future_doc Posted July 14, 2012 Author Report Share Posted July 14, 2012 So long as it's going forward. Quote Link to comment Share on other sites More sharing options...
Birdy Posted July 14, 2012 Report Share Posted July 14, 2012 My son lost a tooth today. He's so very proud of himself, Because, he said, it didn't hurt. Quote Link to comment Share on other sites More sharing options...
future_doc Posted July 14, 2012 Author Report Share Posted July 14, 2012 My son lost a tooth today. He's so very proud of himself, Because, he said, it didn't hurt. Under his pillow tonight for gift? Proud indeed - he should save it! He is becoming a big boy. Quote Link to comment Share on other sites More sharing options...
future_doc Posted July 15, 2012 Author Report Share Posted July 15, 2012 Lots of rain in Caribbean today. Quote Link to comment Share on other sites More sharing options...
Birdy Posted July 15, 2012 Report Share Posted July 15, 2012 Under his pillow tonight for gift? Proud indeed - he should save it! He is becoming a big boy. Got a toonie for a tooth. He's saving for a toy lightsabre. Quote Link to comment Share on other sites More sharing options...
future_doc Posted July 15, 2012 Author Report Share Posted July 15, 2012 Got a toonie for a tooth.He's saving for a toy lightsabre. Cool. He is learning saving early. Quote Link to comment Share on other sites More sharing options...
Birdy Posted July 15, 2012 Report Share Posted July 15, 2012 Cool. He is learning saving early. He has a sizable bank account, But saves for small goals separately. Quote Link to comment Share on other sites More sharing options...
future_doc Posted July 15, 2012 Author Report Share Posted July 15, 2012 Important life lessons are going on. Application season has seriously ramped up. Tesla, good to see you here. Quote Link to comment Share on other sites More sharing options...
Tesla Posted July 18, 2012 Report Share Posted July 18, 2012 Tesla, good to see you here. Glad to see YOU here f_d! Hope you are enjoying your summer! Quote Link to comment Share on other sites More sharing options...
future_doc Posted July 18, 2012 Author Report Share Posted July 18, 2012 I'm not here, only my ghost! An elderly person I know well just passed away with loving family and at home as he wished. May we all go this way. Tesla has come back yet again. Quote Link to comment Share on other sites More sharing options...
apache Posted July 21, 2012 Report Share Posted July 21, 2012 working for a friend has perks some really good perks, lol, wow that's enough, clandestine and feeling fine actually perhaps sublime. wow, good times! Tesla has come back yet again. Quote Link to comment Share on other sites More sharing options...
future_doc Posted July 21, 2012 Author Report Share Posted July 21, 2012 Great that you are feeling fine. Perseverance makes impossible dreams a reality. Toughness, courage, dedication make miracles happen. One month of recreation, relaxation left. muse has been a busy boy. Quote Link to comment Share on other sites More sharing options...
apache Posted July 22, 2012 Report Share Posted July 22, 2012 nah, procrastination... lol... need work harder muse has been a busy boy. Quote Link to comment Share on other sites More sharing options...
future_doc Posted July 22, 2012 Author Report Share Posted July 22, 2012 Busy here if not working otherwise. Quote Link to comment Share on other sites More sharing options...
apache Posted July 22, 2012 Report Share Posted July 22, 2012 also, sort of tired reading bs same stereotypes etc., same small problems same whining and compaining, like why? no one forced you to care why self-deceive yourself, what a waste i'm tired, and becoming very elitist no in life, only some things inverse curve relationships are paradoxically desirable you can actually be to good how ****ed, feels like the union except well, people die this time carryover work, cost of slacking then moreso, i make professionals look back im not talking students, frcpsc certified of course, only in my interests even so, thats quite pathetic, imo it's also, well, ironic, incompetancy pays too competant, then you're a threat like, your speech sucked, ontario lady i commend you, but, please stop i can't half ass things tbh either slack, or aim for best i couldn't represent a group nationally unless well, i expect to win life isn't a game, enjoying simplicites is great, we need to take a moment, to embrace the present but well, please think long, hard before you decide to carry others people think i enjoy looking smart honestly, i prefer watching soccer, playing you want influence, forget the clinic forget patient centred care, come prepared i find doctors arent often suited to be influential in politics... sigh they're too polite, unprepared, can't debate in summary: they lack killer instinct but, what do you expect really advancing in medicine means being passive often not mentioning preceptors mistakes, brownosing im not being critical, but seriously im not someone you enjoy debating as in, i know every fact i can pick apart rhetoric, easily i can manipulate tone, body language i'm argumentative and passionate, yet polite but reprieve, is more impression management politicians careers, meh, do i care a lot need to be removed and too many remain utterly complacent obsessed with getting big flashy residencies many pretend to give a **** it's annoying if you do care i am, seriously, very very good know many others where doing med means a pay cut for them usually psychiatry>clinical psych, b/c more money add stability, non-contingent on skill why should i work, countless hours and make less than pill pushers why would i, go to parliament my room mate did that already well, they didn't care much... seriously but i'm, well, oppurtunistic, and scary scary, as in, debating me... well i hope there are no cameras because i draw a crowd quick because well, i hate half-assing things seems as if students are delusional no one cares you're a gp tv wants a news story, controversy so when you arive, please remember you have 2 min, that's it if you're well, in muse mode essentially, i think politicians are nobodies very few impress me, jack layton linda duncan is another, however... doctors seem to think they're repeating med no one care's you're a gp you have 2 minutes, do something 2 minutes is enough time to well enough time to emplore something if you are anything but perfect politicians will easily have you removed if in 2 minutes, embarassment occurs as in, utter humiliation, media notices all of a sudden, controversy arises you have a story, public perception is now different, im not heckling the minister is now incompetent, uninformed and well, i like using emotion no longer am i a heckler disturbing a public event, social perception has completely shifted, kick me out and well, try blaming me, seriously i grilled you in just moments you now look incompetant, social psychology right from the beging, social scripts i just manipulated the social script i'm not self entitled, you're incompetant in addition, you're arrogant, be careful you think your party cares, really you're a pawn, in one day one public embarassment, under the bus and well, **** it, im arrogant but only because im very good i'm not sure about you, but it seems people want to care they want to make a difference but 2 minutes is your time 50 hours min preperation, imo then well, you're not interupting he's skipping out on his duties by being unable to answer questions questions he's probably never rehearsed, ever i'm a real nut, obscure minutia that's not something i consider extra that's a core expectation, arrogance again people don't get it though... one-dimensional lens do you think i care... prestige all this bull**** people need, why? you think writing a book's fun well, if you're interested, it is but like, i want influence, power i want to change our paradigms i teach refugees, guessing more experience than mr policy maker, law, sob-stories i've sat for 50 hours before reading legal problems, lol, lose... no not worth fighting, even for corporations i'm sure there are international violations and we all have this reverance for the un, i dont personally but like i said, who cares i play to win, and care pulling **** like that is risky i don't like risk on occasions when i really care, life changes my risk taking nature suddenly shifts when i start speaking, watch out phd's, md's provincial health ceos.. more they get freaked when words emerge i'm joe bloe, did he what what are his credentials, for real i guess 50 hours, that's weird even for ceo's making six figures then again, who reads two patents to try and have prov coverage for adhd meds ammended, finds forms and sets it out for doctor personal opinion sucks, patent evidence, **** no one goes that deep, lol maybe it's the adhd, who know's but i honestly feel like, well people put in mediocre work often everyone has a perogative in life what they want to do, achieve but please don't discuss huge issues or ***** and complain, do something i laughed when people applauded before that doc that spoke out, wow he spoke out, in plain sight that's very safe, lol, no biggie try shutting people up, and more and by more, i mean well i ****ed you corrupt mother ****ers wow, people suddently become friends quick i would to if a kid, lol just well ****ed my whole team lot more balls than dr whiner i guess i just find medicine the whole culture, just too complacent i guess that's why i'm intimidating 200 hours of legal work, happens what do you think ms gp... put into preparing her complaint, hours? i would guess 5, oh my no wonder docs thing meds safe put 200 hours into legal work you're just, well scary, and nuts sounds arrogant, but im critical still people joing stupid global health clubs mental health groups, to do what i did more with my group in undergrad... 5 years of funding and that's just the tip, others just run bs groups, don't care why schizphrenia, people would often ask i care, they get no recognition and honestly, they're heros for trying i qualify for rediculous grants yearly people with schizophrenia, inspire me imagine going to school, hearing voices thoughts implanted in your head, wow ironically, it's not a treatment interest more a human interest, for inspiration 2.0, and a short essay, easy adhd makes life annoying sometimes, keys especially 300 dollar car keys, lol not fun to lose, but honestly i feel guilty sometimes, i deal and honestly i deal very well if i wre schizpphrenic, frankly speaking there's a good chance i'd snap i doubt id live to 30 only thing that really scares me bipolar, i'd deal, watching my mom though i'm inspired by her courage, positivity and well, these people... have lobbies? of course not, cancer, heart disease... these are the sexy illnesses. funding! i guess the schizophrenics don't lobby 1500 a month is tight afterall and thats a lot, it's alberta! but well, in terms of budgeting how economical is it... to ignore 8 percent of beds, all beds are filled with schizophrenics, some respond: it's an inevitability: no, it's not that's why i know everything... seriously why do i care... intelligent, dumb i'm smarter than 99 percent, whatever does it really matter... showing off that's not my style at all i know this minutia, for change politicians, doctors, planners, have fun, seriously i know everything in and out because i care so so much i am denser informationally than premeds interdisciplinarily is where i get scary within mental health, no bull****, seriously i've met one psychiatrist... more knowledgeable and i love the experience response idunno, 500 hours, plus mental hospital try dealing with refugees, not dealing earning trust, and advancing their skills do mental health professionals ever get... well, 6 hour discussions of trauma as in witnessing fiances murder, abroad withing 20 min of meeting someone i'll answer, it doesnt happen, ever what about cultural interaction, usually silence wow, contra, i get kids working not only that, they're excited, empowered wonder how many visited drug house got coke dealer to open up explain everything, and this: small fries rape, sexual assault, ptsd, did, schizphrenia borderline is fun too, like seriously theyre not hard to deal with they're a struggle, understand their experience and you change your view, everytthing blame and frustration turns to understanding i wonder how many other docs ask them questions, like, ethics.. lalala lol, wonder if it's unethical, well to say im a resident, watch and let me do therapy, my-god i don't have a license, sacrilage but well, im better than residents minus one i found very impressive so why not... success rate.. hmm? couselling attempted murder, 36 hours post. ughhh, obviously good, doc did assesment for cognitive abilities in elderly woman let me do it alone... yeah why am i that surprised, i've interviewed over 20 murders, sex offenders etc. i will admit though, kids... tough i have lots of trouble there communicating with people under 7, barrier... something i've never really excelled at adolescents... no problem, but kids... shoot but we all have diff skills that's why we have children's psychs i guess my frustration is evident lol, i almost feel punished, why? i'm too good, care too much my presentations are paradigm shattering... and they're all peer review, very tight sometimes i feel disdain towards others what makes you worthy, like seriously go into something more chill, seriously like, why is self handicapping, gone after only a year of therapy casual, of course, nothing to serious person had seen psych five years idiot prescrived dexedrine to counter drowsiness from escitalopram, it just not enough to know, prescribe this, for this explain geodon, versus risperedone, pharmacology, tradeoffs and no descriptions, i want receptors i also want side effects, fully no list, explanations as to why pharmacokinetics, comliance variability, when to check... for eps... what about abilify, when? what seperates it , gives compliance advantage my fave: concerta,dexedrine spanules, adderall sr adderall xr, altertec, dextromethylphenidate, ethylmethylphenidate (bonus) in fact, what's half life difference it ethylmethylphenidate... lysdextroafetamine... single peak, double, average half life why avoid dexedrine spanules in patients especially when there's no abuse history from concerta, to adderall xr, to lysdextroamfetamine exlplain variations in levodextroamphetamine composition, additionally: why are methylphenidate formulations less cerebral phenomenelogically speaking, a greater bodily awareness what are max doses... you're wrong especially if you read it somewhere adult doses are extrapolated from childrens which formulation should you use when... you have somatic anxiety, explain why what about racing thoughts... how come what is adderall xr's main advantage hint: think levoamphetamine and directed goals remember better steady state pharmacokinetics... seriously vyvanse markets that, but in patent language defined includeds non essential AA"S as conjugates, meaning legal deception, essentially is this fair? shire baught out generic adderall xr from teva, barr raised prices 500 percent, patient assistance no way, patents almost expired now raise prices from 50-250, freedom that's a nice euphomism, vyvanse... free temporarily i suppose, gotta keep patented right on front lines, corruptly, fraudulantlys most docs are lazy, exlain vyvanse please don't bother, im the expert notice breakdown products from daily dosing these have no cns side effects but pns, oh my, patents done 12 years before release, avoid cardio ****ed eh, we know already, profit that's what comes first, yeah, anger why wouldn't i be, im god seriously, you think docs can compete LOL, maybe phd psychopharmachologists, who knows maybe it's all my philosophy, arts comparing cmax amphetamine in adderall xr, vyvanse deceptive, levo-amp, 1/15th potency of dextro docs may know ****, but law honestly, the whole gamut, pathetic imagine seeing 5 neuros, empirical treatment you're research of course, anything less you then find your meds, gabaergic as your idiot neuro described repeatedly known to modulate medial rephne, 5ht-receptors the downregulated ones on v5 interneurons happen to synapse to gabaerigic, sensicle expains alapralozam and clonazepams differential efficacy as well, explains being cold, poor-smell but well, that regulatory area... lol it has 15 tracks... but some very ellucidated... finally, i found neuro and i found mechanisms allowing noise-to-signal-ratio to stay higher than normal, laymans: excess activity... 5ht2b downregulation, gaba-a lack of stimulation, promotion gaba-b funny, this links to an area known to be affected by psychodelics 5ht2b... lol, which is modulated by 5htc receptors, explaining why antipsychotics, ssri's tend to worsen condition, also well why lorazepam is useless... 2 years that's a long time, life sucked and i had it from begining why do you think i'm arrogant i'm sorry, i cured myself, finally and well, solidified the etiology, yeah there were boards for this condition many people wanted to kill themselves Quote Link to comment Share on other sites More sharing options...
apache Posted July 22, 2012 Report Share Posted July 22, 2012 don't worry though, amka full antagonists reboxatine as well (straterra eessntially... european) in addition to a5Ia/benzo combinations... no individual sales, patents out for concerta like delivery system to tie together but i take benzos for vision, you don't understand, use is anxiety well, language does that, antidepressents... ditto much more effective anxiolytics, not good at least in terms of marketing benzos had a bad rap, hence market them as anti-depressents of course personally, i'm a dopamine guy, buproprion going back to the benzos, metaltonin the AD derivative anyway, plus pt-141 sex aphrodesiac of future, but wait ED drugs need off parent first these are much better, melatonin derivatives increases perforance and dive, well exponetially wow, how do i know this just sit and listen, be thankful if i didn't care so much, well i'd be on top here, but... im becoming more ambitious, kinda a narcissist well, not really, im just honest and come on, your listening intently other students here... you tell them vice verca here, not even bookwise the cultural program they discussed earlier i've done that, honestly, dont everything like cbt and psychopharm, objective, simple but well, stick to simple anxiety quitting smoking, standardization loses effectiveness, obviously people ask me, how'd you learn talking down a homeless man, lol about to jump the bridge, schambhala talking to everyone, homesless, wealthy, farmer it's easy, never forced, knowledge, well when someone can initiate a conversation and they know foucault, agrigulture, social-stratification and not esoterically, applications to people i get a line up... stand? well, i'm anything, to anyone, ya? you like fantasy rape, are racist severe self esteem problems youre overcompensation fear you'll die alone, recently cheated i ca get this... 15 minutes people boundary test, slowly, talking is bliss at least for most, but well most people interpolate inner experience... behaviourally it's more a guessing game, kinda ive had 300 convos, strangers, most intimate secrets, i didn't ask, so well i'm not guessing, or interpolating, shock... nah, and people sense that quickly it's like, wow, can't tell anyone and finally somoeone who will listen and it's a positive feedback loop when i talk to people, guessing no need, we're all ****ed, seriously internally, 99.9 percent hide hide everything paradoixically, my knowledge of others.. idiosyncracies leads me to complete openness, unsamefully lol, try and be socially dominant and i know you're freaky too to not playing the game, projecting imagery that is completely fake, knowing at the very least, everyone, everyone... if they were honest, would well freak average person out to 8/10 often only because people feel pressure they want to act freaked... it's... well what they expect, others expect others are weird too, complete openess and well people learn they're normal or at least no different, really so yeah, back to adhd, lol what do u expect, im adhd totally random... what's desoxyn by chance was it legalized before mixed amphetamie (2 d salts, 2 1/2 l,1/2 d-salts) no idea... ironically yes, before adderall weird with the less potent levodex in addition to long t max... low cmax for d amp, mesolimbic/prefrontal concentration to bad doesnt have n-epi effect means you need psycoeducation/metacognitive-regulatory training, levo... will just induce goal oriented behavior minimal pns breakdown products as well no heart problems, thats always nice! in addition, bid dosing, 6-8 hrs... good half life... provides lotsa flexibility if you sleep in, afternoon dose kinda counter vyvanses 14 hour length but they sold that med, well... as advantageous to dexdrine tabs, NEVER wen't head to head with adderall except to claim less nasal abuse but unless apriori abuse is suspected it's nothing more than patent extension shire's business is adhd, blockbuster necessary so vyvanse is now it, lol not like worrying about free adderall he give's it, or well... what i expose vyvanses inferiority for oral abuse deceptive pharmacokinetic presentation, higher propensity for... wait, rebound vasodilation because drastic peak well, in cebral blood flow, 3 3 as in 3 peaks... non-abusers then abuse, to avoid withdrawal, lol ironically, d-enatiomers cause more appetite suppression... meaning research pharmacokinetics are deceptive, lol as well, organic synthesis, yeah, seriously this is point where resident... listens anyways, non-linguistic presentation of data but i know some organic synth basically, they admit that using low ph you can cleave lysine right off and get 60mg of pure dex, equive to 18 tabs of straight dex i was prescribed... 1, in morn until my adderall kicked in, non-abuseable well, like anti-depressent studies, narrow inclusions generalizable common language when promoting clinically... essentially, we may prescribe to 100000 who meet common linguistic symptom interpretation however, doctors, well, too trusting... again poor research methods, even licensed docs the jargon is pre-defined, normativity wowd's are never objective, they're well... predefined for 20 pages, and honestly o-chem,biochem, physiology, english, law, inorganic-chemisry-delivery-systems patenting multiple conjugates... giving impressions "invention" well... repersents what you bring to market (lysdextroamfetamine, only one of med's named in the patent, superior in abuse potential, period, to vyvanse... paradoxically vyvanse main selling point, yet only compared to adderall or 70 year old dex tabs... while carefully noting, that used to instruction, oral abuse isnt possible... well that's a contingncy that notifies futility, if we're prenting snorting, i'm these sorts of patients are open to dose overloading orrally... to claim a ubiuitous advantage (claiming l-ornithine-dextroamphetamine has smoother pharmacokinetics than concerta, while using umbrlla terms, which give impression were talking bout lysdextroamfetamine, is borderline... borerline fraud... it does, and is named under an umbrella term, even thought it's not being braught to market till 2025, to fix the problems in vyvanse, which we'll have know about for 12 years by solution time, deceptively, and barely legally... in addition, increasing risk potential for insidious, innocious abuse habits to develop over adderall, it's all in the pharmacokinetics charts but the over-generalization of abuse proof means psychs will use it more often, what can i say, do you're psychs read 150 page patents on each new drug... doubt it, so i'm tired of bs'ing and joking in superior, i am... i can even do semi somatic cs-laison... oh antipsych one is matabolized in kindye, and we have a kidney transplant... seriously, this is challenging, iuno, let the idiot reductionists with bio backgrounds handle psychosis and dementia... bi-polar people often have trauma, i've well, helped quite a few rape victims... so they shouldn't keep comorbities... they could even keep axis a types, theyd ruin them, but i cant handle them goods handle the bread and butter, schizophrenia is simple, management wise... on second thought, community integration is imporant in relapse, give me a license now and let met handle that innocious, responsinsive abuse in non abusers wow, 6 words broke down... but ****, adhd meds are my fave, but well, i can go this deep with everything... wanna stay awake, adrafanily... 45 min to modafinil and legal, not more than twice a week though, could strain liver... yeah, no you see why i'm frustrated... frankly most gp's i meet, older ones, can't tie my shoes, why are we paying you, i would feel ashamed taking money... like throw in some melatonin to cleave apoptosis,, some same e, b6, maybe huperzin a... galantamine is avail from britain... only delivery system is proprietary, helps with time perception... glutamate antognists to stop feedback loop, calcium signalling and down reg of DAT vesicles is good too... it is 200 a month tho... gues the guys approving that havent read enough lit. you save money by avoiding increasing high priced amphtamine therapy... lol, also, like.. back to the clonazepam... and denial of seronin modying effects, myonclonic seizures... done, you're a neurologist, i'm sorry, give me a year, and 18 hrs a day, you'll be scared of me, knowledge wise anyways, clinically, that'd take longer, more arrogance, but well, i think i deserve to be, i put nail in coffin on 1 in 100000 disorder with one man on crusade... henry abraham... shoot, harvard rite... yeah, so not only did i help lazy ass neuro, but i ellucidated mechanism of suspected effecacy... because come on... call me whatever... but being adhd, well, you can't compete, i hate disproportionate power dynamics... and the names a misnomer, marketing ploy, it's attention regulatory disorder... i cant pay attention to boring stuff, but i can study stuff like this 14 hours a day without effort, hence well, why docs do what i say... and i walk into the psych and choose my meds, because well, i explain everything to her (minutia... but i still respect her immensely for her extremely broad scope... shes a stud psych, above average internist... for real, i don't trust gneralists for checkups... shes superior... to bad most people aren't that good... that dialogue was 2ith a 2nd yr res by the way who was like.... omg, wow, why are you not like a professor here... i guess i'm to open minded, and not stupid, so when i speak my mind, discounting me is hard, because well, you cant call me a liberal ideologue with 20 peer reviewd papers in support... even if well, my idea's dont match you ethical views... it's called no one cares, i care about patient outcomes, not rediculous religious views that blind from seeing that im gods gift to this upper-class title chasing bunch of bums... yeah, inner city shaddowing, no one... lol, and well, im good too, sometimes i think of dropping out and applying to stanford or something... people talk about how life history is so imporant... well, i have a worse history than a dude from the ghetto... plus thatbwhole 2 weeks of blood, disociative identity disorder... attmpted murder... yeah, clinicians at the insitution giving it their all, wonder how many have cured intractable schizo, or dissociative identiy, the big expert, who was a moron, pretended my questions were irrelevant as i wasn't a guardian, a pleasant excuse for you're womans mental health gig is bs, do you think learning neuroendocrinology and mood consequences is innovative or hard... and take away power of authorney, well the other 2 docs she saw were so scared of lawsuits they destroyed records... we didnt ask, they just did... so yeah... doctors, working hard, but half assing and memorizing depth of knowedge for years (not all, mostly hacks... who ironically pretend to be better than the good ones... lol) Quote Link to comment Share on 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future_doc Posted July 22, 2012 Author Report Share Posted July 22, 2012 muse has outdone himself once again! Quote Link to comment Share on other sites More sharing options...
apache Posted July 22, 2012 Report Share Posted July 22, 2012 i'm not bs'ing, i'm tird of it, people think im joking when i say psychs are incompetant... not all, but honestly... if i learned basic things to look for in general medicine... have fun competing withme... i even helped disociative personality recover... 4 of them, with a dead girl in a closet... tell me if you see that in your life... doc... no, you prob wont... and treatment protocol, not in the dsm... b/c i 1/50 g clinicians see it... shoot eh, this is supposed to be easy... well no, it's not, no why people say psych is bull****, because you have a license and am incompetant, and im a piece of paper from billing a six figure salary you idiot... we need to get clin psychs handling the dirty stuff. and leave the psychosis, demntia to psychiatry... especially residents from psychoharm cowboy programs... i know psychopharm better than you, plus 10 therapeutic modalities... how many rape victims have you seen... or is that well, not medical enough, or should i say too nebulous and disturbing for your sheltred soul... o well, have fun causing diabetes, it's easy work, rape is much harder, but i have a hope of helping this person recover, you do to, but psychosocial interventions in schizo undermine your biological paradigm for your bread and butter bio disorder... so forget it muse has outdone himself once again! Quote Link to comment Share on other sites More sharing options...
apache Posted July 22, 2012 Report Share Posted July 22, 2012 this should be in front... oops... shoot, 80,000 characters and just to scratch the surface... wow, maybe i should do clin psych... lol, cause well, im not a probability, im one of those well, top 4-5 student in canada types, iuno, u of t said thngs like well, u have potential to be top doc i canada (top echelon of course... well yeah, i grew up with drug addicts, gamblers, suicide, yet i'm not like that... you think peter chow who has never been to a crack house in his life has a chance and i should feel doctors, lol have any right to paternalize me i'm sorry, i'm not a neurologist i know neuroscience... brain to biochem all i need is 30 hours, period i don't lose, experts don't exist in my mind, they're just ahead give me thirty hours, shut up and really... do what i say i don't take orders any more i walk in, i dont ask i tell, try and stop me i will explain full physiology, pharmacology believe me, your a medicintre gp if i wasn't so patient centred and if i didnt get sick i'd have gone to uofc been top resident at uoft now i love when ppl believe rules you know why they said apply i outperform their 5th year residents how can a third year... struggle simple abuse cases... seriously, murder/rape... awkward if you're uncomfortable with this... why like why pay you, lol, did doesn't exist right, well, **** residents try two weeks of that, seriously with success... also, well... resident 2 you said you're bio oriented... so why is bio interventional knowledge poor explain the neurophysiology of adhd ptsd how is learned ubiquitous fear linked to depersonalization, im not asking schizo unless you know something, anything, please why is patient x bipolar... history long term depression, feelings of worthlessness exposed to violence at age 5 do you know any meth users that's a serious question, i do what do you think depression, adjusment-originative followed medicated with crystal meth binge what does that look like, think... atypical depression following mania... d2 and d3 they're totally fried, please d1, d4 please be ok, no acute psychosis these linear thinkers, believe in dsm hell, i do to, rough guide but the 1 page on adhd i read a 500 page text 1500 page book on anxiolytics, sorry ironically, meth abuse might respond... guess amphetamine, no joke, with adjunct skills we're so scared of stimulants, why? we just hear ssri's are safe you're a resident, 5 pages, right ive read thousands, venflaxazine... snri properties not at low doses, but high this can cause mania, rebound seizures why am i a student, and well tbh, far more competant, seriously you claim to be biologically focussed explain the new melatonin modulatings AD's what about g-coupled glutamate full antagnoists nice way to patent ketamine, money! also, why no memantine with stimulants there's a feedback loop, which well increases intracellular calcium, effects DAT transport also, add melatonin, cleaves dinitro-oxidase prevents overheating, which makes apoptotic phenomena well much worse... also whats NIMS if you do hospital psych, know! you don't patients losing tempregulation it causes death you know, lol also, bipolar with psychotic feaures... first? do we go 2nd-gen-antipsych, or anticonvulsant well, it depends, in europe, priorities they're different, first line AS's mean... 30 percent of schizphrenics, psychotic from pcp even high dose amps over period labeled schizophrenic, lose power of authorney psych confirms, because he's stupid, d1/d4 they just spike...that causes round well. 2 weeks psychosis, before rna expression get's to normal, having fun yet i'm never wrong, quetioning your competancy i definitely would, im better, seriously not by a bit, a lot i'm better than old psych too i suck at adolescent, but **** how would she feel, if well i explained biochem of 15 nutrients exquisite detail, all linked to pathology heterogeneous of course, syndromes and aeteologies sometimes don't match, but you know (no he doesn't, but i'll pretend he does... he's nice... he didn't know what selgeline was, but well, rare subtype is mutation in maob, or overproduction) what about sleep... antipsychotics, interesting choice why not clonidine, cenral imidazole/a2 agonist basically shuts down sympathetic, wut better? for stimulant induced insomnia... no zoiclone, please if you say that, you'll explain subunit receptor specificity of zopiclone... why? because people often use zopiclone, very carelessly zopiclone is not zopiledem, half lifes? potential for habituation, tolernace, your patient? problems falling asleep, or staying asleep? i stopped refering to adhd, btw. if you kept answering, well, wow clonidine was the right answer, 99% have you heard of ssre's... lol, ssri's, no these are much older, safer, effective tianeptine, predates prozac, by 20 years servier didn't want to blow 10,000,000,000 clinical trials are expensive, great fda clinical trials for a stage 4, lol 20 years after release, adverse events have any been reported, course not but if you're french, 11 euro sell abroad for about 40 euro remember, it's not considered a drug protecting ssri's and lily have costs but those french make a killing THIS IS WHY IM FRUSTRATED, THE LICENSE MAKES YOU AN EXPERT PERCEPTION... AT LEAST IN THIS FIELD IS BS, I HAVE MORE EXPERIENCE THAN ALL RESIDENTS, IN ACUTE ACUTE SITUATIONS... I THINK IT'S REDICULOUS I GIVE THIRD YEAR PSYCH RESIDENTS INSTRUCTION... WHAT A REDICULOUS SYSTEM, WHY IS IDIOT R3 NOW MAKING 250 K, WHEN WELL, HE SUCKED, I'M BETTER, IN EVERY WAY, AND I CAN WING THE MINIMAL MED PSYCH'S HAVE TO COVER MAN, I EVEN HAVE TRAINING IS NEUROPSYCH ASSESMENT ETC, FOR DEMENTIA PATIENTS... you know whre you learn crises intervention, for real, a traumatized 12 year old victim of assault, or participathing in therapy with sex offenders... plus well, butritionall... the **** people call pseudoscience... i'd stop, because i know the biochem to mechanisms... so seriously, people r_h, you're wrong, i'm not being an ass... but like, yeah, i have around 65 uni courses, 22 psych, and thats a fraction of what i actually know... residents annoy me to, their stupid, i can build rapport, gain insight in 10 minuts, find out barriers to communication, understand variables, substance abuse... etc... incompetant ****ing resident is like a deer in headlights... likfe for real, you learn this stuff, but well, i was employed with drug addicts, dementia, alzheimers, substance abuse, had fun with homless heroin addicts at 15, i've been a guinea pig for every psych/neuro drug, been to well, parties you don't know exist... think you're white coat is stupid and honestly... power relationshions with systemically oppressed people isn't a good medium to earn truth... yeah, that was a samolian guy i just got to open up in 3 min, scary eh... and i'm ****ing white... how can i talk to child molesters and attemptd murderes... idunno, why cant you, you get paid for this and i'm vastly superior to you... maybe because i went to anti-psychiatry conferences so i understand patients criticisms at the paternalistic nature of taking their rights... i can resonate, one gp said i was bipolar until i said read the dsm, anything less than a 3day assesment if a false positive, i'm always hpomanic, and at my age, with fam history and my fathers old birth age... comined with my exorbinant stimulant dose... i'd psychotically manic if i was bipolar... please stop speaking, you're just boring and stupid... and i'm sorry i couldnt be someone you were able to exert your authority over today, but don't ever extend your cope of practice around me so incompetantly again... or i'll report you... (sorry gp, calling an ex bp after high dose of the ssri 9snri at high doses, which she should know, caused mania... diagnosed bipolar, antipsychs... 2 years of psychotic fun... so well, if i come of mean... i have to say, incompetance has serious consequences, very serious, and well... don't be paternalistic with me, specialists better hope i like them, because i'll call them on their mistakes... use a dsm on me, and you'' hear a 50 year history lesson and methodolic dissection the likes of with you couldn't handle in underad... can you even answer whether patients were retroactively classified by score, after diagnoses... or whether a predictive approach matching to highest ir-reliability both methods suck, since well, ir-reliability goes out the door, and generational effects come into play, and thats just one thing, i could well, go for hours... ever heard of sisi syndrome... lol, o god, they just need to give me a phd in clinical psych already. i dont need the phd, if i see 1000 patients and i have a dramatically higher success rates than those with phd's, and licensing exams use to proxy success, aren't I by virtue, ept... of course with ethical observation, and all that jazz, i can go new mexico and get prescribing rights, why not... ****, just let me teach psychopharm, breadyth, deoth... most attending's can't compare... hmm dr. joe blow, name all benzo's half lifes, indications, introduction dose, pharmacological activity... conversions in doses... why valium is preferential for detox and seriously... the min psych knowledge base is pathetic... don't even venture into it, before i humiliate you (gp's... psych are ok, until i get in real detail, or ask about the 70 percentof meds not used in nother america, or the peer reviewed supplements, or illegal drugs which well, i've known forever have therapeutic value, but they've never investigated because gov sais their bad, even though clinical investigation not only discounts this, but even lays the foundation for fraud... my goal is to go to the states, get desoxyn, and bring it over the boarder, wonder if that would change some docs paradogms, including the 80 percent of psychs who havent heard... imagine like people in endo... lol... or the idiot in neuro who gave me to a psych for psychosomatic reasons (i.e. he's incompetant, and well, i work harder than him valproate and lamotrigine... hmmm, check your metabolic breakdown enzymes... i smell overdose... oh yeah, yeah it's ok, you diagnosed me with a checklist, let's go through it, break words down, and invetigate what they mean to you... because seriously, synromes which list complex emergent, cortical behaviour are nebulous, visceral morot problems... well, more aggreeable... than i told the bum he wasn't doctor in traditional sense... really offended him... but he's not, even the adhd docs have mor objective bio evidence... 10 minut diagnosis, o my, it offended him worse when the statement turned into a dissection, lke i said, philosophy and research methods to a strucutral psych... poor boy, 30 years of practice and chronic patients... maybe if you used the dsm asa guide instead of a bible, youd have helped people recover from suicide attempts and severe mental disordes... sort of embarassing that i've well, done lot more and im a bum with a bsc... but yeah, unlike you, i'm at a skill level, where i don't need the md... if i wanted t target adhd, lol, o man... i suppose that's fake because adult gen psychs don't spend time on it, lack of confirmation bias... peds psychs gppd, no appointments on it tho... wonder if he still thought it was fake after a 15 page neuropsych report and a 50 page eval with 20 hours of nterviews... plus an explanation of how weinterpole predictgive power and correlate with ends... skills, etc. because i know psychiatrists learn biology and remember neurotransmitters, sometimes you have to explain the psychometriics to ppl like him who cant function outside of consrained definition... meaning, he makes his patients life worse with more certainty, whereas I somehow think the dsm should be 10 pages and well... when you get in a 45 min argument, come back to work in the department and your their darling, and he starts being nice to you, well, sorry, you wouldnt be so nice to me if well... all the big honchos thought i was going to put their school on te map... also why you stic to simple cases, psychosis and severe bipolar... excuse to fail... you can succeed, but if u dont, its cool, try something hard, like trauma victims in war wit ptsd and residual GAD... talking to patients makes it easier, talking at them, well what do you do.... exaust first gens... finnish at thorazine... wow, what an expert.... ****... hwy not go with holloperidol... they cant be delusional if theyre asleep... of, also some of the slacker students... honestly, lets cut the crap, p/f is bs... 55-60, please, go for like at least a 75-80 also, sort of tired reading bs same stereotypes etc., same small problems same whining and compaining, like why? no one forced you to care why self-deceive yourself, what a waste i'm tired, and becoming very elitist no in life, only some things inverse curve relationships are paradoxically desirable you can actually be to good how ****ed, feels like the union except well, people die this time carryover work, cost of slacking then moreso, i make professionals look back im not talking students, frcpsc certified of course, only in my interests even so, thats quite pathetic, imo it's also, well, ironic, incompetancy pays too competant, then you're a threat like, your speech sucked, ontario lady i commend you, but, please stop i can't half ass things tbh either slack, or aim for best i couldn't represent a group nationally unless well, i expect to win life isn't a game, enjoying simplicites is great, we need to take a moment, to embrace the present but well, please think long, hard before you decide to carry others people think i enjoy looking smart honestly, i prefer watching soccer, playing you want influence, forget the clinic forget patient centred care, come prepared i find doctors arent often suited to be influential in politics... sigh they're too polite, unprepared, can't debate in summary: they lack killer instinct but, what do you expect really advancing in medicine means being passive often not mentioning preceptors mistakes, brownosing im not being critical, but seriously im not someone you enjoy debating as in, i know every fact i can pick apart rhetoric, easily i can manipulate tone, body language i'm argumentative and passionate, yet polite but reprieve, is more impression management politicians careers, meh, do i care a lot need to be removed and too many remain utterly complacent obsessed with getting big flashy residencies many pretend to give a **** it's annoying if you do care i am, seriously, very very good know many others where doing med means a pay cut for them usually psychiatry>clinical psych, b/c more money add stability, non-contingent on skill why should i work, countless hours and make less than pill pushers why would i, go to parliament my room mate did that already well, they didn't care much... seriously but i'm, well, oppurtunistic, and scary scary, as in, debating me... well i hope there are no cameras because i draw a crowd quick because well, i hate half-assing things seems as if students are delusional no one cares you're a gp tv wants a news story, controversy so when you arive, please remember you have 2 min, that's it if you're well, in muse mode essentially, i think politicians are nobodies very few impress me, jack layton linda duncan is another, however... doctors seem to think they're repeating med no one care's you're a gp you have 2 minutes, do something 2 minutes is enough time to well enough time to emplore something if you are anything but perfect politicians will easily have you removed if in 2 minutes, embarassment occurs as in, utter humiliation, media notices all of a sudden, controversy arises you have a story, public perception is now different, im not heckling the minister is now incompetent, uninformed and well, i like using emotion no longer am i a heckler disturbing a public event, social perception has completely shifted, kick me out and well, try blaming me, seriously i grilled you in just moments you now look incompetant, social psychology right from the beging, social scripts i just manipulated the social script i'm not self entitled, you're incompetant in addition, you're arrogant, be careful you think your party cares, really you're a pawn, in one day one public embarassment, under the bus and well, **** it, im arrogant but only because im very good i'm not sure about you, but it seems people want to care they want to make a difference but 2 minutes is your time 50 hours min preperation, imo then well, you're not interupting he's skipping out on his duties by being unable to answer questions questions he's probably never rehearsed, ever i'm a real nut, obscure minutia that's not something i consider extra that's a core expectation, arrogance again people don't get it though... one-dimensional lens do you think i care... prestige all this bull**** people need, why? you think writing a book's fun well, if you're interested, it is but like, i want influence, power i want to change our paradigms i teach refugees, guessing more experience than mr policy maker, law, sob-stories i've sat for 50 hours before reading legal problems, lol, lose... no not worth fighting, even for corporations i'm sure there are international violations and we all have this reverance for the un, i dont personally but like i said, who cares i play to win, and care pulling **** like that is risky i don't like risk on occasions when i really care, life changes my risk taking nature suddenly shifts when i start speaking, watch out phd's, md's provincial health ceos.. more they get freaked when words emerge i'm joe bloe, did he what what are his credentials, for real i guess 50 hours, that's weird even for ceo's making six figures then again, who reads two patents to try and have prov coverage for adhd meds ammended, finds forms and sets it out for doctor personal opinion sucks, patent evidence, **** no one goes that deep, lol maybe it's the adhd, who know's but i honestly feel like, well people put in mediocre work often everyone has a perogative in life what they want to do, achieve but please don't discuss huge issues or ***** and complain, do something i laughed when people applauded before that doc that spoke out, wow he spoke out, in plain sight that's very safe, lol, no biggie try shutting people up, and more and by more, i mean well i ****ed you corrupt mother ****ers wow, people suddently become friends quick i would to if a kid, lol just well ****ed my whole team lot more balls than dr whiner i guess i just find medicine the whole culture, just too complacent i guess that's why i'm intimidating 200 hours of legal work, happens what do you think ms gp... put into preparing her complaint, hours? i would guess 5, oh my no wonder docs thing meds safe put 200 hours into legal work you're just, well scary, and nuts sounds arrogant, but im critical still people joing stupid global health clubs mental health groups, to do what i did more with my group in undergrad... 5 years of funding and that's just the tip, others just run bs groups, don't care why schizphrenia, people would often ask i care, they get no recognition and honestly, they're heros for trying i qualify for rediculous grants yearly people with schizophrenia, inspire me imagine going to school, hearing voices thoughts implanted in your head, wow ironically, it's not a treatment interest more a human interest, for inspiration 2.0, and a short essay, easy adhd makes life annoying sometimes, keys especially 300 dollar car keys, lol not fun to lose, but honestly i feel guilty sometimes, i deal and honestly i deal very well if i wre schizpphrenic, frankly speaking there's a good chance i'd snap i doubt id live to 30 only thing that really scares me Quote Link to comment Share on other sites More sharing options...
apache Posted July 22, 2012 Report Share Posted July 22, 2012 bipolar, i'd deal, watching my mom though i'm inspired by her courage, positivity and well, these people... have lobbies? of course not, cancer, heart disease... these are the sexy illnesses. funding! i guess the schizophrenics don't lobby 1500 a month is tight afterall and thats a lot, it's alberta! but well, in terms of budgeting how economical is it... to ignore 8 percent of beds, all beds are filled with schizophrenics, some respond: it's an inevitability: no, it's not that's why i know everything... seriously why do i care... intelligent, dumb i'm smarter than 99 percent, whatever does it really matter... showing off that's not my style at all i know this minutia, for change politicians, doctors, planners, have fun, seriously i know everything in and out because i care so so much i am denser informationally than premeds interdisciplinarily is where i get scary within mental health, no bull****, seriously i've met one psychiatrist... more knowledgeable and i love the experience response idunno, 500 hours, plus mental hospital try dealing with refugees, not dealing earning trust, and advancing their skills do mental health professionals ever get... well, 6 hour discussions of trauma as in witnessing fiances murder, abroad withing 20 min of meeting someone i'll answer, it doesnt happen, ever what about cultural interaction, usually silence wow, contra, i get kids working not only that, they're excited, empowered wonder how many visited drug house got coke dealer to open up explain everything, and this: small fries rape, sexual assault, ptsd, did, schizphrenia borderline is fun too, like seriously theyre not hard to deal with they're a struggle, understand their experience and you change your view, everytthing blame and frustration turns to understanding i wonder how many other docs ask them questions, like, ethics.. lalala lol, wonder if it's unethical, well to say im a resident, watch and let me do therapy, my-god i don't have a license, sacrilage but well, im better than residents minus one i found very impressive so why not... success rate.. hmm? couselling attempted murder, 36 hours post. ughhh, obviously good, doc did assesment for cognitive abilities in elderly woman let me do it alone... yeah why am i that surprised, i've interviewed over 20 murders, sex offenders etc. i will admit though, kids... tough i have lots of trouble there communicating with people under 7, barrier... something i've never really excelled at adolescents... no problem, but kids... shoot but we all have diff skills that's why we have children's psychs i guess my frustration is evident lol, i almost feel punished, why? i'm too good, care too much my presentations are paradigm shattering... and they're all peer review, very tight sometimes i feel disdain towards others what makes you worthy, like seriously go into something more chill, seriously like, why is self handicapping, gone after only a year of therapy casual, of course, nothing to serious person had seen psych five years idiot prescrived dexedrine to counter drowsiness from escitalopram, it just not enough to know, prescribe this, for this explain geodon, versus risperedone, pharmacology, tradeoffs and no descriptions, i want receptors i also want side effects, fully no list, explanations as to why pharmacokinetics, comliance variability, when to check... for eps... what about abilify, when? what seperates it , gives compliance advantage my fave: concerta,dexedrine spanules, adderall sr adderall xr, altertec, dextromethylphenidate, ethylmethylphenidate (bonus) in fact, what's half life difference it ethylmethylphenidate... lysdextroafetamine... single peak, double, average half life why avoid dexedrine spanules in patients especially when there's no abuse history from concerta, to adderall xr, to lysdextroamfetamine exlplain variations in levodextroamphetamine composition, additionally: why are methylphenidate formulations less cerebral phenomenelogically speaking, a greater bodily awareness what are max doses... you're wrong especially if you read it somewhere adult doses are extrapolated from childrens which formulation should you use when... you have somatic anxiety, explain why what about racing thoughts... how come what is adderall xr's main advantage hint: think levoamphetamine and directed goals remember better steady state pharmacokinetics... seriously vyvanse markets that, but in patent language defined includeds non essential AA"S as conjugates, meaning legal deception, essentially is this fair? shire baught out generic adderall xr from teva, barr raised prices 500 percent, patient assistance no way, patents almost expired now raise prices from 50-250, freedom that's a nice euphomism, vyvanse... free temporarily i suppose, gotta keep patented right on front lines, corruptly, fraudulantlys most docs are lazy, exlain vyvanse please don't bother, im the expert notice breakdown products from daily dosing these have no cns side effects but pns, oh my, patents done 12 years before release, avoid cardio ****ed eh, we know already, profit that's what comes first, yeah, anger why wouldn't i be, im god seriously, you think docs can compete LOL, maybe phd psychopharmachologists, who knows maybe it's all my philosophy, arts comparing cmax amphetamine in adderall xr, vyvanse deceptive, levo-amp, 1/15th potency of dextro docs may know ****, but law honestly, the whole gamut, pathetic imagine seeing 5 neuros, empirical treatment you're research of course, anything less you then find your meds, gabaergic as your idiot neuro described repeatedly known to modulate medial rephne, 5ht-receptors the downregulated ones on v5 interneurons happen to synapse to gabaerigic, sensicle expains alapralozam and clonazepams differential efficacy as well, explains being cold, poor-smell but well, that regulatory area... lol it has 15 tracks... but some very ellucidated... finally, i found neuro and i found mechanisms allowing noise-to-signal-ratio to stay higher than normal, laymans: excess activity... 5ht2b downregulation, gaba-a lack of stimulation, promotion gaba-b funny, this links to an area known to be affected by psychodelics 5ht2b... lol, which is modulated by 5htc receptors, explaining why antipsychotics, ssri's tend to worsen condition, also well why lorazepam is useless... 2 years that's a long time, life sucked and i had it from begining why do you think i'm arrogant i'm sorry, i cured myself, finally and well, solidified the etiology, yeah there were boards for this condition many people wanted to kill themselves yeah, you know what i do when i wanna learn eeg, i read 4 textbooks on it... cool eh! and i should feel doctors, lol have any right to paternalize me i'm sorry, i'm not a neurologist i know neuroscience... brain to biochem all i need is 30 hours, period i don't lose, experts don't exist in my mind, they're just ahead give me thirty hours, shut up and really... do what i say i don't take orders any more i walk in, i dont ask i tell, try and stop me i will explain full physiology, pharmacology believe me, your a medicintre gp if i wasn't so patient centred and if i didnt get sick i'd have gone to uofc been top resident at uoft now i love when ppl believe rules you know why they said apply i outperform their 5th year residents how can a third year... struggle simple abuse cases... seriously, murder/rape... awkward if you're uncomfortable with this... why like why pay you, lol, did doesn't exist right, well, **** residents try two weeks of that, seriously with success... also, well... resident 2 you said you're bio oriented... so why is bio interventional knowledge poor explain the neurophysiology of adhd ptsd how is learned ubiquitous fear linked to depersonalization, im not asking schizo unless you know something, anything, please why is patient x bipolar... history long term depression, feelings of worthlessness exposed to violence at age 5 do you know any meth users that's a serious question, i do what do you think depression, adjusment-originative followed medicated with crystal meth binge what does that look like, think... atypical depression following mania... d2 and d3 they're totally fried, please d1, d4 please be ok, no acute psychosis these linear thinkers, believe in dsm hell, i do to, rough guide but the 1 page on adhd i read a 500 page text 1500 page book on anxiolytics, sorry ironically, meth abuse might respond... guess amphetamine, no joke, with adjunct skills we're so scared of stimulants, why? we just hear ssri's are safe you're a resident, 5 pages, right ive read thousands, venflaxazine... snri properties not at low doses, but high this can cause mania, rebound seizures why am i a student, and well tbh, far more competant, seriously you claim to be biologically focussed explain the new melatonin modulatings AD's what about g-coupled glutamate full antagnoists nice way to patent ketamine, money! also, why no memantine with stimulants there's a feedback loop, which well increases intracellular calcium, effects DAT transport also, add melatonin, cleaves dinitro-oxidase prevents overheating, which makes apoptotic phenomena well much worse... also whats NIMS if you do hospital psych, know! you don't patients losing tempregulation it causes death you know, lol also, bipolar with psychotic feaures... first? do we go 2nd-gen-antipsych, or anticonvulsant well, it depends, in europe, priorities they're different, first line AS's mean... 30 percent of schizphrenics, psychotic from pcp even high dose amps over period labeled schizophrenic, lose power of authorney psych confirms, because he's stupid, d1/d4 they just spike...that causes round well. 2 weeks psychosis, before rna expression get's to normal, having fun yet i'm never wrong, quetioning your competancy i definitely would, im better, seriously not by a bit, a lot i'm better than old psych too i suck at adolescent, but **** how would she feel, if well i explained biochem of 15 nutrients exquisite detail, all linked to pathology heterogeneous of course, syndromes and aeteologies sometimes don't match, but you know (no he doesn't, but i'll pretend he does... he's nice... he didn't know what selgeline was, but well, rare subtype is mutation in maob, or overproduction) what about sleep... antipsychotics, interesting choice why not clonidine, cenral imidazole/a2 agonist basically shuts down sympathetic, wut better? for stimulant induced insomnia... no zoiclone, please if you say that, you'll explain subunit receptor specificity of zopiclone... why? because people often use zopiclone, very carelessly zopiclone is not zopiledem, half lifes? potential for habituation, tolernace, your patient? problems falling asleep, or staying asleep? i stopped refering to adhd, btw. if you kept answering, well, wow clonidine was the right answer, 99% have you heard of ssre's... lol, ssri's, no these are much older, safer, effective tianeptine, predates prozac, by 20 years servier didn't want to blow 10,000,000,000 clinical trials are expensive, great fda clinical trials for a stage 4, lol 20 years after release, adverse events have any been reported, course not but if you're french, 11 euro sell abroad for about 40 euro remember, it's not considered a drug protecting ssri's and lily have costs but those french make a killingi'm not bs'ing, i'm tird of it, people think im joking when i say psychs are incompetant... not all, but honestly... if i learned basic things to look for in general medicine... have fun competing withme... i even helped disociative personality recover... 4 of them, with a dead girl in a closet... tell me if you see that in your life... doc... no, you prob wont... and treatment protocol, not in the dsm... b/c i 1/50 g clinicians see it... shoot eh, this is supposed to be easy... well no, it's not, no why people say psych is bull****, because you have a license and am incompetant, and im a piece of paper from billing a six figure salary you idiot... we need to get clin psychs handling the dirty stuff. and leave the psychosis, demntia to psychiatry... especially residents from psychoharm cowboy programs... i know psychopharm better than you, plus 10 therapeutic modalities... how many rape victims have you seen... or is that well, not medical enough, or should i say too nebulous and disturbing for your sheltred soul... o well, have fun causing diabetes, it's easy work, rape is much harder, but i have a hope of helping this person recover, you do to, but psychosocial interventions in schizo undermine your biological paradigm for your bread and butter bio disorder... so forget it Quote Link to comment Share on other sites More sharing options...
apache Posted July 22, 2012 Report Share Posted July 22, 2012 i'm just tired of being called arrogant, ignoring the doubleposts, thats only a facet of info... honestly... why i know this... i can even name receptor specific of chantix... and former stud smoking drug buprion people are like, no training, you cant know... not one person in that ****ing department has sat down and read the big apa 1500 page on anxiolytics... and thats one of many books... they all rady stahls prescribers guide... wow 150 pages of statements... im sorry.... 6000 pages total, i know more than you, some IM's I know don't know what lamotrigine is and I have to tell a guy his bread and butter valproate and lamotrigine have synergistic, potentially dangerous effects... and he's an as, pathological liar... lot's of things... all this in 10 min, but when you deal with drugged up psychotic people, i guess it gets scary when someone walks in and well sais, this is invalid for these reasons, don't test me, I don't deal with hacks, especially self aggrandizing narcissistic hacks with false senses of self worth... i.e. npd... either compensatory, or oblivious... but wait, that's deep, sorry, i'll keep it simple for you... well, good thing i was nice, i'd hate to have to deal with him kissing my ass everyday while i have no desire to be polite with him,, pick on me, have fun, you dont have a chance in hell, research methods, cultural psych, normative objectivity of criterion you're using to represent abstract charactristics... it's called construct validity... and seriously... checklists, like neuro, im not 10, if you even insult me by asking such a question i'll teach you about how your second gens are profitable replacements to first, and not much better, ill even discuss etiological variation, how to delineate via behavior to make better med choises... in adhd, well, gets easy, lol... but thats fake of course, i forgot, you want to hear 130 idiosyncratic symptoms, with explanatins about variaitons in brain neurbiology for each... because i can do that... i don't say neurochemical inbalance... you'' hear about everything, in excruciating detail, bcause well, i dont like how vulnerable patients believe you're authoritive bull****, and number 2, you're an oversimplifying idiot, with no more than a rudimentary understanding of neurophysiology than the famous paxil commercial popularized by mad tv... unless youd like to show me otherwise... cause like shoot, ever heard of the occipital lobe, you mentioned syndromes in neuro before... you may have an interest... of course thats complex, might be beyond someone like you's grasp.... and shoot, im afraid to talk to stupid govrnment leaders... this was an attending at hospital... have fun retaliating, study 18 hours a day for 3 tears and then maybe i wont encourage your patients to file malpractice, they cant see it, but the nuance i pick up, you're done, even down to temporal time criterion minimally required to make certain diagnoses... plus adhd doesnt exists... i'm sorry, depression, bipolar and shizophrenia dont exist you hack... a ****ing beck inventory checklist... working memroy seems to have higher replicability as well as correlation between the known etiology, of adhd... i am a bit of a freak though, my working memory is insane... it should be like 20th percentile... but shoot, that's all i've used for 4 years because of short term limitations... so well, my fluidity of thought is insane, as is well, my ability to generate synergistic original thought... and if i was uneducated and listened to an idiot like him, well i wouldnt have improved working memory 40 percent... because he's skeptical for neuroplasticity... well, ****, look at my neuropsych dumbass, it's not minor, its this brain changed... compltely... yeah, sorry dumbass, maybe you should teach mindfullness meditation, it's good for impulse control in adhdh, oh yeah you dont believe in that, just bipolar... i.e. 50 percent of the time chronic adjustment disorder induced depression with meth use and subsequent downregulation causing atypical depression... what that, does not happen, no, you just don't know any meth users... until i see someone in hospital for a week, ill never believe bipolar, to intermittent visitation to make diagnoses, and patients lie about potent drug use with rebound symptoms creating behavioural profile of bipolar..... ya, but yeah... people dont smoke meth... i know i dont, thats ape****... but seriously... you're client is in subsidized housing, and my professional friends snort amphetamine... so u think someone depressed, with feelings of hopelessness might not be doing that.... shoot you're really naive, i guess that's why i'm sort of good, when you're well, you, opening up to a met head is hard... takes me 2-3 minutes.... makes a big differene, you know social adapability... you cant do psychdynamic without trust... not even cbt... and seriously, ytu teaching trust in a book, you've had this man locked on risperidone for 3 days... he wants to talk to you why... you know nothing about his life, are judgemental, unempathetic, unable to view life through various lens... never used a drug in your life... im sorry, i read more than you, plus well, human experience... just give me my 200 k already... the reason i make good convo with homeless dude too, is i slept with him outside a heating vent once... you should try it, lot easier when you know wut being homeless is like, notice little things like scheduling appoints nearby... o god, this humiliating, im sorry, you're like 58, im 24, you must be having a crises... muse has outdone himself once again! honestly, some people here are wussies (in case the alern offends you lol) people talk and talk and talk think being a doctor means you well, are entitled to speak, **** both people in my mind, cool i never talk about myself ever but yeah, both those docs posted but an ounce of bravery, respect... that's something ill share, but seriously they seemed afraid of actually well, accomplishing something, try fighting one year privately, you and 5 hired lawyers then well, winning, it's easy, failing epecially in public, you're no threat no one will bother you, why? try being a legitimate threat, publicity lol, not at all, harsh intimidation the real heros arent on tv and the ones on tv... my they waste a golden oppurtunity... memories... lol, weird, but i hated that no one had values, true beliefs it's easy to cheer people on you know what's scary, publically speaking in addition, doing it well, effectively no one care if you're idiotic if u look unprepared, why bother you make docs look incompetant i sound like a hardass, ironically. i'm the most caring person actually why would i give a **** if i didn't give a ****... specialty of choice, top canadian res and i've realized, canadian grads... well they're safe... it's rediculous how well lol, people pretend my posts suck ironically, if i edit them, well thats what ministers read, and honestly if u cant respond to me good luck with a minister, seriously i write to ministers, get responses it's as if people live bubbled in a fantasy, cries of injustice procrastinating until their next move, again in reality, its tough, and easy to put it off, go unchallenged lol, my last writing: city hall front centre, the mayor enjoyed it it's like my idiot class, again 3.8, and well, dumb as bricks afraid to test their skills even for fear they might discover mediocrity well, of course you will, seriously absurdo ad reductuum, latin fun, seriously but only if it's used correctly seriously too, the schizophrenia thing, LOL you're either a zealot, or intimidated im guessing the later, many are iuno... if i go to ontario i'll do a speech, plus interview caring a lot doesn't mean **** unless caring, motivates you, to fight it sounds so rediculously arrogant, lol but the biggest thing, restraining potential is fear, and well, characteristically narcissistic i have no doubt ill well be the most influential poster here on a national stage, and supra-national i'm not saying i'm smart, lol my biggest advantage is, i win and what i mean, is well giving up, i dont lose, impossible you have to quite to lose you also have to take risks do i care about missing md not a bit, im very desirable but not academically, im good, very but im not at the top however, i want what i want and i've noticed, no one can match my work ethic, seriously i think because well, i care if i dont care, why bother hendrson likes to *****, and ***** well... do something then, make change i know i have the intelect necessary i find those guys unchallenging actually guess theres a big difference between: walking the walk... talking the talk lol Quote Link to comment Share on other sites More sharing options...
future_doc Posted July 24, 2012 Author Report Share Posted July 24, 2012 Experts blast asbestos mines in Canada. Unrepentant criminal Conrad Black has arrogance demanding to keep Order of Canada. Conrad Black has sense of entitlement, a criminal who is not Canadian. He wants to whitewash his crimes, and keep his head held high, while being corrupt, white collar criminal. Served his time, claims his innocence. He should be deported from Canada, being foreign national with criminal record. But money gives entitlement, privilege, access. Those with power don't give up. Toronto Intl Film Festival starts soon. Blueberry season starts early this year. Olympics started, some cheaters thrown out. Quote Link to comment Share on other sites More sharing options...
Robin Hood Posted July 25, 2012 Report Share Posted July 25, 2012 Why is no one talking about the current genocide happening in Myanmar? Quote Link to comment Share on other sites More sharing options...
future_doc Posted July 25, 2012 Author Report Share Posted July 25, 2012 Why is no one talking aboutthe current genocide happening in Myanmar? Insufficient media attention, not in news It's another lovely day in Caribeean. The PMs keep rolling in steadily. Some of us are up late. Mods chopping down active member numbers. So, getting rid of spammers quickly. Today was a nice rainy day. Quote Link to comment Share on other sites More sharing options...
Robin Hood Posted July 30, 2012 Report Share Posted July 30, 2012 Assad and the FSA, same sh*t. Quote Link to comment Share on other sites More sharing options...
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