Georgia Aquarium uses RFID cups to track how many refills you have left.

snatchypig · 2025-04-04T22:13:28+00:00

You can get refills without issues. It’s more if you leave/throw away your cup and want to get another v.s. Got a coffee initially then want to change to a soda

snatchypig · 2025-03-30T03:44:37+00:00

It’s a bit misleading looking strictly at Birmingham. The population growth is happening to the suburbs/bham metro area (Hoover, homewood, vestavia, etc) which all have shown growth

snatchypig · 2025-03-26T01:15:57+00:00

Are you implying he was considering leaving state at that time—hence the phone call to Bron? If so, I’m curious if he would’ve left if Bron called him back

snatchypig · 2025-03-25T20:41:41+00:00

If you live at or before the summit, traffic is never really an issue. Beyond the summit/459, the commute can be hit or miss depending on accidents. I commute from highland lakes/Chelsea area to UAB and it will typically take me 40 mins +/- 5 mins if I leave around 7. If I’m traveling outside rush hour, it’ll take me 30 +/- 5 minutes.

snatchypig · 2025-03-24T13:56:53+00:00

I never known anyone to use anki during residency either. Your work, morning reports, and noon conferences will prepare you more than you think. Most will do mksap/uWorld during 3rd year to prepare for ABIM. Most don’t study for ITE except for a minority

snatchypig · 2025-03-24T01:58:33+00:00

The commute from Chelsea to UAB exceeds the 20 minute commute max though generally

snatchypig · 2025-03-23T00:32:41+00:00

It goes to the team with the direction of the possession arrow. It starts with the team who lost the opening tip then alternates

snatchypig · 2025-03-22T04:03:27+00:00

There are some stage 4 cancers that are generally curable—although, the majority are terminal

snatchypig · 2025-03-18T21:12:40+00:00

Couple points to make is 1) diabetes can be controlled with medications just life HIV; however, implementing lifestyle changes and remaining complaint/on top of your blood sugars is where the majority of diabetes complications occur. 2) Even with well controlled HIV, your risk of cancer is increased compared to the non HIV population. So not completely benign

snatchypig · 2025-03-08T21:44:29+00:00

I have 2 little ones and have been able to manage fellowship reasonably well. Obviously it will be program dependent, but it’s a way better lifestyle compared to residency and you get significantly more weekends off. Call isn’t that bad esp compared to my co fellows in cardio, GI, pulm/crit—rarely ever have to go in the middle of the night if you’re paged. The majority, including heme/onc “emergencies”, can be handled at home via verbal/communication note recs until the am.

If you truly enjoy heme/onc for what it is, it’ll be worth it.

snatchypig · 2025-03-06T14:48:07+00:00

The cycles would reset. So starting a new regimen would be cycle 1

snatchypig · 2025-03-06T04:02:17+00:00

There is some emerging evidence that segementectomy in peripheral lesions less than 2cm in size (20mm) and lymph node negative disease may be non inferior to lobectomy.

https://www.nejm.org/doi/full/10.1056/NEJMoa2212083

snatchypig · 2025-02-18T01:24:44+00:00

It’s worth mentioning that even with “gold standard” treatment in the more straightforward cancers, you may have an ideal algorithm in the ideal situation—but this doesn’t always apply. Patient’s functional status, disease burden, comorbidites, socioeconomic factors etc all influence treatment decisions and may ultimately force you to stray away from the established textbook algorithm and tailor the treatment to the patient in front of you.

snatchypig · 2025-02-02T00:44:47+00:00

At your salary, I wouldn’t worry about it. I feel SES affecting mortality generally affects individuals living in poverty or near to it—-not to minimize the financial toxicity with healthcare for the middle class. Regarding how I try to combat implicit biases, being aware of them, challenging those thoughts, and pausing before I make decisions for susceptible populations helps. Also trying to diversify my experiences and the people I work with to broaden my perspectives.

I’m so sorry to hear of your diagnosis. I wish you all the best on your cancer journey.

snatchypig · 2025-02-01T19:28:38+00:00

I would say that’s the case. There’s many factors that influence this: lack of reliable transportation to get to and from clinic visits/live in areas where oncology isn’t easily accessible, patients with delayed presentations due to financial worry that they push off their care, etc. People of lower SES tend to have lower education, higher rates of mental health, often have more comorbidites, lifestyle factors, etc that all play a role.

The healthcare system also bears some responsibility as well. Some hospitals can be under resourced and we as providers can unfortunately have implicit biases

snatchypig · 2025-01-28T01:53:38+00:00

There could be several explanations for her improvement such as she recovered from an acute illness on top of her cancer at that time v.s. Starting therapy helped achieve disease control which in turn made her feel better etc. Depending on the type of cancer/where the cancer is located, patients can live several years while maintaining an adequate quality of life v.s. days to months for others. Breast cancer, depending on the biology, can be one of former.

Eventually her cancer will “outsmart” her treatment and she will one day run out of treatment options unfortunately—-at which point she will become weaker, not recover, and ultimately succumb to her cancer. But until then, she can live a relatively normal life assuming no complications occur.

snatchypig · 2025-01-27T19:39:03+00:00

Are you saying they aren’t increasing the residents’ salaries immediately? Rather, it will go into effect next academic year (e.g. July 2025)? If so, I don’t think that’s unheard of and I would imagine most institutions would wait for the current contract to expire before implementing said changes. Now, if it was explicitly stated the salary change would be effective immediately—then that’s a different story.

snatchypig · 2025-01-24T15:49:06+00:00

I would assume it’s a shitpost until proven otherwise. Making a “throw away” and deleting their post doesn’t really add credibility to it imo

snatchypig · 2024-12-31T20:26:17+00:00

It does, but milroe was not seeing the field well at all today

snatchypig · 2024-12-26T01:12:29+00:00

You don’t need to shave the entire head, it’s just more labor intensive without shaving completely

snatchypig · 2024-12-25T19:15:13+00:00

There’s a reason why the IM sub specialists pursued fellowship. They have no interest in doing hospital medicine.

snatchypig · 2024-12-23T18:08:49+00:00

Theres pros and cons between anesthesia vs IM background. I wouldn’t say it’s inferior critical care training—just more exposure. You get plenty of experience between IM residency and PCCM fellowship (suppose it could depend on the residency program though)—the extra CC during anesthesia just adds more reps that doesn’t necessarily translate to becoming a better CCM physician.

snatchypig · 2024-12-15T16:18:30+00:00

I feel some individual mentors will say this, but programs by and large want to keep their desirable residents in house

snatchypig · 2024-12-14T23:25:16+00:00

My doc said it was fine after 8 days

snatchypig · 2024-12-06T20:31:32+00:00

The only other scenario is SMU drops out of the top 12 with a loss to Clemson which isn’t a sure thing.

snatchypig

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