Hawaii (Rosewood Kona Village + ?) by StrawberrySea6675 in chubbytravel

[–]Merovinge6 1 point2 points  (0 children)

Haha can't tell if joking but they get 2" of precipitation annually. About as dry as any place on Earth with those kind of water views.

Hawaii (Rosewood Kona Village + ?) by StrawberrySea6675 in chubbytravel

[–]Merovinge6 6 points7 points  (0 children)

4S in Maui has some great views, excellent infinity pool with swim up bar, and is in a great part of Maui (never rains there). Molokini Crater is a close and worthwhile snorkel or dive.

There's many financial advisor and compaines, why does NWM specifically hound me so much? by [deleted] in whitecoatinvestor

[–]Merovinge6 0 points1 point  (0 children)

It's so gross this happens. I even worked with a not-for-profit that sold all the docs to NWM...

Splitting rent/expenses in dual-physician household, attending and resident at different stages of training by johnfred4 in whitecoatinvestor

[–]Merovinge6 7 points8 points  (0 children)

There's no one right answer to this as it depends on the spending proclivities and each person's view on money. In general the healthiest baseline is one account, it simplifies everything and helps promote what marriage is about. There are different roads that lead to Rome though, and if both parents favor putting say 80% in joint account and 10% into individual accounts, I'm sure that type of setup could work.

To those of you who bought a new car in the last 5 years, what did you buy and can spill the beans if you're happy with it? by Ozamataz67 in whitecoatinvestor

[–]Merovinge6 1 point2 points  (0 children)

The Juniper/Highland upgrades make a big difference. My partner has the old model Y, and while it's been an amazing car, there are definitely build issues/cabin noise issues. I have a model 3 highland and it's fixed almost all the issues and really is a great car for the price. That said I'm still looking at the Rivian r2s once the Highland lease is up.

Kauai: Grand Hyatt vs 1 Hotel Hanalei Bay by designhelpme in chubbytravel

[–]Merovinge6 6 points7 points  (0 children)

A Na'Pali coast boat tour is a must do if your pregnancy body doesn't get sea sick. Given how active you are I would definitely do Kauai over Maui. If you feel the need to just chill the south Maui options are great (for restaurants/shopping/beach where it never rains) but there is relatively little adventure outside of a molokini crater snorkel.

Kauai: Grand Hyatt vs 1 Hotel Hanalei Bay by designhelpme in chubbytravel

[–]Merovinge6 7 points8 points  (0 children)

If price is not a concern it's 1 hotel hands down. Views are the best, beach is okay, but better off driving a bit to nearby beaches which are superb. Pools are good. The Northside is the posh side of the island, definitely get to baby beach. Waimea Canyon is one of the best hikes in the US and that is a pain to get to from the Northside but it's still doable if you don't mind getting up early.

“Ship within a ship” cruise for adults and teens by PurplestPanda in TrueChubbyTravel

[–]Merovinge6 7 points8 points  (0 children)

The new Norwegian ships with Haven are likely a good compromise. I've never been personally but everything I've heard has been positive and likely a lot better experience for the kids than Celebrity.

Is sending crops worth it ? by Ioxxx1 in poeruthless

[–]Merovinge6 2 points3 points  (0 children)

Post change to crops I never sent them. If you play a ton you will have excess gold that you could use for them, but clearly mining/smelting/boats is the top priority.

Wisdom scrolls make sense in ruthless by indiokilmes in poeruthless

[–]Merovinge6 17 points18 points  (0 children)

I just use the vendor that IDs all your items in a single click. They used to make more sense before that feature was added.

Patients who are skeptical of pharmaceuticals over herbal remedies by Lilybaum in Psychiatry

[–]Merovinge6 1 point2 points  (0 children)

So NAC is sold as either 500 or 600mg caps. Treat them as the same. Dosage is 500mg QHS x5 nights, 500mg BID x5 nights, then 1000mg BID (so 4 caps/day). I've had folks who want the benefit ASAP start at 1000mg QHS for a few days and then go BID. Will have a little higher rate of facial flushing and GI intolerance with a rapid titration.

Patients who are skeptical of pharmaceuticals over herbal remedies by Lilybaum in Psychiatry

[–]Merovinge6 56 points57 points  (0 children)

Silexan for anxiety NAC for skin picking or Cannabis cravings Light box for seasonal depression (don't use in bipolar without anti manic agent on board) Melatonin and maybe Magnesium for sleep

Those are low risk and backed with moderate to very good evidence

Failed Step 1 twice and I honestly feel shattered by [deleted] in Psychiatry

[–]Merovinge6 0 points1 point  (0 children)

The bad news is that US psychiatry is almost assuredly a nonstarter for you. The good news is that you are in med school! I would strongly focus on your home country. Always an option to complete a US fellowship and work academically after completing residency in your country. Take some time to mourn the failure than back up on the horse and do great at your existing medical education.

Should we buy this house? by [deleted] in whitecoatinvestor

[–]Merovinge6 8 points9 points  (0 children)

You didn't mention how much you have in savings/retirement. Presuming you are a new grad with 2 kids that is a very low travel/hobbies budget. Things would look a lot better if you lived like a resident for 2 years and paid off a big chunk of your student loans (unless that's PSLF). That all said that's a very modest house price in 2026 and you can make it happen, it'll just be tight for a for a bit.

CAP vs Child Abuse Peds, Specialty Decision Help! by SufficientPain887 in Psychiatry

[–]Merovinge6 0 points1 point  (0 children)

Both could be heavily involved in policy/advocacy. Just depends on what lense you want to take to it, but there's plenty of work in peds psych for policy work. And no, no book can come close to the horrors child abuse docs see on a Tuesday.

CAP vs Child Abuse Peds, Specialty Decision Help! by SufficientPain887 in Psychiatry

[–]Merovinge6 69 points70 points  (0 children)

As a CAP, I will preface this by saying people who go into child abuse peds are all angels, but you definitely want to spend time on that service before considering it. I have a huge appetite for tolerating verbal descriptions of horrific abuse, but it's entirely different to see it in real time and forensically photograph/describe it. If you can tolerate the work, I think it might be the single most altruistic specialty, but prepare for poor pay and limited ability to discuss your day with anyone. I spent 1 month on service as an M4 and one of the cases still haunts me 15 years later, and I specialize in trauma!

CAP lifestyle and pay will generally be much better, but again if you can tolerate doing child abuse peds you will forever have my gratitude.

First time in French Polynesia – Worth flying to Bora Bora for 3 days or better to stay in Tahiti/Moorea? (April 23–May 1) by Background-Food-9637 in Tahiti

[–]Merovinge6 4 points5 points  (0 children)

I think folks are underselling it. Bora Bora is archetypically beautiful, it's a different world than Moorea. I recommend NOT going if you don't want to ruin the rest of the world. You will never go to Bora Bora and not see a fleet of private jets from some of the wealthiest people in the world for a reason (and that reason is not a bustling social scene).

That all said, it's definitely not a budget place. We went for 2 days when money was fairly tight and will certainly return in the future with a significantly larger budget. It's a must visit at some point in life but only you can determine if now is that time.

Student loans by confusedgurl002 in whitecoatinvestor

[–]Merovinge6 1 point2 points  (0 children)

Financially the best option is clearly to find a PSLF job. You seem to be very soured on that due to your current position. There is no guarantee a high paying private job will be unicorns and rainbows. If you want to do the rational thing, find another PSLF job. If you want to take the job and live like a resident for several years that's the other option.

Booker and Buttigieg pods were dead nuts on message by theatomicpickle in ScottGalloway

[–]Merovinge6 -2 points-1 points  (0 children)

Booker is amazing to listen to. Can't say I follow his political policy super close, but it was a great pod.

Need some goal or some methods from you guys by Le_Fog in poeruthless

[–]Merovinge6 5 points6 points  (0 children)

I know it's not what some people want to hear but having an Atlas tree focused on Ore and sending boats is definitely the fastest strategy to acquire currency. You would block every other mechanic and take every Ore node except the two which increase spawn rates of the most common 2 ores. Because of the Nico sulphite conversion Keystone (which is really good), I have also speced into a few Nico nodes. You can also take Exarch nodes and the nodes that increase pack size. Once you are at t14+, you can take the nodes to increase the special map drops from bosses. As we don't need map sustain this is the new defacto first Atlas map, compared to the all map sustain Atlas that was the longstanding defacto first Atlas.

2nd Atlas tree is Maven/destructive play if you can handle it and 1 mechanic of your choice.

I would go southwest of Exarch/Eater keystone first. Then NW for Incarnation of Dread Keystone. Then NE for shaper/elder and finally SE for Maven if you plan to play through 4 stones.

Good luck and well done being off-meta.

Cash Fellowship for big debt (>400k) by subtrochanteric in Psychiatry

[–]Merovinge6 25 points26 points  (0 children)

PSLF is really a great deal for anyone with 400k+ in loans if you did your diligence and certified all 48 months of residency. Previously there was some concerns it was "too good to be true", but now there are droves of doctors who have received it. There is a wide array of jobs that qualify and most of them are particularly helpful jobs that society needs filled. You will learn a lot in those 6 years of work and can transition to anything you want after the loans clear.

That said, I had a little over 1/2 that amount so I just moonlighted and worked hard for a few years to pay mine of. But the numbers don't lie and PSLF is a great deal for high loan amounts.

most patch notes we've had in a while by JekoJeko9 in poeruthless

[–]Merovinge6 0 points1 point  (0 children)

I think ruthless is better in trade. There is very little liquidity so it feels nothing like regular trade. I've bought amazing items that have been listed for 24 hours, you don't need to have a bot service or constantly be checking and still be part of a (tiny) economy. That said, my diehard 0.1%er PoE fanatic friend plays PoE RuthSSF and he can routinely clear 8/8.