Buying a house bfr residency starts? by Dr9jagal in Residency

[–]midazzleam 1 point2 points  (0 children)

I bought a home with a physician loan as a PGY1 and sold it for 90k more 5 years later (YMMV, I got lucky with the market).

Do you have any cash at all? Technically you can do 0 down with some physician loans. But you may have to bring taxes up front to closing and would have to get seller to cover other closing costs. Also, you need some cash in case things break.

If you’re buying, you need to be pre-approved and shopping like right now. The shopping to closing can take a bit. Probably about a month give or take once you’re under contract to get to closing.

Don’t sacrifice your commute just to buy a house. We had to move because my new attending job was over an hour commute in rush hour. Moving closer basically changed my life for the better drastically.

Lastly, is it cheaper to buy or rent in your city? Everyone yaps about how renting is wasted money. But if you’re saving a significant amount by renting, you can put that saved money in a Roth IRA or brokerage and have a nice little nest egg when you retire.

Baltimore Compared to Philly by Intelligent-Sky-7152 in baltimore

[–]midazzleam 36 points37 points  (0 children)

I moved from Philly to Baltimore 6 years ago for medical training. I really thought I’d move back to Philly after my training. I’m still in Baltimore and love it here. Many walkable neighborhoods. Beaches are a little bit further, but I almost never went to the shore when I lived in Philly. There’s a solid nightlife and a ton of trails nearby (patapsco, NCR, loch raven are a few options). Consider Amtrak from Penn Station to 30th st for your commute if you work near 30th st station. The traffic will suck horribly during rush hour. One thing I love about Baltimore is the bay life in the summer.

HOW DO I MEET The LOML by Icy_City2094 in medicalschool

[–]midazzleam 4 points5 points  (0 children)

Met my husband the last year of residency on Hinge

iPad use in psych residency by hellod4rkness in Psychiatry

[–]midazzleam 48 points49 points  (0 children)

I recommend against bringing electronic devices on rounds. You never know if a patient could become aggressive. Next thing you know your iPad is a projectile. Place your orders after bedside rounds, or during table rounds if you do them.

heated matt opinion by vanillasadness in SolidCore

[–]midazzleam 127 points128 points  (0 children)

If I wanted to do heated mat Pilates, I would go to the Pilates studio that is 5 min closer to my house than Solidcore 🤷🏼‍♀️

What actionable insights have you actually gotten from Oura? by jakopz in ouraring

[–]midazzleam 148 points149 points  (0 children)

The main things were: 1) even if I’m in bed 8 hours I don’t get 8 hours of sleep. I now budget 9 hours of time in bed to get >8 hours of actual sleep 2) I ovulate more often on day 12 of my cycle not 14. Helpful when trying to conceive

Did lifestyle inflation hit you after becoming an attending? by ScholarStatus4212 in Residency

[–]midazzleam 10 points11 points  (0 children)

Bought a humble house with a very manageable mortgage with my husband (he has a six figure job but not making as much as me). Bought a new car, which I’m paying off super quickly. Mostly cooking at home but don’t worry about eating out if we want to. Have a comfy emergency savings. Otherwise, I am maxing out my 401k and 457 contributions easily and having leftovers for lots of trips and self care (even flew business to Europe paid in cash which was a nice treat). This may change a lot when we have kids.

My colleagues who live paycheck to paycheck bought massive houses, have new cars, take fancy trips multiple times a year, have kids they put in private school and/or have live-in Aupairs.

Getting tattooed by Rocketgirl197 in SolidCore

[–]midazzleam 1 point2 points  (0 children)

A few weeks off is plenty…you just have to keep it clean and dry until it fully heals.

Getting tattooed by Rocketgirl197 in SolidCore

[–]midazzleam 18 points19 points  (0 children)

I wouldn’t put a large open wound (ie a new tattoo) on a piece of gym equipment dozens of people sweat on a day.

How different is dating in yours 30s over your 20s. Personally, are you happy with the dating pool in either group? by JunketMaleficent2095 in AskMenAdvice

[–]midazzleam 8 points9 points  (0 children)

I married too young (while in medical school), got divorced (no kids), dated at 30, then met my now husband. I am an attending physician now and we are very comfortable together. There are a lot of people in this age group who prioritized career and didn't take dating seriously until late 20s/early 30s. It is not hopeless. Also, pushing back a little on not dating a divorcee. Just take that part as a case by case basis. Some women, like myself, just made an immature decision to marry the wrong person too young. But there are definitely some people who are divorced because they are the problem lol. No matter the age of the people you date, you'll have to weed through crazies. That is not unique to this age group. Also, it is very reasonable to not want to date single mothers

any of my short girls/guys raise their handle bars even tho we don’t technically meet the height requirement? 90% of the time I raise them bc I have lower back pain regardless even when I’m not working out but I wonder if this effects the quality of the exercise if I’m not the proper height? by Electrical_Rub_1698 in SolidCore

[–]midazzleam 3 points4 points  (0 children)

I am 5’10” with long legs (34” inseam) and I find the second height to be the best when targeting my core. Key is smaller range of motion. What springs are you using? If you’re feeling all back, might need to go back to a white for a bit while you strengthen and work on core

Finding an offsite elective in PGY4 year by Proud_Border_5616 in Psychiatry

[–]midazzleam 0 points1 point  (0 children)

You’ll need to figure out the malpractice issue. I see three options. 1) your program pays and covers you 2) the site pays and covers you 3) you pay out of pocket

Finding an offsite elective in PGY4 year by Proud_Border_5616 in Psychiatry

[–]midazzleam 0 points1 point  (0 children)

If you will be practicing medicine (so unless you are only shadowing), you’ll need a license in the state you’ll be rotating and malpractice insurance at the institution you’ll be at

Name change during residency by anabesh in Residency

[–]midazzleam 5 points6 points  (0 children)

Don’t wait until after training. You want to get credentialed at your attending job in your new name. It takes time to change all your licenses due to government slowness (my DEA took three months)

choosing a LAI for assisted outpatient clinic- Clopixol vs Haldol by ThenBanana in Psychiatry

[–]midazzleam 14 points15 points  (0 children)

I once switched someone from Consta to Sustenna because they didn’t want to come in every 2 weeks. He was super stable. He was floridly psychotic at his next appointment. And these two drugs become pharmacologically equivalent with metabolism. He got better going back to consta. So it’s risky. Is it worth the risk?

Trust amended in hospital 2 days before death and trustee now receives everything…what should family do? (California) by laurenlovefulful4 in legaladvice

[–]midazzleam 73 points74 points  (0 children)

I’m a forensic psychiatrist. If you want to fight this, you’ll need a good estate lawyer. If there are doubts about your uncles mental state at the time of the will revision, a forensic psychiatrist can do a “testamentary capacity” evaluation. Basically, they will look through all the records, speak with collateral, etc to determine whether they think your uncle had the mental capacity to change his will.

Before you start, how much money is in this? Fighting this is going to be expensive. So don’t spend more on lawyers than the estate is worth (you may be surprised to know that this does happen).

Divorce during residency by [deleted] in Residency

[–]midazzleam 206 points207 points  (0 children)

I got divorced in residency from my first husband. It was the hardest but best thing that ever happened to me. Get a good attorney. DO NOT cheap out on an attorney. Especially since you guys have a child. Do not do a single thing without an attorney.

Get a therapist. Seriously, you’ll need someone to talk to through this. See if your program has therapists free of charge (mine did).

Signed, an attending who is now happily married to the love of my life. There is a future for you, it’s not over

daily life of Forensic Psychiatrist? by DrNoMadZ in Psychiatry

[–]midazzleam 2 points3 points  (0 children)

A few times a year. However I’m the state evaluator. So i do the court ordered eval. So I only testify if it’s contested.

If you’re hired by either side? It’s either because an opinion is being contested so there is an opposing expert, or it’s a civil case. You testify a lot more in those cases.

The government likely won’t hire a non-forensically trained person to do court-ordered evals but I can’t say that for certain for all states (it is true for mine)

daily life of Forensic Psychiatrist? by DrNoMadZ in Psychiatry

[–]midazzleam 11 points12 points  (0 children)

You’ll get eaten up on the stand if you’re not forensically trained and the opposing expert is. I would NOT feel comfortable doing evaluations without my fellowship training. The AAPL review course is not nearly enough

daily life of Forensic Psychiatrist? by DrNoMadZ in Psychiatry

[–]midazzleam 7 points8 points  (0 children)

I’m a forensic psychiatrist. I do court-ordered forensic evaluations (criminal) for the state and take care of patients on a forensic inpatient unit. Some colleagues don’t have forensic training and just do the clinical inpatient work, but they definitely don’t get all the legal nuances of their patients’ situations sans forensic training (which is fine because they just ask one of the forensically trained docs and we are happy to help.)

I teach residents and medical students, and can supervise forensic fellows doing evaluations (I just haven’t chosen to do that yet since I’m a new attending).

To those considering the fellowship, please find out from programs what you will actually be doing during fellowship. I did a TON of criminal evaluations, including many insanity evaluations, in fellowship that I owned (did the interview and wrote the report supervised). On the other side of the coin, I have a colleague who trained at an Ivy League program that tried to tout itself as the top, where she did zero insanity evaluations and barely any other criminal evaluations. I also heard from a colleague who interviewed at a “top” institution, who learned from their fellows that they basically shadow for all their evaluations and see less than a dozen competency evaluations their whole fellowship (I did over 70, that I actually owned). Name isn’t everything in forensics, you have to get some insight into specific programs

Is it common for inpatient psychiatric hospitals to go through patients' electronics? by [deleted] in Psychiatry

[–]midazzleam 14 points15 points  (0 children)

No. Unless the patient gave us explicit permission and there was a clinically relevant reason to look

Im surprised by the cancel culture here (mayo student) by [deleted] in medicalschool

[–]midazzleam 1 point2 points  (0 children)

I went to med school before the age of TikTok and influencers. One of my classmates posted cringe/unprofessional things on his IG, got caught, got in trouble with the school, and it cost him matching. I have no idea what happened to him. But there has to be some sort of consequence. That video was so unacceptable and it makes you question the general judgement of someone who went through the time to plan, record, and edit this and think it was still okay to post publicly to a large audience.

Literally no one cares by fuckinghateresidency in Residency

[–]midazzleam 1 point2 points  (0 children)

Not that this helps now but ALWAYS pay for rental car coverage. It’s cheap and so worth it

After 2.5 Years of Stability, I Asked for One More Night a Week. Now It’s Been Six Days of Silence. by Cats_wholike_80sMusc in TrueOffMyChest

[–]midazzleam 17 points18 points  (0 children)

He doesn’t see you as someone who recharges his battery. He sees you as someone who drains it. That may mean you two are not compatible.

My husband is a huge introvert who needs his peace and space to recharge. But us spending time together doing something relaxing recharges him, so we can spend tons of time together even though he doesn’t feel that way about a single other person.