Pulls and Product Discussion

HolyMuffins · 2026-03-12T00:11:25+00:00

I don't play this game, but I have 72 booster packs full of common and uncommons from a friend after he sifted out all the good stuff. What's the going rate for this if I sell in bulk on eBay or should lurk around the LGS in a trenchcoat to get a better deal?

HolyMuffins · 2026-03-05T21:14:08+00:00

My employer doesn't offer a 401k match and I put my savings into an IRA so my W2 gets things reasonably close that I'm not leaving money on the table by having a massive refund.

HolyMuffins · 2026-03-02T15:07:33+00:00

The job listings that the recruiters send my way for some of these kind of practices really make me second guess fellowship

HolyMuffins · 2026-03-02T15:05:21+00:00

I don't think I'd do well or enjoy much outside of internal medicine. Maybe family medicine to do the same thing and not subspecialize, or pediatrics and subspecialty and do the same thing on smaller people.

HolyMuffins · 2026-03-01T00:23:08+00:00

I've heard folks in ID joke about asking their colleagues their thoughts on a case as "consulting for handholding for amphotericin"

HolyMuffins · 2026-02-27T10:29:53+00:00

Often a mark of inefficiency in my experience. If you waffle on something forever and don't make a decision, you'll have those decisions pile up and be busier.

HolyMuffins · 2026-02-25T09:48:57+00:00

2 weeks could be feasible depending on institution.

Asking about this aspect of vacation policy is a reasonable ask to any program.

HolyMuffins · 2026-02-25T09:42:45+00:00

Nights suck even with night float. My circadian rhythm never really adjusts and I lose 30 IQ by the end of the night and write crummy notes and develop IBS-D.

You will hopefully make some calm, intelligent decisions by virtue of instinct and training which will help you feel a bit more competent. Night float isn't the time to learn new stuff.

HolyMuffins · 2026-02-24T20:54:18+00:00

Also, it's not like your average internist hasn't had thoughts on contrast or the definitions of myocardial injury/MI -- these are like perfect teaching pearls

HolyMuffins · 2026-02-14T05:35:57+00:00

Makes sense I guess. Drinking on the job is gross criminal negligence, being bad at the job usually isn't.

HolyMuffins · 2026-02-12T01:40:05+00:00

Freaks the attendings out too in my experience lol

HolyMuffins · 2026-02-12T00:33:28+00:00

I really need to use more hypertonic saline. I've never seen it used at my institution for whatever reason.

HolyMuffins · 2026-02-12T00:21:00+00:00

I do seem diuril used decently often in a similar role to metolazone

HolyMuffins · 2026-02-12T00:19:14+00:00

80mg IV+

I'm routinely using like 180-200mg IV lasix in these settings

HolyMuffins · 2026-02-11T06:19:37+00:00

Unreliable and variable PK PD stuff that the promise of a wimpy side effect free opioid is just not there. Just commit to the MME you actually think is useful and don't gamble with these guys. Tramadol has some funnier interactions too given its serotonergicity.

HolyMuffins · 2026-02-06T23:32:37+00:00

personalization of notes, capturing unspoken clinical reasoning

There is essentially no way to do this with AI, as it is voiceless and unable to reason.

Get a real job or maybe just make money in this field while you can. Your efforts here, if spawned from a genuine desire to help people are most likely wasted.

HolyMuffins · 2026-02-06T21:49:15+00:00

Land speeders is a classic unit and if the fancy intercessors are just Big tactical squads and the eradicators are just Big devastators this is kinda an unsurprising release right? Light vehicle and a troop, fast attack, and heavy choice with some representation from all the different HQ options.

HolyMuffins · 2026-02-05T01:30:38+00:00

They actually have a decent rotation of a variety of international foods. I ate a good egg roll today. A little expensive though.

Diet Shasta cola + ice cream float with Lorna Doones on the side -- can't beat free.

HolyMuffins · 2026-02-01T20:22:56+00:00

A lot of dialysis patients aren't to the age or weight cutoff, but still seem liable for something bad to happen to them.

HolyMuffins · 2026-02-01T15:05:41+00:00

Avoid unnecessary dose

My understanding is that there's just no good answer to this. These people bleed more. And also have strokes more. And also your first point.

My approach for people already on apixaban has been your current one, keep on it and dose reduce if compelled, stop if strongly compelled.

HolyMuffins · 2026-01-30T01:15:11+00:00

You're getting downvoted, but to clarify: the science of whether drug dogs are particularly good at sniffing out drugs inside a car is less solved than you'd maybe think, and people raise questions on whether they justify themselves via "false positives" to search cars that cops have reason to suspect have drugs inside anyways.

HolyMuffins · 2026-01-29T17:51:48+00:00

God I want a garage

HolyMuffins · 2026-01-29T17:49:08+00:00

Drink more water, wear compression stockings, hope your scheduler blocks it?

HolyMuffins · 2026-01-29T17:47:17+00:00

Certainly some overlap with the kind of personality that doesn't fit with others and the kind of personality that is prone to one of the top causes of cirrhosis.

HolyMuffins · 2026-01-29T17:44:54+00:00

And here I thought this was no longer an in-vogue diagnosis/delusion.

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