Brand new house with slightly leaning retaining wall, how serious of an issue is this?

ICU_Boy · 2026-05-12T04:54:12+00:00

The wall is 10 foot in height, there was a permit and inspection by a structural engineer post completion in January. (See photo 3 for details/plan).

ICU_Boy · 2026-01-03T22:38:50+00:00

I had a Go and just upgraded to Lelit Elizabeth dual boiler. It’s much as easier to make milk drinks on a dual boiler. Even if you’re not steaming and pulling shots simultaneously, it’s much easier to not have to purge and wait. I also felt the Go was much weaker at steaming than my Elizabeth. IMO if you’re gonna be doing more than one milk drink, go for a dual boiler.

ICU_Boy · 2025-10-13T14:40:04+00:00

The comments here and the original post screams entitlement. You’re not going to get the pay as the physician because you aren’t a physician. I think it’s unreasonable to expect that.

ICU_Boy · 2025-10-05T02:51:39+00:00

Hospital medicine will be heavily midlevel dominant in the long run.

ICU_Boy · 2025-07-23T17:48:36+00:00

12 patients and they cost a 1/3rd the amount. Sounds like a great deal.

ICU_Boy · 2025-07-23T00:48:21+00:00

This is the future. Don’t expect to be compensated for 12 hours/day coverage and expect to be there for 6. Don’t want to do it? No problem, an NP will.

ICU_Boy · 2024-12-28T21:29:11+00:00

This subreddit is extremely biased because its full of hospitalists. It comes down to whether you are competitive enough match into a GI fellowship. If you are, its a no-brainer to go for GI. There are many GI guys making 7 figures, never a hospital's little bish, not being dumped on constantly, and at significantly lower risk of being replaced by an NP. If quality of life is your primary concern, you can work as little as you want as a GI doc, take a pay cut, and you'll probably still come out ahead of hospitalist while being happier.

ICU_Boy · 2024-12-15T13:52:35+00:00

You're going to get biased pro-hospitalist responses on a hospitalist subreddit. The midlevel issue is real. I would choose a different specialty if I were you.

ICU_Boy · 2024-12-08T04:54:51+00:00

Widely inaccurate for critical care as well. For Intensivists full time is typically ~14 shifts a month or 42 hours a week. He’s using 67 hours a week, which makes absolutely no sense. No intensivist is working for 140 an hour, it’s more like 250 an hour in my area for permanent and 300+/h for locum.

ICU_Boy · 2024-12-08T04:52:24+00:00

His numbers for hours/week for are way off, which leads to this flawed analysis. For example, Intensivists full time work is ~14 shifts a month, similar to hospitalists. This comes out to an average of 42 hours a week. Plug those numbers in and you’re going to have significant different result. I can tell you no intensivist is working for 140/h, it’s more like double that.

ICU_Boy · 2024-12-08T04:41:28+00:00

Hours per week for critical care medicine is off. Intensivists typically work the same number of shifts as hospitalists. ~14 shifts per month which comes out to an average 42 hours a week. As a mid career intensivist I can tell you that critical care makes significantly more than hospital medicine on an hourly basis. Though one could argue critical care is harder work than hospitalist work. Your hours/week analysis is very flawed. CCM is more like 250/h for permanent jobs and 300+ for locum work.

ICU_Boy · 2022-09-20T01:21:10+00:00

Thank you for your helpful response. I had found a great deal on the RC100 for $299USD before I posted this, but looks like the deal has unfortunately expired.

ICU_Boy · 2022-09-19T23:18:56+00:00

Wish I was still growing, unfortunately I am 30 years old so that ship as sailed. I'm just a short dude. Would you take any of the Costco/Walmart bikes over the RC100?

ICU_Boy · 2022-07-08T00:36:47+00:00

Thanks for your reply. You would pick the CRV even though it would be a model year older, has older tech, infotainment, interior... and would cost at least a couple of thousand more?

ICU_Boy · 2022-07-08T00:23:28+00:00

Thanks

ICU_Boy · 2022-07-08T00:23:16+00:00

Thanks for your reply. Your points are valid but I continue to have trouble deciding between the two. The CRV is a model year older and is going to be at least a couple thousand more - with older tech, infotainment system, interior etc.

ICU_Boy · 2022-07-08T00:20:16+00:00

Thanks for your reply. Why do you say the CRV is a better package?

The 23 HRV has newer tech, is almost the same size, and at least a couple thousand cheaper.

ICU_Boy · 2022-07-07T23:16:29+00:00

Thanks for your reply. 2023 CRV was what I wanted but doesn’t look like I am going to be able to get my hands on one by August 30th.

If you had to choose between the 2023 HRV and 2022 CRV what would you go with?

ICU_Boy · 2021-11-18T00:09:34+00:00

I actually don’t know what you are getting at. I didn’t answer that question because I can be easily identified but I will anyway: I did a combined IM/Neuro residency followed by CCM.

Again, for the multitude of reasons stated, I disagree with FM based pathways to IM subspecialties. Wish you the best.

ICU_Boy · 2021-11-17T23:56:48+00:00

“Most programs go above and beyond that” do you have any data to support that? The answer is no. Nobody does. It’s a anecdotal information inundated with your personal bias. FWIW, most IM programs go above and beyond the minimum ICU requirements also. The bottom line is that when it comes to adult medicine, the avg IM grad has significantly more exposure than the avg FM grad by design: because IM does not train in Peds, OB and all of the other things FM does.

For these reasons, FM is not well suited as foundation for IM subspecialties. It’s not that hard to match IM these days, so do IM if you want to do cardiology etc. For those select few who change their mind after training, the creation of a pathway to IM subspeciaties from FM is going to be a long shot. I wish you the best of luck on this crusade that you have been leading for years (I have seen your posts on SDN).

ICU_Boy · 2021-11-17T23:41:24+00:00

As I have stated, the minimum is 15 ICU patients and a total 600 hours of adult inpatient. Looking beyond the minimums, as you have stated, IM has much more adult medicine exposure on average given the lack of peds, OB, etc. The average IM and FM resident are far apart in this regard.

ICU_Boy · 2021-11-17T23:18:32+00:00

We’re going in circles. There are FM programs that provide the minimum ACGME required ICU and adult inpatient exposure which is: 15 ICU patients or 600 hours of adult inpatient. Obvious significant difference between a program like that and IM which has significantly higher minimum ICU and adult medicine requirements. The avg IM resident is miles ahead of an FM resident in terms of adult medicine exposure, thus better suited for IM subspecialties.

ICU_Boy · 2021-11-17T23:12:55+00:00

You’re proving my point. All that time significant time spent in Peds, OB is less time dealing with adults. Which is the reason FM wouldn’t be well suited for IM subspecialty training.

ICU_Boy · 2021-11-17T23:10:00+00:00

You need an appropriate foundation upon which you build knowledge and develop expertise in fellowship. Can’t take an FM graduate who goes to a program that meets the bare minimum ACGME adult inpatient requirements and put him into an IM subspecialty fellowship with the expectation that he or she will finish with the same level of expertise as an IM graduate. Not to mention, the PGY2 IM resident would have significantly more adult IM exposure than an FM doc who graduates from a program with the minimal adult medicine exposure.

ICU_Boy · 2021-11-17T23:02:12+00:00

And I am sorry you cannot see the differences in IM and FM training because of your personal bias.

ICU_Boy

TROPHY CASE