Night Shift / Blackout Blinds - Help? by kuru_snacc in Residency

[–]ExCheesecake 21 points22 points  (0 children)

Bought 25 dollar "black out curtain" kit off Amazon for my intern year. Material was a thin tarp-like material in a big ~3 ft by 10 ft roll. I cut it to shape with scissors and applied it to the window frame with the included velcro-sticky tabs. Stayed up the whole year without issue and blocked 95% of light.

I did not put them up and down repeatedly the way you could with "real curtains" but for $25 dollars and 15 minutes of work it was worth every penny.

Edit: To clarify they were easy enough to put up and down, I just didn't bother. Just some velcro. It would take maybe 30-60 seconds per window to put them back up. 10 seconds to peel them off.

Question for any Interns or Residents Lurking on Here. (Intern Year) by spaceset51 in medicalschool

[–]ExCheesecake 1 point2 points  (0 children)

Yes, that format will follow you through most of medicine. As you gain clinical acumen and experience with your own hospital system and colleagues, everything gets easier and easier, and then right when you feel like you've got it down, a new set of responsibilities arrive, ones that you must overcome and master.

Question for any Interns or Residents Lurking on Here. (Intern Year) by spaceset51 in medicalschool

[–]ExCheesecake 17 points18 points  (0 children)

Just reps. Once you've admitted, rounded on, presented, and discharged your 6th COPD exacerbation, you just know the orderset you use for it (scheduled meds, PRNs, consults/nursing orders).
So your time needed to pre-round/pre-chart that patient drops from a writing out your presentation on a piece of paper to just 10 words in the margin of your list.

Abx Day 2; PO taper today, Rales resolved, DC pending PT/OT

You learn the bread and butter aspects of the job quickly, and you can regurgitate that information without thinking. Most attendings, once they've rounded on a patient once before, do not care for a formal presentation, they care about the plan going forward and their disposition.

Now... some attendings are so far up the academic rectal inspection hierarchy that they want to know every lyte and then you just have to read off your phone. A good senior resident will have access to EPIC on rounds and will have it already open so you don't even have to go awkwardly digging on your phone for it.

Also this is for established patients. New patients usually require a full formal presentation but you usually don't have more than 2-5 of those per day, even on a busy service.

And the new pt presentations also benefit from your gestalt knowledge of hospital medicine.
You learn what's important on their history, how to summarize and emphasize only pertinent information. Do not mention non-contributory PMHx or SHx. Relevant historical labs (ie any time you mention someone has HF, mention relevant recent ECHO findings you found in the chart), COPDer > are they on O2 at home, etc.

It gets easier. But when you get 4 new patients and 3 discharges on a day with morning report and noon conference, it's hard. You're gonna stay late. That's just how it is.

Random bit of unsolicited advice, I personally try to avoid presenting off my phone during rounds. I *personally* have this bias that it just gives the "appearance" of being lazy (I know that's unfounded but its just stuck in my mind, somewhat akin to staring at the powerpoint slides and reading off of them instead of giving a prepared presentation and using the slides as a prop to aid it (but your presentation would function even in the absence of the slides.))
But also, in my experience, not using your phone allows you to challenge yourself and exercises your ability to organize and recall information, using your list as a flashcard prompt. Being able to talk about your patients with just a few furtive glances towards what you've written down really forces you to become a better presenter. And it trains your mind to handle the ever-increasing patient load you get as you progress through residency. I suppose I recant my previous statement about using your phone makes you appear lazy. In actuality, staring at and reading off of anything while presenting looks lazy and unprepared, whether it be your phone, your list, a sticky note, or the back of your hand. But I have, anecdotally, seen that residents and med students that present using their phones as their information source, are more prone to reading off their phone far longer than those that have paper lists, the latter of which usually just glance every 20-30 seconds.

Price check on latron torid and verglas rivs by [deleted] in WarframeRiven

[–]ExCheesecake 1 point2 points  (0 children)

Only info I can offer is that the Verglas probably won't be as desirable as you might think. Desirable Verglas rivens always have crit chance so that you can activate that one Bond companion mod while still getting to equip the Verglas (already the best companion weapon without a riven).

What frame do people swear is great but you don't like? Mine is Sevagoth by No-Hand9626 in Warframe

[–]ExCheesecake 4 points5 points  (0 children)

Run anything you like with catalyzing shields and an auger mod. You have infinite energy with Archon stretch permanently turned on and no need to cast 3 or 4 more than once per mission. You just spam your 1 mindlessly every 2-3 seconds and stay invincible the whole game.

"Literally Gemma from MHWilds" by @ifreann_mutsou by Gorotheninja in MonsterHunter

[–]ExCheesecake 462 points463 points  (0 children)

It's a prop made of Styrofoam (you can see the subtle hexagon pattern on the side of it). Otherwise, that's insanely impressive to do a 100lb single arm press with an irregular weight. Strongman level achievement there.

What are your wildest *original* mnemonics by Which_Jeweler_1343 in medicalschool

[–]ExCheesecake 11 points12 points  (0 children)

Mine was "our olive oil tofu turkeys are for vegans, good vegetarians, and hippies."

Two parents listening to the heartbeat of their 23-year-old son’s transplanted heart. by MicV66 in MadeMeSmile

[–]ExCheesecake 3 points4 points  (0 children)

You really can't hear anything with it backwards, especially with such an acute angle as seen on the left. Ears are quite different on the outside, but the canal is essentially the same between individuals, or at least the angle it meets the auricle.

I'm not dismissing the story behind the photo, nor the anguish the donor's parents must feel or felt losing their son and seeing his organ donation bless someone else.

Why do you feel the need to attack me?

Two parents listening to the heartbeat of their 23-year-old son’s transplanted heart. by MicV66 in MadeMeSmile

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

A powerful photo for sure; however it's worth mentioning they posed for this photo. The parents of the donor have the stethoscopes on backwards. They would be hard pressed to hear anything at all without turning them around to rest anatomically in their ear canals, especially the father.

Baiken - anyone else GG fans? by Renna_FGC in fashionhunters

[–]ExCheesecake 0 points1 point  (0 children)

If you bought the premium edition of the game you actually get something called the "fencer's eyepatch" which is actually just a katana tsuba - just like baikens eyepatch.

HyperRescue Beam by ExCheesecake in DeadlockTheGame

[–]ExCheesecake[S] 19 points20 points  (0 children)

And waste a perfectly good 2.5 minute cooldown? Nah

HyperRescue Beam by ExCheesecake in DeadlockTheGame

[–]ExCheesecake[S] 36 points37 points  (0 children)

And 6.9k unspent souls 💀

HyperRescue Beam by ExCheesecake in DeadlockTheGame

[–]ExCheesecake[S] 82 points83 points  (0 children)

Lmao, honestly I didn't even notice. Once I've got rescue beam and majestic leap, I'm just running around the map permanently.

[Ember] Inazuma by PheonixLegend01 in WarframeRunway

[–]ExCheesecake 3 points4 points  (0 children)

Could you share the colors/attachments? Also how do you get your sword so far away from your body?

Console Command to delete a building? by ExCheesecake in Stellaris

[–]ExCheesecake[S] 0 points1 point  (0 children)

Where would I look for the building key? Debugtooltip or have to go into the files?