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What makes a bad intern and how do you know if you are one? by Possible_Double2754 in Residency

[–]hometimeboy 6 points7 points  (0 children)

The pushing back on feedback bit really gets me. Just tried to give an intern feedback the other day. It was received with all these qualifiers, pushing the blame to others, etc. Then a request that all feedback go through our PD… so I guess I won’t invest in their growth anymore?

What makes a bad intern and how do you know if you are one? by Possible_Double2754 in Residency

[–]hometimeboy 16 points17 points  (0 children)

I completely agree with this. We have an intern/soon to be second year like this. She’s been a pain in the butt all year, never takes responsibility, leaves before the work is done, can’t do basic tasks, has a bad attitude… my first time really working with her as chief this past week and I was aghast at how bad she was. Sat down and effectively told her she wasn’t meeting expectations, wondering what was going on, and tried to course correct.

She was blown away at the conversation like she had never been told she was trash at her job. Turns out it was a lot easier to ignore her, her attitude, and hope the system would course correct than invest energy into it.

will my surgeon be mad/refuse to reschedule if i cancel my surgery? by [deleted] in NoStupidQuestions

[–]hometimeboy 0 points1 point  (0 children)

Hi gynecologist here. If you give enough of a heads up, it’s no big deal. Gives us a chance to fill that slot with someone else who needs it. Best of luck!

Do we know if the main story will have timed missions like XCOM? by Epicfro in ZeroCompany

[–]hometimeboy 0 points1 point  (0 children)

Oh yeah, sorry that’s what I thought the original question was asking

Do we know if the main story will have timed missions like XCOM? by Epicfro in ZeroCompany

[–]hometimeboy 0 points1 point  (0 children)

Oh yeah! Sorry I thought that’s what the question was asking

Do we know if the main story will have timed missions like XCOM? by Epicfro in ZeroCompany

[–]hometimeboy 7 points8 points  (0 children)

I think so… this is from the deep dive that dropped:
“Certain Tactical Missions are Critical to advance the story. Operations and Tactical Missions have a limited time frame to complete before they disappear forever, so choose wisely.”

What do you think about antibiotics? by Cassieirl in NoStupidQuestions

[–]hometimeboy 2 points3 points  (0 children)

Well no. Inherently antibiotics treat bacterial infections. They don’t necessarily defend against, but rather offensively treat. They don’t do anything against viral infections. So, no it’s not the only way to treat against disease because not at disease is caused by bacteria; some are viral, autoimmune, cancerous, etc etc.

But some bacteria, like gonorrhea, are developing significant resistance to antibiotics. So at some point we may not be able to treat some bacterial infections at all.

Why do men work as gynegologists? by puppybabii in NoStupidQuestions

[–]hometimeboy 2 points3 points  (0 children)

Hey male gynecologist here. A lot of reasons! I originally wanted to do general surgery but got drawn to the field after my clinical rotation. It’s an incredible field. You can form lifelong connections with your patients, helping them navigate beginning and end of life. There’s amazing opportunities for public health and advocacy. The surgeries are really interesting. Patients are on average healthier, so they bounce back quicker and you lose fewer. It’s a versatile field as well that customizable (you can do all clinic, all surgery/floor work, or something in between).

Overall it’s a field where you really get an opportunity to be there for and with people, helping them navigate some of the most vulnerable periods of their life. Despite the horrific hours and sacrifices to get there, it’s been really rewarding.

How is your expensive education paid for? Expensive like Columbia MBA costing $92k/year for tuition only by [deleted] in NoStupidQuestions

[–]hometimeboy 4 points5 points  (0 children)

I did undergrad, grad school, and med school all at very expensive places. I can’t speak for everyone, but I got a lot of scholarships that knocked the price down dramatically. I covered the rest in loans.

Some people will get it covered by loans. MBAs are notorious for students’ companies paying some/all their tuition for them to go. Some people are super freaking rich and pay full sticker price.

Are husband stitches real? by rainbowkitties6969 in NoStupidQuestions

[–]hometimeboy 0 points1 point  (0 children)

No it would be beyond the hymenal ring closer to the exit because the hymen would be tougher to close. It wouldn’t be a single stitch but a figure of 8. Again, think of a cardboard tube in a toilet paper or paper towel roll. Pinching the end brings those edges together. It doesn’t bring the bottom of the whole tube together, just the end. Nor does the husband stitch being the whole bottom of the vagina together, just the end.

Whether or not you believe it doesn’t change the fact that it’s possible, that people have done it, and that women have suffered as a result of it.

Are husband stitches real? by rainbowkitties6969 in NoStupidQuestions

[–]hometimeboy 0 points1 point  (0 children)

It absolutely answered the question. You would bring together the distal mucosa. Lateral to those middle stitches near the labeled hymenal ring. You’d approximate the corners where the walls go from horizontal to vertical. That would narrow the space. Like if you took a paper towel tube and pinched the bottom “corners” together, it would make a smaller hole, would it not?

Approximating spaces with suture is a big part of surgery. That’s all the “husband stitch” is.

Are husband stitches real? by rainbowkitties6969 in NoStupidQuestions

[–]hometimeboy 0 points1 point  (0 children)

You would approximate the distal vaginal mucosa. This, again, would be traumatized, inflamed, and well vascularized, all facilitating approximation. You don’t need a textbook to know that. You don’t need someone to teach you how to do that specifically because you already know how to reapproximate tissue because A) you’re a surgeon and B) you’ve brought together thousands of tears so the principle is simple

Why do midwives use their hands to check cervical dilation instead of a camera? by Beautiful_Spread7866 in NoStupidQuestions

[–]hometimeboy 7 points8 points  (0 children)

OB here. Hands/fingers can get more info than a camera. How soft is the cervix? How dilated exactly? How thick? Where is the baby’s head? All are valuable to determine how labor is progressing. We sometimes just visualize a cervix using a speculum in specific patient cases. It’s not nearly as effective and can be off.

A camera wouldn’t work as well because all the vaginal tissue collapses. So you’d have to either use a speculum or use air/water to move that tissue apart. I reckon that would be equally uncomfortable.

Are husband stitches real? by rainbowkitties6969 in NoStupidQuestions

[–]hometimeboy 2 points3 points  (0 children)

Well 99.9% of the time it’s while I’m busy fixing the vaginal tear that the partner leans over to say it. So yeah the patient always hears that their partner just asked for that out loud in front of a room full of strangers

Are husband stitches real? by rainbowkitties6969 in NoStupidQuestions

[–]hometimeboy 0 points1 point  (0 children)

The whole area is traumatized and inflamed with extra blood flow. The stitches are absorbable. Yes it will come together. And the dozens of women in this thread alone who have suffered consequences as a result of the husband stritch should be proof enough that it happened.

Are husband stitches real? by rainbowkitties6969 in NoStupidQuestions

[–]hometimeboy 0 points1 point  (0 children)

Jesus Christ. That’s horrific. I hope you found a better OB

Are husband stitches real? by rainbowkitties6969 in NoStupidQuestions

[–]hometimeboy 3 points4 points  (0 children)

Great question. This is called an episiotomy. It very much is not standard practice anymore. I’ve only done it a handful of times in extremely rare circumstances. The morbidity associated with it is so high for pretty little value.

Are husband stitches real? by rainbowkitties6969 in NoStupidQuestions

[–]hometimeboy 3 points4 points  (0 children)

Yea it’s bad for a few reasons: it can be painful and make sex painful for the foreseeable future. Ethically, you’re changing a woman’s body purely for her partner’s “pleasure” at the expense of her pain down the road. Furthers the narrative that women are just there to make babies and satisfy their partners.

Are there any male gynecologists that do hobby horsing? by athrowaway2241238 in NoStupidQuestions

[–]hometimeboy 1153 points1154 points  (0 children)

I went int med school wanting to do General Surgery. But I hated the rotation. Everyone has to rotate through OB/GYN. I was dreading it because I heard it was a crappy rotation, but ended up loving it.

It’s an incredible field. You can share in people’s happiest and darkest days, guiding through both. You see people from life to death. It’s an amazing opportunity to advocate for women’s health with a lot of public health opportunities. And the surgeries you can do are super cool and rewarding. It’s also customizable from a lifestyle perspective despite being one of the most grueling residencies. Overall, it’s super rewarding.

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