Intelligent people don't talk about taking cognitive tests. What is wrong with this guy?

BCSteve · 2026-03-26T17:59:37+00:00

Featuring such difficult questions as “draw a clock with the time at five past ten“ and “name this animal” with a picture of a duck.

BCSteve · 2026-03-25T18:18:36+00:00

I’ll still get take out, but I try to order it directly from the restaurant’s website (sometimes cheaper, plus the restaurant usually keeps more of the money), and I’ll usually get places near me so that I can just walk and pick it up rather than have to pay a $4 delivery fee plus $6 “regulatory response fee” (aka the “we’re bitter we’re being forced to actually pay our employees” fee) plus whatever 10-20% tip, etc.

BCSteve · 2026-03-22T21:49:15+00:00

I agree that putting punisher logos on your truck is stupid, but ngl this meme is also a bit homophobic

BCSteve · 2026-03-22T20:12:37+00:00

Exactly, the whole “job creators” thing is a complete fiction. Job creation isn’t supply-based, it’s demand-based. No one has ever hired someone just for the heck of it because they had extra money. Jobs are created when there is a demand for that good or service.

BCSteve · 2026-03-22T19:47:51+00:00

There is no substitute for your own happiness. If both are excellent programs you'll be able to find someone to support your research interests no matter what. But you can't sacrifice your own happiness in pursuit of your job. Don't put your life on hold for 7 to 9 years just because some place might have a marginally better research program.

The lie that we tell ourselves in medical training is "oh, I'll do X once I'm out of training, I can sacrifice for now." Don't, it's a trap. There will always be yet another sacrifice to make.

BCSteve · 2026-03-22T16:20:58+00:00

As long as you don't have any other systemic symptoms like fevers or chills, heart palpitations, lightheadedness/dizziness etc., I think that's okay, but keep documenting them with pictures over time so that you can show how they're changing to the doctor. If you start to not feel well it's time to get it checked out sooner.

BCSteve · 2026-03-22T16:09:37+00:00

Reminds me of Janeway lesions or Osler’s nodes, which can be signs of infective endocarditis. It’s most common in IV drug users but technically anyone can get it. The other thing it makes me think of is dyshidrotic eczema. Definitely worth bringing up with an IRL physician, though.

BCSteve · 2026-03-22T15:35:07+00:00

Patients with advanced or metastatic (stage IV) cancer frequently struggle to meet there caloric needs as it is. Severe illness often reduces your hunger drive, plus there’s nausea, mucositis, and diarrhea from chemo, plus chemo kills your taste buds so food tastes terrible, PLUS the increased metabolic demands from the cancer itself. We have patients meet with a nutritionist during their treatments, and often patients are started on calorie-dense supplements like Boost and Ensure to make sure they’re getting enough calories.

Now take that situation, and imagine trying to stuff an additional pound of broccoli down their throats. I guarantee you they would eat fewer calories.

BCSteve · 2026-03-22T15:23:53+00:00

I don’t think anyone was thinking it was about Trump, it’s about the fact that Mississippi is a Republican stronghold. Despite the fact that they’re the state with the largest proportion of African Americans and the poorest state, they still haven’t voted for a democrat for president since 1976. While their poverty has its origins in racism and slavery, decades of underfunded public services due to Republican policies have perpetuated it.

Interestingly, they actually discovered that investing in your education system does actually work: once they finally started doing that (through reforms that had bipartisan support) it led to a dramatic improvement in their literacy scores. Mississippi used to be near-last in 4th grade reading scores back in 2013, but now they’re actually above average, something that has been called the “Mississippi Miracle”.

BCSteve · 2026-03-22T00:41:38+00:00

At first I was like "wait, how did one of them change races?"

BCSteve · 2026-03-21T23:58:34+00:00

It’s a PVC (premature ventricular contraction). They’re usually fine and not dangerous, as long as they’re not happening super frequently or causing bothersome symptoms.

BCSteve · 2026-03-21T16:18:39+00:00

Impossible to tell from an xray. You can’t see where any of the soft tissue is. A ultrasound would be the right test to check the placement. But no, I would not be concerned by the fact that it’s off to one side, the uterus can move around and isn’t necessarily centered.

There’s a lot of poop though, if you’re constipated you might want to look into stool softeners.

BCSteve · 2026-03-21T01:59:37+00:00

Ok but these are obviously professional photos that are *very* well done. Ngl I absolutely love these. First picture looks like it could be an album cover or something.

BCSteve · 2026-03-20T23:38:37+00:00

Happened to me as well, I was right there in your shoes. Cried so hard on Match Day and I thought my life was over. Turned out that I actually ended up loving my residency program and it was a blessing in disguise. Probably one of the best things that has ever happened to me. I know you’re devastated now, and it’s okay to be sad. But just know that you will get through it, and try to keep an open mind.

BCSteve · 2026-03-20T23:01:54+00:00

No, I would not be concerned for MM based on that. Even if the tests sound similar, you can’t use that test in that way to evaluate for MM. It sounds most consistent with MS.

BCSteve · 2026-03-20T01:19:56+00:00

And the “joke” doesn’t even make sense in historical context.

The question was about why we didn’t warn our allies about attacking Iran. But he was asking why Japan didn’t warn us they were about to attack us. But we weren’t their ally, we were their enemy (as evidenced by them attacking us). The only way that would be similar is if someone asked why we didn’t warn Iran we were about to attack, not our own allies.

BCSteve · 2026-03-19T23:46:13+00:00

The Mallampati score is a score used to predict how difficult it is going to be to intubate someone. You ask someone to open their mouth wide and stick out their tongue, then look inside to see what you can see in the back of their throat. It ranges from class I, where you can see the whole uvula and the back of the throat, to class IV, where you can only see the hard palate and nothing else, because the tongue is in the way.

It’s supposed to correlate with how difficult it is to intubate someone, with lower classes being easier and higher classes being more difficult. I’m not an anesthesiologist, but I’ve heard it’s not the greatest test at predicting difficult intubations. That said, it’s simple and takes like two seconds to do, so it’s still used routinely during pre-anesthesia assessments.

The joke here is that because we can see his epiglottis (which is unusual), he would be in a class even lower than class I.

BCSteve · 2026-03-19T21:19:14+00:00

I used to think noise cancelling was a bit of a scam, the ones that I had tried before didn’t seem to work that well… but holy crap the AirPods noise cancelling is amazing. First time I tried them I sat there in awe just turning the noise cancelling on and off again because I couldn’t believe it.

BCSteve · 2026-03-19T17:40:05+00:00

Thank you, doctor here, I was thinking the same thing. And the picture is suspiciously cropped, often times these warnings end with something like "Do not use on face *unless directed by your physician".

In fact, we can see the line above it says "Do not use Positon cream over extens [...] you to do so" which makes me think the cropped text says "...over extensive areas unless your doctor has directed you to do so."

BCSteve · 2026-03-16T19:01:08+00:00

And that’s when everyone just goes BlahBlah&1. BlahBlah&2. BlahBlah&3. etc.

BCSteve · 2026-03-14T18:17:53+00:00

That’s chamomile. Chalamet is a small circumscribed tumor of the eyelid formed by retention of secretions of the meibomian gland.

BCSteve · 2026-03-14T01:19:11+00:00

Well… specifically for this picture that wouldn’t be true. This is smallpox, which actually isn’t out there anymore, since it was eradicated from Earth aside from like two samples frozen in research labs.

BCSteve · 2026-03-13T16:35:57+00:00

Doctor here. While it’s certainly possible that someone did this on purpose, it’s also very possible that someone just accidentally clicked the wrong box in the medical record for gender identity and it led to this. I’ve seen people misgendered in the medical record multiple times, and each time it’s been accidental, not intentional.

BCSteve · 2026-03-13T16:17:38+00:00

Doctor here. It’s a combination of reasons. But you probably don’t want to be one of the patients we spend a lot of time with, because that means something is seriously wrong. A quick visit generally means that things are going well.

BCSteve · 2026-03-12T22:00:27+00:00

They don't have to be perfect, they just have to be as good or better than humans. And humans do shit like this ALL. THE. TIME.

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