>>673480878
Were you going to vote for Ben Carson or nah?

>>673480878

is that a CT of a gunshot to the head?

>>673481020
Nope
No love lost
I respect the guy as a surgeon but overall he struck me as a turkey.

Post cranial fossa epidural on plavix, GCS15. Treatment? (prove your title)

>>673481090
Yup
Not my pt but it's safe to assume that's a fatality

>>673480878
How do you feel about TMS treatments that can cause a potentially permanent change to someone's personality?

>>673481207
Pimpin me, chiefy?
Platelets and observe
Low threshold to take to the hoop
Plavix is only beaten by pradaxa in terms of shit

>>673481348
What's TMS?

>>673480878
Von Hippel-Lindau

ever seen it?

if so, whats the S/S like of early stage?

>>673481447
Nice working with you, doctor. We're doing ddavp for it to, not sure if it actually works. Anyway, carry on good sir.

>>673481531
Clinically never encountered it but it's a classic board question
You got?

Whats a neurosurgeon doing on /b/ ?you are too productive to society to be this far from gods light.

>>673481617
10 of that voodoo never hurt
I'm a fan

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>>673480878
best brain boosters ?

>>673481811
Been lurking since I was a junior covering the NICU many moon ago. Just finished a case and getting ready crash out. Figured I'd share a little love

>>673481829
Looks like you got the best one. Turbo-charged double barreled finger box. Nice anon

>>673482005
Good for you man, best of luck with your endeavours.

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>>673481524
> neurosurgeon
> doesn't know about Transcranial Magnetic Stimulation
I have a hard time believing you haven't at least heard about it by virtue of working with brains.

>>673481162
What's a turkey?

>>673481811
Not all who troll are useless IRL.

Can you surgically fix stuttering, tics and anxiety disorder?

>>673482243

oh boy, psychiatric voodoo...

>>673481703
had a pt with it once, weird mix of psych effects.

it was like a bipolar schizo but kinda autistic..

any special kochers point tricks? for evds

>>673482243
kek. joking, right?

>>673482344
and depression , don't forget depression

>>673480878
What do you think about people having "souls" or consciousness outside the body... or do you think its more to do with only chemical etc with consciousness just being faked by the brain

>>673481811
Shut your stupid mouth.

People do not matter as doctors now that we have AI.

>>673482632
>now that we have AI.
We are have a decade off having even /half good AI. Shut your stupid fucking mouth

>>673482243
Sorry anon, I'm rather traditional. Nothing cutting edge. I don't like experimenting on my patients.

>>673482291
Ben Carson in the political sphere.

>>673482344
No. A neurologist may be able to help you.

>>673482372
Special tricks? Do as your senior tells you. If in doubt, confirm perpendicular to the skull. Don't go deeper than 6cm trying to cheat. If you miss it after 3 passes, close and get a CT.

>>673482816
half century more like it.

>>673480878
Have you ever abused the shit out of an Uber driver whilst drunk?

What is your view on the christian ortodox church doing exorcism in 2016?

>>673482358
How to fuck do I think? Like I know it's a bunch of different parts of the brain working in synch, I'm talking Freud type shit. Any clue?

>>673482358
> psychiatric voodoo
lolwut
>>673482475
nope, this shit has been clinically tested for several applications such as depressive disorders and executive function deficits in autism and schizophrenia.
Was in the active treatment group for one of the EF trials, anecdotally it worked well for me, but that shit gave me a headache almost every time.

>>673482837
where do you work? region if you don't wanna share

and hope you have the best of futures, thanks for what you do.

>>673482358
Not a fan of the snake oil salesmen, personally.

>>673482600
That's a good question over beer, anon. It doesn't have much clinical utility.

>>673482632
>>673482816
Looking at what Google has done with AI related to Go, it's only a matter of time before the bread and the butter of medicine are addressed by AI. The trick is that medicine has always been art and science. Maybe I've consumed the kool aid, but I think that's a part of medicine that is no to be underestimated.

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Here's some banana milk shake for you /b/oys

>>673480878
1. Which neurotransmitters that are affected by opioids and how do they affect them?
2. Same question with weed.
3. Which chemicals are involved in love?
4. Did Hitler really do anything wrong?
6. Which chemicals are out of balance in obese people?
7. Have you ever self-diagnosed anything?
8. Did you notice that I'm missing #5?
9. What do you think about horoscopes?

>>673482837
> Sorry anon, I'm rather traditional. Nothing cutting edge. I don't like experimenting on my patients.
It's been around for years now, local psych hospital has an entire clinic dedicated to it and ECT.

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>>673480878
Do you care if your patients get spit roasted by black men?

I'm a pre-med neurosurgery seems like it'll be interesting but I don't know if i would want to go through such a long residency and would want to deal with cases over 10 hours.

What are you're favorite parts about being a neurosurgeon and what are your least favorite

also what was the biggest mistake you've made on a pt

>>673483101
>>673482837
I mean spontaneity, creativity and conversing all just seem so... Beutiful: How do I actually put a cognitive thought together?

>>673481829
what is that?

dear op i fell preasure when i snezee on the right side,
context :
i have two dental pieces removed from down, in the jaw but, i smoke so i still fell inflamation on very localized zones, and i feel the thing betwen mouth and eair swollen, do i have tumor on the brain?

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>>673482970
That would be a neurologists approach, anon. I'm a surgeon. They're smart. I cut.

>>673483039
Ben Carson may be better equipped to address questions of faith.

>>673483303
Western Hemisphere /b/ro

>>673483443
Anon, have a drink. I'm buying.

Pic related: pcom clipping. Just a pcom.

>>673483443
>>673483948

At least answer the serious ones please. I'm in Neuroscience class as an undergrad and people like you are my fucking heroes

>>673483443
Fat people tend to have more estrogens, more catabolic hormones and higher cholesterol. That's why you can get gyno from being fat, I think.

>>673483946
on the right side of the head

>>673483915
what is what ?

>>673483948
ever work with a SOCM/18D

>>673483948
Do you know of methods to heal the brain or only to prevent further damage. Also, have you heard of cold caps for reducing brain damage in infints? My dad worked on that study. That's some cutting edge shit there

>>673483611
See anon above asking about curry in a hurry uber girl. I'm a surgeon. Not my realm of expertise.

>>673483750
Whatever consenting adults do in the privacy of their own gifs is their own business.

>>673483857
As a wise attending once told me: if there's anything else you want to do, do that.
Best part: helping the patients
Worst part: wrecking the patients
Read Mr Marsh's recent memoir for some insight. It's fascinating and will spare you wasting time pursuing something you don't actually want.

>>673483946
Talk to your doc and your dentist, /b/ro

>>673484405
i tried something from the racetam (nootropic) family... piracetam/pramiracetam , get on google with that

>>673484452
i have already done
the dentist say is no problem, the doctor say is the dentis problem
the preausre have moved from forth to back only right side

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>>673484050
What's serious, anon? If you're studying neuroscience, you should be able to sort out the basics yourself. Love? Obesity? If you can establish an absolute relationship with something concrete in the CNS, you'll have earned a Nobel. horoscopes? Come on, anon.

>>673484361
What's that, /b/ruv?

>>673484405
Methods to heal? Be healthy.
Methods to prevent damage? Be healthy.
Not trying to be a dick, anon, but common sense prevails. What did your dad do?

Pic related: long fusion construct for onc pt

Op Doc,

Did you ever encounter someone with literally half a brain?

Does the skull ever eventually grow back together like nothing was there, or is it forever weakened?

Seen any gross shit like somebody's brain rotting, starting from their nasal cavity?

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>>673484936
Google is your friend, anon

>>673485006
Sorry to hear that, /b/ro. Sadly, I can't give you good advice here.

Pic related: meningioma growing out through the skull

different job, not as intensively focused as yours.

got to work along a few neurosurgeons, you are a fine and funny breed, especially the cute little indian/middle eastern girls who look like they're 19.

>>673484229
that gadget is fingers are in

>>673480878
what your annual salary is doe my nigger?
what slab is you pushing?
monthly rent?
stock tips?

>>673485580
dont worry
sedentary smoke, beer, first go the heart
thanks mean

>>673480878
how much do you make a year? thinking of career options as a MS3, dont wanna be in debt forever.

>>673485987
*men

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>>673481207
>>673481447
>>673481617


Samefag until proven otherwise

>>673485567
Only if they've had a hemispherectomy. That's Dr Carson's purview, however. I've never done one.

>>673485614
Never met a neurosurg that fit that criteria. You must be a lucky anon.

>>673485686
Google can give you salary info
The Days of Giants have passed, though.
And, as has always been true, doing it for money shows one is a fool.
German
Stock tips: target date retirement fund with vanguard. Low fees, simple common sense distribution. Just feed the beast, anon, don't try to be fancy. Just feed the beast.

>>673485017
opium and weed questions?

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>>673480878
What is a highly effective suicide method that would be painless?
I'm planning on hanging myself but I am looking for good hanging videos so I can see how it goes. About how long should it take if I'm doing a partial suspension hanging with a nylon rope?

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>>673486042
Don't do it for ducats, anon. See my reply above. Never do anything for money. Make sure you love it and make sure you are acting in your patients' best interests. If you want money, go into finance/banking/MBA. Your patients will thank you for your honesty.

>>673486349
Pic related

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>>673485651
that is a soket to finger adapter ... life hack ... when you feel out of energy ... i also have another life hack for the times when you feel like doing nothing just hanging around. pic related!

>>673486367
Days of Giants?

>>673480878
>Neurosurg here
>AMA
Why the fuck you spend so much time in school? You know doctors die sooner than most people.

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>>673486519
Opium? You know better than that, anon.
Weed? Carry on.

>>673486742
I hope it's bait, anon.
YouTube videos about how to kill yourself?
Nope. Not going there.
Take a walk in the sunshine and call your /b/ro to hang out.

Pic related: subdural hematoma.

>>673487314
>>673487314
I'm asking opioid because I just got oral surgery and I would like to know exactly what Vicodin does to my body and mind.

>>673486878
http://www.thinkgeek.com/stuff/41/lebedev.shtml

found this i still cant wrap my mind around this, yes i do know i am a fgt, but really this is a thing? does it work, like has anyone had success with it out there?

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>>673480878
Is jacking off 12 times per day bad for the brain?
I normally alternate between fantasies of fucking women and then fantasies of getting fucked by large black guys because it makes me cum faster than if I had kept going with another girl (porn girl). I jack off on my break and then almost continuously when I'm home. It's normally around a dozen or so times, maybe more.

>>673480878
hello, final year highschool student here. (Turned 18 a few days ago)

im aspiring to become a surgeon.
Its partly religion driven, at a young age i wanted to make people's lives better/help people for a living. It was a calling, coming from my personality and all the suffering I've seen.

ever since the start of senior year or earlier, i got a vocation to be a doctor, more specifically surgery. because i like how you guys hands on save lives and help people for a living.

However high school senior is proving to be difficult and i'm not the best student in my classes. With tons of effort, i usually get C's and the occasional B. I partly blame my shit report writing skills.
I'm starting to doubt myself feel like i can't make it.

My question, what advice would you give for someone in my position.
Can you recommend doing something now which would help me in my path?

I'm very passionate about this, getting into Surgery has been my dream for so long. without it i feel like my life isn't worth living.

>>673487055
Said in reference to those that came before us. Besides being Men among men, they had opportunities to make a lot of money. Now, the culture has changed and the breed is weaker, as well as there being significant changes to the economics of the business that restrict earning potential. But... See above: that's not important.

>>673487201
We all die, anon. We all die. The question is how we spend our days. I'm quite pleased with my path in life.

>>673487542
Body and mind. Short answer: constipation and fogginess.
My advice: get off it ASAP.
more people die from prescription drug overdose than auto accidents annually.
/off soap box

Pic related: GBM revealing itself on the cortex

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>>673488133
Sup anon
There are plenty of ways to help people and channel your passion
Don't get all missile lock on surgery. Just take it one step at a time and push yourself to do better tomorrow.
You'll get it sorted
Godspeed

Pic related: ETV

>>673488649
hey thank you thats good advice. i'll try to be that better self tomorrow and the day after that.

tell me what kind of maths do you have to learn?
Or is med school all about memorization of anatomy, physiology and etc... which i would actually prefer

Do you believe a person's being is defined by the conclusions he/she draws from past experience?

What do you actually DO? I mean, describe the problem, the process of how you solve it, etc etc.
This shit sounds super interesting but I don't really want to devote several years of my life studying for this.

>>673489294
Just study, anon, just study. The more you know, the easier life is. When you have to make an essential decision at 3am, it is easier when you have mastered the material. Maths? Nothing fancy is needed in the real world. But if you have to pass tests, make sure you ace them.

>>673489874
Is one's being defined by their own conclusions? Good questions, anon. I think I need to refill my drink to appropriately contemplate the ramifications of this.
So... No relation to actions? No influence from external forces/interpretations?

>>673490318
alright will do. god bless

>>673490208
What does a neurosurgeon do?
The simple answer is the diagnosis and management (medical and surgical) of disease and disorder of the central and peripheral nervous system of the neonatal, pediatric and adult population.
It's kind of a broad question, anon.
I meet people, sometimes in the ER when they can't talk and sometimes in the office when they got the sciatica, and I make a determination if they may benefit from surgical intervention (5 minutes ago, sometimes in the near future, potentially in the far future or never at all), decide on a plan, execute the plan (get another scan in a month, meet in t6 months to see how they're doing, do surgery in 6 minutes to save their life...), meet them after the fact to see how they are doing and see if there is anything else I can do.

I have a friend who was diagnosed with epidural abscess. How fucked is he?

>>673480878
why don't medfags realize that baking soda(sodium bicarbonate) is what cures the cancer and not chemotherapy?

>>673491858
See banana milkshake pic above
Did he need surgery? Spinal or cranial? Is he awake and talking or is he intubated in the ICU unable to move his legs? Depends, anon, depends. But I hope he's ok.

>>673492042
They have him on antibiotics through a picc line at home. He can move just fine.I think its spinal.

>>673491893
BC we're stupid? Thanks for enlightening us, anon
Now, do us a favor: don't call regular 911 if you ever have an emergency. Just call Voodoo911. They'll be happy to help. Lots NaBicarb for you and it let's us quacks sleep

>>673492229
He's gonna be ok, /b/ro. Just keep him company. It's gonna be a-ok

>>673480878
>>673481090
damn, that expansion :S

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>>673480878
OP I'm gonna ask the obvious question here, what the hell does a neurosurgeon do on /b/? how long have you been on here?

>>673491893
Dr. O.T. Genasis

>>673490752
How fucked am I from doing meth a few times?

>>673492232
>Thanks for enlightening us, anon
Sure no problem, just trying to solve problems you can't seeing as how chemo is 3% effective and all. I guess money is more important than the oaths you swore as a doctor.

>>673492456

Not op but if you think every anon is a stupid lonely 19-yo dude who desires to say stuff anonymously, you are mistaken.

Nice to have a thread like that once in a while.
>673480878

How do you cope when failing a surgery ? I suppose it does happen, I don't know if that every happen to you but if that happened, what did you think about it ?

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>>673492376
That's gonna hurt.

>>673492456
See above, anon. Started lurking like 06. Still check in from time to time. Just giving a thread back to the /b/oys (unlike feet/fb/fur/banana.ca)

>>673492482
If you stop, not at all. If you continue, fucked, anon. Fucked.
I got a lady I've been trying to help with a necessary surgery but she likes the ice too much. Problem with ice, among others, is that it causes significant cardiovascular instability. Death with general anesthesia is not unknown. So she does not get surgery until she gets clean. She'd rather smoke than walk. So she smokes. Not sure if she can still walk.

>>673492232
I love these wierd old tricks that doctors hate. they're chlorine for the gene pool.

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>>673493121

>>673492945
No you're right. If I ever need to have brain surgery, I'll definitely want a /b/tard to operate on it.

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>>673493173
Little endoscopic endonasal transphenoidal action for you /b/oys

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OP can you dab?

>>673480878

Are there any real nootropics? I want to be as smart as possible. I'm OK with minor long-term side effects.

>>673493245

I-is that a sarcasm or ... ?

I'd rather have a /b/tard do it, not all of /b/ are proud guys but they're quite realistic, even pessimistic. They're honest about what they see, so I guess if we don't count the assholes of /b/, I could probably have brain surgery from a qualified /b/tard.

>>673480878
Alright, that might sound weird to you but i've been hearing a high pitched sound on top of my head for a long while

I don't even have tinnitus, hearing is pretty good, no nutriments defiency or whatever

Went on my guitar earlier because i thought
>hey let's figure out which tone i hear

It's a really high pitched D#

Wtf?

I hear it clearly when i'm in a silent room without any noises

wtf?

>>673482344

Exposure therapy worked for me.

Do what scares you a little but not too much.

Hard mode: Google for random business numbers. Cold-call them. Ask them stupid questions. Videotape yourself. Watch the videos. Practice what you screwed up. Repeat.

>>673492732
Not an oncologist, anon, but thanks for looking out for me. A gentle suggestion: if you or yours ever have cancer (the gods forbid) and chemo or radiation or surgery is recommended, please seek a second and third opinion before committing yourself to the healing magick of baking soda elixir. Not claiming modern western medicine is the be all end all, but fuck anon, baking soda? Ask Steve jobs among others how it worked for them.

>>673492945
As above: read Mr Marsh's recent memoir, or at least a review easily found online. He does a good job describing the graveyard that every neurosurgeon carries inside them. I wouldn't wish it on anyone.

http://www.newyorker.com/magazine/2015/05/18/anatomy-of-error

>>673493127
Lol

>>673493245
Cheers, anon
Here's to hoping you and yours never need my services. But if you do, I got you.

>>673480878
How much do you pay (ballpark) for malpractice insurance? Also, why neurosurgery (like working with hands, etc.)? What is your least favorite type of medical doctor (specialty) to work with?

>>673480878
What's the validity of the MBTI's EEG evidence?

Soo..
Long list o questions for ya.. ;)
First one.. I have over fifty cocnussions registered due to a long life of high risk activities, will I end up like Muhammad Ali? A punch drunk gibbering hunk of meat?
I have noticed severe memory loss, think stopping mid sentence trying to find the right words. This happened after I was knocked down on town last year. Any chance of that getting even worse?

>>673493458
When I do trials, I try not to
On the floor, I try to

>>673493582
No shortcuts, /b/ruv, nothing but hard work and blood/sweat/tears. For real. Don't believe otherwise.

>>673493703
See your doc and consider referral to ENT/audiometry. Better to not ignore if it is persistent. Good luck

>>673494153
Malpractice is very state-dependent (torte reform): if there is a damage cap, the coverage is reasonable. If no cap, coverage hurts. The tail is the worst. Google that.
Worst docs are those that don't care. Fuck those fuckers. Anyone that doesn't take care of their patients is dead to me.

>>673494053

Thanks, I'll read that, as a future psychologist I find it really interesting, any doctor has a certain responsibility over his patient and this seems very hard to bear as the professional when odds aren't on the patient's side. If you happen to know where I can find more about it...

But this thread is becoming full of personal question about their own troubles, so i'll let you answer that.

Have a good one anon

OP, does a neurosurgeon ever get to see patients naked?

My biggest fantasies have to do with doctors examining my wife. Her gyno is a woman. She's only had one doctor see her tits one time, which makes me sad.

Anyway, if I was a doc, I'd want the fringe benefit of seeing hotties naked at work. Do you?

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>>673494321
School me anon: Meyers Briggs w EEG? If this is correct, the short answer is No.
If I'm wrong, fill me in

>>673494343
Sup anon. That's a shit-ton of head trauma. Nobody has a crystal ball and I hope you don't end up like Cassius. All I can suggest is you cut back on any activities that may set you up for another hit. I know: sucks. But think about how much you like thinking and walking and wiping your own damn self after you shit. You like that? Preserve it. Don't get another concussion. Good luck.

Pic related: AVM. Gonna be a long day.

>>673481447
Nice! A real neurosurg anon. Why aren't you at work? Busy with your divorce lawyer?

What was your step 1 score!?
Be honest!

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>>673494912
Cheers anon
Read up on Mr Marsh. He's got good, uninhibited insight, and a hell of a lot more grey hair than I.

>>673495043
Plenty of other threads, anon. Plenty of other threads.

That being said: my greatest moment in residency was saving a penis. I'll greentext if interest. Almost forgot about that one.

>>673495344
Kek
Too smart for that, anon. No ring-enhancing lesion on this left forth digit.
Pic related

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>>673495884
Pic related

>>673495862
That was over a decade ago, anon. I can't even remember the cases I did last week.
>1?

>>673496104
So where do you practice? Just the state

>>673495991
Jesus fuck. That's what happens when you marry a nurse

>>673495884

saving a penis eh? plz tell

you see the greentext bout the obese /b/tard who put on 2 cock rings, his penis swelled up, and he shitposted about it instead of going to the doctor? shit was cash, yo, but not for him.

>>673495884
>Plenty of other threads, anon. Plenty of other threads.
Well, I've never seen any of your other threads. Can you just tell me yes/no - when practicing as a neurosurgeon, do you ever see your patients' tits or vaginas?

>>673494676
>No shortcuts, /b/ruv, nothing but hard work and blood/sweat/tears. For real. Don't believe otherwise.

Thank you anon. Will do, just exercise and clean living and insane pressure to overachieve from here on out.

Also I'll ask all my doctors if they're /b/tards from here on out.

>>673497393

Let's make a deal...

You post pics of dick and asshole...

OP will answer your question.

Do it for /b/ anon!

Follow up.
Ever since getting knocked down I have noticed more and more issues, like memory loss.
This was July last year. I'm still finding those fun surprises. How much longer till it stops. Cause frankly, it's not funny anymore..
Thanks in advance anon.
And also thanks for answering previous questions..

>>673496412
Western Hemisphere, anon

>>673496916
Right? Don't be mislead, /b/ro. That could be your dearly betrothed (or whatever they're called).

>>673496968
>be me
>junior resident. Putting in the foley before the case. More foleys than aneurysms, that's for goddam sure. Retract foreskin, insert foley, get urine... Foreskin stays retracted.
>tha fuck.
>attending getting agitated. What's taking so long, anon?
>no worries, chief. I got this.
>glans going purple.
>fuck
>call GU consult to OR. They say, "get the Cut Down tray ready. Be there in 5."
>Cut Down tray? Not on my watch.
>Page up a GU hottie at another hospital I know.
>No prob, anon, just do this: squeeze mad tight to get the blood out of the glans and get the foreskin back where it belongs before it acts like a tourniquet and kills the head of the penis.
>squeeze like there is no tomorrow
>"what's taking so long, anon. We got cases to do."
>SQUEEZE
>slowly... Slowly... Glans deflates... Foreskin... Retracted...
>door busts open
>GU Doc: where's the Cut Down tray?!
>No worries, chiefy, we got it. Sorry to call you one.
>Case proceeds.
Patient never knew his penis was moments away from irreversible devastation.

Highlight of my career.
All downhill from there.
Posting on /b/
...
Need another drink.

>>673498100
on one hand... wh.. what... why? Nobody wants to see that shit.
on the other... Dubs

>>673498397

Just think, if you work really hard, someday you could save a transwoman's "penis"!

>>673480878
I'm a high school senior with big dreams of medicine someday.

Are there any opportunities for a pre-med to get close to surgeries? I'm probably just going to get a CNA cert this summer and EMT later, but I would love to know if there's any way for me to get into the OR.

Is it true that if you want to go into neurosurgery you basically have to go to Harvard/Hopkins/UCLA/etc.? If I go to my state med school, are great Step 1 scores and rotational evaluations good enough?

Should I major in math/compsci and work in a computational biology lab? Or should I major in chemical engineering?

My state med school (OHSU) claims it is #1 for neurosurgery. I don't see them on USNEWS rankings. Are they bullshitting?

Sorry for all the questions, but you people are basically my idols.

>>673497393
Nope. Sorry anon. I do not. I do brain and spine and some peripheral nerve. I'm not a plastics guy doing implants, not a gensurg doing mastectomies, not OB/Gyn doing whatever the fuck they do. When the nurses put in foleys, I don't spectate. When I flip the patient prone, I make sure the nipples are not compressed so they don't necrose but that's about it.
We're all meat bags, anon. Nothing more.

>>673498700

Dubble dubs! You know what to do.

>>673480878
what do you think of amygdalohippocampectomies? are the potential side-effects worth it? epilepticfag here, focused in left hippocampus.

>>673498723
Can't discriminate, anon
All penor are created equal

>>673498753
Sup anon
Good questions
First step is to decide if Med school is for you. There should be an advisor at your school to help you navigate the process. Make sure your motivation is pure and well stated. It will help you make the right decision.
Next: get into Med school
Next: keep an open mind and explore all options. As I told anon above, if there is anything else you want to do, do that instead. Once you have decided what you want to do, do that. Make a connection with your school's dept in whatever field you are interested in. That will help you so much more than any bullshit like USNews whatever the fuck or whatever you read on an online forum. Name brands and reputation are meaningless. Just be certain of your motivation (you will wake up every day and have to do whatever you claim it is you want to do; make sure it's for the right reasons). God speed, anon.

>>673498397
>GU hottie FTW
Weird how procedures like that tend to be teacher based. One dude immediately thought to chop off another guy's dick when it was preventable.
What are you drinking OP?

>>673480878
Pleb here
I want to be an x-ray tech
How do i do this

>>673499617
Shits cash, yo, as long as you have concordance with EEG and MRI. If you are not being assessed by a center will a high volume of such cases, get referred to one. In the right hands, it's a great case with good seizure-free survival. But if it's not the right surgery for you or if it's not done by someone with experience, it can make your life more complicated than you can imagine, anon. Good luck

>>673480878
>Neurosurg
>/b/
Choose one

>>673499757

Thank you. :)

>>673499877
Jack and Coke, anon, as God intended it to be drunk
She was so hot but be wary of a female that goes into GU. It's similar to a guy that goes into OB/Gyn, except those guys are just odd.

>>673499890
Not sure, anon. If you don't have any resources, just go to your local hospital and try to meet one of the techs there. They can probably help you navigate the system. All the techs I know are cool. They'll help an anon out.

>>673500323
Right?

>>673500077
that sounds good. i have been told that i will have to double my prescription in order to counteract post-procedure seizures, but i am annoyed at this since that is that reason why i am having this procedure--to get rid of them. i understand that the healing and formation of new neuronic bonds will of course likely lead to more random firings, but they tell me that i wouldn't be able to reduce the medication, that i hate and despise the side effects for, until two years after the procedure. and this is, of course, given that the procedure is actually proactive and reduces my chance of seizures. is this worth it?

>>673480878
Do you do diagnoses also or you only operate? I never figured out how it works

>>673500628
I don't do seizure surgery, anon, at least not since residency, because I know my limits. It's a specialized field. The objective is to be seizure free. Continuing your meds is typical, but after 6 months (typical) without a sz, you start tapering them. Not everyone gets off all their meds, anon, but it should be at least explored. If your doc is saying 'no anon, your meds will be increased post op and it will be permanent,' that sounds fucked up. Why do the surgery in the first place? It may be worth asking for a referral for a second option, /b/ro. It's your brain. Make sure you're happy with the plan. Good luck

Do you wipe your ass from the front or do you attack it from the rear?

>>673480878

Do you believe in the human soul?

I mean, the soul not being simply a product of firing neurons?

>>673500894
See >>673490752

>>673480878
If a train is heading westbound, at 85mph our of Dallas at 3pm. And a train heading eastbound out of San Fransisco at 45 mph at 9am.
When do these two trains collide due to running on the same tracks?
Bonus points: How many people die to save the dinosaur?

>>673500964
Since I'm a guy, I just go deep
No discriminating

>>673501082
Sorry to answer your question with a question, anon, but what do you mean by 'soul'? It'll help me answer honestly. And, while you're at it, how you answer the question? What do you think? Bc it's a good question.

Medfag here, op is a fake since he can't even answer basic medical questions. Fucking loser.

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>>673501210
http://youtu.be/zYKupOsaJmk

>>673501404
Sup medfag. Care to elaborate?

Pic related
I work here. Where precisely do you work?

>>673501404
Hi medfag.
Basic medical question:
Acute upper motor neuron lesions are typically characterized by:
a) flaccid paresis of the contralateral limbs.
b) Spasticity
c) Loss of abdominal reflexes
d) Babinski sign
e) Increased tendon reflexes

>>673501889
Not OP btw.

>>673501778
2nd year medstudent here. I'm highly interested in neurosurgery among other fields. Also read marshs book. How pushy are you and your colleagues. Don't see me cutting other people off.

I have a couple cysts dead center in my brain. Am i gonna die?

>>673480878
How would you treat a hemorrhage in the frontal lobe?

or a ruptured amygdala?

>>673500932
i agree. and i appreciate your opinion. please keep it. in all honesty, i've already had the procedure three years ago. i'm just annoyed that they haven't let me come off of the medication fully yet. i understand that the whole department is not meant uphold the biological safety of the patient, and when it comes to the implications that that may have on their personal life given the ways they advise to take in order to achieve it i think there is a bit of a loss of understanding. i've been to many meeting with epileptics that have been on the medications that i have been on and they always talk about completely different trips, and this obviously has to do with the dynamic and individualistic 'programming' of our own personal brain tissue as well as other bodily functions. i believe that many neurologists don't understand that we will be dealing with these issues for months or years before they allow us to change them, only because, quite frankly, they just want us to have less seizures. is less seizures means to me that i don't feel my life anymore, and that everything seems colorless and dull, i don't think that i want to take that medication anymore. have been on depakote, keppra, lamictal, zoloft, and effexor. currently on keppra and effexor.

>>673501889
Babinski nigger unless you are a newborn which has it naturally

>>673501889
Yes, medfag, share your wisdom

>>673501976
See other replies above about career selection. Prior to residency I had the impression that neurosurgeons were a bit different from other surgical disciplines (not different 'different,' btw). My past many years has confirmed that.
That being said, you got some madmen out there in every discipline. Pick your profession based on your goals and interests. It's a long road, anon, and it can be tough to execute a mid-career change (if not impossible). Choose wisely. Godspeed.

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>>673480878
What's happened to my brain?
When I was 18, I did rugby training whilst hungover with a dull ache in my head. I hit the crash pads hard, had a blinding flash and the dull ache turned to piercing pain behind my right eyebrow.
Now every time I get a headache it only hurts in that exact same spot, even over a decade later.
Have I broken something?

>>673501778
Sure.. How would you asses the pre-examination for a LP if you suspect exacerbated copd?

>>673502113
aaaand?

>>673502374
Yeah I will do an internship to see if it's for me. How difficult was it to get in for you?

What are the steps you take in treading a subdural and epidural hematoma?

>>673502008
We will all die, anon
From cysts dead center? Not likely. If they were found incidentally and thought to be asymptomatic, and they were unchanged on follow up imaging, you will likely carry them to your grave, anon. Don't ignore them, but don't lose sleep over them either.

>>673502070
Depends on the flavor of hemorrhage, anon. It's a broad question. The short answer is: I treat the patient and not the scan.

>>673502101
Sounds like a long road, anon. Keep on keeping on. Glad you made it through the surgery. If you are still on meds, are you aiming to cut them back altogether? Decrease the dose? Change the combo? What are you hoping to achieve now? You've already been through more than most anons here can imagine.

>>673502113
Spacticity and increased DTRs, anon. Let us not forget the basics.

>>673502434
Increased tone, reflexes (deep tendon) etc..

>>673502400
You're now at least 28 and you get headaches frequently in the same location. Did you break something? No. Could you have something like migraines that may benefits from meds? Possibly. See your doc, anon. Good luck.

>>673502426
Copd
Please define your acronym bc the COPD that I'm thinking of is entirely irrelevant for an LP

>>673502757
Numbers are out there. It was tough. Ophtho was more difficult. Derm, too, if memory serves me. That's probably unchanged. Explore all avenues. Make a connection with your school's dept once you decide. That will be priceless for networking.

>>673502775
1. Decide if it needs surgery.
2. Surgery.
3. ???
4. Profit.

>>673503301
I get sharp paint that travels down my left temple, like incredibly sharp, but last a few seconds then goes away, and only occurs every few months, thoughts?

>>673502901
epianon here. post-op they had me on 4x1000mg keppra and 75mg lamictal per day. side effects mingled with natural post-op side-effects weren't nice. every day seemed to go by without anything standing out. had some complex partial seizures for a few months. eventually i convinced them to take me off of lamictal and take the keppra down to 2x1000mg per day. now on the effexor as an antidepressant. want to just come off of everything and see if maybe i can be myself again. i'm always tired. at the time of this whole thing i was in college, and this whole ordeal caused me to withdraw from two years and eventually just drop out. i've been trying to catch back up and live progressively since then but it doesn't seem to be making any progress. what gets to me is that i understand the method of action for keppra and effexor, and they effectively counteract each other, not even mentioning that keppra isn't explicitly affecting only certain neurotransmitters, just the receptors. basically there are still ~20+ neurotransmitters that are being directly effected by keppra. they want me to have another EEG to see if that region still seems ready to fire, if you will, but i don't have the cash or coverage to do that anymore.

>>673503301
Good!
Ok then I take it back then, sup college. Going to general surgery or emergency. You working in Germany?

My brain feels electrocuted when I think about school

>>673501389
By "soul" I mean an entity that uses the brain, even reprogramming it when there was damage if needed.

By "not soul" I mean the brain is always acting the same with every human

>>673503875
Colleague* fucking iPad

>>673503721
See rugby /b/ro above: get thee to a physician.

>>673503740
Fuuu-- anon. That's a lot. Like I said: keep on keeping on. Get back to school and finish it when you are ready. Be careful with self-tapering of meds. If you know your sz and you've got someone around (like, you're not living alone), you can more safely try to taper. The thing to remember is that there are limits to what we know. We know a shit-ton about the brain, NTs, etc, but there is even more that we don't know. We don't even know what we don't know. My point is: you can reasonably and safely modify your meds as long as you are doing it with a concrete objective in mind. Don't get hung up on the 'science' or on what other people do/don't do. Focus on you and your journey and take baby steps, safe baby steps, in that direction.

(Not OP) but a fun question for "medfags" that seem to be lurking.
A 50-year-old woman was admitted after she abruptly noted the onset of a mild headache and the appearance of uncontrolled movements on the left side for a few days but this seemed to improve when the movements began. Her past health had been quite good except for hypertension for which she was receiving treatment with alphamethyldopa. Except for a blood pressure of 150/100 mm Hg the general physical examination was normal. The neurologic examination revealed the following abnormalities. There was a left homonymous hemianopia. Most conspicuous were writhing, rotary, jerky involuntary movements involving the left extremities and sometimes the trunk. At times they were violent. They were aggravated by puposive movement. The most likely diagnosis is which of the following:
a) Hemichorea
b) Athetosis
c) Focal seizures
d) Dystonia musculorum
e) Hemiballismus

>>673503301
>Could you have something like migraines that may benefits from meds? Possibly. See your doc, anon. Good luck.
Thanks. I did see the GP it started but he said something about cluster headaches and it'll take a long time to right itself.
It's not that much of an issue now. Paracetamol sorts it out. I was just curious if I popped something up there and should it still be noticeable after a decade.

>>673503875
Sup, /b/ro
In the west
Where you at?

>>673504308
Cluster HA are pretty characteristic. Glad you saw your doc. If they are getting more troublesome, make sure you meet your doc again to see if there are any options available to keep you comfortable. Good luck

>>673504229
i'm proud to say that i have never self-tapered, but i am becoming closer to trying. i'm tired of what seems to be me wasting my life on something that i never wanted and what very well may be changed by not taking this stuff anymore. and i agree with your statements. honestly, neurology is like the psychology of medical science--it's plastic as shit. honestly, all i want to do is come as far off of it as i can and try to get back to who i was before this whole thing started. i was much more happy before this started, everything was brighter and more enjoyable. you know when you're walking down the street and you just notice some odd thing on the side of the road that sort of takes you on a mental trip and maybe you just smile at it and then just walk away? i used to get that before this all happened. i used to be able to observe much more. now i'm more pensive and just subjectively empty. that's why i want to get rid of this. and please trust me, i'm not foolish enough to have gone through all of this just to fuck up and drop all my medication over a weekend and think that'll go ok. all i want is to at least have my neurologists support me in reducing this. ultimately, it doesn't matter what they say, it is always my own decision to take the dosages during the day. all i want them to do is just to tell me what to do, i don't want to hold them accountable. i've talked to epileptics that will go on meds for several months and then titrate and drop for years until they have another. and they only start again in order to help them not have another. and when they come off they always mention how much better they, themselves, feel.

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>>673480878
hey neurofag. i have 3cm of arachnoid cyst at left back of the head. shall i check it periodically to monitor changes?

>>673504796
Thanks doc. Nice bedside manner you got there. Reassuring.

>>673504796
Originally from California but studying final year in Europe. Trying to get my German girlfriend to move with me to Cali since I cba to learn German and the salary seems to suck. And stores are closed on Sunday fuck..

>>673504932
It's a reasonable objective and you should not lose sight of it. 3y post-op seems like a long time but you are likely still recovering to some degree. The meds will for sure fuck your shit up. /b/ros here won't know what you're going through. But, like I said, keep realistic goals in mind and take slow safe steps to achieve them. You'll get there, anon. You will. And if you think your docs aren't in your corner, get a new one. Either get a referral or just cold call one. It can be tough, but you've got to be your squeekiest wheel. Nobody else can do it for you.

>>673505102
Only risk is spontaneous hemorrhage. If it has not caused you problems yet, no need for surveillance imaging. Just be aware of changes in HA. Maybe tone down activities that could result in head trauma (if that sounds reasonable to you)

>>673505192
Cheers, anon

>>673505528
ty doc.i'm with the 3cm one. well, i'm almost 32 and we have just discovered it last year because of a painful headache. they said it's nothing with the cyst so i think i'll be fine, too.

>>673482291
>Turkey
>literally the stupidest game animal
>also fat and delicious tasting

>>673505528
holy shit. thank you, honestly, it means a lot to hear that. i know that you might not be able to continue this candidacy through your practice, but i recommend that you do. people like straight talk when it comes to this sort of thing. i mean, honestly, we are what is set in our neurons, nothing else. the self is programmed inside that little head of ours, so it scares us to think that there is some abnormality within it, and that it might even kill us, nonetheless having to just take some of it out. i truly appreciate you taking your time to talk to me, and i agree with what you say. please keep this perspective, /b/roseph.

>>673505881
dark meat only, dood.

love when thanksgiving comes and everyone just wants that dry as fuck white meat.

>>673506153
>wanting the white meat
>fighting over it infact
This only proves most people are total idiots. The dark meat is the juicy tasty and non bony part of the animal.
The part right behind the neck is the best, any chef/hunter knows this.
>the people who watch TV all day think the breast is where it's at
>will pay more for the more plentiful meat
>this is how business works and how ben carson was even relevant in the beginning

>>673506356
dude tell me about it. the dark meat is so god damn delicious and succulent... put more fat into my turkey.

>>673505260
Working in Germany vs USA is totally different. If you are US, just do US. It hurts initially but you have more options in the future.

>>673505799
Sweet

>>673505881
>>673506153
Right? Load that shit up with some extra gravy.

>>673505982
No worries, /b/ro. Glad we had a chance to chat. I won't change if you won't change. Pinky promise? Ok. That was gay. Sorry. You get the point.

Aight anons. I'm out. Enjoyed the thread. We'll do it again sometime.
And now, back to your regularly scheduled fur/fb/atheist/banana/cancer/feet/dubs/cuck threads

>>673506500
Thanks for taking the time to do this.
Checked.

>>673506500
thanks for the talk. enjoy our practice.

>>673506500
Dammit op. Sleep well.

>>673506967
your*