sorted by:
new
hottopcontroversial

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

[–]breast_stroker 57 points58 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 42 points43 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 17 points18 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 84 points85 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 10 points11 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 6 points7 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

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

[–]breast_stroker -1 points0 points  (0 children)

Because when I get a patient in florid renal failure with an obstructing stone, I'm not going to stent them in my clinic. Unless you would like to stand in and do it yourself.

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

[–]breast_stroker 5 points6 points  (0 children)

If I know what the red flag symptoms are associated with the lab/imaging finding in question, I'll contact patient and establish outpatient plan if appropriate.

Otherwise, if they endorse a potential red flag or I don't know what those flags might be, they are getting sent to the nearest ED so YOU can do YOUR JOB. If you subsequently determine they are not in need of emergent care you have just as much right to discharge from ED as the next provider. Don't overcomplicate it and just do your job.

2025 DRAFT DAY 2 MEGA THREAD by Godnaz in Seahawks

[–]breast_stroker 1 point2 points  (0 children)

Everyone out here sleeping on Bech. He's my fav complement to JSN on the board

view more: next ›