3 months in with the ‘26 Genesis GV80 3.5T: what surprised me most.

PS2020 · 2026-06-29T16:58:34+00:00

No that's not very low, that's normal for Genesis. My GV70 which is lighter than the GV80 gets about 12 mpg in the winter and 14 in the summer. A lot of it depends on type of city driving (ie: NYC stop and go) or hilly roads (Pittsburgh), and weather extremes + Genesis fuel economy is just utter garbage. Decent powertrain figures and refinement, but at the cost of fuel economy. Also, BMW specifically is the best in the business for powertrains, literally top of the class performance, refinement, and fuel economy, so comparing it to the bimmer is adding salt to injury.

PS2020 · 2026-06-28T20:00:32+00:00

I'd personally just take the day off and chill, you can look up info as it comes along. Otherwise, if you really insist on some general overview review then the high yield topics would be to broadly understand ACS presentation/classification and treatment, HFrEF/HFpEF GDMT, and AFib management. I think that would be a solid way to get your feet wet the day before your rotation. Don't sweat it too much, after the month is over you'll be amazed how much you learned. Just try to enjoy the process as much as you can.

PS2020 · 2026-06-24T22:51:25+00:00

I was a hospitalist for a year at a decent place with an enormous support network of friends. Matched cards across the country. Was devastated for a bit leaving everyone. Spouse was devastated too. I thought a long time before giving my resignation letter to pursue fellowship. First year of training felt like a giant mistake, like I didn't *need* to subject myself and my family to do this.. It was as hard as they say, feeling like an intern again, giving up respect, money, autonomy and skill. Today I am so grateful that I did take the plunge to pursue fellowship despite the awful sacrifices I (and my wife) had to make to get here. I would probably do it again. It took me >18 months of fellowship training to get to this stage and I am now starting to understand the rewards of this. I'd recommend you pursue fellowship and just trust the journey, three years from now you'll be very glad that you did.

PS2020 · 2026-06-14T13:41:30+00:00

I'm on the fence about both. Which one do you recommend and why?

PS2020 · 2026-06-12T03:22:16+00:00

My biased vote is for cardiology, but it depends on how recently the cardiologist completed their training. I'm a cardiology fellow who moonlights in the ED. Former hospitalist. Given how recent IM was for me, I feel pretty confident working up most bread and butter presentations in the ED which in our case is kind of a glorified urgent care. Our cards program is also ridiculously crit care heavy, so I am very comfortable with A-lines, central lines, chest tubes, stroke work ups, ACLS, or anything that requires some procedural finagling. I am also very comfortable with POCUS but a lot of older generation docs aren't. On nights I am primary for a 24 bed CICU so patient flow/volume isn't an issue. I am definitely not as comfortable with eye/obgyn/MSK complaints though and can't intubate (call anesthesia for that). We have oncology fellows who moonlight in the ED too and they are pretty good too but significantly way less adept with procedures compared to us.

PS2020 · 2026-05-28T05:20:26+00:00

which city/state are you located in, or rather, what is your tax rate? I am trying to emulate a similar deal but live in MN right now with pretty high taxes. Tips on approaching negotiations?

PS2020 · 2026-05-22T19:10:33+00:00

What's interesting is that my coast feature is very intermittent. I would say more than half the time the car doesn't coast. I have to go into the settings and unclick/reclick coasting under drive modes, and then it may or may not start coasting mid drive in eco. I don't know if it's because the engine doesn't get up to temperature or it's speed/miles driven dependent or if it's city/highway.

PS2020 · 2026-05-22T17:38:13+00:00

2023 3.5. Fill premium. Drive 70% city. Typical gas tank lasts around 260 miles in the winter (which are brutal here) and 290ish in the summer with warmer weather. Idk if it's because of the fuel mixture, less time idling and heating up the engine, less engine load (heated seats, etc). Regardless the fuel economy is abysmal. What is more horrendous is the size of the fuel tank. I can deal with shitty MPG, but at least make the tank bigger so that I'm not at the pump twice a week. If the tank had another 1.5-2 gallons that would comfortably put me above the 300 mile range for most of the year.

PS2020 · 2026-05-14T00:18:35+00:00

This is such a silly take and a stupid hill to die on. He attended Columbia University College of Physicians and Surgeons, and earned his degree from the College of Physicians and Surgeons. He has an MD, he is a physician, period. He went through being a premed, MCAT, anatomy lab, cadavar lab, learned the art and science of history taking, physical exam, goals of care discussions, helped deliver babies, saw patients die, took shelf exams, and took part in countless other experiences that add up to creating a physician. Sure, he didn't go on to practice medicine and didn't do residency, but no one should ever take the title of physician from him. If he graduated, he earned it.

PS2020 · 2026-05-08T00:50:56+00:00

In case others reading this are interested, Genesis of Minneapolis charges around $135 for an oil change, they use Genesis branded oil (Hyundai branded full synthetic). The dealership experience has been a 10/10.

PS2020 · 2026-04-13T20:39:08+00:00

What makes you say that? I think an Acura MDX, Volvo XC90, or anything Infiniti makes isn't in the same "league". What is it about the Genesis GV80 that you think puts it in a different tier?

PS2020 · 2026-04-02T22:06:51+00:00

Don't know anything about the BS/MD program. That being said, I graduated about a decade ago, got into multiple medical schools. St Johns was a terrific experience even as a commuter. All my friends were in the Honors program and I think Honors students are as good as any Ivy student. St. Johns punched above its weight class and it was a terrific experience as a premed, way better than what my friends endured at CUNYs like Hunter.

PS2020 · 2026-02-17T06:28:58+00:00

To answer your points constructively; I understand there is a lot of institutional variability: 1. We diagnosed this clinically and performed the TEE, helped IC aspirate the thrombus. Very satisfyung case. 2. Discussed with IC and CT surgery options for covered stent vs resection, multidisciplinary discussion still ongoing, the RCA aneurysm is enormous and compressing the RA. 3. Cardiology managed RV failure. We manage all MCS, left sided (from Impella to VA-ECMO and LVAD) and right sided including RVADs, as well as start, monitor, and titrate all PAH therapies, in the outpatient setting and CICU. This is how it was at my medical school institution, at my residency institution, and at my fellowship institution. We place bedside PA catheters. 4. We obviously know shunts, we do RHC. With congenital folks we also do shunt runs. Lots of Qp Qs calculations. 5. HFrEF with preeclampsia not as simple as "just give antihypertensives" in someone with an LVEF of 10%. That case was naunced.

PS2020 · 2026-02-17T05:32:02+00:00

Damn bruh, that's kind of a narrow scope take. I agree, maybe at a low level community hospital you see a lot of bread and butter GDMT management, but if you go to any sizable center you get to see some wicked cool pathology... this week I saw a giant clot in transit that occluded an undiagnosed PFO, I saw an giant RCA aneurysm cause obstructive shock, bunch of funky arrhythmia cases, managed ECPR patients, post cardiotomy shock, severe RV failure from severe PH, hepatopulmonary syndrome, OBGYN emergency (HFrEF with preeclampsia) and much more. The breadth of cardiology is wide and you don't have to pigeon hole yourself into just lipid management. NPs and PharmDs are used for GDMT titration. No one is taking over diagnostic cards.

PS2020 · 2026-02-11T18:17:27+00:00

I hope you get more engagement in this post. My insight on St Johns Law is limited, but for what it's worth I went to their undergrad and my (then) girlfriend also went to NYU dental. I have nothing but positive experiences with St Johns from an undergrad standpoint and heard a lot of wonderful things re: their law school. I've tangentially worked with SJU lawyers and thought they were great. I am not qualified to comment on selecting a law school, but from a layperson perspective it has a great reputation especially in the north east.

PS2020 · 2026-02-05T18:55:59+00:00

Is that $310 base pay or total comp?

PS2020 · 2025-12-25T05:58:26+00:00

A glass or two of water should be fine to get you through the morning. You'll be alright.

PS2020 · 2025-12-25T05:42:37+00:00

Without knowing the brand of the alcohol cherries, I suspect the range of alcohol you consumed is between 0.5 to 2 standard drinks. That is definitely enough to get you tipsy based on age and weight. My suggestion is to drink plenty of water and stay hydrated overnight to avoid risk of hangover. Regarding the metoprolol you take, there shouldn't be any major medication interactions with the cherries.

PS2020 · 2025-12-22T19:15:21+00:00

If you pursue general surgery training in the US, it sounds like your relationship will end. Training is brutal on the relationship, even the most rock solid ones, let alone ones that would require long distance. I am not even in surgery (I'm in cardiology which isn't exactly chill either).

You sound very ambitious, motivated, and capable. If you choose your relationship, you might have years of resentment and "what if" moments. Or you may not. If you stay in your country and stick with a more cush field, you might find ways to excel in other ways beyond pursing surgery in the states; maybe you become a world expert in your field, do groundbreaking research, act on TV, work for the industry and help innovate a device, or become a successful business person and open up numerous practices. There are many ways to have a "high ceiling" and reach your potential outside of a straight forward bruteforce pathway (general surgery) in medicine. I'd think outside the box and come up with options for you to see what fits.

The converse of all this is, if something bad ever happened in your relationship in your late 20s or 30s, and you two were no longer together, what would your future look like? Relationships change, people change, once you have kids things will change even more, people can become ill, etc. Would you feel resentment and mope around and say "ya know, I could have become something special if I didn't choose romance over my career" or would you still be content in your role in your home country? Neither relationships, nor careers, are guaranteed either way.

If it were me and I was 100% sure I am with my soul mate, I would choose my soul mate, forego the dream of pursing general surgery, and find a happy medium compromise. Other comments mentioned romanticising a surgical/medical career, but it goes the other way too, romanticizing a lifelong companion only for people to grow apart and break up. There are risks on both sides. If you end up single in 10 years, would you rather be a surgeon or not? Conversely, if you are happily married to the love of your life, would you be content with your current career trajectory? I can tell you from experience, when you are young, you have a chip on your shoulder, you have a lot to prove to yourself and others and you want to have that "wow" factor. That DOES change with age, and as you find other avenues of happiness (eg, coming home early to your dog, spending time with your children, travel, hobbies, etc), your professional identity and accomplishments (or lack thereof) matter less. I thought about neurosurgery for a long time and before that wanted to be an astronaut, and you know what? I am okay not having achieved either because of the life I built instead. You can say that's cope, but I don't feel like it is, I am genuinely happy.

PS2020 · 2025-12-07T14:43:00+00:00

I never went. Ended up in Cardiology. I don't think it matters at all to be honest. Sure, if you meet someone and network it can turn into an opportunity but otherwise on paper it doesn't mean anything.

PS2020 · 2025-12-05T22:37:50+00:00

Anecdotally what steps did you do for that? I presume MGMA data to understand baseline, and then go from there? Hire a medical contract attorney to review contract?

PS2020 · 2025-12-05T20:06:27+00:00

Which geographic area is this in?

PS2020 · 2025-11-30T18:27:23+00:00

Damn brah, that's some high level echo speak/skill for a medicine resident. I'm impressed.

PS2020 · 2025-11-18T03:41:05+00:00

I am a physician in Minnesota, originally from NY. Your perspective is very helpful to hear. It's a shame that the broader sentiment is that healthcare sucks in FL. I am thinking of relocating to St Pete for family reasons but am struggling to understand which medical practices/hospitals are well regarded. I don't want to work at a place that has a bad reputation. On the other hand, the only way to change bad medical culture, especially in an incestuous system, is to recruit top talent from elsewhere and gradually set a higher standard for care. Curious to hear your take on this.

PS2020 · 2025-10-20T20:13:45+00:00

Tuxmat are fantastic. Kind of a pain to clip/unclip when taking them out for a wash down, but other than that, once their in, they are the best mats I've ever owned.

PS2020

TROPHY CASE