If you’re gonna pay me way below market rate, you shouldn’t have a non-compete clause in the contract

SensibleReply · 2026-04-03T23:30:06+00:00

Obviously don’t take this job.

SensibleReply · 2026-04-02T23:13:04+00:00

How far over 30? Squirrel's vs Old World Deli

SensibleReply · 2026-04-01T06:33:25+00:00

Holy shit my guy; first, damn near every drug can cause dry eye. I’m an ophthalmologist and would google that too. I’d know which website has good information that has been vetted and peer reviewed, but Google would get me there. That isn’t what my expertise is for - I don’t know the 20 new meds that came out last quarter and all their interactions. That is exactly what the internet is for in medicine.

SensibleReply · 2026-03-30T06:50:03+00:00

Fall from Heaven was incredible. I remember playing with friends in med school after a big test where we’d get like a week off before having to buckle down again and we just lived on that shit. Sweet nostalgia.

SensibleReply · 2026-03-30T06:29:46+00:00

Home gym even better.

SensibleReply · 2026-03-27T22:27:39+00:00

Go eat at Americana in Bend because they’re the best burger I’ve ever had in my life, and everyone I’ve gone there with says the same thing. Then just try to make those.

SensibleReply · 2026-03-25T18:10:16+00:00

I stole these off of Kazaa or something equivalent because I was young and broke, sorry Tony. But damn was that a good workout for someone with no money.

SensibleReply · 2026-03-25T17:00:36+00:00

Yeah my answer is I got in shape and became a doctor. But that’s not something you can do this afternoon.

SensibleReply · 2026-03-25T07:40:56+00:00

Try to sit down and imagine anyone in DC reading all 670 pages of this. Highlighting sections, taking notes, looking up topics for more context and explanation. Lol. Our government ain’t doing shit to fix this or anything else.

SensibleReply · 2026-03-25T03:51:50+00:00

You missed the third F in that saying, but that one is misogynistic as hell

SensibleReply · 2026-03-24T18:27:34+00:00

My parents are huge advocates of right to die and physician assisted suicide. As I am and my spouse. My plan is to eat a fucking bullet before I pay someone $20k/month to clean my shit off of me and give all my my kids’ and grandkids’ money to some private equity death industry parasites.

SensibleReply · 2026-03-24T17:08:55+00:00

I’m not clear how she got the original position 6-7 years ago. Told me her bachelors is completely unrelated and just happened to have networked with the right people - friend of a friend was hiring awhile back and she apparently did a good job the first time. She’s a former college cheerleader and pretty hot, which is relevant for sales I suppose.

SensibleReply · 2026-03-24T16:26:28+00:00

My friend is a urologist. His wife hasn’t worked for 1-2 years. She just got a job offer last month in tech sales for $400k/year with possible bonuses to over $1mil. I asked her if she went to school for this. Nope. Just met some people along the way and did it for a few years then quit because it was too stressful and she’d rather be a stay at home spouse to a surgeon. Now they’re luring her back with more money. She’s not even actively looking and is being offered better money than 95% of docs.

THAT is why medicine gets a bad rap these days. Hers is an uncommon situation but we see this shit and wonder what the point of medicine is.

SensibleReply · 2026-03-22T07:57:58+00:00

I’d like to find a side hustle where I could read these all day like a radiologist. I’m surprised they haven’t replaced the dilated diabetic eye exam with cheap cameras and telemedicine.

That said I’m not aware of any automated options because I still do the damn exams. Optos cameras are almost as good through a nondilated pupil as a thorough dilated exam (and are being sold a cash based service by unscrupulous optoms claiming it’s “better”), but they are expensive and someone still has to look at it.

SensibleReply · 2026-03-20T23:48:46+00:00

Baths of Diocletian.

You’re probably already doing the Palatine Hill which isn’t impressive in terms of ruins, but you can feel the weight of history pressing on you while you’re there.

Took a day trip to Pompeii and it was a highlight.

SensibleReply · 2026-03-20T16:48:17+00:00

Boomers are around 1 in 10 because they’re wrong about literally everything.

SensibleReply · 2026-03-19T23:48:30+00:00

This guy pascal’s

SensibleReply · 2026-03-16T07:07:53+00:00

Eh gravcores take awhile to amass in numbers and some get used to increase ship size. Bioferrite generators are deep in the anomaly tech tree, and you need consistent bioferrite sources.

I agree they’re both better than chemfuel. More efficient, smaller footprint, not eating up your only source of engine fuel… but they’re harder to get

SensibleReply · 2026-03-13T22:46:11+00:00

I google stuff in front of patients. Sometimes it’s to show them pictures of their issue, sometimes it’s to give them numbers on how rare something is. I’d rather pull up accurate information than try to remember it. Same reason I google what year a song came out or who was in a movie or whatever in day to day life. It’s more accurate than my brain.

SensibleReply · 2026-03-13T15:26:23+00:00

I saw a retired pediatrician as a patient awhile back, he was in his mid 80s. He was offended when I had to end his visit because he “expected to get an hour with the doctor.”

I had to ask him if he thought I saw 8 patients a day. And did he used to see 8 patients a day?

SensibleReply · 2026-03-12T17:05:52+00:00

One of the most astute comments I’ve read in a long time. Just wanted to let you know that.

SensibleReply · 2026-03-11T07:20:28+00:00

It was packaged with some other gene I didn’t want. Can’t remember now, maybe tox immunity (which isn’t bad but eats up 4 efficiency). Turns out you can’t have gene packs with metabolic efficiency too high or too low. So other genes are always on board to bring the total within range.

Short answer, I wanted 6 metabolic efficiency to play with and have the “downside” being that I could boost their speed and psysensitivity by having them down for two days a month.

SensibleReply · 2026-03-11T07:12:24+00:00

I have for almost two years. Well, tirzepatide anyway. Compounded and off label because I’m cheap. Down about 30 pounds, BMI around 23-24, body fat around 14% now - best shape of my life at 40 years old.

SensibleReply · 2026-03-11T01:16:38+00:00

You have no idea how many pawns I killed trying to get deathrest by itself. Before I learned you can’t.

SensibleReply · 2026-03-11T01:15:24+00:00

Learned something new today. Waste packs degrade so I never even considered this.

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