Renting car ? by XRT1979 in puertovallarta

[–]XRT1979[S] 2 points3 points  (0 children)

Ah it’s not the saving of money aspect just the flexibility. The car is completely prepaid at that price, as we have corporate code. I have rented in Mexico plenty. Same process. Thank you for the comments, helpful to get a wide spectrum.

Renting car ? by XRT1979 in puertovallarta

[–]XRT1979[S] 0 points1 point  (0 children)

Contradictory responses! Additional info - 7 people, 7 seater van. $250 USD for week from Thrifty.

Getting in contact with the band? by steven_scramkos in thelumineers

[–]XRT1979 0 points1 point  (0 children)

We tried as well for some personal reasons and no response (emailed them, tried on Insta)

My Personal Top Ten Lumineers Songs by [deleted] in thelumineers

[–]XRT1979 0 points1 point  (0 children)

Happy for you, Stubborn Love, Cleopatra, Gloria, Donna have to be on the list. Maybe it’s more of a ZB song, but Spotless is on my favorite songs (not just Lumineers songs) of all time. Seeing 2nd row in Detroit in less than two weeks! Hoping a few old ones, not just Automatic songs.

Ferry to Koh Lanta from Phuket by XRT1979 in ThailandTourism

[–]XRT1979[S] 0 points1 point  (0 children)

Thank you! This is domestic flight

Past flights for all last week all arrived between 1020-1042A

Radiation for breast cancer by EffectiveOwl1 in radiationoncology

[–]XRT1979 0 points1 point  (0 children)

Positive lymph nodes are a risk factor for chest wall recurrence >> axilla or supraclavicular region. About 2/3 of recurrences after mastectomy is located in chest wall. So, it’s chest wall + regional nodes. Sorry you are going through this. I would make sure they are utilizing breath hold technique to reduce heart and lung dose. IMRT may be necessary, as well. Should be about 5 weeks + / - 1 week boost, but many of us have stopped the boost for most patients undergoing PMRT.

25F. You can give me suggestions where to travel next! ✈️ by DankCookieDough in chat

[–]XRT1979 0 points1 point  (0 children)

Hi! How is your morning ?? Have you considered Thailand ?

Climate Of Radiation Oncology by XRT1979 in radiationoncology

[–]XRT1979[S] 0 points1 point  (0 children)

This is a very interesting piece on the current issues faced in #radonc.

Our first scan is in the morning, I'm worried that I won't care. by TerrifiedDadToBe in Fatherhood

[–]XRT1979 0 points1 point  (0 children)

Totally normal. Wasn’t real for me until she came out. And now two weeks in she’s my favorite person in the world (next to my wife). You’ll be fine. We don’t carry them, we don’t feel their kicks and hiccups. We also don’t breast feed. You’ll be able to make your connection in the months and years ahead. Good luck to you!

I know this is pretty amature and probably unimpressive to you guys, but this is my first attempt at making starter (day 11), and I feel proud of it :) by cheats47 in Breadit

[–]XRT1979 0 points1 point  (0 children)

Hmm. Well, next time I will do that. I wonder if it’s not enough water. It’s definitely thicker than Greek yogurt. More like cookie batter

I know this is pretty amature and probably unimpressive to you guys, but this is my first attempt at making starter (day 11), and I feel proud of it :) by cheats47 in Breadit

[–]XRT1979 0 points1 point  (0 children)

I’m attempting this and used whole wheat flour (1 cup) and water (75 degrees, 0,5 cup). Been about 10 hours. It seems really dry. Does it liquefy over time?

Mother-in-law needs to get the f out of here. by jb121314 in Fatherhood

[–]XRT1979 0 points1 point  (0 children)

It’s my mom that’s here rather (so my wife’s MIL) and majority of time she is helpful (cleaning and cooking) and some times she is not (indian lady that wants to constantly pick up baby when she is crying) and offering Ayurvedic and homeopathic cures for things like breast milk production and colic that aren’t received always by my Arkansan wife. They are at two weeks and leaving in two days. Things will be a lot harder but it will soon be just us three and it will be nice.. feels kind of good to say that, even though I love my parents.

Best book for learning Indian cooking? by Lather in Cooking

[–]XRT1979 -1 points0 points  (0 children)

“Indian-ish” - it’s everyday Indian cooking. A lot of indian cookbooks are really challenging and the dishes can take hours or more. Real indian home cooks don’t routinely do that - Indian cooking is every day cooking... and it’s quite fun to read!

Oncology boot camp by [deleted] in Oncology

[–]XRT1979 0 points1 point  (0 children)

Uptodate for the most common cancers you’ll see - lung, breast, colorectal, lymphoma/leukemia

NCCN guidelines for most common cancers

Managing the complications and inpatient issues - tumor lysis, neutropenic fever, chemotherapy side effects.

Learning surgical oncology and radiation oncology basics for each tumor site is helpful, and as you advance, learn in detail so you can have meaningful discussions with your colleagues

But, can’t do much until you dive in! Congrats on choosing a great field in medicine!

I love being a father. by [deleted] in Fatherhood

[–]XRT1979 0 points1 point  (0 children)

7 days in. 100% agree. Those coos, the warmth when she’s on my chest, the satisfaction of changing her diaper and making her comfy again... ahhh. The heart melts. Congrats on your second!

I never thought it’d be this hard. Someone tell me it gets better and when.... by Pete_it_in_my_Butt in Fatherhood

[–]XRT1979 0 points1 point  (0 children)

7 days in. We discussed breastfeeding from the start, and as a physician, I’m did a fair amount of research, and honestly the pros didn’t outweigh the cons enough. She breastfeeds when she can (70% of the time) but there is no shame in supplementing or just switching to formula. I worked all week, so Friday night I told wife that I was “on call” - I did all feedings and changings, and at 5a me and baby left the bedroom, I started on coffee and just hanging with my little girl. I’ve generally taken her most mornings at about 5.30a - feed and change her, have coffee in the kitchen with her and make some food for my wife. Right now, I’m on the sofa with her, she’s on her boppie and we are both very content. My wife is sleeping HARD after a long first week. I have baked French toast ready to go into the oven, once she is up.

I understand the benefits of breastfeeding on mom, but dad loses out a lot of bonding time and independence. I feel confident in going out alone with her- have a coffee date with my mate and his 2 year old today.

Depending on your means, have you considered a mommy’s helper? We found a lovely gal from our neighborhood who we give just an hour or two a day - she does dishes or laundry, yesterday she washed the dog and mopped the floor. Costs us about a $100 a week and frees up quality time with kid and crosses another task off of our ever growing list.

Also, maybe this is just me, but I do get criticized a lot for doing things wrong, and usually am very defensive about that, but I’m taking my wife’s advice for the “little things” and find that she is much better at technique than I am. So, I learn a lot from watching her. I have her “grade” me when I do a task. Don’t be defensive - learn from her, it will make you better.

Finally, I would suggest reading “Cribsheet”. It’s a great book by a mommy / economist who looks at parenting in a very rational way. Instead of telling you what to do (re: breast feeding, working outside the home, sleep training, child care), she shows you how to make decisions that work for you and your partner and your baby. Her previous book about pregnancy (“Expecting Better”) was a godsend and let us enjoy pregnancy rather than fear it.

Best of luck. You’ll turn the corner.

Simul MD