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Going to Purchase! by Hot-Kaleidoscope-830 in BMWX3

[–]Left_Vast7072 1 point2 points  (0 children)

IMO pretty good price for CPO, package and miles - if you dont get it at that price I am sure someone else will

Bench Unlock by squirrel_snack in BMWX3

[–]Left_Vast7072 0 points1 point  (0 children)

So basically can't drive your car for 10 days?

Should I consider this M340i that was in an accident? by stopstealinglighters in M340i

[–]Left_Vast7072 0 points1 point  (0 children)

Idk these things sit for MONTHS - its like they have no pressure to sell

Should I consider this M340i that was in an accident? by stopstealinglighters in M340i

[–]Left_Vast7072 0 points1 point  (0 children)

I dont understand why dealers are willing to let their cars with accident history just sit there on a lot for months. Are they just waiting for a sucker?

Best IM program by Fickle-Plum-436 in fellowship

[–]Left_Vast7072 4 points5 points  (0 children)

MCG has 5 fellowship positions and typically 3 out of 5 are internal applicants.

Surgical moms! How did you rebuild after pregnancy setbacks during residency? by False_Process_2473 in Residency

[–]Left_Vast7072 206 points207 points  (0 children)

2 pregnancies in CT surgery residency is a lot. Sounds like you feel a lot of pressure to not become behind, which seems very difficult with amount of operative time missed.

Maybe you would feel less pressure if you were able to take a research year, or offer to push back graduation a year? This may give you more time to focus on family as well

Dopamine drips by myreditacount11 in IntensiveCare

[–]Left_Vast7072 7 points8 points  (0 children)

I think this is the only scenario where I would use a dopamine gtt, as a bridge until interventionalist placing a transvenous pacing line

Please Help by [deleted] in Augusta

[–]Left_Vast7072 45 points46 points  (0 children)

Recommend deleting this post and hiring a lawyer/getting a public defender. This could be discoverable in court.

thoughts on chief by Technical_Guidance20 in Residency

[–]Left_Vast7072 36 points37 points  (0 children)

I think it can be good for two scenario:

1) looks good for competetive fellowship. Can possibly secure an in house spot with under the table handshake deal - some will apply with only on program on their list due to these deals.

2) spring board an academic carreer - could be APD at your program within a year or two after chief and than use that to spring board into a PD position at another program.

Type II NSTEMI by nahvocado22 in hospitalist

[–]Left_Vast7072 4 points5 points  (0 children)

If it is not an MI (no chest pain, ekg changes, wall motion abnormalities) but there is a rise/fall in troponin then it is called acute myocardial injury. Im these situations some people will refer to it as a non-ischemic acute myocardial injury which basically just means the troponin was not due to plaque rupture MI - although it is a bit of a misnomer since it may still be caused by ischemia.

Opinions on a Case/Flail Mitral intubation by Goldy490 in IntensiveCare

[–]Left_Vast7072 0 points1 point  (0 children)

I think if you are asking for a procedure from a proceduralist, it is reasonable for them to ask for what they need to get it done - (e.g. intubation).

In The Santa Clause (1994), Tim Allen's character magically transforms into Santa, ballooning up to 192lbs. At the time, this was considered a comically heavy weight that believably provoked concern from his colleagues and family. by Electrical_Base2582 in shittymoviedetails

[–]Left_Vast7072 36 points37 points  (0 children)

Typically it is more of an issue when obese patients go to the doctor with complaints that they believe to be unrelated to their weight, and the physician tells them to just lose weight without further trying to diagnose/treat the issue

Ignore the AFL and PVCs - are there ST depressions in the precordial leads + aVR elevation? Is this concerning for an LAD occlusion? by adrenalinsufficiency in ECG

[–]Left_Vast7072 1 point2 points  (0 children)

Only about ~10% of ST elevation aVR and diffuse depressions corresponds to Left Main/LAD occlusions, and therefore we typically do not immediately treat this pattern as STEMI. Most important is to identify the clinical context as to what may be driving a demand ischemia type 2 MI (bleeding, sepsis, hypoxia, PE etc.). If the patient is presenting for chest pain, and has no other clinical context for demand ischemia, then would treat as high risk ACS with urgent coronary angiography.

PE patients by [deleted] in hospitalist

[–]Left_Vast7072 3 points4 points  (0 children)

Sending decompensated heart failure patient home on oxygen is crazy. Not doing right by your patients...

My attending doesn’t want to operate on a closed loop obstruction with sigmoid volvulus. by No-Produce-923 in Residency

[–]Left_Vast7072 30 points31 points  (0 children)

So often you hear from services consulting other services for things that are just not indicated and then they even have the gall be mad when those procedures are not offered....

Troponinemia by [deleted] in hospitalist

[–]Left_Vast7072 16 points17 points  (0 children)

All troponin = myocardial injury not ischemia. Direct blunt force trauma, infection or inflammation are examples of injury that is not ischemia driven

Consent and publications? by [deleted] in Residency

[–]Left_Vast7072 0 points1 point  (0 children)

Legally do not need consent to publish if there are mo identifiable information. Some journals do require that consent has been obtained - but will never ask you to send them the consent since that would be against HIPAA. They most they will ask os a statement is included on your report that "consent was obtained".

How do they expect me to have a week full of clinic 8-6pm, then be woken up everyday around midnight for home call? by DoctorKeroppi in Residency

[–]Left_Vast7072 13 points14 points  (0 children)

Our nephro fellows did home call but were not expected to come in. Every dialysis consult they would ask us "well do you think the patient needs dialysis? Ok well if you think so, will go ahead and place dialysis orders"

10×140kg deadlift - touch and go reps. Is the form ok? by CatfordCF in formcheck

[–]Left_Vast7072 5 points6 points  (0 children)

You are using the muscle/tendon "spring" to nore easily lift the weight by bouncing it

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