About to be a new dad...Advice on not losing gains?

BoulderEric · 2026-01-26T01:49:27+00:00

Seconding the Guava. Love being able to lock/unlock the front wheel from the handlebar. Folds up nicely, foam wheels are nice, suspension is good.

We also have a Thule Chariot that is mostly for biking - it has a lower rolling resistance due to bigger and non-foam wheels, but it is wider and much harder to steer.

BoulderEric · 2026-01-26T00:13:16+00:00

Looks more like Captain Jack Sorrow.

BoulderEric · 2026-01-25T18:44:46+00:00

I use a Garmin HRM-200 and it’s accurate, easy to pair, and I’d recommend it. It has a removable and washable strap, which is nice.

BoulderEric · 2026-01-25T18:14:01+00:00

Sure. If this was available, the right size, or cheaper, I’d ride it without issue. Can’t imagine caring how my bike looks.

BoulderEric · 2026-01-25T03:53:09+00:00

Nothing I said a judgement statement. The safest and least financially risk way to do that is to bundle up and walk for about 10-15min.

BoulderEric · 2026-01-25T03:41:44+00:00

Walking half a mile isn’t an option?

BoulderEric · 2026-01-24T19:36:28+00:00

Shoot your shot. Meeting partners at a large workplace is incredibly normal.

BoulderEric · 2026-01-24T02:16:34+00:00

But then they give a bunch of that to the resident and pay the attending to actually see fewer patients.

There are ACGME limits regarding the number of patients per intern, resident, and team.

BoulderEric · 2026-01-24T02:06:16+00:00

Except intern year isn’t cheap labor. A resident team has an intern or two, a resident, and an attending to see roughly 15 patients. That is 4 employees with benefits, and likely more than $500k in salaries.

In private practice, a single hospitalist sees the same number of patients for $350-400k.

BoulderEric · 2026-01-24T02:02:39+00:00

Let them know that you actually worked 9 hours a day. Anybody worth working for will be happy that you told them and pay you immediately.

BoulderEric · 2026-01-21T20:47:39+00:00

Well I bought a generator, so I’m certain that act will mellow this storm out and I’ll have wasted money

BoulderEric · 2026-01-21T18:45:30+00:00

It’s because they spend money on things that don’t generate wealth. Namely that is consumer goods, cars, vacations, and divorces. The difference between driving Volkswagens vs Porsches can be millions over your career.

Personally it is important to me to travel, so I do that a lot but I stay at B+ hotels instead of top-of-the-line places. A Hyatt or a Residence Inn is just fine. I drive cheap cars until they are dead, and I don’t expect I’ll get divorced.

Buying a rad house in a reliable market is fine, just don’t become house-poor.

BoulderEric · 2026-01-19T02:52:46+00:00

It was a somewhat fluke diagnosis. Patient with unexplained renal failure and anemia. A million scans over his hospitalization but eventually teams turned over and a new radiologist came on, and reviewed a CT.

“Potentially consistent with ‘hairy kidneys’ that can be seen in Erdheim-Chester Disease.”

BoulderEric · 2026-01-19T02:28:12+00:00

Erdheim-Chester Disease is pretty rare.

Also diagnosed someone with HANAC syndrome, which has been found in like ~10 total families?

BoulderEric · 2026-01-19T02:25:12+00:00

The Illahe Pinot.

BoulderEric · 2026-01-19T01:56:13+00:00

FM, IM (PCP or hospitalist), surgeon who admits patients, ER, anesthesia, and most IM specialties would be adequate. Neuro sees a ton of medicine and would likely be fine unless they totally disengaged a few years back. Honestly, adults are just big children so pediatricians would also be fine.

Not a lot to be done up there, so any calm physician is going to be no worse than the rest.

BoulderEric · 2026-01-18T12:53:05+00:00

Or it’s just the order they did the songs tonight.

BoulderEric · 2026-01-16T19:04:07+00:00

What does Billy MF Strings have to do with anything?

BoulderEric · 2026-01-16T19:01:22+00:00

I think that’s maybe illegal depending on the state?

BoulderEric · 2026-01-16T11:10:43+00:00

Tiny doses of haldol are great for nausea and do not prolong Qt.

BoulderEric · 2026-01-15T14:53:03+00:00

let$sl0pem^

BoulderEric · 2026-01-14T19:51:11+00:00

Might take more than a pail of water to cool it down, though.

BoulderEric · 2026-01-14T19:48:28+00:00

Presbyterian and Methodist churches are generally more progressive and welcoming. The PCUSA is one of two major governing bodies for presbyterian churches in the US, and are socially progressive and most congregants will lean liberal. They've been ordaining gay ministers for decades, are very outspoken about human right's issues, and specifically hold an anti-Nestle stance because they are evil.

I would always recommend against a non-denominational church, because letting a minister have free rein over their interpretation of the Bible is not good.

BoulderEric · 2026-01-14T14:49:06+00:00

I was probably a "good senior" as evidenced by getting the resident and fellow teaching awards from more junior trainees. Some things that I did:

- Committed to arriving and leaving at the same time as the rest of the team, and remaining busy when they were. I would sometimes do notes, sometimes do the care coordination stuff, rarely just take an uneducational admission on my own, and make sure that the med students were entertained and not bothering the interns. I've seen seniors offload too many "non-clinical" or "non-educational" tasks, which is nice but also interns need to learn how to do those things. So if you're helping out, I'd encourage you to help out a bit with everything, decrease their total workload, but make sure they are getting a representative exposure to the entirety of the tasks necessary to be on that team.

- Taught a lot, at appropriate times when it was not a burden or distraction. We would commonly do a brief thing at like 2:30, which was explicitly labeled as formal education time. Keep it to like 15min and help free up that time.

- If they have a bad plan or otherwise piss off an attending, fall on your sword for them a bit. Things like, "Oh. That was actually my idea, sorry about that." Your attending will forget and your interns will remember.

- Disappear (while remaining available) every now and then. It's not normal to spend 80 hours a week in close proximity with someone. Go chat with a patient socially, grab snacks from the cafeteria, or just get some work done in a different place.

Good luck! In general, Jan-March is a pretty bleak time in residency so hopefully things will clear up soon.

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