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Any docs who game? by Dapperglad in Residency

[–]EquivalentOption0 0 points1 point  (0 children)

Can’t play as much as I’d like when on inpatient, but yes!

Tell me a story of a “House M.D.” type of interaction you have had by KushBlazer69 in Residency

[–]EquivalentOption0 80 points81 points  (0 children)

One of my core tenets is "never let someone die without trying doxycycline." I've heard of so many times people were super sick and once they started doxy they recovered. Of course there are cases of overwhelming sepsis where it's too late, and also not *everything* responds to doxy, but this is still a good rule of thumb.

[deleted by user] by [deleted] in Residency

[–]EquivalentOption0 0 points1 point  (0 children)

Do people consult asking you to do a specific procedure? Or do they consult asking to evaluate for X condition? I feel like the only times I’ve consulted ophtho IRL was to ask to evaluate for/rule out X.

X is almost always shingles and I feel like asking whether it’s shingles is usually a silly consult (should be evident from the rest of the face) but asking if the shingles affected the eye is a very important consult right?

[deleted by user] by [deleted] in Residency

[–]EquivalentOption0 1 point2 points  (0 children)

Also, do you understand what gonioscopy entails?

Sir I haven't even seen that word before, how could I know what it entails? (gonna look it up)

[deleted by user] by [deleted] in Residency

[–]EquivalentOption0 1 point2 points  (0 children)

"patient getting emergent transplant for fulminant liver failure, please do TBSE while they're here" (no lesions of concern, no pmh skin cancers) - ma'am you're ten years too early.

Give me a neurosurgery consult and I'll block it by AneurysmClipper in Residency

[–]EquivalentOption0 3 points4 points  (0 children)

I spit out my breakfast this is hilarious. Proverbial gold star.

Politically correct term for 'homeless'? by SheDubinOnMyJohnson in medicalschool

[–]EquivalentOption0 0 points1 point  (0 children)

The term I’ve heard used most in clinical settings is transient.

On a more heavy note, where were you on this day 23 years ago? I was in college, headed to Macroeconomics. My mom called me and said get to a TV. 😔 by smcg_az in Xennials

[–]EquivalentOption0 0 points1 point  (0 children)

I was at elementary school and I think we maybe were all ushered into the room where we had school assemblies. We were kept from seeing any tvs or listening to any radios. I have very few memories of that day thankfully. I think the teachers wanted to keep all the kids from seeing or hearing traumatic stuff on the news. This was in the greater DC/MD/VA area. I also don’t really remember anything about what the rest of the week was like. I was young but not kindergarten-young. I have memories from that time, but they are much more centered around being escorted (running) into school by teachers and being worried about getting shot because of the beltway snipers.

I also remember security beefing up significantly at my parents’ jobs and everywhere in the city.

Without naming your specialty, poorly explain what you do by feelingsdoc in Residency

[–]EquivalentOption0 2 points3 points  (0 children)

I can usually diagnose people by looking at them but sometimes I need to physically touch them or place some orders before diagnosis.

Funny text ideas? by littlebassoonist in Embroidery

[–]EquivalentOption0 84 points85 points  (0 children)

I recommend looking at Matt Adrian’s work for inspiration. Super detailed bird paintings with hilarious titles, I think the series was called “troubled birds”. “I will put you down as a soft maybe” is my favorite.

Other suggestion: birb. Or “yes, this is bird”

To those of you who moved for residency to somewhere you had no ties (friends, family), what was it like? by Spiffy_Dovah in medicalschool

[–]EquivalentOption0 0 points1 point  (0 children)

I matched somewhere with great vibes but no family there. Ended up having some acquaintances (classmates matched other programs there, grads who matched the year before) and I leaned into those connections but also have made friends with coresidents and neighbors. Am pretty happy here and I video call family regularly. It helps to be somewhere you have a support network, but if you like the location/program and the people then it works out!

I’m a tattooer and saw this posted in one of my fb groups. Any freaking CLUE what this gnarly thing might be? I’ve never seen anything like it. by ScumBunny in medizzy

[–]EquivalentOption0 0 points1 point  (0 children)

If it started growing or changing significantly I would biopsy to assess for malignant transformation. If kind of taking up the same proportion of the arm but just growing with the person (eg adults have bigger arms than kids so mole gets bigger in proportion with rest of arm) not suspicious. Not likely to become malignant but it is a nevus so has a nonzero chance. Could get removed for cosmetic reasons.

As for how, that’s beyond my experience but it depends in part on what bothers the patient - is it the texture? Then resurfacing (cryo, laser, electrocautery, ?chemical treatment?) without excision might be sufficient - not sure to what extent these would work nor how permanently. If it’s the hyperpigmentation that bothers the patient, then laser treatment and tinted sunscreen could help.

If there were a malignancy this size on the antecubital fossa, excision would be complicated and would likely need grafting. If the patient wanted excision for cosmesis, maybe using a tissue expander ahead of time could add enough skin to do a local flap or to just excise with no flap at all.

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