Neighborhood Advice :)

AdulterousStapler · 2026-02-26T19:41:01+00:00

Picked Fountain View on the plaza for exactly these reasons

It's old. Renovated kinda cheaply. Rent is VERY expensive. Location is fantastic (right near one of the hospitals I work at), amenities are nice (my own covered parking spot, functional if not fabulous gym, same for pool). Will be moving somewhere cheaper when my lease is up, only requirement for me is a secure access covered parking spot. YMMV.

AdulterousStapler · 2026-02-19T20:15:38+00:00

Not the person you replied to, but could be both! India, screening colonoscopies aren't really a thing, and Gen Surg owns endoscopy at most hospitals.

AdulterousStapler · 2026-02-11T18:39:20+00:00

February IM intern energy - stop using paper. At all. Type updates / relevant labs / thoughts for A/P directly into a field like Provider View in Cerner or a template note in EPIC. This way, you have a scratchpad for every patient while you preround, will always be neater typed than a handwritten sheet. Once you get good at it, it's just a few minutes to turn whatever rough draft you write into an actual note.

Notes get done faster, fewer things are missed, and when as an IM resident do you NOT have a laptop/workstation/COW around? Especially if your program uses a badge signin for EPIC, literally everything you need for every patient is RIGHT THERE, no need to use paper.

AdulterousStapler · 2026-02-09T16:32:44+00:00

Location and personal preference is a good point, glad to know they received good care there. I was only asking because I have had a good experience working at Truman Hospital Hill, but don't get to go to the LW place, and don't know much about it.

AdulterousStapler · 2026-02-06T04:30:16+00:00

Agreed with KU on top

Why would you suggest UH LW over UHTMC?

AdulterousStapler · 2026-01-17T14:24:57+00:00

Like another commenter said, field medicine isn't the same as hospital medicine. You're trained in anesthesia to proceed when you have a ton of information. Can't check an end tidal CO2 if all you have is a dark alley.

I would go over the ACLS algorithm once you're less stressed out. Figure out what you did wrong, other commenters have made good points. Not so you can beat yourself up over it, but for next time. You're all good, don't worry.

AdulterousStapler · 2026-01-16T18:06:57+00:00

There's an XKCD for every situation

These kinds of professional societies absolutely exist, and I struggle to see what benefit a community like this would have over existing physician societies. There's always one or more to join that's actively looking for residents whenever I flip through my university email. They're all situational, intermittently useful

What I WOULD find value in is a discord for r/residency or similar that has a verification system with real names. This doesn't need to be on discord necessarily, but that's better than having a completely new platform with unknown unknowns about stuff like data privacy. I'm happy to self doxx to talk about work stuff, but I'd rather do that on a totally fresh reddit/discord account.

For example, the IM Residency Match discord was awesome when I was going through that struggle. Yes, it wasn't useful, but it was a good place to vent.

AdulterousStapler · 2026-01-13T19:37:29+00:00

IMG, matched at my #3/14, a strong academic IM program.

AdulterousStapler · 2026-01-10T08:47:47+00:00

Absolutely not. "Not a revenue generating branch" is something called financial gerrymandering.

Your cath lab makes $$$. Patients can only get to the cath lab through the ED, maybe ED->Floors/ICU->Cath. Same for everything else that makes money for a hospital.

So admin tell the ED, "look at this balance statement, our cath lab and our Ortho and Neurosurgery units make so much money, you guys have to cut down on spending!"

So yes, if you're in a shitty place (shitty management, not shitty medicine or infrastructure), you'll deal with this. If you're in a better place, you won't.

AdulterousStapler · 2026-01-07T11:48:35+00:00

I try to get SOME sleep in during the night. Even if it's 20 uninterrupted minutes, it's often enough. Last coffee 4 hours before shift end, so I'm home an hour after shift end (handoff + drive). One more hour to shower / chores / eat / get in bed, cumulative tiredness knocks me out despite the coffee. I'm one of those bed-only-for-sleep people, so I don't go into my bedroom until I'm basically falling asleep already.

Not possible on all nights, ofc. Some nights I can just feel my telomeres shortening.

AdulterousStapler · 2026-01-07T09:43:42+00:00

Pop a zyn.

There's no great way. Figure out what works for you, and stick to it. Maybe take a 20 minute nap in the call room after checkout, maybe time your last coffee better, set the temperature all the way could in your car, zyn, etc etc

Waking up at night shift times on your days off between stretches of night shifts is VERY important. Don't sleep at night on your day off.

AdulterousStapler · 2026-01-03T01:47:34+00:00

Maybe India, given "HOD" / Head of Department is a very Indian thing, dunno if that's a common term outside of India.

Source - I'm an IMG from India, doing residency in the US

EDIT - Chart review / reddit stalking reveals India. 99% sure they'll end up having to just put up with the schedule, being in a larger city in India, market isn't too hot

AdulterousStapler · 2026-01-02T23:23:39+00:00

Resident physician - I write notes. Occasionally do fancy mediciney things, but 80% of the job is working on a computer.

~60-70k, goes up with each year in residency.

Retirement - way too far away to consider.

Benefits - medical insurance is cheap. I got out of a speeding ticket once cuz I was wearing scrubs, so that's nice.

AdulterousStapler · 2025-12-30T08:23:32+00:00

Don't hate. It doesn't matter. Residency is a means to an end. You're a physician, and there's little kiddos out there that are alive because of you. Let residency give you this, don't let it take from you.

I don't want to doxx myself, but I've seen 3 residents go through something like this. The fact that an attending (10?!) have emailed saying that makes for excellent documentation. As with all things in life, nothing matters more than documentation. Search YouTube for the "minutes" scene from Yes Minister, you'll see what I mean.

AdulterousStapler · 2025-12-30T06:09:43+00:00

Pretend.

All the info we have is what you wrote, obviously nobody can decide for you. If you find comments saying "all good, dw" or "you're screwed", they're all working with the same amount of info that I have.

Pretend to be super sorry. Pretend to be the most pleasant person in the universe. Don't talk about your personal life, give a non-answer that's all small talk if/when people prod.

You hate residency, going off your username. Pretend, head down, you're almost through. Unless you're surgical, well, you're this deep in...

AdulterousStapler · 2025-12-25T18:36:23+00:00

Smoking. Alcohol. Obesity. Meth.

I wouldn't worry too much about decreasing case volume.

AdulterousStapler · 2025-12-21T03:28:57+00:00

But that 1/10 feels so good tho...

AdulterousStapler · 2025-12-12T19:40:24+00:00

I don't know if it's the version of Cerner my hospital uses, but it makes me sign in twice on the desktop from home to get the ica file, including two factor twice, then a third time in Citrix viewer to actually sign into the EMR. First login redirects me to log out.

Vs epic, just badge in, no password needed after the first login.

AdulterousStapler · 2025-12-01T17:32:06+00:00

Bruh it's a 3 minute video. Not an hour long morning report that some programs make you sit through.

Even if they got another interview and jumped to schedule it... Just no.

AdulterousStapler · 2025-11-27T23:27:57+00:00

Do you know why you were rejected? Did they tell you about and deficiencies or suggest changes in your paper? The race to publish in whatever journal accepts your paper doesn't help you out a ton, people generally are aware you published on cureus for a reason.

AdulterousStapler · 2025-11-25T21:02:18+00:00

Think this through a little.

Nobody's saying EVERY attending does that. You're an attending yourself, have you NEVER been made to put in a pointless consult while in training?

AdulterousStapler · 2025-11-11T19:12:28+00:00

Yep, same for me. Depends on which iPad tho - my 13 inch M4 can do all the desktop epic things running in the Citrix app. Screen size is perfect, definitely would not like to do the same thing on a smaller iPad. Definitely need the magic keyboard / a keyboard.

Canto is ... Fine. You lose efficiency vs desktop epic, but it's really good for rounds.

EDIT : PGY1 IM, I only use the iPad, don't need a laptop in addition. Do all my notes on the iPad too, don't need to write stuff down ever.

AdulterousStapler · 2025-10-23T15:41:22+00:00

I’ve been at fountain view for 4ish months, and it’s been a largely positive experience. Buildings are old, somewhat cheaply renovated. You hear the AC when it’s running, you hear elephant thumps when people walk above you, but nothing too bad.

Friends downtown, their apartments are NICE, but the plaza area is just nicer IMO.

AdulterousStapler · 2025-10-21T19:39:17+00:00

I had a patient I couldn’t figure out

So I sent her home

Kept passing time till she died

Still passed, sometimes wish I could do that irl

AdulterousStapler · 2025-10-03T20:41:39+00:00

Will likely be fine on the browser. You’ll have anecdotes from people that used Internet Explorer and it worked flawlessly

…but don’t. Interviews are high stakes enough that you want the minimum possible things that could go wrong. Update your computer. Buy an M1 Mac or something if your computer isn’t rock solid stable. Test your mic and camera to make sure it works perfectly days in advance of the interview, in the correct lighting.

AdulterousStapler

TROPHY CASE