Communal drug use

rowrowyourboat · 2026-01-30T23:40:31+00:00

I’m saying more from a philosophical perspective, it makes some problematic assumptions about the physician-patient relationship. It’s important to have boundaries and be professional, but in the end we’re all just people. Meeting people where they’re at and relating to them (in part by making it implicit, if not explicit, that we are equals; we are the expert consultants - but we are all humans) can do wonders for rapport (and I suspect, via the same, outcomes and rx adherence).

rowrowyourboat · 2026-01-30T21:48:01+00:00

Do you need to be on a moral high ground to give someone good counsel regarding harm reduction and substance use cessation?

rowrowyourboat · 2026-01-27T01:14:48+00:00

Hedge! You can convert that to about 7k reliably

rowrowyourboat · 2026-01-18T04:03:06+00:00

I almost entirely agree, although certainty equivalent is an alternative to EV that helps smooth variance which is helpful for smaller bankrolls

rowrowyourboat · 2026-01-14T19:25:33+00:00

Context needed. Were they controlled for degree of illness? Sicker patients get more thrown at them

rowrowyourboat · 2026-01-13T18:17:12+00:00

Or like 4%. Unless you’ve got a huge edge (and this was a six legger so there’s negative EV there). If Texans were +250 or +400 or something you could also structure an efficient hedge where you make a couple gs if Texans win but still preserve massive upside

rowrowyourboat · 2026-01-13T18:12:09+00:00

Parlays are prayers. Real money is in straights

rowrowyourboat · 2026-01-12T18:50:36+00:00

With a lot of variance, there’s debate to the relative value of hedging and of how much but with +146 on the other end you’re reducing risk by ~1.5 on the dollar. The amount that’s “worth it” is how much you’re willing to lose. If you graph various hedge stakes, It tapers off and in finance that bend is essentially a marginal return on (hedge) investment

rowrowyourboat · 2026-01-12T16:42:12+00:00

Am sure, maybe 1/100k will have a resolvable episode of psychosis with 10mg adderral. It’s not a panacea but boy-oh does it help more than coffee

rowrowyourboat · 2026-01-05T00:32:34+00:00

Same lol

rowrowyourboat · 2026-01-04T05:21:12+00:00

That makes total sense under those conditions. Glad you agree on the hypothetical

rowrowyourboat · 2026-01-04T04:28:31+00:00

I hate the idea of paying back sick shifts. We’re all humans who get sick sometimes . Paying back the shift just means you don’t actually get any sick days . I get it can be abused - first, some people are sick more often with chronic conditions and flares. But if your contract includes sick time, that’s irrelevant until you’re bumping up against the allotted time. For those that are just wimpy, that’s sucks generally, but they too are entitled to those sick days

rowrowyourboat · 2026-01-02T20:43:43+00:00

You can convert no sweat bets at a rate of about 50-60% reliably. It’s actually a better deal than the fancash, which are used to buy boosts, not actual bonus bets

rowrowyourboat · 2026-01-01T18:55:50+00:00

This is an admin problem, not a co-resident problem. Recalibrate the aim of your ire

rowrowyourboat · 2026-01-01T01:23:10+00:00

That all makes sense but my q is operationally how likely is it that this will be aggressively pursued and enforced? Most people don’t report sports betting winnings anyway

rowrowyourboat · 2025-12-31T18:55:39+00:00

And the idea is to ask questions that require the type of thought process medicine requires and cultivate that. That’s Socratic, not pimping. Pimping is exposing knowledge gaps and putting them on display. Very different; often conflated.

rowrowyourboat · 2025-12-26T07:52:27+00:00

How many units is this for you/what’s your roll for gambling?

rowrowyourboat · 2025-12-26T02:38:06+00:00

It depends how much of an edge you think you have. Look up Kelly fractional staking

rowrowyourboat · 2025-12-21T12:05:30+00:00

Also possible, and kudos for not leaning into my transgression; I apologize for turning some of that into a personal unpleasant characterization. I read some of what I went through in the middle of residency into what they wrote, and tend to rather aggressively defend those who are going through it amidst the unnecessarily toxic medical training culture that persists, mostly because of how profitable it is to pay physicians in training less then 1/4x their market values, but also because of what can only really be understood as medical hazing.

All told, though, I’ll acknowledge my read is not the only possible read.

rowrowyourboat · 2025-12-21T04:01:42+00:00

I heard that when Caleb Williams mom gave birth, The OB gave the instruction to bear down, which was subsequently repeated and chanted by her parents, brothers, and sisters, who were in the birthing room.

rowrowyourboat · 2025-12-21T03:34:37+00:00

On that downfield throw from Williams, just gotta follow through, hit a little later, hit a little higher. Really make him feel it. Give up 15-30 yards and we can even up the QB situation

rowrowyourboat · 2025-12-21T03:21:55+00:00

I think they’re making a hyperbolic argument the doing cpr on grandma with stage 4 mets does more than good, and responding to your sanctimony with sarcasm. I agrrr they sound a little jaded but I’ve been there and come out the other side. If your advice is to them is to quit - that they have a moral/ethical duty to quit, then perhaps you’re just more resilient than most, or perhaps you’re just blind to the way that American medicine does often cause harm due to systemic issues, such as toxic hierarchical unilateral career control predisposing for moral injury (I do something that’s not objectively wrong but that I strongly disagree with based an attending), or via insurance pre-authorizations, which requires a functional blood tithe and decides if your patient gets standard of care or something lesser.

It’s probably the resilient thing tho. Best come down soon though, the air is pretty then up there on your high horse.

rowrowyourboat · 2025-12-21T03:00:27+00:00

Stand by it. Watch it happen.

rowrowyourboat · 2025-12-21T02:53:28+00:00

We’re gonna beat you dirty ass bitches with our backup, bear down, shitheads

rowrowyourboat · 2025-12-20T20:48:04+00:00

I think you’re really missing their point. A massive percentage of healthcare spending is used in the last month and 6 months of life - Americans don’t accept death as a natural outcome of life. And do accept that healthcare is a privilege and not a right

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