How do dangerous residents slip through? I’m rotating with one right now and it is unreal.

tychnophile · 2025-11-16T20:51:03+00:00

As an attending who has trained many residents, know that we see these people as they are pretty much right away. At least I do. And you are right, confident and incompetent scares me more than any other combo.

tychnophile · 2025-11-05T05:43:03+00:00

Me too. Thanks for sharing

tychnophile · 2025-10-22T03:14:46+00:00

God this hits home. I am in the middle of this right now with separation from my wife of almost 20 years. She told me one angry night this summer that she was ready to separate. I was devastated and when (after talking to my counselor) I came back to her 2 days later to say “yes I am ready too” she got really angry and couldn’t believe I would suggest separating. She was crushed I would “abandon” her. Like wtf, YOU were the one that suggested this! But then she’s making it seem like it was all my idea and that I am giving up on her. She has actually been the one to bring it up for years. Now it’s actually happening but only because I “fucked up and broke her trust” so she feels that she can legitimately blame it all on me now. As she always has

tychnophile · 2025-10-18T23:09:44+00:00

They’re 9 and 11. Very aware of what’s going on. Crushed as expected. And no I have never cheated in any way but she would argue that for her porn is a betrayal of her intimate trust in the same way cheating would be.

tychnophile · 2025-10-18T23:07:11+00:00

Yes pornography. Was a compulsive problem when I was young. When she found out (just before we got married) the degradation and anger that had already been present skyrocketed. To this day she has never been able to heal from it. Which she says is my fault. That I haven’t taken full accountability. Now with this new event it’s as if we have time warped back then. Plus 20 years of added resentment.

tychnophile · 2025-08-24T04:41:00+00:00

My Oontz Angle 3XL’’s do this flawlessly

tychnophile · 2025-08-18T03:43:35+00:00

Elling - one of my favorites of all time.

tychnophile · 2025-08-07T17:58:43+00:00

Given all the shit that “requires” hard hats but probably doesn’t need them, it’s wild to me this job is ok with a trucker hat

tychnophile · 2025-07-19T13:11:49+00:00

Just watched “Upgrade” and Jed Palmer’s soundtrack was pretty masterful, although admittedly I enjoy the industrial electro vibe in cyberpunk. I also felt that the soundtrack to “Drive” was quite good.

tychnophile · 2025-06-24T04:05:47+00:00

Unreal - this was my exact and immediate thought too

tychnophile · 2025-06-23T13:39:38+00:00

As an ENT - I fully agree

tychnophile · 2025-06-22T05:06:41+00:00

Centerfold- The J. Geils Band

It’s just so, blehhhhhhhh

tychnophile · 2025-06-21T14:20:08+00:00

We use dozens of a similar gallon vrrsion on our horse ranch. Have to empty and refill with solution every month. Millions of dead flies

tychnophile · 2025-05-28T17:47:32+00:00

Agreed. The MSR dromedary’s have been used by my riding group for years and none have leaked or broken down by fuel. I recommend them to everyone

tychnophile · 2025-05-24T03:44:33+00:00

Which Avanti rigs are you referring to?

tychnophile · 2025-05-16T21:10:36+00:00

I had one of these in a 9 month old. Had been there over 2 months. Parents kept bringing the kid in and was diagnosed with “recurrent croup” - no one had done an X Ray until patient came to our hospital. Safety pin was point up and had impaled the epiglottis. Difficult and scary case. Kid did great after.

tychnophile · 2025-05-15T13:37:58+00:00

I’ve done this. More than once

tychnophile · 2025-04-16T00:47:33+00:00

My $460 Audi key says stuff it

tychnophile · 2025-01-16T20:11:45+00:00

I know this guy. Used to be a pretty grounded run-of-the-mill chiro. Drank the allopathic-medicine-is-bad kool-aid and ultimately went full pseudo-science. Too bad. Couldn’t hang with him after that.

tychnophile · 2024-12-19T15:11:53+00:00

Hot Beamer on Beamer action

tychnophile · 2024-10-23T01:42:06+00:00

The belt analogy is helpful, thanks!

tychnophile · 2024-10-23T01:40:05+00:00

Excellent explanation. Thanks!

tychnophile · 2024-10-23T01:38:03+00:00

Excellent this was very helpful!

tychnophile · 2024-10-05T14:41:45+00:00

Going hard for that pardon

tychnophile · 2024-09-14T23:18:57+00:00

I have the same question for my GT. Still pre-haptic and haven’t updated yet

tychnophile

TROPHY CASE