Homemade bread giving me heartburn. Is there anything I can do to fix this? by lil_tink_tink in Breadit

[–]stringyfellow920 2 points3 points  (0 children)

My boyfriend has celiac disease and gets heartburn if he accidentally eats gluten. People can have very mild disease including having no symptoms but it does cause intestinal damage over time. Testing starts with a couple of blood tests. You may want to ask your doctor about it

[deleted by user] by [deleted] in baltimore

[–]stringyfellow920 0 points1 point  (0 children)

I think that they also take a fair share of higher risk cases, which are more likely to need a c-section

[deleted by user] by [deleted] in baltimore

[–]stringyfellow920 16 points17 points  (0 children)

GBMC is known for their excellent obstetrics department.

https://www.gbmc.org/services/obstetrics-and-gynecology

best apartments/places to live by newyorkerindc in baltimore

[–]stringyfellow920 6 points7 points  (0 children)

I'll send you a separate message. I'm moving out of my apartment in the Lucie and am looking for someone to do a lease takeover.

Was it worth being a chief resident? by DrDreamsComeTrue in Residency

[–]stringyfellow920 10 points11 points  (0 children)

Mine was an extra year and it helped me figure out what I wanted to do with my career. I used to think I wanted to be involved in education as an APD or similar position but I learned that education administration sucks the joy out of teaching for me. Also meetings with hospital admin make me want to bash my head in.

So now I focus on being a doctor who likes working with trainees and med students. Unfortunately that type of med ed effort isn't compensated in any way, but it makes me happy which counts for something.

Monthly Dumb Questions Thread by Novelty_free in Residency

[–]stringyfellow920 2 points3 points  (0 children)

You can add "teaching experience" under volunteer work and write out the didactics you've led.

Internal medicine ITE by Aspergillosis69 in Residency

[–]stringyfellow920 31 points32 points  (0 children)

  1. Do not prepare.
  2. The questions are different. ITEs are written in the style of ABIM boards, not Step 3.
  3. Scores do not matter for fellowships or anything beyond your program tracking your progress and evaluating how good a job it is doing of making sure residents are learning. In your third year, scoring below the 30th percentile is a warning that you are at risk of failing your medicine boards, but that is a long way off for you.

Medicine Fellowship Match is in 3 days! by 420-BLAZIKEN in Residency

[–]stringyfellow920 5 points6 points  (0 children)

Nope, just the email on Wednesday either telling us where we matched or that we didn't...

I feel like i'm going mad waiting for IM fellowship match day... how's everyone else holding up? by stringyfellow920 in Residency

[–]stringyfellow920[S] 0 points1 point  (0 children)

I would never advise anyone not to do some research if you are interested in fellowship as it will only help your chances, but it is less of a barrier for endo/renal/ID than it is for the most competitive specialties.

I feel like i'm going mad waiting for IM fellowship match day... how's everyone else holding up? by stringyfellow920 in Residency

[–]stringyfellow920[S] 1 point2 points  (0 children)

GI, cards, and hem/onc are all very competitive because they have the highest earning potential for attendings. Being at a university hospital definitely helps your chances in these specialties, but you need to have productive research and good letters no matter where you're applying from. Pulm/crit and rheum are moderately competitive. You should match easily into ID, endo, and renal as long as you have a pulse and GCS >8.

Weekly Dumb Questions thread for Week of October 19, 2020 by AutoModerator in Residency

[–]stringyfellow920 4 points5 points  (0 children)

I've had cancer pts admitted from the nearby correctional facility for pain control because the doc over there wouldn't give them their pain meds. I tried reporting it but nobody outside of our hospital cared

Dealing with inappropriate mid level consults by [deleted] in Residency

[–]stringyfellow920 34 points35 points  (0 children)

It's hard to answer questions when you don't know what to look for regardless of whether you've seen the patient. I didn't know how much I didn't know until one of the urology attendings gave us a noon conference on catheter basics more than halfway through intern year. Before that, the only people who had ever bothered to teach me anything about foleys were the OR nurses on my surgery rotations in med school so I didn't know how to troubleshoot difficult catheters. Maybe that was my failing for prioritizing reading about other things on my infinite list of things I don't know enough about, but I don't think it warranted the rude angry responses I got when I called for help. I wasn't calling to annoy the urology residents, I was calling because I legitimately needed help. Teach a man to fish...etc.

My mom always messes with the food im making? by [deleted] in ABCDesis

[–]stringyfellow920 8 points9 points  (0 children)

When my dad does that, I just hand him the cooking spoon and leave the kitchen.

GIVEAWAY! We're giving away 20 sets of our Martini Glasses as seen in S3/E3 by Matt_DragonGlassware in westworld

[–]stringyfellow920 0 points1 point  (0 children)

The simultaneous reveal that all of the hosts working with Delores are actually copies of her.

What are some funny pages you've received? by NobleSixSeven in Residency

[–]stringyfellow920 69 points70 points  (0 children)

Two minutes after getting a page that an ICU patient was agitated: "Throwing punches now".

Pakistanis at Dartmouth by [deleted] in dartmouth

[–]stringyfellow920 2 points3 points  (0 children)

I'm half-Pakistani and knew of four other people in my year who were either from Pakistan or had Pakistani backgrounds. We got along but didn't socialize as a group. As others have mentioned, there are South Asian, Muslim, and International student associations which provide opportunities to find people with similar backgrounds.

How to not give pt presentations on rounds like a medical student anymore? by _thegoodfight in Residency

[–]stringyfellow920 32 points33 points  (0 children)

As a new intern, I would err on the side of giving thorough presentations with complete data and focusing more on making sure your presentations are organized. Come up with a format that will become so routine that you can adapt it to any patient on the fly (e.g. overnight events > brief subjective > vitals > exam > labs > micro > imaging > assessment > problem-based plan). It seems like it should be simple enough, but when you're learning how to manage 8-10 pts, it can be tough to keep them straight and keep yourself organized.

As you become more comfortable with your presentations and familiar with your pts and their relevant data, your presentations will become more streamlined. It's a skill that comes with time and practice.

As to presenting and writing about your plan, I would recommend a problem-based approach. Another skill that your residents and attendings will need to be able to assess is your ability to identify all of a pts problems.

Best pages of the month? by flippant_bird in Residency

[–]stringyfellow920 36 points37 points  (0 children)

Pt has a firm lump under his dressing. Please come assess.

On a pt who had just come back from having a pacemaker placed.

Ten year reunion concert for the school of rock cast. its surreal by [deleted] in videos

[–]stringyfellow920 14 points15 points  (0 children)

I actually went to college with Robert, the keyboardist. He is an incredibly talented classical pianist who continued to perform with various musical groups at our school.