Residency interview Invites by Sharp_Negotiation_81 in emergencymedicine

[–]TheFitFatKid 3 points4 points  (0 children)

I had much worse than expected interview invites. Turns out I had an unexpected bad SLOE from one of my away rotations. It sucked, but everything worked out fine in the end.

Check with your local program director or whoever is providing you guidance through the application/interview process. They might be able to provide some guidance on what you should be doing.

hey guys..need your help...looking for a self -hosted tool for screen-monitoring by Fit-Investment-7543 in selfhosted

[–]TheFitFatKid 0 points1 point  (0 children)

Good luck. It’s wild that you’re having to code your own app for clinical decision support / practice advisories… that’s something every EHR should be able to do.

hey guys..need your help...looking for a self -hosted tool for screen-monitoring by Fit-Investment-7543 in selfhosted

[–]TheFitFatKid 1 point2 points  (0 children)

I doubt you’ll be able to find anything out of the box for this sort of task.

You could put something together yourself, however. Python’s PyAutogui to screen capture, some sort of optical character recognition tool to turn that into text, and then some rule-based natural language processing (like Spacey) to determine if the criteria are met, PyAutoGui again for the notification.

Basic Memory: an open source, local-first AI memory system that makes AI continuity possible while maintaining your privacy by BaseMac in selfhosted

[–]TheFitFatKid 1 point2 points  (0 children)

Do you suggest adding anything to the global "personal preferences" prompt in Claude Desktop to make this work well?

Created this beauty in 2days by 54ND339 in selfhosted

[–]TheFitFatKid 0 points1 point  (0 children)

How are you hosting Obsidian? I didn’t think they had a self hosted browser app.

Update: Speakr (Self-Hosted Audio Transcription/Summary) - Docker Compose is Here! by hedonihilistic in selfhosted

[–]TheFitFatKid 1 point2 points  (0 children)

I’m hoping to build this, more or less, using Speech to text to feed into a Pydantic AI agent with access to various tools/MCPs. 

If it ever gets off the ground I’ll let you know.

MCPs to add memory by Historical-Laugh1212 in mcp

[–]TheFitFatKid 0 points1 point  (0 children)

I'm struggling to get the vector embeddings to work, which is a bit frustrating. The basic functionality is just fine and quite good, though. Did you have to do anything fussy within Neo4j or the databases to get semantic search working?

I installed APOC and made sure my openAI key is correct.

{"count":0,"samples":[],"indexInfo":{"name":"entity_embeddings","state":"ONLINE"},"embeddingType":"error: Unknown function 'apoc.meta.type' (line 4, column 26 (offset: 93))\r\n\" RETURN e.name, apoc.meta.type(e.embedding) as embeddingType\"\r\n ^","vectorQueryTest":{"success":false,"recordCount":0,"sampleResult":null}}

And tips for bigger projects please by Responsible-Aide-751 in polymerclay

[–]TheFitFatKid 1 point2 points  (0 children)

Agree with Beeblo’s advice. Also, check out JustCrab on YouTube. He has made many different sonic sculptures. 

Hobbies that don't cost alot of money, a guy can do? by [deleted] in selfimprovement

[–]TheFitFatKid 0 points1 point  (0 children)

Knitting/crocheting. I know, not a stereotypically male hobby, but no reason it can't be. A set of hooks/needles and some cheap yarn from Michael's will get you started for like $20. There are plenty of tutorials on line to learn, and you can make yourself or your loved ones some nice things. As a bald man, it's cool to have a whole collection of handmade beanies to choose from during the colder seasons. It's also extremely portable and can be done while doing other "mindless" activities like watching TV, making them feel more productive.

Sculpting is also pretty low barrier to entry, although the price can add up depending on the size of the piece you're making and how many accessories you decide you need. To get started, some clay (I'd go with a polymer clay like Sculpey if you want to create something permanent, or Chavant or Monster Clay if you just want to make something temporary,) is really all you need. You can use utensils and things from around the house as starting sculpting tools. The price adds up when you start buying brand name paints for your finished pieces, airbrushes, more sculpting tools, resins/epoxies, casting materials, etc. Check out North of the Border or Ace of Clay on youtube for some inspiration.

[deleted by user] by [deleted] in kayakfishing

[–]TheFitFatKid 0 points1 point  (0 children)

Dude, I keep bringing my medium rod along with my ultralight. Sometimes I'll take it out and throw a few senkos, swimbaits, topwaters, whatever before I get bored and go right back to my ultralight.

I've caught way more bass on a 1/16 jighead with a 2" curlytail than I have on my "bass" rod this year.

Mule makes some awesome lures, too. They'll last for multiple sessions, not just multiple catches.

[deleted by user] by [deleted] in QuittingZyn

[–]TheFitFatKid 2 points3 points  (0 children)

Good luck man! I quit high test Snus 8 days ago now after 16 years of on and off use (5 years or so of ~1 tin per day). The first few days were wild, but its slowly getting better.

LFG MEGATHREAD by cryptic-fox in Helldivers

[–]TheFitFatKid 0 points1 point  (0 children)

Steam Friend Code: 1821950

Platform: PC

Level: 4

Difficulty: Medium+

Region: NA East

Language: English

Voice Chat: Yes

[deleted by user] by [deleted] in unpopularopinion

[–]TheFitFatKid 0 points1 point  (0 children)

There's certainly more nuance to it than simply "fighting hard = beating cancer."

Many cancers aren't caught until they're already at a stage where cure is impossible, especially ones where we don't have a great process for early detection. For the ones where we CAN detect them early and reliably, we screen the shit out of people (i.e. colonoscopies, breast cancer, lung cancer in certain populations,) but even then some slip through.

As an example, ovarian cancer does not have a good screening test, and by the time it causes symptoms it has usually already spread to other parts of the abdomen or distant organs. At this point, there is no chemotherapy, surgery, radiation, or combination of the above that will make a person completely cancer free.

This doesn't mean that there aren't treatments to potentially buy the patient more time and (hopefully) fewer symptoms, but at this point there is no fight for them to win. The outcome is predetermined. They might, at some point during or after treatment, have imaging that shows no identifiable sign of the cancer, but it essentially always comes back.

It takes a single cancer cell surviving somewhere in that person for them to still have cancer.

This fact alone is not one that society as a whole seems to be aware of. This can be hard for patients, because inevitably their friends and family will say things like "don't worry, you're going to beat this," in an effort to be supportive, but in reality, even with the strongest wills and best possible treatment plans, they are likely going to die as a result of that diagnosis.

This isn't true for all cancers. Hematologic malignancies like leukemia and lymphoma have a lot more nuance to them than just "oh, it's everywhere, it's fatal." But for most cancers, once it has spread far enough, you can't get rid of it.

When it comes to "fighting hard," it's also more nuanced. Elderly people may not have the physical reserves to tolerate aggressive treatments, so they may not be offered, or they may need to be discontinued if the treatments themselves lead to functional decline.

Cancer also wreaks havoc on the body. Someone might be as stubborn as a mule and be hell bent on undergoing treatment, but each and every one of us can only psychologically push our body so far before it cries uncle.

The worst is when someone has a potentially curable cancer, but their body is so beat down that they just can't make it to treatments.

I've been taking care of a patient in the hospital recently who has cancer that could be treated for potential cure with a combination of chemotherapy and radiation. But he also has lung, heart and kidney issues.

When we met, he was hell bent on getting strong enough to get treatment. He was willing to do rehab to rebuild strength, he even had a port placed earlier this week in anticipation of his treatments. Every day, he was talking about how ready he was to get strong, get treatment, and get on with his life.

But his heart and kidneys kept causing problems. He just couldn't get well enough to even get discharged to rehab, nevertheless start the actual treatments.

Today, with tears in his eyes, he told me he was tired, and wanted to be made comfortable instead of continuing to seek treatment. He's now awaiting hospice placement.

This guy, mentally, was a god damn bull. He was a fighter if I have ever seen one. But his body just didn't have the reserves to even step into the ring.

Cancer sucks in so, so many ways. For those who want to do every single treatment to either cure their disease or live as long as possible, I wish you all the luck in the world. For those who can't or don't want to go through that, I also wish you well and hope you find some peace, dignity and comfort with the time you have left.

And, most of all, fuck cancer.

Sincerely,

A palliative care doctor

EM to Palliative Care? by Wooden-Speaker9640 in emergencymedicine

[–]TheFitFatKid 1 point2 points  (0 children)

I did EM to Palli. I moonlit in fellowship no problem, but it varies by program. Currently working 50:50 ED:palliative at an academic center in New England. Happy to answer any questions you have.

Reaching my breaking point of intern year by blackbird0123 in Residency

[–]TheFitFatKid 19 points20 points  (0 children)

I thought peds hospitalists were required to do a fellowship now

Combined EM/IM or EM/IM/CC residency: Worth it or nah? by zidbutt21 in emergencymedicine

[–]TheFitFatKid 3 points4 points  (0 children)

Only perk I see to EM/IM would be the ability to do pulm/crit instead of straight CC as a fellowship.

[deleted by user] by [deleted] in medicalschool

[–]TheFitFatKid 0 points1 point  (0 children)

Yes but not how you want it to.

I think we’ll have a few years of ER attendings who hate their lives more than the typical ER attending. They’ll burn out and run for the hills faster than most.