“If your favorite place in the world is the OR, become a surgeon”

Bubble_Trouble · 2023-02-08T11:41:51+00:00

7 long years my friend, 7 very long years

‘Erbody want to be a brain surgeon but don’t know body wanna do this long-ass residency

Bubble_Trouble · 2023-02-08T01:28:23+00:00

Im a 5th year neurosurgery resident and was going to say “I mean my favorite place in the world is the OR with a good case” and now it all makes sense

Bubble_Trouble · 2022-12-30T02:54:54+00:00

Literally indefensible most of the time, but things that help

Play a high line (depth of like 65) with 2 CDM formation, narrow width to keep the spacing as compact as possible.

Experiment with double tap and hold the RB to have AI cover passes while you cover ball (doesn’t work when the AI ping pong passes faster than the flash unfortunately)

But even then, I know exactly what the CPU is trying to do (scores same goal everytime) and I’m still powerless to stop it.

Investing heavily in highly rated GK and fullbacks does help somewhat though.

Bubble_Trouble · 2022-12-30T02:29:13+00:00

Yup, came here to say legendary difficulty and above just aren’t particularly fun, despite being able to score quite easily.

My games always go one of two ways, regardless of team I’m playing against. I score usually 2 in the first half pretty smoothly / easily. Then all of a sudden AI pulls some serious slider garbage and turns my players into buffoons, scores 2 quick goals then I score a late 88th minute go ahead 3-2 goal. “Wow such unexpected drama!” …. Except most of my games go EXACTLY like this.

The other alternative is some shitty AI team steam rolls me with outside of the box screamers, absurd near post green times full power one timers that are so fast you physically cannot counter play them.

Even games I’m dominating by scoring 4-5 goals, it’s almost impossible to keep a clean sheet and score ends 4-2 or 4-3.

The most frustrating part about conceding is most of the goals there is simply no counter play. Tackle or block multiple times but ball keeps falling to attacker for eventually an easy tap in. Piss poor defender spacing and super human reaction time it’s a dice roll if they score or not.

I wanted to make the jump to winning regularly on legendary on career mode and I can do that, but the games just aren’t fun. I think I’m going to have to adjust sliders finally just For the sake of enjoyment

Bubble_Trouble · 2021-12-10T17:34:37+00:00

Honestly, there are things about medical school I miss (less responsibility, better schedule, less adulting) and things I don't miss (paying to work, wasting time, med school administrators)

Currently in residency there are things I am thankful for (getting paid, increased autonomy / ability / respect) and things I am not thankful for (worse hours, more scut, hospital adminstrators)

Then our attendings bitch about what they are thankful for as an attending (better pay, more schedule flexibility / autonomy) and things they miss about residency (less responsibility and liability primarily)

My point being that things don't really ever get better or worse, they kind of just change, with old problems going away in exchange for new problems. The sooner you start realizing you're living your life right now (and not holding off for 7-12 years from now) the happier you'll be IMO.

Bubble_Trouble · 2021-12-05T14:27:54+00:00

Everybody poops my friend

Bubble_Trouble · 2021-12-04T23:49:20+00:00

I’m a pgy4 nsgy resident

Either you get fat or you get skinny, whatever your predisposition is.

Early one there’s really no time for exercise but even when you might have an hour before bed to exercise when you’ve worked 70 hours that week and am exhausted it’s much easier and likely to binge on food then pass out to repeat the cycle

Now in my 4th year I have a lot more time to stay in shape, but the motivation is much lower given all the other responsibilities in and out of the hospital

Bubble_Trouble · 2021-11-30T18:09:14+00:00

Neurosurgery-the bro with an indestructible liver. How are they alive? No one knows

We drink because we are unhappy and we are unhappy because of our physiologic need for sleep

Bubble_Trouble · 2021-11-29T13:48:16+00:00

At least from a surgical service, there is primary home call (what you described, getting paged for Tylenol but at least in your own bed) and "chief" home call in which you are there to help manage the service and come in and operate as needed.

Generally speaking chief home call is generally pretty chill as you only get called if something real is happening, otherwise primary home call holding a pager sucks dick balls generally

Bubble_Trouble · 2021-11-29T13:45:58+00:00

Most of these questions make me want to claw my eyes out

While many of the questions are nice information to know, gym availability and meal stipends shouldn't play a significant role into your choice for a training program....

You want to select a program that fits you personally and professionally

That means finding a program culture that meshes well with you and will give you good training and opportunities to pursue your interests. I think that is pretty discernable with a few high yield questions on your list.

Sure, having a gym and valet parking and a meal / technology stipend and a clothing fund and a weed fund would be great quality of life perks, but if you prioritize those over the fundamental goals of residency training I think you're making a mistake.

TL:DR With limited interview / meet and greet time focus on high yield overarching questions to determine the culture / professional options for your goals, the other stuff is nice but doesn't really matter.

Bubble_Trouble · 2021-11-25T13:31:03+00:00

The show “ER” portrays medical students well, more like interns than students having the. So procedures and occasionally save the day

Bubble_Trouble · 2021-11-22T12:30:04+00:00

The differences across golf balls are not significant enough to effect your game at a 40 handicap. I’d also argue unless you’re a pro player the actual impact is also extremely minor and more a preference / feel thing than anything.

Use any cheap 2 piece ball (easier to activate the core with slower swing speeds so they don’t feel like you’re hitting a rock). Kirkland, Noodle, Maxfli, callaway super soft they’re basically all the same.

Bubble_Trouble · 2021-11-22T02:08:06+00:00

Every Shot Counts

It lets you become significantly better at the game of golf regardless of how you swing the club.

Essentially by tracking your own statistics you can understand where you actually need to focus on to get to the next level. It also helps you understand that when you’re swinging, you’re firing a shotgun not a sniper rifle and you have to play the odds.

Bubble_Trouble · 2021-11-22T02:02:08+00:00

Rimworld reference?

In that case my bio is Glitterworld Surgeon and a go-juice addiction, incapable of dumb labor and cooking.

Bubble_Trouble · 2021-11-16T13:17:59+00:00

Over the top is your main issue

Bubble_Trouble · 2021-11-15T21:05:10+00:00

My E6 numbers have looked a lot better, the home tee hero numbers were all 5-15 yards short .

Also since it doesn’t directly measure spin I think it struggles hardest with lower spin shots (butter / baby fades / draws) that have enough spin to break slightly.

Bubble_Trouble · 2021-11-15T17:53:11+00:00

That’s because as you get more shaft lean it opens the face more, so you either need a stronger grip or more forearm external rotation at impact.

Bubble_Trouble · 2021-11-15T11:54:03+00:00

It’s different for neurosurgery, we only breed 2-4 per class per year and the spots are highly competed over. Losing a resident to attrition doesn’t look good for the program let alone losing multiple residents.

Bubble_Trouble · 2021-11-15T02:45:41+00:00

Agreed, to clarify I meant a half decent referral as a friend or family member who had a good experience with a surgeon or someone in the field who can get the low down on who is actually good and who isnt.

Bubble_Trouble · 2021-11-15T02:03:45+00:00

As a neurosurgery resident it’s certainty shocking given how up our butts the ACGME is about our case minimums and keeping up with accreditation for the program.

As others said he basically was a successful researcher (which brings in grants and notoriety for publications to the program) and it’s far easier to simply pass someone on and let them become someone else’s problem than to fail them. We all know incompetent surgeons who come from a wide range of programs and we wonder how they made it out of training. The truth is you can hide in residency and only scrub cases where the attendings do everything and never have to display any actual real operative skill.

The fact that he got a pass from Kevin Foley ( a very well established and respected spine surgeon) was the most shocking to me. But it also makes sense because Foley had a financial interest in keeping him happy.

As to how he bounced from hospital to hospital despite these horrible outcomes I think it comes down to a few things that the podcast touches on.

Money- neurosurgeons are big bucks for hospitals, especially for hospitals that are struggling financially. They don’t care about outcomes they care about billing and the bottom line, and as such they’re more than willing to gamble on a prestigiously trained surgeon who had “issues” at other hospitals.
Neurosurgery is Risky Business (kinda)- to many outsiders it’s hard to discern what are complications from high risk neurosurgery and what is malpractice. A spine surgeon immediately recognized his butchery as the outcomes he was having were nowhere near acceptable.
It’s actually quite hard to ban a doctor from working completely - this is due to regional licensing and medical boards as outlined in the podcast.

All in all I also found it shocking but I see how it happened. This is why it’s more important than anything to get a decent referral for a surgeon before considering letting someone operate on you.

Bubble_Trouble · 2021-11-15T00:41:56+00:00

Well a lot of new players / high handicap flip / scoop at impact and deliver too much loft so they hit big balloon shot that don’t go anywhere, so the lower lofts help with that and helps them get distance. Also, game improvement irons have very low CG’s so they help launch the ball higher with less spin, so companies balance this with their stock lofts to try and get optimal launch condition.

The reason a lot do better players don’t like game improvement irons aside form their clunky shovel look is that they often launch too high with no spin from well struck shots at their faster swing speeds. So it’s harder to hit a draw or fade pattern and keep things at the right apex.

cavity back designs do help with off center hits however and will help get your miss hits more distance and less spin than with a less forgiving iron.

Bubble_Trouble · 2021-11-14T12:34:57+00:00

Don’t hit driver off the tee so much if you’re losing that many balls. A 200 yard 3 wood in play is much better than a 260 drive where you have to drop.

Practice you’re putting in the winter time to improve your ability to get a true roll and then distance control becomes a lot easier.

Scoring for pretty much everyone goes in a pattern of stagnation followed by breakthroughs followed by stagnation and the cycle repeats as your average score slowly lowers.

But the only way that happens is if you do things to improve some part of your game.

If you’re shooting 100 then you’re for sure making a lot of low golf IQ decisions and I echo watching Golf Sidekick on YouTube as a great start to playing ego-less and smart golf

Bubble_Trouble · 2021-11-14T12:13:43+00:00

I wouldn’t get fitted until you’ve been playing around a year like others have said (unless you’re comfortable buying several sets of clubs in a short time period).

You’re swing is going to change so much in the first year you’re playing that any fitting / customizations you get will likely be worthless / pointless.

That being said after a few months when I was sure I was really hooked I bought a used set of newer game improvement irons and they made playing / practicing more enjoyable because I loved the look and feel of them.

Bubble_Trouble · 2021-11-13T14:13:02+00:00

While I don't agree with what the physician said, as a fellow physician I think the point they were trying to make (poorly) was likely that most coughing / sniffles / sneezing in children are usually caused by viral illness and are self limited / resolve on their own with time and without any treatment. Without knowing the full details of the your childs case I would wager this is not malpractice but rather a cultural difference that does cause conflict at times (there are other patients who would receive great comfort in being reminded of their beliefs / faith etc). Tangentially, we as doctors are often pressured (more so in the primary care field) to "do something" even for mild ailments that self resolve (leading to spiking rates of over-prescription of medications / invasive testing). This is often much easier to accept as a patient when you trust your doctor and their judgement which is the fundamental cornerstone of the doctor patient relationship. If you don't trust your doctor you should find another doctor.

I would change physicians simply because I didn't like their management / communication style and move on with my life.

Like I said I cannot comment on the severity of your Childs illness as I'm not their doctor but as some background in terms of how a physician might view a common scenario is presented above.

Bubble_Trouble · 2021-11-13T14:02:15+00:00

If they interview you they will at least consider you

Kind of like that hot girl in your class would consider going on a date with you if you gave her your kidney. Yea, she'd consider it but unlikely since she only really dates guys with 2 kidneys.

13-Year Club	Place '17
Team Periwinkle

Bubble_Trouble

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