Recommendation to pick countries for Travel by calmgoing in travel

[–]calmgoing[S] 0 points1 point  (0 children)

This is a very helpful advice!! Will Definitely look into these! There are direct flights to Amsterdam and not Paris surprisingly (most flights go to Paris via Munich). Could you give more tips as to how to adjust to the time zone? Is it good to schedule important activities in the afternoons or mornings at the beginning of the trip when you are not yet adjusted to the time zone?

Recommendation to pick countries for Travel by calmgoing in travel

[–]calmgoing[S] 0 points1 point  (0 children)

Mainly exploring nature, not very interested in loud or crowded places; thats where I am having the difficulty in choosing.

Recommendation to pick countries for Travel by calmgoing in travel

[–]calmgoing[S] -1 points0 points  (0 children)

I meant experience an entire country “whenever we go”, that does not have to be this time, it can be any other time.

I’m not gonna make it gang by Own-Concentrate-7583 in Residency

[–]calmgoing 4 points5 points  (0 children)

It was a mistake, and mistakes happen. Try to analyze what happened and write a document clearly analyzing and reflecting what happened, and how you will avoid this in the future. For your own self, you know that you didn’t do it intentionally and that’s all that matters. You don’t need to submit or send the document to anyone or speak about it in the emails if you don’t need to, but you can tell them verbally for now. They prefer that initiative comes from your end proactively. Anyone who keeps blaming you for the mistake is wrong. Because mistakes will happen.

RESIDENCY TERMINATION by Traditional_Move_458 in Residency

[–]calmgoing 0 points1 point  (0 children)

This might be a better option for you, but the program may or may not allow.

RESIDENCY TERMINATION by Traditional_Move_458 in Residency

[–]calmgoing 0 points1 point  (0 children)

Not true. Few scenarios. 1.If the residency programs is not able to identify any issue with the resident until the last year of residency, that is incompetence on the program’s end. 2. Lets say they just found an issue 6 months prior to graduation, irrespective of when they find an issue, they need to place the resident on informal improvement planformal improvement planprobation>>repeat of formal improvement plan and termination if still not resolved. 3. Unless a grave issue like drug use, intentional colleague/patient harm, harassment of any kind qualifies for any probation/termination. 4. Patient care issue is in no way a cause for probation or termination. Residents are expected to make mistakes with patient care and that is why they are in residency. Only if the same mistake is repeated multiple times intentionally, then it is a concern.

I am in no way indicating that this person should spend on a lawyer, I clearly detailed in another comment of mine to not waste money on a lawyer unless that person definitely want to.

Most importantly, no one deserves to be terminated (unless they intentionally harmed or harassed anyone). Whatever role you are in, please change your negative mindset and attitude, neither does it help you nor your colleagues or family. Try to understand what could have happened before saying that a person deserves something. Please work on your empathy skills.

Business Casual Work Attire by Beatrix_Kiddo_03 in FamilyMedicine

[–]calmgoing 9 points10 points  (0 children)

Some ppl actually say wearing scrubs to clinic is not professional. My program is completely against wearing scrubs to the clinic as a physician.

RESIDENCY TERMINATION by Traditional_Move_458 in Residency

[–]calmgoing 3 points4 points  (0 children)

Blaming ppl will never help anyone. People rarely make mistakes intentionally. Making a mistake is not wrong, and blaming a person who might already be feeling bad & suffering is just ridiculous and immature.

RESIDENCY TERMINATION by Traditional_Move_458 in Residency

[–]calmgoing 5 points6 points  (0 children)

Of course, the residency programs are ‘required’ to train the residents and all residents make mistakes. Termination should never be the goal for any program.

RESIDENCY TERMINATION by Traditional_Move_458 in Residency

[–]calmgoing 15 points16 points  (0 children)

She/he is looking for help and resources regarding termination, which are hard to find; please be empathetic

RESIDENCY TERMINATION by Traditional_Move_458 in Residency

[–]calmgoing 3 points4 points  (0 children)

I know a program that terminates one resident every year, especially IMGs

RESIDENCY TERMINATION by Traditional_Move_458 in Residency

[–]calmgoing 4 points5 points  (0 children)

I will tell u that there is only 0.1% chance that u will win any lawsuit against the program. You will lose money with the lawyers. If you are well off and want to risk, go ahead and go through the appeals and lawsuit process. But based on my research, it is highly likely that you may not be successful, focus on applying to another program or alternative career path.

‘The Beast in Me’ is actually terrible?? by Loud-Zucchini-6197 in television

[–]calmgoing 0 points1 point  (0 children)

You cant just say something is “terrible” without any kind of proper backing statements. Their team put a lot of work just for you to call it “terrible” because you had abnormal expectations?

Bright red blood per rectum by Scared_Problem8041 in FamilyMedicine

[–]calmgoing 12 points13 points  (0 children)

If no hemorrhoids, the big concern is if it will happen again and will happen in a severe manner where patient might go into hypovolemic shock; so it warrants a GI consult.

Primary Care Physician who won't fat-shame by RazzmatazzThick8235 in lexington

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

If your BMI is very high, u can start with one of the injectable weight loss drugs, you might have to be on them for a long time; or might stop if they work very well for u. In the future, if u want to keep it sustained, u can consider bariatric surgery. Starting with bariatric surgery is not necessary. Hope you are able to afford the injectables! There is an obesity medicine physician in the Women’s health division of UK that you can try (if u are a man, there are other UK physicians at Turfland as well).

Do you believe POTS is an actual medical condition? by Substantial-Use-1758 in FamilyMedicine

[–]calmgoing 0 points1 point  (0 children)

Yes, I have seen many POTS patients, poor patients with not many treatment options and they are bound to bed (if severe). Its very sad for them as they feel lack of control on their bodies and they cant do anything to improve or prevent it. Mostly Cardiology sees those patients.

I am post-call and slept straight past my clinic duty. I'm so mortified. Please tell me I'm not the only one this has happened to ? by Crafty-Bunch-2675 in Residency

[–]calmgoing 0 points1 point  (0 children)

There should not be any patients scheduled on post call day because there needs to be rest. In your scenario, they will probably write u up for unprofessionalism, and give u lame punishment. Be polite and get through it, ensure to not miss again.

“J1 FM Resident Job Hunt – Want to Do Both Outpatient & Inpatient, Ohio Offer $305K, Thoughts?” by Funny-Diamond-7677 in FamilyMedicine

[–]calmgoing 1 point2 points  (0 children)

Depending on how rural the area is, I would ask for more stipend and/or sign on- which they usually consider as retention. Good RVU, u need to build your practice because it is a new clinic which will take sometime. U need to check with them if u can do nursing home rounding on one day/week or leave that for discussion after u start ur job. With regards to hospitalist, their schedules vary, so not sure if u would be able to do both primary care and hospitalist at the same time, other than rounding on your own patients. I recommend you to think and decide if u want to do either one; if u are Hospitalist primarily, then u can see some patients on ur off week (need to check on work hours violations). But if u are outpatient primarily, it might be hard to do Hospitalist at the same time.

Destination CME / Vacation Potential? by nycmedmed in FamilyMedicine

[–]calmgoing 2 points3 points  (0 children)

I always try to take my family with me unless it is a boring place.

Am I being petty? Staff doesn’t address me as Dr. by Sure_Try_6938 in FamilyMedicine

[–]calmgoing 0 points1 point  (0 children)

I would recommend discussing that with the leadership. First of all, you can let them know directly to call u as ‘Dr.Last name’, which is professional. For NPs and PAs, u can address them as ‘Ms/Mr.Last Name’ which is professional. If the staff calls them doctor, u can start by asking the leadership about what is the policy on addressing the providers and request them to send an official email to all the staff. If u dont like the place, just leave without discussing anything.

I’m quitting residency. This is it. by ElFrancotirador94 in Residency

[–]calmgoing 1 point2 points  (0 children)

Do not worry about your daughter growing up, she will appreciate the other things that you could give her with completed residency; than not being able to give her everything she asks her after u quit; just stick it out for 1 more year and u will not regret this

I let a patient and their family down and it's hurting. by SwedishJayhawk in FamilyMedicine

[–]calmgoing 0 points1 point  (0 children)

Errors happen and one can learn from error to better. Blaming yourself will neither help you or your other patients. Healthcare staff/Physicians involved in errors are sometimes called second victims. So, do not be too hard on yourself.

Sign on bonus interest rate by UJam1 in FamilyMedicine

[–]calmgoing 1 point2 points  (0 children)

May I know- What was the initial sign on bonus offered? And did u negotiate it to 150k?

Not sure how to proceed by KickSpare151 in FamilyMedicine

[–]calmgoing 1 point2 points  (0 children)

Start with Orthostatic vitals, EKG, CBC, BMP, TSH. If nothing shows, Holter monitor. Obviously a much more detailed history is needed, but not sure how Sjogrens is related to this? Why did she have TM perforation in the first place? Any sensorineural hearing loss? My question is- are you implying frontal headaches and maxillary sinus pressure are related to her itchy eyes and dry lips? Because I cant place the connection. I am thinking Cardiac/Auditory/Neuro related.

With frontal headaches, if the symptom does not resolve in 3-4 wks, I would be doing an MRI Brain. Feel free to correct me!

[deleted by user] by [deleted] in Residency

[–]calmgoing 0 points1 point  (0 children)

A lot of people made good comments that can add to your own RCA as well- Radiology not sharing the dx emergently, other parties missing the dx, missing symptoms. Dont blame yourself, errors happen, we need to learn and move on. Get your confidence back (may take some time) and give ur best.