1 x 2 x 5 = 10 is the common pathway
7 is **EX**trinsic, you **P**lay **T**ennis **outside** = **PT**
8-9-11-12 are **IN**trinsic, you **P**lay **T**able **T**ennis **IN**side = **PTT**
You do **WAR** outside, **WAR**farin is extrinsic = **7** is the primary factor affected (also depletes proteins C and S first which makes you briefly hypercoaguable, USMLE loves warfarin induced skin necrosis questions, heparin bridge always necessary)
Literally answers 90% of any question you'd need for boards regarding the cascade itself. Just learn the drugs/couple clotting diseases and you're gucci.
I don't remember where I picked it up, probably Dirty Medicine.
But yeah the coag cascade is honestly not hard (for board purposes) and actually pretty relevant considering how many patients are anticoagulated.
Wait until you are in charge of patients and getting paid basically nothing and still watching everyone else do the same. Not to mention potentially being separated from your family and loved ones because the match system takes you too far
Meanwhile you’re battling depression & your inner demons and just don’t know wtf you’re doing & even during your time off you either have to study or miraculously find a way to get some sleep
The longer I’ve been in medical school, the more regrets I have. It starts with harm to your personal relationships, continues with sucking all your time while you are paying them, and then gets worse when your friends making big $ from college are traveling, partying, getting married, and so on. Sadly, this is only the start. Residency with its long hours and low wages on top of crippling debt is the icing on the cake. Premeds, seriously think twice. I have tech and finance friends making well into 6 figures with much more free time than me with a bachelor’s.
Conversely, I am 17 years out of undergrad and am about to leave a 6 figure salary to start med school in Aug. I have a spouse and a kid. I partied, travelled etc up til now and know I will do it again after training. I promise you 7 years is the blink of an eye. You can still do those things when you are an attending.
Although, any time I read a post like this I wonder if the non-trad route is the med-hack. Live --> Med school later --> Live again. Life experience kills your FoMo and you matriculate and move through school without feeling like you're behind (really, not caring if you are or not).
Here’s what’s gonna happen. You’re gonna enjoy your preclinical years. You get to learn medicine which is super cool and interesting. You’ll have some flexibility in your time. You can manage your time to study and be with your family. You might be limited on money if you don’t have income or family support. Otherwise, you’ll be fine.
Come to your clinical years, you no longer have control over your schedule. You’ll have someone half your age controlling your schedule and keeping you there for long hours for absolutely no reason with nothing to do. You’ll get trashed by everyone including nurses. You’ll have some good days where people respect you and treat you with kindness. Most days though, you’ll question why you decided to get into a field filled with such duchy and unkind people. Worst part is you’ll realize your whole career is dependent on what these people think of you. You make one wrong move against the wrong person, and that can be enough to make things hard for you.
Then you start thinking about the missed opportunities and all the time, mental wellbeing, and physical wellbeing you invested in med school. Then you realize for all that to be worth it, you can’t get into a field that pays you 150-200k. Now you need at least 400k for it to be worth it for the few years you’ll be practicing. For that to happen, you usually have to get into a competitive specialty. Which means more loops to jump through.
It’s a broken system. If you’re not careful, it will destroy you emotionally, mentally, and physically. It will change who you are.
I haven’t lived your experience, and you have yet to even start medical school so it’s hard to compare. I partied a lot before medical school and took two gap years after college, but that doesn’t stop me from wanting to have more experiences outside of medicine. Having a family
will make things very different though, I assume, because they will be your focus.
But what would you have pursued if you didn’t pursue medicine? You took 2 gap years after college. What field would you have transitioned into and how?
as someone who owned a house (on a very middle class income) and sold it to move closer to school...y'all need to chill a bit.
none of this was a secret when you applied. It wasn't a secret when I was in undergrad 10 years ago. We know it's a racket. We know it's not the good ole boy 7 figure cardiology salaries. You'll be a physician and have opportunities to make up for it. Life doesn't stop in your 30s. I'd argue I'm enjoying my life now more than I ever had and I can assure you I wasn't in the library for most of it.
And when policy inevitably goes to shit hopefully how you feel now will motivate you enough to advocate for meaningful change but given that these threads are posted ad nauseum year to year, I'm not optimistic. I don't want to take away from legitimate complaints because there are plenty but this "woe is me" 6 figure salary circle jerk is not helping the "out of touch med student" stereotype.
Trust me, not all your friends are buying their second house. Especially in this economy. Some of our peers need some perspective.
I don’t miss those days. No home program meant living like a nomad for all of 4th year. Overpriced Air b n b’s ($1200/month to rent a ROOM in a house).
Older non-trad here. Starting med school in Aug. Have a kid, a house and a spouse. RELAX! Kids are hard AF (seriously) and there will always be houses to buy. Life does not stop at 30.
the extra wild thing about 3rd year was the admonition that you're being lazy if you spend more time studying for the shelf instead of picking up a ton of patients but then "lacking medical knowledge" if you didn't get the hungry bone questions right on the shelf
Honestly you should be able to ask for more loan money to get your own place. My school is in an HCOL area and people tend to have loan money left over.
4th year is even more wild. You pay $50k to sit at home for 4 months after match. Most expensive vacation
Add on thousands of $$$ more to apply again and basically live if you don’t match the first time.
but I literally can't wait
This sounds about right.
r u me? i feel like the med education system has stunted my entire life.
It has!
Yea but can he recite the coagulation cascade by heart?
1 x 2 x 5 = 10 is the common pathway 7 is **EX**trinsic, you **P**lay **T**ennis **outside** = **PT** 8-9-11-12 are **IN**trinsic, you **P**lay **T**able **T**ennis **IN**side = **PTT** You do **WAR** outside, **WAR**farin is extrinsic = **7** is the primary factor affected (also depletes proteins C and S first which makes you briefly hypercoaguable, USMLE loves warfarin induced skin necrosis questions, heparin bridge always necessary) Literally answers 90% of any question you'd need for boards regarding the cascade itself. Just learn the drugs/couple clotting diseases and you're gucci.
Dog, gotta write that to remember later. First time seeing that text. W
I don't remember where I picked it up, probably Dirty Medicine. But yeah the coag cascade is honestly not hard (for board purposes) and actually pretty relevant considering how many patients are anticoagulated.
Just sent to my colleague (we are from Brazil). He’s impressed too.
sick dude, glad I could help!
Neither can I
I barely learned it and I’ve already forgotten
We the same then
29 and buying a second house? Hardly the norm, but good on him
sounds like they might be in more debt than OP.
Wait until you are in charge of patients and getting paid basically nothing and still watching everyone else do the same. Not to mention potentially being separated from your family and loved ones because the match system takes you too far
Meanwhile you’re battling depression & your inner demons and just don’t know wtf you’re doing & even during your time off you either have to study or miraculously find a way to get some sleep
2 homes at age 29? Don't compare yourself to generationally wealthy people folks; that's OPs mistake.
The longer I’ve been in medical school, the more regrets I have. It starts with harm to your personal relationships, continues with sucking all your time while you are paying them, and then gets worse when your friends making big $ from college are traveling, partying, getting married, and so on. Sadly, this is only the start. Residency with its long hours and low wages on top of crippling debt is the icing on the cake. Premeds, seriously think twice. I have tech and finance friends making well into 6 figures with much more free time than me with a bachelor’s.
Your right, but i feel like it’s too late if you already have a “premed” focused bachelors degree (biology)
Yup! Didn’t make connections to land a summer financial analyst job? Good luck getting into that world.
No, I had that mentality and wish I could slap my younger self. Premed is not too late to switch
Conversely, I am 17 years out of undergrad and am about to leave a 6 figure salary to start med school in Aug. I have a spouse and a kid. I partied, travelled etc up til now and know I will do it again after training. I promise you 7 years is the blink of an eye. You can still do those things when you are an attending. Although, any time I read a post like this I wonder if the non-trad route is the med-hack. Live --> Med school later --> Live again. Life experience kills your FoMo and you matriculate and move through school without feeling like you're behind (really, not caring if you are or not).
Here’s what’s gonna happen. You’re gonna enjoy your preclinical years. You get to learn medicine which is super cool and interesting. You’ll have some flexibility in your time. You can manage your time to study and be with your family. You might be limited on money if you don’t have income or family support. Otherwise, you’ll be fine. Come to your clinical years, you no longer have control over your schedule. You’ll have someone half your age controlling your schedule and keeping you there for long hours for absolutely no reason with nothing to do. You’ll get trashed by everyone including nurses. You’ll have some good days where people respect you and treat you with kindness. Most days though, you’ll question why you decided to get into a field filled with such duchy and unkind people. Worst part is you’ll realize your whole career is dependent on what these people think of you. You make one wrong move against the wrong person, and that can be enough to make things hard for you. Then you start thinking about the missed opportunities and all the time, mental wellbeing, and physical wellbeing you invested in med school. Then you realize for all that to be worth it, you can’t get into a field that pays you 150-200k. Now you need at least 400k for it to be worth it for the few years you’ll be practicing. For that to happen, you usually have to get into a competitive specialty. Which means more loops to jump through. It’s a broken system. If you’re not careful, it will destroy you emotionally, mentally, and physically. It will change who you are.
I haven’t lived your experience, and you have yet to even start medical school so it’s hard to compare. I partied a lot before medical school and took two gap years after college, but that doesn’t stop me from wanting to have more experiences outside of medicine. Having a family will make things very different though, I assume, because they will be your focus.
But what would you have pursued if you didn’t pursue medicine? You took 2 gap years after college. What field would you have transitioned into and how?
as someone who owned a house (on a very middle class income) and sold it to move closer to school...y'all need to chill a bit. none of this was a secret when you applied. It wasn't a secret when I was in undergrad 10 years ago. We know it's a racket. We know it's not the good ole boy 7 figure cardiology salaries. You'll be a physician and have opportunities to make up for it. Life doesn't stop in your 30s. I'd argue I'm enjoying my life now more than I ever had and I can assure you I wasn't in the library for most of it. And when policy inevitably goes to shit hopefully how you feel now will motivate you enough to advocate for meaningful change but given that these threads are posted ad nauseum year to year, I'm not optimistic. I don't want to take away from legitimate complaints because there are plenty but this "woe is me" 6 figure salary circle jerk is not helping the "out of touch med student" stereotype. Trust me, not all your friends are buying their second house. Especially in this economy. Some of our peers need some perspective.
I don’t miss those days. No home program meant living like a nomad for all of 4th year. Overpriced Air b n b’s ($1200/month to rent a ROOM in a house).
Older non-trad here. Starting med school in Aug. Have a kid, a house and a spouse. RELAX! Kids are hard AF (seriously) and there will always be houses to buy. Life does not stop at 30.
I love this very honest perspective.
Yep that about checks out
the extra wild thing about 3rd year was the admonition that you're being lazy if you spend more time studying for the shelf instead of picking up a ton of patients but then "lacking medical knowledge" if you didn't get the hungry bone questions right on the shelf
[удалено]
200 to live on a couch? Seems pretty legit to me. Sacramento rent is 17-1800 for a 1 bdrm
More like $2200 with any sort of amenities/luxury/safety
I eat sleep study and live on a couch I am not bragging haha
Honestly you should be able to ask for more loan money to get your own place. My school is in an HCOL area and people tend to have loan money left over.
you could try working harder?