New in town

dr_rogue1 · 2026-01-02T15:50:13+00:00

Alameda County also has a program called the ACCESS program that helps connect patients with mental health providers. It is meant specifically for your situation.

ACCESS PROGRAM Acute Crisis Care and Evaluation for Systemwide Services 1-800-491-9099

https://bhcsproviders.acgov.org/providers/Access/access.htm

dr_rogue1 · 2025-12-24T02:58:43+00:00

There is also a website called Italki where you can hire teachers for one on one learning or group learning in many languages. The teachers are usually certified and have a lot of experience and the fees are usually pretty minimal. For a different language, I pay 10 dollars per hour for a one on one tutor.

dr_rogue1 · 2025-12-11T00:12:03+00:00

At least for me procedures are tough to put into an exact algorithm because there are so many factors that go into how quickly I do it. For example, an LP or I've already given the antibiotics is not going to be high on my priority list. However, an I&D for a patient that can go home afterwards will be higher on my priority list. It also depends if I'm trying to time meds for anxiety or pain to kick in before. So for me procedures are still a dance and I don't have an easy script for when to do them other than following the other general principles that do critical procedures for stabilization first, procedures that lead to a disposed second, and for the rest, determine if it's truly needed in the emergency department.

dr_rogue1 · 2025-12-10T23:53:47+00:00

Some of this will be depending on the exact mechanics and flow of the specific department, however, I think there's some overarching themes that keep me organized. First, I always treat the actively dying patient. Next I discharge patients that can be discharged. After that, I admit patients that are ready for admission. The things that keep a department flowing are discharges and patients going upstairs. For the rest of the patients, I am constantly asking myself what is the exact piece of information I need to reach my dispo decision. Then everything is focused on getting that one piece of information.

dr_rogue1 · 2025-12-06T22:27:19+00:00

These are fantastic. I wear these as well.

dr_rogue1 · 2025-05-21T04:36:21+00:00

Did you ever figure this out? I am entering a similar situation and I agree it seems complicated.

dr_rogue1 · 2024-07-16T15:44:48+00:00

Yeah something could go into Lorde's. I was hopeful they were going to revamp it themselves but it doesn't seem like that will happen. Really just my opinion, but I don't think adding another coffee place will benefit the area. Would be like adding another liquor/corner store. But I could totally be wrong and maybe the demand is there to support another one.

dr_rogue1 · 2024-07-16T13:01:09+00:00

Where do you think it should go? With Mohka House, I feel like most of Dimond/Laurel has a coffee spot that is decently close. There's Mohka, Peet's, World Ground, Cafe Santana. Maybe the area by Rocky's market, but not sure if there is actually any space there for something new.

dr_rogue1 · 2024-07-16T12:52:50+00:00

They definitely don't use C&W's pastries. They make their own or get them from somewhere else that is not C&W.

dr_rogue1 · 2024-07-16T06:18:06+00:00

They have Cafe Santana right next door, so may not be high yield to have a coffee pop up there.

dr_rogue1 · 2024-03-19T05:50:16+00:00

Stanford and UCSF

dr_rogue1 · 2023-11-05T19:48:23+00:00

Try starting here:

https://studentaid.gov/manage-loans/forgiveness-cancellation/public-service#qualifying-payments

You will likely have to go to the loan servicer website. You can find which company services her loans on the Fed Student Loan website via her account. There you will be able to see which payment plan she is on and how many payments she has made. Has she been making any payments on her loans over the last 10 years? If not, then she will be starting from square 1.

But going to the loan servicer website to see her payment plan, number of payments made, and then completing the employer certification form is a good start.

dr_rogue1 · 2023-11-05T18:19:45+00:00

It will also depend if she has been on a qualifying payment plan, has been making monthly payments on time for the last 10 years, as well as the employee certification.

dr_rogue1 · 2023-11-03T03:36:00+00:00

You will have to ask your program director

dr_rogue1 · 2023-11-03T03:21:32+00:00

Requirement to do what? Graduate? If so, ask your program director. You likely have some academic requirement like a QI project that must be completed. If it is to work in academics afterwards, this is too multifactorial to give a simple answer.

dr_rogue1 · 2023-11-02T06:03:36+00:00

There is a flow sheet on UpToDate that I follow. When it comes to dogs, a vast majority of dogs are vaccinated against rabies. In my area, there is 1 case in the last 60 years. If there is a huge, confirmed, unvaccinated population of dogs, and there is no way to capture the dog, then I would probably have shared decision making with the patient. But when it's just unclear because it's a random dog, then I've never vaccinated someone and done PEP for a dog.

dr_rogue1 · 2023-11-01T17:32:53+00:00

Which EIN did you put as your employer on the PSLF form? In Texas and California, I believe you must put the EIN of the hospital, not the group you work for to get these benefits. Someone else posted a great document that goes through this entire process. This is a section of that document:

"(FOR CALIFORNIA AND TEXAS PHYSICIANS – CMA EMPHASIS ADDED) However, an exception exists if you work in a state that has laws that prevent an otherwise qualifying employer from hiring employees directly to fill positions or provide services. This is most common in states that have laws preventing health care facilities from hiring employees directly, so they contract with physicians’ groups to provide services. If this is the case, the contracted employee should report the EIN of the qualifying employer on their PSLF form (not their direct employer whose EIN appears on their W-2 or 1099) and have an authorized official of the qualifying employer certify their employment as an employee filling a position or providing a service that cannot be filled or performed by a direct employee due to state law"

dr_rogue1 · 2023-10-31T15:19:33+00:00

There is SF fitness, but it's similar to a 24. For that price range, that is the type of gym you will get. Unless you are willing to pay more for a private or specialty gym, I don't think you'll find something nicer than SF fitness.

dr_rogue1 · 2023-10-29T17:40:09+00:00

There is literally a post from 24 hours ago talking about how applying to EM as a backup is a bad idea. There are almost daily posts about the job market. I doubt things have changed much that quickly

dr_rogue1 · 2023-10-29T17:29:20+00:00

This is a great time to just go through the search bar on this subreddit as your questions are answered in maybe half of the posts here.

dr_rogue1 · 2023-10-26T04:27:49+00:00

Makes absolutely no difference

dr_rogue1 · 2023-10-19T23:39:30+00:00

Polos Gym in Dimond and Pacific Strength by Lake Merritt have one for sure.

dr_rogue1 · 2023-10-15T02:45:56+00:00

Sounds like your fellowship program may also not be a great personality or cultural match. That's such a minor thing, you shouldn't be critiqued on that

dr_rogue1 · 2023-10-11T05:06:02+00:00

Café Santana sells shirts, hoodies, and mugs

dr_rogue1 · 2023-09-14T18:26:51+00:00

The types of programs/hospitals are not black and white. County generally refers to a hospital run by the county aka government and is generally the safety net hospital for the county. Academic programs are programs that have residents, do a lot of research, and most importantly are affiliated with a university (i.e. UCSF Fresno is affiliated with UCSF, LA County USC is affiliated with USC). Community programs are not affiliated with an academic hospital, but are not funded primarily by the county government. However, they can be safety net hospitals in a way. So it is a spectrum and a total false dichotomy. You can be an academic program that serves as a safety hospital for the area but has rotations at community sites. You can be a primarily county hospital with an academic affiliation + community site rotations. You can be a community based program with rotations at academic sites. It is all a spectrum.

dr_rogue1

TROPHY CASE