Esophageal Varices
*Not JUST bleeding
*Not JUST propranolol. Can be carvedilol
*Carvedilol cuts risk of SBP by 50%
*Carvedilol cuts risk of ascites needing paracentesis by 50%
*Carvedilol cuts risk of DEATH by....75%!!!!!!!!!!!!!!!!!!!!
A 249β250 on Step 2 CK is considered average in todayβs landscape, but for non-US IMGs, it often isnβt enough. Even scores in the 260s are no longer a guarantee. Without strong US clinical experience, meaningful research, and the right mentorship or connections, matching remains an uphill battle.
In contrast, for US-IMGs, AMGs, and DOs, a 250 opens doors across many specialties.
Same score, completely different reality.
Medical consultation frameworks donβt always work well or as doctors might expect. When I use the ICE (Ideas, Concerns, Expectations) approach in consultations with patients and ask the patient for their opinion, I sometimes get the response: βYouβre the doctor. You tell me.β
Not enough people are talking about Raymun Fossoway
He met a dude on a weekend, realised he was chill, kept him fed and stood on business in a life or death situation against his own kin because it was the right thing to do.
He's my MVP this season.
The Game of thrones
The House of dragon
The knight of the seven kingdoms
Aegonβs conquest
Blackfyre rebellion
The Baratheonβs rebellion
We set for life. This might be the biggest movie franchise ever. HBO struck gold
Nothing wrong with prioritisation, a country should look towards securing the livelihoods of its people. At the end most UK graduates would reject offers from GP and Psych which IMG seem dominate in. As an IMG work hard and fill those spots if itβs in line with your aspirations.