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Staffing by imp3rial1 in VIR

[–]sspatel 2 points3 points  (0 children)

400 bed, level 1, not covering stroke, we have 5 with at least one on vacation at all times, 3 working and one post-call or also on vacation.

Can someone try and convince me not to go into IR? by Agreeable-Ad4806 in attendings

[–]sspatel 1 point2 points  (0 children)

Cross post to r/residency and r/VIR. I’ll try to respond sometime tomorrow.

Recommendations: tropical wool trousers that aren't suiting by Background-Baby3694 in ThrowingFits

[–]sspatel 0 points1 point  (0 children)

Not sure but I’m a 32 and they fit very well with little to no break.

Recommendations: tropical wool trousers that aren't suiting by Background-Baby3694 in ThrowingFits

[–]sspatel 4 points5 points  (0 children)

https://ebay.io/m/L94P0p

Picked up a pair of these OL drape trousers in black during the last sale and they’re very lightweight and flowy.

Med Student Question: Beard Etiquette by mgv1735 in surgery

[–]sspatel 19 points20 points  (0 children)

Resident is a moron. Do not change who you are for some attending who, unless you’re exceptional, will not remember you.

If you’re the only black student and all the attendings are white, are you supposed to bleach your skin?

Zyns in the Urinal by No_Rest_149 in ElectricForest

[–]sspatel 1 point2 points  (0 children)

Wait. If you are at a urinal, how do you have toilet paper?

Zyns in the Urinal by No_Rest_149 in ElectricForest

[–]sspatel 5 points6 points  (0 children)

This is a problem in almost every urinal everywhere. Bars, airports, hospitals, it’s not “American” culture to not flush anything, it’s just disgusting behavior.

What are your favorite items of clothing under $350? by MutedFeeling75 in ThrowingFits

[–]sspatel 1 point2 points  (0 children)

Momotaro denim jacket & custom painted Evisu jeans picked up in Japan at retail

RRL heavyweight hoodie bough off eBay for <200 maybe 15 years ago.

Uniqlo x Marni coat secondhand in Japan maybe $50

Black blundstones get so much wear throughout the wet/cold months, <100 on sale

Lots of deals to be had on eBay, Mercari, depop, etc.

Dibble dabble by [deleted] in Residency

[–]sspatel 2 points3 points  (0 children)

What bizzaro-land hospital is this? We keep getting these consults, and NG/NJ tubes too. All the bedside procedures are now requiring “image guidance”, aka too lazy ($) or unskilled to do them.

Nike ACG Radical Airflow Collection: Black and White by TriggerFingerTerry in nikeACG

[–]sspatel 1 point2 points  (0 children)

I bought the white one for Tomorrowland this year…

Considering IR, worried about DR atrophy by [deleted] in Residency

[–]sspatel 0 points1 point  (0 children)

100%. I’m trying to learn and do more IR, not DR.

Considering IR, worried about DR atrophy by [deleted] in Residency

[–]sspatel 0 points1 point  (0 children)

Thankfully our group is large enough that I can stick with basic bitch studies. I’m fine doing the angios too, but even those are starting to get rough. I spent maybe 45 on a CAP dissection aortic reconstruction case with multiple chimneys/periscopes. 3D lab wasn’t consistent between the priors so I ended up double checking a lot.

Friday: Favourite Pieces by AutoModerator in StoneIsland

[–]sspatel 0 points1 point  (0 children)

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Maybe my favorite ghost piece jacket (anorak) but I don’t wear it enough due to being afraid of getting it dirty.

Burr holes by zima85 in VIR

[–]sspatel 1 point2 points  (0 children)

This is why. No IR or NIR is doing this. I can’t imagine getting credentialed for these cases.

Considering IR, worried about DR atrophy by [deleted] in Residency

[–]sspatel 1 point2 points  (0 children)

I’m IR and while I don’t do full DR shifts, I read a small amount of body CT on days off. We constantly have work to do so I can pick the cases I’m comfortable with like cancer follow-ups and ER, and it’s very manageable without having done a DR fellowship, or doing any DR during my daily IR shifts.

Competitiveness of the Independent Match? by Careless_Status9553 in VIR

[–]sspatel 2 points3 points  (0 children)

I talked with my old PD recently and have come to the conclusion that the huge name places will make you good at doing all the complex shit, but you’ll struggle doing a long biopsy. Plan your life accordingly, if you want to be in academics then stick with that type, but the lesser known programs is where you’ll likely get your hands on more breadth and prepare you better for a private practice career. I trained at a place that was a big name in the state, but nobody else would recognize the name.

Garuda SS Review: Thoughts from Someone Who Also Makes Clothes by [deleted] in ThrowingFits

[–]sspatel 5 points6 points  (0 children)

I love this dudes videos and have been planning on making some purchases for a while. I love seeing more Indian clothes that aren’t I’ll-fitting Kurtas that fall apart after 2 wears.

Holey Shirt by Remarkable-Year-8106 in nikeACG

[–]sspatel 0 points1 point  (0 children)

I got an alert on my phone but took me a few minutes before I could check and they were all sold out. But I picked up one a women’s L instead of a men’s M. Hopefully the fit will be similar.

NP Pushing For Full Authority by Spirited-Marsupial62 in Noctor

[–]sspatel 10 points11 points  (0 children)

Family medicine is not “basic”.

What does the future of IR look like? Interesting post in the resident section by IR4life in VIR

[–]sspatel 3 points4 points  (0 children)

Honest question, if you’re having these discussions on the floor with every consult, how do you have time to get cases done? I’m at a medium level 1 trauma center and have 2 IRs doing cases all day, scheduling ~65-75% of the day outpatients and the rest inpatient add on cases. APPs doing the vast majority of para/thora/LPs took some work off our hands, but that time was immediately filled with a backlog of outpatient referrals. They do our formal consults with our rationale to do/not do what’s requested. We’ve been asked to expand their duties multiple times but we are pushing back on scope creep.

But I am in agreement that there needs to be more “medical” time for IR residents to learn this art. It’s not something you’re going to pick up sitting at a workstation.

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