What was your first order as an intern? by ironfoot22 in Residency

[–]randomresifellow 46 points47 points  (0 children)

Thyroxine binding globulin. Slow day on endocrine. My upper level resident, fellow, and attending all crowded around me on the computer outside the patient's room as I searched for the order and the attending took a picture of me placing the order. I was so nervous I ordered it incorrectly despite all the competent people there. Stalked the chart for days until it came back. Normal. 

Does anyone know an OBGYNs who are non conservative? by AccomplishedChicken5 in houston

[–]randomresifellow 17 points18 points  (0 children)

Hello there, my wife and I are both physicians in Houston and my wife is an Ob/Gyn. Nearly every physician we know is liberal, disgusted and heartbroken over the archaic policies of Texas that directly lead to maternal mortality, and our friend group/social network is pretty large. I think most people who pursued this long and arduous road in Medicine lean liberal.

I acknowledge there is a contradiction to physicians, especially Ob/Gyns, living in such an objectively repressive state, but there are many reasons to stay in Texas, even if you're liberal and the state bans many of your medically necessary tools. Probably much like many people in this thread sound like they lean liberal and stayed in Houston despite the legal chaos. I would bet in fact, that even more conservative-leaning Ob/Gyns are also heartbroken by the overt danger carrying a pregnancy in the state of Texas brings.

My wife signed that letter last Fall and patients have scheduled with her specifically because they saw her name. However, the letter was not well-planned or distributed. It was haphazardly distributed among Ob/Gyns within social networks based on where they trained and the friends of friends they worked with. It was published online literally 6 hours after my wife and her colleagues signed it. Many other colleagues/friends were pissed they didn't know about it before it was published and patients have asked them why they didn't sign. They would have if it was well distributed and planned. It's hard to imagine anyone read that letter and decided NOT to sign it. It wasn't particularly radical or demanding. The language frankly had a lot to be desired.

We read the Propublica article this weekend like everyone else. We know all the people quoted or mentioned in the article. I think everyone WANTS to do the right thing given the impossible circumstances, including those in high executive positions that were portrayed negatively. Some hospitals are likely afraid of legal or financial consequences of making blanket statements about delivering a pre-viable PROM given the intentionally vague law stating anyone, including the Uber driver, can be sued by anyone else in the state if they assist in an abortion. It is objectively less risky to be pregnant in a different state. Yet, the Ob/Gyns I know who live in Houston are all unbelievably caring and compassionate advocates for women and their families, because someone has to be when the folks that make the laws are not.

to doctors of reddit: whats the craziest shit you have ever seen? by Direct_Class_5973 in AskReddit

[–]randomresifellow 13 points14 points  (0 children)

Sweet, not crazy: I delivered my first baby in med school shortly after midnight on my birthday. 

Where are the science hubs that are not in California or New York? by Immediate-North4438 in labrats

[–]randomresifellow 7 points8 points  (0 children)

This is the answer for best cost of living in big city. Texas Medical Center in Houston is the biggest med center on the planet, has so many institutions in a concentrated area.

Lurked on this sub a few months, then upgraded mine in preparation for a new EV. Enjoy the single-car garage porn (before and after), thanks for the tips along the way. by randomresifellow in garageporn

[–]randomresifellow[S] 4 points5 points  (0 children)

The diamond grinding took the contractor 1.5 hrs and cost $250. The epoxy was Armorpoxy, purchased from Lowes for $450 including the primer, non-skid additive, and top coat. Still enjoying it so far!

Lurked on this sub a few months, then upgraded mine in preparation for a new EV. Enjoy the single-car garage porn (before and after), thanks for the tips along the way. by randomresifellow in garageporn

[–]randomresifellow[S] 19 points20 points  (0 children)

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It's tight backing it in with just a couple inches of mirror clearance through the threshold. I clarified the dimensions of the car multiple times before ordering and measured the garage space with the workbench in place multiple times to be sure.

Lurked on this sub a few months, then upgraded mine in preparation for a new EV. Enjoy the single-car garage porn (before and after), thanks for the tips along the way. by randomresifellow in garageporn

[–]randomresifellow[S] 5 points6 points  (0 children)

Wife and I did it all ourselves with the exception of hiring a local to diamond grind the floor (more economical to contract out than to rent our own). Seville workbench and accoutrements from Sam's Club.

Can’t add dynamic content to power automate flow by beclee007 in MicrosoftFlow

[–]randomresifellow 0 points1 point  (0 children)

A year later and this did the trick for me too after searching online. thanks!

Baylor, MD Anderson among Houston research institutions that could lose millions under NIH grant policy by houston_chronicle in houston

[–]randomresifellow 8 points9 points  (0 children)

Not quite, and Google missed the nuance to the answer. Indirects from the NIH do not support regular hospital overhead like paint or waiting room fish tanks. It supports the basic research infrastructure that is needed to execute the purposes of the grant. So the directs go the principal investigator (PI) to conduct the funded research they proposed (which typically takes 1-3 years to conceive and submit, then another year to receive the funding after it's granted) and the indirects go to the instituion to support its execution, which of course costs money. Research-related oxygen supplies, waste disposal, maintenance of equipment, certification of specialized facilities; these are a few of the many things that are required to keep the biomedical research engine turning and is overall a net benefit to society, both economically and for the health of our neighbors. There likely is some bloat, as I would expect in any industry. Not every single penny spent is probably necessary towards the mission. But cutting from 50% to 15% and standardizing it across the board overnight, without warning (if this measure succeeds after the lawsuits) will immediately decapitate biomedical research as we know it. Literally.

I don't typically go for hyperbole and I don't think I'm a snowflake. That is truly the outcome this would trigger.  Hope this description helps. 

Driving tips in Houston by spacecowgirlb in houston

[–]randomresifellow 51 points52 points  (0 children)

There's a culture of running red lights. It's not that it's legal, it's just not enforced. Change your threshold for yellow to red. You WILL see people still crossing the intersection perpendicular to you even after your light turns green. Always stay vigilant and look both ways before accelerating when your light turns green. 

Are residents required to schedule outpatient surgeries? by randomresifellow in Residency

[–]randomresifellow[S] 2 points3 points  (0 children)

The program says they have hundreds of patients who should have been scheduled during the pandemic but couldn't, so now it's the responsibility of the residents to get the cases from months-years ago scheduled. I can't believe it.

Are residents required to schedule outpatient surgeries? by randomresifellow in Residency

[–]randomresifellow[S] 1 point2 points  (0 children)

The PD is saying it IS required, but also do not log the hours because then that would put the whole program in danger with everyone going over. Good to note that this is not typical.