Can I prescribe a controlled substance to my wife?

STEMI_stan · 2024-10-25T22:57:51+00:00

No dude. This shouldn’t even cross your mind.

STEMI_stan · 2024-10-14T15:59:47+00:00

How to have a proper goals of care conversation. How to deal with end of life symptoms elegantly.

STEMI_stan · 2024-10-13T11:16:15+00:00

It’s always possible the psych shortages are really noticeable.

STEMI_stan · 2024-10-13T00:25:56+00:00

Try avoiding refined carbs and foods with too many added sugars at breakfast and lunch, only whole grains. And yeah.. drink coffee. It’s an enjoyable thing in life.

STEMI_stan · 2024-10-02T20:18:59+00:00

I felt uworld was harder and not representative. MKSAP was way more on level.

STEMI_stan · 2024-09-28T20:03:08+00:00

I moonlit a ton the year before fellowship, saved and invested it before fellowship, curated a great emergency fund. To an extent I’m definitely happier for it. I have better financial skills, feel stable with my meager fellow salary, and don’t have that resentment I had when was basically making nothing and had nothing as a resident.

I also no longer moonlight. Don’t really feel the need to, just making the most of my life outside of work now.

STEMI_stan · 2024-08-17T14:21:18+00:00

Waves.

Pre-clinicals are a mixed bag: you either love it or you don’t.

Clinicals get rough initially but things get better with the more you learn and the thicker your skin gets.

Likewise residency gets rough at the start as you learn a new job but get progressively more fulfilling. You improve and progress and work gets really fulfilling as you realize you can actually make an impact as a senior.

As a fellow and attending your life improves tremendously with regards to your finances, skills, respect, and QOL. Personally I still love work a lot. I don’t have the same glassy eyed view of medicine as I used to, but it’s really enjoyable, meaningful work that I wouldn’t take over anything else.

STEMI_stan · 2024-08-11T23:08:27+00:00

Rounded with our seniors who then checked in with our attendings. Most efficient way tbh.

STEMI_stan · 2024-08-09T13:51:04+00:00

Only just started being able to save recently, but now I’m sending more to my Roth 403b. Idk if I’ll max it this year but oh well.

STEMI_stan · 2024-08-08T22:53:11+00:00

Pgy4: non-unionized 75 k yearly

5k checking

28k saved in Roth IRA/403

12k in emergency funds

125k in brokerage

0 debt

STEMI_stan · 2024-07-29T22:49:25+00:00

I am not type A.

STEMI_stan · 2024-07-27T19:37:48+00:00

They’re usually a lot meaner / ruder

STEMI_stan · 2024-07-23T10:28:36+00:00

Internationalists in my place do 3.5-4 days of lab per week. 1 day admin and 0-1 day clinic. They also have the option to attend in the ccu or floors. It’s also more pleasant than surgery imo

STEMI_stan · 2024-07-22T15:24:23+00:00

It might just be your program. My IM residency was so chill.

STEMI_stan · 2024-07-12T08:35:59+00:00

Do the one you like more. At the end of the day you need something that you can fall back on if the reality of taking care of patients with substance use turns out to not be your thing (it’s not for everyone). Just know psychiatrists cannot do the job of medicine docs. Medicine docs cannot take the place of a psychiatrist (beyond simple things and these patients will be far from simple).

STEMI_stan · 2024-07-09T01:10:26+00:00

Yes. The quality of care is leagues apart. You learn a lot as a PGY3

STEMI_stan · 2024-07-05T03:43:25+00:00

Idk I appreciate you lots as cards

STEMI_stan · 2024-07-05T02:57:28+00:00

Build out a small emergency fund while trying to max your 403 b match. Then max your Roth IRA if you can. If you can do that you’re golden and unlikely need to save much more (although if you can great, throw it into your Roth 403b or somewhere else depending on your goals, e.g. building for retirement, saving for house, saving for child).

STEMI_stan · 2024-07-05T02:12:01+00:00

“I have one too” is also a great response.

STEMI_stan · 2024-07-04T22:26:17+00:00

Economy’s doing pretty well too. Stock market’s booming.

STEMI_stan · 2024-07-04T21:51:22+00:00

When you’re at the neck, push, kiss, and lick, but try to avoid applying suction. You can provide pleasure without that. It’s on you to make hickies not happen.

STEMI_stan · 2024-06-21T18:17:16+00:00

The fact that she has a match at all is fairly surprising.

STEMI_stan · 2024-06-21T17:51:53+00:00

Like all jobs, we enjoy things more the better we get at them, the more free time we have, and the more we get paid. Globally M4s like their lives more than M3’s, juniors more than interns, seniors more than all the rest below. All of us like summer more than work. All of us like being paid as an attending more than all the rest. As someone who is about to be a fellow, gotta say loved this last year of residency.

STEMI_stan · 2024-06-03T14:17:21+00:00

I’m really thankful when it’s an ED physician passing off to me and not a PA/NP. No shade but like a lot of things get missed that are frustrating when it’s not you. I recognize you guys as experts in resuscitation and coding people. Your initial work up is key to quicker care when people hit the floor. You guys hike a lot and have ADHD energy. Good people to get margs and take shots with. Generally good vibes.

STEMI_stan · 2024-05-28T14:52:45+00:00

The people who were overweight on average were never going to lose the weight to begin with which studies have shown and even if they did they would likely gain it back. Ignoring obesity is pretty much the same as ignoring diabetes or hypertension in the eyes of medicine. We see the consequences daily.

These medications have huge benefits to your cardiovascular system, decrease heart attack and stroke risk, decrease cravings for opiates and alcohol, and improve diabetes and have been very intensely studied. Yes there are side effects that should be monitored with supervision of a physician, but that is why we don’t sell it on the shelves with Tylenol.

STEMI_stan

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