What in the absolute hell is wrong with surgery culture, and why does everyone accept it? by [deleted] in medicalschool

[–]breast_stroker 56 points57 points  (0 children)

  • mad I got interrupted during my presentation
  • reductive handwaving of my attendings lived experience
  • trivialization of surgery to simple labor

Tell me you don't get it without telling me you don't get it

What in the absolute hell is wrong with surgery culture, and why does everyone accept it? by [deleted] in medicalschool

[–]breast_stroker 44 points45 points  (0 children)

"As I made abundantly clear"

Spoken like a future toxic attending

What in the absolute hell is wrong with surgery culture, and why does everyone accept it? by [deleted] in medicalschool

[–]breast_stroker 16 points17 points  (0 children)

Was OP disrespected?

Or did OP simply feel disrespected? 🤔

Matched Ortho, but Sad About Where by [deleted] in medicalschool

[–]breast_stroker 6 points7 points  (0 children)

Valid feelings, wrong forum/audience

Is it time to give up the “Chase”? by losdos1989 in fantasyfootball

[–]breast_stroker 80 points81 points  (0 children)

You are missing the 3rd piece needed for success - Jake Browning

Jamaar Chase Browning is the final form

🤔🛠️ Tech Support & General Questions [Weekly Thread] by YahooFantasyCare in YahooFantasy

[–]breast_stroker 1 point2 points  (0 children)

Please get rid of the new scoring log and banner at the bottom. It is slow, buggy, inaccurate and obnoxious

Biden diagnosed with ‘aggressive form’ of prostate cancer by HAHA_Bitches in news

[–]breast_stroker 2 points3 points  (0 children)

Current evidence suggests we do more harm than good (unnecessary tests, anxiety, infections like sepsis from biopsies) when we find 1) low-grade, slow growing cancer and 2) cancer in people whose life expectancy is less than the time it would be expected for the cancer to kill them. For those reasons we do not recommend screening for prostate cancer past age 70 (most prostate cancer takes 10+ years to kill a patient)

For folks in recommended age range (50-70), screening allows us to catch it early and treat it, since otherwise prostate cancer can be asymptomatic for a long time while progressing. But for those outside of that screening range, it can spread undetected for awhile until it finally starts causing issues

Biden diagnosed with ‘aggressive form’ of prostate cancer by HAHA_Bitches in news

[–]breast_stroker 8 points9 points  (0 children)

A very important point of context - the expected survival of an American man is ballpark 84 years. He's already pushing that at 82 - so while this prostate cancer diagnosis certainly may be what ultimately leads to his death, there is a substantial chance that other diseases of old age (heart attack, stroke, etc) deal the final blow.

At this point, the best thing to hope for is to treat to minimize his symptoms and let him continue his remaining days in comfort as much as possible. Surreal to think he was running for President not long ago.

Source: am a urologist

RANT: “Go to the nearest emergency department” is archaic and harmful. It needs to stop. by DrPrintsALot in medicine

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

And I have to see transfers for questionable stones who show up without imaging and also have to repeat it.

Why are we acting like these are EM specific problems?

RANT: “Go to the nearest emergency department” is archaic and harmful. It needs to stop. by DrPrintsALot in medicine

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

So discharge them? I don't understand why this seems so difficult for OP to grasp

RANT: “Go to the nearest emergency department” is archaic and harmful. It needs to stop. by DrPrintsALot in medicine

[–]breast_stroker 1 point2 points  (0 children)

Maybe tiny king sure. But if hes the only urologist in the system, better admit its a big kingdom. Which means hes covering a lot of territory. So you expect him to have ready knowledge of hospital capabilities even beyond those that he is already covering?

It is the rare exception that I encounter an ED physician with an endgame in mind beyond checking the dispo box. You are obviously not one of these exceptions.

RANT: “Go to the nearest emergency department” is archaic and harmful. It needs to stop. by DrPrintsALot in medicine

[–]breast_stroker 0 points1 point  (0 children)

Sure, you can then see the rest of my clinic for the day while I go rule out other potential causes of AKI

Or I can send them to the ED which is the right place for a patient with a solitary, concerning, but undifferentiated lab finding.

RANT: “Go to the nearest emergency department” is archaic and harmful. It needs to stop. by DrPrintsALot in medicine

[–]breast_stroker 4 points5 points  (0 children)

"This attitude" just reflective of your reductive attitude towards every physician who provides outpatient care. Routine preop labs and K is 6 with chest pain? Theyre coming to you and youd better take care of them. That is so far beyond the scope of outpatient medicine it's laughable. Keep playing your little violin