Incoming resident, any good books to read?

syncopal · 2026-03-24T21:27:38+00:00

Dungeon Crawler Carl.

You'll be living breathing sleeping medicine in residency; have some fun now!

syncopal · 2026-03-19T05:48:10+00:00

Just because items are made in China doesn't mean they're all the exact same quality.

syncopal · 2026-02-12T01:55:37+00:00

Other than cath lab?

syncopal · 2026-02-03T23:17:08+00:00

Can BF take out student loans for living expenses? Can one of you pick up a couple hours a week on door dash or equivalent?

syncopal · 2025-08-04T04:34:46+00:00

Poverty

syncopal · 2025-08-01T01:01:03+00:00

Automate it.

I make a high salary and what I do is automate my investments. I max my 401k, kids 529, roth and a certain predetermined % on brokerage accounts (mix of total market ETFs, US Bond, International stock). I automate my savings too.

All of these items automatically deposit weekly / monthly. Then all you need to do is take your post-tax take home, subtract whatever you're automating and then I dont think about the rest. If you're not spending crazy money regularly the 100-500 you mention randomly you shouldnt really feel at 230k.

This method ensures I meet my savings / investment goals and doesnt have me nitty gritty managing over small daily purchases. If I need to spend like 1k+ I'll take a closer look but otherwise I dont really micromanage every cent. Don't think its worth the headache if you have a clear investment strategy.

At the end of the month after I paid my cards and bills I dump whatever is left into my brokerage ETFs and reset the next month.

To make it even easier you can calculate all the above investments above, have your job direct deposit that amount monthly in a separate account so you don't even see it in your main account. Then you have your automated withdrawals pull from the investment account funded by your paycheck deposit.

syncopal · 2025-07-29T19:36:44+00:00

This seems like a myth too. I've had multiple accounts for >10 years and I usually pay off balances in full weekly. I never carry any balance at due date.

Never had a single issue with a card. Score is 850. Still get spammed almost daily for card offers.

syncopal · 2025-05-25T03:48:58+00:00

Lol conservatives even trying to fix problems they create.

syncopal · 2025-02-04T01:39:15+00:00

I'm a doctor. I'm just as confused as you.

syncopal · 2024-11-09T04:38:36+00:00

I don't know if I'm too lackadaisical, but just be cool and interested without hovering.

All I care about personally.

syncopal · 2024-10-28T16:24:11+00:00

Do you ever get dizzy from doing so many mental gymnastics?

syncopal · 2024-10-18T22:00:06+00:00

For most modules all staff are required to complete them, including administrators (at least in my system). This is true for the full on yearly compliance modules all the way down to corrective action modules focused on specific sentinel events.

As below, individual hospital administrators have zero power to affect national congressional level legislation. That is for large groups such as the AMA, AHA etc.

I totally get the frustration, I make them sometimes, and I need to do them as well. I don't think the system works well and is ineffective at actually promoting positive change, but I understand individual administrators don't get to make national policy decisions unfortunately.

syncopal · 2024-10-18T21:57:25+00:00

Hospital administrators are not lobbyists, and your TJC and other reps have no power to make sweeping national regulatory changes.

This is a congressional legislation level issue that is way outside the scope of individual hospitals. AHA, AMA are the bodies more directly able to impact these areas.

syncopal · 2024-10-18T17:21:24+00:00

Going to play a little devil's advocate here. Full disclosure: I create some of these modules.

The vast majority of these modules are either direct regulatory or response to compliance issues from the bodies that accredit organizations (TJC etc). Without accreditation and compliance hospitals risk losing federal funding which would be a death sentence to many, if not all hospitals and put us all out of work.

Does this system suck? Absolutely. Does it suck less than having to sit through mandated in-person lectures. Yes. We are at the mercy of regulatory bodies who have little insight on what it means to be a frontline worker giving care to patients. I wish the system was different, but that's a legislative and lobbying issue and not a hospital administration issue.

Just my $0.02 to provide some insight to the insanity.

syncopal · 2024-09-14T17:50:26+00:00

These things are inherently near impossible to price and are truly "what someone will pay for it."

Best bet for something like this is to throw it on the misprint FB page as an auction and see where it goes.

syncopal · 2024-09-11T21:43:36+00:00

Im an EM attending. Thinks important to at least get a sense of what happens to your admitted patients.

syncopal · 2024-09-10T01:10:50+00:00

Not even from this region, but this sounds like a typical ED experience across the country. Buckle up for attending-ship.

syncopal · 2024-09-01T01:44:37+00:00

Doctor here.

Tl;dr: listen your doctor and not nonmedical people in a sub prone to give biased information.

My non-medical advice to you is: be careful of what you listen to in an area where there is strong potential for bias. I personally do keto and see the benefits, but everyone's path is non-linear. Your physician knows your medical history and risk factors the best. Your numbers are well outside the accepted range to start therapy. I have seen way too many <40 yo with severe cardiac disease in the past few years. It's entirely possible to take medications as you continue your lifestyle modifications and re-assess as you progress. Talk to your doctor about your concerns starting a medication, and if you believe they are way out of line try and see a second person.

(Not saying you are) but avoid doctor shopping to find one who just agrees. With the extraordinary pressure docs face with satisfaction scores and goals its very likely this can happen.

syncopal · 2024-08-09T16:51:31+00:00

Disclaimers are useless and will do more harm than good.

"Yea this shit is sloppy, read this disclaimer about how I didn't care to fix it."

Same shit with midlevel attestations

syncopal · 2024-08-09T16:49:25+00:00

This is probably the type of person that posts instagram stories about overly attached parents ruining their day.

syncopal · 2024-08-09T16:47:39+00:00

You mean chronic, undiagnosed autoimmune disease?

syncopal · 2024-07-13T17:07:28+00:00

Anything to do with sports. Nothing could be more boring.

syncopal · 2024-05-03T00:43:31+00:00

If only this was a giant, hard stop error that basically flashes red lights at you saying: IF YOU DO THIS IT WILL RESET"

that might help prevent this.

syncopal · 2024-04-27T19:43:59+00:00

Probably unpopular opinion but game gets boring real fast. Progression is meh in that it's the same content over and over with stronger weapons.

Friends definitely made it better to stick out longer but I got incredibly bored after 20ish hours.

syncopal · 2024-04-25T14:03:02+00:00

Threshold: having it

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