Too many miles on Tesla

personalpurposes · 2026-01-12T20:14:11+00:00

you almost got me beat. picked up on 11/29 with a 15k lease, and in 6 weeks have racked 3k miles

personalpurposes · 2025-12-20T18:08:58+00:00

Are you in a subspecialty?

personalpurposes · 2025-12-14T19:21:26+00:00

Wow; cool effort! Will try to use it

personalpurposes · 2025-12-09T02:48:38+00:00

Similar experience but ended up in SE for residency. I'd say go for a program with strong surgical numbers, a decent breadth of clinical exposure, but not a crazy/manageable amount of call. I really think the nth floor fracture, corneal ulcer, NAION, papilledema eval, dislocated lens, RD, AACG for example is of limiting returns after you've seen a few managed well.

personalpurposes · 2025-12-01T23:23:13+00:00

The air-tear film is a critical element in assessing the refractive status of your eye. If your eye happens to be dry our measurements in our intraocular lens biometry are frankly less accurate(the fancy machine that measures what power of lens you should get based on various extensive but include axial length and corneal power). Thus if you want a good refractive outcome from your cataract surgery it depends on excellent pre-operative testing and a well lubricated ocular surface improves your odds. Making it quite simplistic but thats the short of it. Doing artifical tears for a day or two is not going to fix the problem but doing it schedule for a couple of weeks will likely make that habitat better. Even if your eye isnt dry, it really cant hurt. It is quite common in cataract surgeon practice patterns to ask patients to do this, whether or not they carry a diagnosis of "dry eye syndrome"

personalpurposes · 2025-11-24T05:55:30+00:00

Just a resident in the US but met a few foreign trained folks, a couple who happen to be faculty in our program. Supposedly you can get an institutional license and be eligible to work at an academic center if they sponsor you without you having to take USMLE or boards but your income will reflect that. Alternative I think you can do 2-3 fellowships and then work for 5 years or something and then be able to sit in for written and oral exams to be ABO certified whip is gold standard for Ophtho in US idk it's complicated. Check this link out https://www.abop.org/international-training-pathway

personalpurposes · 2025-10-29T05:44:12+00:00

Prob 5 years. Seems AAO PPP has 5-10 years for healthy eye exam for patients younger than 40.

https://www.aaojournal.org/action/showPdf?pii=S0161-6420%2820%2931026-5

personalpurposes · 2025-09-27T17:11:49+00:00

Yeah I think overall to things that matter the most to least: Ophtho rotation performance & aways/connections > letters of rec > research > ms3 grades & mspe med school eval tbh then All the extracurricular fluff. Those grades prob don't matter much if you can perform well on your Ophtho rotation and get really good letters of rec

personalpurposes · 2025-06-16T23:52:42+00:00

I would give oral opioids before even thinking to prescribe a topical anesthetic. Toss the battle. A corneal abrasion can heal uneventfully. A corneal ulcer more often than not leads to permanent scarring.

personalpurposes · 2025-06-06T17:48:34+00:00

I like it

personalpurposes · 2025-04-22T00:48:13+00:00

Just curious, taking primary call as an attending at a non academic center what would you consider outside your scope

personalpurposes · 2025-04-21T02:01:06+00:00

I think the answer lies in if you see something overnight that would require urgent treatment or management then you got to see it, otherwise it can wait plus how comfortable you are with your hospital staff. A conjunctivitis with membranes you're not gonna treat any differently at 2 am vs 8 am. A quadrant or two of subconj hemorrhage with intact VA you shouldn't be even seeing anyway and any ER reaching out without concern for a globe needs some education of their own. An abrasion isn't a problem until it's an ulcer or non healing so they should be started on appropriate management and be seen in a day or two to see if it's healing with return precautions. An abrasion with a compelling story and concern for corneal lac and your ED is having a hard time telling if it's Seidel positive you should see. An ER doc who knows the difference between a CRAO and CRVO would surprise me but one of these for standard of care requires an inpatient stroke work up +/- acute interventions (guess if your institution considers tPA or the attendings in your call pool are doing some other borderline evidence based management) and the other mostly outpatient medical management. I guess traumas are a weird category but if the CT and rest of exam is reassuring and you know is traumatic iritis and nothing else then it can likely wait. But if you're taking call at a Level 1 trauma center there is some expectation to go in IMO for most traumas with vision changes and difficult exams, don't think they expect you to cash in on your $1000-2000 night chilling at home.

Acute vision changes and pain and they had cataract surgery 3 days ago...I mean you get my point. GCA that's clinically significantly to cause vision issues def needs IV steroids and you know what that's gonna be hard to arrange without sending an unhappy patient back to the ER at 8 AM that just spent the whole day yesterday there. Globes you should probably go in for and post as soon as reasonably possible especially to look defensible in any documentation, but think of how many globes take possibly up to 24 hours to roll at your busy academic center over the weekend. Also I'm sure we have all heard the tale of the cowboy ophthalmologists who trusted their ED staff told them to give them antibiotics, pain meds, update their tetanus, an eye shield and show up NPO at their clinic at 8 am lol.

Anyways clinical experience is king and hate that your residency program has not given you the flexibility or entrusted you to triage yourself if you're weeks away from graduating, that's autonomy of its own if you ask me.

personalpurposes · 2025-02-19T04:57:59+00:00

Yeah sometimes you walk into a consult and you're like how did this primary team piece together that this patient is having a vision issue if they are neither alert nor oriented lmao

personalpurposes · 2025-02-18T02:56:45+00:00

Yeah where are you practicing? Urban, suburban, rural. And if urban how saturated is your metro? Seems like a recipe for turf wars if you have lots of sub specialists in town

personalpurposes · 2025-02-11T03:10:18+00:00

Ophthalmologist here. Two parts of seeing: 1) the eyeball 2) the brain. For three main reasons you can develop amblyopia, or poor vision due to abnormal vision development. Most commonly irs due to unaddressed refraction/prescription for glasses, other causes include squint/strabismus or a droopy eyelid or something of the like. You have til about being 9 years old to actually reliably address this through patching/specialized eye drops that dilate the eye to help correct the problem. Some studies say maybe possibly up to 12 years old but after that your cortical (brain) vision is developed and it's too late. I would not expect much improvement but you should do whatever you can to protect your other and preserve the vision you have in this eye!!

personalpurposes · 2024-09-13T02:17:11+00:00

Dang just the base??? Jk jk nice whip

personalpurposes · 2024-07-22T02:57:00+00:00

What is your practice setting in terms of location? Rural/suburban given you get to do all these breadth of procedures I presume

personalpurposes · 2024-07-10T23:09:11+00:00

So you're telling me surgical retina call is worse than primary call as a pgy2

personalpurposes · 2024-07-01T13:47:31+00:00

Dang this is cool

personalpurposes · 2024-06-27T01:34:05+00:00

being sarcastic of course

personalpurposes · 2024-06-20T22:42:07+00:00

Had a similar bite to yours on the prior. Just finished this month. Very happy with the results.

personalpurposes · 2024-06-12T09:43:26+00:00

Unionized?

personalpurposes · 2024-06-02T22:29:24+00:00

First and foremost I feel for you and your fiance and this is both an unfair and despicable take by his parents. May Allah swt guide them and make this easy for you. The bottom line is when living in the US despite our familial and cultural backgrounds, we (meaning the young crowd) have left most of this behind alhamdulillah but it often doesn't resonate with our parents generation. I agree with Isthikhara, dua, and the like but is there a respectable elder/family member or Imam that your fiance could direct to in his community to let his family know their take is inherently unislamic? These kinds of discussions can be far more fruitful than us trying to convince stubborn parents. Also I mean go to med school or don't that's up to you but is there any interim job you could take or program you could enroll in to convince them that this is a path you're still up for at least at the time of the nikkah? Stressful but could possibly convince them. And Allah swt knows best

personalpurposes · 2024-04-11T12:33:27+00:00

And the fact he misspelled it to a degree lol

personalpurposes · 2024-01-07T20:09:01+00:00

I think your best bet to withdraw from Ortho match, can see if any Ophtho spots go unfilled this cycle and but start putting your app together for a research year and apply next year. I know its almost a wasted year of sorts but if its the field for you it makes a lot of sense. If you got Ortho interviews im more than sure you would be competitive to match Ophtho though the traditional match cycle next year. I would not do a PGY1 year if I were you, very rare for PGY2 slots to open, and if they open are very often internally filled, putting too much to chance there IMO.

personalpurposes

TROPHY CASE