bigtime!!!!
― catbus otm (gbx), Monday, 21 May 2012 14:39 (twelve years ago) link
soooooo i think i'm going into psych
(you win, horseshoe)
― catbus otm (gbx), Tuesday, 4 September 2012 22:17 (twelve years ago) link
tell me more in a possibly emo fashion!
― horseshoe, Tuesday, 4 September 2012 22:22 (twelve years ago) link
feel free to use all caps!
also yay!
wow dude that's boss
― Newgod joins this board, and quickly he's some dude (goole), Tuesday, 4 September 2012 22:23 (twelve years ago) link
the brainsick of the world thank u gbx (though I've still never seen a proper psychiatrist)
― "Pffft" --buddha (silby), Tuesday, 4 September 2012 22:28 (twelve years ago) link
that's because psychiatrists just rx the drugs and leave the therapy to clinical psychologists, counselors, social workers, etc.
― kate78, Tuesday, 4 September 2012 22:30 (twelve years ago) link
um, hi...I'm here for the gbx livejournal? :)
― set the controls for the heart of the sun (VegemiteGrrl), Tuesday, 4 September 2012 22:32 (twelve years ago) link
(xp I have drugs, got them from my PCP though)
― "Pffft" --buddha (silby), Tuesday, 4 September 2012 22:32 (twelve years ago) link
PSYCHIATRY
CONS FIRST, ALWAYS START WITH THE CONS:- BASICALLY YOU JUST WASTED A FEW YEARS LEARNING SHIT YOU WILL NEVER EVER DO OR NEED AGAIN, EVEN IF YOU LIKED IT, LOL TOO BAD- CAN'T DELIVER BABIES- USELESS ON AN AIRPLANE - EVERYONE AND THEIR FUCKING PROBLEMS, GAWD- LOTS OF THINKING, NOT A LOT OF DOING- WILL ASSUME EVERYONE PUTS IN THEIR OWN AIRQUOTES WHEN YOU TELL THEM YOU'RE A PHYSICIAN- YOU'RE JUST A DRUG-DEALER, LET'S FACE IT
XP KATE78 GETS IT- WHILE WE'RE FACING IT: YOUR COLLEAGUES DO NOT RESPECT YOU AND YOUR FLIM-FLAMMERY- FRIENDS RELATIVES AND PPL AT PARTIES WILL ASSUME YOU'RE EVALUATING THEIR PSYCHE ALL THE TIME, AND WILL CERTAINLY BRING IT UP IN TIMES OF CONFLICT- YOUR KIDS ARE GOING TO BE FUCKED UP (SEE PRECEDING)
― catbus otm (gbx), Tuesday, 4 September 2012 22:34 (twelve years ago) link
you've just described... every job
― Newgod joins this board, and quickly he's some dude (goole), Tuesday, 4 September 2012 22:36 (twelve years ago) link
HEY MAN I'M JUST DOING WHAT THE LADY ASKED
― catbus otm (gbx), Tuesday, 4 September 2012 22:37 (twelve years ago) link
haha my parents are doctors and have said some asshole shit about psychiatrists in their time but i would have really appreciated it if one/both of them had seen a pscyhiatrist at some point in their lives if you catch my drift.
― horseshoe, Tuesday, 4 September 2012 22:37 (twelve years ago) link
why do you want to do it then? i read a book that convinced me drugs are bad
― horribl ecreature (harbl), Tuesday, 4 September 2012 22:37 (twelve years ago) link
also thank you evan!!!
let us just be real that lots of thinking in a job sounds awesome. or is that the caricature of psychiatrists? either way, it sounds awesome.
― horseshoe, Tuesday, 4 September 2012 22:38 (twelve years ago) link
bring on the PROS
― set the controls for the heart of the sun (VegemiteGrrl), Tuesday, 4 September 2012 22:38 (twelve years ago) link
A delightful choice! I was working with a 4th year student who is going into Psych and we discussed our mutual interest in chattin' with dudes and not doing procedures and wanting to give sad people hugs sometimes.
So how is your ERAS going?
― Dr. (C-L), Tuesday, 4 September 2012 22:39 (twelve years ago) link
FAMILY MEDICINE
CONS:- EVERYONE IS SICK ALL THE TIME, JUST CUT IT OUT- ALL DIABETES ALL DAY- NOTHING IS WRONG WITH YOUR KID- DID I SAY 'DIABETES'? I MEANT PAPERWORK- HOW AM I SUPPOSED TO AFFORD A BMW ON 150K A YEAR, THAT SHIT IS WHACK, I WENT TO MEDICAL SCHOOL, I AM A DOCTOR- PICK ONE: A) IT'S A VIRUS OR B) SEE A SPECIALIST- NO I DO NOT WANT TO SEE YOUR RASH, WE'RE ~SOCIALIZING~ FOR CHRIST'S SAKE
― catbus otm (gbx), Tuesday, 4 September 2012 22:42 (twelve years ago) link
my dad is a pediatrician and i think he is excellent at it and he loves kids but he has some *regrets* about not using the full range of his diagnostic skills. a lot of his day is: your kid has strep throat, here's a prescription, rinse repeat.
― horseshoe, Tuesday, 4 September 2012 22:43 (twelve years ago) link
i would never do family medicine! i hate families!
― horribl ecreature (harbl), Tuesday, 4 September 2012 22:44 (twelve years ago) link
interest in chattin' with dudes and not doing procedures and wanting to give sad people hugs sometimes.
C-L gets it. plus, behavior ("behavior") sits at an intersection of actual, real science-y science (BRANES!), sociocultural stuff, and hugging that i find v appealing
plus unlike neurologists, psychiatrists can prescribe stuff that at least ~seems~ like it makes people better
(i love procedures, though)
― catbus otm (gbx), Tuesday, 4 September 2012 22:44 (twelve years ago) link
sorry that was very first world problems of me, i guess. family medicine is amazing, but it burns you out, too.
― horseshoe, Tuesday, 4 September 2012 22:44 (twelve years ago) link
(i kid, obv)
― catbus otm (gbx), Tuesday, 4 September 2012 22:45 (twelve years ago) link
man now I wanna become a doctor
― USADA Bin Dopen (dayo), Tuesday, 4 September 2012 22:45 (twelve years ago) link
this is so exciting!
― horseshoe, Tuesday, 4 September 2012 22:45 (twelve years ago) link
ERAS goes, it goes
need to gently prod at least one letter writer, tho
personal statement is....not complete
― catbus otm (gbx), Tuesday, 4 September 2012 22:46 (twelve years ago) link
i think you just wrote your personal statement
― horseshoe, Tuesday, 4 September 2012 22:46 (twelve years ago) link
behavior ("behavior") sits at an intersection of actual, real science-y science (BRANES!), sociocultural stuff, and hugging that i find v appealing
me too kinda but i think that's only because I've got no idea what I'm doing with my life right now. I'd probably get all As in a postbacc premed thing but I'd likely faint 30 minutes into med school due to weak constitution (7)
xp to dayo
― "Pffft" --buddha (silby), Tuesday, 4 September 2012 22:47 (twelve years ago) link
xpost It's all paperwork. Soooooo maaaaaaany people go to med school an no one tells them that they are primarily going to be administrators, and they have no aptitude for it.
― kate78, Tuesday, 4 September 2012 22:48 (twelve years ago) link
haha my friend is straight killing a post bacc premed thingy right now, hopefully that translates into med school success
― USADA Bin Dopen (dayo), Tuesday, 4 September 2012 22:48 (twelve years ago) link
― horseshoe, Tuesday, September 4, 2012 5:38 PM (7 minutes ago) Bookmark Flag Post Permalink
honestly, this is sorta what i had to face up and admit to -- psych seems like the 'easy way out' for someone with my, uh, personal sensibilities? like ok i will talk to people with problems all day, ok, fine, why are you paying me so much? i mean, ultimately, choosing psych sorta means choosing what plays to my strengths (and interests, obv) over what i think i ~should~ do with all this crazy training. i got honors in psych (BRAGGING) and was not even intending to (like, for real, i barely studied). but i know that some other students really struggled with it and/or hated HATED psych patients (sorry folks, but it's true). ...and i'm guessing the reason a lot of them didn't really like psych was because it was just a little ~too~ squishy; accurate diagnoses are hard and their criteria change all the time (that can't possibly be science!), treatment is rarely definitive (anti-depressants don't work basically half the time), and ewwww gross i don't want to hear about your icky relationship with food/sex/your dad/cutting/self-image/etc, just gimme something to TREAT, LIKE A BOSS.
― catbus otm (gbx), Tuesday, 4 September 2012 22:56 (twelve years ago) link
english-lit-major-instincts die hard
― horseshoe, Tuesday, 4 September 2012 22:58 (twelve years ago) link
yeah, but the psych rotation is, I think, the most important one for MDs, RNs, etc, because crazy people are everywhere. They're having babies and heart attacks and getting diabetes. Ya gotta know how to deal with them when they eventually make their way to you.
― kate78, Tuesday, 4 September 2012 22:58 (twelve years ago) link
i was also just recently working with a 4th year med student who wants to go into psych. it takes a certain kind of person to want to do that kind of work. mental health is so criminally neglected as a part of health are and public health, i'm glad a good guy like you is going into it. plus, think of all the looooong notes you are gonna get to write :) congrats!
when in my next life i'm a doctor i'd probably choose to be an internist but psych seems like a great field with some great people
― k3vin k., Tuesday, 4 September 2012 23:00 (twelve years ago) link
gbx you are a 4th year right?
― kate78, Tuesday, September 4, 2012 5:58 PM (2 minutes ago) Bookmark Flag Post Permalink
this is otm imo. it's crazy how neglected it is by most students---right in the frontmatter of First Aid for Psychiatry (FA is a series of med student textbooks) it says something to the effect "hey we know all of you gunners are going to blow of your psych rotation because i mean c'mon, but fyi for most of you these six weeks are going to be the ONLY psychiatric/psychological training you get in your ENTIRE CAREERS and there is just no way to avoid people with mental health issues because a) they're everywhere (YOU'RE ONE OF THEM) and b) they look just like people, so at least pretend to give a shit ok"
xp 5th year, but yeah: residency app season opened up a few days ago
― catbus otm (gbx), Tuesday, 4 September 2012 23:05 (twelve years ago) link
now I imagine a psych rotation as staring into the abyss and the abyss staring right back
― USADA Bin Dopen (dayo), Tuesday, 4 September 2012 23:06 (twelve years ago) link
― horseshoe, Tuesday, September 4, 2012 5:58 PM (7 minutes ago) Bookmark Flag Post Permalink
p much. some of my favorite classmates went into psych last year, and they were almost all "non-traditional" students: older, degrees in the humanities, not v gunnery, med school was more like a job than College Part II (ie - didn't socialize with the 'class' much, had more friends outside med school than within it, etc).
― catbus otm (gbx), Tuesday, 4 September 2012 23:08 (twelve years ago) link
Here are the 2 questions I ask any new patient to determine if they are crazy or not. It is sure-fire:
1. Do you have any allergies? (if they report they are allergic to more than 3 things or "every antibiotic", they are crazy)
2. Is there a history of mental illness in your family? (if no, IT'S THEM)
― kate78, Tuesday, 4 September 2012 23:08 (twelve years ago) link
― USADA Bin Dopen (dayo), Tuesday, September 4, 2012 6:06 PM (1 minute ago) Bookmark Flag Post Permalink
well it could be if you're on the psychosis ward
BOOM
(just a bit of fun, etc)
xp ha, i like that kate78, and am totally stealing it, my EM attending will eat it up.
― catbus otm (gbx), Tuesday, 4 September 2012 23:10 (twelve years ago) link
what's the earning potential like in psychiatry
― Einstürzende Joebarton (Nilmar Honorato da Silva), Wednesday, 5 September 2012 00:00 (twelve years ago) link
depends entirely on beard length & style
― "Pffft" --buddha (silby), Wednesday, 5 September 2012 00:09 (twelve years ago) link
I think Psych tends to be on the lower end of avg salary (which still means a median of like $150,000) because talking in general is really poorly reimbursed (which is why so much of talk therapy is done by Psy.Ds or paid privately, because otherwise it is sort of fiscally difficult to make your margins on 60 minute visits without procedures). But really the right answer is to do the thing you would do for a crappy salary (if your ginormo student loans were not an issue).
Also I am at a VA right now and it is my dream of dreams to set up a Med-Psych unit, because there are way too many dudes with significant comorbidities in one who come in with some acute problem of the other (e.g. schizophrenics with AKIs, people with metabolic syndrome issues that are prob associated with their atypical antipsychotics), and they go to medicine because Psych floors aren't equipped to do a lot of basic medical floor stuff, but the medical floor staff is also poorly equipped to deal with crazy dudes being all crazy, so they just snow them or restrain them or whatevs until their medical issue resolves. I basically babysat a dude for four days with an AKI he got because he wasn't eating because his medication was super-overkill and he just slept all day, and only after his Creatinine was acceptable could he go up to Psych for proper medication management. I just want a place where Psych people can manage the Psych issues and medicine people can manage the medicine issues and ideally they both learn from each other.
― Dr. (C-L), Wednesday, 5 September 2012 02:55 (twelve years ago) link
totally and this sort of speaks to the need to actually teach non-specialist HCPs to be confident with these disease states so these management/handoff problems aren't so pronounced - as i sort of alluded to earlier, mental health is too often seen as separate from ~health~; and as gbx and kate said, the relatively little enthusiasm w/ which practitioners-in-training approach their psych month (and the fact that most get ONLY a month; for us pharmacists it's not even a requirement during clinical year) leads to the fragmenting of care for these people who are often complicated, both mentally and physically. leads to wasting of time (and $$) and isn't best for patients
― k3vin k., Wednesday, 5 September 2012 03:09 (twelve years ago) link
i know you are kind of joking but i know non-crazy people who are legit allergic, like throat-closing-up allergic, to more than 3 thingsxp
― obliquity of the ecliptic (rrrobyn), Wednesday, 5 September 2012 03:09 (twelve years ago) link
tbh i have little sense of humour when it comes to the issue of mental illness/"crazy" as considered by the mainstream medical profession let alone general society. but i know doctors gotta joke... often morbidly...
― obliquity of the ecliptic (rrrobyn), Wednesday, 5 September 2012 03:16 (twelve years ago) link
:-/
― catbus otm (gbx), Wednesday, 5 September 2012 03:45 (twelve years ago) link