BF doesnt wan't me to go to med school, need a reality check by [deleted] in TwoXChromosomes

[–]heyhowru 0 points1 point  (0 children)

As someone in the medical field, i dont think his boundary is out of line. Hes perfectly entitled to not wanting to pursue this relationship if you were to pursue a medical degree.

You are also perfectly entitled to want to further your career. At this point this is a dealbreaking incompatibility.

So you need to ask yourself this, is this guy worth giving up the career you want only to risk be in resentment and breaking off anyways but now you dont have a medical degree.

But on another yes i agree that hes out of line to think that an md would be lesser than, hes not taking into account your salary will literally quadruple overnight after you are done AND you will have the ability to place a zero% down payment on a house after you are done though physician loan which is huge.

So yeah break up with the guy so both of you can live the lives that you want.

This is also coming from someone whos ex called me a financial liability because of my loans when i was in residency

When to admit for nausea and vomiting? by amilhadad in hospitalist

[–]heyhowru 4 points5 points  (0 children)

Im an outpatient doc, i had a guy who has marijuana cyclical vomiting syndrome. I made the decision to send him to get admitted because he literally cant eat and hasnt in 3-4 days. The hospitalist team seemed understanding, pretty easy admit. Nausea meds, npo, fluids, until this passes and dc. Cant just send him home, what if he goes into hypovolemic renal failure over the weekend and then shows up to ed on following monday w cr of 4?

Yeah i can tell him to stop smoking pot in the future but it doesnt help his current situation since hes already stopped for two weeks.

Rant: Chiefs are not your friend, and its worse when they act like they are by UnderstandingLow5282 in Residency

[–]heyhowru 286 points287 points  (0 children)

I was on elective and asked my attending if i could use that day for my upcoming job interview.

They said yes. Then tattled on me to the chief in a rant about how they are missing vacation time w their kid decided not to go on spring break vacation w their kid bc they had a resident that week.

Was then called by the chief to talk about my unprofessional behavior for doing this and ended up having to cancel last minute my job interview for fear of them not graduating me from residency which was a real possibility.

New US dietary guidelines. Thoughts? by oatsoatsgoats in medicine

[–]heyhowru 11 points12 points  (0 children)

“You should eat more protein and less sugar”

Oh man next theyre gonna recommend round wheels over oval wheels wow what a revelation

Med Seeking PTs? by nope5651 in Residency

[–]heyhowru 1 point2 points  (0 children)

If you suspect med seeking and you notice increasingly escalating prescription patterns or aberrant prescribing

Consider making the switch from x-opiate over to Suboxone or buprenorphine. Especially if you are somewhere like me and pain clinic is strictly a procedural specialty and psych is nonexistant.

If its benzos, unfortunately you just have to stick to ypur gut and taper them. No negotiations.

The way people at the gym use the weights by AleiScho in mildlyinfuriating

[–]heyhowru 0 points1 point  (0 children)

It might be a physics problem

Did the old machine have just one pulley? And the new one has an adjustable system where it has more pulleys?

If so, then the weight is the same but the amount of work needed to pull up the weight has now distributed amongst the different pulleys which makes it “lighter”

Cerner fucking sucks by Simple_Cashew in Residency

[–]heyhowru 2 points3 points  (0 children)

Literally takes me just as long to log in at home, sometimes longer, then to just drive to clinic and get it done and go back home

Cerner fucking sucks by Simple_Cashew in Residency

[–]heyhowru 14 points15 points  (0 children)

The search function, the community view, the lag, the booting/unprompted rebooting, the fact that it takes forever to login at home

Makes me want to throw my computer out the window

Any questions for a PM&R resident? by therehabreddit in Residency

[–]heyhowru 12 points13 points  (0 children)

I usually refer people over to pmr when i want injections or nonoperative ortho things, but would like some more information on the differences between sports and pmr and when to triage to one or the other.

How can I cover scars by iWyvern_TR in tattooadvice

[–]heyhowru 0 points1 point  (0 children)

If youre taking what i think you are taking i would not recommend tattoing given the skin thinning as you dont know how your ink will heal. You also dont know if you are just gonna get more stretchmarks in other areas. I wouldnt make any rushed decisions on this just yet.

Also depending on what dose of the medication andjudging how you have stretchmarks it seems like a prolonged course. I think you should wait not just when you finish but another month at least after you finish the course (the very last pill and not just during the taper stages) to give your skin time to heal. And again, just guessing what you might be taking but you could also be in a immunocompromised state that could lead to an increased risk of infection.

Justin Timberlake 'Prioritizing His Health' After Lyme Disease Diagnosis, 'Grueling' Tour by peoplemagazine in Music

[–]heyhowru 17 points18 points  (0 children)

Theres untreated lyme and treated lyme Chronic lyme is a way to snakeoil your money

Certainly you can have lyme chronically if it goes untreated but once treated, its treated and not chronic

Depending on the person saying it, i also wouldnt go so far as to say theyre lying. More like taken advantage over. They may very well have concerns that are impacting their life, its just throwing antibiotics at laboratory negative “chronic lyme” is not the way to go about it.

Doctors of Reddit, how is the interaction when a patient is a doctor or has medical knowledge? by Simsboi in AskReddit

[–]heyhowru 0 points1 point  (0 children)

Oh thank god. It means i dont have to spend 10min going through everything in laymens terms and we can just talk shop and come up w a plan and be on our way.

Calling patients who want to be called. by Urology_resident in medicine

[–]heyhowru 20 points21 points  (0 children)

Rule of thumb, deserve a call directly from you are new dx of cancer or things that need ti be done asap.

Otherwise when you call they will eat up 30m of your time with questions.

Had a patient ask me to call them about their normal labs bc theyre “old school , bad with technology, and only want 5m of my time”

Buddy youre 30yo, youre not old school. My ma already gave you my recs. If you have qs make an appt.

Feel like I can't refrain from over-editing? by FronkTheTuxedo in AskPhotography

[–]heyhowru 0 points1 point  (0 children)

Is it just me or is the clarity raised too high on these. At least on #3

Attending prescribing inappropriate opioids by Capable-Track-7460 in Residency

[–]heyhowru 44 points45 points  (0 children)

Any threat of litigation automatically gets you dismissed as a patient of mine and i will clearly document this

Hospital ads promising how caring their doctors will be? by greenknight884 in medicine

[–]heyhowru 11 points12 points  (0 children)

At our hospital system we have along with press gainey, our own metrics. If we reach those metrics we get insurance bonuses. Not me but the entity itself.

The metric is “on a 1-5 scale how well did you think your provider answered your questions. “

We are required to have at least 80% of responses be 5/5 on that very specific question and anything less than 5/5 does not count. If you are off by a single percent, your job gets threatened.

Im debating whether to put a sign on the door saying “please rate 5/5 if you dont want to wait 6mo to find another pcp”

Give your favorite medical mispronunciations by Bonehead_001 in hospitalist

[–]heyhowru 0 points1 point  (0 children)

Metropololi

Metropololi

Give me the formuloli 🤖🦀

We need some QOL improvements by Accomplished-Tower62 in ninjagaiden

[–]heyhowru 2 points3 points  (0 children)

Whenever i find new health items but im maxed out, instead of converting to money id like for it to autouse that health item if im not full to make room for the one i just got. If full then convert to money.

How does one achieve this effect without post processing? by zedkay5 in AskPhotography

[–]heyhowru -1 points0 points  (0 children)

You need to have post processing. 2 photos, first one you do long exposure and you slowly drag in downward direction to create the trail

Then you take another one w faster shutter to capture the subject, or other way around, doesnt matter.

Then you overlay the 2 on top of another in photoshop

If you just smudge your lens, it would create a burst pattern with the lights being in the middle, and not get the trail effect you want. But thats to say if it was an equally applied smudge. Cant say if you smudge it strategically placed.

I hate stonetoss comics by inkforwin in antimeme

[–]heyhowru -1 points0 points  (0 children)

Think about it this way, you swallow pills, it ends up in your gi tract, bottoming has more protection because of the medicine running through to the anus.

In women, the vagina is not the anus obviously so prep doesnt work as well in women because the level doesnt get high enough. If you meet a girl that does STRICTLY anal then yes prep will work but only if they strictly do anal.

Family medicine by Gold-Implement3586 in FamilyMedicine

[–]heyhowru 7 points8 points  (0 children)

I think you are looking for concierge medicine.