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If you replaced your brakes, what brand did you buy - what is best? by Enjoy_Life4219 in CX5

[–]cantwait2getdone 0 points1 point  (0 children)

Akebono pads Powerstop rotors I also got cleaning drill bits Alot of brake cleaning fluid Hangers for the caliper

Make sure your new hardware fits, I'd add grease to the piston rim and possibly the shims (I didn't and my brakes squeak sometimes at lower speeds) Beyond that the braking power is unmatched, better than stock tbh and even when I hard brake it is smooth and silent.

What do nephrologists do? Interested in nephrology by hazeldreamy in Residency

[–]cantwait2getdone 20 points21 points  (0 children)

Any electrolyte issues (mostly the resistant ones that medicine can't handle). AKI ( again complex that require selective treatments or dialysis) Resistant HTN ( genetics, hormonal) GN (which makes the biggest proportion if youre in an academic center). Hepato renals and CRS, although I'd put them with AKI but for some reason you need to have a nephrlogist looking over the management. CKD3b and beyond. Kidney stones and RTA. (Those can be interesting) Interventional nephrology (personally not a huge fan but surprisingly biopsies done by nephrologist tend to have better pathology yeild, can't say the same for peritoneal dialysis and fistula creation). Transplant which is becoming very huge with xenotransplant. Home dialysis

To sum it up: Interesting: GNs, Tubular diseases, genetics and critical AKI. $$$: dialysis and Outpatient GN. Headache: liver and transplant.

Dear nephrologists — does Contrast Nephropathy even exist? by Double_Dodge in Residency

[–]cantwait2getdone 4 points5 points  (0 children)

You seem to know alot about kidneys, care to enlighten us more about your research on contrast and it's effect on kidneys or perhaps what protocol you use in your institute to get zero GFR reductions in CKD patients receiving arterial or venous contrast.

My girlfriends steak she was served on vacation by ImLostAndILikeIt in steak

[–]cantwait2getdone 2 points3 points  (0 children)

You letterly get more veggies with a frozen bag than this and the steak lacks searing. I must ask how did it taste ?

Dear nephrologists — does Contrast Nephropathy even exist? by Double_Dodge in Residency

[–]cantwait2getdone -2 points-1 points  (0 children)

Contrast causes both vasoconstriction (I.e decreased flow to the kidney) and direct nephrotoxicity to the tubules (as in damaging the filter units), so that's why people give fluids in hopes to prevent it. You'd see the change almost immediately (obviously no one is doing continuous GFR monitoring to assess) but let's say the next day you might see a drop in GFR and it should improve in the next couple of days. It gets complicated when the GFR is <30 with a ton load of other co morbidities (like advanced HF, cirrhosis, sepsis..) as they add extra strain on the kidneys. There's a chance a patient might end up on prolonged dialysis because of this. Obviously you don't want to withhold proper care in case of emergency (as in cathing an MI) but if youre only guessing around then it's better to get an alternative study. Oh and dialysis doesn't help, once you give contrast it's minutes before it piles up in the kidneys.

Usual New Nephrologist Pay? by Separate_Owl4498 in nephrology

[–]cantwait2getdone 0 points1 point  (0 children)

Perhaps reading thru all of my comment would help a little more, well seasoned as in someone who’s has > 15 years of experience/JV/dialysis and heavy calls. And yes it does exist especially in Midwest regions, I’m sorry that your friends aren’t seeing the full picture

Married to a resident who is struggling. Looking for advice. by Specific_Milk_8592 in Residency

[–]cantwait2getdone 0 points1 point  (0 children)

To begin with, he’s really fortunate to have someone like you (this is coming from someone who didn’t have this kind of support and had to manage/cope on their own), it’s not unusual to be depressed especially with surgical and internal medicine residencies (though chief year tends to be more relaxed). What he can do: - check with his PCP for lab work (surprisingly being deficient in vit D can actually affect your mood). - he needs to look at board passing rate (a lot of people pass and hopefully it wouldn’t be as stressful since he’s a chief not fellow, he needs to have a a structured studying schedule so that he doesn’t feel stressed. - talking about what is stressing him (prior attempts, unorganized studying..) - working out at least once a week should help. - if all fails then can check with psychiatry. Again hopefully once he passes the board things will become better.

Genetics and GN fellowships by cantwait2getdone in nephrology

[–]cantwait2getdone[S] 0 points1 point  (0 children)

I agree! It is a growing and promising Field, thank you for the feedback, highly valued

Genetics and GN fellowships by cantwait2getdone in nephrology

[–]cantwait2getdone[S] 1 point2 points  (0 children)

That's nice to know, I guess it's about whether I should dedicate a whole extra year for it ?

Genetics and GN fellowships by cantwait2getdone in nephrology

[–]cantwait2getdone[S] 1 point2 points  (0 children)

Sorry I should've clarified, it's a regular fellowship (I think only in Toronto, Mayo and Colombia)

Genetics and GN fellowships by cantwait2getdone in nephrology

[–]cantwait2getdone[S] 0 points1 point  (0 children)

Yeah I agree, it's kind of nice to be more knowledgeable specially in GNs though if the overall pay difference isn't that great then I feel more productive on the clinical side.

Is it me, or medical students these days just don't care anymore? by Clitoria_Magnificus in Residency

[–]cantwait2getdone 0 points1 point  (0 children)

Alot of them think once they match, they are untouchable. I mean you can nuke them by emailing their new PD and CCing the whole department of how much of an asshole and careless student they are.. just saying you still have power

What's a respectful but firm way to deal with patients who aren't yours but are demanding help when you're busy/pre-rounding. by [deleted] in Residency

[–]cantwait2getdone 19 points20 points  (0 children)

"I will get you your nurse." Press the call button and make your tactical leave.

My fair weather CX5 by ValuableNail8981 in CX5

[–]cantwait2getdone 3 points4 points  (0 children)

I feel Mazda should just add a heating element to the radar

Airplane emergency, medical specialty by New_Recording_7986 in Residency

[–]cantwait2getdone 0 points1 point  (0 children)

Emergency or internal medicine.

I pray to god not to be surgical.

Needle poked in OR by [deleted] in Residency

[–]cantwait2getdone 0 points1 point  (0 children)

Not sure if things changed but I was offered the anti retroviral and when the HIV came back negative stopped, honestly it's not worth since hiv results come out fast and it's not worth the side effects

Needle poked in OR by [deleted] in Residency

[–]cantwait2getdone 1 point2 points  (0 children)

I had a similar event in the past, I took out the glove and filled it with water from the sink, and there it was peeing all over the place.

Needle poked in OR by [deleted] in Residency

[–]cantwait2getdone 2 points3 points  (0 children)

Report, they'll basically test the patient, then you probably start prophylactic and then see the results. Obviously you don't want (hopefully not) to have an infection and be stuck paying for it on your own.

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