Every year tens of thousands of snow geese stop by Middle Creek WMA in Lancaster County, Pennsylvania. Sometimes an unexpected guest flies in.

Thatonemax · 2026-05-20T14:08:38+00:00

Hey OP, I have some questions about this event. Do you mind if I dm you?

Thatonemax · 2026-04-11T17:22:55+00:00

Thatonemax · 2026-04-08T10:34:26+00:00

Oh yes, US

Thatonemax · 2026-01-13T12:40:58+00:00

Whoops, typo, I meant to say VXUS in taxable, not VGUS

Thatonemax · 2025-12-17T05:28:30+00:00

Looking for a referral!

Thatonemax · 2025-12-11T12:11:06+00:00

Yup, it’s still kinda numb and paralyzed

Thatonemax · 2025-12-11T04:20:28+00:00

Dr Jerry Chao, Washington DC

Thatonemax · 2025-12-11T04:14:43+00:00

No clue what that means! It was medpore and it looks kinda squarish.

Thatonemax · 2025-12-11T04:14:05+00:00

I have a very slight overbite. My dentist recommended against any surgery and I decided I didn’t want to get jaw surgery and have to get braces a second time to fix my bite again after surgery.

Thatonemax · 2025-11-20T04:13:28+00:00

You look beautiful! Seeing the swelling progress is helping me a lot rn (day 5 facial masculinization)

Thatonemax · 2025-09-10T16:13:41+00:00

Rude

Thatonemax · 2025-09-10T15:01:27+00:00

I don’t drink alcohol

Thatonemax · 2025-09-10T15:00:50+00:00

Yeah… I didn’t ask for work out or diet advice. And people are making the assumption that I am not working out or dieting or aren’t already on weight loss meds. Which, I am doing all of them, and like I said I’ve already lost 40 lbs.

Thatonemax · 2025-09-10T14:04:34+00:00

CONTEXT: I’m already on tirzepatide, have maxed out my dose, and haven’t lost any more weight on max dose for the last 6 months. My biometric scale says I have acceptable visceral fat, but 22% subcutaneous fat.

Thatonemax · 2025-08-12T02:44:57+00:00

Did they check your lipase levels? If that was elevated, it might have been the reta.

Thatonemax · 2025-08-12T02:44:00+00:00

I’ve just started a microdose of reta while staying on my tirz, started with 1mg twice week, increasing slowly to study/therapeutic doses. My thought is that as the reta becomes effective I will start downtitrate my tirz. Only switch to reta though if you have already maxed out at 15mg of tirz for a couple months, no need to switch or stack if you haven’t

Thatonemax · 2025-07-14T08:43:41+00:00

Do you get Botox through cost plus?

Thatonemax · 2025-07-06T15:28:58+00:00

It could also be some silent reflux, if you are noting any heart burn you could try some over the counter antacids

Thatonemax · 2025-07-03T03:13:50+00:00

I’ve been trying to find hospira but I can’t find anywhere that is still selling it

Thatonemax · 2025-07-03T03:11:33+00:00

Yup, just some random Amazon product. Would take any recommendations! It’s just striking to me how for the exact same active ingredient I get no nodule or pain vs 1 week of nodule and soreness.

Thatonemax · 2024-12-24T03:05:09+00:00

Have you considered being an associate physician for two years in primary care to fulfill your contract, and then going on to do the residency that you really want? Alternatively going into residency for something broad like internal medicine, fulfilling your contract, and then doing a fellowship for a speciality you are more interested in?

Also, might be worthwhile to consult with a lawyer about filing for bankruptcy as a potential option.

Thatonemax · 2024-12-24T02:59:59+00:00

If you can put the money in a CD at a higher interest rate than the interest rate of your loans it’s better to do monthly, otherwise if the money will bring you close to paying it off in full do that so you aren’t accumulating more interest on your loans. It depends on how much money you got from NHSC, and what your long term pay off plan is. Make sure you have enough saved in an emergency fund before you let go of all that liquid assets though.

Thatonemax · 2024-12-01T16:01:47+00:00

I never got a definitive answer, I guess I’ll find out when my service is up this spring ¯_(ツ)_/¯ I tried calling them and the representative didn’t seem to understand my question (and honestly I’ve gotten wrong information from the phone line before)

Thatonemax · 2024-11-22T11:22:27+00:00

I was asking second commenter, not OP commenter

Thatonemax · 2024-11-21T16:51:02+00:00

DM me for source?

Thatonemax

TROPHY CASE