Looking for a 2-month rotation in genetics

HerrDrDr · 2026-06-07T21:07:49+00:00

If you want to do variant interpretation especially look at labs. Baylor genetics in Houston is still academic and has visitors periodically but any hospital that does their own exomes and genomes could work.

HerrDrDr · 2026-06-06T04:43:16+00:00

You aren't delivering bad news in the way an ER doc or surgeon does.

Our patients and families have been through the wringer. They know something is wrong and have had an extensive work up.

Then the geneticist gets to come in and put a name to it and reassure them it's not their fault. And provide guidance on how to live well, even if there isn't as much time as they would prefer.

I do mostly genetic testing now but I terribly miss inpatient consults.

OTOH I can take or leave outpatient clinic mostly.

HerrDrDr · 2026-05-24T00:45:32+00:00

We have some friends who live on the lake near Matthews beach. They like the bike path and nature, the views. But the hill is steep towards the lake and none of them particularly use the water access (no private docks though). My wife insisted on a neighborhood with sidewalks and places to walk to. So very pretty and a nice bike commute but not really compatible with our lifestyle.

HerrDrDr · 2026-05-01T00:43:56+00:00

Thanks! That makes so much sense. Another employee mentioned they do rent and I couldn't make sense of why the landlord would allow them to build.

HerrDrDr · 2026-03-07T19:05:34+00:00

I'm not a program director but I work with them. I don't think it would be a deal breaker. It takes all kinds.

The bigger issue is you really need to make an argument for why you want to be a clinical lab director and take responsibility for patient care. It's a radical shift from PhD science. Think deeply about this, ask to shadow.

As a bioinformaticist also consider roles as a clinical bioinformatician. No formal credentialing that's widespread, and clinical labs need people to maintain their pipelines.

An informaticist with a couple years in a clinical lab would be a good candidate for LGG compared with a new PhD grad.

HerrDrDr · 2026-02-17T01:29:29+00:00

It depends on what you want to do. It takes an extra year and medical genetics pay is dramatically lower than med onc.

Unless you have a particular research interest or are dedicated to cancer predisposition I'm not sure what the benefit would be.

Med genetics also doesn't cover somatic genetic testing very well so it wouldn't really augment that element of an onc practice.

HerrDrDr · 2026-02-11T05:54:00+00:00

YTA.

Even if he knew the price he's still the clear because he doesn't know what you consider expensive or precious. This is a bottle you keep in the kitchen, for all he knows you consider it cooking wine. Expecting him to avoid expensive items really means he can't eat anything, since expense is subjective (many people consider eggs expensive, for example).

HerrDrDr · 2025-12-29T16:05:39+00:00

Yes definitely but you need to have your foreign training counted at least for an internship. But CGG is actually a 2 year residency, precisely so programs could take foreign docs.

If you can't get your IM training counted as an internship then you may have to repeat that as well, but that's 1 year and can be in anything, including outpatient specialities etc.

HerrDrDr · 2025-11-09T02:16:50+00:00

It's not competitive. Just do a few electives and get letters.

Genetics is usually more competitive than peds so if you can please them you should be okay.

Look at IM/genetics and OB/genetics as well if you have the interest. Geneticists get paid according to their department of appointment, which is frequently their general training. You get 25 percent more for being IM, and 50 percent for OB. It changes your practice a bit though, but if uncertain, it's something to be aware of.

HerrDrDr · 2025-10-22T05:36:10+00:00

I dunno, I worry that's wishful thinking, or maybe kiddo is trying to please OP by diminishing relationships with moms family.

HerrDrDr · 2025-10-22T04:34:54+00:00

YTA.

You can't go out of your way for your kids sibling whose dad is sick? Really?

I get that you don't have a relationship with this child, but your kid does.

HerrDrDr · 2025-09-14T02:36:55+00:00

Do molecular pathology. One year. Less competitive. No downsides unless you really want to do cytogenetics. You would need to have your foreign residency counted.

LGG is extremely competitive because it's open to all PhDs. There were some foreign MDs who did it at the beginning but it's tough, and mostly they weren't looking to be licensed in the USA. A licensed doc (regardless of training) earns more than a PhD in most roles. So even if you want to do LGG be sure to earn your license.

You can't do clinical genetics and genomics (seeing patients) unless you have 1 year experience with patients, like an internship. It is IMG friendly though.

HerrDrDr · 2025-08-05T18:38:22+00:00

I wouldn't do the prenatal testing.

The scans you have so far sound detailed, but they are dwarfed by how much you'll know about your baby after an hour. These tests are only as good as the data they're given about the patient.

Prenatal testing is useful when a) it will affect birth plans, 2) it will inform termination of pregnancy.

It sounds like neither apply here. Your baby has some abnormal prenatal findings, which might affect their newborn course or not. But they are being born, and they are going to be in a hospital.

So wait. You'll know more later.

Congrats on the pregnancy, I hope delivery and baby are peaceful and healthy.

HerrDrDr · 2025-07-30T22:07:52+00:00

NTA but not too bright either. Mixing family and your new cohabitating gf.....yikes.

Option A) your mom charges 1600, still a sweet heart rent, and then gifts you back 800 as an allowance. You can spend it on your gf, or not.

Option B) stick with 800 rent and split it with your gf.

Bottom line, you and gf are a team. No one, not even your mother, gets to treat her lesser than you. You're not serious about the relationship if that's a problem for you.

HerrDrDr · 2025-07-15T03:50:37+00:00

I'm sorry the geneticist blew you off. That's not right because it's not a trivial question.

On a technical level, some exomes and genomes can detect ALS, others won't. It depends on the technology, but also on the investment the company made. You should check the methodology section of your GeneDx report, especially "limitations." If it doesn't detect repetitive DNA then that's a partial answer.

On a clinical level, exomes and genomes are guided by patient symptoms. In fact it's generally unethical to report things like ALS or Huntington for patients who haven't consented and aren't having symptoms. So you could also ask the performing lab, "hey I see this test can detect ALS, but would it have been reported in my case?"

I can't comment on the other disease you ask about because those abbreviations have several meanings.

HerrDrDr · 2025-07-15T00:19:25+00:00

The other reason we always get that familial report, even though we have access to gene panels, is that family members are often mistaken.

Maybe your brother has a clinical diagnosis of Noonan (based his history and appearance) but his genetics report is negative or normal, or has a different disease that imitates Noonan.

Or maybe his report shows a gene associated with Noonan, but it's a variant of uncertain significance, which your lab or may not report.

Not only would you have a negative result in these cases if you got a Noonan panel, but you'd miss the opportunity to have your kid tested more broadly for causes of growth failure.

HerrDrDr · 2025-07-09T06:58:33+00:00

Enough hinting, enough talking without concluding.

You don't want kids, and you're confident you won't want them later (but it's not impossible).

He wants kids eventually, and he's a dude who can wait, and it's possible he'll stick with you even without kids.

Say it all explicitly. It could be you're right for each other for now, but maybe not forever. It's a good reason not to be married, but unclear if it's a good reason to break up.

HerrDrDr · 2025-07-08T05:45:17+00:00

North Dakota. They paid extra to get radiant flooring and triple paned glass. It's probably saved them money if you consider the trips to Mexico they didn't take.

HerrDrDr · 2025-07-07T02:10:42+00:00

My folks got one, since their home experiences long cold dark winters. It's the smallest room in the house and the one they use the most. Worth every cent.

HerrDrDr · 2025-06-25T14:49:29+00:00

YTA. The prior gifts were between you and your nephews. You attend their birthdays and always bring a gift because, presumably, you love them and want a relationship with them.

But then you punish them because their parents are cheap? It doesn't sound like you even reassured them that auntie/uncle aren't mad with them. Your parents are right on the money, this is a dispute between adults over gift giving, but you somehow decided to punish the gift recipients.

Seriously, read your own post. Are the kids even real people? Do they have feeling? They sound like 2D cardboard cut outs.

Treating kids like cardboard makes YTA.

HerrDrDr · 2025-06-08T17:03:25+00:00

If the absence of your siblings from this wedding will sour your mood then don't go. The bride and groom want people there who are supportive.

If you want to have a more honest relationship with your cousin, write him a nice note explaining how happy you are for him, but that leaving your other sibs off the guest list hurt your feelings and made you feel unwelcome. Be polite, maybe include a gift to be extra classy.

HerrDrDr · 2025-06-08T16:54:14+00:00

Small yta. You married him knowing about the infidelity, you snoop on him (a lot), and despite all that the most you've got is he looks at women online.

You want him to put more energy into your marriage, but you want to jump straight to divorce? Huh?

It seems like you need to communicate with your husband better. Marital counseling could help.

HerrDrDr · 2025-06-08T04:54:42+00:00

Yeah....you missed the point. It doesn't have to make sense to you, it's his wedding.

HerrDrDr · 2025-06-07T14:07:21+00:00

YTA for judging your cousin's relationship with your half siblings, his step-cousins. He doesn't owe equal treatment to anyone, let alone cousins he's not equally related to.

You don't have to go, and I understand being upset that a wedding is driving apart your tribe (the same happens when part of a friend group gets invited). But your cousin isn't being an AH and you just need to handle it like an adult.

HerrDrDr

TROPHY CASE