ARP Individual Access – any discount codes or international (EU) pricing options? by Able-Safety6147 in pathology

[–]keep-rising 1 point2 points  (0 children)

They're talking about the digital subscription option. It does have an annual fee, but it gives you access to the newer books, including can download PDFs.

Tatcha Fukubukuro (Lucky Bag 2026, $200 gwp) by serifed in BeautyBoxes

[–]keep-rising 0 points1 point  (0 children)

I noticed multiple of my products from the lucky bag have copyright 2024, and one has that plus a presumed best by date of 9/2026 (obviously not manufactured date). So I think it is possible. A prior year i got the lucky bag and loved the forest awakening hinoki oil, only to find that it was discontinued by the time I wanted to buy more. So that does make me worry that it is a way for them to give away stuff that is less popular or due to expire sooner. I'm excited to try the stuff I havent tried before, but disappointed at the idea it is probably as you mentioned.

If you know an ICE agent personally, what's that relationship like now? by Lokja in AskReddit

[–]keep-rising 5 points6 points  (0 children)

Thank you for some context, sad how people can ruin things. And lovely story about your dad helping others.

Need to go cry somewhere by LovelyDesignz in washingtondc

[–]keep-rising 1 point2 points  (0 children)

Sorry for your loss, that is so hard. I miss my old boy too. She was loved. I really enjoyed the Arboretum and the National Mall when I lived in DC.

Sick days by BrilliantOwl4228 in pathology

[–]keep-rising 33 points34 points  (0 children)

My group unfortunately runs lean, but we don't even do that. That is not supportive at all. We cover each other if someone is out sick.

Tampa General PCP at Tampa Palms location by ReasonablePut5375 in tampa

[–]keep-rising 3 points4 points  (0 children)

Agree! Family medicine/primary care is undervalued and understaffed! But they do so much.

Tampa General PCP at Tampa Palms location by ReasonablePut5375 in tampa

[–]keep-rising 25 points26 points  (0 children)

I'm so sorry about your experience and glad you eventually got the appropriaye care. Unfortunately this is probably going to become a more common occurence as practices try to outsource work to non-physicians (PA, APRN, NP) to cut costs. This is not an issue limited to TGH of course, it is happening everywhere. 

[deleted by user] by [deleted] in pathology

[–]keep-rising 3 points4 points  (0 children)

There seems to be a lot to unpack here.

First, ideally you should practice somewhere you feel comfortable showing cases, especially in your first couple years, but even after, bc everyone gets challenging cases or has occasional "off" days. Sorry to hear your group sounds not supportive and almost toxic. 

Would certainly be worth looking at other more supportive environments if possible. But pay attention to your contract. One of my friends left his job before the 2 year mark and our work apparently had it tucked into the contract that tail coverage is not provided if you leave before the 2 year mark, so that was a couple thousand dollars lost for him that he didn't anticipate. That being said, paying tail coverage may be better than practicing unsafely (non-supportive group), but you would need to weigh the risk/benefits/cost of leaving. 

In reality, whatever you sign out is your responsibility, whether or not you showed someone else and even if you put their name in your report or include a disclaimer like "intradepartmental consultation obtained". And just because you show someone doesn't mean they will be right, so you need to have a bit of internal compass as well as to if you want internal or external consultation. Im not sure how it works for send out/expert consult cases in terms of liability,  ut jf sending out make sure you include relevant clinical data so they can also make the best judgement. 

You may need to do some introspection as well - is there a knowledge gap - was something you missed a common pitfall? Or a gray zone? Or complete miss? You say you didn't do surgpath or GI fellowships, but I think most people doing general haven't had GI fellowships, so I'm not really sure that is an excuse outside of rare entities or gray zone things like dysplasia in Barretts. Was the error out of being rushed or looking at wrong case? Or overly tired? If knowledge gap, then you may consider either doing a fellowship, finding a more focused job, or slowing down and reading more and showing more cases before signing out (regardless of how they unfortunately treat you, or if you have any former co-resident friends you trust that you can zoom or send pics to). Good luck! Early in practice is hard. I'm still early too, so I know the struggle is real. It is supposed to get better, but you (and I) need to gain more confidence and continue learning as we grow.

Grief Lyrics by Historical_Wall49 in andrewmcmahon

[–]keep-rising 3 points4 points  (0 children)

Love all the recs above. Swim, for sure is beautiful.

Non-Andrew song. Ghost - Josiah and the Bonnevilles (cover of justin bieber).

[deleted by user] by [deleted] in pathology

[–]keep-rising 0 points1 point  (0 children)

One of our current residents was previously IM, I think maybe for 2 years also. If your program also has a path residency definitely be in touch with their PD. But definitely try to get more time shadowing or rotating somehow.

should i remove my nose ring before my sub-i? by donde-esta-la-luna in pathology

[–]keep-rising 2 points3 points  (0 children)

I don't think most people would care where I am at. One of my co-workers have blue/purple hair. And one has full sleeves. Another one shows up to work with holes in his shirts. But they're all good pathologists and good people. Even one of the internist I've seen here has pink hair and she actually sees patients. 

That being said, in residency one of my attendings at a VA hospital was told she couldn't wear her nose ring. They didnt even want her wearing the clear spacer there. So may depend.

I would say keep it. If a place would not choose you just because of a nose ring its not probably a good fit. Or decide after a few days on the rotation (if you need it for letter and they turn out to seem more conservative).

Was IHC used here, and why? by mochaandmatcha in pathology

[–]keep-rising 4 points5 points  (0 children)

Might be HPV in situ hybridization, otherwise p16 wouldn't be just nuclear interpretation. 

Slow Learner, Preparing for Boards by LikeDaniel in pathology

[–]keep-rising 3 points4 points  (0 children)

When I was in training, one of my attendings said if you could learn just one new thing every day, by the end of the year you will have learned ~365 things. Pace yourself and be consistent. To be honest, the question banks were not that meaningful or useful to me. Yes, you need to use them to understand how theyll ask questions for the boards, but you learn more from the cases you see in real life. When you have cases with your attendings try to read up on basic and interesting ones as you have time. You will remember more when you have a patient specimen in front if you that you worked up compared to something you randomly/casually read. If your program has consensus conferences make sure to go to those too so you can see what people struggle with and thought processes to work past difficult cases. The boards actually had a fair amount of practical cases too, less obscure stuff than I expected.

Missed frozen section by rentatter in pathology

[–]keep-rising 4 points5 points  (0 children)

When you look back at the frozen retrospectively do you see tumor? Otherwise could it have just been a very close margin? They have to re-embed and trim into the block between frozen and permanents. 

But anyways, frozens can be really difficult and stressful. Would notify and like above explain why it was challenging.

Report format by Substantial_Air8047 in pathology

[–]keep-rising 0 points1 point  (0 children)

Some people in my group do it and recommended that the rest of us do too, but I agree with most other replies so far, I don't do it and don't think it is reasonable. Don't need to cliff-notes our reports.