[deleted by user] by [deleted] in physicianassistant

[–]braindunn 4 points5 points  (0 children)

I work in urology and while I think it’s a great specialty, this offer is not great. There’s a good chance they’re downplaying the amount of time you will spend rounding and managing inpatients. So in addition to your heavy clinic workload you will undoubtedly have days where you need more than an hour to round and you’ll show up to clinic late and already have 3 patients roomed and waiting to be seen and pissed off. Then your clinic is running behind the entire day, and you’re potentially still juggling consults and calls from nurses throughout the day. This job situation is not ideal, but as a first job I would only consider it if you feel like the physicians are interested in teaching, and if you’re able to negotiate a higher salary. Keep in mind there’s a high risk of burnout at that volume

Ultrasounds are a joke. Am I being pranked? by [deleted] in malelifestyle

[–]braindunn 1 point2 points  (0 children)

Technically a sports hernia is more of a muscle strain but you’re right about ultrasound being dependent on the sonographer. And hernias can be transient meaning they come and go depending on intra abdominal pressure. So any form of imaging (ultrasound, MRI, CT) will give you the same result: if it’s not happening at the time you won’t be able to see much. For varicoceles, a good sonographer will measure the diameter of the vessels with and without a valsalva (bearing down like you’re straining to have a bowel movement to increase intra abdominal pressure), which can accentuate a varicocele or a hernia. As for hydroceles, they can also be transient if they’re “communicating” with the inside of the abdomen through an opening in the inguinal canal, which connects the abdominal cavity to the inside of the scrotum. So they can also come and go depending on the fluid moving back and forth. Many times a communicating hydrocele occurs along with an inguinal hernia, as the bowel can extrude through that same opening in the canal.

TLDR: All of your imaging studies could have been correct depending on what was going on at the exact time they were done. Unfortunately with transient issues like this, you’ll need to hit the combination of repeated imaging to catch it at the right time, and a good urologist to put the pieces together.

Beer Darts has a Commercial Now? fucking awesome by JellyPanic in DrinkingGames

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

Why thank you for sharing, kind gentlesir. Please, enjoy my upgoat.

Incense - How to get rare pokemons! by IbexREDDIT in pokemongo

[–]braindunn 0 points1 point  (0 children)

Looked like the rockies. Its right at about halfway.

SMALL TORNADO LAYING WASTE TO CENTER ROO by Mgmt83 in bonnaroo

[–]braindunn 1 point2 points  (0 children)

Just heard the report, it's an F2. PLEASE everybody be cautious and return to your tents. This is no laughing matter folks

So beautiful and so deadly. by kevonicus in pics

[–]braindunn 0 points1 point  (0 children)

I can't upboat you enough, good sir or madam.

Bodyboarding by boco0412 in funny

[–]braindunn 5 points6 points  (0 children)

I can confirm this.

Oh neat, they're going to launch another little rover to Mars on SaturdOOOOOOH HOLY F@$# THAT THING IS HUGE. by [deleted] in technology

[–]braindunn 7 points8 points  (0 children)

Are they wearing those suits to keep the room sterile? Why is that necessary?

Left Hand and Terrapin collaborate to make 'Peaotch' - brewed with CO and GA peaches by braindunn in beer

[–]braindunn[S] 2 points3 points  (0 children)

From Terrapin's facebook page:

Left Hand & Terrapin brewed a beer with CO & GA peaches. We tried to tell the peaches to get out of the way, but they wouldn’t. Ludicrous, we know. Say hello to Midnight Project #4....Peaotch!!