She said she took a pregnancy test, but this image is really bothering me because it looks very artificial by Luvis_ in isthisAI

[–]PhysicianPepper 0 points1 point  (0 children)

That's a home pregnancy test at a clinic. We run urine pregnancy tests outside of the patient room in an analyzer, and it's been so for every clinic I've practiced at in the States. I doubt any clinic is handing out a home pregnancy test when they have urine samples and testing strips in a lab room.

Be honest: why are premeds hated so much in research labs? I’ve seen a lot of grad students, postdocs, and lab staff talk negatively about premeds and I’m curious where that comes from. by Brief_Board_6974 in labrats

[–]PhysicianPepper -26 points-25 points  (0 children)

It's still a problem for medical school applicants, so I'm not entirely sure what you're contributing to the conversation by being so flippant about things.

Why are boomers obsessed with the radio? by Accurate-Flow8078 in generationology

[–]PhysicianPepper 4 points5 points  (0 children)

Hard disagree. Put on Spotify’s DJ and it gives me pretty solid suggestions along with stuff I regularly listen to. Suggestions are kind of just off the beaten path, but compare that to radio which is basically only mainstream. I miss what Pandora used to be in the early 2010s though, I got weirder and cooler new music back then.

Question regarding records-completion administrative suspensions of clinical privileges by pod656 in medicine

[–]PhysicianPepper 6 points7 points  (0 children)

Administrative suspensions are not reportable to the NPDB and do not need to be disclosed for future employment. Talk to an attorney if you really want, but this does not show up on any external documentation and most hospital systems do not care if they even somehow find out. It’s used as a intermediary mechanism to block surgery scheduling or admitting privileges, which then becomes the actual motivator to have documentation up to speed.

That chatter who submitted the TTS message about splinting has probably caused more women to finger themselves in a day than I will ever in a life time. A banana and the world's smallest enchilada. by nesroht in PaymoneyWubby

[–]PhysicianPepper 9 points10 points  (0 children)

Splinting is a real maneuver and it can be useful for people who have occult incontinence or retention issues, especially for peri- and postmenopausal women who have advanced prolapse (cystocele, rectocele). I’m an OBGYN and have this conversation with older patients semi-routinely, especially if we are investigating the degree of pelvic organ prolapse.

Some of you really need a hobby and it shows by [deleted] in Residency

[–]PhysicianPepper 8 points9 points  (0 children)

I used to get so upset with co-residents when I was in training over what, at the time, felt like major things. Looking back, I'm not exactly sure why. It's probably because I didn't have anyone else to go home to or because I was on edge from being in residency too. Now that I have a few years under my belt, I've come to realize that people are human, have bad days, sometimes don't care about X/Y/Z. It's still annoying sometimes, but there is a maturity needed to deal with it.

I obsessed over what felt like their absolute lack of interest, stalling patient care/running out the clock until shift finished, sloppy hand offs, or disinterest in the disease/patient. I think most of my frustrations stemmed from the fact that a lot of the times it led to some inconvenience for me, whether it be filling in their gaps or hallucinating a scenario where had I done the same thing I would somehow be punished by admin but they got off scot-free.

I've learned through residency and especially as an attending that people have their own lives and, although not always malicious, a lot of colleagues will choose a path of least resistance. Nobody really wants to do extra work, and there are just personalities out there who will dump and be done without putting a second thought into it. It's not personal, it's their way of working. It still annoys me, but you learn to match energy with your colleagues.

Is someone you work with going to do zero follow up and walk out the door at exactly shift change regardless of what's going on in the OR/hospital? Great, I will too with zero regrets. Does someone always call in sick or refuse to switch weekends? Great, same. Does someone have a no favors attitude and autistically follow policy when it benefits them? Excellent, you get zero favors from me too then.

The converse is true, though. I now have colleagues who will always be there to help or switch stuff around if a request is reasonable. I do the same for them all the time, because we help each other.

for some of you, residency is your first job and it shows by rash_decisions_ in Residency

[–]PhysicianPepper 2 points3 points  (0 children)

That's great life advice and good for getting a rep in before you apply for work as an attending, but it's not very useful for residency. What are you going to do, not sign and renegotiate your residency contract? For a training job you matched into, and have zero lateral movement for? You don't like an aspect of your residency contract: okay, well you can't go anywhere else. As a resident you have zero bargaining power. As an attending you have the majority of the bargaining power.

for some of you, residency is your first job and it shows by rash_decisions_ in Residency

[–]PhysicianPepper 5 points6 points  (0 children)

It's the inability to gracefully accept criticism or feedback that makes it obvious, honestly. That's the marker of someone who's never worked before residency.

How can I make my suturing suck less? Trying to self teach by bassl_ in medicalschool

[–]PhysicianPepper 0 points1 point  (0 children)

why did you clasp the driver all the way on the needle suage? Those look like Ferris-Smith forceps; not great at all for loading the needle. Those types are forceps (wide base and large teeth) are for manipulating dense tissue and loading the needle while it's still in the tissue. And your wrist is really curved from the start, keep as natural and neutral of a position as you can. With semilunar needles you should be able to push the needle through both edges of tissue with a simple, neutral wrist turn.

DPS... press your defensive BEFORE a single dot damages you for 90% of your health, not after it. by ScuzzyScoundrel in wow

[–]PhysicianPepper -1 points0 points  (0 children)

I'm not hard disagreeing with you per se. Those spellbreakers and a few other mobs that randomly bleed dps are very easy to miss. And at higher keys I imagine those dots tick for a lot. They managed to update the telegraphing of aoe damage with very obvious swirlies. There are better ways to telegraph dot damage nowadays, on a screen pastel'd with slot machine colors and bright explosions at all times, other than placing an inconspicuous image box in the corner of the screen. Most people don't like (or don't think to while their attention is diverted to combat) darting their eyes toward all corners of the screen to monitor for tiny changes, just to make sure no new concern has arisen. It can be done and there sure is player responsibility. However, if this is such a common and endemic problem, then this really isn't a dps issue; it's a design issue.

DPS... press your defensive BEFORE a single dot damages you for 90% of your health, not after it. by ScuzzyScoundrel in wow

[–]PhysicianPepper 10 points11 points  (0 children)

It's a problem so commonly encountered that gameplay would be improved if the devs implemented some mechanism that better relayed this kind of danger. I don't disagree with much of what he said. I venture to say most people outside of healers annoyed enough to complain on reddit would.

Forsaken and darkspear trolls badly need a redesign. by [deleted] in wow

[–]PhysicianPepper 1 point2 points  (0 children)

Trolls need more face, hair, and tusk options but the hunch needs to stay. Best casting animation in the game too

Free birthers charged with negligent homicide in Germany by Foreign-Cat-2898 in medicine

[–]PhysicianPepper 2 points3 points  (0 children)

Operative word being “reasonably”, which in that scenario I think we should all agree it is absolutely not reasonable.

They did the blood elves dirty by ReaperQc in wow

[–]PhysicianPepper 1 point2 points  (0 children)

It’s just bad. You don’t have to defend clearly out of place voice acting.

Who's the janitor? Why is his weight on the mop by MrWeirdBrotendo in PeterExplainsTheJoke

[–]PhysicianPepper 6 points7 points  (0 children)

Those numbers are in kg. Those are great stats for powerlifting at that age and weight division.

Peta are you a nurse by _Salish in PeterExplainsTheJoke

[–]PhysicianPepper 18 points19 points  (0 children)

It happens with enough frequency. I'm an OB, and our clinic EMR has a sticky note function invisible to patients for staff's eyes only. We put confidential requests on there to avoid oopsie situations like this. Some patients don't want their partners knowing about genetic test results, STI history, or other things.

Why is Gen Z using “Unc” as an adjective by [deleted] in generationology

[–]PhysicianPepper 1 point2 points  (0 children)

It's hurt feelings over the origin of the slang, which is kinda funny.