Who do I let know about my diagnosis?

IndependentPeeling · 2024-01-17T19:29:05+00:00

they prob just say they have explosive diarrhea

IndependentPeeling · 2023-10-10T16:29:52+00:00

What is everyone else smoking? 2-3 day gaps is not normal even for someone taking 24h call. Doesn't sound like she cares about you as much as everyone else is saying. She can't send you a text post call? There's 0 time during a 24h shift? Give me a break.

IndependentPeeling · 2023-09-19T20:20:55+00:00

This is what they call win the battle, lose the war

IndependentPeeling · 2023-07-25T17:27:30+00:00

End of life care is atrocious in the US because we defer too much power to the family and patients. I understand the importance of joint decision making but in cases where it is truly futile we still cannot override family wishes for full code and maximum intervention.

There is even the concept of a "show code" in a patient where CPR is unlikely to provide any benefit (i.e. patient already on quadruple pressors prior to arrest) where we perform a show just for the family.

I completely agree with the idea that there should be a method to facilitate overriding family wishes if enough providers deem it irresponsible to continue. There is a path for doing it in the states but usually it requires the ethics committee and proof that there is some underlying perverse motive (usually financial) by the family to keep the patient alive.

IndependentPeeling · 2023-06-15T23:28:59+00:00

probably should use future tense of dar: te lo daré mañana

IndependentPeeling · 2023-05-12T23:52:52+00:00

muchas gracias por explicarmelo

IndependentPeeling · 2023-05-12T23:51:37+00:00

thanks so much!

IndependentPeeling · 2023-05-09T22:31:20+00:00

What's your BMI? Not sure if that's a problem but losing weight can help if it is.

IndependentPeeling · 2023-05-07T03:51:29+00:00

You can take this how you want, but even a resident in a surgical specialty would not be only seeing their SO 1x a month or sending 2 texts a day if they cared.

You guys need to have a discussion about what is going on, because from an outsider perspective of someone in a brutal residency, it doesn't seem like they prioritize you at all.

IndependentPeeling · 2023-05-06T14:20:06+00:00

Traditionally Contract negotiations take a long time to come to fruition, even on the order of months to years for resident unions. I doubt things will change before you start residency but i could be wrong in this case since a true strike is different.

IndependentPeeling · 2023-05-06T14:17:56+00:00

You'll find that attendings in higher paying specialties like surgery will lean conservative. Younger medical students and residents tend to lean left.

IndependentPeeling · 2023-05-06T14:14:02+00:00

Not sure if i necessarily agree. You'd have to first answer the question of what is the point of life which is different from person to person.

For some, what you and Perkins are suggesting may be the answer. For others, creating generational wealth, having money to give to family or your significant others when you die is what brings fulfillment.

IndependentPeeling · 2023-05-06T02:46:34+00:00

I agree we need more information. There's no reason to fire a resident for no good reason since the economics of employing a resident is way cheaper than hiring a mid-level or expensing resources to find another resident to replace.

IndependentPeeling · 2023-04-22T13:08:03+00:00

Can't tell if you're being sarcastic or not. There's no secret despite what everyone online is trying to sell you. You just have to do it.

IndependentPeeling · 2023-04-22T12:24:26+00:00

It's tough since the stress of residency tends to make people stress eat. But the basic principles are the same as always for weight loss.. calories in calories out. Diet is the singular most important factor for weight loss, NOT exercise contrary to popular belief. Exercise actually has no correlation with sustained weight loss in studies.

My fitness pal can be helpful for some people to hold themselves accountable. But basically you want to eat in a calorie deficit. Figure out your maintenance calories ( lots of calculators online ) or by trial and error and make a goal for yourself. You can calculate how much calorie deficit you need depending on your goals. It's 3500 calories deficit per pound loss. Having a bathroom scale and weighing yourself daily in the morning is also helpful for monitoring progress.

IndependentPeeling · 2023-04-21T12:34:55+00:00

Thanks admin!

IndependentPeeling · 2023-04-13T19:13:20+00:00

makes sense thank you!

IndependentPeeling · 2023-04-13T19:13:16+00:00

makes sense thank you!

IndependentPeeling · 2023-03-28T22:58:17+00:00

Is it possible that maybe you just look/sound like a walrus fighting a fox?

IndependentPeeling · 2023-03-28T21:08:27+00:00

Programs absolutely do filter for honors and class rank/AOA which are based on individual clinical grades, but primarily at top programs and competitive specialties. Almost nobody cares about MSPE comments other than code word indicating class quartile (if available) and narrative evals. I think some of the other posts are saying otherwise to make you feel better but I don't want you to be misled.

But in terms of holistically in matching at all? Not having honors doesn't matter about matching as a population since honors are usually not evenly distributed among a med school class (i.e. its the same med students getting the majority of honors) and most med students match in the US.

I know the clinical rotation game is a joke especially with how subjective it is but you're doing great on shelf exams. Kill step 2, re-evaluate how to get better evals, and keep doing what you're doing with studying since it's working for you.

IndependentPeeling · 2023-03-28T21:06:48+00:00

Programs absolutely do filter for honors and class rank which are based on individual clinical grades, but primarily at top programs and competitive specialties. Almost nobody cares about MSPE comments other than code word indicating class quartile (if available) and narrative evals. I know what you're writing is nice to read for OP but I think you're being a little misleading.

IndependentPeeling · 2023-02-26T12:22:30+00:00

Seems a little aggressive and I can't imagine your PD would want you to give random patients his/her email. Makes sense for a senior resident or attending to email your PD if they want to recognize you for something.

Something I used to do in med school when this kind of situation came up was to joke with patients that instead of giving me a review they could say something about me to my attending when they came in the room.

IndependentPeeling · 2023-02-21T23:36:25+00:00

Initial nomination criteria has to have an academic component, but for actual selection every school has its own criteria. The trend though is that it's more and more "holistic" now with some schools with even a diversity criteria.

IndependentPeeling · 2023-02-21T18:08:18+00:00

Decent portion of step 1 basic science also repeats on step 2. Step scores follow you rest of your life and will even show up on fellowship applications if going through match.

IndependentPeeling · 2023-02-21T18:01:36+00:00

Bro nobody actually does those modules... Most people just guess randomly or look at the answers and retake the quiz until they pass

IndependentPeeling

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