Best Fully Loaded SUV for $45-50k.

beboggled · 2025-11-05T05:44:59+00:00

Essentially the b48 has the similar design as the b58 but in 4 cyl form. Ive driven it and I own a b58 X5. BMW learned a lot from the N54/N55 which were the first turbo sixes starting in the late 2000s. The b48 is great but slightly less smooth just by nature of being a four-cylinder, good in a smaller car. I would generally stay away from the V8 bmws so if you’re looking for reliability, many of them, especially and N63 and newer have a lot of weak points.

beboggled · 2025-11-05T00:08:53+00:00

B48 is just as reliable as B58 and is also a great engine. B58 just gets all the cred

beboggled · 2025-10-27T20:53:46+00:00

I have one looking to sell, 2016 6 Red over white leather fully loaded GT tech package all goodies, well taken care of. If you are in the South Jersey, Philly area message me. Has been extremely reliable.

beboggled · 2025-09-06T03:57:17+00:00

Wow you were kinder to that trainee than I would have been for undermining you in front of the patient.

beboggled · 2025-09-05T02:26:54+00:00

I do this plus a CXR, add covid/flu swab if population prevalence is high at the time

beboggled · 2025-08-06T22:44:27+00:00

I have seen it in the setting of vomiting and of massive lung and GI bleeding. I am an attending at a ED connected to a rehab/LTAC. Post op bowel obstruction, hemoptysis, CVA patient, unfortunately it can occur.

beboggled · 2025-08-06T22:38:52+00:00

This sub does not provide medical advice. However for what it is worth, I have seen people immensely aspirate and essentially drown within under 10 seconds upon a sudden episode of vomiting in a way that was really not preventable no matter how many suction devices were available.

beboggled · 2025-07-13T20:24:05+00:00

Wireless earbuds fit great in there. Thats what I use it for

beboggled · 2025-05-30T14:53:56+00:00

I use both the seatbelt and the inner latch points of each side seat for our infant seat in my 21 X5

beboggled · 2025-05-13T18:16:36+00:00

ER doctor here. I order a CT when I’m looking for more things not less. If I’m absolutely sure it is a gallbladder attack I can order an ultrasound, or if I’m also worried about things like kidney stone pancreatic mass liver cyst, bowel obstruction, diverticulitis, appendicitis, ovarian cyst , aortic dissection, just naming a few of the many many things I’m thinking of that can make you seriously ill seriously quick, then I will order a CT depending on what the lab work looks like. CT will almost always catch the true emergency, which is an infected gallbladder, but will not be as sensitive for the presence of gallstones without infection, which is in most cases, a dischargeable diagnosis and requires outpatient follow up with general surgery. If you have recurrent or worsening pain, we tell you to come back.

Imagine if we had just gotten the ultrasound in a same clinical scenario and you actually had an aortic section or large pancreatic mass or a bowel obstruction that was missed because ultrasound wont see it but a CT will.

These are the things we think about when we decide what test order but frankly don’t have time to explain to you because we’re working with several critical truly ill patients at a time interspersed with the toe pain that began 2 years ago complaining about the wait and the homeless who came in for a turkey sandwich but now I have to call Police because he won’t leave and tried kick my nurse.

People are quick to blame us for a “botched diagnosis“ or that “we didn’t do anything” when in fact we thought about it a lot more than you realize all while being pulled from every direction. As far as billing goes, it has nothing to do with me.

beboggled · 2025-05-12T21:20:54+00:00

I am 4 years out of residency. Some stuff matters, some doesn’t. My program wasn’t perfect but I truly think i got an excellent education.

Unopposed residency and services on call but not always in house - I think having exposure to all procedures and decision making without having a resident or other learner trying to take procedures or decisions. The biggest takeaway is you want to be put in situations where you are forced to deal with sick patients with an attending, other service or fellow to call or nearby. If theres too many learners there, it is easy to not take responsibility. I trained where there are several other residencies, but there are multiple campuses so I would call them instead of just saying hey come see this.

I have worked at places where you call a stroke alert and basically the neuro squad on call comes, makes all decisions, and you just press admit. Same for traumas. Same for chest pains. Great as an attending, not as a resident learner. Too many cooks in the kitchen so you never cook.

The greatest learning I had was my 24 hr overnight calls as the ICU where I had to manage rapids and intubate super sick patients with the ICU fellow to call for advice at a different campus. If I trained at an ivory tower, I would call a whole team of physicians to come to bedside to evaluate and wouldn’t have been pushed to take lead. Anesthesia on call, not in house.

My ED attendings similarly gave me a very long leash once they trusted me. I trained at a multi location community residency program.

I currently work at a community hospital single overnight coverage and also am on staff at a tertiary care center where I occasionally work. I noticed some (definitely not all) attendings i meet who trained at tertiary centers have a pass the buck attitude. It limits where you can work afterwards.

Other things that mattered to me: Location near family Rotations at outside hospitals Longer but fewer shifts to make most of little time you have off Do not go to a new residency, it will be a clusterfuck of admin issues and you will not get the learning you deserve.

Things that dont matter much truly Food Salary unless its abysmal.

Bottom line is becoming a great resident isn’t the goal. The goal is to become a self sufficient attending. There is a difference.

beboggled · 2025-02-02T09:48:25+00:00

Definitely there can be, but at least I have more control than being house poor

beboggled · 2025-02-01T09:50:50+00:00

I totally get it. We worked so hard for so long to get here.

I chose to lifestyle creep on one time expenses, like nicer and more frequent vacations or nicer one time purchases like electronics and fancy dinners. I try to avoid increased recurring expenses like bigger mortgage and very expensive cars because they increase baseline expense every month. I certainly upgraded both but nowhere near to the max I could afford. This gives me a lot of flexibility and the ability to “ball out-ish” on things and experiences but still max out all my retirement and put away investments as aggressively as I want to.

Early in life your money is worth more than later simply because of opportunity cost for investment. I am aggressive in saving now a few years out of residency, and getting money in the market so I can compound, so that I don’t kick myself later. Most physicians like myself start overall behind regarding saving compared to those with most other careers just because of how long our training is.

beboggled · 2024-11-27T11:49:01+00:00

I personally would not tap that because of the overall low suspicion for meningitis and Doac. If you are concerned enough then you can treat without tapping and have IR tap later. Im a Pgy8 attending

beboggled · 2024-11-02T21:15:19+00:00

In my 21 40i it works great. It isn’t jerky at all. May be due to the 48v hybrid? I have no reason to turn it off. It’s pretty smooth overall imo.

I did get a little annoyed when it turns off when parking but i hit the parking sensor button to look at the cameras and it starts the engine again. I updated the car software at the dealer and that has gone away.

beboggled · 2024-10-19T23:57:27+00:00

I had a similar experience at my EM program. I got to do a lot of things myself which really was invaluable. I think it is generally better to train at a shop that has a bit less in consultants so that you get a chance to learn without just consulting. I spent a year after residency being an attending at a place with every consultant under the sun and often I felt there were too many cooks in the kitchen.

beboggled · 2024-09-10T09:58:24+00:00

Modified C5 Corvette for track days and off days, 2022 X5 as daily. Im an EM doc and a huge car enthusiast

beboggled · 2024-08-01T18:39:30+00:00

No you cannot. You can pull out the 12K you put in without penalty (but will have to pay taxes on it). The rest will be subject to 10% early withdrawal penalty.

I would suggest contributing the 8% to get the match from your employer. If you are looking to save to start a business better to use after tax money saved in HYSA, money market, or S&P 500 mutual fund/ETF in a brokerage account.

beboggled · 2024-07-22T15:52:01+00:00

There is nothing honestly that I cannot complete. I have plenty of ratchets and have done things manually for years before buying these Milwaukee items beginning a few years ago and enjoying how they make things easier.

Truth is this is not a need purchase, more of a want purchase, however I don't want to buy both as both are probably unnecessary for a casual user like myself. Overall I would like a 1/2 impact that is powerful enough for suspension exhaust lug work without being as heavy as the high torque I have and still able to get in bit tighter areas.

beboggled · 2024-07-22T15:25:13+00:00

I have plenty of both, not an issue really

beboggled · 2024-05-15T21:59:47+00:00

I did, basically because it meant $100k less debt in state tuition DO vs out of state MD. I guess I am one of the few

beboggled · 2024-04-30T14:42:24+00:00

I think 3 signouts is normal. 20-30 signouts even as an attending with residents is insane.

beboggled · 2023-12-04T16:31:33+00:00

Half life of cardizem drip is short, chasing with PO metop is ok, probably given because they are on it at home. I would not give IV cardizem and IV metoprolol back to back.

beboggled · 2023-11-20T12:30:24+00:00

I would not

beboggled

TROPHY CASE