u/TM06-Toplanner

hey everyone, I am a newer senna player sitting around emerald 3/2 and had a question. Currently I have been playing senna support going black cleaver first item, but I had a question: into lanes vs encahnters with good healing, how bad is it to delay first item BC to pick up early anti heal? TBH as a support player this is one of my weakest areas of gameplay as I struggle in identifying when to buy certain items like early game anti heal vs heavy healers in lane. Would love some help/ input on when to buy early anti heal (if ever).

I think I have a post talking about my situation in my profile but its private, so TLDR; Had to take a year leave to improve my health and study for STEP 1 cause of being unable to pass in house CBSE twice, Was doing poorly and was given an ultimatum to pass by june or be dropped. Test scores have been:

In house cbse in early 2025: mid 40s (triggered the LoA)

10./25/25: form 27: 51

11/24/25: form 28: 54

4/17/26 Form 29: 67% (thought i was doing great!)

Today 5/3/26: Form 30: 59%

I dont know if this is considered a "serious" situation compared to others, but the 8 point drop concerns me, considering i was in the pass. I heard that the forms 30+ are tougher, but i didnt expect that, is this a normal drop? Everything still seems to be in the low area, and areas i previously did well on where tanked here. My pharm has gotten a lot better but this one I felt i got tested on my weakest areas of pharm (I have trouble with cancer/ immune antibody based medications).

In terms of what I have been doing sine 4/17/26 (form 29):

uworld: 40 questions mixed + 40 questions mixed top 3 weakest areas.--> review incorrect (not sure if i am doing the reviews right). I would do more but between everything else (especially the anki time) I feel like I run out of time in the day (might be a personal issue here but I have increased it from 40 to 80q day already, I might be able to sneak another 20in if I have to).

Dirty medicine for biochem (almost done with his videos)

pathoma: read ch 1-3 already, focused on chapters that were my weakspot on form 29.

Started Biostats with randy neil

anki: 100 new cards of uworld incorrects/ First aid topics I have weak if i cant get anough uworld anki cards from the anking HY tags. + 100 new cards from sketchy (50 pharm/ 50 micro) a day should be done with seeing all the cards once in 10 days. I have added on Dukespathoma anki deck and adding 50 new q day of the dukes deck based on the chapter i have read/ annotated. rn i am at about 800 reviews q day, which takes me about 4-5 hours. idk if i should Stop or keep going.... i feel like I am wasting time, but I know my ADHD brain needs it.

I am stressed, i feel like shit, I feel like a disappointment rn. I am gonna go get something to eat and take a break for an hour, but come back and tackle it again with review. Much love to everyone

I think I have a post talking about my situation in my profile but its private, so TLDR; Had to take a year leave to imrpove my health and study for STEP 1 cause of being unable to pass, Was doing poorly and was given an ultimatum to pass by june 30th or be dropped (which means my test day is jun 11/12 to have reports before the 30th). Test scores have been:

In house cbse in early 2025: mid 40s (triggered the LoA)

10./25/25: form 27: 51

11/24/25: form 28: 54

4/17/26 Form 29: 67% (thought i was doing great!)

Today 5/3/26: Form 30: 59%

I dont know if this is considered a "serious" situation compared to others, but the 8 point drop concerns me, considering i was in the pass. I heard that the forms 30+ are tougher, but i didnt expect that, is this normal? can i still pass this exam with 4 REAL weeks of studying and then 2 weeks of only NBME content (as recomended to me by academic counselors). Everything still seems to be in the low area, and areas i previously did well on where tanked here. My pharm has gotten a lot better but this one I felt i got tested on my weakest areas of pharm (I have trouble with cancer/ immune antibody based medications).

In terms of what I have been doing sine 4/17/26 (form 29):

reset uworld: 40 questions mixed, 40 questions mixed top 3 weakest areas.--> review incorrects (not sure if i am doing this right)

DIrty medicine for biochem (almost done with his videos)

pathoma: read ch 1-3 already, focused on chapters that were my weakspot on form 29.

Started Biostats with randy neil

anki: 100 new cards of uworld incorrects/ First aid topics I have weak if i cant get anough uworld anki cards from the anking HY tags. + 100 new cards from sketchy (50 pharm/ 50 micro) a day should be done with seeing all the cards once in 10 days. I have added on Dukespathoma anki deck and adding 50 new q day of the dukes deck based on the chapter i have read/ annotated. rn i am at about 800 reviews q day, which takes me about 4-5 hours. idk if i should Stop or keep going.... i feel like I am wasting time, but I know my ADHD brain needs it.

Also before anyone says anything, I cannot afford an expensive tutor, so if your charging 100+ hr an hour safe to say as much as I would love your help I cannot afford it.

I am stressed, i feel like shit, I feel like a disappointment rn. I am gonna go get something to eat and take a break for an hour, but come back and tackle it again with review. Much love to everyone

Hey everyone, hope your doing well on your step1 journies! I am a student on a LOA planning to take step1 mid june. I have been studying alone since all my peers have moved on and its driving me insane. Would love to find someone/ a group to study with in the Los Angeles area. I have a car and am willing to drive 30-40ish min with traffic anywhere with downtown LA as the center. Would love to find someone to at least share the study space at a library or somewhere, we dont have to chat, just be nice to find someone/ somepeople in person who also shares my pain rn lmao.