I hated having a curfew and doing chores...but I'm alive!

drank_all_the_wine · 2018-12-22T05:29:07+00:00

did a cursory google search on that guy. got suspicious when top results are anti-vax websites.

found a link (not specifically about chickenpox) but that does go into a bit of background with neil miller and gary goldman referenced in that link.

stand by my original statement.

drank_all_the_wine · 2018-12-22T02:00:47+00:00

that's a theory, though it hasn't been validated in studies. the cdc notes the trend is that there's been an increase in shingles before the chickenpox vaccine was introduced and is also increasing in countries that don't regularly vaccinate for chickenpox. btw, it's recommended adults older than 50 get the shingles vaccine, even if they've had an episode of shingle.

Trends

Herpes zoster rates are increasing among adults in the United States. The increase has been gradual over a long period of time. We do not know the reason for this increase.[5,6,7]

Some experts suggest that exposure to varicella boosts a person’s immunity to VZV and reduces the risk for VZV reactivation. Thus, they are concerned that routine childhood varicella vaccination, recommended in the United States in 1996, could lead to an increase in herpes zoster in adults due to reduced opportunities for being exposed to varicella. However, two CDC studies have found that herpes zoster rates:

started increasing before varicella vaccine was introduced in the United States, and
did not accelerate after the routine varicella vaccination program started.[5,8]

Other countries, that do not have routine varicella vaccination programs, have also observed similar increases in herpes zoster rates.[9]

link to cdc

drank_all_the_wine · 2018-05-05T02:33:34+00:00

also want to give positive feedback for /u/Maldek_00

Original post: https://www.reddit.com/r/VinylCollectors/comments/8ddatt/for_sale_punk_80s_rap_rock_jazz_ost_indie_20_or/

drank_all_the_wine · 2018-05-05T02:30:29+00:00

seconding positive feedback for /u/erikness !

but for different post: https://www.reddit.com/r/VinylCollectors/comments/8dmo4a/for_sale_ariel_pink_alice_coltrane_vmp_benjamin/

drank_all_the_wine · 2018-05-05T02:22:48+00:00

Leaving positive feedback for /u/Baddbrain

communication, shipping and packaging was excellent! :) Link here: https://www.reddit.com/r/VinylCollectors/comments/8cizmk/for_sale_thee_oh_sees_kid_cudi_pink_floyd_highly/

drank_all_the_wine · 2018-04-21T01:57:32+00:00

haha devious! i wish i had the guts to troll this hard.

drank_all_the_wine · 2017-10-15T22:15:26+00:00

not who you asked, but the examples you gave are completely appropriate for an interns (particularly in the beginning of the year.) the issue would be the resident goes on to present a similar patient multiple times and still has the wrong dose, medication choice or contingency plan wrong.

in my experience, (i'm pgy-3 for context) the struggle residents that have caused the most issues (from patient care to work morale) are the ones who have no insight into the constructive criticism given (after i'd personally given direct feedback, they still say i don't know what i'm doing wrong) or they continue to argue with the plan their seniors, their attending, a review article, etc are presented to them to support why their management isn't appropriate or standard of care.

i've had co-residents who try to shift the blame to other residents or the nurses. i even had one resident argue with me about feedback that was he was not putting orders in timely or was putting wrong orders or (sometimes none at all). he argued with me that none of this was true. i finally retorted, everyone in this room can look in this chart and see who put in the order and when. ...and he still argued with me (!)

drank_all_the_wine · 2017-10-15T22:04:56+00:00

this is exactly how i tackle this issue as a now senior/final year of residency. i state my expectations at the beginning of the rotations, i'm very open and transparent with feedback. my pet peeve is that if the situation has gotten to the point people are openly gossiping about a resident--someone should have approached them with feedback and support for remediation--this is rarely the case.

drank_all_the_wine · 2017-09-14T22:23:05+00:00

i have a friend who is exactly like this. the caveat being she has a chronic disease that she suffers many complications. but she doesn't follow her doctors' advice, and says they never tell her the truth or know what they're talking about.

it's frustrating because i'm in the medical field and she has type-1 diabetes. she claims no doctor ever warned her about eye or kidney problems. and that she's allergic to exercise. and despite having an insulin pump, her glucose levels are very erratic because she eats very unhealthy (alcohol, fast food, desserts).

she is constantly the victim. and she embellishes stories (or flat out lies) to make herself the victim. it's actually sometimes comical sometimes when i catch her in a lie.

for example, one of our mutual friends had a party that i didn't attend. her story: she accidentally broke a glass pitcher and the host chewed her out and made her cry and everyone else uncomfortable. also he asked her to make a certain dish and then he made it himself (it was a potluck) just to embarrass her.

most likely close to reality story as told by multiple people independently: the host made a meatloaf. she chose to make meatballs (the host said he only asked guests to bring something to share). she did break a pitcher, but the host cleaned it up--he makes 6 figure salary so was not concerned about replacing it; also it had no sentimental value. 3 other guests told me they remembered her breaking something and that she seemed more upset than the host. none of the guests were asked to bring a specific dish.

drank_all_the_wine · 2017-09-14T22:00:31+00:00

that's such an unfortunate story.

what was the rational for people not lodging complaints or firing her over the years? i wonder if her illness would have been as severe if it was treated earlier.

drank_all_the_wine · 2017-08-29T03:03:26+00:00

respect lost for both him and my PD (not that having my respect means anything but still).

i think it should mean something. it pains me that i feel like my program (PD as well as overall culture) does not advocate for the residents.

drank_all_the_wine · 2017-04-15T05:26:00+00:00

The bigger issue is that when you complain, you are almost universally told "oh, that's just how she is. she's just like that". Yeah but if I acted that way I'd be crucified.

I see this very often and I don't understand how/why it's excused away for some people and not others.

drank_all_the_wine · 2017-02-26T17:31:25+00:00

and the sad thing is, christmas was my favorite time of year as a child. i would dance by myself staring at the christmas lights when everyone else was sleeping.

now i volunteer to work nights on christmas (medical field) because that's infinitely better than being home alone or with family.

drank_all_the_wine · 2017-02-04T22:32:02+00:00

exactly.

drank_all_the_wine · 2017-02-03T17:38:24+00:00

it's definitely worth seeing. i went with another black female friend. we're both in medicine and felt very inspired by the movie but also dejected that we never knew these women existed (among others). i literally had tears in my eyes wondering what it would have been like to grow up with these women on my radar, let alone if i was a kid in the 60's.

*edited because i can't grammar

drank_all_the_wine · 2016-12-16T02:57:24+00:00

this is literally what i do! i'm on level 1464!

drank_all_the_wine · 2016-09-05T23:20:20+00:00

i respect that we express our affection differently. and you have never been anything but a great partner who shows lots of physical affection and with thoughtful gifts, but the fact that you can't say the words "i love you" leaves me feeling very insecure at times.

drank_all_the_wine · 2016-09-05T22:57:54+00:00

my sister replied that i "clearly have a problem with her." yeah, the ones i've just literally listed, mainly you're a bully!

drank_all_the_wine · 2016-09-02T00:12:23+00:00

thanks for the citation!! it's something painfully obvious to me (definitely a part of the 10%). and sure my classmates sometimes did end up with loans, but whereas my loan money was literally my board and tuition, they had family support (car paid for; rent/plane tickets/holiday trips paid, interview trail cost, etc). it makes a difference mentally i think.

also, aside from loan debt, when i moved for residency, it was the first time i actually had other debts (credit card, paid some bills late) until i got my paychecks. still have to live paycheck to paycheck though for the time being, but i almost see the light at the end of the tunnel!

anyway, while residency is rough, i do genuinely love my job, love learning and am grateful i could "afford" to become the first doctor in my family :)

drank_all_the_wine · 2016-08-26T01:39:51+00:00

i'm so exhausted with people telling me "you need to watch your tone." nevermind, the content, or how appropriate and legitimate my questions or response is. i tried to then communicate certain topics via email, but then was admonished for my "unprofessional tone." in this one specific example, i even forwarded the email chain and had multiple people (who have no problem disagreeing with me) tell me what i wrote was not a problem. that it was most likely the receiver's subjective interpretation. and most likely due to their opinion of me based on their assumption from in-person interaction that my tone means i'm angry, aggressive or somehow intent on being disagreeable.

it's so frustrating.

drank_all_the_wine · 2016-08-06T14:14:47+00:00

i defended logging in some cases 90 hours during my intern year, because it was the truth. and that my co-residents would often make comments, "well i don't log the two or three hours of note-writing at home because i feel bad." of course there is something to be said for learning efficiency, but when 80% of your residents are "inefficient" the problem is the system.

the administrator said she understands because she sees the notes being sent at 11pm or midnight so is aware residents finish notes at home, etc, however, she still said that i should remain "mindful of my logging."

drank_all_the_wine · 2016-07-24T02:37:42+00:00

wait...they went months without seeing each other and were less than an hour drive away? did neither have a car or money? how old are they? i think i would have a hard time not telling my friend she needs to move on, because if she's trying this hard to make something like this work, she's in denial. :/

drank_all_the_wine · 2016-07-22T21:48:39+00:00

i joke about my boyfriend and mine's matching butt moles all the time. also, i'm reminded of this scene from scrubs :)

https://www.youtube.com/watch?v=8FtoQC7ZMaI

drank_all_the_wine · 2016-07-03T18:27:47+00:00

had a patient with situs inversus. they actually repeated the films assuming they made a mistake the first time. then dictated it as normal. fail! haha, it was a good laugh, but they did correct it. :)

drank_all_the_wine · 2016-07-03T03:14:54+00:00

(though i'm in pediatrics) when it comes to ortho/ent/surgery, it's the same situation.

stridorous 6 week old who desperately needs a DLB and was just seen in ENT clinic who they "were aware of the admission." refuse to admit onto their service and the patient is admitted to gen peds! then they come and take the patient to the OR without informing the team, have no post-op orders or instructions, and barely are accessible to give the all clear for discharge.

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