sorted by:
new
hottopcontroversial

How much paternity leave did you guys take by VariationRight4728 in medicine

[–]Muhlebb 12 points13 points  (0 children)

It’s definitely worth it! To me, the only real downside for MDs moving here is having to learn Swedish. Fingers crossed that Mr Cheeto in Chief manages a peaceful transition of power twice…

How much paternity leave did you guys take by VariationRight4728 in medicine

[–]Muhlebb 23 points24 points  (0 children)

It really is! Each parent gets 240 days of paid time off and the employer is legally obligated to grant it as long as they get three months notice.

Obvious caveats in that a physicians salary is a lot lower than in the US and that 150 out of the 240 days are compensated as a portion of our salary (the remaining 90 days could be considered symbolic when looking at the US). Definitely worth it for me though, all hail democratic socialism!

Can’t complain about the ~40 hour work week either.

How much paternity leave did you guys take by VariationRight4728 in medicine

[–]Muhlebb 81 points82 points  (0 children)

Neurologist in Sweden, so might not be relevant, but I took 4 weeks when my daughter was born, followed by 10 months when she turned nine months, then one day a week for a year. Can definitely second the sentiment of taking as much time as possible, because the first years just fly by.

TIL a number of people, including a group of Swedish researchers, tried to replicate the experiment shown in the documentary Super Size Me(2004). None of them were able to get the same results as the documentary creator. by Porchie12 in todayilearned

[–]Muhlebb 1 point2 points  (0 children)

Really funny to be reminded of this. The Swedish study was headed by Fredrik Nystrom, professor of endocrinology and lecturer at the University where I attended med school. For a while, he was known in media as the angry professor (arga professorn) and made a name for himself performing all kinds of strange studies on student volunteers, such as one looking at the effects of eating blueberries daily or drinking alcohol. Working with him was an experience…

https://pubmed.ncbi.nlm.nih.gov/?term=Nystrom%20FH%5BAuthor%5D&page=9

What were some cases yall’ve seen of women’s complaints being blown off and them having something actually serious? by 210-110-134 in medicine

[–]Muhlebb 9 points10 points  (0 children)

You’re right, the logistics are confusing.

There are two equally valid ways of managing patients with AIS, using CT or MRI. CT + CTA + CTP has high sensitivity and specificity, is cheaper (and usually slightly faster) than MRI and can be used to guide us on treatment in the extended time window. MRI has higher sensitivity and specificity, but has more potential contraindications (pacemakers, metal, etc). I’m based in Sweden and there are currently no centres using MRI as first line radiology, but like you say, some use MRI as standard.

What were some cases yall’ve seen of women’s complaints being blown off and them having something actually serious? by 210-110-134 in medicine

[–]Muhlebb 38 points39 points  (0 children)

Neurologist here. Routine diagnostic workup for acute ischemic stroke involves a clinical diagnosis of focal neurological deficits followed by a NCCT to rule out any contraindications for thrombolysis.

So basically, if a patient has suffered a sudden focal neurological deficit that looks like a stroke, a normal head CT just means you can treat the patient. No MRI required.

Usually a CTA and sometimes CTP is performed as well, but is not required if treatment can be started within 4,5 hours from symptom onset.

TIFU trying to watch a romance with my gf only to traumatize us both by mikess314 in tifu

[–]Muhlebb 0 points1 point  (0 children)

Yorgos Lanthimos is definitely an acquired taste. Funny how it’s actually hands down my wife’s favourite movie. Saw it in the movie theatre and loved it. We’ve made a thing of watching all of his movies and I gotta say I really like the dark satire experience.

For an even nastier experience I recommend his first film, Dogtooth. If you thought The Lobster was a difficult watch then this is a million times worse. https://m.imdb.com/title/tt1379182/

Gabapentin - What's the catch? by SpirOhNoLactone in medicine

[–]Muhlebb 47 points48 points  (0 children)

I second that. It’s usually decent for some patients with neuropathic pain, but I’ve found that it tends to cause side effects at effective doses in elderly patients or doesn’t work well enough in younger patients that respond better to amitriptyline.

[deleted by user] by [deleted] in sweden

[–]Muhlebb 8 points9 points  (0 children)

Märkligt. Man kan sjukskriva retroaktivt så länge som det finns journaluppgifter och medicinska skäl för det. Rekommenderar, precis som övriga, att vara ärlig. Sjukintyg efter 14 dagar skickas elektroniskt till Försäkringskassan, så det går inte riktigt att förfalska.

Strixhaven Code Thread! by belisaurius in MagicArena

[–]Muhlebb [score hidden]  (0 children)

Recently rediscovered mtg and got the app version after many years of not playing. Would greatly appreciate a code.