surgical practice. I cant see myself being able to tolerate this toxic environment throughout the duration.
I am curious about credentialing with insurance companies in my private practice without completion or am i going to...
Credentialing without finishing Residency (Source: Student Doctor Network)
Source: Student Doctor Network - December 22, 2017 Category: Universities & Medical Training Authors: TomTalus Source Type: forums
Accepted, Quitting DA Job, Now What?
After being accepted to dental school on Dec 1st, I couldn’t tolerate the toxic office manager at my clinic anymore and decided to put my two weeks notice yesterday. I’ve been going full steam since graduating May. I retook the DAT late June and got the DA job early July. I figured since I’ll be working in the dental field for the rest of my life, I should take a step away working 50 hours a week and not stress everyday. Plus I was basically going to work through the holidays with only Dec...
Accepted, Quitting DA Job, Now What? (Source: Student Doctor Network)
Source: Student Doctor Network - December 9, 2017 Category: Universities & Medical Training Authors: DenTalFluoride Source Type: forums
TCAs toxicity-treatment
In First Aid TCAs are listed as weak bases (p.238/2016). However, after a few pages it mentions that NaHCO3 is the treatment of choice in case of toxicity. Is this an error? Shouldn't we acidify the urine? (Source: Student Doctor Network)
Source: Student Doctor Network - November 19, 2017 Category: Universities & Medical Training Authors: Estranged Source Type: forums
Northstar's latest?
Take heed. As new grads look at practice opportunities, some of the AMC's (such as Northstar) have creative ways to "flex" their doc/cRNA staffing ratios to over 4:1, increasing your liability and work burden, putting patients at risk, and decreasing their staffing costs in the name of profit. 2 days ago a patient allegedly died at a Northstar facility in Kentucky due to local anesthetic systemic toxicity from a block. Could this have been due to the "hurry up" culture of an...
Northstar's latest? (Source: Student Doctor Network)
Source: Student Doctor Network - November 17, 2017 Category: Universities & Medical Training Authors: hypnosMD Source Type: forums
