Stupid doctors (weak rant)

Joseph F

Diamond Member
Jul 12, 2010
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There was this one time when I was in the ER of a hospital in Maryland and one of the doctors there was giving me a shot of Dilaudid. (YUMMY!!!) So, I asked him "What is the biological half-life of Dilaudid?" and he just gave me a confused look and asked back "Do you mean how long do you feel it?". *facepalm
 
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Alone

Diamond Member
Nov 19, 2006
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Why would you care what the half life is? He probably answered the way he did because he thought that's what you meant to ask.
 

Joseph F

Diamond Member
Jul 12, 2010
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I just wanted to know how long it would take for it to metabolize via IV. More of a curiosity than a really important question.
 

thescreensavers

Diamond Member
Aug 3, 2005
9,930
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Doctors are not chemists, this works for that ok. Give it to him. Maybe they might know but I would not count on it.
 

Jeff7

Lifer
Jan 4, 2001
41,599
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81
You also should've asked him if it's a good personal lubricant.
 

silverpig

Lifer
Jul 29, 2001
27,709
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81
That's like asking the guy changing your oil what its Reynold's number is on the pistons.
 

brainhulk

Diamond Member
Sep 14, 2007
9,418
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let's see, most normal people ask questions of how a procedure/drug will effect them. That's what the ER doc probably thought you were trying to ask.

not random/pull a question out of my ass type questions. those that do, are you usually seen in the psych ward and given a dose of haldol
 

coreyb

Platinum Member
Aug 12, 2007
2,437
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stupid doctors that spend 10 years in school after highschool....god medschool is so easy to get into.
 

alkemyst

No Lifer
Feb 13, 2001
83,967
19
81
wait, is the personal lube request because you and him are going to play doctor?
 

TheVrolok

Lifer
Dec 11, 2000
24,254
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stupid doctors that spend 10 years in school after highschool....god medschool is so easy to get into.

Closer to 12-15 :(

Also.. having the half-life of every drug memorized for off the top of the head regurgitation is, well, not really necessary in any fashion as a clinician. :p
 

alkemyst

No Lifer
Feb 13, 2001
83,967
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81
12-15....even with two 3 year residencies that's 10 years if you are talking 2-4 years pre-med school and then 4 years while in it prior.

What's the 15 year program, for the autistic?
 

ichy

Diamond Member
Oct 5, 2006
6,940
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12-15 would probably only really apply to surgeons. 4 years for med school, 5-7 for residency, another couple years for a fellowship (which most surgeons do nowadays.)
 

sjwaste

Diamond Member
Aug 2, 2000
8,760
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12-15....even with two 3 year residencies that's 10 years if you are talking 2-4 years pre-med school and then 4 years while in it prior.

What's the 15 year program, for the autistic?

Subspecialties, fellowships.
 

gorcorps

aka Brandon
Jul 18, 2004
30,736
447
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Why you'd expect him to know that, and think it's even important to his job is beyond normal thought. I'd have to dig deep within my brain to find the proper level of neanderthal necessary to figure out why you'd ask this and then judge him when he gives you a "go suck a big black dick" type of a look.
 

TheVrolok

Lifer
Dec 11, 2000
24,254
4,076
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12-15....even with two 3 year residencies that's 10 years if you are talking 2-4 years pre-med school and then 4 years while in it prior.

What's the 15 year program, for the autistic?

4 years undergrad, 4 years of med school, 3-5 years residency. That's 11-13 years minimum. Add any fellowship and we're talking another 1-3 years, taking us to 12-15 for many specialties and even longer for any sub specialties. Interventional cardiology, for example, is 7 post grad years, so 15 total.
 

vi edit

Elite Member
Super Moderator
Oct 28, 1999
62,385
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The pharmacist could have answered that off the top of their head. Docs spend a fraction of their schooling on drug theraputics, that's not their focus. Their job is to diagnose and suggest/provide treatment, not memorize drug metabolization.
 

h8red

Senior member
Jul 24, 2001
967
1
71
Hydromorphone undergoes biotransformation at the 3- and 6-positions in the liver. Involvement of the cytochrome P450 system in the metabolism of hydromorphone has not been established. At the 3-position, hydromorphone forms a glucuronide ether via UDP-glucuronyl transferase; greater than 95% of the dose is metabolized to hydromorphone-3-glucuronide. At the 6-position, hydromorphone is reduced to form dihydromorphone and dihydroisomorphone via NADPH dihydromorphinone ketone reductase. Dihydromorphone and dihydroisomorphone have been shown to be active in animal models but not in humans. The pharmacologic activity of the 3-glucuronide metabolite has not been established; although, in rat studies, this compound caused excitatory behavior including myoclonus, ataxia, and tonic-clonic seizures similar to the 3-glucuronide metabolites of morphine.[25632] In high doses, hydromorphone has been reported to cause excitation. Hydromorphone metabolites are primarily excreted in the urine; only a small amount of the hydromorphone dose is excreted unchanged in the urine. The glucuronide conjugate is also excreted in bile, but enterohepatic circulation is a minor excretion pathway. The half-life of immediate-release hydromorphone is 2—3 hours with a duration of analgesia of 3—4 hours. The mean half-life of extended-release hydromorphone tablets (Exalgo) is 11 hours.

ya, stupid doctors :eyeroll
 

purbeast0

No Lifer
Sep 13, 2001
52,841
5,716
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"weak rant" is an understatement.

lol the replies in this thread are full of win.

thread backfire.
 
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Farmer

Diamond Member
Dec 23, 2003
3,345
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What do you do for a living, Joseph F, other than making weak rants on ATOT?
 

TwiceOver

Lifer
Dec 20, 2002
13,544
44
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You're one of those douchey people that walks around asking questions that you specifically already know the answer to, aren't you?