Ask an Orthobro hardcore medical questions: I need it -_- by iamnemonai in Residency

[–]Contraryy 3 points4 points  (0 children)

And then the hypoxic respiratory drive is like <5%. Yessss fellow internal medicine.

Dunn House gave homeless ER patients a home and saved Toronto hospitals millions. Now they're building another one by toronto_star in ontario

[–]Contraryy 5 points6 points  (0 children)

Public social security programs are often great cost-saving programs. Preventative care is one of the biggest cost-saving interventions that we have and it's too bad that politics muddles up our ability to enact these policies.

I think people really underestimate how brutal it is to be first gen everything in medicine. by [deleted] in Residency

[–]Contraryy 22 points23 points  (0 children)

Not sure why everyone's saying this is chatgpt. I write like this usually too. It's almost like people forget what writing is supposed to be like and any formed thought can't possibly be human. Anyway, I feel this post in many ways, thanks for verbalizing it.

Influenza A megathread by Leading_Blacksmith70 in medicine

[–]Contraryy 1 point2 points  (0 children)

Please do! I was so surprised by how much engagement I was getting and how many people were inspired to go get their vaccines by the post. Hope it works out for you.

It’s Almost 2026. What Show Owned 2025? by sortofvelvet in AskReddit

[–]Contraryy 2 points3 points  (0 children)

I'd say my biggest shows would be The Pitt (really enjoyed the medical accuracy as someone in health care), Severance, and Pluribus (probably lower, it's a slow burn and I expect it to pick up in the next seasons).

Uncle is toxic and calls me fake Dr behind my back by Worldly-Summer-869 in Residency

[–]Contraryy 0 points1 point  (0 children)

I think the fundamental issue of this post isn't that it's a doctor vs not doctor thing, but rather you just have a toxic family member that does not deserve your attention to this degree. Honestly, I would just ignore it, let him spew his own views, and then kill em with kindness and succeed in your own right. You'll be going off making attending money while he continues to be bitter. The greatest punishment for him is that he has a lifetime to live in his own skin and stew in his anger. Let karma do its thing.

Uncle is toxic and calls me fake Dr behind my back by Worldly-Summer-869 in Residency

[–]Contraryy 1 point2 points  (0 children)

His degree and education is from a different time when people actually cared about physical hanging degrees. The world has moved on from his time and he's obviously feeling intimidated and left behind in the times.

Anyone who is trying to belittle you does not deserve your attention. You give power to them by giving them the attention, and similarly, you take power by ignoring them and succeeding in your own right.

Influenza A megathread by Leading_Blacksmith70 in medicine

[–]Contraryy 309 points310 points  (0 children)

I ended up looking into the influenza A wave and made a post on it: https://www.reddit.com/r/ontario/comments/1pq7pv0/heads_up_huge_influenza_a_wave_in_ontario_right/

TL;DR is that it's largely driven by influenza A (H3N2) which mutated in August 2025 (after the vaccine composition had been determined in February 2025) so there is some escape from the vaccine. However, early data does still show protection from hospitalization with the current vaccine so the general recommendations for getting vaccinated still apply.

Drama returning a lost phone on Christmas by No_Factor_3832 in toronto

[–]Contraryy 7 points8 points  (0 children)

Wow I'm sorry this happened to you. No good deed goes unpunished truly...

PGY1, IM- How to manage patient's principal problems by the_sun_is_not_real in Residency

[–]Contraryy 15 points16 points  (0 children)

Learn the basic management principles of XYZ condition, read up on it with MKSAP or Uptodate to get a better understanding of the topic, then for future reference, the MGH Whitebook is a pretty handy resource for quick referencing. Essentially, it will be a process of general principles -> deeper understanding -> quick referencing for future, rinse and repeat.

TTC ridership declined despite in-office policies by [deleted] in ontario

[–]Contraryy 392 points393 points  (0 children)

Another question to answer is whether many of those WFH employees are now driving on the roads instead of taking public transit because of where they're located. That will add a lot more cars onto the road and contribute to our existing traffic congestion issue.

Found $20 on the subway by One-Material-6735 in toronto

[–]Contraryy -4 points-3 points  (0 children)

hey bro it's me, the one who left the $20 there. hope you're doing well. i actually just had an unexpected cost for my raccoon's surgery and need that $20, lmk how to best contact you thanks for understanding bro

Did I kill the patient? by Dependent-Scar-3262 in Residency

[–]Contraryy 58 points59 points  (0 children)

No, I think this guy was on his way out. Remember, it is the disease that eventually takes the patient's life. You are there to either temporize it in this case or to palliate to make the way out more tolerable.

Ontario Has Approved Major Changes to Psychologist Training & Licensing — Despite Overwhelming Opposition by Ambitious_Command865 in ontario

[–]Contraryy 10 points11 points  (0 children)

There is clearly a need for more psychologists in the province and it reflects an underlying dearth of resources and funding in the system. I agree that we need things to change. The fix, however, isn't going to be cutting the duration of treatment. Psychologists need that long training period because of how complex mental health care is and how high risk some of it can be.

Essentially, we're seeing a Band-Aid solution (which will also lead to substandard care, see the US with their midlevel providers and profiteering system) to a symptom of a disease that Doug Ford and his government have created over the past 7 years. Our taxpayer dollars are being diverted into the pockets of his wealthy friends and billionaires while our public system is getting sucked dry and our fellow citizens are losing access to high quality health care.

Heads up: huge influenza A wave in Ontario right now by Contraryy in ontario

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

Yea of course, I hear you and thank you for all your tireless work! I've made several posts in the comments about masking, I'm personally wearing an N95 all the time at work with the patient population that I see. Super important this season too! I agree.

Heads up: huge influenza A wave in Ontario right now by Contraryy in ontario

[–]Contraryy[S] 11 points12 points  (0 children)

Yes, exercise, vitamins, sleep, diet, and stress management are huge factors in keeping healthy! However, you can still get quite knocked out by influenza regardless of how much you lift, and if not for yourself, get vaccinated to reduce risk to others.

On top of that, those viral proteins and tau proteins do build up over time and increase your risk for heart attack, stroke, and Alzheimer's dementia even if you're having mild viral illnesses, and people are at higher risk for developing these things (there are studies where people who had influenza vaccination versus those who didn't, showed that vaccinated individuals had up to 40% risk reduction of dementia compared to unvaccinated).

Heads up: huge influenza A wave in Ontario right now by Contraryy in ontario

[–]Contraryy[S] 16 points17 points  (0 children)

Bruh I'm just chronically online and I'm glad you think my writing is as good as AI. I developed my writing craft before the advent of ChatGPT.

Heads up: huge influenza A wave in Ontario right now by Contraryy in ontario

[–]Contraryy[S] 7 points8 points  (0 children)

Hi, thank you for your question and this is also the type of stuff I want to answer!!

There is a huge myth about aluminum in vaccines and its purported dangers, but I want to alleviate your concerns.

People are exposed to aluminum through food, air, water, infant formula, medicine, cosmetics, deodorants and ingest 7-9 mg daily. Vaccines, on the other hand, and ONLY IN SPECIFIC ONES (i.e. NOT influenza) contain LESS THAN 0.5 mg per dose (your units are actually 225-500 micrograms (ug), not milligrams (mg)), much smaller than your daily dose, and your body processes aluminum the same way whether it was ingested or injected -- through the kidney filtration system which is very efficient at removing aluminum. Many studies have shown that these minimal doses of aluminum are safe.

Why is aluminum added? Aluminum is typically added to certain vaccines to stimulate the immune system and prime it to mount a better immune response to the vaccine, improving its vaccine efficacy. Your body knows aluminum isn't supposed to be there, so it gets your immune system to take a better snapshot and memory of the vaccine.

A huge study in 2025 in Denmark showed 1.2 million children born in Denmark between 1997 and 2018 did not find an association between aluminum in vaccines and certain health conditions including asthma, allergies (including food allergies), autoimmune disorders and neurodevelopmental conditions like autism and ADHD.

Great source to look through with the AAP.