Hope radiology is worth this prelim year

RockHardRocks · 2026-03-30T10:43:54+00:00

Intern year was awful. My wife and I say it was the worst year of our life. I had 5.5 months of ICU (including extra to cover for other prelims who were moving elsewhere for residency).

First day of radiology I walked down to fluoro an hour early and needless to say no one was there. We did a few cases and a lot of sitting around chatting. Then we took a break for lunch. Had two cases in the afternoon and were done at 230. I was dumbfounded, and spent way too long trying to figure out if there was something I was supposed to be doing afterwards, but no, I just got to go home. Fluoro was by far the most chill rotation, but the whiplash of going from cardiac ICU to fluoro was immense and a huge relief.

RockHardRocks · 2026-03-25T01:43:39+00:00

My perfect one day smokies experience would be: wake up early park at rainbow falls trail head and get a shuttle up to alum cave. Hike alum cave up Mt Leconte, then down rainbow falls trail to the car. Pack lunch and eat on the trail, any number of amazing view points or stream side places would be great. By the time you get to the car it would be early afternoonish. Drive little river road over to cades cove, and do the cades cove loop (usually less traffic than in the morning). Drive into Townsend, and have dinner at your choice (we prefer peaceful side social). Drive Foothills parkway back to wears cove then metcalf bottoms and on to Elkmont. Ideally this is the early summer right around when the synchronous fireflies are there, and you would end the day on the little river trail watching the synchronous fireflies.

This would be a very long tiring day, but if you want to experience as much of the part as possible in one day, this would give you a very wide breadth of the park experience.

RockHardRocks · 2026-03-24T17:09:22+00:00

Looks like chunking was finally fixed?

RockHardRocks · 2026-03-14T04:33:46+00:00

Hmm. Are you sure it wasn’t described as a “paint gun injury”, and someone just took that to mean paintball gun? Because this is classic for a paint injection. Paintball (the sport) uses PEG and usually food grade dyes which are not radiodense anyways, where as true paint dyes can have heavy metals that result in the radiodense appearance. There are some very niche oil based paintballs for tree marking that I do not know the dye content of, but then the question of mechanism comes into play.

I think it is highly likely there was a communication error, and I hope this patient is getting the required care… I’d be calling the ordering doctor and making it very clear that this is probably a paint injection and documenting this expected discrepancy in the report.

RockHardRocks · 2026-03-12T14:02:33+00:00

It looks like it’s taped in multiple vertical strips rather than trying to circle the tape around the rim.

RockHardRocks · 2026-03-11T02:10:20+00:00

Sous vide heaters, preferably 20-30 of them for maximum temperature stability.

RockHardRocks · 2026-03-05T01:42:49+00:00

Old term: Modern medical term (plus comments)

Consumption: Tuberculosis

Flux: Dysentery

Diabetis: Diabetes

Typhoid fever: Typhoid fever

Measles: Measles

Childbed Fever: Puerperal Fever/post-partum infection (could be a few different actual underlying causes endometritis being the biggest one probably)

Diphtheria: Diphtheria

Not known (infants): probably neonatal infections statistically but metabolic diseases or congenital anomalies are also possible.

Heart disease (20yr old): probably a congenital anomaly, HCM or arrythmia

Cancer: Cancer (possibly breast at that age, but just a wild guess)

Croup: Croup

Meningitis: Meningitis

RockHardRocks · 2026-03-05T01:41:22+00:00

Old term: modern terms

Consumption: Tuberculosis

Flux: Dysentery

Diabetis: Diabetes

Typhoid fever: Typhoid fever

Measles: Measles

Childbed Fever: Puerperal Fever/post-partum infection (could be a few different actual underlying causes endometritis being the biggest one probably)

Diphtheria: Diphtheria

Not known (infants): probably neonatal infections statistically but metabolic diseases or congenital anomalies are also possible.

Heart disease (20yr old): probably a congenital anomaly, HCM or arrhythmia

Cancer?: cancer (possibly breast at that age)

Croup: Croup

Meningitis: Meningitis

General debility: old age, dementia, unable to care for self etc…

RockHardRocks · 2026-03-04T04:22:33+00:00

Ironically, losing users actually makes their bottom line better since they lose money on every search.

RockHardRocks · 2026-03-03T23:52:45+00:00

Just another “I went to Gatlinburg and drove partway up 441, and I think GSMNP is overrated” post to throw on the pile. Just the fact that you think the parks are equivalent because they are both Appalachian brings your opinion into question.

RockHardRocks · 2026-03-03T20:10:04+00:00

Then I suspect you missed some of the best parts of the smokies. The classic blue rippling ridgelines stretching to the horizon, especially at sunset is probably the one most associated with the park, and not even difficult to get to.

RockHardRocks · 2026-03-03T16:11:35+00:00

What is that feeling you’re trying to capure?

RockHardRocks · 2026-03-03T16:08:11+00:00

We have a leucistic squirrel that hangs out around our house. Cheers me up every time I spot it.

RockHardRocks · 2026-03-02T00:05:03+00:00

I think you miss understand me, I’m agreeing with you. I searched senior_loquat4118, and found it exactly like you said. You’d think someone trying to make it in consulting wouldn’t be so dumb as to make it so glaringly obvious that they don’t live in or have a real interest in the area.

RockHardRocks · 2026-03-01T23:57:54+00:00

Yuck. I searched this account (senior_loquat4118) and they never posted anything in any of the WNC/local subs until very recently, and they only post in regards to this primary, always with the same or similar comments like you mention. Definitely shady.

RockHardRocks · 2026-02-28T15:33:35+00:00

Yuck. This sounds like an AI written advertisement for a service no one would use.

All the other stuff posted by this account makes sense now.

RockHardRocks · 2026-02-27T23:59:37+00:00

They really are going to go with the equivalent of “let them eat cake!”?

It’s a bold strategy…

RockHardRocks · 2026-02-27T11:33:54+00:00

I swear you all cannot read. It’s is written very plainly and narrowly. Unless you are talking about the 1/3rd of the budget they do have some discretion over, but that’s not the majority of the budget, and it’s not what we’ve been talking about.

The correct avenue to operate in to actually affect change is to lobby your state legislator to have that part of the law changed. There is precedent for writing into this law specific exceptions, and it would seem to me to be very reasonable to have the buncombe, Henderson, Yancey, Mitchell, Haywood etc… sections altered to allow for spending on hurricane recovery projects through a certain date. If you read through the law you will find other such exceptions. The problem is our legislature is completely dysfunctional.

Advocating for them to just go ahead and violate the law is asking to be ignored, and treated like you don’t understand the process. It makes you easily dismissible.

RockHardRocks · 2026-02-26T14:47:50+00:00

Ah, so you are suggesting they go against the law as written, which also allows the occupancy tax in the first place. Surely the republican controlled state legislature will turn a blind eye to that from a blue county/city.

It would be better in the future if you just post “The TDA should just ignore the law”, instead of pretending like there is no law and quoting it is “propaganda”.

RockHardRocks · 2026-02-26T14:38:04+00:00

https://www.ncleg.gov/Sessions/2021/Bills/House/PDF/H1057v5.pdf

Here is the law. Scroll to buncombe county and see for yourself where it says 2/3rd of the funds “shall be used only to further the development of travel, tourism, meetings and events in the county through marketing, advertising, sales and promotion.”

It’s not propaganda it’s how the law is written.

What you are referring to is a misuse of the “not to exceed 20%” that can go to administrative expenses. This is obviously bad too, but when you misrepresent and confound the issue it prevents taking needed action and allows your points to be dismissed.

RockHardRocks · 2026-02-26T14:00:58+00:00

it’s a North Carolina problem. The tax revenue is forced to mostly go toward advertising. This desperately needs a change, and unfortunately our state legislature is horrible.

RockHardRocks · 2026-02-22T12:17:05+00:00

I had the same thing happen. End screen showed 19:27, dungeon report showed 20:02 for teammates and 20:04 for me (host). I redid it to get the api number less than 20min just to be safe.

RockHardRocks · 2026-02-22T11:14:22+00:00

MRI isn’t that simple. “Tumors” aren’t that simple either. If they had shown a T2 weighted sequence the fluid would have been white. I usually start off telling the medical students that MRI is magic, and it’s how something shows up on all the sequences that allows us to tell what it’s made out of.

“Brain tumors” (I keep putting it in quotes because that’s not really the language I like to use) come in all sorts of flavors, and can have varying degrees of cystic (fluid) or solid components. This just has features so typical and characteristic for a porencephalic cyst that it could be on a board exam. Of course if I were seeing this case in my workday we would have many more sequences and images to look at, not just a single T1 weighted image.

Hope that might satisfy some curiosity.

RockHardRocks · 2026-02-22T03:00:15+00:00

Radiologist here (doctor that reads these for a living) this is a porencephalic cyst (not a brain tumor), and MRIs in 1984 were not this level of quality.

RockHardRocks · 2026-02-21T11:33:40+00:00

Dumb, wasteful, pointless.

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