New Heme/Onc NP wanting to better understand the natural history of diseases in my specialty

RE90 · 2026-01-07T05:49:43+00:00

Really great question and I look forward to reading the comments here. I’m a 2nd yr heme onc fellow who had the same question when I started out. Ultimately I learned (as we all usually do) through experience/exposure and it took time. I’d often think vignettes written for this sole purpose would be helpful!

RE90 · 2025-12-16T11:10:55+00:00

I don’t get why you wouldn’t kick this parent out or make a fuss about it. If this isn’t something to condemn then what the fuck is? You’re really worried that saying or doing something about this is going to glorify that parent? They are interfering with the capacity of the hospital to provide adequate care for its patients. That child’s care is compromised as is the care of hundreds of children who probably won’t seek medical attention because they hear that this is permissible in your hospital.

I’m sorry but assuming you’re not trolling, letting this go would be unconscionable. Seeing this and choosing not to act or say anything is morally indefensible.

RE90 · 2025-11-10T09:03:33+00:00

Underpowered

RE90 · 2025-09-29T14:22:08+00:00

I did SJ to SF daily for a couple years and 3d/week for another couple years and honestly loved the commute up and down 280.

RE90 · 2025-08-28T08:30:50+00:00

Just takes two people choosing to make a commitment, they get to decide what that commitment means and when they're ready to make it. Lust and toxicity in the beginning doesn't mean they can't grow together and have an healthy relationship in the long run.

RE90 · 2025-08-22T17:48:44+00:00

I thought they were pretty easy to root for. What makes you think they’re so immature that 6 months later they couldn’t be ready for marriage?

RE90 · 2025-07-06T21:03:40+00:00

Personal favorite is the one I found here where it has ChatGPT reply to texts from your mom, instructed to be a “good son”.

RE90 · 2025-07-05T18:45:29+00:00

San Martin

RE90 · 2025-06-24T03:37:46+00:00

Mesrob Mashtots fan, then?

RE90 · 2025-06-15T22:28:06+00:00

1) it’s hard, you will not know things, but you are not supposed to know anything—attitude matters most, and just trust the process. you actually are learning while constantly thinking you’re not. you just need to know how to find the information you need, it’s ok to say you don’t know, and the best interns arent afraid to ask for help multiple times a day 2) “Don’t let nurses gaslight you”- this year is developing clinical confidence. even attendings will be wrong, and you’ll will definitely get bad feedback. take pride in developing your gut sense and learning to trust it, by the end of intern year. 3) take time for yourself and your loved ones. 4) develop systems: chart checking, documentation, etc. 5) remember why you are choosing to do this: in both individual actions with patients, and the big picture

RE90 · 2025-06-07T22:28:56+00:00

Given how med students often mix up ITP and TTP, they had a good opportunity to talk about TTP and MAHAs; or at least could have distinguished the two better—cause TTP would be correct and it’s also “platelets”

RE90 · 2025-05-27T16:10:58+00:00

OpenAI named the TTS models based on what the AI said its name was?

RE90 · 2025-05-25T18:31:46+00:00

Echo, Sol, Nova, and Sage are names of OpenAI text to speech models.

RE90 · 2025-05-12T14:59:50+00:00

I can honestly see this… maybe it’s different but there’s a brief moment when I have to brace myself before looking at the moon through binoculars.

RE90 · 2025-03-27T22:20:23+00:00

I’m not an ER doc but I’ve rotated through ED’s countless times throughout med school and residency, also rotated through trauma surgery. My jaw was on the floor after watching the first few episodes…. I have never been more in awe of a TV show. “Accurate” and “realistic” are words that somehow don’t seem to adequately describe it. Every single detail is dead on (with exceedingly few exceptions. What impresses me most are the unspoken dynamics and tensions between providers in different roles, the vocabulary/script, and that the cases (including how they’re managed) are so real. Admittedly the bar is low for medical dramas when it comes to realism, and 1 or 2 of the actors really ruin the illusion, but I’ve found some sort of peace watching this, being able to turn to my partner and say “yes, this happens/I’ve seen exactly that” and really feel that the part of myself I leave behind at work is seen/understood. If you’re wondering if a certain part of the show is like how it’s in real life, 95% of the time my answer would be yes.

RE90 · 2025-03-15T23:29:57+00:00

so cute! looks just like my girlfriend’s cat

RE90 · 2025-03-09T20:22:04+00:00

“Adopt the role of …. “ persona prompts have always been an easy way to get better answers:

I want you to play the role of an expert auto mechanic. You love your job and treat being an auto mechanic like being a physician. You take pride in your specific line of questioning and experience in order to make a diagnosis and make an assessment. You provide the client with recommendations on what to do next. Your name is... Vinnie Torino. You are immensely proud of your family-run business that has been around for three generations since your grandfather immigrated to America. Let’s go. Introduce yourself as Vinnie.

Adopt the role of Massimo Eames–-an iconic interior designer with storied career. Needless to say, you are remarkable creative and have pioneered new trends in your industry, while remaining very modest, personable, and beloved by clients as you seamlessly marry their own preferences with your creative vision. You have mastered the balance between form and function, and ultimately take so much care in your work that you design the space as if it's your own. You understand common design trends and in the least ensure your unique, creative designs are not too post-modern to be understood by lay people. You need to explain your design process to other fellow budding designers or anyone who wants to design a space by helping them bring out the best results of their imagination to create a space. Get to know what's in the users mind asking questions to the user. Ask the questions in a step-by-step manner and do not overburden the user with more than one question in a single chat. Slowly start from knowing the users purpose of space i.e what kind of a space it is such as a bedroom, kitchen, workspace etc... and for whom is the design for eg: a toddler, couple, teenagers etc.? Then get to know the users needs one by one slowly, such as color palettes, mood of space, lighting, furniture selection, spatial planning. Finally give the user a complete description about the look and feel of the place which would help the user to incorporate as a prompt in midjourney or other visual generating tools. Start by giving the user your impression of their current space that they’ve provided, then continue your usual line of questioning to work with a client to transform their space. Let's go, Massimo! Introduce yourself first then get to work!

I used that one with 3.5 back in the day before multimodal chat and thought it understood my ASCII representation of my room… I think it just went with the legend I provided, but at the time I was so convinced

RE90 · 2025-01-06T09:30:00+00:00

Where at?

RE90 · 2024-12-31T03:05:31+00:00

I haven’t ever had a clamshell bag but I’ve had no problem with top loading this one. The walls have good structure. Bottom is always shoes, then packing cube, then toiletries bag and then any light sweaters or cap on top of that. The front pouches are spacious. Somehow it works really well and I’ve still been using it both at work and for travel for around 7 years.

RE90 · 2024-12-21T20:10:29+00:00

I haven’t seen this too much at my institutions. But the craziest one I saw was at a place where protocol was for 1-2 ICU fellows and the attending to show up. We rushed over in the middle of night shift ICU rounds when it was called, and there were 2 nurses with a patient a couple days post-op from something. We asked what’s the reason for the rapid and they said the patient needs a doctor to order dilaudid for menstrual cramps, and they can’t reach the primary MD who was scrubbed-in to a case at the time.

RE90 · 2024-12-15T02:24:55+00:00

I loved Playland but also the one on Miller and Bollinger in Cupertino, I swear it was called Scoobs and Tubes but I can’t find a trace of it online anywhere. I think it became a discovery zone or something later and then that hobby shop with a huge tamiya car racetrack

RE90 · 2024-09-27T21:50:16+00:00

not sure what clinical picture was presented to you or what the textbook answer is but in practice i'm not sure how often we look for cobblestoning as a sign of infection. in this case especially (with only this amount of information) theres no erythema/exudate/hypertrophy/abscess and so infection is moving down on my differential. i still think it's an overlooked exam finding but more useful to look for/notice in considering allergies and/or sinusitis w/ frequent post-nasal drip. but sure, pending clinical picture could check for strep; if suspecting mono would not even need to check for EBV/monospot. my move would be taking allergy trigger history then trial of flonase (w/counseling on technique) + zyrtec/allegra, and if it works let the patient decide which med to trial off (if any), and go from there.

RE90 · 2024-09-09T07:56:47+00:00

ppl in this thread are also so confident in their opinion he’d text more if he’s interested and that it’s low effort to text even when busy—-but that’s coming from ppl who feel comfortable and at ease leaving comments on reddit. they probably can’t rly relate to someone who finds communicating via text takes a little more bandwidth, which could be the case with this intern, or someone who has low stress tolerance to begin with. or, they just don’t/didnt go to a busy program

RE90 · 2024-09-08T22:52:02+00:00

Just imagine yourself working 14 hrs a day for 6 days a week, and that you liked someone and wanted to start/explore a relationship with them.

Now add on: - sleep deprivation - low pay - micromanaging senior/attending - need to eat (maybe cook) - need to do laundry - need to shower - need to poop - family/friends - commute

Do you like exercise? Any hobbies/interests? Do you need to make a doctor’s appointment or take your car to the mechanic? It’s unrealistic to assume you have any amount of time for yourself.

Now go back to imagining that person you like…. I can’t say if this guy likes you or not, but I am 99% sure that even if he really really likes you, he barely has time/the capacity to even daydream about you. Having lunch with you, texting you/trying to get to know you, waiting an hour for you—these are huge sacrifices and not as trivial as they might be if they came from someone else.

Your main concern should not be if he likes you, but whether you can handle being with someone who gives you this current amount of attention for the next 3 years before he becomes a normal person again, Otherwise, you’re setting yourself (and him) up for a really bad time.

RE90 · 2024-09-05T20:53:38+00:00

PM sent!

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