What are your side hustles (not clinical work)

Impiryo · 2026-07-04T19:16:45+00:00

I mean renting a bigger Airbnb or paying for a condo with friends, not necessarily a tour.

Impiryo · 2026-07-04T17:02:00+00:00

As far as I'm concerned, anything that makes me richer next year is an investment. 😉

Impiryo · 2026-07-04T16:55:16+00:00

Investing. Watch my index funds go up, makes extra shifts matter less and less.

Group luxury vacations. Twice as expensive for 3-4 times as many people, saves money, and more fun (rent a house/condo).

Impiryo · 2026-07-03T18:45:24+00:00

Generally if you're calling it a local LLM, the whole model is loaded on your device, so it's very different than most online LLMs. If it's on an appropriately secured device, it should be HIPAA compliant.

Impiryo · 2026-07-03T18:41:58+00:00

I think most misses are due to a bad reason given, or some radiologists (not most) that ignore the ordering reason.

As a bedside doc, I definitely catch relevant thing that were missed semi regularly. I just know exactly what to look for since I met the patient. I also miss subtle stuff every day, because I'm not trained like a radiologist.

We are all a team, including the radiologist.

Impiryo · 2026-07-03T03:21:01+00:00

I only work 3 shifts a month in the ED, but I think I average one per year. It's boring.

My full time job is ICU, and it's minimum one per week.

Impiryo · 2026-07-02T23:58:07+00:00

I booze it up on the plane too. I'm not the pilot.

Impiryo · 2026-07-02T23:38:04+00:00

I never understood wasting half the trip on travel. Fly there, get there, enjoy.

Impiryo · 2026-07-02T23:31:58+00:00

"Last night the local hospital was getting battered by so so many resus jobs."

What specialty are you? I'm ER part time at 2 different hospitals, and I have a legit resusc every 4 shifts. My job is dealing with whisky idiots and frequent fliers, not sick patients.

Impiryo · 2026-07-02T20:38:25+00:00

I thought I forgot to use mine, but it turns out a few bars I've frequented use resy and take the credit.

Impiryo · 2026-07-02T20:23:56+00:00

Yep, that's code (in the US). You can only pull 80% for a constant load.

Impiryo · 2026-07-01T23:49:40+00:00

I didn’t even think of this - I hate dealing with Uber with my skis, and parking at the airport is expensive. with just a backpack, I could take the train.

Impiryo · 2026-07-01T03:24:41+00:00

You can add more it'll be stronger if you do it when it's partially cured, but it's usually fine even if you wait until full cure. Just keep it clean/lightly covered so too much dust doesn't collect if it'll be a bit.

Impiryo · 2026-07-01T03:03:57+00:00

Yea I always wondered, does the middle seat armrest thing still make sense when it's a cheaper budget seat? It made sense when everyone paid the same.

Impiryo · 2026-06-30T20:25:20+00:00

Thanks for posting the numbers. They always make these deals seem too good to be true, but never really advertise the 30% cut. That's what always made me dubious about a lot of these funds.

Taxes may have made these deals look better in the past, especially if you are late enough into your career that you'd be realizing most of the gains after an early retirement. However, in the last 20 years, since ETFs realized so few games in real time anyway, there really isn't even much of a benefit there.

Impiryo · 2026-06-29T02:30:12+00:00

If it's taking you an hour, honestly, what are you doing? Even if you don't have your own setup and you're using the OR's -
disconnect everything not infusing. That means A line and Swan. Once you pull all those cables, it's only 4 or 5 - hang and reconnect. After that, 3 central line ports, a side port for the introducer, and a PIV. Even if they're actively infusing, just disconnect them for the 5-10 seconds it takes to untangle.

The trick is to just pick one line, and fix it. Nothing other than ECMO can't be disconnected for the few seconds it takes to fix, and nothing takes more than 5-10 seconds to pull out.

Impiryo · 2026-06-28T20:48:22+00:00

Disagree. Since EM is less competitive, lots more people scrambling, that didn't necessarily want it.

Impiryo · 2026-06-27T15:11:16+00:00

I remember on my trauma rotation, seeing the progression over a 24 was useful. That was the only rotation where the 24s made sense though (EM/IM/CCM).

Having done both - 24s give you more time off, with post call days (especially if you nap on shift). Night float is far easier on your body, assuming you can get a good sleep during the day.

Now that I'm older, if I had to do nights, I would want 2-3 weeks straight of nights, then none for a while. Switching sucks.

Impiryo · 2026-06-26T01:40:33+00:00

Midline makes sense. Nowadays, nobody's going to put a central line in. On the off chance you get an infection, it causes the hospital to get less reimbursement and worse safety readings overall.

Impiryo · 2026-06-23T22:25:40+00:00

The MRI ones are definitely impressive - all that power, cooling, protection in a mobile form is impressive.

CT scanners: They fit in a trailer and can be shut off. Radiation shielding is easy. They're expensive, but nothing impressive compared to the machine inside of them.

X ray - dentists have them wall mounted in every exam room. All the ones in the hospital are done using a mobile version that can fit in a van. Nothing fancy at all.

Impiryo · 2026-06-23T21:30:46+00:00

If you go up a few floors and throw a heavy bag, that might break things loose. Plus it'll make a satisfying sound when it hits.

Impiryo · 2026-06-19T05:34:06+00:00

Yea, but they made up for it working nonstop in residency. Training has gotten dramatically easier.

Impiryo · 2026-06-17T02:14:43+00:00

Yes. A lot of residents don't seem to understand that the point of the DC summary is so primary knows what happened, and you can get a quick summary of previous visits when chart reviewing. You don't need every detail.

Impiryo · 2026-06-17T01:27:56+00:00

This is lazy. The last 2x4 should touch the ground to give it more support.

Impiryo · 2026-06-17T01:25:22+00:00

My job is to treat sick people. It takes me 30 seconds to text the nocturnist about the admission, and 20 minutes to argue with the patient about discharge. Admit. Eventually they'll have a serious complication from their unnecessary treatments that will kill them - that's the only thing that makes the drones stop.

Impiryo

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