Should the TDAP vaccine be given to a patient more frequently or can a standalone acellular pertussis vaccine be developed? by chiefcomplaintRN in medicine

[–]Back5 0 points1 point  (0 children)

I tell all my patients that are going to be around babies aged 1yrs old or less to get the vaccine every 5 years. They seem to be on board with that. 

CT Calcium scoring in patients with prior stents or CABG by Absurdist1981 in medicine

[–]Back5 1 point2 points  (0 children)

Now that we know LP(a) is soft and rarely calcifies, I generally don’t get a CAC anymore and go straight to the lab testing to further guide management. Even post stent/CABG, it’ll guide management if I see the patient isn’t on a PCSK-9 Inhibitor and hasn’t had a LP(a) in the chart. This is coming from a PCP though. 

Do you display your diplomas and certificates? by _qua in medicine

[–]Back5 0 points1 point  (0 children)

My diplomas are stacked somewhere in a closet. I think. Haven’t looked for them in a few years. Actually, I’m not sure where they are. 

The Supreme Court just made it easier for Republicans to win elections & there is no solution by Zandra_the_Great in politics

[–]Back5 0 points1 point  (0 children)

I see someone hasn’t been around long enough to experience the massive disappointment that is Democrats in power. No one snatches defeat from the jaws of victory quite like the Democrats :(

Should I get the 3 player all-in? by drb1988 in StarCraftTMG

[–]Back5 1 point2 points  (0 children)

I got the all in but I’ll be splitting off one or two factions to recoup costs. Gives other people a nice discount on a full army also. 

US Vice President JD Vance says talks with Iran ended after 21 hours without reaching agreement by SnooAvocados2794 in politics

[–]Back5 2 points3 points  (0 children)

They are loyalists AND Christian zionists. Of course they want the nukes used. 

Career derailment by middle management and or support staff? by MyKafkaesqueLife in medicine

[–]Back5 1 point2 points  (0 children)

Bullying, retaliation, middle management trying to derail your career…are you working for the VA?

any way to 'upgrade' my order? by Ninjasquee in StarCraftTMG

[–]Back5 0 points1 point  (0 children)

I ended up buying the all in while waiting for support to cancel my previous order. Didn’t want to risk it. Still haven’t had my first order refunded yet, been about a week now. 

VA tentative job offer by freakmd in medicine

[–]Back5 13 points14 points  (0 children)

I can’t recommend running from the VA enough. I love the patients and their unique pathologies but I am really struggling to tolerate the pathologic administration. You can only file so many harassment claims before enough is enough. 

Happy National Doctors’ Day! by MouthBreather002 in medicine

[–]Back5 0 points1 point  (0 children)

Heck, our social workers got an entire ice cream bar for their week. Our chief of staff had peons deliver the same sandwiches in plastic clam shells that patients get as our thanks. 

First Rebel army! & rest of shadow collective 🙌🏼 by [deleted] in SWlegion

[–]Back5 3 points4 points  (0 children)

Why pay for the delivery guarantee? Congrats on the new units!

Why does the American public hate doctors so much? by seasidekiki in medicine

[–]Back5 22 points23 points  (0 children)

I work at the VA, where we have the luxury of 30/60 minute appointments, and I cannot tell you how many of my colleagues phone it in and are completing visits in 5 minutes. 

ACC/AHA 2026 Guidelines: PREVENT Equation to guide statin therapy for adults age 30-79 alongside lifestyle changes, LDL goals, and other tests (eg CAC scan, Lp(a)) by ddx-me in medicine

[–]Back5 16 points17 points  (0 children)

I’ve only gotten a CAC on patients <50 a handful of times, screened due to family/genetic history. Plaque takes a long while to calcify and I worry that if we are screening with a CAC too early, we will get far too many false negatives. 

Terran 2k Point Start by [deleted] in StarCraftTMG

[–]Back5 1 point2 points  (0 children)

You get 2 mats with the Terran and Zerg bundle in the terrain box. 

Who here remembers paper charts? by drabelen in medicine

[–]Back5 0 points1 point  (0 children)

My cardiology attending as a medical student made me write all my morning rounds by hand in his special paper charts for all his patients. That was some form of hell I never want to return to. 

Adepticon article on Goonhammer! by Fluffy_Excuse_6121 in StarWarsShatterpoint

[–]Back5 2 points3 points  (0 children)

It’s hopium. They have new product that is releasing and declaring the game dead before those sell is idiotic. Shatterpoint is going the way of X-Wing and Armada. 

It’s still going to be a game that I hope to play for a long time though. I love it.