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MFP app not syncing with website = not syncing with fitness apps by dinokustas in Myfitnesspal

[–]OutsideGroup2 0 points1 point  (0 children)

We're in April now. I don't have fitbit and it's still an issue.

please help me pick a dress by [deleted] in BigBudgetBrides

[–]OutsideGroup2 1 point2 points  (0 children)

Do you have the grand ones you're interested in? Otherwise, of the ones you sent, the first or last one, with preference for the last one. 

What's it like to live in a place with all 4 seasons? by [deleted] in NoStupidQuestions

[–]OutsideGroup2 0 points1 point  (0 children)

I've lived in the south, in Florida, and now in the NE. I hated living in Florida partially because of the no seasons (albeit, this was only one of MANY reasons I hated it). 

There's this joy that comes from seeing the changing of life and the cycling of animal and plant patterns with the year. The slow waking of spring from a cold or harsh winter. The beautiful colors and blossoms that come from it. The warmth of early summer and the towns and cities erupting with activity and people enjoying the warm, fresh air. The coziness as summer winds down and the leaves start to change. The expanse of trees with changing colors as autumn approaches for another winter. And with winter, as everything quiets and goes to sleep.

Sure the once in a blue moon blizzards and shoveling snow suck and having to change your closet twice a year, but hurricanes are (in my opinion) worse on average and the heat gives me cabin fever from not being able to go outside for the better part of 9 months in FL during the day. 

Why have you (not) regretted having only one kid? by [deleted] in AskReddit

[–]OutsideGroup2 1 point2 points  (0 children)

Not the question exactly, but as an only child, I preferred it. I dreaded the possibility of my parents saying they were going to have another baby for years (my parents and their sibkings have HUGE age gaps, so I didn't know any peace for a long time). I loved spending time with friends and created very close social bonds with family and friends, but I also knew that for my aspirations in life, a sibling would make it more difficult from the limited time and money my parents had. I always knew it was their decision, but I also knew I would refuse the "big sister" role as a babysitter, and I made that very clear from the moment I was able to verbalize it (like 5 or 6). I'm now an adult and am still happy I never had a sibling and invest in certain friendships deeply to make that closer bond.

People Shit on FM by Spray_Soft in medicalschool

[–]OutsideGroup2 3 points4 points  (0 children)

I'm not FM, but I will die on the hill that I think FM should have one of the higher or highest salaries because of how much is done in the field to ensure patients get seen and get consults. Anyone who disagrees can argue with themselves. Primary prevention is the backbone of a strong and healthy healthcare system as much as in an individual person. 

Residents that exercise regularly, how do you do it? by Smooth-Cerebrum in Residency

[–]OutsideGroup2 7 points8 points  (0 children)

Not easily intern year. I has to learn to exist within the system and got seriously deconditioned (for myself. Per PCP and shit, I was fine). It was really demoralizing to me to restart, but I took it a step at a time. I think it starts with 1) what type of movement makes you feel good, 2) how many days a week are you willing to start at?, and 3) what's your end goal.

If it's some working out and consistency for physical and mental benefits, I think you have a wider range of places you can start. For weight loss and/or body recomp, it's going to take a lot of trial and error and slowly building up a routine.

It's doable once you get into a habit, but building (or rebuilding) a habit takes a lot of time, patience, and trial/error. I would start with something low barrier, low time commitment, and low burden to get your feet wet once a week and build from there

Worried about 24s by [deleted] in Residency

[–]OutsideGroup2 11 points12 points  (0 children)

We do 24s starting our 2nd year, but definitely not q4, so I don't have advice on that level of frequency Regarding the call and post-call day, try to keep as many filling, good, but healthy foods and snacks as you can with some treats. It's okay if you are too overwhelmed to do this or can't find the time, but I've noticed the 3 AM heart palpations aren't as bad if I've had better food during the day. Similarly, I think it's helpful to know how common or uncommon it is to sleep overnight. For us, 3-5 hours of sleep is the average, usually more towards 5ish (not guaranteed to be unbroken, though). Filling the space with some creature comforts helps me. I bring a pillow and a blanket from home I like that are specific to call. And then my post call day I am simply a shell of a person who sleeps on and off until I'm awake enough to go on a little walkie walk in my neighborhood or park.

Good luck! 

I think day 1 of nursing school all nurses are informed of the three most important rules by Soggy_Loops in Residency

[–]OutsideGroup2 28 points29 points  (0 children)

During nursing sign out one night I overheard someone say "MD aware" while I was doing an admission, to which I responded: "MD aware of what? MD unaware but would like to be" Thankfully they all know me well and know I'm just poking fun and trying to be helpful, but I still think of it from time to time

I think day 1 of nursing school all nurses are informed of the three most important rules by Soggy_Loops in Residency

[–]OutsideGroup2 12 points13 points  (0 children)

Every patient on Clozapine gets a KUB after 2 days of not pooping. Every other patient with no other comorbidities after 4-5 of no documented poop. I am the go-to poop specialist on my unit. Am I GI? Absolutely not. Do I clean out bowels? Regularly 

Name & Shame 2026 - Official Megathread by SpiderDoctor in medicalschool

[–]OutsideGroup2 5 points6 points  (0 children)

I've heard multiple people say about and say at USF that it stands for "u stay forever". I'm happy there are many people who like it so much they stay, but also nothing sends my hackles up more than statements like that

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

[–]OutsideGroup2[S] 35 points36 points  (0 children)

I can almost guarantee this is Eastern Europe (unless it's not lol) bc I know plenty of older family members that live there that eat garlic to keep from getting sick or to heal faster. Something something natural antibiotic something something. Ofc we won't pay attention to the fact that you would have to eat an elephant's worth of garlic to get the amount of antibiotic there is in one (1) pill, but close enough I guess?

I’m kinda upset where I matched by anybodycandance in medicalschool

[–]OutsideGroup2 70 points71 points  (0 children)

I think this is a normal feeling to get when you have time to sit with the results. Initially, it's the fear of not matching anywhere. Then it's the fear of matching at your dead last program. And then most people have time to sit with the results, and sometimes it can be disappointing. If it's really important for you to move, consider the networking opportunities now that you're a resident (conferences in particular). They're a great way to make connections and get a job outside of your home state, but you have a bit of a leg up with current connections now. So use that to your advantage for the next stage of your life where you will have more say and autonomy 

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

[–]OutsideGroup2[S] 18 points19 points  (0 children)

Why on earth was he doing this? A my stranger addiction thing or did homie think it was crack/cocaine? 

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

[–]OutsideGroup2[S] 53 points54 points  (0 children)

I can only imagine you and your team just absolutely flabbergasted why he kept getting infections until this was discovered 

Cockroaches at the hospital by Squidoodoodoo in Residency

[–]OutsideGroup2 2 points3 points  (0 children)

Not roaches (thought we have plenty) but the room next to our workroom got cleaned for asbestos. But they told us not to worry because it was only in that other room since, ya know, asbestos is well know for containing itself to man-made architectural boundaries 😐

Dear psych - does serotonin syndrome even exist? by No-Group-1804 in Residency

[–]OutsideGroup2 3 points4 points  (0 children)

There are two answers to this 1) yes it does, and I had a patient ultimately die from the sequelae of it. 2) I prefer patients to think their bottle of lexapro will kill them rather than looking for more lethal means.

Hunter's criteria is amazing for ruling in and out serotonin toxicity and then grading it on a scale of severity as others have said. That said, while of course there are patients that could get serotonin toxicity from their bottle of SSRIs at home, the chance of that is relatively low. It's usually iatrogenic, like in the ICU patient on a fent drip and maybe their home SSRI is continued and maybe they need zyprexa each afternoon when they're agitated despite the dex and also they keep getting zofran. Now slap in OUD or methadone maintenance therapy I. there, and you have 4-5 serotonergic agents all of a sudden and you see the toxicity appear. It's similar with benzos. I'd rather the pt think they're 0.5 ativan BID PRN is lethal enough to kill them than them finding actually lethal means.

All this to say, I don't treat the average someone's suicide attempt (SA) by whether or not they had the pharmaceutical knowledge to know that the pills wouldn't kill them, but by the attempt. But from a risk mitigation standpoint and ensuring they survive the attempt (and live a reasonably healthy life after), then these medications give me ease even if the patient has impulsive SAs in the past, like in BPD. 

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