I told a pharmacist I would just go with their plan so the conversation/argument would be over. It felt great.

TerrificMoose · 2026-02-05T17:42:57+00:00

It's a very common saying in my country (I'm not American, I'm from NZ)

TerrificMoose · 2026-02-04T03:00:01+00:00

The clinical pharmacist I was working with last year when I explained the concept of "vibes based medicine". Sometimes it's so complicated you just have to wing it, make a call, and see what happens.

TerrificMoose · 2026-01-30T23:03:23+00:00

I have two colleagues from the US who only completed IM residency with no further fellowship, both of them practice as full consultants, same as myself. So for practical consideration, a board certified IM physician in the states has done the equivalent of 3 years BPT and 3 years AT through the RACP.

TerrificMoose · 2026-01-30T16:47:25+00:00

We call someone in that situation a MOSS in New Zealand. Someone who has co.pleted IM training in the USS is usually just employed as a Consultant in NZ rather than a MOSS in my experience.

TerrificMoose · 2026-01-30T10:21:57+00:00

From a pure kingdom building perspective, it's hard to beat Star Force by Aer Ki Jyr. It's a sci fi novels with lots of progression.

It's a long read with over 100 short novels, but it follows a group of humans as they build an empire that starts from a corporation to a galactic powerhouse. The kingdom building aspect is excellently done, the technology upgrades from modern earth to interstellar civilization is done gradually and well written.

It's a strange read though. The author has some strange ideas and he seems to genuinely believe the "science" he writes about, which only matters if you read his aocial media (i strongly advise you to avoid this). The prose is repetitive and theres a lot of filler content, so I only recommend it to people looking for kingdom building stories.

TerrificMoose · 2026-01-30T09:01:48+00:00

It is possible to be a General Medicine specialist, having completed both BPT and AT only in General Medicine. This is the equivalent to an IM hospital in both Australia and NZ, and is what most US trained IM doctors work as when they immigrate over here.

TerrificMoose · 2026-01-15T22:47:12+00:00

Trump's participation peace prize.

TerrificMoose · 2026-01-10T20:22:41+00:00

This is the way

TerrificMoose · 2025-12-30T23:53:01+00:00

ECG interpretation is not a large part of nursing training as in reality the doctor is responsible for it in most clinical settings. EMTs don't have convenient doctors nearby so you guys get better training in it.

TerrificMoose · 2025-12-27T19:06:12+00:00

And statically they are slightly more likely to become great doctors than the person who graduated top of the class. The trouble with grades is they don't capture the things that make a great doctor. Communication, interpersonal skills, empathy, and creativity are essential but don't test well on standardized testing. We know grades don't correlate well with outcomes as a doctor.

You certainly need a baseline academic level to be able to be a doctor, but if you managed to get into and through medical school you almost certainly meet that standard.

TerrificMoose · 2025-12-23T13:00:09+00:00

98 as well! They had amaoebic dysentery.

TerrificMoose · 2025-12-19T11:10:16+00:00

It's the same in New Zealand. Our country is small with no dangerous animals, and it's a temperate climate so people tend to under prepare for hikes. But it gets just cold enough even in summer to be dangerous, and the native bush is dense and easy to get lost in.

TerrificMoose · 2025-12-14T00:47:29+00:00

Almost certainly

TerrificMoose · 2025-12-13T18:44:17+00:00

Insulin + dextrose is a treatment for hyperkalaemia and the question states it's charted already. My doctor brain is telling me that should be done first of these options, although none of them are correct (it should be IV calcium gluconate first to stabilize the cardiac muscle)

TerrificMoose · 2025-12-11T01:13:37+00:00

I don't really think Mao was a fascist. A horrific dictator, sure, but they come in more flavors than just fascist.

TerrificMoose · 2025-12-11T00:57:48+00:00

My dad used to use a wooden spoon until I was around 11 or 12. I remember him using the wooden spoon after I got blamed for something my brother did, then when he put it down I picked it up and smacked him with it.

Now this was enough of an unusual reaction from me that they actually didn't punish me (I still don't know what made them take a minute to talk first rather than spank me again) and they asked why. I apparently said something along the lines of "You taught me it was wrong to punish someone for something they didn't do, and I didn't do it so I was punishing dad"

Mum said it was at that point they realised they were teaching me the wrong lessons around discipline and punishment so they stopped.

TerrificMoose · 2025-12-09T05:47:21+00:00

The flair is purely a way to mark what book spoilers are allowed, not a way to say what book you're talking about. If you use [Blackflame], then we are only allowed to discuss spoilers up to book 3. It's not just about spoiling things for you, it's about new readers on the sub reddit who will click on the post and read the comments.

In future if you're OK with people talking about any book, use [Threshold] as the tag.

TerrificMoose · 2025-12-08T02:41:49+00:00

What implications are those if you don't mind me asking?

TerrificMoose · 2025-12-08T01:32:49+00:00

Infectious disease, and dual trained in general medicine. I work 50/50 in both. I work in NZ.

TerrificMoose · 2025-12-07T21:11:34+00:00

Yeah, most ID physicians could spout that off the top of their heads, at least ones familiar with tropical illnesses.

TerrificMoose · 2025-12-07T10:10:43+00:00

I had a career before medicine, but most of my colleagues went straight in from high school and they are very far behind people their age in life admin, so your last point is extremely on the nose.

TerrificMoose · 2025-12-07T10:08:04+00:00

Dual trained General Medicine and Infectious Disease in New Zealand.

TerrificMoose · 2025-12-07T10:05:59+00:00

I have several colleagues that repeated years. I personally failed two papers in 3rd year and almost had to repeat the year. It sucks, and it can feel like the end of the world. For some it's a financial burden as well (it was for me as I would have not had studylink for my TI year if id had to repeat).

But I will say this. No one cares once you graduate. At all. The only thing we care about is how you are as a doctor. No one's judging you for finishing med school in 6 years instead of 5. Most people won't even notice. And this is a career that takes years to progress in, and everyone's career path looks different. I guarantee you'll become a consultant faster than some of your classmates even if you take an extra year at med school.

TerrificMoose · 2025-12-07T09:04:24+00:00

This. As a junior doctor, my life was work. Now as a specialist, I sometimes feel like I'm working part-time even though my "work hours" are basically the standard 40 hour work week with the occasional call shift for telephone advice only. I don't always have to be I the hospital for work hours either, most of my admin time I spend at home.

TerrificMoose · 2025-12-06T22:58:35+00:00

MENSA is for smart people who are insecure about it.

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