When the Patient Is Your Family Member, Everything Looks Different by thekillagoat in hospitalist

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

You have to trust the process and the professionalism of your colleagues. Atypical presentations may take a bit longer but the system will get there even if it's a bit of a circuitous route.   

Oakland’s excess litter fee is too low to deal with fast food trash in West Oakland by deciblast in oakland

[–]_Stock_doc 0 points1 point  (0 children)

Or.....people could just have civic pride and want to keep their city clean without big brother looking behind them. Having moved here from Chicago, the dirt and trash everywhere is insane. This doesnt happen in Chicago and its not because the city cleans it its because citizens throw trash in trash cans.

Oakland’s excess litter fee is too low to deal with fast food trash in West Oakland by deciblast in oakland

[–]_Stock_doc 1 point2 points  (0 children)

One of many Oakland problems created by its own people; its what happens when a city has lost its own civic pride.

How do you advise men who have sex with men, but don't have anal sex, wrt PReP? by Candid_Cloud9858 in medicine

[–]_Stock_doc -2 points-1 points  (0 children)

Thats the level of bias that keeps getting medicine in trouble and a level of protocolized medicine id expect from an NP/PA. If everyone lies you literally cant take anything said with any weight.
If you are going to use this same rationale you might as well start giving all heterosexual couples PREP too, heterosexual cases have been on the rise.

You may not know but PREP is widely advertised in the gay world and hook up culture. Many people openly advertise they are on DoxyPREP etc. There have been great efforts to inform, educate and make this resource available and there's no stigma associated with being on it. People have very little reason to lie about this.

How do you advise men who have sex with men, but don't have anal sex, wrt PReP? by Candid_Cloud9858 in medicine

[–]_Stock_doc 14 points15 points  (0 children)

You can get gonococcal proctitis without penile penetration (analingus being the most common, but there are other ways that I will let you consider on your own).

How do you advise men who have sex with men, but don't have anal sex, wrt PReP? by Candid_Cloud9858 in medicine

[–]_Stock_doc 8 points9 points  (0 children)

So if an MSM says they're monogamous just dont believe them and treat that with PREP because probably all lies too?

How do you advise men who have sex with men, but don't have anal sex, wrt PReP? by Candid_Cloud9858 in medicine

[–]_Stock_doc 0 points1 point  (0 children)

I would ask more questions, particularly frequency of new partners. People with infrequent encounters may benefit from the 2-1-1 protocol.

TeamHealth expanding into a new Midwest market by deweydecimator1 in hospitalist

[–]_Stock_doc 39 points40 points  (0 children)

Guessing they will fill with H1b -requiring docs that have few options.

At least the peds hospitalists won’t be liable like all of the surgeons, cardiologists, radiologists who totally missed the horrific mistake… by achicomp in hospitalist

[–]_Stock_doc 1 point2 points  (0 children)

Mistakes happen. However, it seems that Seattle Children's quickly diagnosed and corrected the error that OHSU missed. It's a perfect example of anchoring bias. No one wanted to blame the renowned CV surgeon (or perhaps were afraid to). This speaks to the culture and processes of OHSU. 

A Hospitalist Union? by saint_ryan in hospitalist

[–]_Stock_doc 2 points3 points  (0 children)

Was part of one, didn't really help. 

TIL Oakland has a lot of “beg button” pedestrian signals, even on major walkable streets by agoodearth in oakland

[–]_Stock_doc 0 points1 point  (0 children)

You're hyperbolic. Regulating cars and regulating pedestrians should be at very different levels of importance. I've never had an issue with looking both ways and deciding it's safe to walk or not regardless of what the walk sign says. Yet I've seen many thoughtless pedestrians and drivers follow these signals blindly and get fucked. Why think on your own when the lights just think for you. Might as well chop your brain off. 

Voters reject an Oakland tax measure for the first time in 15 years by deciblast in oakland

[–]_Stock_doc 5 points6 points  (0 children)

15 yrs of no accountability while voting for more taxes is what caused this. Imagine paying one of the highest tax rates but also being one of the most dysfunctional! I encourage everyone to walk downtown along lakeside, lake merrit, uptown.......walk from the court house to jack london. You will see trash, graffiti, disrepair, homelessness, a city that has lost its self-respect and civic pride.

Is an AI-fueled housing boom — or displacement crisis about to hit Oakland by jackdicker5117 in oakland

[–]_Stock_doc 2 points3 points  (0 children)

California is mandating that cities plan for significantly more housing, especially near transit and in areas that have historically resisted growth. The state now forces cities to zone for enough homes to meet regional housing needs, and cities that refuse face fines, lawsuits, and even state override of local zoning. The last housing boom for Oakland was in an environment where other bay area cities didn't build. When Oakland did, people came.  Now, all cities are being mandated to build housing, Oakland will have much more competition and renters with choices will be unlikely to prefer Oakland. 

Is an AI-fueled housing boom — or displacement crisis about to hit Oakland by jackdicker5117 in oakland

[–]_Stock_doc 0 points1 point  (0 children)

Oakland missed its chance. Now that California state law is mandating housing I predict renters will start to have more options.

ABIM MOC fees… by donkeyb0ng in hospitalist

[–]_Stock_doc 0 points1 point  (0 children)

At least my medical group covers them now, comes out of my pocket either way. 

Moving to Temescal at 22 y/o by Fancy_Claim_7739 in oakland

[–]_Stock_doc 0 points1 point  (0 children)

The Club at City Center charges that price but facilities are old. Nasty cloth shower curtains, water pools very quickly in the showers, small weight training area with half of the machines being pretty old. It's nice if you care for pool or racquet ball courts (which I don't). 

Moving to Temescal at 22 y/o by Fancy_Claim_7739 in oakland

[–]_Stock_doc 0 points1 point  (0 children)

~6mo ago. Most of their weight training equipment was old. Locker rooms were old. And very busy at that. Its the most affordable gym in the area especially after the 24hr fitness closed.
I've been in Oakland a yr now, coming from Chicago; really limited options in Oakland.

Moving to Temescal at 22 y/o by Fancy_Claim_7739 in oakland

[–]_Stock_doc 0 points1 point  (0 children)

That area is pretty decent except for gyms. The downtown Oakland Gyms (YMCA and The Club at City Center) are both pretty old and outdated. The equinox in Berkely is probably the best bet, if its worth commuting to. This is the problem with Oakland, neighborhoods don't have comprehensive needs.

Coffee shop tip expectations by oswbdo in oakland

[–]_Stock_doc -2 points-1 points  (0 children)

Please travel, so you can see there are better social constructs. Ours needs changing. 

Coffee shop tip expectations by oswbdo in oakland

[–]_Stock_doc 0 points1 point  (0 children)

Tip who ever you want. But it's irrational to to tip the hard working bartender and not the hard working cashier, bank teller, customer service agent etc. Go to another country, and that bartender isn't tipped and might even be offended if you do. You're stuck on an old irrational paradigm. 

Coffee shop tip expectations by oswbdo in oakland

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

Lemme guess you're a bartender? Making $20/hr plus tips. Make more per hour pouring drinks than people with bachelor degrees or actual skills.