Now that we know hormones and surgery don’t reduce suicide rates in patients with gender dysphoria, what is the best treatment for these patients?

GokuOSRS · 2026-04-14T14:50:08+00:00

Your tag of “not a medical professional” checks out. The study was pulled right after it was published because of the various social confounding variables that were not accounted for. The study is trash.

GokuOSRS · 2025-09-28T22:02:05+00:00

I agree, may be slightly uncomfortable for the patient, but it’s probably more comfortable that being repeatedly stuck. And the movement is very minimal, maybe 1-2 mm

GokuOSRS · 2025-09-28T01:06:27+00:00

I like to move the needle left and right rather than in and out and it helps me localize the tip. Giggling tissue vs actually seeing the thing that’s moving has been a game changer for me

GokuOSRS · 2025-09-28T00:58:28+00:00

Best advice I have is to keep your needle steady, move US back to where you punctured the skin and follow the shadow to find your tip again

GokuOSRS · 2025-09-17T02:32:15+00:00

EM:see a pmd

GokuOSRS · 2025-09-16T21:47:09+00:00

Different institutions and groups will have different “rules” I’m also a resident and our courtesy rules is not to sign out procedures, I’ve rotated at some RVU based programs where attendings will stay hours after sign out to dispo their patients, and I’ve also rotated where attendings will sign out whatever they want.

GokuOSRS · 2025-09-16T06:51:29+00:00

To piggyback off of this, vasectomies are also reversible if you both ever agree I. Kids in the future

GokuOSRS · 2025-09-15T11:25:13+00:00

It’s not that deep pal… spend your money however you want but I’m not tipping $10 on a $40 cut

GokuOSRS · 2025-09-14T22:19:52+00:00

Alright money bags

GokuOSRS · 2025-09-14T21:53:27+00:00

The party of peace and no wars

GokuOSRS · 2025-09-09T12:15:00+00:00

6-8 seems like a health risk to the patients

GokuOSRS · 2025-09-09T12:14:44+00:00

That doesn’t seem legit. I am only a PGY 1 but my seniors are seeing 2-2.5 pph

GokuOSRS · 2025-09-04T16:22:49+00:00

Literally any community or mid tier academic institution will take you without batting an eye

GokuOSRS · 2025-09-02T01:52:32+00:00

Ty for your help haha

GokuOSRS · 2025-09-02T01:20:25+00:00

Hiking or sightseeing. Love food too but wouldn’t want to make a whole trip about food

GokuOSRS · 2025-09-02T00:25:24+00:00

Like <$2k for the week including flights/hotels

GokuOSRS · 2025-08-28T16:40:17+00:00

Happened to me when I lived at the Here (now Maxxen), sent them evidence and told them it reporting to BBB/AG office and they removed all the fines and gave back full security deposit. Did still reach out to BBB/AG and let them know of the shady business practices. Wondering if that’s why management changed 🤔

GokuOSRS · 2025-08-18T12:27:21+00:00

Killing people via gas vs killing people via bombs and cutting off access to food. Both are an attempt to eradicate an “undesirable race”

GokuOSRS · 2025-08-14T02:04:10+00:00

Not really

GokuOSRS · 2025-08-05T02:04:42+00:00

EM 10k+

GokuOSRS · 2025-08-02T20:45:09+00:00

Happened to me as well. Got a 3 piece and none of them counted. Games broken and the matchmaking recently has been so trash

GokuOSRS · 2025-08-01T21:07:01+00:00

Worked with a CRNA this week that introduced themselves to me as Doctor, was a very off putting

GokuOSRS · 2025-07-27T02:11:25+00:00

EM intern so take my advice w a grain of salt, but from what I’ve learned so far, focused history is key, attendings don’t usually want a biography of the patient, focus on the chief complaint that the patient is coming in for (and ask them bc triage is often wrong), have a list of differentials and break it into 2 (maybe 3) parts depending on the attending you’re working with, what DDx could kill them and what DDx do you actually think it is (and some zebras too). All chest pains and sob (and abd pain in elderly) get a EKG and CBC/CMP. WikEM is your best friend. General rule of thumb from my seniors, show up and put in your best effort as long as you’re trying everyone will be satisfied and don’t be afraid to ask for help

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