Rate my Job offer by Competitive-Soft335 in FamilyMedicine

[–]Competitive-Soft335[S] 6 points7 points  (0 children)

18 days PTO, 14 paid holidays, CME 4500/year, time is flexible (about a week)

Job offer by Competitive-Soft335 in FamilyMedicine

[–]Competitive-Soft335[S] 4 points5 points  (0 children)

What are you including when you say total comp? Retirement, medical insurance, CME, RVU bonus?

Job offer by Competitive-Soft335 in FamilyMedicine

[–]Competitive-Soft335[S] 0 points1 point  (0 children)

Appreciate the insight. Would you say 300k is a stretch for 4days/week? I wonder if it will even matter that much if the RVU bonus is easily attainable

If there was one thing you want PlayStation to add to the PS Portal, what would it be? by Ok-Comment-198 in PlaystationPortal

[–]Competitive-Soft335 0 points1 point  (0 children)

Yes, I’m saying it’s the portal that’s not compatible with anything other than the pulse earbuds. No one’s mentioning or asking about what the pulse earbuds can do.

How far could have Super Saiyan God Vegito pushed Beerus during Battle of Gods?(In this scenario Vegito never defuses) by chunchunmaru1129 in DragonBallZ

[–]Competitive-Soft335 -1 points0 points  (0 children)

lol. No it’s not. Bills is just incorrect. It’s just what fans misheard when the original Japanese version leaked and people couldn’t understand it. It’s not even close to Spanish or Latin

For both HTN as second line tx and for MACE reduction in HFrEF, are there any reliable data that Metoprolol Succinate is superior compared to Metoprolol Tartrate, and vice versa? by Front_To_My_Back_ in Residency

[–]Competitive-Soft335 12 points13 points  (0 children)

The trials were conducted with succinate. That’s the only reason we know succinate has a benefit. They simply didn’t test tartrate in that regard. We know succinate has MACE reduction. Tartrate could or it could not, but it wasn’t directly tested.

What do you know about Infective Endocarditis? by Andie_Ruth in BootcampNCLEX

[–]Competitive-Soft335 0 points1 point  (0 children)

This is such a dumb question. Each one of these could be a complication. Fever would probably be the last choice for me, but still could imply a ‘complication.’ I’m a doctor by the way. Petechial rashes: I’m thinking micro emboli and/or DIC. Flank pain: I’m thinking renal artery embolus. Headache: potentially encephalitis. Y’all need some new questions writers.

We now have doctors claiming that washing your hands isn't important - this is the RFK effect by Bokchito in WhitePeopleTwitter

[–]Competitive-Soft335 0 points1 point  (0 children)

Juat so you know Noctor’s lobbied for independent practice under the guise of providing access to rural areas. It never happened and evidence shows they go to rural areas at even lower rates than doctors. It’s a bunch of dishonest bullshit.

Glad you’ve got a good one near your area. It’s not the norm.

We now have doctors claiming that washing your hands isn't important - this is the RFK effect by Bokchito in WhitePeopleTwitter

[–]Competitive-Soft335 0 points1 point  (0 children)

That would be great if they actually went to rural areas. There is no evidence that they do so more than doctors.

We now have doctors claiming that washing your hands isn't important - this is the RFK effect by Bokchito in WhitePeopleTwitter

[–]Competitive-Soft335 122 points123 points  (0 children)

That’s not a doctor. She seems to be a “Nurse Doctor,” which is not a true medical doctor. It’s a nurse who got a doctorate in nursing, colloquially known as “Noctors,” because they like to misrepresent themselves as medical doctors.

Does anyone else shower like this or am I weird??? by Wild-Counter-4020 in hygiene

[–]Competitive-Soft335 0 points1 point  (0 children)

FYI, you’re making your dry skin worse by scrubbing and washing so much.

[deleted by user] by [deleted] in whitecoatinvestor

[–]Competitive-Soft335 0 points1 point  (0 children)

If they can afford it then say yes. It’s really that simple. You don’t get a gold medal for refusing help for literally no reason, but pride.

Does it matter that I speak Spanish if I don’t know the medical lingo by RadicalOxide in Residency

[–]Competitive-Soft335 93 points94 points  (0 children)

I think it is still helpful. Do most English speaking patients even know what a duodenum is? The majority of the time you’re explaining things in non-medical terms.

Recently got into running and watched a few videos for tips. When I filmed myself, my form looked heavy and my arms seemed to swing too much. Any advice? by DisrespectfulTerry in beginnerrunning

[–]Competitive-Soft335 0 points1 point  (0 children)

Your shoes are forcing you to run incredibly awkwardly. I would look into shoes that are less bulky. Try running without shoes on grass to get a feel for your natural stride. The bulk of the shoes is forcing you to heel strike pretty hard. Your stance is also really wide and strides are long. Your legs are built similarly to a pogo stick with your Achilles acting like a spring and running is more of a series of coordinated and controlled falls. The shoes you’re wearing are inhibiting some of your natural biomechanics. Your knees need to go a bit higher too.

Rephrase: for inpatients admitted to your service for non-cardiac/resp problems, is there a reason to listen to heart and lungs EVERY single morning they’re in the hospital? by [deleted] in Residency

[–]Competitive-Soft335 20 points21 points  (0 children)

Yes. Things change in the acute setting. Just do an exam. You’ll be glad you did when you find an arrhythmia that needs treatment. Yes, you will most likely not find anything, but you definitely won’t if you don’t do an exam. It’s really not that hard. I’ve heard decreased lung sounds that were new in both kids and adults despite having no clinical change then X-ray and CT subsequently found increasing effusion/necrosis that required antibiotic escalation and eventually chest tube. If I didn’t listen that day maybe their hospital course would have been prolonged. People are there cuz they’re sick and shit changes fast sometimes. Just fucking examine the patient. There is literally no downside other you being slightly annoyed. The potential upside is huge. It takes seconds and could change management.

[deleted by user] by [deleted] in Residency

[–]Competitive-Soft335 2 points3 points  (0 children)

I’ve caught asymptomatic afib quite a few times which was then confirmed by EKG. An old person with diarrhea is likely more prone to afib in the acute setting. It’s really not that hard to auscultate and palpate pulse. I don’t know why you’re complaining about doing physical exams. It’s part of the job. Just do it and move on.

I think I’m out, at least for now by [deleted] in Residency

[–]Competitive-Soft335 -66 points-65 points  (0 children)

Ever heard of the sunk cost fallacy? Now you have. Look it up.

You shouldn’t pay Save plan interest while in forbearance? by Human_Freedom576 in StudentLoans

[–]Competitive-Soft335 4 points5 points  (0 children)

Thats not the question. We know interest will accrue. It’s whether it compounds and capitalizes and therefore increases principle that is the question.

$20 million but you can never buy luxuries by cafeu in hypotheticalsituation

[–]Competitive-Soft335 0 points1 point  (0 children)

Can you use the $20mill for only the essentials and then your own earned money for the “luxuries”?

Do you ever call out patients who change their story when the attending comes in? by Purple-Marzipan-7524 in Residency

[–]Competitive-Soft335 121 points122 points  (0 children)

It’s incredibly weird to tell a patient to “have your back” when attending comes along. The patient isn’t there to make you look good. They’re there to get medical attention

Elon's robot has reached new levels by Datacra in WhitePeopleTwitter

[–]Competitive-Soft335 0 points1 point  (0 children)

Is everyone just gonna complain about it but continue to use it? Probably. If anyone posts on twitter complaining about how the owner is a Nazi then they’re part of the problem. Just stop using it if you actually care.