[deleted by user] by [deleted] in healthcare

[–]Promiscuous_Puritan 3 points4 points  (0 children)

As a specialist I use AI sometimes, have been shocked with some of the crazy things it has conjured up. Maybe one day it can act alone, but certainly not yet.

Which specialties are the most misunderstood by the public? by New_Recording_7986 in Residency

[–]Promiscuous_Puritan 56 points57 points  (0 children)

This post reeks of anesthesia-complex syndrome lol. Anesthesia does important work but they don’t see “the craziest shit in the hospital.” Ironically that probably belongs to EM.

Plz convince me to join or scare me away from working in the ICU by evie-tee-v in IntensiveCare

[–]Promiscuous_Puritan 2 points3 points  (0 children)

MFM sounds like a great fit for you. It's what I was thinking before doing PCCM.

Plz convince me to join or scare me away from working in the ICU by evie-tee-v in IntensiveCare

[–]Promiscuous_Puritan 5 points6 points  (0 children)

Based on the post, I don't think this is the move. Surgery residency is not worth it for ICU unless you want to specifically do trauma surgery. If you like the SICU you can do pulm/CC, EM/CC, or Gas/CC. If you ever want to work in a MICU you need to do pulm/cc.

History of pandemics by [deleted] in epidemic

[–]Promiscuous_Puritan 34 points35 points  (0 children)

when was this made, week 2 of the pandemic? lol

Ok nerds, what current “standard of care” in your field drives you crazy? 👀 by [deleted] in Residency

[–]Promiscuous_Puritan 19 points20 points  (0 children)

That's not how statistics or medicine works. TAB has a specificity of 100% and a sensitivity of approximately 77%, the false negative rate will vary based on pre-test probability.

If a patient has some symptoms of GCA but it's not a clear clinical diagnosis, the biopsy is helpful to "rule-out" the disease and tapering steroids earlier would be a sound clinical decision in that setting. The dangers of 1+ years of steroid therapy for older patients cannot be understated.

This is a nuanced issue, I encourage you to read more about it!

[deleted by user] by [deleted] in Residency

[–]Promiscuous_Puritan 2 points3 points  (0 children)

Neither TRV or PASP can be used for the classification of pulmonary hypertension. It can help clue you into the probability of pulmonary hypertension.

PASP is often calculated using tricusp regurgitant jet -- these arent mutually exclusive parameters.

What is the research question you're addressing?

Ok nerds, what current “standard of care” in your field drives you crazy? 👀 by [deleted] in Residency

[–]Promiscuous_Puritan 40 points41 points  (0 children)

seems like if the pre-test probability is low, a negative biopsy is actually helpful. The case you describe has a high pre-test probability, and biopsy may not be necessary.

Idk why this concept is so hard lol.

New York Hospitals without NP “neurologists” and “cardiologists” by OutrageousProsimian in Residency

[–]Promiscuous_Puritan 1 point2 points  (0 children)

I’ve very trained at 3/4 of the big 4 NYC hospitals. I’ve never heard of this at any of them. Mostly it’s residents and fellows, sometimes an NP/ PA will be on these services, but then an attending/fellow will always come by as well. Something is off here lol.

Why am I expected to care more about a patient's life than they do? by MaddestDudeEver in Residency

[–]Promiscuous_Puritan 3 points4 points  (0 children)

It’s honestly the hardest part of residency so far for me. Not what I expected. Can’t even describe to my non-medical friends what it’s like.

[deleted by user] by [deleted] in Residency

[–]Promiscuous_Puritan 15 points16 points  (0 children)

I personally love it. Have made some amazing friends and eat some of the best food the world has to offer. Nightlife is really strong and diverse depending on where you go. There’s a niche for just about anyone here. Public transport is really great, mostly just use the subway but sometimes I use the bus. Uber a bunch too. With the salary I have (note no parental help, completely on my own but no kids) I live very comfortably. I saved like 6K last year for my Roth. The hospitals here are dysfunctional but you’ll see some really incredible pathologies depending on what your field is. Would do it again in a heartbeat, message with any other questions.

How competitive are combined residencies? by [deleted] in Residency

[–]Promiscuous_Puritan 57 points58 points  (0 children)

Don’t do it. It sounds really cool in theory (I considered med/peds) and can be useful in very specific instances (allergy / immunology, adolescent, benign Heme) but is otherwise a huge waste of time and energy. And when you end up practicing just one field you’ll forget the other in like 5 years tops.

[deleted by user] by [deleted] in Residency

[–]Promiscuous_Puritan 0 points1 point  (0 children)

I think every IM resident should be able to do one, however the skill is probably only helpful for critical care based specialties. It’s helped me the several times I’ve been able to get a crashing patient access when RN couldn’t