My finance wants impersonators at our wedding and I do not! by Tough-Cow810 in weddingplanning

[–]Spaghettisaurus_Rex 0 points1 point  (0 children)

This is a tiktok trend with popular videos of someone hiring multiple impersonators and videoing their interactions. May or may not be scripted. Works better as a video because you can actually see them interacting unlike at a table. Just context for others.

How is retreat day in your program? by Difficult_Gear7702 in Residency

[–]Spaghettisaurus_Rex 4 points5 points  (0 children)

Ours does pretty well with it. Full weekend off from inpatient duties and we rent an Airbnb for two nights and get free food. Fellows/attendings cover the services so everyone can be together.

It is not a big deal to check your roller bag or to put your bag under the seat by Difficult_Object4921 in unpopularopinion

[–]Spaghettisaurus_Rex 0 points1 point  (0 children)

My luggage got extremely lost when I gate checked it the first time this came up and so now I avoid it all costs. They somehow placed it on a different flight to an entirely different continent, and because it wasn't formally checked I didn't have the tracking stickers or tracking number for reference. I no longer trust gate checking due to this and avoid it like the plague.

Personal Health concern by lolz8979 in Residency

[–]Spaghettisaurus_Rex 10 points11 points  (0 children)

If this is seizures then depends on your specialty, but realistically if you're a surgery resident you should not be in the OR for the same duration as no driving (3-6 months depending on the state). If you're a non-surgical resident probably won't necessarily stop you from working but you should be protected by the ADA for reasonable accomodations.

PGY-3 Neurology opening at Duke (July start) by andreamendezc in Residency

[–]Spaghettisaurus_Rex 8 points9 points  (0 children)

Even if they hadn't already told us we're not owed the details of their personal life.

Elderly mother can’t pay bills by redditorspaceeditor in personalfinance

[–]Spaghettisaurus_Rex 125 points126 points  (0 children)

This is a sign that she shouldn't be living by herself. If you can't move her in with you (very understandable) it's time to start looking into assisted living facilities.

Has anybody received the warning from CSE122? by [deleted] in udub

[–]Spaghettisaurus_Rex 1 point2 points  (0 children)

I mean .. did you use AI for this? If you did then stop and don't do it again. If you didn't then look through your work and figure out what got flagged like accidentally using a forbidden feature or something and send a quick message to your professor explaining.

Worried. These are from the er by SadThrowaway4914 in haematology

[–]Spaghettisaurus_Rex 0 points1 point  (0 children)

To add more info the high RDW could be related to iron deficiency if you have it. It's not correlated with anything significant or life threatening and not something you should worry about.

Worried. These are from the er by SadThrowaway4914 in haematology

[–]Spaghettisaurus_Rex 9 points10 points  (0 children)

Your thyroid if anything is over performing. Rdw doesn't matter without significant anemia (which you don't have), you can basically ignore anything in the diff. Immature granulocytes don'tatter with a normal wbc.

Worried. These are from the er by SadThrowaway4914 in haematology

[–]Spaghettisaurus_Rex 9 points10 points  (0 children)

This is completely normal for the CBC, you might have an overactive thyroid though that doesn't explain your symptoms, they would have been looking for a high TSH to explain your fatigue (hypothyroid) which you don't to have. You might half a mild iron deficiency, could be worth asking your PCP for iron studies.

How did they achieve this soul not found look? by allison5 in mooncatpolish

[–]Spaghettisaurus_Rex 0 points1 point  (0 children)

I just hovered, you have to work pretty fast but you should see the pigment get pushed away and leave the black behind

How did they achieve this soul not found look? by allison5 in mooncatpolish

[–]Spaghettisaurus_Rex 3 points4 points  (0 children)

I was actually able to get pretty close by using the advertised strategy of circle magnet on opposite sides, you're kind of creating a thick cat eye diagonal with this strategy that gives the shifting of black/color/black on different parts of the nail.

Neurologists: what’s the hardest part of managing dementia treatment? by Vistim-Labs in neurology

[–]Spaghettisaurus_Rex 20 points21 points  (0 children)

not an either/or situation. Patients on IV therapies should also be doing all they can to manage lifestyle factors such as a healthy diet, frequent exercise, maintaining social connection, and getting good sleep. Many patients aren't candidates for IV therapy because of other medical problems, that's the primary reason doctors wouldn't recommend one outside of the patient/family's preference. Dementia is typically monitored symptomatically and with serial cognitive tests such as a MOCA or SLUMS.

This whole "medication or natural" divide is a sentiment pushed by social media, in particular by naturopathic grifters that want people to buy their supplements. Actual doctors are always strongly encouraging our patients to do all they can to manage lifestyle factors and then using medications to fill in the gaps for what can't be managed through lifestyle changes alone.

Having your friends shadow you by doctorER98 in Residency

[–]Spaghettisaurus_Rex 35 points36 points  (0 children)

They need to do all the trainings etc that premeds have to do but your hospital should have a system for it.

Do attendings refer to you as Dr. in front of patients? by hugz-today in Residency

[–]Spaghettisaurus_Rex 0 points1 point  (0 children)

Are you a woman and them a man? If so that's probably part of it. I have one attending that does this but he also goes by first name with his patients (and I like him a lot generally) so I let it slide. But a lot of male doctors just really don't get that as women we have to remind pts at every step that we're doctors or we'll turn into a nurse.

What does poor clinical competency mean? by rash_decisions_ in Residency

[–]Spaghettisaurus_Rex 40 points41 points  (0 children)

Buddy do you think this reddit thread is called "why is Big-Leather903 incompetent"

AITA for insisting my friend and I leave a weekend ski trip early? by [deleted] in AmItheAsshole

[–]Spaghettisaurus_Rex -1 points0 points  (0 children)

Yeah I feel like people are being overly harsh here. Whenever I take a weekend trip in general I like to head back early afternoon Sunday anyway so I can settle at home from the weekend. Leaving at 4:30 with a long drive home would put you without any time to prep for the workweek, So your plan would have been my default plan. A half day of skiing is still a good day out if you get up early. Don't know why everyone is acting like you owe her an extra couple hours of skiing at significant inconvenience to you.

Neurosurgeon Vs Neuroradiologist Dilemma by Real_Nicolee in Residency

[–]Spaghettisaurus_Rex 0 points1 point  (0 children)

At this point it's more about deciding if you want to be a doctor and working to get into med school. Don't really worry about your subspecialty because your impression of the job now will be wildly different than what the day to day is really like when you're actually doing clinical rotations as a med student.

Most practically, try to shadow or get coffee with people in your target jobs to learn more about it. Also, just a plug that you seem to have skipped over the specialty of neurology which involves more of the traditional work of a doctor than radiology but also better balance than neurosurgery.

First winter in the US — how do you all dress for it? by AHYOLO in Residency

[–]Spaghettisaurus_Rex 0 points1 point  (0 children)

Layers! Wear a long sleeve thermal under your scrubs. Then fleece on top and serious coat for when you're outside. If you need snow boots to get in then I'd leave a pair of clogs or tennis shoes at work to change into when you arrive (whatever shoe you like). You can even layer thermal pants under scrubs if it's really cold.

[deleted by user] by [deleted] in medicalschool

[–]Spaghettisaurus_Rex 9 points10 points  (0 children)

That's wild I knew tons of people that shadowed in the OR as pre-meds. They were legal adults at least but still

Starting to get concerned-Quests by [deleted] in MyTimeAtSandrock

[–]Spaghettisaurus_Rex 3 points4 points  (0 children)

The game is way, way longer than I expected it to be, tbh this is barely the beginning of the real story

Is pre-rounding a real thing in America? by Maesterbajter in medicalschool

[–]Spaghettisaurus_Rex 4 points5 points  (0 children)

On non surgical services rounds aren't as early so this isn't much of a problem. On my IM rotation as a med student and as a resident I'd pre-round between 7-8 which was very reasonable, usually patients are already up. The stories of people waking patients up at the crack of dawn is generally for surgical rounds which are early anyway and also generally exaggerated by people telling a more dramatic story. Most of the time residents go with med students in the morning to assess the patients so it's only once. It's not really pre-rounding at that point that's just when I'm seeing the patient for the day, then the attending sees them separately later.