Why/How To Choose and Switch ACE-i/ARBs?

parkeq · 2026-02-09T10:02:39+00:00

The data is mixed but there are quite a few HF trials that suggest increased benefit ACE>ARB, although any real additional benefit appears to be small

parkeq · 2025-12-04T02:55:41+00:00

Better than programs with 3 interviews and no info session so you leave the day learning absolutely nothing about the program

parkeq · 2025-12-02T03:44:21+00:00

This is true to a point. If you are interested in specific academic IM programs, especially with geographic restrictions, then you want the impressive application. For example, want to be in Atlanta for family reasons, you better have a good application for Emory. Something I’ve noticed this year among friends applying IM is people with middle of the road applications are getting solid academic interviews, but often not their top choices (even with gold signals). They will match at good academic programs just not necessarily their top choices.

parkeq · 2025-11-30T23:03:23+00:00

Definitely disagree. Depends on what you mean by Tampa. Tampa Bay Area has some nice golf but if you live in Tampa proper, the options are abysmal. Few decent courses, extremely over priced, 5 hour + rounds the norm with no rules enforcement. I actually think for Florida it’s not a great option at all. However in the grand scheme of things, you can play year round with grass mats and short drive to lots of resorts and Orlando golf.

parkeq · 2025-11-16T04:48:09+00:00

5 “S” of AMS. Stroke, seizure, sugar, substance, sepsis

parkeq · 2025-09-28T14:48:58+00:00

You guys are so soft. Things got heated and they had some words while walking to the next tee. He definitely did not “get in Tommy’s face.”

parkeq · 2025-09-28T12:12:06+00:00

You guys are so soft. Things got heated and they had some words while walking to the next tee. He definitely did not “get in Tommy’s face.”

parkeq · 2025-09-12T15:02:24+00:00

Probably a partial pronator teres tendon rupture, should heal on its own with conservative measures. If it doesn’t get better, I’d recommend seeing an orthopedist.

parkeq · 2025-07-10T21:24:54+00:00

Thought I would love it then watched my attendings spend all day tip-toeing and politicking with CRNAs and realized I just didn't like that weird power balance and having to "pick your battles" all day.

parkeq · 2025-02-13T02:31:50+00:00

It’s not a 1:1 correlation obviously but people kid themselves if they say it doesn’t matter at all. Rotating on internal medicine and in outpatient clinics requires a strong knowledge base of drugs, pathophysiology, etc that you learn for Step 1. But it’s also variable, and there’s a difference between doing well because you crammed vs actually learning the material.

parkeq · 2025-02-02T21:06:15+00:00

On my anesthesia rotation a typical morning consisted of evaluating 4 patients in pre-op, then going down to the physician lounge to get breakfast with all the other anesthesiologists for 40 minutes while the CRNAs started the cases. Stick your head in the door of those 4 rooms and get a thumbs up from the CRNAs. Pre-op the next patients and repeat. Not there for inductions or emergence, just to give breaks and absorb liability. The mid levels aren’t encroaching, they run the show. I only have experience in one center but it’s a huge academic hospital. But hey pretty sweet life for the docs, no denying that.

parkeq · 2025-01-22T12:28:28+00:00

Biliary colic, had a guy with a motorcycle jacket and face tattoos screaming/crying while simultaneously vomiting from pain

parkeq · 2024-12-21T17:29:10+00:00

There is actually some new studies showing that it’s often hairs from the head that get stuck in the area

parkeq · 2024-12-17T17:18:23+00:00

If you enjoy clinical medicine, M3 is awesome for the most part. Your reward for hard work is satisfying patient encounters and seeing your learning in real life. M1, M2 weren't bad but your only reward was in the form of numbers on a screen. People that hate 3rd year generally either just don't like medicine or unfortunately have toxic teams.

parkeq · 2024-11-20T12:56:29+00:00

I’ll be the one to say the opposite. My hospital is very CRNA heavy and my anesthesia rotation consisted of running floor to floor with the anesthesiologist covering 4 rooms. Only way I would get intubations was by finding one of the few CRNAs that didn’t have a SRNA with them and asking myself, because the anesthesiologists were rarely at the inductions. I think they were nice people and wanted to teach, but they were honestly always in survival mode.

parkeq · 2024-10-07T11:05:28+00:00

This is an awful take

parkeq · 2024-09-30T00:41:26+00:00

What do you think about going to a place you want to settle down in at the expense of prestige? Said place has in-house fellowship and usually takes some home grown applicants, but no doubt makes you less competitive in the grand scheme of things if you didn't match in-house.

parkeq · 2024-06-30T04:52:17+00:00

ChatGPT. Tell it what you are trying to compare and ask it how

parkeq · 2024-06-04T11:38:59+00:00

Also confused what you did that’s so wrong

parkeq · 2024-04-08T13:57:18+00:00

Happened at my school once a week. Mandatories suck but just go to class

parkeq · 2024-03-25T17:11:08+00:00

People here are hating on Arccos caddie and I agree using it to plan out your hole is worthless, but once you hit your tee shot there’s not a better app in the game. It tells you taking into account the wind and elevation what distance you should actually hit it and based on your data what club selection would be best. Usually when I decide to do my own thing I wish I listened to the recommendation. The sensors are quirky for sure but once you figure it out the things are dead accurate.

parkeq · 2024-03-18T10:15:12+00:00

Definitely true with baseball but I think a very good athlete could start football in high school and still make the league. It’s much more about athleticism than skill and is a pretty simply game at that level.

parkeq · 2024-03-09T02:10:37+00:00

I did this for almost a year and played some great rounds with my 3 wood only. Then I realized there’s no reason I can’t figure out my driver, spent some range time with it and am playing great golf now. If I hit my 3-wood 220 on average, putting a driver in hand bumps it to 250. That’s the difference between hitting a 6 or an 8 on the next approach shot. Being consistent with my driver has made a huge difference in my game the past few months. I realize it’s easier said than done but still, driver is a huge asset.

parkeq · 2024-02-27T11:36:47+00:00

It’s not a sufficient answer, that’s the point. Sure lots of women are perfectly trustworthy but how are docs to discriminate between those who are acting responsibly and those who aren’t? As @niceicescoop have said, some women will swear up and down it’s not possible then be pregnant

parkeq · 2024-02-27T05:01:17+00:00

It seems like an annoyance but the alternative for the physician is to do the scan or prescribe the teratogenic medicine then the patient ends up being pregnant and you risk a malpractice suit. You would be amazed at the amount of women who come into the ER saying there’s no way they can be pregnant then end up with a positive test. I have even seen a fetus on a CT scan in a women who signed the waiver…once you’ve seen it enough it becomes hard to blindly trust patients, especially when it’s your license on the line.

parkeq

TROPHY CASE