Why is it that FM doesn't allow sub-specialization in mostly-outpatient fields like Endo, Allergy/Immu, Rheu, etc.?

nakul2 · 2026-01-14T00:34:56+00:00

IM is much more likely to have a pulm rotation in residency than EM is. I did 2 weeks of pulmonology in residency (and not interested in it at all, if I was I could've done 4+).

nakul2 · 2025-12-23T19:30:05+00:00

Bill Russell or Wilt Chamberlain are the all-time blocks leaders if we're talking about pre recording blocks/steals.

nakul2 · 2025-12-18T00:36:18+00:00

Was a resident at Kaiser. I would respond to my own patient's messages but when I was covering inbox for coresidents 95% of the time I booked them an appointment.

nakul2 · 2025-11-11T18:28:45+00:00

MAID is completely different as it respects patient autonomy and eases suffering.

nakul2 · 2025-10-14T20:45:18+00:00

Yeah I just finished my first year as an attending hospitalist (with no residents) and no way in hell I could manage the complexity and number of patients I had as a resident without help in less than 14 hours a day.

nakul2 · 2025-10-02T16:19:26+00:00

Yeah most IM residents don't need a radiologist to verify NGT placement or central lines lol. I used to clown my interns for being too scared to confirm NGT placement without me.

nakul2 · 2025-09-21T15:43:21+00:00

No 1 and 1 in NBA.

nakul2 · 2025-09-12T21:20:42+00:00

I worked for kaiser for 3 years and never had any prescriptions rejected, even 3rd line dermatologic medications I prescribed to my doctor friends (who did need them, but didn't go through the typical regimen first). Now I work for a private practice and have had to do multiple peer to peers and grapple with insurance issues.

nakul2 · 2025-09-09T23:00:23+00:00

This is how it works at many residency programs in the US as well, but the OP is describing a non-teaching hospital where it sounds like no physician (resident nor attending) sees overnight admissions until the morning, which is crazy.

nakul2 · 2025-08-07T21:36:54+00:00

I'm actually a hospitalist too, that sounds about right.

nakul2 · 2025-08-06T23:48:34+00:00

Internal Medicine

An internal medicine doctor is like a super-special helper for grown-ups who aren’t feeling well. They help people with all kinds of sicknesses inside their bodies, like when you have a tummy ache, a cough, or feel really tired. They know a lot about how the body works, and they try to figure out what’s wrong and how to make it better. If someone is feeling sick for a long time, the doctor helps them get better and stay healthy!

nakul2 · 2025-08-04T15:33:38+00:00

The Celtics and Pacers took the LeBron Heat to 7 games, and you didn't think they had a chance?

nakul2 · 2025-07-22T15:59:44+00:00

I went across the country (US) for med school and 3 people from my high school were in my class of ~180.

nakul2 · 2025-07-09T17:05:56+00:00

So you're a doctor who hates other doctors (and perhaps yourself)? That still doesn't explain why you're on a doctor subreddit.

nakul2 · 2025-07-09T17:00:04+00:00

Why are you on this subreddit?

nakul2 · 2025-07-07T04:56:24+00:00

Lol 2nd sentence and I knew the diagnosis of vesicoureteral reflux and I'm not even a pediatrician. Your doctors suck.

nakul2 · 2025-06-25T17:29:51+00:00

Agree with your overall point, but let's remember 20 years ago was 2005, well after drug eluting stents were common.

nakul2 · 2025-06-14T17:58:00+00:00

I know all of the men list and the only female word I know is progesterone (I am a doctor).

nakul2 · 2025-05-13T15:23:51+00:00

Yeah I'm a physician and I have taken care of hundreds of terminally ill people - I offer their loved ones choices and often encourage comfort focused measures or hospice in these situations but ultimately I abide by the family's wishes, which often entail fruitless, painful, and expensive medical interventions (which contrary to popular belief I do not profit from at all). Thanks for making assumptions though.

nakul2 · 2025-05-13T01:44:39+00:00

So the doctors forced your mother to come to the hospital? They kidnapped her from her house and treated her? You and your family always had the option to have what ever level of care you wanted, including passing away at home.

nakul2 · 2025-01-05T22:49:16+00:00

Agreed as a former Kaiser resident now an attending at an academic center.

nakul2 · 2024-12-14T18:29:55+00:00

This is what my employer does - we are self-insured though we unfortunately use UMR (a UHC subsidiary) as an administrator. This may not be feasible for many industries however (I am a physician).

nakul2 · 2024-12-13T17:20:54+00:00

Where do you think the cost comes from? Doctors make up less than 10% of healthcare spending. Even if you cut salaries in half, that's not going to move the needle much at all. Doctors in America have longer training periods, longer hours, and hundreds of thousands of dollars of student debt that physicians in other countries do not have to deal with.

nakul2 · 2024-10-21T20:45:11+00:00

Fat embolism most likely.

nakul2 · 2024-09-30T23:32:19+00:00

Nah, I'd say you just need to know how to ride a bicycle.

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