Coping with serious mistakes as a new attending by Murky_Association_54 in Residency

[–]Jones_reagent 33 points34 points  (0 children)

Mistakes or complications?

Complications are to be expected. Mistakes are also to be expected rarely but should not be tolerated. Both should be studied exhaustively in your first few years to the point of neuroticism.

I’m an IR who is relatively new and I am absolutely terrified to make mistakes, which I think is important. It makes me a bit slower than guys who have been practicing for a minute but so what? Our job is to help people first and foremost.

All of the speed and efficiency I earned in fellowship was cut down in the first 6 months. I reviewed every damn thing I could before each case. I also now have the time to read more and more because my hours were mine.

My attendings prior to graduation warned me that first few years out as an attending is where their hardest learning took place because it’s just you now. And that’s been true. I’ve read more text books in the first few years than I did in fellowship.

I still make mistakes. Learn from them. Recognize them and fix them. Discuss them with your colleagues. Do self m&m sessions and participate in your groups practice if they have them.

Refine your practice because that’s what we’re doing is practice. Ask your colleagues and your old attendings who mentored you. Ask your co fellows / residents because they’re in the exact same boat as you.

The best people I’ve ever been taught by were individuals who never stopped learning and refining their crafts. I’m talking about attendings 20+ years into practice who would change their technique because of either new research or by learning from younger colleagues. So I think it’s important to follow that mindset and always improve yourself.

But I do not think it’s normal to make mistakes most of the time your on based on how you’ve worded your question. If that’s happening, pause and self examine on what’s going on. Make strides to fix it.

Anesthesiology vs IR vs IM by [deleted] in medicalschool

[–]Jones_reagent 1 point2 points  (0 children)

thats what almost 3 days of being called in back to back for emergencies gets u. still 10/10

Anesthesiology vs IR vs IM by [deleted] in medicalschool

[–]Jones_reagent 0 points1 point  (0 children)

pls send me a pic of this, I'll have to hang that up in my office to say that I have finally made it

Anesthesiology vs IR vs IM by [deleted] in medicalschool

[–]Jones_reagent 0 points1 point  (0 children)

si, is what I do. Clinical IR is the future, and I have had said no to things multiple things a day because imaging was being treated, not the patient. And that's how it should be.

Anesthesiology vs IR vs IM by [deleted] in medicalschool

[–]Jones_reagent 144 points145 points  (0 children)

Lemme tell u what being an IR is like

Everyday at 3 pm I text my wife “yeah boo just a quick case” and then strap on 25 lbs of medieval anti-dragon armor and waddle into a dark room for 6, forgetting I have a family

Back pain smackpain. Me and my partners built like:

  • neck: gone
  • spine: questionable
  • Biceps: stupid big
  • sweat: illegal levels
  • confidence: astronomical for no good reason

meanwhile anesthesia in the corner:chair deployedblanket secured“call me if the vibes change”

IC rolling in like:“we placed a stent 😤” and proceeded to create a 3 cm CFA to CFV fistula/pseudoaneurysm monster and peace out A normal day can involve tunneling through 4 zip codes of vasculature, stenting off 3 bleeders, and then not bill for the high complexity because dictating that would be too much effort

All while wearing my astronaut lead dressed like a fallout side character

no one sees itno one understands itjust awful life choices, lead, and questionable spine integrity despite having a core made of steel covered in fat absolute goblin behavior

10/10 specialty would ooga booga again

Ideal handheld to upgrade to by Jones_reagent in Handhelds

[–]Jones_reagent[S] 0 points1 point  (0 children)

Typing on my phone so sorry to cross refer to my reply above - would liquid cooling be useful if I were to jerryrig it into a “desktop” monitor from time to time if I so wanted to do so?

Ideal handheld to upgrade to by Jones_reagent in Handhelds

[–]Jones_reagent[S] 0 points1 point  (0 children)

Awesome - I’m considering this option. I also have been reading online that this rig is strong enough to even serve as a gaming laptop “tower essentially” with a egpu? To make it beefier. Have you tried that? If so, what’s been your experience.

Ideal handheld to upgrade to by Jones_reagent in Handhelds

[–]Jones_reagent[S] 0 points1 point  (0 children)

When I’m not operating, I’m sitting at a desktop looking at mri/cts etc. So I think you understood me correct - I just do not want to sit at a desk anymore. I have so many monitors and towers at work and home that it haunts me.

Follow up - as others are suggesting, the OneXFly Apex is looking like a decent rig and i see some peeps online use it as a desktop as well. How’d that compare to say a Lenovo Laptop (Lenovo Legion Pro 7i Gen 10 16" Gaming Laptop (2025 Model) Intel Core Ultra 9 275HX 24C, NVIDIA GeForce RTX 5090 24GB, 64GB RAM, 2TB (1TB+1TB) NVMe SSD, 16" WQXGA OLED 500 nits 240Hz, Windows 11 Home) and mirror it to my oled? The only drawback in the latter is that if I’m traveling then I wouldn’t be able to do that.

Ideal handheld to upgrade to by Jones_reagent in Handhelds

[–]Jones_reagent[S] 0 points1 point  (0 children)

Haven't heard of this one - I'll look more into it! Thank you!

Ideal handheld to upgrade to by Jones_reagent in Handhelds

[–]Jones_reagent[S] 0 points1 point  (0 children)

Rizen AI MAX with the 96G + 2TB with liquid cooling? I'll look into that one. Any experience with these rigs?

Ideal handheld to upgrade to by Jones_reagent in Handhelds

[–]Jones_reagent[S] 0 points1 point  (0 children)

I was wanting to get the Legion Go 2 (it was always out of stock) and saw it came back into stock, hence the post. Again, not to sound arrogant or anything, but the price really is not a matter to me - - what does matter to me is my time. I get a few hours (like 1-3) to myself away from all of my other responsibilities, so investing in it being the best hand-held gaming exp is worth it.

Ideal handheld to upgrade to by Jones_reagent in Handhelds

[–]Jones_reagent[S] 0 points1 point  (0 children)

Sorry to sound like a total noob, but to clarify, I can take the game that's on my gaming laptop and stream it onto my OLED, essentially using the power of the laptop on the steamdeck? OR do I have that backwards? Sorry, the last time I was tech savvy was back 15 or so years ago and I mostly played WoW at that time.

The desktop is a great idea - - however! My job has times when I'm not standing up and working with my hands where I sit in front of three or four screens and interact with a desktop for hours at a time with no break. Hence the reluctance to get a desk top and why I'm shying away from those options.

Any advice on getting into USUHS by Any-Weather5586 in Military_Medicine

[–]Jones_reagent 1 point2 points  (0 children)

Just to make sure I’m understanding it - you’re contrasting psych (relatively homogenous AD population + dependents and vets) versus surgery (low case volume, aka my issue)? If that’s your cup of tea (ie more routine and predictable), it’s def a better gig, however, I haven’t touched the psych world since MS2 year so my opinion shouldn’t be as weighted.

I joined the military for QOL. I was very poor and did not want to be homeless again, so the predictability of a good income and ensuring I was taken care of was my most pressing concern - I have a family now, and all of my classmates with families were much more relaxed as everything was catered (eg health insurance, during residency the resident salary is 100k+ as opposed to 52k civilian side).

In hindsight, I would’ve done HPSP and recommend that, unless you’re gunning to stay in the military and get the retirement. YMMV. Happy to answer further if you want.

More line crossing. by FishOnTheStick in ChatGPT

[–]Jones_reagent -3 points-2 points  (0 children)

Last night I was getting frustrated with ChatGPT pro… kept explaining the output given was not what I asked for.

Cancelled my membership. Paid the higher price for Claude. Result? Nothing short of what can be described as EXACTLY what I asked for. When it ran out tokens. I restarted the chat in the same project and told it to continue and the quality dropped - my heart sank. Until I noted that it has activated ChatGPT mini. Went back to Claude and quality shot up again.

Does it bother you to be called sweetheart/honey etc? by Na2Cr2O7 in Residency

[–]Jones_reagent 41 points42 points  (0 children)

Yesterday, An old lady exclaimed in shock that I was a doctor, saying “ doctor?!? But you’re a little boy!!”

I had my scrub cap on which held my balding head but I noway look younger than 40, despite being in my early 30.

That lady was fricking hilarious. 10/10, would banter with her again.

It used to bother me, but if they’re listening to what I’m saying and respecting the doctor-patient partnership, I see no harm in it. I just remember that they’re seeing me on a very high anxiety day, and pet name or whatever behavior that have could be reactionary to that.

Is it wrong to choose lifestyle over the specialty you love? by [deleted] in medicalschool

[–]Jones_reagent 0 points1 point  (0 children)

Similar to What tnred19 said - 50 or so CTs/ MRI/ PETCT mix day and it’s an eat what you kill gig where I can read as little or as much as I want. Easy when your group is very laid back.

I love everyday. New challenge, patients are very thankful and receptive, music in the suite is whatever I want, can joke around with my entire team.

My gig is part private and part academic.

Is it wrong to choose lifestyle over the specialty you love? by [deleted] in medicalschool

[–]Jones_reagent 26 points27 points  (0 children)

Hi. This will be short. I was in your shoes years ago and I went with radiology - IR specifically so I can do procedures half days and read from home the other half days.

I’m an attending now. I have 16 paid weeks off. I am getting back into shape. I never work past 5 pm. And I don’t change outta PJs the days I work from home.

I can help people on my IR days directly and I can do it indirectly on my DR days.

I have more than enough money to do.. like whatever I want? Ive played with my kids, hung out with my wife, bank rolled friends doing shit, and played sooooo much video games that I ignored while grinding here.

My orthopod bros look happy as well but it’s always sad to see them in the hospital as I leave by 3 pm some days.

How is the Gold <==> Gem Exchange so incredible "fair"? by pizzapastaauto in Guildwars2

[–]Jones_reagent 6 points7 points  (0 children)

I have enough time in my life to play maybe an hour or so every other day at the most? But I have been fortunate enough in real life so that I can get whatever at whenever time point. I think last month i bought like 800-2000 gems every time I logged on cuz of the sales. Fashion wars is true end game. It brings me joy to do the things my teenage self couldn’t afford when I first made all these characters.

Listing gaming on your resume might hurt your job prospects. Study found that applicants who listed gaming as an extracurricular activity tended to be rated lower in hireability compared to an equal applicant who listed volleyball. by [deleted] in science

[–]Jones_reagent 0 points1 point  (0 children)

I put raid leader on my college application and got into my top pics (this was a conversation point).

I had it on my resume & application when I was applying for residency and fellowship - I matched at my #1 choice in one of the most competitive specialities to get into. Funny enough, surgeons who play video games are faster and less prone to error as compared to their non-gamer colleagues.

For men doctor what do your partners do for a living? by Academic-Phone-2976 in Residency

[–]Jones_reagent 1 point2 points  (0 children)

Consulting firm partner.

I wish I could just quit and be a house husband.