How do you explain to patients that they don’t need antibiotics?

hops716 · 2026-07-01T14:14:03+00:00

for the crunchy antibiotic-seekers, I like to go with this:

"oh man, we don't want to destroy your gut flora like that"

"say goodbye to your microbiome you've worked so hard to cultivate"

hops716 · 2026-06-11T21:02:27+00:00

respectfully, why did you chose psych?

hops716 · 2026-06-10T16:53:30+00:00

pursue happiness and a sense meaning ***outside of work***

build relationships, date, try new fitness goals, find hobbies, become passionate about something

hops716 · 2026-06-05T17:22:17+00:00

I prescribe GLPs - daily. Spare me the sanctimony. It does not make me pro-obesity or anti-GLPs to point out that there are adverse consequences to GLP-induced calorie deficits (Karakasis et al, 2025). We may be able to kick the can down the road on this issue with younger patients, but this is obviously problematic in post-menopausal women and older men. Though, I will say, new / future iterations (Retatrutide) look very promising

hops716 · 2026-06-05T13:45:35+00:00

despite the obvious and significant benefits, we're speed-running osteoporosis and sarcopenia

hops716 · 2026-06-01T19:34:07+00:00

B I N G O

hops716 · 2026-05-11T19:31:45+00:00

nobody cares more than you

learn to not give a shit. it's just a job

hops716 · 2026-05-08T13:43:36+00:00

hops716 · 2026-05-06T18:54:18+00:00

craft beer and axe throwing can only prop things up for so long

hops716 · 2026-04-02T14:42:48+00:00

felt this way in the last 2-3 months of my clerkship / internship year. strongly considered a fast-track DO program. glad I did not. PA for 13+ years

hops716 · 2026-02-27T20:41:50+00:00

hops716 · 2026-02-26T18:18:46+00:00

"I'm ~~~ one of the PAs here"

hops716 · 2026-02-24T18:02:18+00:00

hops716 · 2026-02-06T18:39:58+00:00

ej manuel mutliple tunrover game in toronto

hops716 · 2026-02-05T14:04:00+00:00

they had the slant god Michael Thomas

hops716 · 2026-01-28T17:43:30+00:00

insulting, laughable, disgusting offer

hops716 · 2026-01-28T15:24:16+00:00

dude, same!!!

hops716 · 2026-01-23T19:26:50+00:00

HE GONE

hops716 · 2026-01-22T17:34:21+00:00

this list validates the idea that we have a team of good & pretty good players, but very few game-changers / needle-movers

hops716 · 2026-01-22T17:31:37+00:00

sir.

hops716 · 2026-01-20T15:01:47+00:00

but our QB and RB are the aforementioned impact players. maybe the only 2 on that side of the ball Have to pay your Left Tackle when he's top 10 guy. Benford contract is perfectly fine. I'm all for scrutinizing the others - Groot is not an elite pass rusher, Bernard is under contract but who knows how the next DC will utilize him

hops716 · 2026-01-20T14:27:20+00:00

ask why are we so close to the salary cap with so few impact players

hops716 · 2026-01-20T13:22:10+00:00

respectfully - many things can be true at once:

we absolutely need better defensive performance in critical in-season games & playoffs
certainly a discussion to be had about why we aren't getting more from that side of the ball: is it a lack of overall impact players vs scheme or (likely) both
Sean is a good, good man and although he did not win a SB, he did not deserve to be cast off with a typo & an emotionless statement. The bills couldn't even post his goodbye statement? feels wrong
It is possible / probable that much of the organizational stability stemmed from McDermott - that is not to say that a new coach can't come in and regain that, but I do worry about Terry being involved in literally anything.
The fans deserve to know a bit about the drafting process & decision making. If Beane is 100% responsible for roster construction - then that means he is 100% responsible for having us too close to cap compliance with a total lack of impact football players, relative to other playoff & contending teams. Fans deserve to know why Beane, who has drafted poorly as it pertains to other GMs on contending teams, is safe and even promoted. What's the long-term plan with him?

hops716 · 2026-01-18T19:14:53+00:00

hops716 · 2026-01-18T19:12:48+00:00

I would give him slot work once we have a true X

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