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Posted

Kiwi, look outside NZ. You would make a great attending, even if you don't know what it means. Look into the Caribbean as well as schools in the US (MD and DO).

Gimme money bitch and I will, and thats Consultant Attending to you duh :D

Posted

If you want it bad enough, you will find a way to make it work out. Many of us have had to make painful fiscal decisions regarding school. I have nearly paid off nursing school. Note, I graduated over a decade ago. Tough love bro, but if you want it bad enough, you need to stop making excuses and go out and make it happen.

Posted

So a funny thing happened to me last night ...

I've dragged myself out of the mental black hole enough to face stupid, bastard, soul crushing not-wasted-on-teh-valiumz reality to try to integrate back into society after the ... unpleasantness ... from which the recovery has been slower, more difficult and more protracted than weaning some elderly patient from the rest home who has a chemo port, morphine pump, CHF, COPD, neutropaenia, sepsis, MODS, MRSA, six kinds of pneumonia, viral cardiomyopathy,, LVEF of like 1% and who has been on a ventilator in ICU for two weeks.

I am sure such a patient does not exist, but you get the idea, shut up and stop ruining my medical analogies!

I had a bunch of job interviews and caught the overnight bus back home (cheaper than flying) and by chance, swapped seats so another guy could sit next to his friend. The guy I sat next to was some stoner looking type, baggy jeans, hat on backwards, risque slogan on his t shirt etc etc ... he notices I am listening to EMCrit on my phone and asks what I do, I say oh its just a hobby you know I can sometimes sound like I know what I am on about, he is like oh give me an example, so I drag up one of my standard sound bites - that you should not use frusemide in management of acute CHF/APO because most patients are in fact relatively hypovolaemic and chronic fluid retention does not equal acute fluid shift. He looks at me and dead pan says you're right, the pulmonary edema fluid has come from the circulation due to increase pulmonary capillary hydrostatic pressure.

Turns out this bloke is a TI (trainee intern) or sixth year medical student who is also in the same class as one of my acquaintances. He is like you;re doing what, going for some bargain basement piece of shit job when you're clearly medically brilliant, you idiot. I told him I applied at Otago and didn't get in so can't apply again. He is like bro I did competitive first year (which I cannot do because I have a degree), didn't get in, did a nutrition degree, applied as a mature graduate and didn't get in, applied as a mature graduate at Auckland and did not get in so did competitive first year at Auckland and got in, I owe well over $100,000 in student loans and am damn near thirty, medicine has destroyed my life and I have decided to take the easy route and become an opthomologist, second easiest route to real medicine next to becoming a GP, and don't you dare say public health medicine because that is not real medicine, you sound like somebody who would actually enjoy doing medicine, so go do it!

Fine ... I guess I will go become a doctor, jeez, the things wasted stoner TI's on the bus talk you into.

Aw man, now I have to know about chemistry and stuff, damn chemistry ... who cares what the hell a proton or 3s3 orbital is that stuff is hard, now, where is that 20ml syringe of suxamethonium gone?

I guess I'll devote until I'm 33 or 34 to studying, sigh!

Damn it Emergentologist you better hook my ass up with a sexually attractive "Intern" (House Surgeon) of the female variety for this, I'm giving that Hippopotomus bloke (your boss) the best years of my life

Also of note is that "medical student" and "House Surgeon/Senior House Officer" are most likely going to be replaced with "Student Doctor" and "Foundation Doctor" respectively as they have been in the UK; and "Specialist Physician" has begun to replace "Consultant" . I like House Surgeon I think it sounds sort of eloquent and deserving of prestige; I do not like the "Specialist Trainee" terminology which has replaced "Registrar" in UK, you can easily tack on your speciality to become the "Surgical Registrar" or "Anaesthetic Registrar" but "Specialist Derematology Trainee" sounds fucked up and "Specialist Cardiologist Trainee" sounds even worse

Wait, now that I think of it, Emergentologist can teach me chemistry, he has a BSc Biochem (suma cum lade) so he must know what in the bloody hell an s3 orbital is

And yes Emergentologst, I've been LinkedIn stalking you :D

Posted

WTF Kiwi. You are frigging scary. You can stalk me but can't friend me or whatever the hell they call it on linkedin? As for funding, come to America and go through one of those rights of passage in becoming an attending known as the student loan process.

Posted

Hey at least I am only scary and not scary ugly even with my exotropia, unlike you

I'm not on LinkedIn sorry bro but I am on Ruff's facebook feel free to add me

Posted

Now that you mention it, Ruff and I are not friends on FB. Probably has something to do with me not buying him dinner.

Posted

I've got a corporate account there so no worries.

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