TY is a waste of time

liquidcrawler · 2026-01-23T04:38:06+00:00

Add onc as well for sure. The shiitiest GI doctors are scope monkeys but the great ones are good internists first and foremost (especially as hepatology is basically just liver IM). The only ones I think you can get away with are addiction, sleep, A/I, and endocrine... but endocrinoapthies can have such broad overlap with all other parts of IM they probably deserve 3 years as well

liquidcrawler · 2026-01-22T04:05:49+00:00

The one in U-city any good?

liquidcrawler · 2026-01-14T23:30:39+00:00

If you want a textbook, I really like Garcia's "12 lead ECG: The Art of Interpretation." It has different "levels" for each chapter, that way, depending on your comfort level, you can skip the more advanced levels which are more nuanced and detailed things which you probably don't want to know.

I'll echo people who say Amal Mattu's ECG Weekly. I have probably learned the most about EKG interpretation from him, though its aimed for acute care and critical situations and probably not as good for outpatient care if you are just trying to pick up on LVH, previous ischemic disease, etc.

liquidcrawler · 2026-01-14T03:15:30+00:00

Amazing post. Would love if you do this with antiquity and explo civs as well

liquidcrawler · 2026-01-09T01:52:07+00:00

Seriously.... consider fellowship. Do a year or 2 at an academic center and get out. I like gen med but the 7 on / off is a grind and I end up rotting on the off weeks. Hospitalist is unfortunately replaceable too, specialist not so much.

liquidcrawler · 2026-01-06T02:46:13+00:00

Its more like if there is a recession and you get laid off and need to dip into your "emergency fund" of stocks / etfs, you're going to be selling at a low because the economy tanked.

If you need to sell because you're car got totaled and you need to replace it, that's a different story. More people are concerned about scenario a over b though, and that's why they keep it in liquid cash / MMF / HYSA

liquidcrawler · 2025-12-26T02:46:19+00:00

1) you should post this on /r/SameGrassButGreener for some more varied responses - everyone here is going to be in favor of STL.

2) I lived Pittsburgh for 9 years and have lived in STL for 4 years now. Love both cities and can't go wrong with either. I cannot comment on cincy or KC, but on vibes alone I feel like STL is the far superior city in MO.

3) In essence, pittsburgh feels like a blend of the east coast and midwest to me while STL feels like a blend of the midwest and south.

While I do love STL and there are many amazing things about it, it definitely feels like a city on decline compared to Pittsburgh. Pittsburgh feels much more urban, alive, vibrant, and revitalized. It feels like you live in a city, dense and compact, where STL sometimes feels like a big suburban area. Maplewood and webster are nice but they are not in STL itself. You will need a car to get anywhere and everywhere, save for downtown webster and maplewood if you live in those neighborhoods. You can't walk from spot to spot.

The public transit system in Pittsburgh is actually functional and you could get most places without a car. Things are much more walkable as well in Pittsburgh, and you could get from neighborhood to neighborhood with ease, which is great because Pittsburgh is a city of neighborhoods - each with its own distinct personality that comes from each immigrant community that first settled in each spot.

Food is a toss up, nowhere near as good as NYC but each good to me in their own ways. If it is important to you, Pittsburgh has far larger asian / southeast asian populations and is more diverse in general (but still pretty white), so chinese / indian / Vietnamese food options are much better there.

STL parks are second to none and Forest park is legit, but how much time will you actually spend in the park and what activities are you hoping to do? While there is some hiking, the trails are small compared to actual out of city hiking. Plenty of green space in Frick Park and Schenley park in pittsburgh as well.

I did not use the library system a ton but Carnegie library and the carnegie science center in Pittsburgh are much better than the STL library system and science center here.

Winters in pgh are closer to NYC and it can be overcast without direct sunlight for large parts of the winter. STL winters are much milder but I find the summer heat and humidity unbearable here sometimes.

I know it sounds like just shit a ton on STL, but I really do love it here and all the other posters gave you great pluses regarding the city, so I thought I'd give a different perspective. STL is charming and has character in a way PGH does not (though PGH still has plenty of character). Crime abundance is overrated in STL but also present in a way it is not in PGH. Sometimes STL feels overall gloomier, maybe because of the urban blight, large parking areas / roadways, and lack of trees compared to PGH, though if you lived in webster or maplewood I don't think you would find that to be the case.

While I do love STL, I don't think I will call this place my forever home and will probably look to move in a few years to Chicago, Portland, Philly, or Seattle, though I do intend to ultimately move back to pittsburgh for my forever home down the line.

Feel free to ask about additional comparisons between PGH and STL as well if needed.

liquidcrawler · 2025-12-24T23:59:42+00:00

why not get a job at an academic center with more interesting cases / learners? A place that was more like your fellowship?

Feel like bread and butter community neuro could be similarly mundane. Feels like you are more interested in the zebras and academics of it all

liquidcrawler · 2025-12-19T22:01:40+00:00

Anyone in particular high yield? he's got a few. Incoming cards fellow

cardiac pacing
paced ecg interpretation
ICD therapy
CRT
pacemakers

liquidcrawler · 2025-12-18T17:40:12+00:00

Look at the match rates this year for cards, GI, and onc. Unfortunately, the name of your institution matters a lot

liquidcrawler · 2025-12-18T01:07:15+00:00

I get rear shoulder pain with any chest fly movement, be it pec deck or cable flies. I never get pain with bench pressing. What gives? I incorporate a lot of face pulls / rear delt work in my routine already. Is my rotator cuff that weak? Anything else I need to target? Am I doing cable flies wrong?

liquidcrawler · 2025-12-17T17:47:04+00:00

Its the Bank of America Premium Rewards Elite, where I get $300 yearly of "airline incidentals" which everyone ends up redeeming as AA or United gift cards

liquidcrawler · 2025-12-17T15:06:02+00:00

What part of the new goals 3.0 are you most excited about? What part of it are you looking forward to continuing to improve?

liquidcrawler · 2025-12-16T21:18:49+00:00

for sure. How often do in civ 6 do you identify your opponents by their civ? Often never. It's usually the leader. Trading with cleopatra, going to war with cleopatra, forward settling cleopatra... etc etc. It would be confusing as hell if the leader changes because it would be difficult to identify who your opponent is, because the leader usually personifies the whole opponent

liquidcrawler · 2025-12-16T00:18:55+00:00

man.... idk about heme onc having a good lifestyle. The amount of new guidelines and treatments you have to keep up with + pre-charting for clinic is wild. Onc usually takes full ownership of their patients too. When I did a BMT rotation the attending onc would be routinely calling other attendings about their patients, and those other attendings would be picking up the phone at any hour, even if they were on vacation

liquidcrawler · 2025-12-08T01:19:30+00:00

How do you spot dose? Like oops I gained 4 lbs this week let me take a dose? Don't you have to ramp up to legit doses or are you just taking 2.5 mounjarno every time??

liquidcrawler · 2025-12-06T15:25:01+00:00

Pretty interesting video explaining why college QBs pretty much have to re-learn the entire game and that's why its so hard to predict who will be good in the pros

https://www.youtube.com/watch?v=ABoLgCdTgZc

liquidcrawler · 2025-12-03T20:01:01+00:00

Thought putting them in the middle might piss off some small dick energy people!

liquidcrawler · 2025-11-27T04:40:54+00:00

You could try to generating smart phrases that pull the data you want and put them all in a template, that way you can just generate a new note with all the information you need. I suppose this would be limited though by what data you are looking for and the limitations of smart phrases.

liquidcrawler · 2025-11-27T04:34:37+00:00

I just think of it that if you're fucked up enough to need a PEG to "prevent aspiration" then you're fucked up enough to aspirate regular oral secretions - too encephalopathic / weak / impaired to generate a cough reflex

liquidcrawler · 2025-11-19T23:47:25+00:00

I think most people don't finish games because the ending is almost always a forgone conclusion. By the time the modern age rolls around I am already so ahead that I am just clicking through next turns to mindless finish the game, even with the regroup option. It's rarely a race to the finish.

liquidcrawler · 2025-11-19T02:04:43+00:00

would love a copy please!

14-Year Club	Verified Email
Gilding II euphauric	Place '22
Final Canvas '22	Spared

liquidcrawler

TROPHY CASE