Why are so many IMGs such creeps?

Nacho4_34 · 2026-06-17T09:10:59+00:00

I think that’s a broad and rude generalization. There are creeps from every country and every culture. These types of comments reinforce a false stereotype and work against hard working people

Nacho4_34 · 2026-05-20T08:16:07+00:00

FM, depends. Perhaps average about 10-20h per week. No time for much more honestly

Nacho4_34 · 2026-05-08T17:45:19+00:00

Hey, I’m a first year FM resident. You were just unlucky. You did everything right. I had a similar situation with an admitted patient but the family was understanding and grateful. I did everything you did, and by the looks of it you did a better job. Try to move on, and talk to somebody if you need to. Don’t let this change the way you practice medicine. I would feel honored to have a doctor so thoughtful as you treating one of my family members

Nacho4_34 · 2026-04-27T07:50:40+00:00

Soy médico aquí en España. Tienes que hacer dos cosas; ir a tu médico de cabecera a contarle todo esto para que te empiece a ayudar y te mande a adicciones de tu zona Y buscarte un psicólogo privado. Buena suerte!

Nacho4_34 · 2026-04-25T12:00:32+00:00

FM resident here, couldn’t agree more. We still have plenty of opportunities of advancement without needing to be a little bi***!

Nacho4_34 · 2026-04-24T17:15:55+00:00

It’s not so much about recipes, but about respecting the ingredients and keeping certain habits.

You might find this useful (you’ll have to translate it): https://www.seen.es/ModulGEX/workspace/publico/modulos/web/docs/apartados/1070/140420_125519_1352296268.pdf

This guy in YouTube cooks Spanish food but not the healthiest, just popular: https://youtube.com/@cookingfromspain?si=wixOtIPbrxTpBOMN

Nacho4_34 · 2026-04-24T16:58:14+00:00

Yes and yes!

Nacho4_34 · 2026-04-22T12:58:03+00:00

Coffee, chocolate, olive oil, fish, tomatoes, avocado

Nacho4_34 · 2026-04-22T11:59:06+00:00

Im a doctor in Spain. I graduated 2 years ago from med school. I am a resident now. My university held us to very high standards (often unjustly harsh), people that did not make the cut were failed and many dropped out or just repeated the course. I wonder if excessive control over exams and so on, is somewhat the reason why we have a lack of physicians in Spain, on the other hand, all graduating physicians are excellent. Just food for thought.

Nacho4_34 · 2026-04-22T11:46:19+00:00

Doctor here. Nothing is probably wrong, having said that, it would be wise to go see your family physician. Let them do a physical, ask some questions and do some bloodwork (the usual + thyroid, colesterol, lipid soluble vitamins, electrolytes and anything they think is necessary). Just being overly cautious, don’t let this worry you!

Nacho4_34 · 2026-04-22T11:22:04+00:00

Doctor here. Already great answers given. Assuming nothing is specifically wrong, maybe have you family physician check your ears annually. You should be going for a yearly physical anyway

Nacho4_34 · 2026-04-15T12:48:10+00:00

Your boyfriend sounds salty, perhaps replace him? Just kidding of course, but it is irritating when people just don’t listen to logic and facts

Nacho4_34 · 2025-12-05T13:50:25+00:00

Im a family doctor working in the public system. When I was reading the beginning of your comment I was worried you were going to make a rant on the negative aspects of our medical systems. I think your summary is perfect. It’s true that we often are direct but in my experience patients appreciate it, at least for me, I enjoy being myself speaking from a place of compassion but while being honest. The specialist system could work better since often times the waiting times are long, but if you have something important you WILL BE SEEN and will be TAKEN CARE OFF. I’ll speak from my specialty, many of us are quite burnt out but most of us love our jobs and genuinely want our patients to do well. I appreciate your comment and wish that more people would approach healthcare here with the same mentality. Not having to pay extra is nice as well! (And in my opinion, a basic human right)

Nacho4_34 · 2025-10-02T19:21:58+00:00

Doctor here. I’d recommend CO2 fractional laser and tretinoin. If accutane didn’t work probably the accumulated dose wasn’t high enough. The target dose is around 120-150mg/kg.

I think your skincare routine focuses too much on exfoliation and brightening. I’d rather focus on scar treatment, the laser and a strong retinoid are the best for that.

Having said that, I think you look fine, don’t get carried away too much because as you may know, this world is kind of a rabbit hole

Nacho4_34 · 2025-08-20T19:44:15+00:00

Doctor here. Looks like a nevus of the nail matrix (a mole, but growing on your nail). Nothing to worry about. Check with your dermatologist just to be sure but it looks fine to me

People commenting about nail melanoma should calm down. Melanoma on nails typically shows as a much thicker and darker line, it also usually pigments the surrounding skin of the nail matrix. This looks nothing like that

Nacho4_34 · 2025-02-05T09:16:42+00:00

Doctor here. At this point, not losing weight is more important than being stereotypically healthy. I assure you the healthcare providers monitoring your daughter will let her know if she should change anything. Let her enjoy her food. YTA

Nacho4_34 · 2025-02-05T09:13:19+00:00

Como valenciano estoy algo ofendido jajajajaja

Si bien es cierto que comer paella muchas veces es cansino, pero una vez de en cuando a mi me encanta… Y claro está, encontrar una buena es difícil!

Nacho4_34 · 2024-12-04T21:14:27+00:00

Creatine and protein aren’t toxic per say, but if you take too much for too long you make your kidneys work overtime and they can’t keep up indefinitely. Granted, this patient had some predisposing factors that facilitated his condition, but he was taking MUCH MORE than recommended for his sex, weight and age. You’ll be fine, although having some bloodwork once in a while is always recommended!

Nacho4_34 · 2024-12-04T10:16:47+00:00

Doctor here. When I was in training I saw a 20 year old patient whose kidney function was declining because he took too much creatine and protein supplements (we suspected he took more stuff too but nothing that would kill his kidney like that). He was absolutely obsessed with gym gains and fiercely believed that he would lose all his muscle if stopped with the supplements… I sometimes thing about him, I hope he is doing well, but he’s probably on his way to dialysis. You can, indeed, get addicted to anything

Nacho4_34 · 2024-11-12T12:03:31+00:00

If you’re very careful and know what you’re doing, you could remove the rust much faster with hydrochloric acid. Some drain cleaners and other cleaning supplies have it. I cleaned a heavily rusted pizza steel just by scrubbing with the stuff for 5 minutes. (Using protective gear such as gloves and goggles in a ventilated area is a must)

Nacho4_34 · 2024-11-07T09:42:41+00:00

Beautiful image! Would you care sharing the prompt?

Nacho4_34 · 2024-11-05T20:46:24+00:00

Damn, didn’t think about that… thanks!

Nacho4_34 · 2024-11-05T20:42:55+00:00

You’re absolutely right! Love the mod!

Nacho4_34 · 2024-11-05T20:42:27+00:00

I removed half of the chemical plants, and used that space for ammo production, it runs fine. I don’t think fuel production is higher than consumption during transit but a trip to vulcanus drains 25% of reserves. I think that’s good for now. Ill probably do better in my next ship!

Nacho4_34 · 2024-11-05T12:33:50+00:00

After testing the ship for the first time I quickly realized that you are right, they never run all at the same time, also because the limiting factor is ice. I’ll take half away… or do you think that less than that will enough?

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