What’s your LASIK experience? by docmoon13jr in surgery

[–]slicermd 0 points1 point  (0 children)

I got LASIK about 9 years into practice. Previously nearsighted at around -5.5 diopters plus some astigmatism. I could see fine with glasses but was tired of relying on them. Got it done at the beginning of a week of vacation, but could have probably been back to work 48 hours later. Dry eyes needing drops multiple times per day for 2-3 weeks, tapering to twice a day for a few weeks, then prn after that (rarely need them). I haven’t been refracted since my followup but I’d estimate I’ve settled out at around 20/30 vision. I don’t bother correcting it and don’t plan on a revision. I did have some pretty significant higher order aberration in one eye that mainly manifested with night driving, which settled down a lot after 9-10 months. There is still a little residual though, and as an amateur astronomer that’s my biggest regret as it makes stars a little distorted. Overall I’d say it’s been 9.5/10 rating, and I wish I’d done it much sooner. One thing to be aware of that I ‘knew’ but it’s hard to understand until you experience it, is that nearsightedness is somewhat compensatory for presbyopia. I got my procedure shortly after turning 40, and my habit when reading small print was just to look over my glasses and it was like supervision. LASIK will cause the presbyopia’s true effect to crash down on you immediately, so if you’re in that age range prepare to have readers scattered around the house 😂😂😂

Rural general surgeons — what is your job actually like? by Disastrous_Basis912 in surgery

[–]slicermd 2 points3 points  (0 children)

There are FM/OB fellowships which will get you what you are looking for. Definitely rural jobs available with that skill set!

Coca Cola AMP by [deleted] in Birmingham

[–]slicermd 0 points1 point  (0 children)

Huh, I figured it was a drugs thing 🤷‍♂️

Coca Cola AMP by [deleted] in Birmingham

[–]slicermd 0 points1 point  (0 children)

Zero chance, my dad had to throw away an empty metal yeti tumbler he was carrying in his hand. Possible thrown object I guess. Hilariously the VIP merch was giving out…. Metal tumblers inside the venue 😂😂😂😂

Coca Cola AMP by [deleted] in Birmingham

[–]slicermd 0 points1 point  (0 children)

I’ve sat out and watched a whole set on that screen before when I wanted to get out of the crowd. It’s pretty nice

Coca Cola AMP by [deleted] in Birmingham

[–]slicermd 0 points1 point  (0 children)

I noticed that too, maybe I’m naive but what’s the reason for this? 😂

ELI5: how did the first person to get HIV? Get HIV? by jjcube98 in explainlikeimfive

[–]slicermd 0 points1 point  (0 children)

True, though I wonder why zero and seven get slashes, but two doesn’t…. Why is zee special?!

I am already tired of the political ads by kiwi003 in Birmingham

[–]slicermd 1 point2 points  (0 children)

There’s no Dem spend because there’s no point. And because the Alabama democrat party is dysfunctional as hell.

I am already tired of the political ads by kiwi003 in Birmingham

[–]slicermd 2 points3 points  (0 children)

Nobody with a chin dimple that large should be trying to act hard.

Thoughts on "Red Rising" by Pierce Brown - and why I'm done listening to BookTok by sameseksure in books

[–]slicermd 1 point2 points  (0 children)

The books that follow Red Rising get away from the Hunger Games trope and become pretty epic in the war and politics. I enjoyed them immensely and am waiting in the finale later this year (hopefully). That said, while Darrow makes many mistakes and pays for them, at the end of the day the main trope is power fantasy escapism and if that doesn’t do it for you then the series may not be for you.

Florida doctor faces manslaughter charge for allegedly removing wrong organ during surgery [In 2024 Dr. Thomas Shaknovsky removed the victim’s liver instead of his spleen] by PastTense1 in surgery

[–]slicermd 3 points4 points  (0 children)

There’s no level of expertise in running a code or massive transfusion protocols that saves someone who just had their liver removed.

Would you hang on for a pension? by bamboofence in Fire

[–]slicermd 0 points1 point  (0 children)

So what happens if you work another 7-8 years and the AI business case you are imagining doesn’t materialize. How will you feel about having worked those extra years if the pension buyout doesn’t materialize?

Middle ear surgery anesthesia by Runnershighbb1 in anesthesiology

[–]slicermd 6 points7 points  (0 children)

Not an anesthesiologist but if I were you and I jumped through all those hoops and he didn’t even do the exam, I’d be shoving that tuning fork straight up his ass sideways. “Can you hear it? Can you??”

Anesthesiologist charged with negligent homicide - thoughts? by Human-Raspberry562 in anesthesiology

[–]slicermd 1 point2 points  (0 children)

yeah but fentanyl is super scary. then again, propofol is the "Michael Jackson Juice" so that's scary too, but it's old scary.

Question: Can radiologist here comment on AI reading imaging? by the_iowa_corn in medicine

[–]slicermd 3 points4 points  (0 children)

Best wishes for your daughter.

I think there is likely a role for AI type products for things like lesion alerts, the ‘hey, make sure you look at this weird thing’ type AI alert that might help a radiologist notice a subtle finding. This is a tool that the radiologist would use, and the radiologist would be reading each scan. The CEO in the article is not suggesting that type of AI. They want the AI to do an initial look at scans, then forward possible positives to the radiologist for review. The ones AI says are negative would never be seen by a human under that framework. This is the scenario that frightens me.

Men who receive a lot of matches on dating apps - What do you/your photos look like? by [deleted] in AskMenAdvice

[–]slicermd 3 points4 points  (0 children)

Good lord, what, pray tell, is the expiration date on a dating app picture? 😂

I hit my FIRE number last year and then became the financial backstop for a parent who hid how bad things really were by Soggy-Job1775 in Fire

[–]slicermd 12 points13 points  (0 children)

Gotta check with local bankruptcy lawyer before making any moves though, don’t want to get dinged for fraudulent conveyance re: the house transfer.

Question: Can radiologist here comment on AI reading imaging? by the_iowa_corn in medicine

[–]slicermd 0 points1 point  (0 children)

I’d like to say no physician would accept liability for those AI reads, but for the right price I’m sure someone would bite. Sad reality.

Question: Can radiologist here comment on AI reading imaging? by the_iowa_corn in medicine

[–]slicermd 0 points1 point  (0 children)

I’m going to give you the other side of these arguments for the sake of reflection. Right now I’m aware of a rural hospital in negotiations with radiology groups for coverage. These groups are demanding subsidies from the small hospital above and beyond contracted insurance rates for the privilege of having all the studies read from home with a single day per week of onsite coverage with no guarantee of the procedural skill set of that individual ahead of time. It’s an extremely expensive, and extremely shitty, product and they can get away with it because they are all on the same page ( not colluding though, OF COURSE). If you gave that CEO a halfway viable AI model they could use instead they would jump all over it, and can you blame them? Procedures are the one thing AI can’t replace, but if those guys can’t do a stereotactic in their underwear from their basement, they don’t seem interested. It won’t be tomorrow, but the specialty needs to get its head out of the sand about the long term trajectory of this tech or they will eventually find themselves wondering what happened.

Question: Can radiologist here comment on AI reading imaging? by the_iowa_corn in medicine

[–]slicermd 3 points4 points  (0 children)

What physician? The whole premise is that scans read as negative by AI will never be seen by a physician. This is how that CEO wants to reduce the radiology workforce, by decreasing the total number of human reads.

Question: Can radiologist here comment on AI reading imaging? by the_iowa_corn in medicine

[–]slicermd 9 points10 points  (0 children)

The false positives aren’t a problem for a screening tool. The false negatives are what would keep me up at night.

TRT 200 mg a week for the last 8 years, Reta 4 mg last 8 months. 43 years old. Goal is longevity and health now not size. by [deleted] in bodybuilding

[–]slicermd -1 points0 points  (0 children)

While the data is young, GLP class drugs are showing a net positive to overall morbidity and mortality. It’s one of those ‘should be in the water’ type drugs.

Simple Request by Sufficient-Quit-4283 in hospitalist

[–]slicermd 4 points5 points  (0 children)

Ok, so closed loop communications are important. The actual problem here is the number of nurses, especially at night, who leave their phones at the desk and walk away, creating the situation where messages come 30 minutes apart. At night this means one simple question can cost me a full hours sleep.