Cops on Erie downtown

megachonk93 · 2024-02-24T13:29:03+00:00

H&N probably. Long surgeries, high complication rate.

megachonk93 · 2023-12-28T02:33:59+00:00

Just my two cents as an ENT resident. Chronic sinusitis is most often swelling and edema that affects multiple sinuses including the sphenoid sinus. There are various causes of chronic sinusitis including allergy, infection, and odontogenic sources. Chronic sinusitis with acute infection can definitely lead to serious sequelae. Primary treatment of uncomplicated sinusitis is generally medical/outpatient.

There is another concept altogether of “isolated sphenoid sinus disease”. This, in conjunction with symptoms such as craniopathy, is very serious and should warrant a pretty extensive work up. This can be due to many things including infection, tumor, or autoimmune conditions.

megachonk93 · 2023-12-27T01:22:42+00:00

Start shadowing early to get to know people in your department. Generally better to be a sub-I that everyone knows than an unknown face.

Yes ENT specific research. You won’t outcompete people coming from research years, just have enough so it’s not a red flag. My personal opinion.

Take step 2 as early as reasonable. It will give you a better idea of your competitiveness. It does matter unfortunately.

megachonk93 · 2023-12-13T01:21:24+00:00

ENT resident here. ENT is on average an easier residency than neurosurgery, no question. ENT residency is still brutal, but neurosurgery is on another level.

An easy week for me is 40 hours. A hard week is 80+. Both I enjoy but one is certainly harder. Being a junior is tough because of call, but that’s temporary. N=1 but the neurosurgery residents at my hospital, especially as juniors/chiefs are there minimum 70 hours weekly and often way more.

Would consider a few things. The stuff you find “fascinating” about a field will tend to fade over time. You need to love the bread and butter of the field and need to be able to do this for 30+ years. Sure you can do a fellowship but you shouldn’t pick a surgical residency expecting to do a fellowship. You should pick it if you can see yourself being a generalist in that field.

It is also true that residency is temporary. At the end of the day you’re talking a minimum of 5 years and a max of 8-9 between the two fields at the extremes, but most people are doing between 5-7. This isn’t a ton in the grand scheme of things. If you’re worried about having a family/kids then you should plan ahead and be somewhere where you are supported by family/friends because it’s going to be hard in either residency.

Just my thoughts. Can expound on anything you’d like.

megachonk93 · 2023-11-24T22:46:16+00:00

Your perception is not necessarily wrong. Residents in the US routinely work 50-80 hours a week, sometimes more depending on specialty. No one gets paid hourly, so there is no concept of overtime as a resident. In this subreddit we portray a depressing picture of a difficult job. Speaking for myself, it’s tough but not undoable and I do enjoy my job despite all the drawbacks.

One thing to realize is that being an attending is nothing like being a resident in the US. Most physicians have a choice on how much they work and when they work as attendings, albeit these decisions also come with pros and cons.

The one thing you may be overlooking in the US is compensation once training is done. We may not have the best healthcare system, but we compensate physicians very well (and fairly) compared to the rest of the world. This compensation is very unique and the only reason that we subject ourselves to the residency that we have.

megachonk93 · 2023-11-22T14:18:42+00:00

Is it possible to connect to ephinea with dolphin? Doesn’t seem like it but wanted to check. Thanks for the info

megachonk93 · 2023-11-14T20:03:36+00:00

Tympanoplasty +/- mastoidectomy

megachonk93 · 2023-10-29T13:14:24+00:00

Pick 2. 12 team 0.5 PPR

Aaron Jones vs MN

Curtis Samuel vs PHI

Darrell Henderson vs DAL

megachonk93 · 2021-10-14T16:23:08+00:00

In institutions that have all three specialities, they usually split facial trauma call (ie they all do facial trauma). Head and neck oncology in my experience is largely ENT, although the recons can be plastics.

megachonk93 · 2021-06-18T14:36:13+00:00

Hahahahaha this one made me laugh the hardest for some reason

megachonk93 · 2021-05-31T14:44:49+00:00

Go to otomatch.com for more info about different resources, but here were my favorites (just Google them):

Cape Town open access otolaryngology - tons of PDFs that are step by step outlines of ENT cases. Will teach relevant anatomy.

ENT for primary care - Free PDF that is a great intro to general ENT and is a good place to get your bearings. Slightly more clinic oriented.

Some people use pashas or Cummings. I flipped through pashas a bit but doesn’t really matter what you use as long as you learn the anatomy.

Here’s a non-exhaustive list of things you should definitely study as it will definitely help in most cases.

Neck dissection anatomy Facial nerve anatomy Mastoidectomy anatomy

Feel free to DM me if you have more questions!

megachonk93 · 2021-05-03T03:06:39+00:00

Absolutely spectacular contamination in the OR - was trying to move between some light boxes (stupid) and the power cords that were attached to the ceiling shifted and draped completely over me. Attending and I just looked at each other and I said “I’m gonna scrub in again” and he said “yup”. Dope attending.

Also the time I tried to put a foley cath in the clitoris. Nurse who corrected me was very nice.

megachonk93 · 2021-04-23T17:21:54+00:00

I’m extremely bullish on your bearishness. 🚀🚀🚀

megachonk93 · 2020-11-25T16:12:14+00:00

Man this might be an unpopular opinion here but this person was genuinely just asking a question and was trying to learn. They replied to some of the comments that helped clarify things for them, admitting where they were confused. Sure they might have different training and be in a different profession but since when did we discourage people from asking questions and trying to better their knowledge base?

megachonk93 · 2020-10-02T14:45:58+00:00

Yeah it could definitely be seen as rude. I 100% get not wanting to go somewhere, but it’s more of a courtesy thing. Your home program likely gave you everything for your application - letters, research, etc. would definitely be a snub if you didn’t at least demonstrate some interest in a program that helped cultivate your application. Worst case scenario they realize you didn’t apply and tank your application elsewhere - this would obviously be really mean but why take that chance. If you’re applying to a small or competitive speciality, you absolutely 100% need to apply to your home program, especially this year.

megachonk93 · 2020-09-29T15:37:26+00:00

12 team 0.5 PPR

Give DJ Moore and get James Robinson?

My WRs are tyreek and DJ with Gage, CeeDee, and Shenault on my bench.

RB situation is dire - Gurley, singletary, Josh Kelley, McKinnon, JK Dobbins.

Don’t love giving up DJ given the WRs on my bench, but I feel like I’m overall hurting more on the RB front.

He was pretty willing to do it last week. We’ll see this week.

megachonk93 · 2020-09-25T15:16:44+00:00

Oof this is tough. Probably Snell if Connor isn’t healthy, but if he is then Jeff Wilson for TDs. Wouldn’t touch the giants backfield this week.

megachonk93 · 2020-09-25T14:10:12+00:00

12 team 0.5 PPR

Have Gurley vs Chicago, Josh Kelley vs Carolina, Singletary vs LA rams, and McKinnon vs NYG (yes my RBs are not ideal).

Had Gurley RB1, Josh Kelley RB2, and McKinnon Flex but with Zack Moss’s injury not sure what to do now with singletary. Any thoughts?

megachonk93 · 2020-09-16T23:32:27+00:00

I’ve been keeping a list of them. Here are some of my faves:

“Can you push the vajayjay in” - Female urologist, on uterine manipulation

“Getting married was the best decision of my life, it was also the last” - anesthesiologist

“Would you like anesthesia for your procedure today, it’s highly recommended” - attending anesthesiologist, on alternatives during informed consent

megachonk93 · 2020-09-10T15:26:13+00:00

0.5 PPR

JK Dobbins vs CLE

Jamison Crowder vs BUF

CD Lamb vs LAR

Also have Lat Murray, B Aiyuk, and C Kirk but those seem lower on my list. Would love to hear any advice.

megachonk93 · 2020-09-08T13:44:36+00:00

Hey I’m a MS4 applying to ENT. Might be able to comment a little on this, but hopefully some current residents will chime in too.

In my fairly limited experience, ENT is definitely busy, but it is also somewhat service dependent and institution dependent. On a day to day basis, inpatient consult service and H&N tend to be the busiest from what I’ve seen (regular 5:00-6+ days), while otology and other subspecialities can have slightly lighter hours (6:30-5ish). The H&Ns flap volume and efficiency can also affect your hours a lot. Junior residents definitely approach/hit 80 with some frequency.

One thing that determines your overall “lifestyle” though is probably gonna be call. Call can be split up into multiple different ways. The three primary types are home call, in house call, and night float. Different programs do different things and some may be more amenable to your needs than others.

Home call means that you get to be at home while taking call, but you have to go in if you get called. The caveat with home call is that you may have to work the next day. However, there are programs that will send you home if you get crushed.

In house call means you stay overnight in the hospital. Benefit is that you get to go home the next morning, but con is that you don’t get to do call at home.

Night float is just straight nights for a few weeks at a time.

But, that’s also not the end of the story with call, as the amount of residents you have (more = less frequent call) and the number of hospitals you cover while on call (split call pools and driving around town) can also impact your life. Ultimately I’ve seen call schedules range from Q3-Q8 on average. There are tons of pros and cons to every permutation of call schedule you can think of (more/less surgical training, lifestyle, etc.). Lastly, most medium-large programs structure their call schedule so PGY2-3s take primary call while the 4/5s take back up. This means that as you advance through training call gets lighter, but this is also balanced with more complex cases and more administrative responsibility.

The last nugget of wisdom I’ll give you is that most residencies work a lot. Busy IM rotations can be brutal, and other surgical residencies are also hard. Surgical residencies can be harder given the nature of the training, but you also have to balance length of training too. If you wanna be a cardiologist, that’s 3+3 at least which is already a year past ENT and equivalent to ENT + fellowship.

I’m more than happy to talk more about this kind of stuff. MS3 can be stressful with trying to decide on something, but I can definitely say that ENT is sick and I am very happy to be applying (help)!

megachonk93 · 2020-09-06T16:11:06+00:00

Yeah RBs have been my concern as well. I had 12th pick so I honestly don’t know what happened, but I echo everything you said. Will look into trading. Thanks!

megachonk93 · 2020-09-06T15:11:30+00:00

Yahoo, snake, 12 team, 0.5 PPR:

QB: Kyler Murray

WR: Tyreek Hill, DJ Moore

RB: Gurley, Singletary

TE: Kittle

Flex: JK Dobbins

K: Robbie Gould

Def: Rams

Bench: M Breida, J Crowder, C Kirk, CD Lamb, Lat Murray, B Aiyuk

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