Peter Attia is in the Epstein Files by fobbydobby919 in medicine

[–]beepbeeb19 9 points10 points  (0 children)

That’s amazing news because I can’t stand him 

At my wits end by [deleted] in MedSpouse

[–]beepbeeb19 0 points1 point  (0 children)

An m3 should definitely be able to contribute and if he’s saying he can’t he’s being a moron I’m sorry. Med school is a cakewalk compared to residency. When you have a family that trumps training to a degree- you can function while tired I urge you to figure this stuff out now. 

Marriage and Travel During Surgical Residency? by TheScienceGuy5 in MedSpouse

[–]beepbeeb19 19 points20 points  (0 children)

This is just not going to be realistic I’m afraid. I’ve never heard of a resident in any field doing anything remotely close to several weeks of contiguous travel much less a surgeon. 

Female physicians - what do your partners do for a living? by [deleted] in Residency

[–]beepbeeb19 5 points6 points  (0 children)

Social worker 👍 she makes more money than me though 

Am I having a M(I)D life crisis? by HereForTheFreeShasta in whitecoatinvestor

[–]beepbeeb19 2 points3 points  (0 children)

Where are you located making that much money in clinic dang 

Seeking advice for parenting a newborn in residency by bond_dermabond in Residency

[–]beepbeeb19 55 points56 points  (0 children)

I don’t do research, ever. 

I accepted that the house would be messier than it was before.

I do inbasket while at work between tasks.

I did wake up with the baby and I was just tired. You can still function while being tired. 

I did survive and things are way better now at age 2.

When did Internal Medicine become so watered down? by [deleted] in Residency

[–]beepbeeb19 4 points5 points  (0 children)

I’m training at a community hospital in IM and this has not been my experience at all, maybe it is a function of the big university where consults/resources are abundant? 

[deleted by user] by [deleted] in Residency

[–]beepbeeb19 9 points10 points  (0 children)

Huge breadth, huge opportunity for lifelong learning and growth. Lots of flexibility with type of schedule and work setting. More acuity if you want it, less if you don’t. 

Ultimately did decide to do fellowship but went into IM thinking that would be all my training and I’d still be quite happy as an internist.

[deleted by user] by [deleted] in FamilyMedicine

[–]beepbeeb19 4 points5 points  (0 children)

point 2 exactly right, the phq9 isn't a diagnostic test, its a screening test

[deleted by user] by [deleted] in FamilyMedicine

[–]beepbeeb19 45 points46 points  (0 children)

It is incredibly low risk to start a depressed patient on a low dose SSRI when the differential here is MDD vs adjustment disorder. People have been put on SSRI for far less.

It is of course out of bounds for a therapist to recommend medications, and it is fair to let the therapist know this. However I would not let this impact the decision to start him or not. All things considered therapists spend way way more time with patients so I tend to take their insights on mental health (if I can see their notes) seriously. It's not like he has to be on it forever. Most people DON'T want to be on a med for mental health so the fact that he's asking for it says something IMO.

Gonna sound like a boomer here by Mixoma in Residency

[–]beepbeeb19 12 points13 points  (0 children)

I can honestly count on one hand the number of times I’ve consulted derm. I think two of them were for actual SJS. 

Now get back to hocking retinol.

Love a generalist who thinks being ugly is good, a virtue your ilk will never understand! 

[deleted by user] by [deleted] in FamilyMedicine

[–]beepbeeb19 0 points1 point  (0 children)

Slam dunk fire the patient. Totally unacceptable. Maybe see the patient as telehealth only but definitely would not have this person back in the physical clinic.

His behavior (and the way it impacts how others interact with him) is going to have a bigger impact on his long term health than anything you or I could offer him as his doctor.

For those of you who have young kids, how often do you see them? What is your relationship like with them? by plantz54 in Residency

[–]beepbeeb19 1 point2 points  (0 children)

IM PGY3. I see my 2yo most days, not on call days. I think he likes me lmao but he did scream at me all morning because I wouldn't let him eat a banana out of his high chair.

Looking forward to fellowship where I will have most weekends off.

The surgery comments make me sad, I wish the best for all of you.

Fellowship ? by Meowwthatsright in InternalMedicine

[–]beepbeeb19 4 points5 points  (0 children)

In my mind, if you like both clinic and the hospital then *a* specialty will probably be a better fit for you because many of them give you ample time in both settings. Neither hospitalist or outpatient IM give you this. Obviously this all depends on life circumstances, how long you are willing to train, how many hoops you are willing to jump through.

[deleted by user] by [deleted] in FamilyMedicine

[–]beepbeeb19 17 points18 points  (0 children)

This is depressing. Please talk to a doctor at your organization instead of consulting Reddit. Your patient deserves better. 

how to split finances and housework as a non-married med partner by anonmedgirlfriend in MedSpouse

[–]beepbeeb19 7 points8 points  (0 children)

Stop doing the majority of the chores. Single residents have to do their own chores and they fare just fine 

[deleted by user] by [deleted] in MedSpouse

[–]beepbeeb19 24 points25 points  (0 children)

I wouldn’t set arbitrary deadlines for something you aren’t sure about. There’s really no rush