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medgremlin @lemmy.sdf.org
Posts 11
Comments 235
Protesters throw soup at Mona Lisa in Paris
  • I think an important consideration is who gets to decide what knowledge and culture get preserved. For example, I would say that medicine, agriculture, and human language would be much more important to preserve than computer science or economics, but I'm sure someone would disagree.

    In general, I think art is very valuable and should be protected when possible (and not just European art), but if the choice is between a painting or a human life... the painting goes every time.

  • It's Girl Scout Cookie season, so it's a great time to remind you that the Girl Scouts welcome trans and nonbinary children. Here is a list of trans Girl Scouts to order cookies from.
  • I always get Girl Scout cookies every year. I was in Girl Scouts as a kid, and back when I was still going to camp in the early 2000's, the camp had cabins set aside for the gay boys who had been kicked out of the boy scouts. Even back when I originally joined in the 90's they accepted anyone who wanted to join a troop. Scouting is for everyone!

  • Protesters throw soup at Mona Lisa in Paris
  • I recently saw someone on Lemmy point out that the UK has an emergency plan to move precious artwork to bunkers in the event of a nuclear attack, but no such plans exist for the people. Paintings can be replaced or remade. People cannot. The planet cannot. There are many things in this world far more valuable than art, in part because life is the source of art.

  • The Unionization Wave Is Hitting Costco
  • I think that's part of why they have such insane metrics that employees are supposed to meet: so they can fire anyone "for cause" whenever they want because almost no one actually meets the metrics.

  • Janitors provide a valuable service
  • I once worked at a hospital in the ER where the department director was a union-busting bastard, but the CEO was pretty reasonable. After I left, one of the other ER techs went to the CEO about our pay being messed up and got everyone $5-6/hour raises to actual market rate. Also, there were a few weeks when we were really understaffed that the hospital encouraged admin folks to volunteer as "candystripers" in the ER to do stuff like help clean/turn over rooms, and answer patient call lights for water, blankets, etc. And the CEO was down in the ER for a couple hours every evening helping out most of that time period. It was encouraging to see the CEO of the hospital putting on some gloves and helping us with basic stuff like cleaning and stocking.

  • What's the most unexplainable/unlikely thing that's ever happened to you?
  • The current recommendation for colon cancer screening in those with a family history is to start routine colonoscopies at the age 10 years younger than the family member who was diagnosed. So if your Dad was 55 when he was diagnosed, you should start getting regular colonoscopies and screening at 45 (which is around the recommended age these days anyways).

  • Is anyone else caught in a weird Venn diagram of Imposter Syndrome and furious indignation and disdain for actual imposters in your field?
  • The problem with AI and poorly educated professionals is not the ability to diagnose and treat based on evidence-based medicine. The problem is that you have to know enough about medicine, and enough about real human people to know what kinds of questions to ask in the first place. If nothing else, there is a massive amount of information gained from a patient's body language, mannerisms, behavior, and the physical exam itself that would be extremely hard to quantify in a meaningful way for someone without the background education and experience to come to any useful conclusions.

  • Is anyone else caught in a weird Venn diagram of Imposter Syndrome and furious indignation and disdain for actual imposters in your field?
  • I worked professionally in medicine for a few years before starting medical school, and thus far my approach has been to entirely disregard anything they said on the subject and continue as normal unless the nonsense they're spouting has the potential to cause serious harm. Our patient care professor is training us to listen attentively, then dismantle the nonsense as politely as possible while guiding the patient's viewpoint back to something approaching reality.

  • Is anyone else caught in a weird Venn diagram of Imposter Syndrome and furious indignation and disdain for actual imposters in your field?
  • There's some things you look for that are difficult to describe to someone who hasn't seen it before. That's part of why experience is so valuable in Emergency Medicine, and it's not uncommon to put your best nurses out in triage. People will do this kinda twitchy/wilting/loss of focus/change in pallor/change in posture right before they go down. I don't have a good way to describe it, and it might be easier to draw even, because it really is a body language thing and the general appearance of the patient that can inform your decision making.

  • Is anyone else caught in a weird Venn diagram of Imposter Syndrome and furious indignation and disdain for actual imposters in your field?
  • I have thought about trying to plan out a learning algorithm that could spit out suggestions for triage level and preliminary tests based on input data like vital signs, symptoms, and complaints... but I would never implement something like that as anything beyond a tool for the nurses at triage to use. There would have to always be an option to override the algorithm because there's some aspects of patient presentation that are not easily quantifiable. I'd never be able to explain it in a way that one could input it into a computer, but even with my limited experience, I can tell which patients are going to crump on me.

  • Is anyone else caught in a weird Venn diagram of Imposter Syndrome and furious indignation and disdain for actual imposters in your field?
  • NPs working under a physician with actual oversight is fine. The ones I have problems with are the ones that have a physician sign the hundreds of notes a month while maybe reviewing a handful, and worse, the ones pushing for independent practice without even that sham of oversight involved.

  • Is anyone else caught in a weird Venn diagram of Imposter Syndrome and furious indignation and disdain for actual imposters in your field?
  • At least I can rest assured of the fact that AI will be next to useless in my intended field. Emergency medicine is an environment where you get a random constellation of symptoms and complaints with very little direction on which are related to the current illness, and which ones are not currently relevant. Also, in the time it would take to get all the info into the AI for a trauma/cardiac/code situation, the patient might be dead or rapidly heading in that direction.

  • Is anyone else caught in a weird Venn diagram of Imposter Syndrome and furious indignation and disdain for actual imposters in your field?

    Context: I'm a second year medical student and currently residing in the deepest pit in the valley of the Dunning-Kruger graph, but am still constantly frustrated and infuriated with the push for introducing AI for quasi-self-diagnosis and loosening restrictions on inadequately educated providers like NP's from the for-profit "schools".

    So, anyone else in a similar spot where you think you're kinda dumb, but you know you're still smarter than robots and people at the peak of the Dunning-Kruger graph in your field?

    39
    Where do milsim video games occurs nowadays ?
  • Our server has been having some federation hiccups. I actually play with a really chill unit. Oddly enough, all the Arma units I've encountered have been pretty progressive. As a cis woman, I am almost always outnumbered by the trans gals because there's always a bunch of them around. Also, all the units I've been with have a negative amount of tolerance for bigots.

    I pretty much always play as the medic in our PvE ops, and unfortunately I'm a little incompetent when it comes to actual combat, so I haven't been horrendously useful when we play Anyistasi.

  • Top-right menu buttons aren't working

    It's been a week or two now since the top-right menu buttons stopped working for me. I can use the one to select between "Local", "Subscribed", and "All", but the buttons for the sort/time and the three-dots button don't do anything anymore. Has anyone else been having this problem? (And if so, have you found a way to fix it?)

    Edit: Jerboa Version 0.0.49, Android Version 12, Surface Duo 2

    Also, after a force stop of the app and rebooting the phone, it now works on the left screen, but not the right screen. I tested to make sure it wasn't a dead spot on the touch screen, and that corner is responsive in the OS and other apps. So apparently it's just this app in the top right corner of the right screen which seems very odd.

    Another edit: the top right corner button for saving posts or comments and other interactions work fine in the top right of the right screen, it's just the menu buttons that don't work on the right screen

    14

    A little reminder of why we're doing this to ourselves...

    This video has helped me remember my motivations for getting into medicine when things are a little rough going. Best of luck to everyone who has yet another exam on Monday!

    0

    For students, residents, and even attendings: a question about your future aspirations

    What are your daydreams about your future like? If you could do anything you dreamed of in medicine, what would you do?

    Personally, I hope to someday be a nocturnist ER physician in a critical access hospital that can also help with being the medical director for the rural EMS system, and to get a Master's in Social Work on the side once I'm done with fellowship. If there was some way I could also do a few shifts a month as a GP at the local Planned Parenthood on the side, that would be awesome as well.

    0

    Is anyone else more than a little disappointed that the rampant misogyny, objectification, and "whataboutmen-ism" seems to have followed the reddit migration here?

    I was just reading a discussion on another community where the OP was complaining about a lack of NSFW content being readily available. It was really demoralizing to see him bemoaning the fact that the female/femme members of the fediverse don't seem to be lining up to disrobe for his amusement. It's just frustrating to see the same old boys'/men's club atmosphere be nearly as prevalent here as it was on reddit. I had been hoping for improvement in that regard when I moved over here last month.

    30

    For my fellow bone-wizards that actually like Anki: Turn Up 2 OMT

    I personally detest Anki (it does not play nice with my ADHD brain) but this will probably be helpful for someone else. :)

    0

    Existential dread and regret time!

    So, the ever-present question: what would you be doing with your life if you hadn't chosen to pursue medicine?

    Personally, I probably would have been a database administrator specializing in Oracle/SQL. That's what I was studying when I decided I just could not bring myself to work for someone else's capitalistic profit and provide no true benefit to humanity. If I had changed paths after finishing my post-bacc, I probably would have gone into genetic research to make use of that aptitude for database management.

    I'm particularly interested to see the difference in answers from traditional versus nontraditional medical students.

    0

    For recent graduates/new residents: here's some info about the end of the student loan pause.

    Pretty much every resident counts as an employee of a qualifying non-profit, so you should be signing up for the PSLF, and you should know that part of qualifying for the PSLF requires that you are in an income-driven repayment plan.

    https://studentaid.gov/manage-loans/forgiveness-cancellation/public-service

    https://studentaid.gov/idr/

    Another thing to keep in mind as new graduates/residents: your IDR monthly payment is calculated based on your past year's earnings and taxes (so your 4th year of medical school with almost certainly no income). This means that your first year of payments is likely going to be $0/month or at least very minimal, so it is in your best interest to forgo the grace period so that you have more qualifying payments at a lower rate counting towards your 120 qualifying payments for PSLF.

    If anyone has more information about this or has any corrections to what I've posted here, please share them in the comments so that I can update the post accordingly with the most useful and accurate information possible.

    0

    STEP and COMLEX Resource Discussion

    As we're just finishing up 2023's STEP and COMLEX season (the bulk of it anyways), I wanted to start a discussion on what kinds of resources people are going to be using over the next year to prep for board exams in 2024.

    Personally, I'm using AMBOSS, Osmosis, and Kaplan (Kaplan only because our school gave it to us for free), and I'll be starting UWorld once our student government secures a good discount for us. I'd love to hear what resources others are using and if anyone has any suggestions on board prep materials to use or avoid. (I've seen it said that for COMLEX, just do all of UWorld and read the green Savarese book, but I'm open to other suggestions/strategies as I plan on taking both.)

    0

    Preparing for the reddit migration

    I'm creating this community as a possible replacement for r/medicalschool, given that it doesn't look like reddit corporate will be behaving in a reasonable manner anytime soon. I really got a lot out of participating in that community and I want to perpetuate it in some form.

    If any of the r/medicalschool mods want to moderate here, I'd be more than happy to hand things over. Realistically, I'm just the gremlin in the corner who likes to chime in every now and then, and I don't have a lot of experience with forum moderation.

    I'm open to any and all suggestions folks have for this new little corner of the internet, and I welcome the medical students and members of the medical community who have come to participate!

    0