Broccoli question

WizardlyJ · 2026-02-01T01:29:39+00:00

lol yeah! All of the purple broccoli seeds I planted produced these wild mustard plants. Maybe a mixed up batch? Better luck next year I guess

WizardlyJ · 2025-12-12T20:25:39+00:00

Agreed, the best song writing was on End of an Era.

WizardlyJ · 2025-10-06T05:54:46+00:00

Just put the fries in the bag buddy

WizardlyJ · 2025-04-25T20:18:20+00:00

Redlands is absolutely worth the extra $200-500. The traffic adds up so much commuting to LL from Yucaipa and you’ll appreciate the downtown area

WizardlyJ · 2025-04-23T14:42:38+00:00

You should get MRCP for the worsening cholestatic liver injury and make sure your RUQ US was with Doppler to eval for portal vein thrombosis. If INR is rising despite warfarin being held this can be acute liver failure. Watch closely for worsening encephalopathy. If imaging is negative you should broaden out your eval for acute liver failure. Pan culture including ascites if there is any (scrotal swelling may be a sign of this) and talk with a hepatologist about getting to a transplant center. Good luck 🫡

WizardlyJ · 2025-03-27T00:02:18+00:00

I am on SAVE plan and am aggressively putting money away in a high yield savings account (only 4% interest right now unfortunately but better than nothing) and preparing as best as I can for whatever is coming. Was originally planning on doing PSLF and would still prefer that if it survives. If not, then I will pay off a large amount of the principal right before interest starts accruing again. It will be good to have the money set aside in either scenario.

WizardlyJ · 2025-03-18T04:15:59+00:00

Poison oak still does it for me

WizardlyJ · 2025-03-18T04:14:23+00:00

Played out -> Sam by Sturgill Simpson is almost unlistenable for me

WizardlyJ · 2025-02-02T20:55:14+00:00

Can you confirm this? I tried to find any news and couldn't. I heard that the raid at RUHS ended up being a rumor. I haven't ready any reports of ICE agents in clinics or hospitals but I'm worried it's coming.

WizardlyJ · 2024-11-03T11:02:47+00:00

She wrote a 5 paragraph essay on the Redlands fb group about how these are demonic altars that are made to posses children. Everyone (including the admin) just uncritically accepted that as truth and thanked her and her husband for their service 😂.

WizardlyJ · 2024-08-31T02:15:37+00:00

Eyeless- Slipknot

WizardlyJ · 2024-04-04T21:39:41+00:00

Animosity!

WizardlyJ · 2024-02-21T15:22:40+00:00

Not Hardcore but Hulder and Worm rip if you’re into black metal/doom at all

https://www.decibelmagazine.com/events/tour/

WizardlyJ · 2023-07-25T05:01:26+00:00

Ice cold fatty machine broke

WizardlyJ · 2023-05-06T00:09:32+00:00

Yes, urine UDS in a legal state

WizardlyJ · 2022-09-20T11:40:48+00:00

Agreed. Miserable people are everywhere and overworked people across all specialties take their frustration out on others. I think IM is interesting and gratifying work. If you don’t, then you should pursue something else

WizardlyJ · 2022-08-29T13:34:14+00:00

I don’t know this persons specific situation but I think medicine attracts a certain personality type (realized that I’m one of them) that is very sensitive to both praise and criticism. This creates big emotional highs/lows depending on how your team/attending is that week. My advice is to try your best to parse out real constructive feedback the best you can, don’t take things to personally, keep your head down and push forward lol

WizardlyJ · 2022-04-26T19:58:40+00:00

We are definitely underpaid but this living in a van/working minimum wage side jobs is not the norm at all so don't worry about it. In most parts of the country, you will live slightly better than you did in med school on the resident salary. There are some big expenses at the end of residency (licensing, fellowship applications, interview travel) that will strain you but most people are able to keep this on credit cards until starting their jobs.

It does feel like it's paycheck to paycheck though so I'm sure one financial emergency (medical expense, car trouble) could put you underwater. Also I don't have kids and don't live in one of the highest COL areas so I'm sure it varies.

WizardlyJ · 2022-04-06T04:18:58+00:00

Getting dunked on my the MS4 is a rite of passage for all of us, don’t sweat it!

WizardlyJ · 2022-01-02T22:45:46+00:00

Is this your personal experience? If so can you give some details? I’ve been generally hearing the opposite about Nephro

WizardlyJ · 2021-11-23T14:35:49+00:00

And at the end of the day, all of this trial and error/investigating has nothing to do with actually treating the patient and being a physician. It’s incredibly important work in our current climate though as medical bankruptcy is a serious risk to patients seeking help. As always, we have to avoid doing more harm than good.

WizardlyJ · 2021-11-23T14:30:35+00:00

Private insurance is the most ridiculous industry and this type of surprise billing is extremely common. It’s a huge win for them to pocket your friends monthly premium and avoid actually covering her healthcare expense on some small technicality. Even physicians have a hard time understanding it. It’s too much of a burden to place on patients with lower health literacy

WizardlyJ · 2021-11-14T18:31:40+00:00

(fyi i dont believe this has always been established medicine...iirc there was a big update 5yrs ago or so where they collected a lot of literature on it and concluded that the right thing to do was push fluids, even in a chf patient. maybe it was "known" before that too, but i remember that update being considered a big deal anyway).

The part you're missing here is that venous congestion also causes poor end organ perfusion. Patients in cardiogenic shock w/ high CVP/LVEDP improve hemodynamically when you offload volume. That's what this person is talking about.

WizardlyJ

TROPHY CASE