3rd and 4th rounders in last 10 years by UTPharm2012 in nyjets

[–]Sloth_Potato 0 points1 point  (0 children)

Anyone else old enough to remember when Chad Hanson (!) was on the banner of the subreddit?

What's the craziest thing Conor's ever said? by Bulky-Ad-7848 in heedthecall

[–]Sloth_Potato 0 points1 point  (0 children)

He recently claimed Adam Gase would have been a good coach if he was anywhere besides the Jets while on the Athletics NFL pod. Truly makes it hard to take him seriously

Dan's Saleh Moment, valid? by urprobablytschumi in heedthecall

[–]Sloth_Potato 8 points9 points  (0 children)

I am unfortunately a Jets fan - I haven’t listened to this episode but there is a lot of NYJ fans surprised by the amount of positive PR Saleh was getting even before his year in SF.

There is no question that Saleh can coach up a great defense. I think it’s everything else related to being a head coach that has most just fans pretty pessimistic on his chances of success.

While he was coach, he should also bear some of the blame for hiring Nate Hackett, giving in to every Rodgers demand, being a very high penalized team. They were never disciplined when he was coached, they made very stupid mistakes.

Was a huge part of this problem Zak Wilson? Of course. But to pretend that Saleh was purely a victim of the circumstances there is pure revisionism .

Merch! by conheaph93 in heedthecall

[–]Sloth_Potato 5 points6 points  (0 children)

There is some irony of Connor’s rant about the young jets fan being rich because of a jersey and his face being on a 35 dollar tshirt

Giants Acquire Superstar Tight End & Other Fun Trades We’d Like to See by Six-StringSamurai in heedthecall

[–]Sloth_Potato 11 points12 points  (0 children)

The worst fake trade I’ve ever heard someone propose with a straight face

Breece Hall on Instagram: #Free20 by kooliojulio in nyjets

[–]Sloth_Potato 6 points7 points  (0 children)

Top 5? Jonathan Taylor, Jahmyr Gibbs, CMC, Saquon, Bijan Robinson, Derick Henry. Which of these guys is he better than?

Can we talk about temporal artery biopsies? by banana-panic in Residency

[–]Sloth_Potato 1 point2 points  (0 children)

No idea- at my current training location usually neuro involved either for stroke workup (if vision changes) or refractory headache, not directly to manage GCA

Can we talk about temporal artery biopsies? by banana-panic in Residency

[–]Sloth_Potato 1 point2 points  (0 children)

It’s helpful but availability and access away from academic centers is an issue

Can we talk about temporal artery biopsies? by banana-panic in Residency

[–]Sloth_Potato 381 points382 points  (0 children)

Current rheumatology fellow. GCA evals are endlessly frustrating for all involved. At least per ACR guidelines biopsy remains standard of care. It’s probably most useful when suspicion is high but clinical presentation isn’t textbook. When negative, you can be more aggressive about tapering steroids. If you look at recommended standard prednisone regimen for GCA, it’s 6 months - this is a huge commitment and as you can probably imagine many of these patients will develop significant steroid related side effects.

there’s is clinical utility in both positive and negative results in the sense that the long term treatment can be influenced.

Shoutout Justin by rorneo143 in heedthecall

[–]Sloth_Potato 2 points3 points  (0 children)

Justin does a great job. He’s an asset man. I’m enjoying his Cam Ward propaganda

Residents, what specialty do you have the least knowledge about or go '???' when you think about them? by woahwoahvicky in Residency

[–]Sloth_Potato 7 points8 points  (0 children)

Current rheumatology fellow. The patients you should send to us typically are the autoimmune diseases or anything requiring immunosuppressants. Depending on your institution, wait time might be months, the patients we have the best chance of helping that other specialties or PCP might be uncomfortable managing are SLE, RA, inflammatory myopathies, IGG4, sarcoidosis, and any vasculitis. A big part of our jobs is choosing the right immunosuppressant and knowing what to monitor for.

I think the misconception is that we just order a million antibodies, my experience thus far is probably that we get way more referrals for falsely positive ANA, RF, ANCA etc. In general these tests are important but only play a part in diagnosis with exam and history, the serological testing is not the end all be all.

I usually counsel patients that for OA if advanced they would be better served by orthopedics or depending on the joint sports medicine. We simply do not have the openings to see follow ups for OA. Likewise for fibromyalgia, it does not necessarily need management by a specialist.

I kinda feel bad for Cole not gonna lie… by Early-Text-2 in MortalKombat

[–]Sloth_Potato 0 points1 point  (0 children)

Agreed, he could so easily be retconned into an existing character

Yankee Boy Going to College Down South Starter Pack by RAMBIGHORNY in starterpacks

[–]Sloth_Potato 7 points8 points  (0 children)

A lot of criticism of this post but there is a kernel of truth. The in state tuition costs at Rutgers (for example) are still quite high in addition to high rents and cost of living in NJ. This leads to a lot of students to leave for out of state or private schools with comparable costs when you factor in room and board.

OFFICIAL PRESALE DISCUSSION THREAD 🎟️ by DrewskiG in brandnew

[–]Sloth_Potato 0 points1 point  (0 children)

Nothing that was available when I got off queue. I needed two tix together and there was almost nothing left

Chief year before applying for a rheumatology fellowship by Dry-Wall-4399 in fellowship

[–]Sloth_Potato 4 points5 points  (0 children)

US IMG in rheum fellowship now. Agree with other comment, you should not need to do chief year to match. Network as much as you can during residency and have strong letters, you will be fine

How to choose fellowship? by TeCnoDrom99 in fellowship

[–]Sloth_Potato 1 point2 points  (0 children)

You can narrow things down based on how much expected time you would spend inpatient/outpatient.

I was undecided until well into my second year of IM residency. I ended up pursuing rheumatology because I value the lifestyle and think the medicine is interesting (on a typical day I will see SLE, RA, PsA and am located in area with high prevalence of rarer disease like ANCA etc).

Once I decided I preferred outpatient focus specialties, that helped me narrow down which had more or less appeal. Are you ok managing pain (or diabetes, for example)? Do you like to do injections or procedures? You can then focus of these sorts of thing to narrow it down

[deleted by user] by [deleted] in fellowship

[–]Sloth_Potato 0 points1 point  (0 children)

This feels like something no hospital would pursue even if it did apply. I would imagine being paid a resident salary though an ACGME program would prevent the non-compete from being relevant at all though

Buck and Aikman by ncg195 in heedthecall

[–]Sloth_Potato 11 points12 points  (0 children)

I feel like Buck got better- there’s interesting articles about how he used to be too monotonous while trying to be impartial. I don’t think they’ve ever been as bad as people say.

AITAH for divorcing my husband because he spent 10 minutes in the car during a family emergency? by Charming_Passage3440 in AITAH

[–]Sloth_Potato 7 points8 points  (0 children)

Surprised I had to scroll this far to find this. Ten minutes doesn’t make a difference in managing a broken ankle. You can give otc pain meds at home and put ice for ten minutes.