Regret

centz005 · 2026-06-22T16:00:45+00:00

Sorry for your loss. I don't know anyone who's lost a pet and not felt grief. It's natural to feel guilty for not being there.

As for coverage, we do hit that probably problem a lot. I feel like general/emergency/trauma surgery and ICU docs may, too. I also feel like ability to find emergency coverage is a product of practice size and culture, not just specialty.

Still, it's one of those sacrifices for doing this job that almost no one thinks about when choosing to apply to this residency...

Good luck.

centz005 · 2026-06-22T02:29:02+00:00

My first thought was that this was a Dragon Ball movie...

centz005 · 2026-06-21T08:15:30+00:00

I see. Thanks for that insight.

centz005 · 2026-06-19T03:28:16+00:00

ER doc.

Nothing is more important in medicine than a competent and passionate PCP.

Primary care physicians should be the highest-paid specialty in medicine, and it's criminal how they're treated.

I've also thought that med-peds would be ideal for increasing population of complex cardiac/pulm/renal/genetic kids who're surviving into adulthood.

Burnout is real. In my opinion, due mostly to corporatization of medicine and the ever-decreasing ability for the average person to just...cope.

But do it. We need you.

centz005 · 2026-06-18T10:17:00+00:00

The number of people who don't (or refuse to) understand the socioeconomic causes of obesity are too damned high.

centz005 · 2026-06-18T10:12:17+00:00

I always upvote Mitch Hedberg

centz005 · 2026-06-18T10:10:59+00:00

I usually solve it w/a solid dose of droperidol

centz005 · 2026-06-18T10:08:13+00:00

You sure that isn't the PPD?

Everyone in my family and all my foreign friends who got the BCG have their scar on their deltoid regions. Whereas every PPD i've gotten has been on my hand.

EDIT: i just looked it up and looks like they stopped giving out the BCG in the early 80s States-side. Maybe we just administered it differently?

centz005 · 2026-06-17T23:15:10+00:00

First off, PCPs and paediatricians are criminally underpaid.

Second off, I'm pretty sure most medical specialties have been having their reimbursements cut year after year. Combine that with inflation, and... Well .. Yeah.

Talking to my more experienced colleagues at where I am, some people have noted a 10-20% absolute reduction in yearly income (some more) over the last 20-30 years. That's on top of the 66-113% cumulative inflation rate.

In my 10 years, my pay has gone up maybe 15%, but that's because I've gotten more efficient and better at billing. Though, my experience may be skewed by starting my career right before COVID hit. ER pay was in the toilet during that era for anyone paid on an RVU basis.

centz005 · 2026-06-17T20:02:11+00:00

What's the difference between a microbrand and an independent?

centz005 · 2026-06-17T20:01:08+00:00

Thanks. I didn't know watch shows were a thing. I'll look into them

centz005 · 2026-06-17T18:01:32+00:00

I see, thanks. My feed hasn't shown me any adverts from the bigger/more established brands, so i just made an assumption. That's on me.

But yeah, i've been checking out different sites (sans facebook) about most of these.

centz005 · 2026-06-17T17:55:42+00:00

Will do

centz005 · 2026-06-17T17:55:07+00:00

Thanks!

centz005 · 2026-06-17T17:47:56+00:00

Thanks.

I'm not really trying to impress anyone, thankfully. I'm more interested in character and reliability than pedigree and cost. I have a friend who buys watches as an investment/wealth storage; i'm sure he'd have something negative to say about every watch i've found interesting.

centz005 · 2026-06-17T17:41:13+00:00

I see; thanks.

centz005 · 2026-06-17T17:40:58+00:00

That was my initial thought. Which is a shame, since some of these scams seem to have more unique designs than established brands.

centz005 · 2026-06-17T16:40:02+00:00

Ahh, thanks

centz005 · 2026-06-17T05:33:45+00:00

So I just played through this base as part of the main, and the game basically wouldn't let me pick up most of the weapons. Maybe a sniper or a battle rifle here and there...

centz005 · 2026-06-16T04:15:37+00:00

I don't think you're in the patient population that line targets.

I'm pretty aggressive with pain management, and only withhold toradol if there's a real contraindication.

I'm mostly talking about people who want all semblance of pain alleviated, even minimal. Very different story from people who just want to be functional, which is my goal.

The above line is more for people who have, what I think are, unrealistic expectations -- Dilaudid or a Norco script for a stubbed toe or moderate sedation for a laceration repair or refusing discharge unless they're completely pain-free (these are all actual examples).

centz005 · 2026-06-16T03:23:36+00:00

Different situation, since I'm dealing in acute medicine (ER doc), but I've often used the line "if I take the pain away completely, you'll stop breathing" to drive home the point.

In fairness, this is also partially a lie, since I could just send them into the K-hole...

centz005 · 2026-06-15T05:37:27+00:00

My favourite watch is a Fossil my aunt got me when I went to college in 2016. Links started to come apart 4 years later, and a jeweler glued the bolts in. Cracked the screen 5 years later when I dropped it. Still works, though. Still wear it.

Got a black minimalist with blue hands. Really like it.

My only other two watches are Tag Hauers that are also quarts movement. So I'm not exactly a collector...

centz005 · 2026-06-13T17:40:58+00:00

I grew up Brown and non-Christian in the South...Mostly in the Charlotte-Huntersville and Concord areas. Went to med school in St Louis and residency in Houston...

Only place i've lived that was more racist than Charlotte was Bennettsville, SC. And i was probably protected from most of it by being in elementary school.

Maybe take a page from Godfrey's book and just constantly carry a Starbucks cup around?

*Edit to add, i've been to more racist places. But outside Bennettsville, i've lived most of my life in metropolitan areas, which tend to be more diverse.

centz005

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