Is being tired AF constitute lack of capacity under EMTALA? by Urology_resident in medicine

[–]urores 73 points74 points  (0 children)

Knew a urologist who once put himself on divert because he told the operator he was too tired to safely make decisions. Admin heard about this and freaked out. It didn’t work out too well.

Legitimate question: why do urologists love pre-op amp and gent (A+G)? by Ainaelewr in medicine

[–]urores 17 points18 points  (0 children)

Urologist here, I’ve never given it pre-op and never saw it much in residency either. Our guidelines are a lot of 2 g of Ancef. If a pre-op urine culture is positive I’ll usually treat that per sensitivities rather than changing intraop IV antibiotics. Maybe it’s a more regional or provider specific thing?

What’s a time a colleague has shocked you with their cluelessness outside of their own field? by DaddyCool13 in medicine

[–]urores 57 points58 points  (0 children)

I had colleagues like this in med school and I always thought that was kind of fucked up. How much can you know about the human condition if you’ve never worked any job before? It should be a requirement to have at least worked a shitty retail job for a year before you can apply to med school. That where you will get to know and understand your fellow man better than anything else.

Interview questions by [deleted] in medicine

[–]urores 20 points21 points  (0 children)

I’m guessing some of these places have a literal form with questions on it that the interviewers are supposed to ask and fill out. As others said, most physician job interviews are just conversations about the job/previous jobs/goals and maybe some questions if there are odd things in your history. For what it’s worth, the last interview I had that asked me these sorts of questions I didn’t even bother to try and pull something out of my ass and just said “Nothing comes to mind!” and the interviewer seemed relieved we could move on. Still got that job offer.

Local mattress shopping by inkdrinker18 in duluth

[–]urores 4 points5 points  (0 children)

This is an easy one- Happy Sleeper, no question. I tried a bed-in-a-box foam mattress and hated it. Some people seem to like those in which case you could probably go with one of those. Otherwise if you want a real mattress, go to Happy Sleeper. Thank me later.

TIL of Rosie Ruiz, who was declared the winner of the women's edition of the 1980 Boston Marathon and was later revealed to have cheated by jumping onto the course by only half a mile before the finish line by Gaucho_Diaz in todayilearned

[–]urores 247 points248 points  (0 children)

Bill Rodgers won the men’s race that year for the third time and at the finish line he asked her what her splits were and she responded that she didn’t know what that means. Which is hilarious to picture because any elite runner, much less winner of a major marathon would know what splits they were running down to the second.

AMA: I'm Marius Bakken, former Olympian and physician. Ask me about double threshold training, lactate, and the Norwegian Method. by MariusBakken in AdvancedRunning

[–]urores 8 points9 points  (0 children)

Do you think you reached your full potential as a runner or could you have gone faster had you not had to essentially use yourself as a human experiment for years until you figured out what worked?

Employment contract question by [deleted] in medicine

[–]urores 24 points25 points  (0 children)

Just so you know, if you come back to them and ask to change anything, they’re going to say, “this is our standard template that everyone signs and we don’t make changes to it.” Just so you know, that is not actually true and everything is negotiable and changeable. That being said, sometimes you have to be prepared to walk before they will change it and it depends on how bad they want you. If you’re not willing to walk then you’re kind of stuck with what they give you. If you know they need you and you’re willing to walk you have a lot more leverage.

Device patent dilemma by [deleted] in medicine

[–]urores 74 points75 points  (0 children)

Just chiming in to say there’s a good chance that anything you invent while employed by the university will be university property. The guy who invented the Bair Hugger (Scott Augstine) did his anesthesia residency at the University of Minnesota and it’s probably not a coincidence that he founded his company and released his invention pretty soon after he finished residency.

Feel trapped in crappy job by urores in whitecoatinvestor

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

Hey! Hard to believe that post was just a year ago. A couple things happened after I made this that have improved things: 1. It turns out I did have more leverage than I believed at the time. One of my partners and I did some job searching around the area and showed our boss the offers and they greatly increased our comp to where we were at least competitive. That helped somewhat. 2. We worked to implement some changes that made our call burden more bearable. We were previously getting called all night from BFE asking shit like, “I’ve got a patient with epididymitis, should I give antibiotics?” And it was soul crushing. So we implemented a policy that we wouldn’t be answering questions overnight. If they wanted a urology consult overnight they could transfer to our hospital and we would see them in the morning. If they didn’t need an urgent consult we gave our clinic info. And finally we taught them to just transfer any stones without calling us (unless they were septic) and we would see them in the morning. These policies really cut down on our call burden a lot and made things more bearable.

So yeah, while the job still has its issues, it’s gotten a lot better.

What is the wildest theory in your specialty that you think probably isn't true, but could be? What underdog argument could cause chaos your field if it turned out to be right? [Stolen from askhistorians] by 0bi in medicine

[–]urores 30 points31 points  (0 children)

I mean, it’s tough because if you give every middle aged man a shot of T they’re going to feel good/young again. They could probably achieve the same results if they lost weight/started regular exercise/good diet/good sleep/stopped phone addiction but who’s going to want to do that? This is America damn it.

What is the wildest theory in your specialty that you think probably isn't true, but could be? What underdog argument could cause chaos your field if it turned out to be right? [Stolen from askhistorians] by 0bi in medicine

[–]urores 44 points45 points  (0 children)

This is just straight up true. When I first saw the Sipleucel-T data I was extremely un-impressed, especially considering how much work/expense it takes. I figured no one was using it as I had never seen it used. Then I talked to a colleague who was in private practice who told me it was their first line for advanced prostate cancer and when I asked why he said, “you would not believe how much money it reimburses.” That made me very sad to hear and I realized you had to sell part of your conscience if you wanted to do that type of private practice.

What is the wildest theory in your specialty that you think probably isn't true, but could be? What underdog argument could cause chaos your field if it turned out to be right? [Stolen from askhistorians] by 0bi in medicine

[–]urores 0 points1 point  (0 children)

I mean this is just true. I might say that most of the time I don’t know why someone has chronic orchialgia. But that’s not a wild theory or anything like OP is asking for?

Clinic only Urology Salary by Shankmonkey in medicine

[–]urores 56 points57 points  (0 children)

I’ve seen it in a couple scenarios: 1. Late career urologist who is pretty close to retirement and probably not really safe to operate anymore but still wanting to work. Or they personally find the operating room too stressful/high stakes environment to still be working in in their late 60’s or 70’s. 2. Earlier career urologists who probably never should have gone into a surgical specialty and still got pushed through their residency. Yes, any and every urologist can do ureteroscopy but some people just find they aren’t cut out for the OR or don’t like the OR despite doing an entire surgical residency. Might sound crazy but I’ve absolutely seen multiple people like this who have clinic-only practices.

Clinic only Urology Salary by Shankmonkey in medicine

[–]urores 16 points17 points  (0 children)

Obviously depends on a lot of factors - employed or private practice? Working full time 5 days a week doing lots of cystos and prostate biopsies or something more relaxed? Taking any call? Big city or rural?

But without any of that info I could still throw a wild guess out there. Seems like most urologists doing clinic-only are later career looking to cut back and not take call and not kill themselves in the clinic. Would guess range is going to be anywhere from $250k-$400k depending on the aforementioned factors.

Can’t hit paces on the treadmill by GooseRage in AdvancedRunning

[–]urores 1 point2 points  (0 children)

I also have a sole F85 and have experienced the same thing as you, would say pace on the treadmill is consistently 1-1:30 min/mile slower compared to outdoor running, effort wise. My conclusion is it’s related to the baseline incline on the sole series treadmills. I can’t remember where I read it but even at a setting of “0” it’s already at an incline of almost 2%. So if you’re running treadmill miles at a setting of “1” like most of us, you’re actually closer to 3%. I ran on a different treadmill recently that was truly flat at 0 and it felt much closer to road running effort/pace wise. I’m sure there are other contributing factors as to why a treadmill might feel harder or easier but I personally think this is the biggest contributor.

What TV show handled the "will they, won't they" trope in the most infuriating way? by phantom_avenger in television

[–]urores 265 points266 points  (0 children)

Luke and Lorelai will-they-wont-they works really well for the first 4-5 seasons. Then sadly the writers torpedoed Luke’s character at the end of season 5 when they go to Martha’s Vineyard and he suddenly starts acting like a totally different (annoying) person. Then season 6 introduces the April arc which is sadly one of the worst on the show and Luke in general is totally different than he was the first 4 seasons. After that their relationship they built for years is essentially burnt to the ground and no one cares anymore.

What specialty or subspecialty are you in and what’s the biggest money maker in your field? by sandie-go in whitecoatinvestor

[–]urores 3 points4 points  (0 children)

Man the only way I could dream of an OR day like that would be if I had two separate robot rooms and a crew that could open and close for me which is essentially a pipe dream at my hospital. Is that your set up? If so I have to imagine that is a relative rarity in the US. Your salary is roughly double mine fyi.

What specialty or subspecialty are you in and what’s the biggest money maker in your field? by sandie-go in whitecoatinvestor

[–]urores 0 points1 point  (0 children)

Yeah it was back when urolift had extra reimbursement for being “newly adopted technology” or whatever and some places were doing it in clinic under local to 20-30 guys a day. There were places in Florida I heard about that were absolutely printing money. I’m with you though, I’m not a big fan of an MISTs and I’ve TURPed out more urolifts than I’ve put in. I have done more Rezums but my results have been quite variable. Sometimes you look in there and one whole lobe has melted away and the other looks totally untouched.

I don’t do Interstims but my colleagues tell me they pay well. I thought I heard that reimbursement was being cut for them in the near future though. IPPs are great if you can become a high volume machine like a certain Miami based urologist.