u/Fit-Survey-6678

So I have really, really bad ADHD. Crippling, I'd call it. Makes it a pain in the ass to just buckle down and rock out work. I have enough integrity to not disable screen time, but I thought that I could exploit my dopamine seeking behavior of doomscrolling Instagram Reels to my advantage with ScrollToll. Essentially, 1 correct MCAT question gives you 5 minutes.

Does this sound like a fine figment of the plan? I take the test next year May.

Can any other ADHDers chime in? I'm not medicated. Honestly I'm really untreated since I just did ADHD cognitive therapy for a while and it was a slog so I just dropped the program.

Which would you go with in general?

View Poll

I was praying to a higher power I could get my bankart tear repaired with PT. I slacked in the middle. Idiotic of me. First thing my doctor said today was "so, what would you like to do?" and then he said "we've been going at PT for 7 months and nothing is working."

My strength was 4/5 ER on that side, but is now 3/5.

I can't do surgery. I just fucking can't. It'd leave so many clinical hours (I'm premed) on the table. I also can't live with a 3/5 strength. I'll gladly live with 4/5. I'll manage pain by popping Ibuprofen like Dr. House (lol).

Today was genuinely the first day I was physically shaking in the exam chair. I'm fucking terrified. I'm 19, I oughta be more mature than this, but I'm genuinely terrified. I'm getting weaker and part of it was my own stupidity, but I'm terrified nonetheless.

It makes me sad how many "paragods" (who sometimes aren't even paramedics but basics) absolutely chew out green EMTs and even students for inexperience.

I'm about a year past getting my license and am apart of a 911 service. It endears me when I get students because I know how horrified I was to meet my instructors after I heard all of the horror stories I heard about EMS and god complexes.

My last student was an aspiring flight nurse and he was very, very nervous. A little green according to the tasks I let him do perhaps, maybe because it was his first day on the ambulance not even as an EMT.

I could see the horrified look on his face that tells me that he showed inexperience on a different ambulance before and got chewed out for it. He looked SHOCKED when the first words that came out of my mouth post-call were "so you'll be on the chopper in the future?" and not "you sucked during that call." We talked about how we're both in college (I'm pre-med) and how coursework can be so hard. Not about the 12 lead that could use some love. That's reserved for the station with GENTLE teaching, not name-calling and bullying him out of EMS.

Obviously, some things need firm, kind, and in the moment fixes. Fucking up a 12 lead I WOULD HAVE CHECKED ANYWAY is not one of them. Putting a BP cuff wrong is not one of them. For many, it's the first time they've touched the equipment outside of being a patient.

Even when EMS burns you out, please be kind to your students. Even when you're an FTO, be kind to your mentees. That doesn't mean to not teach them, just use proper educational tools.

"Harassment has zero educational value" - Dr. Robby, The Pitt

I really want to get in on my first cycle, so I'm probably gonna apply broadly MD and DO just to maximize my chances of getting in somewhere at minimum.

I've shadowed in the ED. Obviously actually practicing EM is very, very different than watching passively and asking medical questions about a patient. But I, at least, have an idea right now at what I like.

I'm an EMT and I've slowly began to notice that I'm a massive trauma nut. I really enjoy the trauma calls. I really enjoy the med calls as well, but trauma calls are really, really cool. Obviously that joy comes secondary to the genuine love I have for taking care of people but I digress.

I’m still keeping an open mind since I haven't even gotten close to M3/M4, but so far I’ve really valued my experiences in EMS and shadowing in the ED. I’ve had exposure to a few other specialties as well, but I tend to gravitate most toward emergency medicine because of the pace, the teamwork, and the opportunity to help people during days that might be the most terrifying of their life. I love being the calming voice in the storm, so to speak.

I’m aware my perspective will likely evolve with more clinical exposure, but what’s stood out to me so far is how meaningful it feels to be part of someone’s care during some of their most critical moments.

I really want to get in on my first cycle, so I'm probably gonna apply broadly MD and DO just to maximize my chances of getting in somewhere at minimum.

I've shadowed in the ED. Obviously actually practicing EM is very, very different than watching passively and asking medical questions about a patient. But I, at least, have an idea right now at what I like.

I'm an EMT and I've slowly began to notice that I'm a massive trauma nut. I really enjoy the trauma calls. I really enjoy the med calls as well, but trauma calls are really, really cool. Obviously that joy comes secondary to the genuine love I have for taking care of people but I digress.

I’m still keeping an open mind since I haven't even gotten close to M3/M4, but so far I’ve really valued my experiences in EMS and shadowing in the ED. I’ve had exposure to a few other specialties as well, but I tend to gravitate most toward emergency medicine because of the pace, the teamwork, and the opportunity to help people during days that might be the most terrifying of their life. I love being the calming voice in the storm, so to speak.

I’m aware my perspective will likely evolve with more clinical exposure, but what’s stood out to me so far is how meaningful it feels to be part of someone’s care during some of their most critical moments.

I just finished my sophomore year.

With two years, I've learned that I've entered this path with the cognitive architecture of an engineer. Orgo was medium difficulty. Calcs were child's play. Physics was entertaining and maybe a little challenging, but still reasonable for me. Gen chem 1 was a bit of a pain in the ass because I was still adjusting to college, but gen chem 2 with the same prof was brainlessly easy for me. I can pretty easily see what I have to do when I see problems on these exams.

Now with biology. I got a 92 on my last exam but still got a B in the class since I absolutely flubbed exam 1. My midterm was a fucking D. A med student gave me her anki deck which saved my ass for the 3rd and 4th exams lol. That 92 was achieved by literally just going back and forth between the lecture slides in our campus's med school TV in a dark room. I kept quizzing myself on pathways and if I forgot, I'd go back. However, on other occasions, shit kept leaving my head and I eventually got extremely frustrated with myself.

However, this time, I kept with it and that's how I got the success I did. I'm not sure of my ability to replicate this like I am with "problem solving" subjects.

I take biochem this semester and I'm lowkey freaking out. I can't get a C. I mustn't.

And yes, I want to do premed off my own volition. I won't give the reason here since it's a bit of a trauma dump.

I genuinely feel sick. I'm a sophomore in ugrad and I genuinely hate that I've been getting smashed with bad thing after bad thing for the past week.

We were lifting a patient from the cot to a bed and, due to a poorly rehabilitated shoulder injury (dislocated it a year or so ago and my strength still hasn't fully returned but I am clear to do EMS now), my transfer was pretty rough - mid transfer my arm sort of "gave way" and since I was supporting with my other arm, I was able to at least slow the drop onto the bed and she got there. But it was still rougher than I'd have liked.

My partner's feedback was smth like "falls are one of the things that piss me off. i came into the profession to help people, not hurt them. don't treat people like objects."

I also don't want to hurt people. I don't see people as objects - I see them as people, maybe vulnerable, who are nervous and possibly scared to need EMS. I'm premed (hence the subreddit lol) and honestly I really like the 911 experience, I just fumblefucked that call.

My first call was really good. It was an MVA and, per another person on the call, "my assessment was really, really good. only real feedback is to know where everything is, but that comes with time."

I was told by my manager to text him when I'd like to pick up another shift (not fired yay), and thankfully got to keep my uniform. It's my first day on a 911 truck too lol. I've done IFT for a bit.

Maybe I'm being sensitive. Maybe not.

I've been out of the field for some time (a year roughly due to a shoulder dislocation). However, I was just cleared by my ortho surgeon to return to EMS with the promise that I stay up to date with my PT.

While I probably have no more tests to stay an EMT for the immediate future (our primary 911 service assumes that as long as you're an EMT and take up shifts regularly, you won't drastically lose skill from when you passed your NREMT). My primary fear is that when shit goes south, I'll hesitate when someone needs me on my A game most due to how long I've been off the field. This is a pretty big contrast to our sim calls and ride alongs, when my preceptors and professors said, and I quote, "he's regularly on fire, very good."

I'm premed so I'm up to date with all the bio stuff (recently had to take a physiology course at the uni level as a grad req so maybe this helps a little?)

Any way to freshen up so I don't become a bumbling buffoon on the field, especially with a 911 service?

I'm a sophomore.

Call me a loser or nerd, I respectfully don't really give a damn.

Our ochem professor is harassed endlessly by students due to the difficulty of the class. She's a good prof, ochem in general just has lower averages. I got an A in ochem (and a 3.8 GPA for the semester) while balancing a pretty serious injury (shoulder dislocation), rehabbing my cochlear implant, and working with a 911 EMS service.

The prof's rate my professor reviews are staggering - half of them aren't even comments about her teaching but are personal insults by students pissed off with their Cs and Ds. Sure, sometimes it genuinely is the prof, but those times are overbalanced by the times it's just a disgruntled student who partied all semester and got a grade they're displeased with.

I say this with the most amount of respect possible: GROW UP. YOU'RE AN ADULT. HANDLE YOUR SHORTCOMINGS LIKE ONE.

So I (19M) dislocated my shoulder about a year ago (August). I initially thought it was a sprain of sorts, so I didn't seek medical care until I essentially could not lift stuff without whimpering with pain. my MRI essentially confirmed that I had dislocated it but it spontaneously reduced.

My doctor at the hospital (top 5 in the world) where I got MRI'd essentially said "yeah you dislocated it bc you have a bankart tear and a small hills-sachs lesion. to the physical therapist we go"

My PT at the hospital was very, very nervous touching the shoulder. He was mostly focused on it not dislocating IN THE CLINIC. However, I saw an ortho surgeon back at home (private practice) and he was like "yeah, you probably did either partially or fully dislocate your shoulder based on your MRI. either way you likely dislocated, but don't worry. very, very treatable."

then I got referred to PT and this PT essentially had the mindset of "unless you're excessively abrasive with the shoulder, it won't dislocate again. let's keep it right at the threshold!" and within a few days, I got my ROM back. Strength and stability are soon to come.

**Tl;dr why are hospital (especially high ranking ones) doctors usually a lot more nervous/shakey/inexperienced than private practice doctors?**