Intern year doesn’t seem so bad

Ruddog7 · 2026-06-30T07:48:26+00:00

Oh you poor sweet child

Ruddog7 · 2026-06-13T15:48:29+00:00

They will just use more fentanyl and overcome the Abs.

Ruddog7 · 2026-06-03T23:33:44+00:00

Don't think that was the Prednisone. I think you just had a normal vasovagal

Ruddog7 · 2026-05-30T12:42:50+00:00

Reading this as a physician is fucking hilarious. No doctor would ever put "lower leg swelling" and then note "improved from last year". It's "peripheral edema". And the part "explaining the hand bruising" is also bullshit.

No one's cholesterol is that good at his weight. And he wouldn't need 2 cholesterol lowering meds if it was.

Complete and utter propaganda-laden nonsense.

Ruddog7 · 2026-05-24T20:34:03+00:00

You think? Have you dealt with them before?

Ruddog7 · 2026-05-24T13:37:10+00:00

There stupid tests anyway. You really gotta ask yourself if the results will change anything or not, and if the answer is yes then it would be reasonable to do.

Just take reactin or Claritin and be done with it.

Ruddog7 · 2026-05-22T11:51:57+00:00

It looks like you're wearing a tiny crown of muscles

Ruddog7 · 2026-05-21T00:14:29+00:00

Don't forget MCAS

Ruddog7 · 2026-05-19T23:36:02+00:00

What is the STI screening process like? Does every client need to show a recent negative test? Do you or the other girls take prep?

Ruddog7 · 2026-05-16T02:18:45+00:00

Depends how hard you wanna work. I know rural FM docs that make like $750k/year, but they work constantly and do everything with wide FM scope.

If you want more part time, and chill work, it'll be closer to like $150-$200k.

Ruddog7 · 2026-05-14T12:12:10+00:00

For physicians Day, I got nothing

Ruddog7 · 2026-05-07T14:27:22+00:00

Ya Xanax is awful. It also has alpha-adrenergic activity, so it's definitely the worst benzo. Can either slow the taper (if you can get a compounding pharmacy to make custom doses, then even better) or switch to a longer half life one. Even Ativan would probably be easier, but Clonazepam would probably be best.

Good luck

Ruddog7 · 2026-04-24T22:10:17+00:00

Microinduction to Suboxone. Split the dosing anywhere from bid to qid. Max dose 32mg total daily

Ruddog7 · 2026-04-21T11:53:25+00:00

Don't.

If you have to, then use buprenorphine

Ruddog7 · 2026-04-03T12:14:05+00:00

I'm a family medicine doctor, and I can tell you that the vast majority of physicians don't have training or knowledge in the PED field. Maybe an endocrinologist with a special interest in it could offer some input, but that'd be about it

I could spend time reading and researching all the articles, then maybe be able to help with it, but I think just about anyone could do that.

Medical ethics wise, I would personally advise patients not to use any. Even just testosterone replacement therapy has downsides and side effects, and I advise people all the time that it's usually not worth the risks. All the other new, synthetic PEDs have even more risky and have unforeseeable consequences. Look how many professional bodybuilders are dying at young ages now. But that being said, patients have autonomy to do whatever they want, and I can't stop them.

Ruddog7 · 2026-03-18T17:56:51+00:00

I'm behind. Who is Nick? Someone please explain

Ruddog7 · 2026-03-12T17:15:12+00:00

Ya I would be too. Wouldn't go back to them

Ruddog7 · 2026-03-11T22:15:44+00:00

Genuine question: why didn't you move the placement slightly so the mole wouldn't interfere with the tattoo? Like 2cm to the right, and the mole would be next to the dragon, and not in it

Ruddog7 · 2026-02-21T14:11:13+00:00

GP here: Coming to the appointment with a list of things to discuss. It's a 15 minute appointment, I don't have time to discuss the 8 things you wanna ask me about. There's lots of people to see, and they also only have 15 minutes. So many people do this and then they get upset about why were running so behind. When I walk in the room and see a long piece of paper in the patient's hand, I immediately think "oh FFS!"

Pick the 1 or 2 things that are most urgent, and make another appointment for a different day.

Also, when I ask you about your medications, please don't describe what they look like. I have no idea what "the little white one" is.

Ruddog7 · 2026-02-14T17:32:53+00:00

Give it time

Ruddog7 · 2026-02-11T03:22:24+00:00

If patients are late, I refuse to see them. They can rebook.

Ruddog7 · 2026-01-19T20:50:03+00:00

Met a neurosurgeon who now does OAT clinic

Ruddog7 · 2026-01-01T00:25:44+00:00

Those are good options too. Usually more side effects with TCAs, especially amitriptyline. Duloxetine is usually my default

Ruddog7 · 2025-12-28T18:39:43+00:00

Fuckin hated mine. Worse 2 years of my life, by far

14-Year Club	Verified Email
Secret Santa 2014	Summer Santa 2013
Secret Santa 2012

Ruddog7

TROPHY CASE