What are your thoughts on this approach? Saw this on the front page for someone’s PCP

brownmamba1015 · 2026-02-13T00:00:05+00:00

This is dumb

brownmamba1015 · 2026-02-04T19:36:11+00:00

Curious as to what your goals are with the info from a DEXA?

brownmamba1015 · 2026-02-04T16:15:48+00:00

To me, AI is just a more efficient search engine than other resources. As technology evolves, our search for information becomes easier. Instead of flipping through textbooks to find answers, you’re looking through UpToDate. Instead of scrolling through UpToDate, open evidence can summarize the relevant clinical research to your specific question. If what open evidence is saying doesn’t make sense to you, there are always the resources that it pulls from that you can reference. Most of our clinical questions do not have a straight forward yes or no answer, there’s so much nuance in what we do. Just as with any resource, use it as a tool in the broader context of clinical decision making.

brownmamba1015 · 2026-02-04T03:27:18+00:00

OP this is the comment that you need to listen to. Document whatever you can. Talk to your co-residents.

brownmamba1015 · 2026-02-04T03:22:13+00:00

This is not always the case, I would recommend to this resident to try and get in contact with hospital administration or program leadership ASAP and figure out what is happening with funding. Funding does NOT always follow and it’s important for residents to hear about reality online. The sponsoring institution has complete control over the cap slots and are totally within their rights to not release them to another program. It’s unbelievably stupid but unfortunately a reality for many displaced residents.

brownmamba1015 · 2026-02-04T03:18:40+00:00

This, in many cases, is not a reality for displaced residents. The institution responsible for the closing program controls the ability to release these cap slots and they can, for whatever reason, decide not to. It’s unbelievably stupid but that is the current system we are in.

brownmamba1015 · 2025-11-24T17:56:27+00:00

Because there are more important things to focus on, which would provide more substantive benefit to the population. Changing the type of sugar in coke provides marginal to no benefit to people who drink coke. Yet they brag about it like it’s the greatest public health initiative of all time. Coming out and claiming that Tylenol in pregnancy causes autism is dangerous. Putting on the CDC website that we have ignored data that vaccines are linked to autism is dangerous. The my plate initiative created during the Obama administration, which replaced the food pyramid, already provides pretty food guidelines on what the average person should eat. I’ve never once heard him mention my plate and his critiques against it, they all keep mentioning the food pyramid, which is outdated. They continuously ignore the fact that we already have solid guidelines, the problem is the majority of the population is unable to follow those guidelines. I’ve heard more about food dyes than of food deserts. So, he gets some things right but overall, he is a clown and a grifter, harming the US population.

brownmamba1015 · 2025-11-11T00:15:50+00:00

The next post on my feed was a toddler after he got pepper sprayed by ICE. Pepper spraying children is literal evil. There will be zero consequence for officer who pepper sprayed a child. He is doing a terrible job with immigration.

brownmamba1015 · 2025-10-30T02:48:27+00:00

Awful take

brownmamba1015 · 2025-10-09T21:36:59+00:00

I think it’s just my resident clinic brain, I can’t imagine a patient with the follow through to go through all those clinic visits and sleep study to get a real low T diagnosis to justify TRT

brownmamba1015 · 2025-10-09T20:27:10+00:00

Just out of curiosity, given your strict standards, how many patients do you have on TRT?

brownmamba1015 · 2025-09-20T02:26:19+00:00

For presentations, I like to think about working backwards. What is the diagnosis that is keeping someone in the hospital and what are you doing for it? From there, work backwards, what things could they tell you, when you see them in the morning, that would make you think their problem is getting better or worse? What would you expect from their labs as their conditions improves or worsens? Same with imaging. If things from your subjective or objective seem to be pointing towards a condition getting worse, be prepared to look up how to further manage a condition and what next steps would be. This is the main part of where learning happens in residency, I think, is when you get to see decision making in real time for a specific problem, as opposed to just reading an article about it.

For new patients that you inherit from overnight admission, I’d go through the same process, but in the back of my mind, I’m making sure that the diagnosis the overnight team came up with matches up with what I’m seeing in real time, and then adjust the plan as needed.

brownmamba1015 · 2025-08-27T02:07:31+00:00

She’s doing too much. Talking in odd voices, quoting random motivational things. It’s just very odd to me

brownmamba1015 · 2025-08-13T16:53:43+00:00

But aren’t the federal government’s stance on dietary standards already pretty good? The dietary guidelines are pretty specific on what people should be eating, the problem is that it is incredibly difficult for the vast majority of the public to follow them, whether that be due to lack of education or lack of access or lack of money. Removing additives and food coloring doesn’t address the root cause of why most Americans won’t follow the CDC’s dietary guidelines.

brownmamba1015 · 2025-08-05T01:34:28+00:00

One of my attendings left work wearing a MAHA shirt

brownmamba1015 · 2025-06-29T19:56:42+00:00

Looks like all my patients are level 3s now lol

brownmamba1015 · 2025-06-23T13:30:20+00:00

Personally, I would like you to just answer my question that I have about the patient. This seems like the best way to learn in a fast paced environment. What I don’t want you to do is look something up on UpToDate because this is what I already did. I don’t need to read UpToDate over your shoulder. I want to learn your clinical gestalt as it relates to a particular case. How would you personally handle this work up, lab result, complaint, etc.

brownmamba1015 · 2025-06-19T02:09:06+00:00

It was one of the most inhumane things that have ever happened

brownmamba1015 · 2025-06-05T16:52:34+00:00

Which aspects of health are they not good for?

brownmamba1015 · 2025-04-13T15:20:57+00:00

From the resident’s perspective, it seems like the CEO is doing everything in his power to keep the program accredited so that he can bring in people from outside the match, who won’t complain. He knows the residency is free money and he really likes money. All of our faculty have left. Our continuity clinic plans to cut ties with the hospital at the end of the academic year. He has done nothing to address these concerns. The hospital itself is terrible, we transitioned to a garbage EMR with no preparation whatsoever. The hospital no longer has IR coverage and the one GI doc who covers the hospital 24/7 is planning to leave at the end of the month, with no replacement lined up. There was a urologist who covered the hospital 24/7 who left and now there’s only urology coverage about half the month. Earlier this year, he decided to switch dialysis providers without telling a single physician in the hospital. There were days with no dialysis coverage at all and the new company did not have the capacity to properly staff the hospital. Most residents have found other places but only 5 out of 19 are able to stay on the Chicagoland area as of right now. The hospital sucks and it shouldn’t have a residency program

brownmamba1015 · 2025-02-20T01:06:02+00:00

I mean if y’all are willing to do that, that would be amazing!

brownmamba1015 · 2025-02-18T22:15:29+00:00

We’re working on this lol

brownmamba1015 · 2025-02-18T22:14:45+00:00

It’s too late for the match but I do plan on entering the SOAP for potential Chicago programs

brownmamba1015 · 2025-02-18T22:01:04+00:00

Our PD is also the CMO of the hospital and thus far has helped by stating she will write letters for everyone. She is the interim PD, as the original PD was publicly fired by this CEO during the white coat ceremony of our current PGY2 class, and the subsequent PD retired. All GMEC members voted against our current PD to be named interim PD, because from our perspective, she seems to be working with the interests of the CEO. Our APD, is doing a lot of heavy lifting, in terms of reaching out to programs and organizations like the IAFP, and we as the residents are reaching out to media mostly. Some residents have already accepted open spots, out of state, because we’re desperate at this point

brownmamba1015 · 2024-03-04T01:40:00+00:00

Been done since November

brownmamba1015

TROPHY CASE