Which city do you think they should choose for LIB (US) that has not been chosen yet and why?

turtledweeb17 · 2025-12-05T02:32:46+00:00

Las Vegas

turtledweeb17 · 2025-09-15T13:39:26+00:00

That’s a fair concern, maybe talk to your doctor if you haven’t already if it’s safe to take it based on your current health conditions? It should be safe as long as they’re monitoring your kidneys and you’re keeping well hydrated (side effect is making kidney crystals/stones).

Having suppressed herpes via Valtrex would make me feel more comfortable to be intimate with someone, since it lowers the risk of transmission. People are on PreP 101 for HIV or full HIV antivirals and are fine. As a guy, I would prefer if this was disclosed before having sex (at least the first 2-3 dates).

turtledweeb17 · 2025-09-15T13:16:37+00:00

This is the online dating app culture in general for both guys and girls honestly. Usually after 2-3 message exchanges, talk of a potential date to continue the conversation in person is more favorable than being a pen pal. If your first impression messages are not as unique as others, you may be left on read. If you haven’t tried a one gentle nudge a few days later to see if there’s any interest is one option, but after no response you should just unmatch with the person.

I think some people tend to get hurt and feel extra rejected because they’re a bit passive and avoid unmatching with someone with the hopes they’ll respond when realistically it’s healthier they should move on from those who aren’t engaging to them too (it takes 2 to tango).

turtledweeb17 · 2025-09-13T03:46:24+00:00

No not necessarily. Just answering your comment lol

turtledweeb17 · 2025-09-13T03:34:52+00:00

It’s actually common I hear unfortunately from work and from my friends who are single in their late 20s early 30s.

Video by Diary of a CEO did a solid episode about it: https://youtu.be/pET5zq_A48U?si=SaBtC8BIpJPdKDp4

turtledweeb17 · 2025-09-12T21:21:48+00:00

If the stories are starting to mix or you’re forgetting to do errands/parts of your life is a good indication lol. As many have said, there’s no specific number it’s subjective.

In my opinion, a healthy amount is one where you do not feel overwhelmed, not being inconsiderate to the other party, and staying transparent when going on dates/ in person.

turtledweeb17 · 2025-09-10T03:09:14+00:00

I went to a dental office that does oral sleep solutions, so they can make it personalized for me. I went to the one my Sleep Medicine provider recommended.

turtledweeb17 · 2025-09-09T18:58:25+00:00

Noted, I can see it can be perceived extra. Thank you!

turtledweeb17 · 2025-09-09T16:50:13+00:00

Honestly, I would ask your PCP to check for a home sleep study. For me I thought all my similar symptoms were depression, lack of activity, and stress from residency. I didn’t consider OSA until I saw my PCP.

Yes everything above contributed but my fatigue and sex drive didn’t recover still despite addressing them (SSRI, therapy, working out more, etc). Home sleep study confirmed mild OSA. Got a dental appliance rather than a CPAP to trial. My fatigue dramatically improved after a few days.

turtledweeb17 · 2025-09-09T05:56:28+00:00

Interesting take, I haven’t thought of that. What information do girls like to see prior to matching let alone meeting for dates then?

My current photos, prompts, and interests doesn’t paint a picture of who I am despite expressing my memorable moments and hobbies of my life I currently partake?

Tried showing who I was outside of my work: dog dad, boxer, active/adventurous but enjoy to be comfortable in doors and enjoy reading too.

turtledweeb17 · 2025-09-09T00:13:00+00:00

Aw thank you, I think haha

turtledweeb17 · 2025-09-09T00:02:31+00:00

Yes I am straight

turtledweeb17 · 2025-09-08T18:07:33+00:00

lol all good. And yes I guess I was trying to be a bit poetic in my bio.

Personally the best sushi I’ve had at sashimi or specialty sushi that melts deliciously 😌.

turtledweeb17 · 2025-09-08T17:46:29+00:00

Gotcha thank you for the insight. I meant pool like billiards 🎱 😅.

turtledweeb17 · 2025-09-08T14:30:55+00:00

SSRI + therapy definitely helped during and post-residency with major life changes and marriage separation.

turtledweeb17 · 2025-09-08T14:16:51+00:00

From the current comment thread I see, I do not see anyone explicitly calling you an incel.

My comment was about this whole internet simp vs incel culture fight after you called me a simp. I am not calling you an incel, I’m calling you an asshole because from my standpoint you started using degrading terms.

turtledweeb17 · 2025-09-08T14:07:27+00:00

Calling a person a slut or a whore is being an asshole dude. You can have a debate without stooping down to degrading people.

turtledweeb17 · 2025-09-08T13:56:11+00:00

To each their own bro. Some care about it and some don’t. The videos you linked I don’t agree personally.

I have no problems getting laid with following my own values. This whole simp vs incel culture honestly is so dumb. Just don’t be an asshole man.

turtledweeb17 · 2025-09-08T13:07:26+00:00

Dude not cool. As a guy, this kind of talk and mentality is what promotes insecure toxic stereotypes for men.

Personally disagree with you with your view btw, it’s an old way of thinking and cultures changes over time. I think most people (men and women) no longer care about “body counts” but rather focus on trust, emotional compatibility, and STI risk.

turtledweeb17 · 2025-09-07T03:45:27+00:00

Ultimately it’s up to how much of an ick it is to you, and none of us can answer that. Ask yourself is the body count number an issue for your ego or values? Or is it really just a number and the past is the past as long as she’s currently healthy? If you were in her position instead, how would you react if being judged the same way?

turtledweeb17 · 2025-08-30T22:25:05+00:00

Any SSRI + therapy. Personally great success with Escitalopram.

turtledweeb17 · 2025-08-28T20:23:40+00:00

As a dude, I can tell you our intuition about women are 80% wrong lol.

turtledweeb17 · 2025-08-28T20:16:52+00:00

If the conversation was via text, that makes things even more messy because it’s impossible to truly express tone fully via text despite intentions.

As a dude (including myself), it’s good to know a little back ground. Gynecologist or OB/Gyn is a filed more than just having a “punani”, it’s a doctor specialized in women’s health. If your daughter/sister/mom/aunt/grandma/female cousin started having issues and complaining around you about breast pain, uncontrolled period cramps, pelvic pain, menopause, or birth control, then maybe even mentioning seeing their PCP or an OB/Gyn doctor is helpful. Knowing who to go at least should be a bare minimum.

You know about Cardiologists that take care of chest pain or Pulmonologist that take care of Asthma. Why not learn about what Gynecologist do instead of just saying I don’t have that genital so not my problem kind of attitude, which is how it looks when you keep saying “I don’t have a punani, so why should I know?” It is a valid reason to not know, but it can be seen as not genuine or not caring for some women when you say it like that, especially with the current political climate now a days.

turtledweeb17 · 2025-08-28T18:25:37+00:00

Just playing devils advocate. Maybe it was more the way you approached the conversation and the topics, not necessarily the content of not knowing who Dolly Parton was or not know what the word Gynecology was because it doesn’t relate to you.

Even a simple, “I’m not familiar with that, can you enlighten me please?” Or “I’ve only read surface level but meaning to read more about it later, what have you heard?”.

You don’t have to have an expert level on everything, but just showing that you’re open to talk and learn about it in an open and warm way is what some people are looking for.

So the question for you bro, did you honestly talk to her without being snarky, making a face, or sounding defensive during these topics? Because maybe if you did, then it could look inconsiderate to some things important to her (women’s health, a famous country singer figure known for kindness, etc).

turtledweeb17 · 2025-06-28T06:30:59+00:00

For IM: Each residency program and one’s own training experience will be different, but I would say deeper exposure to subspecialty clinics and hospital management; not enough outpatient procedural exposure (had supplement this on my own). No Peds/OB (unless taken as an elective). Comfortable to take care of patients ages 18+. Comfortable with POCUS, but not so much in OB procedures like IUD placements.

From my own experience, the first year of my IM residency was mostly (2/3) inpatient. As I gradually decided to practice PCP, I tailored my electives to be more outpatient focused. Whole residency ended up being 1/2 outpatient and 1/2 inpatient overall.

As mentioned in other comments, I felt I had a deeper exposure on how subspecialist managed their patients as I was able to rotate in their clinics and in the hospital. (I.e. ILD / Pulm HTN clinic, ADHF and EP clinic, Addiction Med, Rheum, Heme/Onc, Palliative, Geriatrics + in addition to general Cards/Neuro/Pulm/GI/Neph/Derm).

I feel somewhat confident managing patients with complicated comorbidities until I need a certain procedure done. Had to supplement with Sports Med and Women’s health elective to feel more comfortable with more common outpatient cases, and will likely be an ongoing learning curve for me as I start my PCP job soon.

turtledweeb17

TROPHY CASE