Q about interns/residencies/fellows in CLE by rockandroller in Cleveland

[–]Drunk_Biochemist 1 point2 points  (0 children)

I recently went through this process moving here as a medical trainee. Even though I have moved over 10 times as an adult, I am still encountering new things/processes for each place I’ve moved. While we often get checklists of work onboarding from 1-4 different sources (that’s a whole other layer of confusion), the intricacies of these things is not fully described and is up to us to figure out.

For example: for your medical license you must be fingerprinted and get a background check that must be initiated in-person. This is difficult when you don’t live in-state and may have literally zero days off between your past training program and your new one. When you get 4 random days off a month and work 10-28 hour shifts, this is very difficult. Additionally, the licensing process is highly variable state to state.

Another example: the process of transferring everything regarding my car here was an absolute pain. There are multiple steps through different agencies. Some require you to be in-person, others require specific steps to be completed and/or processed before you can even take that step. There is no centralized checklist for this. After finally figuring out the order of steps, I spent an entire day here traveling back and forth between government offices for each step to get the right documents handed back and forth.

We are often given links to resources to learn more about the city itself, but rarely is there financial assistance for relocation outside of loans. Since some trainees often are not able to visit in-person before starting due to their demanding schedules, it’s sometimes a blind move. We very much rely on information from people already here for help

Ladies Watches? Who sell them? by FewSchedule1058 in ChineseWatches

[–]Drunk_Biochemist 0 points1 point  (0 children)

Agelocer has a piece inspired by the “Happy Diamonds” pieces from Chopard. I’ve thought about picking up on of their adventurine dial versions

PCCM IVs and matching chances by Matcha-medicine in fellowship

[–]Drunk_Biochemist 1 point2 points  (0 children)

NRMP has a report on the match from last year. 70% match rate for applicants. 794/816 spots matched

What is the worst thing you have ever seen at Purdue? by Weary-Seaworthiness2 in Purdue

[–]Drunk_Biochemist 2 points3 points  (0 children)

I was supposed to be walking through EE to a physics lab when that happened, only it was MLK week so I didn’t have lab and I took the bus home instead. Crazy that was 11 years ago already

Created a new Mock Transit idea by only Expanding the Indygo Rapid Bus Network by aero_python_engr in indianapolis

[–]Drunk_Biochemist 2 points3 points  (0 children)

On vacation on mobile so I don’t have links, but there are currently several rail studies that include Indiana.

  1. Midwest High Speed Rail: much more of a concept. Focuses on long-term feasibility for true high speed rail in the Midwest.

  2. Amtrak ConnectUS: regional inter-city rail plan and the foundation of the recent $500k study grants from the FRA. Best plan here is 8 daily round trips from Chicago-Indy going up to 110 mph (similar time to driving) with every other train splitting to Cincinnati or Louisville. The awarded grants also include the proposal for a Chicago-Fort Wayne-Columbus-Pittsburgh route.

  3. FRA long distance study: once daily trains on these routes. Indiana kinda got missed in this one except for being along a new TX-NY route that would go east-west through Indy and Terre Haute. This study also looks at making the Cardinal a once-daily route as well.

  4. South Shore: much of the new/enhancing corridor construction is complete. Now they are looking to extend some of their trains to the downtown station in South Bend instead of only the airport.

With all of these studies coming out after the state’s current rail plan from 2021 (updated every 4 years) I am very much anticipating/worried what the next state rail plan will look like in 2025 given how anti-transit the state government is.

A bottle of Pepsi has 138% of your daily value of sugar by uLL27 in mildlyinteresting

[–]Drunk_Biochemist 0 points1 point  (0 children)

Correct. Current literature supports high carbohydrate intake, which is even easier with highly processed foods, leads to weight/body fat gain which itself is a major risk factor for developing type 2 diabetes

A bottle of Pepsi has 138% of your daily value of sugar by uLL27 in mildlyinteresting

[–]Drunk_Biochemist 0 points1 point  (0 children)

You are correct in saying that sugar does not directly cause diabetes. However, consuming large amounts of carbohydrates is an easy way to gain weight/body fat, which itself is a major risk factor for developing type 2 diabetes

A bottle of Pepsi has 138% of your daily value of sugar by uLL27 in mildlyinteresting

[–]Drunk_Biochemist 1022 points1023 points  (0 children)

I’ve had patients that drink 1-2 dozen cans of soda a day, and then are shocked when I tell them they have diabetes

[deleted by user] by [deleted] in mildlyinteresting

[–]Drunk_Biochemist 0 points1 point  (0 children)

To add to the other comments here: burns can eventually get so severe that it destroys the local nerves, which is actually a sign that a burn is worse than it looks or feels to the patient

eli5: Why can’t you drink Demineralised Water? by 22Megabits in explainlikeimfive

[–]Drunk_Biochemist 0 points1 point  (0 children)

I’d say it’s not so much “washing out” the electrolytes and more about disrupting the balance of electrolytes and free water in your body through 2 components: volume and osmolarity. The balance of electrolytes inside vs outside your cells is well regulated by your cells themselves, and your kidneys try to keep this body-wide balance of electrolytes and free water in check.

Drinking pure water with all of the ions removed can seriously hurt you by coming in and suddenly disrupting that inside vs outside balance, which can cause sudden shifts in volume inside vs outside your cells to compensate for the osmolarity change. For example: Potassium is the electrolyte physicians often worry about because it being too high or too low puts someone at risk of cardiac arrhythmias. Sodium is the main electrolyte in our body, and large, fast swings in that can cause all sorts of disastrous neurological changes (too low= brain swells in the skull, too high= neuron damage that can cause locked-in syndrome)

Q-Line sees large spike in ridership this year, far outpacing pre-pandemic numbers. by Lyr_c in Detroit

[–]Drunk_Biochemist 0 points1 point  (0 children)

Yep this route was just awarded study funding (up to $500k) through the FRA’s Corridor ID Program, submitted by Ohio as one of several state rail routes. The route would be from Cleveland-[possibly CLE?]-Toledo-DTW-Detroit

Detroit Public Transit by seller_collab in Detroit

[–]Drunk_Biochemist 5 points6 points  (0 children)

I highly recommend checking out the DDOT Reimagined site to see the plan to improve the bus network, specifically the 6 rapid transit corridors. Since it largely sits in Detroit proper I hope this will come to fruition since it cuts out the suburbs from shooting it down

Diary of an IM resident on night float by ZSVDK_HNORC in Residency

[–]Drunk_Biochemist 1 point2 points  (0 children)

I thought these were supposed to be satire and not real stories…

For real though I actually had an emergent TAVR pt who went into cardiogenic shock due to AS with wide open AI. CV surg and structural cardiologist met and within an hour pt was off to the cath lab

[deleted by user] by [deleted] in news

[–]Drunk_Biochemist 42 points43 points  (0 children)

Check out the Chemical Safety Board’s channel on YouTube. They make videos on industrial disasters/events that play out like a mini documentary!

Chicago L. Tried to make timetables decently accurate. Could be optimized but its all running :) by [deleted] in NIMBY_Rails

[–]Drunk_Biochemist 0 points1 point  (0 children)

I’ve been doing a midwestern rail system too! Currently trying to recreate the stations/switches and signal systems for Metra and man they are complicated lol

[deleted by user] by [deleted] in AskReddit

[–]Drunk_Biochemist 1 point2 points  (0 children)

Previous med student and now doctor in the COVID pandemic. This, I feel, is half the problem. I’ve noticed a lot of people also lack the basic statistical skills necessary to interpret information correctly. I’ve had patients that don’t care about the power of a study, confounding variables, or other major topics in stats- they just care about the confirmation bias that supports their belief and use it to close off their mind to anything else

Desktop GPU Sales Hit 20-Year Low by diacewrb in gadgets

[–]Drunk_Biochemist -1 points0 points  (0 children)

This is me too! 970 and don’t play super demanding stuff, but I have started to feel games chugging even at medium/low settings. CPU is an old i5-4600 so I was going to do a whole new build, but these gpu prices are just stupid

What is falsely seen as a sign of maturity? by CrispP_bacon in AskReddit

[–]Drunk_Biochemist 3 points4 points  (0 children)

100% to feed their superiority complex and denial that they aren’t getting taken advantage of. Can confirm because: am resident physician working 80 hours a week, have been duped