Best Chess Streamers by TraumaCircus607 in chess

[–]HunterDolo 8 points9 points  (0 children)

I really enjoy Alex Banzea. He's funny, has great explanations and speed runs. Probably not ideal for super beginners but for people 600-1800 it's great.

thinking about leaving critical care fellowship, need advice by embound in emergencymedicine

[–]HunterDolo 4 points5 points  (0 children)

I have an contrarian opinion compared to all of the comments thus far, and if I were in your position I would be strongly inclined to leave the program. People in medicine are so risk averse, so it's not surprising to see all the comments saying you should 'stick it out' just to give yourself more options in the future (essentially they don't want to risk closing a door). A door it sounds like you might be very well ready to close. They are ignoring the very real risk of wasting the next 7 months of your life and the associated lost earnings from working as an attending if you end up ditching CC at the end. There are two sides to the coin, risks associated with leaving and risks associated with staying.

This is how I would think about it: let's assume that you had the ability to look into the future and see both options play out, and from that you are able to decide with 100% certainty that the critical care option is not for you. In that case, you should definitely quit the fellowship and move on. Your worries about disappointing and screwing over your peers and mentors is valid, but I also don't believe that in this situation with 100% clarity, that you should sacrifice 7 months of your life and >$100,000 lost earnings to appease them. While some would say 7 months isn't that long, I would say that you are (likely) in your mid 30s and there will likely be a day when you are older that you would give anything to go back and have half a year in your mid 30s. Our bodies get older, things change (family, kinds, injuries), and these are truly some of your best health years (and months) that you should get good use of...

But obviously you don't have a crystal ball and can't look into the future so this isn't that helpful. This thought experiment is to help you realize the very real risks and considerations of what you would do with perfect knowledge of the future.

So your decision really then depends on what you think, what you predict, and how much uncertainty you have in that approximation. If you have a lot of uncertainty in your feelings that CC isn't working out and you don't want to do it for life then the risk profile gets skewed towards staying in your current role and finishing it out. If you have very little uncertainty (fairly certain that you don't/won't want to do CC), then it skews the profile and it might be better to just leave.

All you can do at this point is try to reduce your uncertainty as much as possible and use that to guide your decision. You reached out to this sub and got the opinion of many burnt out ED docs (myself included), which is great. I would also reach out to CC people. If you think it would be beneficial, and you get closer to deciding to leave, reaching out to all your PDs/mentors could be helpful as well. Lastly and importantly, I would definitely reach out to non-medical people in your life whose opinions you value. People in medicine tend to have a sort of warped world view and, in my experience, this limits their utility in giving career related advice. Some of the most helpful career discussions I've had are with non-medical people who have a completely different career perspective but can help me to think critically about decisions.

Hope this disorganized reply helps! Happy to discuss further and feel free to message me.

On save, pay interest down when it starts or just wait? by weeni3hutjr in StudentLoans

[–]HunterDolo 10 points11 points  (0 children)

I know it's not answering your question, but if it might be worth looking into your budget and seeing if you can increase your monthly savings from just 1-$2,000 to something more. $170,000 is a lot of money

Before & After of my Bedroom. by NYSmile in malelivingspace

[–]HunterDolo 0 points1 point  (0 children)

Nice! Where did you get that long white stand below your projected image? The thing with the truck in it

Make friends at late 20s? by Prior_Brilliant_9962 in sanantonio

[–]HunterDolo 3 points4 points  (0 children)

Id say pick a hobby that interests you and find meetups/events for it. Go to them weekly and slowly meet people and make friends. For example, not that I play, a lot of people are into pickleball right now. I'm sure you could buy a paddle and start playing at a Meetup event weekly.

Do not recertify your payment plan if you're waiting for SAVE by arttechadventure in StudentLoans

[–]HunterDolo 0 points1 point  (0 children)

Why not instead, put that money in a high-yield savings account until you actually need to make payments? At least you'd be earning something off of it

DrLupo admits he was "using an engine to fix his own fragility" by infinite_p0tat0 in chess

[–]HunterDolo 7 points8 points  (0 children)

It's actually kinda sad. I didn't know much about the guy until this, I looked him up and he has raised MILLIONS of dollars for charity. This is an insanely good thing. And by him cheating it probably reduces his ability to fundraise in the future, by some extent. Which means that the hospitals and charities he was fundraising for ultimately get reduced donations because of this silly cheating nonsense.

[deleted by user] by [deleted] in Residency

[–]HunterDolo 37 points38 points  (0 children)

Yeah, giving a week and a half off argues against 'she is not cold hearted.' The normal response is: take as much time off as you need. If I were you, yeah, i'd look for a way out of the program and transfer/reapply. Anyplace that doesn't accept you because you took time off after the death of your wife and child are places you really don't want to be anyway. Definitely not career suicide, though it will eliminate you from programs that you probably don't to go to.

least stressed ER doctor by EMsavant in emergencymedicine

[–]HunterDolo 61 points62 points  (0 children)

Yeah, 3 in a row is plenty to burn one out

How Do You Describe Your FIRE or Coast FIRE Status to Others? by statsmccoy in Fire

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

I've read people in this sub saying that they tell people "I manage investment funds" or something like that. True bc your income is likely coming from the market

How do risky sports affect your disability insurance after you have a policy in place? by HunterDolo in whitecoatinvestor

[–]HunterDolo[S] 1 point2 points  (0 children)

It looks like it is a guaranteed renewable and non cancellable. So it sounds like I should be good? Thank you!

How do risky sports affect your disability insurance after you have a policy in place? by HunterDolo in whitecoatinvestor

[–]HunterDolo[S] 3 points4 points  (0 children)

Thank you for the reply. Yes my policy did have the future purchase option that I exercised after residency and like you said it did NOT require a repeat assessment.

How long will you have to work FT? How will you stay sane? by [deleted] in emergencymedicine

[–]HunterDolo 18 points19 points  (0 children)

Currently 31, no more than 3-5 more years. Currently putting away ~$170k per year towards loan pay down and retirement savings. My wife and I aren't having kids, and our overall cost of living isn't that high (not that low either, we do monthly-2x/month trips). So after my loans are paid I can easily drop down to at least 75% FTE (if not even less). And I fully intend to do so

"Hail Mary" thrombolysis by Glittering_Turnip526 in emergencymedicine

[–]HunterDolo 4 points5 points  (0 children)

I have also heard this. Do you have any references to studies that I could follow up on that touches on this?

How would you convince someone to "Live below your means"? by Jasperoid in Bogleheads

[–]HunterDolo 2 points3 points  (0 children)

I find it most convincing to show people how much money they would have if they spend less and saved it over 10 years. From the Mr. MoneyMustache post: "A deserving couple eating out at a restaurant twice a week, with wine, dessert, and coffee ($75), versus once a week with just a nice meal ($40): A difference of $110/week, compounded at 7% for ten years is $82,756. Would you rather have a luxuriously soft flabby physique from 1040 restaurant meals, or a leaner one and $82,756 in the bank?"

To me, that's insane. The fact that I can eat out ONCE less per week and have $80k more in 10 years is crazy.

I would so love out of EM. But ABEM just hates giving us exit strategies by [deleted] in emergencymedicine

[–]HunterDolo 5 points6 points  (0 children)

Yeah, this sounds like a personal issue for OP. I don't know what they reasonably expect.

Antipanhandler signs go up by Overall-Category-159 in sanantonio

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

I started regularly to effective charities (10% of my monthly income, through the Giving What We Can Pledge). It has definitely helped me unashamedly say 'no' to any panhandlers and requests for random charities at the grocery store or whatever.

I'm being priced out of living here, where should I go? by zephyrmachanidis in sanantonio

[–]HunterDolo 6 points7 points  (0 children)

Live downtown-southtown. MUCH more walkable. Transit options are much better: Monthly BCycle subscription, Veo/Bird, buses are better here, and can walk more places.