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    dogen83

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    [–] Now I use it when I have important exams coming up. dogen83 1 points ago in AdviceAnimals

    Modafinil is a stimulant, according to the US FDA. It's in the NDC standard drug classification group of CNS stimulants, along with ADHD medications. It's currently a schedule IV medication, though, whereas Adderall and Ritalin are schedule II (considered higher risk for abuse), so your employer may treat it differently.

    [–] TIL people aren't 'left brain' or 'right brain', and the best seller 'Drawing on the right side of the brain' has absolutely no basis in neuroscience. dogen83 2 points ago in todayilearned

    The book says that the right side of the brain is more focused on the big picture and making sense of information in context, while the left side is more focused on the small details. He does talk about how art requires the right side in order to appreciate compositions as a whole, but creativity requires both sides as you can't complete anything complicated or challenging if you can't pay attention to details. However, I've not read the essay you mention.

    [–] Rant: I'm your doctor, please stop. dogen83 1 points ago in TwoXChromosomes

    I tend to agree with you. Even the least professional nurse I've ever worked with would probably never mock a patient's genitals in front of the patient. If someone did, and if the patient complained, I imagine there'd be some level of discipline but how much would depend on how much the patient complained and how strict the nurse manager was.

    [–] Rant: I'm your doctor, please stop. dogen83 61 points ago in TwoXChromosomes

    Men are treated differently, unsurprisingly. I've heard stories from the nurses I work with about men of all ages. Older men seem more likely, but not exclusively. A very new (and naive) nurse was asked by a young male patient with a broken arm to help him use the bathroom instead of the urinal because he supposedly had a shy bladder, but once they were in the bathroom he dropped his gown, had an erection, and asked for "help" with it.

    [–] Rant: I'm your doctor, please stop. dogen83 10 points ago in TwoXChromosomes

    It would depend on what exactly they said (if it could be interpreted as sexual harassment or some other speech that could get the hospital/clinic sued) and how strict your management is. There's no hard and fast rule.

    [–] Childhood memory dogen83 13 points ago in funny

    Poor parents do it out of necessity. Parents in the medical field do it because we've seen people survive much, much worse.

    [–] Buying cars nowadays dogen83 2 points ago in funny

    Do what, fact check, call people out for lying, or something else I'm not picking up on?

    [–] What is considered lazy, but is really useful/practical? dogen83 6 points ago in AskReddit

    I can't find the source right now but I've read that the reason so many ideas come to people in the shower is because their conscious mind is unoccupied or lightly occupied. When we're focused on a problem we often feel like we know the direction that the solution ought to be and keep slogging in that direction, but when the brain is less focused it begins following more subtle clues and can kind of spontaneously stumble upon a solution.

    [–] What dire warning from your parents turned out to be bullshit? dogen83 2 points ago in AskReddit

    Yeah, they make a lot of money... but neurosurgery, thoracic, plastic... they can pull down $500-600k.

    [–] What dire warning from your parents turned out to be bullshit? dogen83 4 points ago in AskReddit

    I'm not sure where you're getting your data, but the most recent version of the MedScape Physician Compensation Report pegs psychiatrists at $273 and the average of all the primary care specialties at $233.

    [–] What dire warning from your parents turned out to be bullshit? dogen83 15 points ago in AskReddit

    Psychiatry isn't the highest paid field, but it's definitely not the lowest. Plastics, thoracic surgery, ortho (basically anything surgical), cardiology... they pay bank. Family medicine, pediatrics, and public health are usually the lowest paid. Specialists are essentially always paid more than primary care.

    [–] A LOT cheaper than car seats! dogen83 6 points ago in funny

    For your 1-10 year old.

    [–] Yes,no dogen83 2 points ago in funny

    Borderline and PTSD are the two things I see most commonly misdiagnosed as bipolar. People will say they were told they're bipolar because their mood changes from happy to sad, scared, or angry bat the drop of a hat, but that's not bipolar.

    [–] There are five types of insomnia, each with its own distinct features, according to a recent study. By enlisting the help of thousands of volunteer participants for the study, the scientists were able to discover that insomnia is a more complicated health issue than many people may have thought. dogen83 7 points ago in science

    It depends on your insurance. Therapy (like CBT for insomnia) is effective for many people, can often be short (6-20 sessions), and has no side effects. So if you can, you should consider starting there. Call your insurance to see if you need a referral or not. If your insurance requires a referral then talk to your primary care provider. Then, look up who's covered by your insurance (on their website, assuming you're in the US) and call 3-4 people to see who can get you in first.

    For medication, talk to your primary care provider and tell them what's going on. They'll either offer you a medication or a referral to someone who can start a medication.

    [–] There once was a Red Indian who had only one testicle dogen83 20 points ago in Jokes

    "Red Indian" is an old term for Native American that's generally considered offensive.

    [–] Of the nearly $30 billion that health companies now spend on medical marketing each year, around 68% goes to persuading doctors of the benefits of prescription drugs, finds a new study in JAMA. In 10 years, health companies went from spending $17.7 billion to $29.9 billion on medical marketing. dogen83 1 points ago in science

    It's true, although it's just one of many studies (if you Google "pharmaceutical physician meals" you'll find a bunch). We're required to continue our education in order to maintain our license and board certification, and meetings with reps don't count toward this... because they're assumed to be biased. So reps shouldn't be a primary source of information for multiple reasons.

    [–] Of the nearly $30 billion that health companies now spend on medical marketing each year, around 68% goes to persuading doctors of the benefits of prescription drugs, finds a new study in JAMA. In 10 years, health companies went from spending $17.7 billion to $29.9 billion on medical marketing. dogen83 1 points ago in science

    That's an odd assumption to make. In the same way my interactions with drug reps are evidence based (I don't allow them to give me anything of value), so is the way I practice medicine/want medicine applied to my family. We're all vaccinated to the hilt. I even get my tetanus booster. Maybe you misread my comments as somehow being baseless conspiracies rather than derived from peer reviewed research?

    [–] Of the nearly $30 billion that health companies now spend on medical marketing each year, around 68% goes to persuading doctors of the benefits of prescription drugs, finds a new study in JAMA. In 10 years, health companies went from spending $17.7 billion to $29.9 billion on medical marketing. dogen83 2 points ago in science

    Yeah, I depend on reps at times. If I need a low income patient to get pushed through the patient assistance program process faster they're who I call.* Some newer drugs are shipped nationwide directly to patients from a small number of pharmacies, and the reps can trouble shoot any hiccups. But we both know they're there to get my number of prescriptions increased.

    • It doesn't change whether the PAP accepts the patient to reduce the cost of medicine, it just means their application gets reviewed faster. This would be for something where delaying treatment may cause harm.