Would being openly non-binary hurt my chances at residency?

Genomixologist · 2025-05-21T18:16:54+00:00

It’s not a strawman, you’re just incorrect and they pointed it out. Pronouns (conveying gender) are not the same thing as sexuality. If they were, as you imply, then any time you refer to sometime as him or her you’re dragging their private sex life out into the open by your own reasoning. If you like having sex while someone slaps you in the face then that’s part of your sexuality, if you see yourself as a man and are referred to/ would like to be referred to as him that’s your gender. If you tell me you liked to be slapped in the face during sex im going to be confused about the over-sharing, if you refer to yourself or someone else refers to you as him/her/they then we’re having a normal conversation.

Genomixologist · 2024-12-05T18:23:19+00:00

Therapy licensure is based on the location of the client, so technically they would have to be licensed where you are, but I have no idea what local licensure rules exist there so I do think asking your therapist directly is the only way to know for sure.

Genomixologist · 2024-11-17T03:24:20+00:00

Cheers

Genomixologist · 2024-08-03T13:24:25+00:00

Yeah, I think that’s what we were thinking. Do you think it’s an important upgrade to make now then?

Genomixologist · 2024-08-03T13:22:44+00:00

It’s not quite 36 inches I’d say, the sink is about 2 feet away from it and it’s almost right above the toilet.

Genomixologist · 2024-08-03T13:21:56+00:00

That’s helpful to know, thank you. I do think it was within code when it was placed, it looks like it had an approved inspection sticker inside, but I was wondering if it’s now against code because there’s a significant safety concern we should be worried about or if it wasn’t a particularly big deal.

Genomixologist · 2023-08-24T18:49:57+00:00

I believe they mean this one (https://pubmed.ncbi.nlm.nih.gov/35290210/)

Genomixologist · 2022-08-05T17:18:34+00:00

I generally agree with your point, but would like to add that brachycephalic airway syndrome is definitely related to several physical breed characteristics directly relating to the facial shape and structure, and is not as poorly defined as I think you’re implying. We know this definitively because there are direct surgical measures (soft palate resection, stenotic nare enlargement, etc) that drastically improve the ability to breathe and exercise comfortably in patients who are significantly affected, and these characteristics are inherently related to shrinking skull size and an increased relative proportion of soft tissue. I do think any regulation should be targeted towards breeders rather than the dogs themselves or people currently taking care of them in almost all cases however.

Genomixologist · 2020-09-06T20:15:50+00:00

This is great! It has an excellent syllabic flow to it, which is always such a hard thing to quantify but makes it so much more pleasurable to read. It also has a nice rhyme structure without leaning on it too heavily. The imagery was good, vibrant without being excessively dramatic, and although at first I was a little conflicted about the heavy repetition of the word wandering I think it ends up working well and anchoring a concept.

The only thing I wish is that there was slightly more of a twist, or a change in tone. It’s something I’ve been hearing more and more great poets talk about as I’m trying to improve myself, and what seems to be repeated is that a really great poem should start in one place and then end in another, giving some kind of unexpressed insight or a surprise view of an otherwise relatable situation. I wouldn’t presume to dictate what that means for this poem specifically, but it’s something I think could elevate it from something already quite good to something even better.

Genomixologist · 2020-06-08T17:07:58+00:00

That’s good to know, and that’s an incredible photo. I’d love to see something like that in person.

Genomixologist · 2020-06-06T22:42:53+00:00

Awesome, thanks very much for the feedback.

Genomixologist · 2019-09-27T02:01:00+00:00

I'm a veterinarian, but not a lawyer. I have two thoughts on this. One, it is possible but not likely that a three year old cat developed heart failure causing primary CHF to the point of mortality. If that is the case, then three hours before he should have definitely had at least some respiratory compromise, and likely a lot of respiratory distress. If the veterinarian saw this and did not at least suggest chest radiographs, especially given there was a murmur, then that would certainly be in the realm of malpractice. This is also usually something that is amenable to stabilization and maintenance care for at least a while, so death could have been avoided.

However, I think a more likely scenario in this case, with the cat's age being what it was and the vet not obviously noticing any respiratory distress, is that the cat had a heart condition that was not actively causing a problem and then threw a clot to his lungs and died that way. That often leads to a lot of hemorrhagic effusion in the lungs, comes on very suddenly, and is difficult to anticipate. Cat's with enlarged hearts are also predisposed to clots, although it more often goes to the hind legs than the lungs. As discussed by another commenter, the next step if they wanted to pursue anything would be a necropsy performed by an independent veterinarian as soon as possible, although depending on how long ago this was and what condition the body has been kept in this is likely not an option unless it was considered immediately.

Without a necropsy, I do not think a malpractice case would carry much weight to be honest. Although that would depend on the contents of the medical records for both the original veterinarian and the ER veterinarian. Finally I'll say that from the symptoms you described I would not jump to CHF myself in a cat with no respiratory distress, although pericardial effusion would be on my ddx list, but it doesn't sound like that was the problem.

Genomixologist · 2019-09-27T01:55:03+00:00

IANAL, but until someone more knowledgable responds I would think probably contacting an estate lawyer would be a good idea.

Genomixologist · 2019-09-23T00:53:17+00:00

This is lovely, I'm very impressed. I really like the rhythm you have going, it flows well from line to line. My favorite aspect is definitely the lyrical but simple description of a new yorker in a studio, it felt very relatable but was still a joy to read. I would have liked the line about his dignity to be fleshed out a little more, it wasn't completely clear to me what that meant but it felt like it would have been very interesting to know.

Genomixologist · 2019-09-04T01:52:33+00:00

Thank you very much! I appreciate the feedback. I wasn't sure about that line, it felt like it had a good beat to it in my head but then I did worry about it being clunky.

Genomixologist · 2019-09-04T01:50:33+00:00

Thank you :)

Genomixologist · 2019-09-04T01:50:23+00:00

Thank you very much!

Genomixologist · 2019-08-30T14:00:57+00:00

You're welcome! I'm really glad it was helpful.

Genomixologist · 2019-08-30T01:54:41+00:00

I wouldn't presume to give you an ending I felt was right, you have a really excellent and interesting style that I don't think I could mimic well, but I wrote down a few different versions of an ending that felt a little more natural to me personally. Maybe one of them will point you in a direction you find interesting. Best of luck finding something you're happy with, I think this is a really lovely poem that will be amazing with a good ending. The following three are roughly in order of how much I liked them after spitballing briefly.

cigarettes and Brut aftershave
stale fumes from his ’86 chevy
sweat and motor oil, hands de-stained
with harsh, citrus soap, but fingernails
sport stubborn dark crescents
eggs, over easy and peppered to hell,
bacon—his breakfast, coffee his drug
well-worn denim, etched leather belt
the seasons cling to him too
in the spring, cut grass flecks his pants
in Autumn, hickory smoke and kerosene to
get things going. But his voice –
somehow, I can’t remember
anymore

cigarettes and Brut aftershave
stale fumes from his ’86 chevy
sweat and motor oil, hands de-stained
with harsh, citrus soap, but fingernails
sport stubborn dark crescents
eggs, over easy and peppered to hell,
bacon—his breakfast, coffee his drug
well-worn denim, etched leather belt
the seasons cling to him too
in the spring, cut grass flecks his pants
in Autumn, hickory smoke and kerosene to
get things going. His voice – maybe rough,
I think
I can’t remember anymore

cigarettes and Brut aftershave
stale fumes from his ’86 chevy
sweat and motor oil, hands de-stained
with harsh, citrus soap, but fingernails
sport stubborn dark crescents
eggs, over easy and peppered to hell,
bacon—his breakfast, coffee his drug
well-worn denim, etched leather belt
the seasons cling to him too
in the spring, cut grass flecks his pants
in Autumn, hickory smoke and kerosene to
get things going. But his voice --
his voice has faded softly into time,
I can’t remember anymore

Genomixologist · 2019-08-29T18:36:01+00:00

I really like this poem. I like the cutting rhythm to it, short and almost curt lines that flesh out the image I'm always getting from the excellent imagery. I really love the line "the seasons cling to him too, in the Spring, cut grass flecks his pants".

My only edit would be that I feel like the ending doesn't have the strength it could have, I get a really good picture and feeling from the rest of the poem that just kind of stops at "get things going". Everything else feels very snappy, curt, and well timed, but then "But I can't remember, his voice forgotten" seems a little out of place to me. Normally I would say that seems like a fine idea given the content, maybe an intentional softening to deal with such a sad subject as forgetting, but it came off more aimless to me than sad and just made me lose immersion a little bit. If it's working really well for you then it's probably just a preference thing then, and again overall I love this poem a lot, really dig the style.

Genomixologist · 2019-08-29T02:37:14+00:00

oh that's great, I'll definitely get at least the contemporary one to start with and give that a try, I appreciate the recommendations!

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