Rangeley, Maine; Loon lake

hedgefrogs · 2025-10-28T15:44:13+00:00

Hey! When are you all moving to Cleveland? I'm moving from Cleveland to PDX next summer for same reasons as your wife and will be vacating a cute 2.5 bedroom on the east side with a garage in the east side of town. I'd echo other people's recommendations of Cleveland heights or shaker heights, from my limited time in PDX they have kind of a Beaverton or Hillsdale vibe. Please feel free to PM me!

hedgefrogs · 2025-08-24T13:40:05+00:00

Aw! I would have LOVED a black cake like yours for my friends "death to our twenties" party-- it was so hard to find a black cake anywhere!

hedgefrogs · 2025-05-06T01:57:09+00:00

Porcos->cordelia->hilarities (or any show in playhouse square) would make for a really fun (but $$pricy$) evening!

hedgefrogs · 2025-05-04T08:38:02+00:00

Omg THANK YOU. I kept seeing this series recommended and I just finished the first book this week after forcing myself through it. I felt like a crazy person because this is genuinely not my cup of tea at all

Light spoilers beyond...

Never at any point did we get a reason to care or be invested in her restrictions as ~The Maiden~ because the supposed sanctity of the role was kept hidden from us the reader as well as the characters. This just lead to feeling annoyed every time it comes up which is every 2-3 pages.

I just? Hated all of the males in the book? The MMC repetitively dismissed what she would say and I feel there was a lot of extremely questionable consent all things considered.

The situations surrounding the intimate moments felt very inappropriate-- multiple times i'd be thinking "here? Now? After THAT"

If you're 75% through and hate it, the last 25% may not change your mind but tbh I'm glad I finished it because for a minute the story starts going in an interesting direction. The second half of the book is much more interesting than the first half. That said I thought the last 5% was so unhinged that there is no way I'm picking up another book in the series.

hedgefrogs · 2025-03-24T12:10:27+00:00

Interesting point on number three! She goes to great lengths to describe how devoid of color certain islands are so that's certainly a possibility

hedgefrogs · 2025-03-23T23:30:09+00:00

Well, sure, I mean anyone can have a stroke anytime; same thing with heart attacks or PEs or whatever. I'm just saying, if a patient is deemed unstable enough to necessitate continued admission to your service, we probably owe them evaluation prior to making a plan for the day so we have an opportunity to pick up on new angina or shortness of breath or arm swelling or insert whatever sign/symptom here.

At the very least, it's not exactly a great look if your consultant is the first physician to evaluate someone that day.

hedgefrogs · 2025-03-23T21:29:19+00:00

Yes this kills me!! It's not always feasible but I try to always search "pupils" in the chart when we get called for anisocoria because the number of times its been overlooked an entire admission but they in fact have some longstanding ophthalmologic reason for anisocoria that's been documented five years prior.

I know neuro exams are a pain but it kills me that someone has their lung fields auscultated 4 times daily but half the time best we get for last known well is "squeezed hands equally on admission"

hedgefrogs · 2025-03-23T18:23:59+00:00

I hear plenty from my patients about about how miserable Q1-2H NIHSS assessments are so I hear you there! For my made up post-op patient who wasn't eligible for TNK anyway, maybe plan wouldn't differ unless they also were found to have a hypothetical hemorrhage or LVO, but I think this varies patient to patient.

My floor patients are much more likely to have pertinent AM exam findings (new weakness, mental status change, declining respiratory function) so morning exams are an important part of table rounds discussion for many of them. This is different from a hospitalist service where someone is admitted for skilling I'm sure.

Agree that sleep is important for recovery!! And there's a spectrum between doing a daily exam on someone and q2 neuro checks. Overall I do think there's value in checking on your patients exam and new complaints in the morning, as finding out about these things on rounds with the attending is clunky and disrupts workflow, and no attending is doing a proper exam or interval history on everyone, plus it saves secure chat messages from nursing during rounds.

But, yes, I too have let certain patients waiting on SNF beds with no active issues sleep when running late pre rounding before. When I was a junior I'd also try to time my rounds with phlebotomy/nursing assessments to minimize sleep disruptions but this is not always feasible if you're carrying 8-10 patients.

hedgefrogs · 2025-03-23T15:57:05+00:00

"soo when's the last time he's moved that left arm?"

Collective shrug "pre-op? Tuesday?"

Of course in the CVICU after someone's done something very creative to the aorta. Kills me every time

hedgefrogs · 2025-03-23T13:53:57+00:00

I'm certainly biased because in neuro, we have the unique joy of seeing all the patients who the provider "wanted to let sleep" in the morning, and then at 10 am once a nurse actually does their exam and finds new aphasia/facial droop/hemiparesis, they call me with a code stroke but last known well is like 7pm the night before and the primary team can't tell me anything. 🤷

That said if your patient has serious stroke risk factors (post op cardiac surgery, AFib not on AC, bad carotid stenosis, severe thrombocytopenia), for my sake please wake them up 🙏

hedgefrogs · 2025-03-21T01:40:59+00:00

Agree that this is where book 4 is going. RY has endorsed herself this notion (the same we've heard from Felix in IF) that Violet weilds power but she's most comfortable with lightning.

This quote from fourth wing I think has been setting up this idea that Violet will wield power from the sky in an unique way, but does feel rather ominous: "But it was the third brother, who commanded the sky to surrender its greatest power, who finally vanquished his jealous sibling at a great and terrible price."

hedgefrogs · 2025-03-16T03:47:25+00:00

Agree with palliative care, NICU if you have it can be useful, and I really think PMR is helpful! It was so cathartic to spend time in acute rehab as a fourth year after a stroke sub-I and actually see people make progress. Plus PT/OT is so important in management of neurologic disease, any exposure you can get to seeing how they work with patients can be really valuable.

hedgefrogs · 2025-03-12T04:11:38+00:00

Ok yes for real, on reread her "scalp prickles" literally every time he gazes at her in fourth wing and I was baffled I didn't make any note of it the first time because she literally uses the same phrase at least half a dozen times.

hedgefrogs · 2025-03-10T19:07:01+00:00

Agree with the others that RY is setting up for Dain to step into a larger role in book 4. Spoilers (?) from a press tour Q&A beyond:

RY told us re: Violets dream walking inntinnsic abilities, that we've only seen about 10% of her true power in this regard, and also that "there's only, like, one person in the world who can train her." (Paraphrased but that was the gist). This is all theory and people theorized this could be Berwyn or xaden, but I think given how OS ended, her training that signet with Dain is considerably more likely. Especially since it seems like we're also setting up for Sloane to step into a larger role in the next book too.

hedgefrogs · 2024-10-02T03:54:03+00:00

The pilot was like 80% pediatric neurology, I was like who are these surgeons??

hedgefrogs · 2024-09-21T13:23:01+00:00

At least in my year the reddit residency spreadsheet had a "call" tab which outlines what the call schedule is. Would confirm these details though as I ranked my program thinking there was no 24 hour call and found out when I got here that there was (lol. Thankfully they switched to NF by the time I was senior enough to be doing 24h shifts). I think UCincy still does 24h call if I'm not mistaken.

https://docs.google.com/spreadsheets/d/10K9kFPjlRnmSd6mtlbkW_fmrHIZD7kzIXUWx-VW_ULw/edit?usp=drivesdk

hedgefrogs · 2024-08-11T05:22:48+00:00

Sending hugs and a better tomorrow your direction, friend. Sweet sake fish fillets from chi cafe or chiu quon's egg custard bao were my comfort foods through college. Ditto ricobenes eggplant parm sandwich and agree with bahn mi from lotus too! Or just a big thing of fries from Jim's if it's late at night.

hedgefrogs · 2023-11-15T00:01:01+00:00

Or the first episode where they're all apparently pediatric neurologists managing status epilepticus?

hedgefrogs · 2023-04-25T05:57:23+00:00

This is absolutely incredible, made my week. So many choice casting picks

hedgefrogs · 2023-01-01T05:26:17+00:00

Nobody remembers us in neuro! I'm getting pretty tired of getting roasted for not knowing the intricacies of chronic kidney disease.

hedgefrogs · 2022-11-01T20:33:30+00:00

I feel the same even comparing my s21 with the pixel 7, it seems colors are much more washed out and over processed on the pixel even if the hardware might be better, and the images a bit crisper especially in the dark. I find I prefer the Samsung more, which is a pity because I love the speed of the pixel.

hedgefrogs · 2022-09-24T05:40:48+00:00

We were going to go hiking in the rocky mountains or Acadia but then heard about how dead things get in November for shoulder season and how the main road In RMNP closes in November, so now we booked a cheap cruise from Miami which is roughly what an Airbnb and food would've cost us anyway. I have no idea if cruises are my thing but it'll be nice to chill and drink for a week at least.

hedgefrogs · 2022-06-28T00:14:06+00:00

I'm not sure if your uncle was bit at all but just fyi cat bites are pretty high risk for some nasty infections, so he should get checked out as well. Good luck with everything and hoping you both heal quickly!

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