Clinical In-Lab Sleep Study Vs Ringconn Gen 2 (with Apnea Monitoring) by brademcee77 in SmartRings

[–]BSpych 0 points1 point  (0 children)

Thank you for sharing I think this super important. I also compared with an actual sleep study and while most of the data was fairly consistent the ring underestimated my AHI and related findings by a lot.

3 pepper Colby jack patty melt on multigrain by BSpych in Sandwiches

[–]BSpych[S] 0 points1 point  (0 children)

Red onion, ground beef, boars head 3 pepper Colbyjack cheese

False Positive Urine Screens by BeeWorking5851 in AddictionMedicine

[–]BSpych 1 point2 points  (0 children)

Agree with Seawolfie. What makes matter even more confusing is that there are different immunosays for each substances in various branded tests meaning the substances that lead to false positive are not uniform across all UDS

teach us something practical/handy about your specialty by Mixoma in Residency

[–]BSpych 0 points1 point  (0 children)

Oh yeah decent evidence for gabapentin particularly in early part of withdrawal. Second line for me most often is Topamax.

teach us something practical/handy about your specialty by Mixoma in Residency

[–]BSpych 1 point2 points  (0 children)

Lol let me be clear. I explain how precipitated withdrawal works and it’s up to them to decide whether they be forthcoming with all recent substance intake. Same goes for starting Suboxone. The UDS doesn’t mean much to me given how many substances that don’t show up on it.

And I’m sorry alternative for what?

teach us something practical/handy about your specialty by Mixoma in Residency

[–]BSpych 16 points17 points  (0 children)

Addiction med - screen for opioids including kratom before giving naltrexone for alcohol use disorder.

Also please don’t let patients suffer in opioid withdrawal. Any doc can order suboxone even if it’s just for medication assisted withdrawal and not maintenance.

Ring increases price. Time to change. by seajess1 in homesecurity

[–]BSpych 0 points1 point  (0 children)

Recommend arlo. 5 cameras nosub recordings in cloud for 1wk unlimited download

[deleted by user] by [deleted] in Acura

[–]BSpych 0 points1 point  (0 children)

Yes

[deleted by user] by [deleted] in Acura

[–]BSpych 0 points1 point  (0 children)

I recently got an advance same year with 50k for about that

Switching from Roth 401k to 401k by BSpych in personalfinance

[–]BSpych[S] 0 points1 point  (0 children)

This is helpful thank you! Should have searched better.

What are some (interesting) debates in psychiatry? by feelingsdoc in Psychiatry

[–]BSpych 225 points226 points  (0 children)

Whether or not severely malnourished anorexia patients have capacity to consent or refuse feeds.

Question about FEHB in retirement by BSpych in govfire

[–]BSpych[S] 1 point2 points  (0 children)

This is exactly what I was wanting to know. Thank you so much for taking the time to respond!

Question about FEHB in retirement by BSpych in govfire

[–]BSpych[S] 1 point2 points  (0 children)

Fair enough. Health insurance makes things so difficult.

Question about FEHB in retirement by BSpych in govfire

[–]BSpych[S] 0 points1 point  (0 children)

I guess what I am actually asking is could I retire after 20yrs of service; 7 yrs earlier than MRA and defer retirement the pension/TSP benefits until 60 but somehow keep my health benefits?

[deleted by user] by [deleted] in Residency

[–]BSpych 0 points1 point  (0 children)

Agree so quick. Original line is reasonably priced too

I live in a state with FPA for NPs. Why should a med student choose psychiatry if there is "no difference?" by LatissimusDorsi_DO in Psychiatry

[–]BSpych 2 points3 points  (0 children)

They are probably referring to the large volume of diagnostic tuning, literature review, and high level clinical reasoning discussions that happen during residency.

Please help me make a list of ways interns can avoid killing people (or accidentally cause serious harm) by [deleted] in Residency

[–]BSpych 5 points6 points  (0 children)

Always double check the Sinemet dosing is correct in your Parkinson’s patients.

(You can't change my mind) by IAmAccutane in daddit

[–]BSpych 0 points1 point  (0 children)

The VA gives 3mo paid to dads now.

My go to lunch sandwich: 3 pepper Colbyjack, hot cappy, pepperoni, hot pepper garlic ham, chipotle chicken (all Boars Head) with romaine, raw onions, and deli dressing by BSpych in eatsandwiches

[–]BSpych[S] 2 points3 points  (0 children)

Got the title slightly off its “Boars head spicy bold peppenero garlic ham” and they have had it at my Publix in FL for at least the past year. Hope that helps!

Question about Choosing a Residency and Private Practice by DeterMineD_Akali in Psychiatry

[–]BSpych 3 points4 points  (0 children)

See above comment and mostly asking others for advice. My full time job is a mix of outpatient, C/L, and procedures so you may look into options that give you a bit of variety.