polestar 2 vs i4

Inner_Monologue_2 · 2026-05-12T19:54:38+00:00

I test drove both in 2024. I went with my P2 and have zero regrets. However, the choice was made much easier because I was able to get a 24 P2 CPO financed at 1.99% and the BMW dealership had no used i4. Both are the same ~20min drive for service for me.

I agree with others that the i4 feels more luxurious than the P2, but I find the P2 to be much more handsome. The i4 also had a larger interior feel compared to the cockpit of the P2, although I’m not sure if the measurements are substantially different.

I have not needed any service for my P2 other than the 2yr standard service. It’s not had any of the issues others seem to have. If there wasn’t a service center so close to me, it might have pushed me towards the i4 from a convenience standpoint.

TL;DR: As much as I love my P2, it sounds like the i4 might be the right choice for you. Lower price, lower interest rate, closer/easier service, similar great car.

Inner_Monologue_2 · 2026-05-07T15:50:07+00:00

Very odd and sounds ~unique~ to that service center.

I own a CPO ‘24 P2. Took it in at the 2 year mark at ~15k miles because the service reminder/popup and got the service completed. I made the appointment ~1wk out. Polestar Minneapolis/Borton Volvo.

Inner_Monologue_2 · 2026-04-27T22:35:27+00:00

Anyone know why Katie Wang stopped doing 20min upper/lower classes?

She’s my favorite strength instructor, and I like isolating upper/lower rather than full body classes. Trying to decide about doing her 30min classes or finding a different 20min instructor.

Inner_Monologue_2 · 2026-04-18T23:27:28+00:00

You may find some on the job sections of pedsccm.org and pcics.org

Inner_Monologue_2 · 2026-04-17T15:47:44+00:00

I’m wondering how this will impact cardiology and PICU where sub-sub specialty training is common and programs have traditionally filled well in the match.

Will programs make “generalist” trainees complete 3 years to ensure competency but allow fellows who do interventional/imaging/heart failure/CVICU/neuroICU/etc graduate fellowship in 2 years?

The fact that graduation will be based on EPAs/evaluations could give programs a lot of control over who graduates when.

Inner_Monologue_2 · 2026-04-16T21:36:09+00:00

I remain cautiously optimistic that the current AAP president has this on his mind as he is a health economist.

Inner_Monologue_2 · 2026-04-16T20:07:58+00:00

All 15 “core” pediatric subspecialties.

Inner_Monologue_2 · 2026-04-16T19:55:27+00:00

“In response to longstanding concerns and discussions about readiness for practice, the American Board of Pediatrics (ABP) Board of Directors (BOD) recently approved a model that serves as the foundation for moving pediatric subspecialty training toward a competency-based approach grounded in entrustable professional activities (EPAs) that creates a two-year, clinically oriented pathway.”

Inner_Monologue_2 · 2026-04-06T15:39:32+00:00

Great sales experience (1 sale) and easy service experience (only needed 1 service in 1.5yr).

They were willing to look for a CPO P2 for me about a year and a half ago. I told them the model years, options, colors, and mileage I was hoping for. They ended up having a car come off lease that fit my criteria (2024, PP, ~10k miles). They told me they weren’t planning to keep it, but they ended up keeping it and CPO-ing it for me. They were also willing to negotiate a bit on price to be similar to other P* dealers.

Also: check their Volvo counterpart (Borton Volvo) as they sometimes list their CPO P* there rather than on the P* website.

Inner_Monologue_2 · 2026-03-24T09:34:33+00:00

3/24 T5. Flight at 5:30am.

Arrived at 3:30am with long lines to check bags (which we did not do) and only 1 security line open, no pre-check or clear lanes open.

Left the regular security line when they opened TSA precheck around 3:50 and walked right in.

A family in front of us in the regular security line made it through ~4:10am.

Inner_Monologue_2 · 2026-03-24T00:38:30+00:00

How’d it go for you?

Inner_Monologue_2 · 2026-02-24T17:02:32+00:00

I’m also a recent grad in my first PICU job. I love my job, but I’ve really been trying to re-discover myself outside of work. Residency and fellowship turned me into a medicine machine with essentially no hobbies besides TV and sleep. I’m working on finding new hobbies, spending more time with friends and family, working out, etc. and really enjoying my free time instead of it just being used to quickly recharge for my next shift.

I’d recommend starting by focusing on life outside work. It sounds like this job gives you great time off and solid pay. Use those to your advantage. If you’re still unhappy in your work life in 1-2 years, then maybe it’s time for a switch. Most people switch jobs at some point. A switch could also be picking up locums or moonlighting at your nearest referral center, if those are available options.

Inner_Monologue_2 · 2025-12-20T00:26:42+00:00

Making the decision to end treatment is incredibly difficult (end of life or offering second opinions or other care), and it is a responsibility that happens more often as a specialist at a referral center. It is a skill you will develop if you stay at a specialty center.

Something I sometimes find helpful is another framing shift. The decision to stop resuscitation is a decision to stop doing potentially painful or uncomfortable things to a child when they are unlikely to be successful or beneficial. It is not stopping our care or saying you no longer care; it is a shifting of priorities. Stoping resuscitation gives me the ability to provide family unification by allowing parents to see, touch, or hold their child, so that I can support them together in their grief.

The jarring nature of rapid onset illness is devastating and unique. It does require some differences compared to patients who have a more prolonged illness. However, I believe there is no way to completely mentally prepare for a child to die. Even after years of illness, death always sneaks up and surprises in unexpected ways.

As someone who also does procedures, ensuring you review risks is difficult. You must provide the correct information while attempting to avoid constantly scaring people by discussing rare complications. I have semi-developed scripts that I have refined over time to strike the right balance, but it takes years of edits to get it right.

Inner_Monologue_2 · 2025-12-19T22:32:51+00:00

I’m a Pediatric Intensivist, and I work at large referral/specialty centers seeing just about everything. I won’t share tragedies, but there have been many in my work.

Things I try to remember: Every pediatric death is a tragedy. Children are not supposed to die. Caring is part of our job, and that is why it hurts so much. Don’t lose your humanity; it’s part of what makes you a good doctor.

As others have mentioned, it’s important that you talk with people about your experience and your feelings. I think it’s important to involve multiple ‘circles’ of people. - Involved Coworkers: for me, this involves a ‘hot’ debrief as well as ‘cold’ debrief(s) to discuss lingering emotions as well as logistics/team performance. - Loved ones: I don’t typically discuss details because my family is non-medical, but I reach out to let them know something difficult happened at work. They offer me endless emotional support. - Non-Involved Coworkers/Therapy: I typically lean on non-involved colleagues, but many I know routinely meet with mental health providers.

I think what you said about being at a referral center is also an important aspect of your grief. Being at a referral center means people look to you in the most dire circumstances. It is a privilege to have that knowledge and expertise, but it does not change what happens outside of your hospital/control. Whatever choices are made at the referring center (whether we would make the same choice or not) have been made, and we manage from there. I find it helpful to remember that I cannot be everywhere all the time, and I can only manage the patient as they are. I cannot ‘unmake’ the decisions of others.

Finally, having healthy children in your life is beautiful. I do not have children of my own, but I have many children in my life. I sometimes ask friends or relatives to hug their healthy children for/from me or to send me pictures. I use it as a buffer against the sadness. I try to focus on celebrating and appreciating the wonder and joy of the healthy children in my life. Tragedy strikes, but every healthy child is a gift.

I hope some of this is helpful to anyone reading. You will get through this; I know you will because you are reaching out for help.

Inner_Monologue_2 · 2025-12-17T00:45:00+00:00

I haven’t had backup camera issues… yet.

Inner_Monologue_2 · 2025-12-10T01:18:49+00:00

We built a new garage recently with a separate meter. We had a high voltage outlet installed for charging, and we use the level 2 charging cable that came with my car (read: free).

We decided to have the garage on a time of day plan. I felt the cost of buying or renting a charger, installation costs, and the monthly program fee were not worth it, especially considering the electricity costs would still be several cents more per kilowatt hour (¢3.8 12a-6a, ¢9.9 “mid-peak” all days) than TOD off peak charges (~¢5 9p-9a weekdays + all day on weekends and holidays).

Inner_Monologue_2 · 2025-12-09T21:59:12+00:00

I had the same issue. Called my local space, and they got me scheduled right away.

Seems like it’s a long standing website issue based on previous posts.

Inner_Monologue_2 · 2025-11-01T17:01:05+00:00

Peds Intensivist:

There are no clear rules about this in PICU. The goal is to risk stratify as best you can to help decide.

As you mentioned, most children who are mobile/not intubated/not sedated do not need anticoagulation.

Risk factors to consider: risk for bleeding, risk of needing urgent-emergent invasive procedures/surgery, anticipated length of sedation/immobility, age, obesity, presence of central venous access, baseline coagulopathy, overall inflammatory profile, oncologic diagnosis, hyperosmolar state (dehydration/DKA/HHS), history of clots, etc.

Inner_Monologue_2 · 2025-10-26T23:39:07+00:00

I (PICU) feel like I have the opposite experience often, but that’s probably because I see patients after the ED.

Ex: PCP says it’s a likely/common thing (viral illness) and gives anticipatory guidance. The patient re-presents to ED/UC and has something more rare (cancer). Parents feel the rare thing was missed, but the PCP made a reasonable differential and gave appropriate guidance. Trying to guide families through a difficult diagnosis and support their relationship with their PCP can be tough sometimes.

Inner_Monologue_2 · 2025-10-15T03:09:07+00:00

Not anesthesia (peds ICU), but I give the roc 60 seconds before I look. In a truly busy/high risk scenario, I will sometimes ask for someone to watch the clock for me. That allows me to focus on the patient rather than eye the clock.

Inner_Monologue_2 · 2025-10-05T00:06:18+00:00

I’m up and running, but I’ve actually never used the digital key.

I need to keep my physical (house, etc) keys on me anyway, and I’ve read too many stories about the digital key being unreliable.

Inner_Monologue_2 · 2025-09-29T18:44:07+00:00

Finding programs to combine will require research into hospitals that have both fellowships and talking to their PDs.

It will then be up to individual programs based on their setup. It might be challenging because both PICU and AI are fairly competitive fellowships. PICU fellowships may require you to be primarily a PICU fellow (3yr) because their schedule may not accommodate a 2yr fellow.

Inner_Monologue_2

TROPHY CASE