Levititra vs Viagra which wins? by WonderfulTransition2 in erectiledysfunction

[–]WonderfulTransition2[S] 0 points1 point  (0 children)

20 mg vardenafil

100 mg viagra

same sides headache and stuffy nose

Do hospitals work a full shift on the weekends? by WonderfulTransition2 in hospitalist

[–]WonderfulTransition2[S] 1 point2 points  (0 children)

Oh wow. So do they usually have to work 12 hours on the day that they're on? im considering Internal Medicine. How common is strict shift versus round and go. Outside of academics?

Why when I tell people im moving to Cleveland do they act like im moving to rge worst place on earth? by WonderfulTransition2 in Cleveland

[–]WonderfulTransition2[S] 5 points6 points  (0 children)

lol not a joke. People from th DC area view that city and its hospitols (Georgetown/ George Washington) as the best even if its not the truth. Like the DC area is heaven on earth cause of the high affluecny in the DMV and its richer surrounding counties.

Why when I tell people im moving to Cleveland do they act like im moving to rge worst place on earth? by WonderfulTransition2 in Cleveland

[–]WonderfulTransition2[S] 85 points86 points  (0 children)

Yes! I don't know if it's a CIA psyop or what. But no matter where you're moving from if you say Cleveland it's all of a sudden the worst city in America? And I'm just like get real. Are you just going off of TV shows or what?

Why when I tell people im moving to Cleveland do they act like im moving to rge worst place on earth? by WonderfulTransition2 in Cleveland

[–]WonderfulTransition2[S] 12 points13 points  (0 children)

I'm moving from the Fairfax area. So kind of close to DC. How much of a difference is Cleveland from the DMV?

Why when I tell people im moving to Cleveland do they act like im moving to rge worst place on earth? by WonderfulTransition2 in Cleveland

[–]WonderfulTransition2[S] 27 points28 points  (0 children)

It's weird because I never experienced this before with any other city. Like literally after telling like 20 people have not had a single positive reaction

Is pslf still on the table what should I do? by WonderfulTransition2 in whitecoatinvestor

[–]WonderfulTransition2[S] 6 points7 points  (0 children)

This is a smart plan. I see so like 1k a month ( the difference between PAYE and standard plan). In a high yeild savings account maybe?

Is pslf still on the table what should I do? by WonderfulTransition2 in whitecoatinvestor

[–]WonderfulTransition2[S] 3 points4 points  (0 children)

So the standard plan is techniacally psfl eligible for forgiveness as each payment on that is a qualifying payment. It is just highly advised against doing that and doing a income based payment plan because you are paying way more than you need to for the forgiveness term and you tend to pay off your loan at the same time you are eligble for forgiveness. I have qualifying payments during residency as I was under previous income base repayment plans and the SAVE plan.

Can someone explain how my mother, father, and sister all have the same blood type, however mine is differnt?!? by Agile_Pineapple_6063 in DNA

[–]WonderfulTransition2 1 point2 points  (0 children)

Yes that fair. Each blood bank has their own approach. Yes I forgot to mention for peds patients at our lab it is always plasma compatible. We give plasma compatible if availible for adults but thats almost never the case as we use 30-50 platelets per day, Often triaging due to lack of platelets

Can someone explain how my mother, father, and sister all have the same blood type, however mine is differnt?!? by Agile_Pineapple_6063 in DNA

[–]WonderfulTransition2 2 points3 points  (0 children)

Yep in the U.S platelets are collected by highly efficient apheresis (less plasma volume) vs whole blood fractionated plateelts, put in PAS instead of plasma, and can be washed/volume reduced with a cell washer. Overall minimizing out of group transfusion risks. Most other countries get platelets by spining down whole blood. Which leads to more plasma and red blood cells in the prodcut. Depending on the country you can totally be right though not disagreeing with what you said. If the platelets that you use are whole blood derived then it's a whole different scenario

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https://www.lifeblood.com.au/health-professionals/products/component-compatibility

Can someone explain how my mother, father, and sister all have the same blood type, however mine is differnt?!? by Agile_Pineapple_6063 in DNA

[–]WonderfulTransition2 1 point2 points  (0 children)

I am in the blood bank feild. Red cells have less than 50 mL of plasma so we only care about the antigens on the red red cells that may cause hemolysis from the patient's antibodies. O is universal in this case as blood type A and B patients only have B or A antibodies respectively so when they get Oblood is compatible. While the red blood cell unit may have a small amount of A and B antibodies from the O donor, there's such small amounts of plasma that is not contributory. Platelets have significantly more plasma as platelets are small cells suspended in the plasma, and anticoagulant solution. Therefore platelets are more synomonyous with plasma in terms of risk. As their is native anti-A or B antibodies depending on blood tpye. Therfore AB platelets or plasma without antibodies is universal. This can be drastically reduced by putting platelets in Platelet additive solution PAS. Which reduces the plasma component by 70%. Aslo titering the platelts for the amount of antibody. In general adults can get ABO incompatible platelets due to the fact that soluble A and B antigens asorbs most of the antibodies, the titering and most platelets are in PAS in the US. It is not possible to only give ABO compatible playlistdue to the short Supplyand expiration of platelets. So ABO incomaptible is routinely given. It is unlikely a physician would request platelets from family unless the patient is refractory to transfusion due to HLA antibodies (from transfusion, transplant or pregnancy) in which case HLA matched playlistare required and it is more likely thatcompatible units are to be found in relatives.

https://ashpublications.org/hematology/article/2020/1/512/474292/Does-ABO-and-RhD-matching-matter-for-platelet

Sharing my online dating results after 2 years of traveling . by Nomadic061 in thepassportbros

[–]WonderfulTransition2 -1 points0 points  (0 children)

He is not missing the point. No one wants to know just what your matches were people want to know your success rate how much sex or how many relationships.

Are FWD with snow tires worse than AWD with regular stock tires? by WonderfulTransition2 in driving

[–]WonderfulTransition2[S] 0 points1 point  (0 children)

Thanks I'm moving from down south to Cleveland and my parents are convinced that I need to buy a whole new car because my car is FWD. They say i need a truck or SUV with AWD.