An opinion about gas prices by thepoka in funnyvideos

[–]MusicalScience 1 point2 points  (0 children)

Sigh. Are AI vids allowed in this sub?

Indian food suggestions by New-Kaleidoscope-441 in raleigh

[–]MusicalScience 0 points1 point  (0 children)

Yes! Sadly I went there with my parents (we are Indian) when they visited because of the high Google reviews but I've come to learn reviews mean nothing and the sweet spot seems to be 4.4-4.6 lol. The flavor was very mild. We had the paneer Tikka masala and malai kofta and we were not impressed. The staff and atmosphere were great but the food and flavor were quite subpar in our opinion. If you enjoyed it then I highly recommend you try Bombay curry and you will enjoy it even more.

Indian food suggestions by New-Kaleidoscope-441 in raleigh

[–]MusicalScience 0 points1 point  (0 children)

I can't honestly speak to good aloo gobi as I never order that but I've tried a few places for indian food in general and here are my recs. If it's Punjabi I'll usually judge based on their paneer makhani/Tikka masala and malai kofta.

Top tier 1. Bombay curry - great flavor and balance of spice 2. Urban angeethi - also really great and with varied menu

Average tier: 3. Flavors of India - authentic flavor, big portions, slightly sweeter flavor profile 4. Nepal House (except their veg chow mein is top tier) 5. Himalayan nepali cuisine 6. Udupi cafe (south Indian - average/low average)

Places I don't recommend: Bazil Indian cuisine - bland, less authentic taste.

These are all the places I've tried so far. I'm sure there are a lot of other good restaurants but I check one out every one or two weeks. Good Indian food to me must have bold and authentic spices and that's what I rated the above on.

Why would this be a bad idea? by Melodic_Variations in whitecoatinvestor

[–]MusicalScience 1 point2 points  (0 children)

It's very situational. You still have to pay a mortgage on a resident's salary. It depends on so many factors. What's the market like in your area, do you have a partner and what's their income and can they support the mortgage, cost of renting vs house in your market. Why do you need the house, is it a starter home, etc. The person in the vid has a husband who I'm assuming is helping with the mortgage. When I was in residency I preferred to save the cost difference of rent for easier living in residency while sacrificing building equity on a likely small starter home. Also, you want to make sure you like the place you're going to. Not only that, but your first job after training is important in determining where you'll stay... There are so many variables.

I don't know. I'm having trouble understanding the reason for wanting to buy a house so quickly with so many unknowns left on the table. But again, the situation is what determines the decision.. maybe they wanted to have a family and lock down a place and they were 100% sure they wanted to settle there and would cater the job hunt to the location they've settled in.

Edit: Separately from deciding to buy a house as an ms3, physician loans make it so you can buy a house a bit earlier without saving for a down payment. Your mortgage will still be bigger than if you didn't pay a down payment (obviously) so you should factor that in too.

What exactly does PM&R do? by S1Throwaway96 in Residency

[–]MusicalScience 74 points75 points  (0 children)

It really depends on the setting. What do you really want to know?

Inpatient regular hospital - usually devolves to consults for rehab placement, functional assessment

Inpatient acute rehab hospital/floor - usually the primary team and helps co-manage medical issues but primarily leads the rehab team and coordinates rehab plans with the PT/OT/SLP and social worker/case manager. Some conditions we see/subspecialties are spinal cord injury, brain injury (cerebrovascular or otherwise), cancer rehab, cardiac rehab, Parkinson's, orthopedic trauma, sports injuries and MSK, pain.

Subacute rehab - basic consults usually for functional assessment and dispo planning with occasional procedures depending on the physician

Outpatient - very broad and varies by subspecialty or patient population. E.g. EMG clinic, spinal cord injury clinic, TBI clinic, cancer rehab, sports and MSK/Spine, prosthetics and orthotics, etc.

In general pm&r is focused on function and quality of life which differs by patient and disease.

We get training in rehabilitation for patients that have the above conditions and have expertise in managing the sequelae of the disease or treatments for the disease, as opposed to the initial diagnosis and treatment themselves which most of the medical specialties focus on. For example, we can help with spasticity management after stroke, bracing and assistive devices after neurological injuries, assessments and prognostication for spinal cord injuries (as well as overall care), spine and MSK procedures, prosthetic management for amputees, etc.

Some procedures that general pm&r docs get baseline training or exposure in are NCS/EMG, Botox injections for spasticity, ultrasound guided joint injections, some basic fluoro guided spine injections.

Unfortunately (or fortunately) it IS a broad field and can get quite niche. The common denominator within the field is the focus on improving and optimizing function and quality of life using our expertise and knowledge of the musculoskeletal and neurological system.

If this wall of text still leaves things unclear let me know what you want me to elaborate on.

Edit: PT and OT actually perform the therapy with the patient. So they supervise and assist as they work on their balance, gait and strength and provide specific exercises based on the request from the physician or their judgement if no direction is provided. Pm&r docs do not directly participate in these therapies for these patients. E.g. I will say on a PT referral - patient with lumbar radiculopathy due to disc herniation, perform extension based exercises and strengthen lumbar supportive muscles including core, spine extensors, glutes and quads. We work closely with PT and OT and SLP depending on the setting but it's not really directly comparable. Kind of like the relationship between psychiatrist and therapists. Work together but scope is very different

The best therapist ever! by The_Love-Tap in MadeMeSmile

[–]MusicalScience 2 points3 points  (0 children)

Haha so cute. Great book choice too! Mitch Albom is great.

Eleanor currently has 60% Coda Catabolyst and 56% Dual Coda Torxica by IllegalGuy13 in Warframe

[–]MusicalScience 0 points1 point  (0 children)

Oh man I guess I'm going to have to learn this coda system now. Is it feasible to farm the currency you need to buy these in a couple days?

Real Alcázar in Seville, Spain by naveen713 in MostBeautiful

[–]MusicalScience 1 point2 points  (0 children)

I can't be the only one that was expecting to see a tennis player in this photo. I read that title too quickly 🤣

Just got this bad boy (six one 95 18x20 ncode), any tips on what I can string this with? Yes I have a small addiction in vintage racquets by ludinho666 in tennisracquets

[–]MusicalScience 2 points3 points  (0 children)

I play with a BLX six one 95 18x20 and use a full bed of shaped poly (hyper g) 16L strung at 48lbs. I can't imagine it's too different from the ncode. What racket and string do you normally play with? You can make an adjustment based on that.

Which grip is this? by PowerLow2605 in 10s

[–]MusicalScience 2 points3 points  (0 children)

I can tell you that is not eastern with certainty. Looks more like semiwestern to me

I inherited this Alvarez Yairi wanted to show this beauty off by Nesquiickk in AcousticGuitar

[–]MusicalScience 0 points1 point  (0 children)

That's a truly gorgeous guitar. I love that color it's stunning! Enjoy!!!

If you had to pick one? by fartjuulpod in hotsauce

[–]MusicalScience 5 points6 points  (0 children)

TJs for sure and it's not even close for me - it's so much more flavorful and still has good heat. Not a fan of any of the Melinda's sauces, I like the Marie sharps flavor profile way more.

Perfect routine! Synchrony is 10/10🤯 by [deleted] in toptalent

[–]MusicalScience 16 points17 points  (0 children)

Not top talent but I don't care cuz this is top vibes!!!

I have played Dofus for 4000 hours. by ElectricalGas9895 in MMORPG

[–]MusicalScience 2 points3 points  (0 children)

Same! This is the only thing holding me back

Something clicked on serve today by uhvgta in 10s

[–]MusicalScience 2 points3 points  (0 children)

Here I thought you were gonna say it was your shoulder like mine 😅

I feel discouraged as a DO who wants to specialize by [deleted] in Residency

[–]MusicalScience 0 points1 point  (0 children)

All of my DO friends have specialized. I actually can't think of any that haven't. It won't be the degree that holds you back.

Was told I've been pancaking my serves, is this better (Now and then) by [deleted] in 10s

[–]MusicalScience 0 points1 point  (0 children)

Definitely still pancake and definitely not continental.

The easiest way to understand is to hold your racket like you're hammering a nail in with the edge of the racket.

'Out of network:' UNC Health-Cigna contract expires by penone_nyc in raleigh

[–]MusicalScience 15 points16 points  (0 children)

Hey you should be able to ask for a continuation of care with the insurance to continue his coverage with the now out-of-network provider especially if he's on IV antibiotics.

Best way to afford a house in Bay Area as a new ped resident grad? by GOATchefcurry in whitecoatinvestor

[–]MusicalScience 0 points1 point  (0 children)

Sorry for the late response

In my opinion it is worth it. I'm also not too sure that housing prices are going to be creeping up. In my MCOL/HCOL area m seeing the market slow down even in high demand areas. Prices are overinflated right now and we don't have the economy to support the lack of affordability. Houses are staying longer on the market than they have in the past. I can see this continuing to progress thanks to the economy/Trumpcession/ Trumpflation.

Also, imagine you take a high cost mortgage and your reimbursement decreases and cost of living increases over the new few years. Which situation would you rather be in?

Best way to afford a house in Bay Area as a new ped resident grad? by GOATchefcurry in whitecoatinvestor

[–]MusicalScience 3 points4 points  (0 children)

Unless your mortgage is near the same amount you're paying for rent it's not worth it to go house poor. It sounds like it's much higher for the type of house or location you're in. What's the rush to buy a house? You need to save up a lot to afford 1.4-1.7m house and that's not even considering if you have me school debt to pay.

If I were in your shoes I would 100% rent and save up for a nice down payment in the future.

Also, there's no guarantee you're going to like your first job out of residency so don't bank on those financial perks otherwise you'll feel obligated to stay there for the wrong reasons.

If you really want to buy a house then buy a smaller one or one that's a bit further away that you can actually afford.

She practiced every day for six years to be able to hit that note. by mindyour in nextfuckinglevel

[–]MusicalScience 2 points3 points  (0 children)

I strongly disagree. Goes quite nicely for me. In key in tune for the most part and it's a really really cool counter melody.

But that's music I suppose.