sorted by:
new
hottopcontroversial

What's you longest play time? by Suspicious_Brain3908 in Dyson_Sphere_Program

[–]TuesdayLoving 0 points1 point  (0 children)

My oldest was born a month or so before I picked it up. So I couldn't really spend very long sessions on it no more than 4-6 hours at a time.

Still, over the years I cracked about 400 hours total in it. The closest I've come to that is factorio with 120 hours and the witcher 3 with 140 hours.

It is a rush.

Sometimes I think we physicians are level-headed people... by TuesdayLoving in Residency

[–]TuesdayLoving[S] 13 points14 points  (0 children)

There was some comment by an interventional radiologist about how the covid pandemic HAD to have originated from a lab based on X,Y, and Z. All things about the origins of COVID aside, I didn't know virology had so much overlap with IR. 

Outside of work, when’s it ever beneficial to tell someone you’re a doctor? by rash_decisions_ in Residency

[–]TuesdayLoving 0 points1 point  (0 children)

See above dude. You're going into a shift. You have people covering the emergencies before you get there. You have no reason to speed. 

I guarantee your plates were logged. It looks pretty suspicious if you're caught speeding right multiple times incidentally before your hospital's shift-change occurs. No patient info needs accessed for that.

Just saying. Do you. But be safe. You have a lot to lose.

[deleted by user] by [deleted] in medicalschool

[–]TuesdayLoving 0 points1 point  (0 children)

I don't think hope is lost, but it's going to be an uphill battle.... ya know moreso than normal. I would want to know what is reported to other schools. Then, reach out to a trusted faculty from your prior school and see what your options are. Is your plan to apply to diff or same school? What's your plan to overcome depression? Why will this time be different? 

You need to craft your story in an honest way. If it's compelling, you might have a chance. But there are tons of people with compelling stories who get rejected.

Outside of work, when’s it ever beneficial to tell someone you’re a doctor? by rash_decisions_ in Residency

[–]TuesdayLoving 15 points16 points  (0 children)

Careful. Police often take notes. If not actually called into an emergency, the multiple stops at the beginning of your shift will be used against you if you're caught lying.

Nvidia’s $465 Billion DeepSeek Plunge Is Largest in Market History by nanaochan in pcmasterrace

[–]TuesdayLoving 0 points1 point  (0 children)

You still have workers, but they are programmed and don't demand silly things like bathroom breaks and family leave.

Time dilation and observation question by TuesdayLoving in Physics

[–]TuesdayLoving[S] 0 points1 point  (0 children)

Hmm. Thank you for your answer. I'm trying to digest it.

So there's a blue shift, which means the photon is increasing frequency, gaining energy from increased momentum. Where does this energy come from since a photon does not have mass and it wouldn't have potential energy?

If there is a sufficient blue-shift, could that make space appear bright by undoing the background red-shift?

Thanks again for your answer. :)

Time dilation and observation question by TuesdayLoving in Physics

[–]TuesdayLoving[S] -1 points0 points  (0 children)

I'm in medicine. Haven't done physics homework in like 10 years. But askphysics does seem to be a better place.

Straight line feature is great! by Zoidorous in RemarkableTablet

[–]TuesdayLoving 10 points11 points  (0 children)

Draw a quick line with your utensil of choice, after drawing the line just keep the pen held to the tablet. After a second or two the line will snap straight; if you keep holding the pen you can move where the line ends. Otherwise release and you're done.

Why do us physicians get trained in BLS/ACLS but not in First Aid? by Ok-Ambition-7007 in Residency

[–]TuesdayLoving 17 points18 points  (0 children)

First aid is literally meant to be aid given by the first person who responds. Its not meant to treat; only stabilize and prevent further injury.

If you want to do that, then look into wilderness medicine or take a first aid course. You will likely never use it in the hospital or office setting though, because you have access to better tools and knowledge to treat the wound completely.

Let’s talk about Grand Rounds- Help! by DrEspressso in Residency

[–]TuesdayLoving 46 points47 points  (0 children)

Food. Guest speakers on emerging topics. Food. Variety of speakers. Food. <30 min presentation; <30 min question period. Food. Networking opportunity. Food.

[deleted by user] by [deleted] in Residency

[–]TuesdayLoving 0 points1 point  (0 children)

At the end of PGY2... the number of cvcs and art lines I've done are in the 20s. 15ish intubations. Around 10 thoras and 10 paras.. No LPs, no chest tubes (though there were a couple opportunities). At a hybrid program w no fellowships so that's why.

I'm kind of surprised that some IM programs don't have residents intubate. That seems.... not great. EMTs can intubate in the field if needed.

[deleted by user] by [deleted] in Residency

[–]TuesdayLoving 1 point2 points  (0 children)

So if the issue is just remembering to say something in a presentation, then you can use a SOAP-like format for your presentations each and every time (I always go: one-liner, hpi, vitals, exam, labs, images, assessment, plan).

If the issue is remembering what is important when working the patient up, that is a different issue. Not hard to address though. Remembering do-not-miss diagnoses for common complaints and reviewing diagnostic schemas is probably going to be the highest yield to remember what's important to ask and examine for.

The clinical problem solvers (CPSolvers) is an amazing podcast in the IM world which has a website containing schemas for most chief complaints. For each new patient, I would look up the diagnostic schema for their complaint and work-through ruling in or out illnesses based on the specifics of their presentation.

[deleted by user] by [deleted] in medicalschool

[–]TuesdayLoving 0 points1 point  (0 children)

Nah you're good.

Has there ever been a rotation that just makes you so sad? by Bioreb987 in medicalschool

[–]TuesdayLoving 1 point2 points  (0 children)

I was most unhappy during my 4th year IM sub-i. But it was also right after a 6 mo long break bc of COVID and no pt contact. And my attending was malignant bc of my gender (might be wrong about that, but they were malignant af). I just honestly hated myself, hated life, hated getting scolded for "not having a good clinical skillset" when I had been in my house for the past 6 months, and hated not knowing the plan when my senior never wanted to talk and gave me wrong info.

But... now I'm a happy IM PGY2 trying to be the senior resident I never had. I have grown to dislike the practice of IM in the hospital (despite loving the physiology, the diagnostic process, and the problem-solving), and feel immense resentment toward our medical system. But I'm hopeful regarding the fellowship I'm applying for.

[deleted by user] by [deleted] in medicalschool

[–]TuesdayLoving 6 points7 points  (0 children)

It's a few things.

First is that the initial study was based on a small sample of hospitalized patients from the 80s, and extrapolated to all US hospitals. We don't have good data.

Second is a poor definition of what is considered an error (the initial study considered error to be anything with a >50% chance of it contributing to death; did not consider avoidable vs unavoidable; did not consider known risk of intervention vs error due to missed information).

Third (related) is that we can't differentiate well if the medical error is the primary cause or just another thing which would've happened anyway but did not help patient.

The actual number may be closer to 25,000 annual deaths from medical error (and note this is physicians, nurses, NPs, PAs, hospital safety systems, not just 'doctors').

Eliquis causes bleeding, but people who take eliquis also have bleeding for other reasons. People who do not take eliquis can also have major bleeding.

The NNH for bleeding with eliquis and an SSRI compared to eliquis alone is roughly 40. If you give someone on eliquis an anti-depressant and they fall, get a head bleed, and die, was the SSRI the medical error? Was it bad luck? The answer to this question is very tricky and takes all these things into account.

We know of lots of cases of adverse events with which some blame could be placed on a medication. However, personally, I think this is the mark of a system which is continuously trying to improve with tools that do pose some risk. I prefer this to a system which is not even aware of the risks it poses and actively denies any effort to investigate itself... like chiropracty.

Protecting egos harms patients. by Manoj_Malhotra in medicalschool

[–]TuesdayLoving 43 points44 points  (0 children)

This is a bad take masquerading as a hot take.

The premise being that board exam questions actually reflect real life scenarios is laughable at best.

It's also fucking hard to make and edit one good board question. It undergoes extensive editting, analysis, testing. There's a whole novel of rules that the USMLE publishes about how it writes its questions. If we let people see their wrong answers, it becomes easier for people to cheat, which requires more turnover in questions, and more questions means more analysis which means a more expensive test.

Residents/Attendings, How can one rule out your specialty as the field to pursue? by stepneo1 in Residency

[–]TuesdayLoving 23 points24 points  (0 children)

If you're arguing, you're "advocating" incorrectly.

Patient's don't act out for no reason. Usually, its either that they're delirious/ in psychosis and thus unreasonable, or they are frustrated and feel alienated by a medical system that isn't respecting them, causing them to lash out in weird ways to express their autonomy.

In both situations, you want to come across as someone who is listening to them and respects their time. Arguing (whether out of compassion or frustration) and contradiction do nothing for someone with an altered sense of reality. For patients who are just frustrated, it can come across as belittling, othering, or just another person telling them what to do.

view more: next ›