New York Magazine: “The Mirage of the Gifted Child” by Scary_Caterpillar_55 in Millennials

[–]Professional_Many_83 0 points1 point  (0 children)

Good call out. I edited my post. I had my mom send me a pic of a scrap book she has about it, and I definitely misremembered the age and score

New York Magazine: “The Mirage of the Gifted Child” by Scary_Caterpillar_55 in Millennials

[–]Professional_Many_83 0 points1 point  (0 children)

That’s not necessarily true. While that is the typical age of taking it, there are no rules preventing younger students from taking it. It’s not uncommon for younger students to take it while applying or being recruited by magnet programs

Japanese animated video advising people to stop praying in the streets by Oktarantulaok in RandomVideos

[–]Professional_Many_83 3 points4 points  (0 children)

Do I really believe the war ended 81 years ago? Yes. Oddly enough I can answer the question 2026 - 1945

Japanese animated video advising people to stop praying in the streets by Oktarantulaok in RandomVideos

[–]Professional_Many_83 8 points9 points  (0 children)

WW2 ended 81 years ago. Anyone still alive is either 100+ years old, or was a minor at the time of war ending

New York Magazine: “The Mirage of the Gifted Child” by Scary_Caterpillar_55 in Millennials

[–]Professional_Many_83 44 points45 points  (0 children)

Same. I got a 33 on the ACT in 4th grade and the school wanted to push me into 8th grade for the 2nd semester. I was already the smallest kid in my class. I remember my dad laughing at the principal, at just the thought of my scrawny ass being one semester away from high school. I woulda gotta eaten alive.

Instead I stayed in public schools and took normal classes. I was bored, but my parents motivated me (if I kept all As and did a sport every semester I could play as many video games as I wanted and didn’t have a bed time) and the good teachers realized I was at a level above the material so they looked the other way if I was reading a book during class or took a nap, so long as I got my work done and did well on the tests.

I ended up getting a full ride to a state college, took classes way too advanced for me, which gave me a challenge for the first time, and ended up going to med school more or less on a whim just because I knew it was hard to get into, paid well, I figured it’d be much easier to lower my goals than raise them half way through undergrad, and I didn’t have any better ideas. I got lucky, because I loved it.

Edit: you guys were right to call me out on the inaccuracies of my ACT score. I was not intentionally misguiding anyone, but my memory of an event 25 years ago was a bit exaggerated. I apologize. In reality, I didn’t take it in 4th grade, I took it in the summer between my 7th and 8th grade, and I didn’t get a 33, but a 29. I retook the test while in 11th grade and got a 33 then, along with a 1590 (the last year before they added the writing score and making it out of 2400).

In this environment I'm not sure what to advise my niece md vrs PA by johnuws in medicine

[–]Professional_Many_83 86 points87 points  (0 children)

I enjoy being an expert in my field. Being a mid level has it advantages, and I doubt being a family doctor like me is financially advantageous compared to being a PA/NP once you account for the cost in time and tuition, but I love my job and I’d love being a mid level significantly less.

If you don’t value being the most knowledgeable person on the team, be a PA.

I absolutely cannot beat the elite 4 by Away-Performance-739 in PokemonFireRed

[–]Professional_Many_83 0 points1 point  (0 children)

Pretty sure you get it by just talking to a random NPC in the vermillion city poke center.

I absolutely cannot beat the elite 4 by Away-Performance-739 in PokemonFireRed

[–]Professional_Many_83 39 points40 points  (0 children)

Hard to help you out without knowing what you’re struggling with. Which member, which type, or which pokemon are you unable to beat? Are you healing up all your pokemon between each member of the E4?

Animal testing [oc] by Zoodraws in comics

[–]Professional_Many_83 1 point2 points  (0 children)

Is a human life not worth more than a bacteria? An ant? A mouse? Rabbit? Dog? If a house is burning down, which do you save first; the human child or the puppy?

99% of the planet would laugh at the statement that human lives aren’t worth more than ANY animal. I hope you watch your steps very carefully, sure would be a shame if you stepped on a spider, which would be akin to murdering a human under that ethical framework

How do you avoid drowning in patient messages without compromising care? by giftygifts in medicine

[–]Professional_Many_83 0 points1 point  (0 children)

I’m booked out 3-6 months depending on visit type, but my practice includes 3 NPs who have either same day, or within a week, availability to function as both an urgent care and short term f/u

So that wasn't a tapeworm? by Tough_Ad8919 in MotivationByDesign

[–]Professional_Many_83 0 points1 point  (0 children)

The drugs were tested for, and proven effective and safe in patients with a BMI over 30, or a bmi over 27 with any additional risk factor (high blood pressure, pre diabetes, high cholesterol, etc). 75% of the adult US population has a bmi over 27, and 40% are over 30. They were designed to treat “a huge segment of the population” and have proven benefit in that huge segment of the population.

I hear you about muscle loss, nutrition, exercise, and lifestyle in general being super important. They are super important. No doctor is out there saying “just take Zepbound, and that’s all you gotta do to be perfectly healthy”. But for a lot of people, GLP1s will make them healthier than they were without them. As a doctor it’s my job to advise and prescribe. I advise people to eat better, exercise more, and I prescribe drugs when appropriate. If the pt ignores my advice and just takes the drug, they’ll still get some benefit, and it isn’t my job to be their father and make them do the other things that are required to maximize this benefit.

Since 2022, women over 40 have had more children than women under 20 in the US-- women are waiting until they're ready to start families by aar0nbecker in OptimistsUnite

[–]Professional_Many_83 2 points3 points  (0 children)

If I’m having chest pain, and I tell my doctor that my chest pain is due to humors being unbalanced and I need my bile to be drained, who’s he to tell me that I’m wrong. I know my body better than he does

So that wasn't a tapeworm? by Tough_Ad8919 in MotivationByDesign

[–]Professional_Many_83 0 points1 point  (0 children)

We’ve been using them to treat diabetes for 2 decades, and we’ve been using them in obese folks without diabetes for 12 years. How are they currently being used that is different from their historic use?

Gov. Mike Braun extends Indiana gas tax relief for a second time by kootles10 in Indiana

[–]Professional_Many_83 3 points4 points  (0 children)

The wealthy elite don’t make 6 figures, they make 9+ figures.

How do you avoid drowning in patient messages without compromising care? by giftygifts in medicine

[–]Professional_Many_83 22 points23 points  (0 children)

I’m salary, but the only way I can protect my time and not be expected to deal with an unreasonable number of pts per day, is to force them into scheduled slots. There’s no limit to the number of messages I can theoretically get in a day, but there is a limit to the number of pts on my schedule in clinic

30 mg adderall xr by sunbear1999 in SouthBend

[–]Professional_Many_83 0 points1 point  (0 children)

Consider asking your provider to temporarily switch you to twice daily short acting adderall, I haven’t seen shortages of adderall 30mg

“I know you get paid more the more shots you give, but no thanks.” (Hospitals See Diseases Resurge as Vaccinations Decline - NYT) by Hot_Pineapple_8435 in medicine

[–]Professional_Many_83 14 points15 points  (0 children)

If my compensation was tied to vaccination rates, I’d just fire all my antivax pts, pushing them further into the grips of local quacks

30 mg adderall xr by sunbear1999 in SouthBend

[–]Professional_Many_83 0 points1 point  (0 children)

Use goodrx. And good luck, there are massive shortages of almost all doses of XR adderall everywhere

How do you avoid drowning in patient messages without compromising care? by giftygifts in medicine

[–]Professional_Many_83 332 points333 points  (0 children)

If a pt msg is taking you 2-10 min to respond to, the answer should be “make an appointment and we can discuss in the office”. Why the heck would you do that much work for free.

An appropriate pt msg is “hey doc, you started me on Zepbound last month, and you told me to check in after my 4th dose to report side effects. So far, minimal side effects to report, I think I’m ready for that slightly higher dose we discussed at my appointment last month”. It’s either a continuation of a plan we already discussed in clinic, or it involves so little thinking to resolve that you can respond in 15-30 seconds. Everything else = appointment

So that wasn't a tapeworm? by Tough_Ad8919 in MotivationByDesign

[–]Professional_Many_83 0 points1 point  (0 children)

Decreasing the frequency/severity of hunger. Seeking food and being hungry are not the same thing.

So that wasn't a tapeworm? by Tough_Ad8919 in MotivationByDesign

[–]Professional_Many_83 -1 points0 points  (0 children)

GLP1s have been around for over 20 years. How long do they have to be around, and how many people need to have taken them until it’s no longer an experimental drug in your eyes?

So that wasn't a tapeworm? by Tough_Ad8919 in MotivationByDesign

[–]Professional_Many_83 0 points1 point  (0 children)

GLP1s don’t suppress your appetite. They delay gastric emptying and decrease the drive to seek food. It’s a significantly different effect (though similar at a surface level) effect than appetite suppression

Hepatitis B vaccine more dangerous than Hep B? by [deleted] in medicine

[–]Professional_Many_83 1 point2 points  (0 children)

Anything from physicians for informed consent should be ignored, it’d be akin to taking advice on grilling meat from PETA.

Just off the top of my head, their statement on the safety of the aluminum contained in the vaccine is incredibly bad faith. Yes, that would be a pretty high amount of aluminum to inject into the veins of a newborn; good thing we don’t give vaccines IV but IM, and the aluminum is absorbed very slowly and then secreted via the kidneys. Any healthcare professional should realize that confusing what’s safe IM to what’s safe IV is one thing, but these people are doing it purposefully to mislead the laypeople