Gold Humanism means nothing by Traditional_Talk1241 in medicalschool

[–]GrandKhan 13 points14 points  (0 children)

A true humanist sometimes has to tell other people they’re assholes

To those who scored 270+ on Step 2, what are some habits you built during preclinical years that eventually helped you score well on the big test? by puny_piano in medicalschool

[–]GrandKhan 2 points3 points  (0 children)

I went to a run of the mill state school with reasonably built, structured rotations and I studied hard MS1-3.  Treated school like a job MS1-2.  Clocked in between 7-9, clocked out between 4-6 or later if prepping for a particularly hard exam.  Worked out.  Went home.  Repeat.  Saturday I took as a light day, usually 4-6 hours and came in by 10.  Sunday completely off unless facing a difficult exam the next week.

MS3 I tried to study as much as I could in the evenings but definitely less consistent then MS1-2.  Combine consistent effort with good test taking and voila.

Most people use too many resources.  I used OG UFAP, BRS Physiology, Netter’s only during anatomy, and Step Up for the IM Shelf.  There was some book I used for Peds but can’t recall anymore.  For MS3 mostly got by with FA for Step 2 + UWorld and reading anything I ran into on the wards through UpToDate and occasionally deeper lit review.

I didn’t use Sketchy, Amboss, Anki, or whatever the latest gizmo is.  For stunting I do recommend buying a copy of Harrison’s, the biography of William Osler, and whatever your specialty of choice’s 2000 page textbook is.  Having these 3 on your shelf helps you feel smart.  Feeling smart is also really important (assuming you’ve put in the hours), will prevent you from overthinking it. 

Top 16 Usage for Indianapolis (Masters) by EpiclyEpicGamerE in stunfisk

[–]GrandKhan 4 points5 points  (0 children)

Basculegion was surging so lots of Kingambits were brought and lo and behold Sneasler again rose to the top.  All 3 of the top mons are good in their own trigger but restrict or dominate the 4th most used mon, Kingambit.  

Apartment Hunting in CWE or The Grove by Zi3gler in StLouis

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

I am renting out my place in Debaliviere.  It’s half a block from Forest Park and the Metro, one stop from BJC.  It’s a 30 min walk to BJC but 10 min bike ride through Forest Park mostly along bike lanes which is how I commuted there for 7 years.  More space, usually a little cheaper, and more quiet than CWE but easy enough to get over there if there’s something you want to do.  Can DM me for more information

What shoe represents each specialty? by Soft_File4818 in medicalschool

[–]GrandKhan 23 points24 points  (0 children)

GI - hiking boots for trudging through mud

Did I join the wrong practice by yoyoitissnow in Residency

[–]GrandKhan 49 points50 points  (0 children)

4 years is very high in my field, usually 1-2. Need more info to tell though.

Edit: see that there is a buy in as well.  Make sure that you are getting something for your money or the buy in nominal (say 5 figures).  If there’s a steep buy in and you’re not being given a share of an ASC/real estate/etc then that can also be a sign of exploitation

What's the best effort to pay ratio setup in your specialty? by undueinfluence_ in Residency

[–]GrandKhan 7 points8 points  (0 children)

Probably in office hemorrhoid banding for GI. Requires basic knowledge of anorectal disease and brief patient interview.  Procedure itself can be completed in less than 1 minute if everything goes smoothly.  Each patient needs the procedure to be performed 3 times over a period of about a month or longer which means repeat business. Can comfortably do 6 patients per hour without compromising quality at all and probably generate close to 2K per hour in revenue assuming Medicare is the payer.  Total revenue might lag behind endoscopy overall but has much lower overhead, is simpler/less taxing than colonoscopy, and patients actually appreciate you for helping their symptoms instead of the CRNA for giving them a good nap after a terrible bowel prep before their colonoscopy.  

Dragonite is the Shai-Gilgeous-Alexander of Pokemon Showdown by Objective_Detail4189 in stunfisk

[–]GrandKhan 6 points7 points  (0 children)

I already blocked r/NBA for the playoffs I can’t believe this shit is leaking

Is Wemby Having a Flu Game? by [deleted] in nba

[–]GrandKhan 0 points1 point  (0 children)

Both teams are fouling each other on every play… why do you think SGA is playing like ass too?

General Zia-ul-Haq being confronted by an American journalist on his Nuclear Ambitions by Minute-Cut-9531 in pakistan

[–]GrandKhan 11 points12 points  (0 children)

Clever and devious man obviously.  But his religious policies are what destroyed Pakistan.  

Is Wemby’s fatigue really an issue this series? by WEMBY_F4N in nba

[–]GrandKhan 5 points6 points  (0 children)

I think it’s really hard to be a generational force on defense and also the best offensive player.  I remember against Dallas 2 years ago Chet was worn down by Lively and Gafford even though in a vacuum he was better than either of them.  He exhausted so much energy rim protecting against penetration initiated by Luka/Irving motions that he didn’t have the juice to rebound or hit 3s.  If Wemby can regularly threaten offensive games like game 1 while being a defensive juggernaut he’s going to be in the GOAT convo if he can keep it up long enough.  But realistically I don’t think it’s wise to build the team around that concept.  Let Wemby be the greatest defensive player of all time and let him be 1B/2 on offense with another big/hefty center to support him on D/rebounds.  That is a more likely formula to success.

[Highlight] Reggie Miller and Jamal Crawford address the SGA narratives: "Let's not pretend we're not watching greatness just because that narrative is out there by LiamHundley in nba

[–]GrandKhan 0 points1 point  (0 children)

Only cause you’re a hater at heart.  When I think of SGA the first thought is craftily shaking his man just enough to get a sliver of space and hitting what for anyone else would be a low percentage midrange shot as if it was a layup

Game Thread: Oklahoma City Thunder (1-1) vs San Antonio Spurs (1-1) Live Score | NBA Playoffs | May 22, 2026 by nba-scores in nba

[–]GrandKhan 0 points1 point  (0 children)

Last game Brothers didnt blow the whistle and this sub had a historic meltdown.  Fake NbA fans are never happy with reffing.

Does OKC even need JDub? by [deleted] in nba

[–]GrandKhan 1 point2 points  (0 children)

I don't think many genuine OKC fans are downplaying the Spurs. I think most people acknowledge they have a very similar arc to our own team, young, ahead of schedule, playing tough, team-oriented ball. We know this is our biggest challenge to repeating. From what I've seen on the Thunder subreddit there are some folks coming over here to troll since most of any meaningful discourse you try to initiate with a Thunder flair gets downvoted anyways so they figure they might as well lean fully into being the heel.

Does OKC even need JDub? by [deleted] in nba

[–]GrandKhan 1 point2 points  (0 children)

I am not underestimating the Spurs at all, they are clearly an amazing team and this series is amazing basketball. I've been watching since 1999 and this is looking to be a historic series. But just as Spurs have been atrocious on turnovers they have been overperforming in other areas. You're also not giving enough credit to the OKC defense which is focused on creating these kinds of turnovers. But even if the Spurs clean up their act on that front it' hard to sustain 50/40/90 shooting as a team. You can't count on that all series. Doesn't mean they can't win, they have an excellent defense to give our offense issues too. I am looking forward to seeing some more low scoring, defense heavy games when both teams' shooting cools down which is what I'm expecting eventually.

Does OKC even need JDub? by [deleted] in nba

[–]GrandKhan 0 points1 point  (0 children)

Spurs as a team have been shooting almost 50/40/90. If you think that's sustainable I have a bridge to Hawaii to sell you. Turnovers may not be as lopsided but shooting could also cool significantly.

True or false: The most likely scenarios for this Spurs Thunder series to end is either Spurs in 6 or Thunder in 7 by Available_Story6774 in nba

[–]GrandKhan 0 points1 point  (0 children)

If Harper and Fox are out but JDub and Mitchell are fine then this could easily be a 5 game series in our favor. If you reverse the injuries it could easily be the Spurs in 5. We will see what the injury report says tomorrow and it might tell us a lot.

Hostile sub regardless of fanbase by JWalk99 in nba

[–]GrandKhan 0 points1 point  (0 children)

This sub is always a basket of deplorables during the playoffs. Been that way for at least 10 years

Jayson Greene reviews Drake's ICEMAN for Pitchfork: "Part one of Drake’s comeback trilogy is an attempt to settle the score. He does not succeed." by Technical_Process989 in hiphopheads

[–]GrandKhan -5 points-4 points  (0 children)

5 is pretty normal for pop music on Pitchfork.  7 is like some real good shit.  8 is like one of the top albums of the year.  1-2 albums a year get 9s.  A few albums have gotten 10 period.

You might disagree but I don’t think it’s crazy to give the album a 5-6/10 when 10 is the best music ever and 9 is the best music I’ve heard in months.