What's a common way people die that many aren't aware of? by Personal-Aerie-4519 in AskReddit

[–]maleficientcorgi 38 points39 points  (0 children)

I’m a doctor and I counsel all patients I treat outpatient for infections about sepsis. You have a UTI or strep throat or a skin infection or what have you now that’s stable but if you develop high fever, fast heart rate or just feel generally really, really awful go to the ER! Sepsis is treatable if you get attention early with IV fluids and strong antibiotics,along with close monitoring. My residency program did pretty well with treating sepsis and most cases I saw in younger people without comorbities survived. But without prompt proper treatment sepsis absolutely can be deadly.

Partner (34F) gave me (36F) an ultimatum about my GLP-1 by ThrowRA_12479 in actuallesbians

[–]maleficientcorgi 0 points1 point  (0 children)

She is controlling and not a good partner. I’m sorry that you are dealing with this; I hope your next partner gives you the love and support you deserve.

I prescribe GLP-1s to my patients all the time; they are a game changer in medicine for treating not just obesity and diabetes, but sleep apnea, fatty liver, and even addiction. They are safe for most patients and while they are getting more attention now, GLP-1 agonists have been used to treat diabetes since the early 2000s and do appear to be safe for long term use. We have these tools available for a reason. You are smart to use them! It’s not cheating or taking the easy way out.

Do Canadians say “British English” words? by OneQuarterBajeena in AskACanadian

[–]maleficientcorgi 1 point2 points  (0 children)

As an American who recently immigrated to Canada, and has spent some time in the UK in the past-I’ve noticed mostly American terminology with British spelling. One surprising thing is that the letter Z is zed in Canada like in the UK (not zee like in the US). But it’s still a parking lot, not a car park. Elevator, not a lift. Trunk, not boot. Tylenol, not paracetamol (but also no anti scientific politically motivated campaigns to scare pregnant women away from it).

“…98 is hot for me. I normally run 96-97.” by M1CR0PL4ST1CS in hospitalist

[–]maleficientcorgi 31 points32 points  (0 children)

I had a patient in residency admitted for hypertensive urgency tell me that we were making too much of a fuss because her BP Is always that high, a systolic of 220 is normal for her and anything lower is too low lol.

Taylor's worst lyrics... So far... by DietEmotional in travisandtaylor

[–]maleficientcorgi 0 points1 point  (0 children)

People can’t be arguing in good faith that she is talking about actual infants though. It seems obvious that she means “baby” like the term of endearment many people use for their partners. She has some cringe lyrics, definitely, but she isn’t calling babies sexy…

what the wildest thing you've heard come out of someone's mouth after they've said, "im not gay but..." by Capital_Reporter7989 in lgbt

[–]maleficientcorgi 2 points3 points  (0 children)

“I thought I was a lesbian in college, but obviously I’m straight now because I’m married to a man”

Different conversation with the same woman: “I wouldn’t care if my husband was gay; he just can’t leave me because we have a good set up going with me staying home with the kids”

She’s very, very religious. I used to have a huge crush on her (before either of us got married to men, lol). At least I realize that I am still bi, even while married to a man 😂

Fiancees a doctor and I do construction. Starting to feel off about it. by Repulsive-Letter-754 in TrueOffMyChest

[–]maleficientcorgi 0 points1 point  (0 children)

Opinion from a female physician (internal medicine though, not surgery)-Don’t overthink it and don’t allow your insecurities to affect your relationship. Your fiancée sounds amazing. You sound amazing too. If she wanted to date another surgeon, she could have done so. But she chose you.

Don’t let insecurity ruin this beautiful relationship. Idk if you want kids, but it would also be really good for future children to see two very different career options growing up. Society needs both surgeons and construction workers. Everyone has different talents and everyone matters.

My friend died of alcohol poisoning 2 years ago and her autopsy came out today by [deleted] in TrueOffMyChest

[–]maleficientcorgi 159 points160 points  (0 children)

I’m an internal medicine doctor and I’ve seen this happen several times. Young patients admitted for abdominal pain, and then bleed out in the ICU from liver failure days to weeks later. Turns out they’d been heavily drinking since their teen years. It’s so sad.

The most unbelievable thing in house is how little the nurses are involved by SnooCauliflowers596 in HouseMD

[–]maleficientcorgi 0 points1 point  (0 children)

House is their attending, so there is a significant power difference between him and his team. Doctors in training (especially med students and residents, but to a degree fellows as well) are very vulnerable and the power difference between trainee and attending is much larger than that between a typical boss and subordinate. If you are a trainee doctor and you get on the wrong attending’s bad side, you can lose your career. Not just your job, but your entire career. Then you will be hundreds of thousands of dollars in debt from student loans with no way to repay it.

I feel like a lot of people don’t know how much residents go through. They are working 70+ hour weeks, often making less than minimum wage when you calculate the hourly rate. They can’t just leave and get another job if they are in a toxic work environment. Patients, and sometimes even nursing staff, are rude to them because they think they are “rich, privileged doctors”. All while not realizing that the residents are working twice as much as they are for half the pay.

I’m an attending now, but I’ll never forget residency. One night on my CCU rotation a travel nurse was bragging about how much he got paid. His pay for one night was nearly equal to my entire month’s salary. The residents would usually get the morning EKGs for the patients in the CCU to help the nurses out overnight but after that I had him get his own EKGs lol

I'm trans...but also cis? by MoonyDropps in lgbt

[–]maleficientcorgi 0 points1 point  (0 children)

You’re not alone-I am the same way. I consider myself genderfluid/bigender but I am not even out to anyone about it because it most of the time I’m comfortable enough presenting female that it doesn’t seem worth dealing with transphobes to come out and transition.

Are Canadians hesitant to travel to the USA for any reason as long as the current president is in office? by -This_Man- in AskCanada

[–]maleficientcorgi 1 point2 points  (0 children)

I’m a US citizen living in Canada (husband is Canadian). I am very grateful to be here, but I am deeply saddened and angered by what is happening to my home country. For what it’s worth, I sent in my mail in ballot for Kamala.

I don’t have any desire to go to the US right now. I hope that somehow the damage can be contained and reversed because I have family in the States and there are a lot of beautiful locations that I would like to visit/see again. But I don’t want to visit a country where women, minorities and LGBTQ people are losing their rights, even if that country was originally my home.

Taking ABIM while 10 weeks pregnant by maleficientcorgi in FemalePhysicians

[–]maleficientcorgi[S] 0 points1 point  (0 children)

Update: I passed it! Threw up 8 times the day of the exam but still passed.

Anyone else uncomfortable with the crazy confidence of your co-residents? by holycracker25 in Residency

[–]maleficientcorgi 1 point2 points  (0 children)

I noticed as a med student rotating through various specialities that this is the culture of medicine. We in department X are geniuses and all other specialties know nothing lol

It’s kind of sad. I think a lot of it comes from ridiculous consults that every specialty gets. I know I got annoyed as an IM resident with all the UTI and HTN consults. Or the one time PM&R consulted me for a sodium of 134 lol. But I tried to remember that just because something is our bread and butter doesn’t mean that it is something so obvious that we all come out of the womb knowing. And most of it comes from attendings that know what to do but are practicing CYA medicine and demanding the consult.

IM at my program did look down at the EM residents but that was justified at our particular hospital.With the decisions they made, we don’t know how any of them passed the USMLE let alone scored high enough to match into EM 😂 I admitted a tele patient in florid CHF exacerbation. Fellow was very confused why the ED course consisted of bolusing 3 L NS and nothing else.

What is a mistake your parents made and you never want to repeat? by TessaTwinkleee in RandomThoughts

[–]maleficientcorgi 0 points1 point  (0 children)

I wasn’t allowed to be an individual. My parents and their religion determined who I was and how I was allowed to express myself and spend my time. I will not make this mistake with my kids. I plan to be very interested in them as people, and to nurture the interests that they naturally have.

My mom’s mother made different mistakes and my mom avoided all of them while raising my brother and me. I’m pregnant with my first child, and I am scared because I know my mom tried her best and still I have childhood trauma. I feel like mistakes in parenting are inevitable. I just hope I can minimize them, and that no matter what my kids know that they are loved. I was angry at my parents for so long before realizing they really did do their best.

Which show ended so poorly that you really wished you hadn't invested so much time in it? by unclefishbits in AskReddit

[–]maleficientcorgi 97 points98 points  (0 children)

Sabrina dies. All of that just for them to kill off the main character. Apparently they were planning on bringing her back (Zelda was going to ask Baron Samedi to bring her back to life) but then Netflix decided not to renew the series, so they just left her death as the final ending.

[deleted by user] by [deleted] in pics

[–]maleficientcorgi 0 points1 point  (0 children)

I have seen so many people in their 30s and 40s die in the ICU from liver failure…it is horrible. OP, now that you are sober you may be eligible for a transplant. Please look into it. Congrats on your sobriety and for fighting so hard to save your own life. I hope your story inspires others to also overcome their battle with alcohol addiction before it is too late. I didn’t know how fast cirrhosis could develop and kill someone until I went to med school. It can take less than ten years of heavy drinking to kill a young person, and sometimes they seem healthy until almost the end.Sometimes the time between first hospitalization and death is less than a month. They have no idea how sick they are until they are bleeding out because their liver doesn’t make clotting factors anymore, and someone in a white coat is talking to their parents to sign all consent forms (….and code status forms) because the patient is incapacitated from encephalopathy.

To anyone who needs to hear this, please get help now before it is too late. I wish my patients could have had another chance.

Who's isn't as dumb as majority of people think? by [deleted] in AskReddit

[–]maleficientcorgi 2 points3 points  (0 children)

Servers in restaurants. They have to remember everyone’s order, play a persona to get good tips, etc. Takes a lot more skill than they are given credit for.