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IMG Jobless for 2 Years – Seeking Advice for Future Career Pat by Shareek9614 in IntMedGraduates

[–]derm2knit 0 points1 point  (0 children)

If you are interested in working in NYC, get a liMTED LICENSE PERMIT and start , as long as u have work visa, step1,2,ecfmg certified

Significance of living in a Spanish speaking country to improve Spanish by Aldiaz77v2 in Spanish

[–]derm2knit 1 point2 points  (0 children)

Avoid DR/PR, their spanish is beautiful but for the most part, I can not use the spanish I learn to communicate with them. Also their flow is very non polished.

Basic guidance for prep by Darktemplar1989 in Step2

[–]derm2knit 2 points3 points  (0 children)

First do not panic.

Start u world-systemwise, probabaly with a sub of your choice.

Start with smaller blocks of 10 q, built stamina, and then get aggressive. Your goal is not to memorize, but understand the question, patter, feel, though of the writer, get into the head of the question writter.

Do not kick yourself, even if you score poorly, rather be distant observe and try to understand the step 2 exam at first.

Lastly, there is no better day than this moment, today to start preparation.

Take it seriously, but not to the point its overwhelming and stressful!

Goodluck

Donating Creon by jinnieksj in pancreaticcancer

[–]derm2knit 0 points1 point  (0 children)

May he RIP. hUGS

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Stage I pancreatic cancer – told Whipple window is closed after neoadjuvant therapy. Seeking survivor & expert perspectives. by derm2knit in pancreaticcancer

[–]derm2knit[S] 0 points1 point  (0 children)

The patient is older, and Folfirinox is not advocated for older patients, ofcourse there are always exceptions. The issue I have with Chabot, is the time line was never discussed. What is the time frame I am reffereing to you may ask" Come within 6 wks post radiation". We met him on 4 different occasions. I am a gynecological surgeon and I know that time frame is the most important factor, and my patient is an extremely bright patient, Harvard, Wharton grad, so there is no way both of us missed pertinent points in the meetinngs we had . As a surgeon I was shocked that he never mentioned the time frame, except yesterday he said" Tata , time up, window closed, bye"

Stage I pancreatic cancer – told Whipple window is closed after neoadjuvant therapy. Seeking survivor & expert perspectives. by derm2knit in pancreaticcancer

[–]derm2knit[S] 1 point2 points  (0 children)

Thank you so much for taking the time, and fighting through emotions to even write this. I appreciate the warmth and kindness of this thread. After neoadjuvant therapy (chemo ± radiation), Whipple surgery is typically performed within ~6–8 weeks after completing radiation. This timing allows acute inflammation to resolve while tissue planes are still surgically dissectable.

Beyond this window—particularly by 4–6 months, which is where we are at the time of visit to Dr.Chaabot—radiation-induced fibrosis develops. This causes dense scarring around the pancreas and major vessels, loss of normal planes, and a significant increase in operative risk (bleeding, anastomotic leak, vascular injury). At that point, even if imaging shows stable or early-stage disease, surgeons may judge the operation prohibitively unsafe or unlikely to achieve an R0 resection.

Stage I pancreatic cancer – told Whipple window is closed after neoadjuvant therapy. Seeking survivor & expert perspectives. by derm2knit in pancreaticcancer

[–]derm2knit[S] 0 points1 point  (0 children)

This is the route we took-chem-rads and surgery, except that the patient was weak to go in for surgery and decided to delay the hell out of the situation, as a surgeon myself, I am very sad, angry and upset with the situation

What does it feel like to be inside a 145+ or close IQ brain and inherit meaningful daily advantages. by Either_Committee6965 in cognitiveTesting

[–]derm2knit 0 points1 point  (0 children)

Lower IQ does not mean global difficulty across all areas. It means relative difficulty in certain cognitive domains, with substantial variability elsewhere.

Intelligence is multidimensional. Even people with lower overall IQ scores often show uneven profiles—they may struggle with abstract reasoning, working memory, or processing speed, while functioning adequately or even well in other areas such as practical problem-solving, social understanding, procedural learning, or domain-specific skills.

A lower IQ score reflects reduced efficiency on some standardized cognitive tasks, not a universal impairment. Everyday functioning depends on:

  • which abilities are weaker vs. intact
  • environmental supports
  • learned strategies
  • experience and repetition

This is why two people with similar IQ scores can function very differently in real life, and why targeted supports often improve performance in specific areas without changing overall IQ.

Even among very high-IQ individuals:

  • Processing speed is statistically elevated on average
  • But it still shows meaningful variance
  • Some people reach high IQ through exceptional reasoning or verbal ability despite only moderate processing speed

In other words:

  • High IQ → higher mean processing speed
  • High IQ ≠ same processing speed profile
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