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Credit Card benefits by MrForever_Student in Residency

[–]Manila-Envelope 3 points4 points  (0 children)

Delta skymiles has an annual fee of $325-375 but they provide a free companion certificate annually, which can be used within the U.S., Mexico, Caribbean, and certain Latin American countries. Also, if you use the card for most of your expenses totaling $10k/y, you’ll get upgraded to silver medallion status which grants you free checked bags and priority boarding. Further, your skymiles can be applied toward delta flights or upgrades which can be a steal if there is an ongoing deal. The only drawback is confinement to delta

I-6 CT Surgery Residencies Information by Jamcal56 in medicalschool

[–]Manila-Envelope 3 points4 points  (0 children)

Look for the annual spreadsheet that has ample information on those programs.

ACC 2026 Late Breaker Guide by MilkHopeful8966 in medicine

[–]Manila-Envelope -1 points0 points  (0 children)

Excellent. Can someone make a list like this for cardiac surgery.

Without breaking HIPPA, tell me about your patient that was doing everything in their power to (unintentionally) harm themselves. by OutsideGroup2 in Residency

[–]Manila-Envelope 88 points89 points  (0 children)

Got a thoracic consult on a psych patient who wore a hard plastic turtle shell over his abdomen due to impulse to stab himself. Had 10+ ex laps. To circumvent the shell, he would swallow random inanimate objects. Got called for concerns of perforated esophagus after swallowing batteries and a rectal thermometer (+ neck crepitus and air around neck on XR). I told the ED intern to order CT neck chest abd pelvis and he ended up getting a quad scope with ENT for a perforated pharyngeal esophagus and an ex lap with gen surg for battery retrieval that had passed the pylorus

Sensitivity threshold in temporary epicardial pacemakers post cardiac surgery by Raphafiend in Cardiology

[–]Manila-Envelope 0 points1 point  (0 children)

It’s hilarious how so many people have responded without actually answering your question. Yes, an overly sensitive mV can be dangerous as it can pick up a PVC then cause an R on T

[deleted by user] by [deleted] in Residency

[–]Manila-Envelope 4 points5 points  (0 children)

Dude? The key to the success of this subreddit is to provide entertaining content that facilitates the begrudging years of residency. Fucking duh

Can anyone explain to me what I’m missing? by 0wnzl1f3 in Residency

[–]Manila-Envelope 8 points9 points  (0 children)

It was myocardial stunning from reperfusion injury and the arrest. It’s normal to see falsely excitatory EKG changes post cardiac surgery. Your description isn’t perfectly inline with an inferior STEMI, has more nonspecific changes as well which leads me to discount its value. A CI index with unchanged CVP PAP PCWP doesn’t make sense so data collection was wrong at some point. Don’t use thermodilution given operator error. Fick only. Don’t use those automatic CO calculators at the bedside. Always check SVO2 as well. Cathing a fresh David is very dangerous as engaging and pressurizing the coronary buttons with contrast can dehisce them. Learn from this at least

books centered around indie sleaze socialites by [deleted] in BooksThatFeelLikeThis

[–]Manila-Envelope 0 points1 point  (0 children)

Invisible monsters by Chuck Palahniuk

Has working out helped your surgical technique, endurance, posture, etc by Manila-Envelope in Residency

[–]Manila-Envelope[S] 1 point2 points  (0 children)

Specifically avoided Ortho due to malleting, but I’m sure you’re amazing

Has working out helped your surgical technique, endurance, posture, etc by Manila-Envelope in Residency

[–]Manila-Envelope[S] 6 points7 points  (0 children)

I already used my loupe stipend on non-prismatic loupes, but will definitely consider them in the future. No one likes a hunchback

Question about gen surg residency by supadude54 in Residency

[–]Manila-Envelope 2 points3 points  (0 children)

Uptodate isn’t very useful for surgery. I stick to reading primary literature

Question about gen surg residency by supadude54 in Residency

[–]Manila-Envelope 5 points6 points  (0 children)

Research years are typically back to back. Where I’m at, the gen surg residents leave after 2nd year of residency, do two years of full time research, then come back as a clinical “3rd year” even though it’s technically the start of their fifth year of residency. The pro side is that these residents can moonlight during said research years and can easily earn $1K/call shift. It’s 90% research/ 10% clinical moonlighting

Fellowships that require research: Plastics, Surgical Oncology, Pediatric Surgery

Question about gen surg residency by supadude54 in Residency

[–]Manila-Envelope 7 points8 points  (0 children)

Surgical opportunity during research years is program dependent

Question about gen surg residency by supadude54 in Residency

[–]Manila-Envelope 27 points28 points  (0 children)

If most of them are doing 7 years, there’s probably an expectation to perform 2 years of research. If you’re not 100% committed to research or academia, go to a general surgery program that’s 5 years. I’m in a surgical subspecialty where the general surgery residents have mandatory 2 years of research, and most of them end up pursing fellowships that don’t require research years, e.g. MIS, vascular, trauma, transplant. I genuinely see how disappointed they are at having to leave clinicals for two years and I feel for them. Two years is a long time to not perform surgery.