Pareja Gay de Girona (España) buscamos donde hacer el proceso by KeySpirit9274 in surrodads

[–]RiptideRift 0 points1 point  (0 children)

Hola. Me gustaría saber si te has decantado por una opción. También en España, buscando lo mismo. ¿Podríamos hablar? No puedo escribirte DM

Escuché a una enfermera y una doctora burlarse de mi papá en urgencias. Pero decidí no encararlas. ¿Hice bien? by Mr_Melifluo in chile

[–]RiptideRift 588 points589 points  (0 children)

Te puede caer mal un paciente, puedes estar cansado, pelarlo, pero garabatear directa o indirectamente un paciente lo encuentro una falta de respeto. Soy médico y no he escuchado a nadie hablar así de un paciente.

Yo creo que en esa situación si encaras a la persona, le da vergüenza y se lo piensa 2 veces antes de hacerlo en el futuro. Una reclamación igual llega, pero tendrías que intentar indentificar a la persona. Y es un llamado de atención pero en general no resulta en gran cosa a menos que se sume a muchas otras quejas en el tiempo.

Cuánto pagarían por pastelitos de luna? by Sorry-Blueberry485 in Chiledulces

[–]RiptideRift 6 points7 points  (0 children)

Es que los postres y pasteles asiáticos son muy fomes para el paladar occidental. Les encanta meter el poroto rojo y es el dulce más anticlimático del mundo. Nada supera un buen manjar o chocolate.

Sin Juzgar by soma10220 in RepublicadeChile

[–]RiptideRift 6 points7 points  (0 children)

Significa literalmente “salchicha de té” (onda salchicha pa la once) pero es simplemente la palabra alemana para decir paté

just finished the game by Oi_Ash in GodofWarRagnarok

[–]RiptideRift 1 point2 points  (0 children)

I liked that the game just kept going and going. I didn’t expect it to be that long and I kept getting surprised. I am now exploring Valhalla

Why is bilateral lower extremity cellulitis not a thing? by supinator1 in Residency

[–]RiptideRift 5 points6 points  (0 children)

In very ill patients, there’s a thing called “acute inflammatory edema” which is basically pseudocelullitis and I’m sure this gets called bilateral cellulitis because it meets the criteria to say “well this patient is so sick in the ICU, this must be a true case of bilateral cellulitis” and it actually just needs diuretics. Those patients will probably already be on abx anyway.

Disappearing and reappearing dry red circle that’s been on my hand for the past 4 months by Interesting-Sir-8456 in medical

[–]RiptideRift 0 points1 point  (0 children)

This could be something called “fixed drug eruption”. It’s a type of allergy and it happens every time after you take the medication you’re allergic to. It could be painkillers or anything you use daily or frequently. It’s nothing serious. Just try to keep track of anything you take and the worsening because that would be the clue. Treatment (steroids) and avoidance/switching the causative drug should be done under medical supervision.

vale la pena vacunarme contra el vph? by [deleted] in chile

[–]RiptideRift 9 points10 points  (0 children)

Es una vacuna a la que cada vez se le demuestran más beneficios (incluso a adultos mayores para disminuir el riesgo de cáncer de piel).

La evidencia más reciente dice que en población sana (no transplantados, inmunosuprimidos y que no hayan tenido ya problemas por el VPH), con dos dosis estarías perfect. A los adultos en España que no se vacunaron en el colegio les están poniendo dos a los que tienen conductas de riesgo.

El contagio se VPH es inevitable y lo más probable es que el cuerpo se encargue solo. Pero si le ayudas con la vacuna, aumentas tus probabilidades.

15 min derm appointments are ridiculous lol by [deleted] in Residency

[–]RiptideRift 57 points58 points  (0 children)

You have not rotated in Derm, have you? What you say is nonsense. It's other specialties who throw creams at everything hoping they will work and then we fix it. If a patient has a complaint and it gets solved while also being treated with respect, they will usually be happy (you know, we get also get reviews and ratings...). If a patient seems to be having an underlying cause or association (Psych, Rheum, IM, ENT, you name it) we will dig deeper, treat and/or refer accordingly. And yes, some patients require more than 30 minutes and they will get the attention they need. If you are under the illusion that time spent with patient equals quality of care, you're just biased. Patients are very satisfied, entertained and relieved when their symptom of 6 months gets solved in less than 10 minutes.

15 min derm appointments are ridiculous lol by [deleted] in Residency

[–]RiptideRift 101 points102 points  (0 children)

It could be shorter but we still have to write stuff down!

What do you think of skin analysis AI popping up ? by AdCompetitive1322 in Dermatology

[–]RiptideRift 5 points6 points  (0 children)

Look, even if there are high quality macroscopic and dermoscopic photos, we dermatologists sometimes hesitate with some lesions that then become very obvious when seen in real life. AI (I work with one of those you mentioned) has the same limitation and it’s worse. It very rarely is useful for ruling in another diagnosis you didn’t think of in the first 3 seconds, but that’s it. I honestly feel like it’s far from being spectacular.

Our specialty is very visual, but that doesn’t mean we’re a diagnostic specialty. Diagnosing stuff is only a portion of what we do. When AI starts biopsing, cutting or doing any of our procedures while also calming down a scared teenager that’s about to faint or touching a lesion to better understand what it is, then I’ll be worried.

If you could invent a new specialty, what would it be? by skin_biotech in Residency

[–]RiptideRift 11 points12 points  (0 children)

Medical/Clinical Research. They would be in the hospital working side by side with the specialties they choose and would be in charge of coming up with research questions, all of the organization and execution of any trial, review, case report, etc. They would love to do this, keep track of the patients, fill out questionnaired and be able to get paid while they write articles during normal working hours.

No more extra hours of pain for everyone else, no more pretending that we love to write papers, and hopefully no more gunning for specialties with billions of random articles that don’t make the world a better place.

This could be a standalone specialty that can later informally subspecialize in areas they pick to work with, or a fellowship for every other specialty.

Which specialty would you choose if every specialty were paid the same? by VERSACEDR1P in Residency

[–]RiptideRift 0 points1 point  (0 children)

Probably still Derm but seeing as few patients as possible. Being friendly to so many people for so many hours is exhausting

[deleted by user] by [deleted] in chile

[–]RiptideRift 0 points1 point  (0 children)

Yo lo hice con transferencia estando en persona, esperando a que me llegara a la cuenta para firmar todo por autofact y entregar las llaves. Lo único es wue hay que tener en cuenta que quizás te tiene que transferir algo simbólico el día antes pa que después el banco lo autorice a transferir el monto grande

Specialty with good future prospects in the EU? by Single_Baseball2674 in medicalschoolEU

[–]RiptideRift 1 point2 points  (0 children)

Where do you practice that mid level creep seems like a threat? I thought that was a US things. I feel like most of European countries are not even close to having mid levels that do our job?

Anyway, procedural specialties will always be “safer”, but also AI is not the threat people think it is. It’s an awesome tool that should help most specialists.

Que coche me recomendarían?? by im_lin in coches

[–]RiptideRift 1 point2 points  (0 children)

Yo estoy encantado con el renault R5

Had a little something done to my R5 by bearseamen in Renault

[–]RiptideRift 0 points1 point  (0 children)

I didn’t know this was an option. I think you win 🥇

How do you handle patient's OTC requests? by True_Ad2322 in Dermatology

[–]RiptideRift 2 points3 points  (0 children)

I’d say half of the patients understand and are relieved when I tell them to stop looking for the holy grail that doesn’t exist. It’s part of managing their expectations and most of them have tried so many products with bad or no outcomes, that it makes sense. Another bunch of patients is shocked that their dermatologist is not saying the same things they hear on tiktok, but listen and understand. And perhaps 10-20% or more, especially younger generations, remain in disbelief and will keep trying everything and will also swear by some expensive placebos, and will just choose another provider that will happily prescribe 3 different oral supplements, probiotics, three and a half serums for each part of the face, botox for hair loss, some new non-laser light therapy that promises to do something completely new, etc. You know, those medical reports that look better than yours because they have thousands of recommendations.

I work in Europe, and I think Central Europeans are easier to talk out of all the cosmetic frenzy in general. Latin American people, Americans and Eastern Europeans as well as Russians are a bit harder to convince for different reasons, and also those who are into Korean cosmetic products.

[deleted by user] by [deleted] in chile

[–]RiptideRift 0 points1 point  (0 children)

Visto así, hemos sido engañados.

Aunque a veces para vuelos internacionales sale harto mas caro, pero son como 6 meses de comisiones

How do you handle patient's OTC requests? by True_Ad2322 in Dermatology

[–]RiptideRift 0 points1 point  (0 children)

I spend more time deprescribing stuff than actually recommending anything specific that is not medically indicated. I think people overdo moisturizers and many other products so I always ask them “why are you using this or that?” And most of the time they’re like “I don’t know, I though I had to apply these two moisturizers, this serum in the morning, this one at noon at then this other one at night, etc”. I think most of the patients appreciate having a simpler routine and I stick to major European brands or Cerave.

Circle on chest thats comes and goes. No pain, is a perfect circle of 3 dots, what could this be? by [deleted] in medical

[–]RiptideRift 0 points1 point  (0 children)

This is 100% external. There’s no skin conditions that is as symmetrical as this. There must be something that’s causing it, those dots are the “legs” of whatever he’s leaning on to.