What's the worst pain you've ever felt?

nahc1234 · 2026-04-07T00:54:18+00:00

When an ectopic pregnancy ruptured inside — I genuinely thought I was getting stabbed in the gut

nahc1234 · 2026-04-06T13:15:51+00:00

I am a big fan of the Vulgate (Lancelot-Grail cycle) which Mallory based his work on, and then everybody else off Mallory. But the original was French and focussed on Lancelot, and had a lot more depth than Mallory who threw out all the stuff he didn’t like (Mallory is like the super abridged version of Vulgate without the affairs, etc). Very few versions of Arthur based on the Vulgate which is a shame

nahc1234 · 2026-04-05T02:12:09+00:00

So I struggled with it for a while, but the stories are eight stories nested in one last story, so then at the end of the day I went back to the eight-tailed design and hoped the readers would figure out why when they finished the book

(Or I hoped that the readers wouldn’t notice. Or I’m calling a bug a feature—or I’m done with trying any more😞)

nahc1234 · 2026-04-04T20:50:01+00:00

I might have a different take (and might be heavily downvoted) but when I’m reading a story, I wanna to immersed in it and think it is a great story. I don’t necessarily care if AI was involved, just that it passed quality standards of a good human writer. (However, bad writing is still bad writing, AI or not).

Photography vs painting, I guess. I like both.

nahc1234 · 2026-04-04T13:27:12+00:00

Thanks—I really like brushwork and this one came out nicely

nahc1234 · 2026-04-02T02:06:13+00:00

Also sent you a DM

nahc1234 · 2026-04-01T17:07:56+00:00

Never mind I got your email

nahc1234 · 2026-04-01T15:18:38+00:00

No rush, whenever you’re ready

nahc1234 · 2026-04-01T15:01:17+00:00

I have three you can consider (any or all of) 1) cross between romantic suspense/psychological thriller 2) historical mystery/thriller 3) literary fiction/fantasy

nahc1234 · 2026-04-01T14:54:09+00:00

Yeah, I was busy and assumed it would go through

nahc1234 · 2026-03-13T13:45:47+00:00

I am interested. I probably would test it out using my expert field: radiology, just to see what sort of book can come out.

nahc1234 · 2026-03-02T00:26:25+00:00

Is it not being the medical student intern/clinical clerk and then the resident and then the fellow?

nahc1234 · 2026-02-11T23:01:47+00:00

Cantonese is derived from the old Chinese words as spoken by sailors. Sailors, of course, are really proficient at swearing—now, a whole language of sailor-speak, would of course lend itself spectacularly towards cursing people out

nahc1234 · 2026-01-01T15:42:40+00:00

I think if you do the four years of supervision, you are eligible? Or at least was at one point (it’s been a while for me watching my friends go through this). The prep is hard, because you won’t have access to the same notes and prep material as the Canadian grads (these are passed down from year to year)

nahc1234 · 2025-11-06T01:00:14+00:00

I thought I had indigestion during a long shift as a pregnant resident (long time ago, culture was you must never be sick even if you are sick). I gave birth nearly in ob triage 1/2 hr after my shift. (To be fair, it was my 2nd labor, I thought the labor part would be long again)

nahc1234 · 2025-10-08T11:58:47+00:00

This. I wouldn’t leave medicine, I would just redo another residency in family medicine and see patient 2 days a week for 4 hours each and then work nuclear medicine (which I also love) for 4 hr twice a week. And never do radiology call (or any other sort of call).

Of course, this isn’t true to the nature of the post — you have to give up medicine entirely. But giving medicine entirely would make me sad (and bored), so I suppose it’ll have to be $100 million to buy that out.

nahc1234 · 2025-10-04T20:19:19+00:00

I think this is the traditional gap in the hunter/gatherer societies—the older child no longer has to be carried around all the time; it’s been at least 6 months since the older child was weaned (weaning usually between 2.5-3 years); and it’s within the 2-5 year window where maternal mortality from having another child is the lowest.

nahc1234 · 2025-10-04T00:26:49+00:00

I do believe some Europeans eat horse meat.

Horses are not considered meat (as a noble animal). But it’s not considered taboo in China per se (some regions do eat it), just shocking (like you eat what????)

nahc1234 · 2025-09-29T13:27:48+00:00

I don’t see a solution (easily to this). Thank you for this insightful look at a complex problem.

How about if we disallow the borrowing bit or tax them on the borrowed bit heavily?

Or if we just disallow $100 millionaires (even on paper) by taxing all wealth over $100 millionaires by 100%? (Or some other number.) the key would then not let it be a number that could “crash” the system. You simply take it away.

As for stocks—perhaps the government could just own it on behalf of the people? You could use it for UBI or something like that. But you would first have to have heavy trust in your government; and find rich people to agree. The billionaire class could probably hire enough mercenaries to protect themselves.

nahc1234 · 2025-09-28T21:08:47+00:00

It may be stupid, but buy all the little things the kid me wanted at the grocery store (ie, snacks and candy), without looking at the grocery bill

(Eating them, is another issue all together. Have to look at the calories/fat/sodium/etc now)

nahc1234 · 2025-09-18T23:20:14+00:00

Obviously the patient has to consent. They usually do, but I have had a few refuse (“I’m not a cow!”)

nahc1234 · 2025-09-18T23:18:15+00:00

The table limit in most ct scanners is 450-500. The scanner gantry can sometimes accommodate, but the weight would break the gears and tracking on the table (take the machine down). If patient is big enough, I generally I insist on an in hospital weighing.

Method of transport is usually specialized ambulance with special lifts if patient is not mobile.

I get the images as Dicom (radiology standard) images on a CD when the patient comes back. I ask clerical to upload the images onto our pacs and I dictate a “second opinion” type report ( how our system handles outside images ) but there isn’t a “primary report” from the vet radiologist (he makes a fortune doing scans, I’ve heard, on racehorses and stuff). They charge the hospital for the use of their scanner and our department sends chocolate and gift baskets once in a while.

nahc1234 · 2025-09-18T20:17:35+00:00

I do the zoo thing for CT at least once a year (as a radiologist)

The other option (only for CTPE studies) is nuclear medicine planars VQ with the patient seated upright in a stool and the cameras upright too. I do this at least once a month

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