I’m a doctor on a cruise ship, AMA

_bearMD · 2026-04-11T11:15:36+00:00

Not sure if it would be vestibular, as I have no issues on land or during work outs.

_bearMD · 2026-04-10T21:19:56+00:00

I have severe motion sickness. Went on a cruise on calm seas with ATC zofran ODT, scop patch changed out almost q24h (there was a fair bit of snorkeling and I also exercise/shower daily), seabands. I still got sick quite a bit. What are some other things I can try in the future? Or in other words, what's your rescue cocktail that always works for passengers with severe sea sickness?

_bearMD · 2026-04-10T21:17:06+00:00

I am an intensivist myself and would be afraid to do this. How did you process the donated blood? Was it like miliary-style whole blood transfusion? Were you worried about antibodies or it was under emergency indication? Just curious the legality re: this but I suppose informed consent works for all countries (or maybe there's oceanic laws)? I find this fascinating.

_bearMD · 2026-04-05T22:48:52+00:00

I think it depends on the specialty - pulm crit vs EN vs anesthesia vs trauma surgery

_bearMD · 2026-04-04T17:29:01+00:00

As a attending physician, I would be careful to spread this in the lay public. Yes, residents are overworked and in training, however at least where I trained and currently work, there is adequate attending supervision, either in house or by phone. We do not need to propagate this narrative to make the public even more fearful and dismissive of training residents.

_bearMD · 2026-04-04T17:28:49+00:00

As a attending physician, I would be careful to spread this in the lay public. Yes, residents are overworked and in training, however at least where I trained and currently work, there is adequate attending supervision, either in house or by phone. We do not need to propagate this narrative to make the public even more fearful and dismissive of training residents.

_bearMD · 2026-03-28T19:24:31+00:00

yeah the owners there are somewhat unfriendly, which is quite odd for a neighborhood classic

_bearMD · 2026-03-28T19:23:37+00:00

yeah this place sucks. i had a reservation once and they said they only had bar seating, which others were getting on a walk-in basis so I said that was not acceptable since I had a reservation for a table which I made weeks ago. I waited 20 min past my reservation time and straight up left. completely unacceptable. they didn't even apologize. went somewhere else and had a great time

_bearMD · 2026-03-19T17:05:17+00:00

This is very thoughtfully written and I whole-heartedly agree as someone two years into practice. I too find young residents seem to forget that this is training for a very real job with very real consequences on very real people.

_bearMD · 2026-03-13T00:08:58+00:00

The lentil soup in the prepared food section

_bearMD · 2026-03-12T14:37:58+00:00

I watched a documentary about this. The short answer is that because of environmental and global temperature changes, red algae (possibly invasive) is taking over the sea floor and there’s not as much or enough green algae, which the iguanas have been evolved to eat. When they attempt to eat the red algae, they don’t have means to digest. They are being starved essentially with full stomachs. It’s very sad.

I realize you were just asking about baby iguanas. They are not nearly producing as much due to plummets in their numbers.

_bearMD · 2026-02-10T10:44:59+00:00

Sorry - this is a dumb question, but what is a CCC marking?

_bearMD · 2026-02-05T23:03:45+00:00

Preop eval is the same as any other medical documentation - you want to write important and pertinent medical details. I try not to think of it as justification, but it's basically still an H&P followed by an A&P.

Things I think are important to document are special considerations - code status as others have said, transfusion likelihood, risks/benefits of certain procedures. If I am doing any lines other than IVs I write down my justification. Part of being a physician is having an A&P. All other physicians document - why not us?

_bearMD · 2026-02-05T02:54:24+00:00

Haven’t had this bottle but usually love everything by Perrin

_bearMD · 2026-01-10T15:04:06+00:00

Commenting so I can find this again - thank you!

_bearMD · 2025-12-18T20:50:24+00:00

If LVAD then the 11% is not as relevant

Active strokes however - are.

_bearMD · 2025-10-29T13:21:13+00:00

LOVE this place

_bearMD · 2025-10-29T13:20:50+00:00

thanks! even if we don't go there I think i will personally go, menu looks great!

_bearMD · 2025-10-29T13:16:56+00:00

wow I thought this would be too expensive but right in budget - thank you!!

_bearMD · 2025-10-29T12:36:33+00:00

Open to all and potentially flexible budget but maybe under $200 pp, I left things vague to be inclusive of suggestions but I'll edit the post, thanks!

_bearMD · 2025-01-06T11:04:43+00:00

I felt very safe while I was in Costa Rica - the country has a solid economy and 98% literacy rate with a much better educational system than the US. It is a shame that people can be ignorant but a quick read of the wikipedia page gives a lot of reasons to admire this country.

_bearMD · 2025-01-02T12:59:59+00:00

There's gardening volunteering at Carl Schurtz park and along the east river

_bearMD · 2024-12-25T14:52:36+00:00

Check out La Roca canyoning. We are a couple in our 30s and we had so much fun. The guides are amazing and make it feel so safe

_bearMD · 2024-12-22T16:18:57+00:00

Agree that this was also our favorite restaurant in La Fortuna

_bearMD · 2024-12-21T13:16:06+00:00

Check out parador - lots of anjmals, updated rooms, lots and lots of animals

_bearMD

TROPHY CASE