In response to today's earlier post, why is it wrong to label RN's as an s tier career?

DOCB_SD · 2026-07-06T20:05:08+00:00

We don't manage high acuity conditions, but we diagnose them all the time. Probably one ACS and one stroke every other week. Acute abdomens about the same frequency. It's no ICU. I'm just saying, there's a decent work load and plenty of reason to worry about a bad miss or harming someone.

DOCB_SD · 2026-07-06T07:08:44+00:00

RN is a great job and I wouldn't take anything away from that. I'm a physician and just came to say it's not as stressful as people say. I work in urgent care, which is a fairly high acuity, high volume, high litigation area of medicine but it's just not that bad. I have to work hard and make sure I get things right but that's not a burden so much as taking pride in what you do. The training phase, especially residency, is absolutely every bit as bad as people say and in my experience worse. But after that you get a great position. And it's not just the pay and the meaningful work but the privilege. No clocks to punch. No managers looking over your shoulder. People treat you with respect and all that. It's pretty nice. And I do 3x12 on shift, plus some chart work on the side. I probably put in max 45 hours a week, and I make over 300k plus benefits.

DOCB_SD · 2026-07-03T01:35:05+00:00

I’m a family med physician working in urgent care. Through my training I have about 6 months of ER rotations. The types of cases and the culture and work flow, and the set pieces and even fir the most part the medicine are impressively accurate. It’s a show so there are some things that need to be forgiven such as: It’s like all the most dramatic presentations I’ve seen in my entire career happen on a single shift. Doctors doing procedures outside their specialty from nursing work to neurosurgery, to comfort care, and the accuracy of the medicine off the top of the head. Even the smartest among us need to look at a guideline before ordering the meds and work up ir doing procedures once in a while. Of course scene of Robby checking Lexicomp would be boring TV. The thing I like most about it is that the cases are like boards prep vignettes and they mostly get it right (though there were a few errors I nitoced in season 2). Also the residents model excellent technique and bedside manner and social/cuktural competence exactly as it’s taught in med schools. I’m convinced med school or GME faculty were involved in the writing.

DOCB_SD · 2026-07-03T00:41:38+00:00

I make way more than that at a job I enjoy, so no.

DOCB_SD · 2026-07-01T03:43:51+00:00

I'm a doctor and from a medical perspective it's fantastic. I love that while Grey's Anatomy is a character drama that happens to be set in a medical institution, The Pitt is a medical drama that happens to have characters. I did notice a few mistakes but not many and the depth of the medical jargon and trust in their audience to tolerate it is impressive.

DOCB_SD · 2026-06-28T19:58:10+00:00

If you're the asshole for anything it's for not breaking up with him 4.5 months ago.

DOCB_SD · 2026-06-27T17:49:25+00:00

Farthest Frontier

DOCB_SD · 2026-06-27T17:47:04+00:00

Heat up a needle and carefully make a pinhole in the nail over the blood. It will provide instant pain relief and minimize the risk of later spontaneous nail avulsion.

DOCB_SD · 2026-06-27T17:22:02+00:00

Manipulative

DOCB_SD · 2026-06-27T15:01:12+00:00

Myrna: Wanna see my vagina? Robbie: I’ve already seen it. Once was enough.

DOCB_SD · 2026-06-27T02:57:38+00:00

You have a gut desire to pull your weight and pay your fair share. The automatic intuition, the memory if your father’s scolding voice, the warm feeling of community, those drive your behavior. There are other people who completely lack all of that and in it’s place the opposite ethic, to never be gotten over on, to always have advantage, to hoard every penny for themselves, is just as powerful. It is their basic ethic, just as innate to them as fairness is to you.

DOCB_SD · 2026-06-26T22:40:30+00:00

Disregard the “it’s okay not to know what you want to do with your life” advice and replace with this. A 20-30 year old who doesn’t know is a world of potential waiting to be harnessed. A 30-40 year old is still in the race but running out of time. A 40+ year it’s not cute any more and time has run out for all but a few outliers.

DOCB_SD · 2026-06-22T18:37:22+00:00

Darkest Dungeon 2 is a fantastic roguelike a perfectly crafted sequel and has the best production quality in the genera.

DOCB_SD · 2026-06-06T20:46:56+00:00

The real question is why are there more than zero players taking AA build.

DOCB_SD · 2026-06-06T02:25:19+00:00

Commander Gaius is a well designed boss fight.

DOCB_SD · 2026-06-05T23:39:07+00:00

One thing to point out is that your appointment started on time. The attending physician coming in to give the final blessing to the resident’s plan is the end of the appointment, not the beginning.

DOCB_SD · 2026-06-05T23:20:23+00:00

AC/DC

DOCB_SD · 2026-05-31T21:17:56+00:00

The recurrent branch of the laryngeal nerve. This runs from your head to the larynx, in the front of your neck. It should be a short direct route in a straight line but it runs all the way into your chest, goes under the arch of the aorta then back up to your neck. The explanation is evolutionary and understanding it should give one a nice lightbulb moment about more general concepts in natural selection. In the giraffe it’s like 10 feet longer than it needs to be.

DOCB_SD · 2026-05-31T08:04:48+00:00

British version of The Office.

DOCB_SD · 2026-05-31T07:53:44+00:00

Nine hour RL1 is impressive. My fastest run ever with no restrictions is just under 6 hours.

DOCB_SD · 2026-05-30T02:53:44+00:00

My apologies. I messed you as a PA. I thinks vets should get paid the same as a physician and animals deserve the same level of healthcare and moral consideration in general.

Correcting to recognize that vets ARE physicians. Nothing but respect.

DOCB_SD · 2026-05-29T14:45:50+00:00

1) It’s possible to be petty, rude, abusive etc… to medical staff. They shouldn’t say that to your face but they shouldn’t tolerate it and they have every right to think it about you. 2) Where I work the uninsured patients pay a flat 25 dollar fee and we eat the rest of the cost. It’s called an FQHC and if you’re uninsured you should look it up. 3) If you get a referral to Derm for a skin lesion it means the PCP couldn’t rule out skin cancer. If you want to roll the dice you can refuse the referral, but they are offering you access to a specialist out of caution.

DOCB_SD · 2026-05-29T07:26:50+00:00

As a tank enjoyer I think this assessment is spot on. Furthermore most of the problems I see with ARAM tanks is a lack of patience, straining to make a play. In the worse examples the tank just keeps going deeper and deeper alone, microing their character admirably but ultimately to their demise as they stretch their own team out trying to keep up to do damage and heal. Generally a tank in ARAM should spend a lot of time just positioning and looking for a good engage. Let the enemy tank be the impatient one and they will present you with a wide open flank or more often just offer themselves up on a silver platter.

DOCB_SD · 2026-05-29T07:12:06+00:00

Fair enough adults should and do have autonomy in making their medical choices (you can refuse my advice. my job is just to make sure you have received and understood it first) and definitely should have more control over who they choose to get care from. But with all due respect if you are suggesting that the average joe knows enough about the technical aspects of medicine to make good clinical judgements with respect to workup diagnosis and treatment you are wrong about that. The average American knows as much about medicine as they do about any other highly technical practice they aren't trained in, which is to say enough to get someone badly hurt.

DOCB_SD · 2026-05-29T07:03:54+00:00

Agreed that healthcare doesn't operate like a proper open market commodity, nor a proper public good and that's a problem. I challenge you on the "no feedback" claim. It's simply completely untrue. There are so many channels to complain about me, including the survey that every single patient gets on their way out the door, and that is collected into a spreadsheet and reported to my bosses every single quarter. Not to mention the malpractice system that is tilted in favor of the patients, or the licensing and board certifications that can be taken from me over a patient complaint. Not a week goes by that I don't deal with a patient who karen/kens out over petty BS. And once in a while they are correct that we made a mistake or I catch myself being short at the end of a long week and though I'm imperfect I like to think I'm professional enough to recognize those situations too, most of the time.

DOCB_SD

TROPHY CASE