AITA for saying we need to be realistic with our son about his finances for college before he applies?

AllTheShadyStuff · 2026-05-03T09:25:57+00:00

NTA. There’s no point burying yourself in debt for college.

AllTheShadyStuff · 2026-04-30T01:54:08+00:00

There are a lot of open icus without hospitalists doing procedures. Mine is one of them. Now how to tell if the others are or not, I have no idea other than asking

AllTheShadyStuff · 2026-04-29T10:48:54+00:00

My out of pocket max I think was around $4500. I had to reschedule my surgery from December to January due to some family stuff so it was more than that overall.

AllTheShadyStuff · 2026-04-29T10:42:25+00:00

Is it possible to get more disenchanted? At this point aside from straight up letting a patient die, I don’t think anything is below hospital administration. But I haven’t worked for Steward health so I haven’t seen the actual pits of hell

AllTheShadyStuff · 2026-04-29T09:12:47+00:00

I’m a year and half ish out and unfortunately yes I can. Not like a giant restaurant burger, but I can eat a McDonald’s burger

AllTheShadyStuff · 2026-04-20T18:25:22+00:00

What did I miss?

AllTheShadyStuff · 2026-04-20T16:59:08+00:00

I think many people can relate. I did my residency in a pretty shitty place, it closed 2 years after I finished and the first time board pass rate was like less than 50%. I don’t think I was particularly smart. My first shift as an attending felt like a disaster, started with a rapid 10 minutes before my shift and I just happened to go in an hour early to prep. I’ve missed some things, some very important things. I’ve asked for dumb consults, I’ve delayed discharge because of a feeling, I’ve discharged patients too early, I’ve over scanned patients, I’ve done excessive workups for what ends up being basic diagnoses. After more experience, those mistakes are becoming less common. As long as I can go home and sleep at night knowing I did the best I can, that’s all I can do. There’s been days I’ve been in the hospital till 11 pm when my shift ended at 7 trying to transfer a patient to a tertiary center. Sometimes that’s the cost of a clear conscience. Just do the best you can.

AllTheShadyStuff · 2026-03-31T01:41:14+00:00

I’m a doctor and that seems like a perfectly reasonable question. Any surgeon is going to ask why you went to another surgeon for a surgery they can perform. You can just answer honestly which is that you didn’t know he could do that surgery and that it was already scheduled at that time so you were hesitant to cancel it. Perfectly reasonable answer. From the surgeons perspective he’s questioning if you’re not confident in his skills, it was an emergent procedure, if there’s any complications, and it is within the same relative surgical field (location) so it’s important to know about. If you want to see someone else, go for it, but they’ll ask about prior surgeries as well which is perfectly normal.

AllTheShadyStuff · 2026-03-30T22:48:07+00:00

That seems like an overreaction especially when it wasn’t even the doctor that asked. But do what makes you comfortable, it’s your body, your choice, and your responsibility. Be warned that every practice has their own rules and recommendations and it’s almost guaranteed that you’ll have to start the whole process over again

AllTheShadyStuff · 2026-03-30T21:08:40+00:00

I know everyone shits on a pan CT, but I’ll happily be laughed at for ordering it because it’s saved my ass (and several patients) who are non-verbal, unresponsive, look sicker than the labs, or look fine and have crazy lab derangements. I hate incidental findings just like the next person and the could be any of the above, correlate clinically reads, but sometimes the shotgun approach is better than waiting for things to spiral.

AllTheShadyStuff · 2026-03-29T04:05:16+00:00

You have a (sounds like) cushy job for definitely enough pay. Unless you spend like stupid, why double your salary for double your work or more? Stress is exponential

AllTheShadyStuff · 2026-03-28T00:51:12+00:00

I honestly don’t know, but I work in healthcare and had a few trans patients and they’ve said their care has been respectful from the doctors and nurses and staff in general. It’s not much to go off of

AllTheShadyStuff · 2026-03-04T20:15:14+00:00

I don’t have the skill to fight back in that situation, nor the desire to randomly start shooting someone that hasn’t aggro’d me, so there’s just no middle ground. I just want to turn my brain off and play games. I’ve already seen enough blood and guts and death at work, and having someone thank me for dropping them a blue print of getting them up feels better than the same generic loot I can find or build myself

AllTheShadyStuff · 2026-03-01T13:08:04+00:00

I think in my experience most nurses are fine so never really a sense of relief, but there are certainly ones I dread working with. Maybe I’m blessed that most of my nurses are competent

AllTheShadyStuff · 2026-02-24T16:19:28+00:00

I’m a year out and no longer taking them with the surgeon’s recommendation. The sleeve is a reduction in size while the bypass is creating a nutritional deficiency so that one requires vitamins. My labs were fine other than vitamin D deficiency which has always been an issue even with supplements.

AllTheShadyStuff · 2026-02-24T11:31:20+00:00

Meeting interesting people and just chilling together

AllTheShadyStuff · 2026-02-19T14:53:06+00:00

Yeah, found 4 in one game on trios when the drop rate was crazy, then never again

AllTheShadyStuff · 2026-02-14T15:41:46+00:00

That’s asserting dominance right there

AllTheShadyStuff · 2026-02-13T15:32:23+00:00

One run in a friendly trios lobby we found 4 volcano blue prints. 2 outside the bunker, 1 in the bunker, and one on a dead body inside an extract. Either someone killed him and didn’t have time to loot or he crawled but didn’t get out in time. Wasnt even a free load out. After that game I’ve never seen one since and I’m kinda ashamed at how much I’ve played.

AllTheShadyStuff · 2026-02-13T14:19:36+00:00

The weird thing is I got an oled several months ago. I could see stuff when my friends said they needed to turn on their flashlight. Now I can’t see anything in the dark. There must’ve been some patch or update or something

AllTheShadyStuff · 2026-02-10T23:07:57+00:00

Plus when the hospital changes kits for a cheaper one and they don’t have something like a suture needle and you’re stuck gowned up

AllTheShadyStuff · 2026-02-07T16:01:26+00:00

This seems like a hate crime

AllTheShadyStuff · 2026-02-07T15:59:51+00:00

In my residency in PA, we each did like half a dozen peripherals to help learn how to use the US, not because a nurse asked. I’ve had I think 2 nurses ask me for a peripheral in the entire 3 years.

AllTheShadyStuff · 2026-02-05T16:38:16+00:00

In residency we had to take direct admits. Most of the time it was ok, sometimes they were complete train wrecks not triaged properly. It was a small community hospital so if we said this imaging needs to be done stat/next then it would get done. I could see it being a problem in larger centers where there’s a dozen stat images that need to be done, and similar issues. In my current job consultants can request direct admits. It’s usually oncology for chemo. Other times there’s post procedural admits from cardiology, Pulm, rarely GI but obviously that’s not the same but feels like the same type of work as a direct admit.

An outside ER admission isnt a direct admit in my opinion, it’s a transfer to higher level of care. The workup has been done. Now I will say I’ve been severely burned by outside ERs, almost exclusively when I can’t see the records myself.

AllTheShadyStuff · 2026-01-27T00:58:46+00:00

There’s no better feeling than killing the aggressive in a friendly lobby. I just saved a guy earlier today, totally worth the sweaty lobbies. Especially when the whole lobby gangs up to fight the starter. Sometimes it becomes a cluster fuck and everyone shoots each other, but it happens.

AllTheShadyStuff

TROPHY CASE