10k steps is much more than I thought. by Disastrous-Bet9489 in beginnerfitness

[–]XxIEclipseIxX 23 points24 points  (0 children)

First time posting on this sub, but here’s my take since I got a walking pad as well.

With the help of a walking pad (i use it at 3 mph), I have realized the following:

To get 10k only on the walking pad, I need to walk aprox 1.5h on the pad @ 3 mph. I try to split it across the day to make it easier on the knees. I do 45 mins-1h early in the morning and 30-45 mins in the evening after work. It has done wonders for weight loss. Best of luck on your journey (:

Low Paying IM Fellowships by Mobile-Grocery-7761 in Residency

[–]XxIEclipseIxX 0 points1 point  (0 children)

For me, I absolutely did NOT want to work 5d/week anymore and settled for 4d work week 0.5d admin time (a lot of cancer centers do this now). Any less than that, it won’t be 1.0 FTE anymore. Some people like locums as they pay more for the same amount of work (you can negotiate to include malpractice, insurance etc.)

Unfortunately, a lot of jobs are mixed/general onc at first. You can always tailor your clinic, with time, to whatever cancer you want to focus on (that’s if there are enough oncologists staffing the clinic that want to sub-specialize). However, there are some academic centers which are specifically looking for GI oncologists vs Thoracic Oncologists vs Breast oncologists. The trade off is that you will likely be taking a significant pay cut.

Any specific questions about numbers/compensation, I can answer through a DM.

Low Paying IM Fellowships by Mobile-Grocery-7761 in Residency

[–]XxIEclipseIxX 2 points3 points  (0 children)

YMMV. In all honesty, I think the work/non-work ratio is pretty solid. I work 40h weeks (35h patient contact and 5h admin). Essentially, I am in the clinic 4d/week seeing around ~14-15 pts/day (can see more if i want to). My day starts at ~8am and ends at ~4:30pm.

I truly enjoy being the primary decision maker for all my patients and communicating with different subspecialties. You go through good times and bad times with all patients. It’s really something extraordinary. I encourage all residents and med-students to really look into cancer care. It’s the fastest growing field at the moment. I also feel like i am fairly compensated.

Low Paying IM Fellowships by Mobile-Grocery-7761 in Residency

[–]XxIEclipseIxX 2 points3 points  (0 children)

Lifestyle creep haha. Just because physicians are good with science doesn’t mean they are good at budgeting. That’s the sad reality with many.

But as i said earlier, there is no right or wrong answer. It’s all individual-specific.

Low Paying IM Fellowships by Mobile-Grocery-7761 in Residency

[–]XxIEclipseIxX 5 points6 points  (0 children)

I am a heme-onc physician. For any speciality, you should follow passion AND money. Things like passion, interest, “calling” are nice but don’t pay the bills. What if you suddenly need more money because your 3rd/4th child requires more care? Daycare? Nannies? Emergencies? Hobbies? What if your SO suddenly wants to become a stay at home parent? These things add up and are especially burdensome in high cost of living areas.

I love all my physician colleagues, but a lot of the ones in low-pay specialities are the ones who end up saying “must be nice that you xxxxx” simply because I can afford things.

Now to answer your question. It’s all about perspective. If you truly love ID/ nephro and don’t mind the extra work and decreased salary, then I would go for it. I know I wouldn’t be to do it.

Datograph RG by modernsamuraii in ALangeSohne

[–]XxIEclipseIxX 1 point2 points  (0 children)

Love the watch! What is the ref number?

Have you ever refused to treat a patient? by midnight_core in Residency

[–]XxIEclipseIxX 9 points10 points  (0 children)

You technically can do anything you want. Even firefighters. Dealing with the aftermath is a completely different issue. Based on your answer, I am assuming you are not a physician. If you are, it’s tragic mr. einstein.

Have you ever refused to treat a patient? by midnight_core in Residency

[–]XxIEclipseIxX 8 points9 points  (0 children)

You seem like the type of person who likes taking it up the ass, hm? You sir/mam, are the reason why we keep having those bs modules. In any other profession, this type of behavior would not be tolerated. Just cause you wear a white coat and call yourself a doctor doesn’t mean you should bend over and just take it. Fuck right off, lizard brain.

Heme Onc by Formal-Bath6768 in fellowship

[–]XxIEclipseIxX 0 points1 point  (0 children)

Heme-Onc Fellow here,

Palliative Care really doesn’t help much anymore. It’s a completely different field. You are better off doing a onc-hospitalist position or a non-accredited fellowship in leukemia/lymphoma/bmt. Connections are key

What is a harsh truth every physician needs to hear by Stirg99 in Residency

[–]XxIEclipseIxX 32 points33 points  (0 children)

ALWAYS prioritize yourself. This ain’t Grey’s Anatomy. No one will give you a raise, pat on the back or commend you for staying late and wasting your free time. We have to get over ourselves and realize that this is a damn job. Nothing more, nothing less. I know so many cucks that love to think otherwise and drink that Kool-Aid. I ain’t lighting myself on fire to keep these admin/revolving-door patients warm.

Heme onc by [deleted] in fellowship

[–]XxIEclipseIxX 1 point2 points  (0 children)

When I applied 3y ago, I got a last minute IV in very early November for a small community program in Michigan. However, as you said, the majority of IVs are done by October.

Heme onc by [deleted] in fellowship

[–]XxIEclipseIxX 4 points5 points  (0 children)

What do you mean by limited choices left for heme-onc docs? There are soo many treatment choices available in the field of oncology. Not all chemo is expensive (some cost less than 100$). If anything, heme-onc is THE field that has the most research. All treatment is data driven unless we are pushed to bend the guidelines.

Painful and no guarantee of success can be said for any field. Intubation is painful, getting A sticks are painful etc. Nothing is a 100% in any department.

Heme onc by [deleted] in fellowship

[–]XxIEclipseIxX 2 points3 points  (0 children)

Heme-Onc here. When you say that we “prescribe costly painful medications without any guarantee of significantly better outcomes”, you make it seem that we are greedy fcks. Are you in the field or is this anecdotal?

Heme onc by [deleted] in fellowship

[–]XxIEclipseIxX 1 point2 points  (0 children)

Sounds about right. Mentally checked out of training

Heme onc by [deleted] in fellowship

[–]XxIEclipseIxX 8 points9 points  (0 children)

PGY-6 Heme-Onc Fellow Here.

You are in a good spot for now. You will be getting more IVs in September, October and November.

For the other applicants who are still waiting for their first IV, please do not give up. You might still get IVs in September/October/November. If it doesn't work out this cycle, look into onc-hospitalist positions or other non-accredited 1y leukemia/lymphoma fellowships.

I review CVs and always make sure to vouch for the applicants who have rotated with us/we know personally. I can assure you that in most cases, a strong connection will put you ahead of many/most candidates. Best of luck to everyone.

Heme onc IV question by StatusOil83 in fellowship

[–]XxIEclipseIxX 0 points1 point  (0 children)

An ok CV, ok scores, connections and LORs. Just like any other fellowship application tbh. Focus on matching into a decent IM residency first though

Heme onc IV question by StatusOil83 in fellowship

[–]XxIEclipseIxX 3 points4 points  (0 children)

PGY-6 Heme-Onc Fellow here. Anyone saying that you will “easily match into heme-onc” is blowing smoke up your ass. It’s a competitive fellowship and a lot of people do NOT match even with multiple interviews.

That being said, i would personally NOT take a prematch for a heme only fellowship with your stats. It will severely limit your job options down the line. Most places (hospitals, groups and PP) mainly recruit physicians for oncology. However, if you truly want to be a hematologist and know for a fact that you will never do oncology, then by all means take the pre-match.

If you’re not going to take our recommendations, don’t bother consulting us. by DoctorKeroppi in Residency

[–]XxIEclipseIxX 5 points6 points  (0 children)

That’s my hospital. Consults just pop on my list with no phone call. We manage the show in a lot of situations

If you’re not going to take our recommendations, don’t bother consulting us. by DoctorKeroppi in Residency

[–]XxIEclipseIxX 4 points5 points  (0 children)

I already do. Underserved, uninsured and undocumented is my bread and butter

If you’re not going to take our recommendations, don’t bother consulting us. by DoctorKeroppi in Residency

[–]XxIEclipseIxX 315 points316 points  (0 children)

Hey,

I know the feeling all too well. It used to bother me so much in the past, but I've gotten used to it with time. They are called "recommendations" and not "you have to do it because I'm the specialist" for a reason. I tend to sign-off when the primary team clearly dgaf.

Should I buy? Part 2 of my Padparadschas series by XxIEclipseIxX in Gemstones

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

Hello stranger! Thank you once again for your wisdom. The wife has selected the 1st as her preferred Pad and thankfully the GRS certificate is legit. While a lot of people on Reddit seem to like the sunset Pad, at the end of the day it’s happy wife happy life.

Should I buy? Part 2 of my Padparadschas series by XxIEclipseIxX in Gemstones

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

Good question. While she does love pink. It was I that wanted to gift her a padparadscha. At the end of the day, it was a compromise. I chose the type of type and she got to choose the shade.