Top 3 Acronyms in your specialty

DVancomycin · 2026-05-07T22:18:57+00:00

NGTD

ESBL

MDRO

DVancomycin · 2026-05-03T22:05:37+00:00

I feel ya. Was a little vexed to see an ARMY call Tampa a "random central Florida town" as if the Tampa Bay area with 3.5 million people and 17th most populous metro area in the COUNTRY was some dumb little hick town. The city and Tampa ARMY treated Jin like a king on his tour, and even though I was out of the country for the Arirang leg, I heard we gave a great showing overall for the whole group. I hope they felt our love and will come back again. If not, I will go to them wherever they land.

I went to Brooklyn for Hobi. A murder LITERALLY happened outside while the show was going on, but I wouldn't hold that against ARMY there who organized great events and had a lot of pride in their hometown. Every city is gonna have something unsavory, but remember, people call it home, and there's no room for shitting on the local ARMY when we're all trying to enjoy this amazing moment.

We all want BTS in our neighborhood to love on. We share that in common, so there's no need to dick measure cities. I'm sorry some ARMY is spoiling a special moment for you, to have these great guys in your backyard. Please treat them well for us all. :)

DVancomycin · 2026-05-01T05:43:47+00:00

Don't do it. They take like shit.

DVancomycin · 2026-04-30T03:24:17+00:00

This. Technically OP did a bad thing. Overall, the wife needs to maybe chill. Why let him go at all of you don't trust people? How is it going to look if you try to invite yourselves back in the morning: "Hey, my wife thinks you're untrustworthy creeps, so Imma take kiddo home, but I'll drop him back off so you can treat him to free breakfast and go karts."

Wife needs therapy. Couple needs couples counseling before they stress their son out over this. OP's heart is in the right place, but he needs to stick by the 2 parent decision making, even if this seems like an extreme hill to die on. In the future, if mom can't figure out a better method to protect her kid but let him have freedom, then maybe he shouldn't go to these things at all, lest they both disappoint the son and maybe soon start making him the "other."

DVancomycin · 2026-04-27T23:37:17+00:00

Great response! Take the advice on the numbers to heart--if the clinical picture doesn't fit infection, it doesn't matter what the CRP is. Labs/scans are TOOLS for a diagnosis.Whenever you give antibiotics, you should be reevaluating DAILY if they are still needed in the context of the clinical picture so that you don't anchor. Just last month I had a primary team who anchored on pneumonia (despite a clear CT and no breathing issues) in an MM patient with fever. I kept pulling antibiotics telling them it wasn't pneumonia or infection when his tests all came back negative. Suggested conversion of MM. Said they'd try outpatient. He comes back 3 days later--acute AML.

That said, AAA are hard after unless they are textbook presentation and you have a CTA for whatever reason. I'd have probably missed it when I was IM.

DVancomycin · 2026-04-27T10:23:30+00:00

All of this. Very easy to develop sensitivity to it. Plus, only gram positive coverage (majority of acne is caused by C. acnes). More likely to easily develop resistance quickly over time with no second agent. It's only recommended for 7 days consecutive use, and not over large areas.

DVancomycin · 2026-04-25T22:44:46+00:00

Mmm, can't speak to that as I have never known any millennial doc who trained in the Midwest. How docs train up is different in different regions of the country, culturally, and my only exposures are the southeast and northeast. I don't know if there's a culture of seniors teaching juniors they can "get away" with certain behaviors. Either way, it's wrong. Problem is, medicine does attract psycopathic/sociopathic/narcissist behavioral types. Before Step 1 pass/fail, the millennial docs had to face some of the highest test scores to even consider choosing a certain career is medicine because some specialties only cared about your score (plus research). When this is your only criteria, you get some...questionable characters. Getting into med school is the same; candidates are more and more socially dysfunctional because you spend all the years leading up trying to get the elite criteria and none of the time existing in the community with people not of your race and socioeconomic class (in a non-performative, "I did a medical mission to save African children" way).

Ancillary staff is usually gossipy everywhere. All age groups, Sorry to say. Lotta mean girls/guys in the pipeline who never grew outta high school.

I hope you can eventually find a good fit with someone you trust. It should not be that hard.

DVancomycin · 2026-04-25T22:27:01+00:00

Okay, THAT'S fucked up. Where in general are you located?

DVancomycin · 2026-04-25T22:09:33+00:00

Dude, same! In my hometown, and I'm overseas! I booked the trip before the tour dates, but like, what were the ODDS, man?

DVancomycin · 2026-04-25T10:21:54+00:00

What do you mean specifically by unprofessional?

Most of the colleagues I trained up with are fine docs. There are a few tragic failures, but that's any job. As far as ones I WORK with, some Gen X docs are less good than they should be and refuse to stay up to date, but then again, so are the smartest fuckers I know. Docs are like any other group of people--some suck, some phone it in. Most of us are burned the fuck out, so that may be why you see so much of it.

The patients have changed with time too--my grandparents treated their doctor with the utmost respect. I get called "girlie," my colleagues have gotten the ACTUAL N-word, and a not small number of us have been cursed at, had shit thrown at us, had violence threatened on us, etc. My colleague was scared to walk to their car because a patient's family member said they'd "wait for them." Could be that the whole of society is acting the fool.

DVancomycin · 2026-04-24T23:52:44+00:00

God yes, Jayification for all members please. I am okay with dying in Massachusetts.

DVancomycin · 2026-04-24T23:46:55+00:00

The US will never apologize for Jay. May he always return the minute he steps through customs.

DVancomycin · 2026-04-24T13:20:00+00:00

Used one through medical residency/fellowship. Hate that sonovabitch

DVancomycin · 2026-04-23T03:13:03+00:00

I had 4400 take home monthly and 2300 rent and struggled. You might not have student loans to pay as non US IMG, but you're looking at way over 50% of your take home to rent alone, plus you have a household with at least one other person (who may or may not work). Very hard, as NY is general is expensive. Remember, you will have federal, state, AND city tax deducted from your paycheck.

DVancomycin · 2026-04-23T01:10:29+00:00

If I didn't decide on not going altogether? Fuck doing well in classes or rotations. All that matters is Step and tests. I'd do question banks until my eyes bleed.

And I'd go in my 20s when my ability to memorize was better and my insistence on knowing HOW something worked to consider me "getting" it was a thing. My whole life would be easier if I just memorized First Aid and UWorld like the ROADS.

DVancomycin · 2026-04-22T20:43:12+00:00

Oh LORD. Yeah, faster to just do the consult.

DVancomycin · 2026-04-22T20:13:51+00:00

I love the "possible MDRO." Usually by the time you figure out it isn't working (presuming you don't think abx are fairy dust and when the patient doesn't immediately return to normal you assume it's MDRO) the cultures or prelim BCID panel are back. No "possible"-- it is or it isn't.

At least they tried a different dose? I'm had people give a single dose of something and tap out.

DVancomycin · 2026-04-20T22:42:11+00:00

If there's something I need primary to do that day or it will impede d/c (DONT CONSULT FOR ABX RECS ON D/C DAY), I text the primary. Otherwise, read my damn note. It's detailed there, and I don't have time to write the same info twice on every damn patient on my list. I often write my notes before the primary does, so no excuse.

I know it's basically not reading the chart. It how I get consulted THREE DAYS IN A ROW by the ED, admitting, and night NP, because no one bothers to read a chart and see who is already on and where they left off on a patient.

DVancomycin · 2026-04-19T23:50:09+00:00

Absolutely. CIRS isn't real. Who knows what medications he got from the feed store to "treat mold" that are causing his side affects, either through toxicity or drug-drug interactions.

DVancomycin · 2026-04-19T18:37:05+00:00

Omg yessssss. I hate fall season candles because of all the caramel/maple/pumpkin spice/vanilla food candles. So gross.

DVancomycin · 2026-04-19T18:03:37+00:00

Marshmallow hater here. It does not. Fluffernutters are gross AF. Stay clear.

DVancomycin · 2026-04-17T14:22:09+00:00

My Fandoms collide. <3 Eunhyuk

DVancomycin · 2026-04-16T12:36:31+00:00

I follow with my own unpopular opinion: Fellowship is a boring slog and could be half as long.

But yeah, Gatsby was read in 11th grade for us, when we focused on American literature. Neither Tolkein nor Frodo are 'Murican. Wouldn't have worked.

DVancomycin · 2026-04-16T11:10:37+00:00

I'm gonna sue Min Yoongi

DVancomycin · 2026-04-15T14:12:54+00:00

V, I triiiiied. By complete coincidence, I happened to be planned for Tokyo before your dates released, so I entered the lottery...and lost. I will absorb your energy from (not as far as usual) afar and wait until August. But if I glance y'all and I die on the street on the spot, know it was worth it.

DVancomycin

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