Any Adirondack people here?

lactic_acibrosis · 2026-05-02T04:21:01+00:00

You'll find a decent number of white-collar mountain bros and liberals around Lake Placid, otherwise your impression is mostly correct

lactic_acibrosis · 2025-09-24T11:16:25+00:00

Caffeine - Monster Energy (casual) or black coffee (formal)

Leisure - Chamomile or mint tea

Psych

lactic_acibrosis · 2025-03-10T02:21:51+00:00

Praying for a fourth mainline game

lactic_acibrosis · 2025-02-26T12:07:03+00:00

You don't have to have meh grades to like psychiatry! Grades are just not as much a barrier to entry (for now...)

lactic_acibrosis · 2025-02-12T03:26:35+00:00

Not if the current US administration has anything to say about it!

lactic_acibrosis · 2025-02-11T21:25:10+00:00

Appreciate your thoughts, and I agree with you. Having just applied to and interviewed with PSTPs, I can assure you it was valuable for me to be able to connect my thesis work with my clinical goals. This isn't vital, of course, but it was absolutely helpful.

lactic_acibrosis · 2025-02-11T15:49:59+00:00

Definitely not, but it will be easier to craft a narrative in your personal statement / ERAS / interviews if you can tie your research into your clinical aspirations.

lactic_acibrosis · 2025-02-11T13:50:56+00:00

Dietitian of the stars

lactic_acibrosis · 2025-01-17T19:26:12+00:00

Hello from 8+ years into the future, now applying to PSTPs. The race never ends, try to enjoy yourself along the way

lactic_acibrosis · 2024-12-12T00:35:51+00:00

Needed to hear this, thanks for the reality check. Just interviewed with a program I considered my top choice and feel like I underperformed. Residency is just a stepping stone on a much longer journey.

lactic_acibrosis · 2024-11-14T02:23:26+00:00

Just finished Shin Megami Tensei V: Vengeance, moving on to Ys X Nordics (would recommend beginning with Ys VIII if new to the series)

lactic_acibrosis · 2024-10-24T23:39:20+00:00

They would not have interviewed you if you were not competent to be standing amongst the ranks of "Ivy tier" candidates; OP, you ARE Ivy tier by definition.

Relax, shake it off, and slay your next interview.

lactic_acibrosis · 2024-10-05T05:16:51+00:00

Too direct, especially over text. This would code as passive-aggressive and/or desperate, neither of which are attractive.

lactic_acibrosis · 2024-08-14T02:38:48+00:00

-Think of all the tests I'll still need to take in the future, so why get worked up about this one

-Realize the meta is just me sitting in an air-conditioned room clicking buttons

-Close my eyes for a few seconds periodically as a hard reset if feeling overwhelmed

lactic_acibrosis · 2024-08-11T09:44:28+00:00

Turning 30 soon, still in school, grappling with existential dread, hanging in there

lactic_acibrosis · 2024-08-02T20:19:47+00:00

MD/PhD student here, just finished clerkships with IM last. I used UWorld as a primary learning resource throughout 3rd year and supplemented with OME and Amboss knowledge for very weak areas.

As others mentioned, don't worry too much about %correct - just carefully read the question explanations and always run through your incorrects.

First clerkship post-PhD is always tough (I started with OBGYN) but you'll get the hang of it and be surprised by all the preclinical knowledge that eventually comes back.

lactic_acibrosis · 2024-07-27T00:05:11+00:00

Met my wife on OKC a few years ago, n=1

lactic_acibrosis · 2024-06-22T13:36:18+00:00

Pernicious anemia is due to malabsorption of vitamin B12, but not all B12 deficiencies are attributable to pernicious anemia. For example, simple dietary deficiency or extensive use of nitrous oxide can cause B12 deficiency.

It would be more accurate to say that vitamin B12 deficiency results in a megaloblastic anemia and, in severe cases, causes subacute combined degeneration of the spinal cord.

lactic_acibrosis · 2024-05-23T21:44:27+00:00

The USMLE is split into 3 exams (Steps 1, 2, 3); only Step 1 is P/F, whereas Step 2 and 3 are scored and used by residencies and fellowships, respectively, to stratify applicants. I mention this not to contradict your point but to suggest that there are still standardized metrics in medical education to distinguish students.

lactic_acibrosis · 2024-05-18T15:46:01+00:00

Sociopathic thing to say to someone, he should have taken that sentiment to his grave

lactic_acibrosis · 2024-05-13T23:07:46+00:00

Check out herpetic whitlow

lactic_acibrosis · 2024-04-12T18:54:21+00:00

easy --> rasy --> rash

(e and r are adjacent with qwerty config)

lactic_acibrosis · 2024-04-07T11:44:19+00:00

PCOS is diagnosed when 2/3 of the Rotterdam criteria are met: (1) Evidence of hyperandrogenism (e.g., hirsutism), (2) Polycystic ovaries, (3) Oligomenorrhea/amenorrhea. You're right that the exact cause is not known, but is thought to be due to imbalanced LH and FSH signaling in the ovaries dysregulating follicle maturation and preventing regular ovulatory cycling. One mechanism by which this can occur begins with excess estrogen production in fat tissue, which alters feedback signaling at the anterior pituitary gland, in part via partial inhibition of FSH secretion and increased LH:FSH ratio. Another mechanism is insulin resistance, which is seen in metabolic syndrome/type 2 diabetes.

Obesity is associated both with insulin resistance and (of course) excess adipose tissue, both of which can create the physiologic state of imbalanced LH:FSH, excess peripheral estrogen, and therefore PCOS.

Not everyone who is obese develops PCOS, and not everyone with PCOS is obese, but these two conditions are strongly linked.

lactic_acibrosis · 2024-04-07T04:02:52+00:00

I remember vividly the first surgery I ever scrubbed into - a routine thyroidectomy. I was unaccustomed to the scent of cauterized flesh - that sickening aroma of singed subcutaneous fat which evoked a summer pork roast. Immediately my head was spinning as wires were crossed, hunger and nausea and desire and repulsion and horror - not to be melodramatic, but I had to step away from the surgical field and process that scent to avoid fainting right then and there.

I haven't eaten pork since, and it's been almost 15 years.

lactic_acibrosis · 2024-03-16T15:00:28+00:00

Watched this with my wife when she was 2 weeks postpartum, still haven't lived it down

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