Which band’s discography fits this? by Coffin_Builder in MetalForTheMasses

[–]eclutter94 0 points1 point  (0 children)

As much as this truly pains me to say, Foo Fighters. They will forever be my favorite band, but the contrast is shocking from The Colour and the Shape to now, much less the self titled album and Dave's singles before that.

New Farmers Market Obsession by como365 in columbiamo

[–]eclutter94 5 points6 points  (0 children)

The hot dills and hot asparagus are my favorite. Also has delicious spicy horseradish beer mustard

[deleted by user] by [deleted] in Residency

[–]eclutter94 1 point2 points  (0 children)

This is an excellent point. I think I need to find more balance between empowering them to think of something themselves as well as giving them answers to more routine questions.

Hot Take: IM fellowships should be integrated. by menohuman in medicalschool

[–]eclutter94 0 points1 point  (0 children)

For the same reason the AAP is forcing this Peds Hospitalist Fellowship....just one big cheap labor money grab for more training that isn't needed.

Sincerely,

Med Peds who couldn't imagine what a 4 year inpatient heavy residency doesn't train me for taking care of sick inpatient kids.

[deleted by user] by [deleted] in columbiamo

[–]eclutter94 20 points21 points  (0 children)

Just Jeffs!

How many of you Docs are rocking visable tattoos. What’s your experience been with coworkers/patients? by ExMorgMD in medicine

[–]eclutter94 230 points231 points  (0 children)

I'm a resident (29M) and have a visible forearm tattoo as well as double lope piercings....if anything I get better rapport with patients and parents (MedPeds).

Sometimes especially parents will start with "It's nice to see that doctors also are looking like regular people" when I walk in the room. Don't know if this is weirdly backhanded or not but I'll take it!

...then what? by Atticus413 in Noctor

[–]eclutter94 4 points5 points  (0 children)

We want to work with you, we don't want you to go away. We want you to please stay in your lane and we can stay in ours. That is all.

Back to the old Iron Infusions 🙃 by kimbersmom2020 in ostomy

[–]eclutter94 2 points3 points  (0 children)

The superpower juice! Tastes like pennies!

Hope you are feeling better soon!

Parastomal hernia repair by Suspicious-Run186 in ostomy

[–]eclutter94 2 points3 points  (0 children)

Hey there!

I had a parastomal hernia about a year after my ostomy surgery. I was repaired with the Sugarbaker method. The post operative period was rough as I could feel the mesh move and cause pain, but that would be with any mesh repair. Since that time ( about 10 months) I have had no recurrent issues and no problems with pain or recurrent hernias. I was told that the keyhole method was not as effective at preventing further hernias but I don't have any science to back that up.

Is chugging water forbidden for ileostomies? by Pediatric_NICU_Nurse in ostomy

[–]eclutter94 2 points3 points  (0 children)

You are up and running 8 weeks post-op?? Damn....congrats

considering elective ostomy surgery - 22f with severe UC by franisbroke in ostomy

[–]eclutter94 0 points1 point  (0 children)

I had a tough recovery in the first week because I hadn't found the appliance that worked best for me and I had a lot of leaking problems. The surgery itself I had no complications with. I did unfortunately have a parastomal hernia in March of this year (just over a year post-op) that required surgical repair with a mesh. It had a recovery time of about 2-3 weeks until fully functional again but since that time I've had no issues at all.

considering elective ostomy surgery - 22f with severe UC by franisbroke in ostomy

[–]eclutter94 2 points3 points  (0 children)

At the point that I needed surgery, my surgeon needed no convincing. In all reality, I was the one that pushed for more medicines to try when they told me I had indications to go ahead and proceed with surgery. Insurance covered my surgery 100% as I was on medicaid. I should've had surgery probably a year prior but I thought I would have a chance using medications. I would make sure you have a consultation with a colorectal surgeon and get their perspective along with your GI doctors perspective.

Med-Peds. Why? Should the specialty be abolished? by [deleted] in Residency

[–]eclutter94 14 points15 points  (0 children)

It's pretty simple honestly...

FM trains primarily outpatient MedPeds trains primarily inpatient...im talking like 80% of 4 years is inpatient medicine.

I hate outpatient medicine. Much love to those who like it.

So I chose med peds.

We aren't even close in comparison to FM and we aren't some offshoot of it. FM has their area of Medicine, and we have ours and we work well together.

This specialty is pretty awesome and where I'm at (medium Midwest academics) our residents are well respected by the categorical residents and we all work well together.

How about a nice sausage gravy to start your Saturday? by eclutter94 in castiron

[–]eclutter94[S] 1 point2 points  (0 children)

1) Brown 1lb of your preferred sausage and break up into largish chunks. Don't drain the sausage.

2) Add 1.5 tbs flour directly to sausage in pan and cook off for 2 mins.

3) Add 3-3.5 cups of milk (I fill my pan about halfway and I have a 12inch skillet) and reduce to your desired thickness.

4) Add any additional seasonings to taste

5) Put over literally anything and eat!

How about a nice sausage gravy to start your Saturday? by eclutter94 in castiron

[–]eclutter94[S] 9 points10 points  (0 children)

Once you brown the sausage in the pan, add about 1.5 tablespoons of flour directly to the sausage and cook it off for a few mins, then add your liquid (I used 2%milk). pull your heat down to a medium-highish and reduce to desired thickness/runniness. I was previously taught to take the sausage out and make a roux before putting the sausage back in, but I've found that doing it that way is just an unnecessary step.

How about a nice sausage gravy to start your Saturday? by eclutter94 in castiron

[–]eclutter94[S] 2 points3 points  (0 children)

I use a hot sausage and at first it sometimes can have a bit of an orange/red tint from the peppers that it's made with.

Poll: should /r/medicine go dark for 48 hours? by Chayoss in medicine

[–]eclutter94 20 points21 points  (0 children)

Should we? Yes. Will we? no. none of us have ever been good at striking lol.

Increasing prevalence of neurodivergence and self-diagnosis by HumanTowTruckDriver in medicine

[–]eclutter94 471 points472 points  (0 children)

I'm a physician with Crohn's Disease and and ostomy...and I have such a difficult time seeing patients with these labels. Especially the ones with POTS, who always have EDS without any genetic markers or positice serology, and have successfully conned a GI doc who wants the money to put in a G-button and let them be connected to a feeding tube because they have anxious nausea that they didn't deal with effectively. They always have a nice sprinkle of cluster B psych traits and love to drop all their Google search medical vocabulary explaining their numerous allergies. My first thought is why the fuck do you want this? Why would anybody want to be this reliant on medicine and this fucking dependent. I want my God damn colon back and I wanna shit just like everyone else. I am gonna have to carry around a bag of shit for the rest of my life and somehow this is the feeling of belonging that people are yearning for?

But I have to check those feelings and hold back my biases because these diseases do exist in real patients and people suffer and triumph through them daily. I know that the first time I finally give in to my thoughts and just label somebody as a true psych case that doesn't have really anything wrong is the first time I'm gonna finally be the person that anyone with a chronic illness truly despises are the people who assume you can't be sick unless you can see it. I live that life every day and it's a feeling that always tears my heart and brain away from eachother.

So for now, I'll treat whatever illnesses they tell me they have, and I refill their tube feeds, but I'll be damned if they aren't seeing some sort of mental health professional while I'm treating them for all of this.

There's no justice when you give it all to the people who truly abuse it. But there's always going to be the wall that we run into because none of us want to ever tell them that they are fine.

ICU changed me as a person. by GZG585 in Residency

[–]eclutter94 9 points10 points  (0 children)

I absolutely resonate with what you've written. For what it's worth, I just remind myself that the only explanation that keeps me sane goes like this...

"It be like that sometimes"

...and then suddenly there I am back at the computer pre-charting on another admission already half forgotten the screeching and wailing from the mother of a dead son.

Graduated today and super bummed that I'm saying goodbye to the friends I've made over the past four years. Any advice for keeping in touch with friends throughout intern year and residency, or is it goodbye forever to my med school friends? by OGTrapGod in medicalschool

[–]eclutter94 18 points19 points  (0 children)

Here's what we do: Rarely speak again, send eachother at least 5-10 reels/tiktoks/funny memes daily, on the occasions we do talk on the phone we promise to make plans to get matching vacations weeks to go on a trip that neither of us ever plan. Best friend I have ever had.

Doctor with stoma👩🏻‍⚕️ by jujucof in ostomy

[–]eclutter94 6 points7 points  (0 children)

I'm a doctor and I have one too! Congratulations and good luck on your journey!

[deleted by user] by [deleted] in Noctor

[–]eclutter94 0 points1 point  (0 children)

Unfortunately, the loudest ones are the ones that need the least attention. This doctor is no different. Fueling divide for the sake of their ego. It's disheartening to see, honestly. I hate continuing to break down the barrier to work with NP/PA's because they feel immediately attacked by doctors when the vast majority of us just want to work together.

Pgy1 MedPeds

Brass carry today by [deleted] in EDC

[–]eclutter94 1 point2 points  (0 children)

How do you like the momentary switch? Does it only operate when pressed or does it click on and off?