The non-interview or competitive sub-specialty related IM thread

It will be quiet in here until the end January when people want help with their rank lists, and after everyone blows a load telling us where they matched, it will be dead in here again next interview cycle.

I've seen this forum go from dead as dead, barely any action even during interview seasons, and expand from there over the years. Hard to hold onto any regulars. I don't know if that makes me lame or mentally unstable for continuing to post in here regularly. While we do get the occasional "pop-back-in" usually to flame someone for daring to say anything even remotely negative about a residency program.

I tried starting a clinic thread a few years ago. No real dice.

Even case based thread die very soon.

Is it that IM people are just that ****ing lame in general? I know certain personalities tend to self-select off into varying specialties, and maybe some of those personalities tend to post more on forums than others. I mean look at the anesthesia and EM forums, they talk about all kinds of stuff from politics to finance to guns. Am I really nuts for wondering why we can't have that kind of community in here too?

Maybe it's just the existential angst getting to me again.

my prediction: by the end of today 100-200 views and not more than a handful of responses

I'm in. I don't post much regarding apps/residency, but this sounds appealing.
Maybe we should start of w/ football since it's Sunday. Will Jesus (Tebow) continue to somehow win games for the Broncos? Also, what the hell happened to the Bills. They are god awful again.
At least I still have a small chance of making my fantasy football playoffs.. Just need Romo to produce today..

Originally Posted by Newbie212

I'm in. I don't post much regarding apps/residency, but this sounds appealing.
Maybe we should start of w/ football since it's Sunday. Will Jesus (Tebow) continue to somehow win games for the Broncos? Also, what the hell happened to the Bills. They are god awful again.
At least I still have a small chance of making my fantasy football playoffs.. Just need Romo to produce today..

Level one trauma came in the other day. Trauma surgeon was throwing a temper tantrum n the patient was going nowhere but down. I did what any good young medical student would do and got down n "Tebowed" in the middle of the trauma bay. Patient walked out of hospital under own strength next day. Medicine.

He is a joke of a QB and I'm so tired of the religion talk. Great guy, obviously, but being blindly and insanely religious doesn't make you a great guy.

Originally Posted by DreamingTheLive

Level one trauma came in the other day. Trauma surgeon was throwing a temper tantrum n the patient was going nowhere but down. I did what any good young medical student would do and got down n "Tebowed" in the middle of the trauma bay. Patient walked out of hospital under own strength next day. Medicine.

He is a joke of a QB and I'm so tired of the religion talk. Great guy, obviously, but being blindly and insanely religious doesn't make you a great guy.

What makes him blindly and insanely religious? I admit I've not been following the news much, but what did he do?

Originally Posted by jdh71

What makes him blindly and insanely religious? I admit I've not been following the news much, but what did he do?

fair point. Outside of "god" being every 4th word in most sentences, I have no rebuttal other than suggesting that "blindness" is inherent in being religious (but I don't wanna go there).

College football trumps NFL anyday save for playoffs, but BCS is more broke than healthcare system.

Originally Posted by Newbie212

I'm in. I don't post much regarding apps/residency, but this sounds appealing.
Maybe we should start of w/ football since it's Sunday. Will Jesus (Tebow) continue to somehow win games for the Broncos? Also, what the hell happened to the Bills. They are god awful again.
At least I still have a small chance of making my fantasy football playoffs.. Just need Romo to produce today..

I don't even want to talk about my fantasy football teams this year. Ugh.

I need Manning to produce for me or I'm out of the playoffs.

And yes, I think Tebow keeps winning for Denver.

Originally Posted by jdh71

It will be quiet in here until the end January when people want help with their rank lists, and after everyone blows a load telling us where they matched, it will be dead in here again next interview cycle.

I've seen this forum go from dead as dead, barely any action even during interview seasons, and expand from there over the years. Hard to hold onto any regulars. I don't know if that makes me lame or mentally unstable for continuing to post in here regularly. While we do get the occasional "pop-back-in" usually to flame someone for daring to say anything even remotely negative about a residency program.

I tried starting a clinic thread a few years ago. No real dice.

Even case based thread die very soon.

Is it that IM people are just that ****ing lame in general? I know certain personalities tend to self-select off into varying specialties, and maybe some of those personalities tend to post more on forums than others. I mean look at the anesthesia and EM forums, they talk about all kinds of stuff from politics to finance to guns. Am I really nuts for wondering why we can't have that kind of community in here too?

Maybe it's just the existential angst getting to me again.

Yeah, I love reading posts by a bunch of right-wing nutjobs with poor grammar

I like Tebow, he represents his religion without any fear. Solid guy IMO. As long as they keep winning it is tough for them to pull the plug on him.

I'm a bears fan and I am dying over here. Without Cutler, now Forte we look horrible!

Originally Posted by DrVanNostran

I like Tebow, he represents his religion without any fear. Solid guy IMO. As long as they keep winning it is tough for them to pull the plug on him.

I'm a bears fan and I am dying over here. Without Cutler, now Forte we look horrible!

I don't understand why Tebow's religion is even a talking point really. Who gives a flying rat's arse?

Dude what the hell is the deal with Cutler anyway? I've always been very sympathetic to the Bears and root for them when they play anyone but the Chiefs. This year they looked so good pre-season.

Originally Posted by Brachyury

Yeah, I love reading posts by a bunch of right-wing nutjobs with poor grammar

+1

The gas guys get hella worked up. I stopped reading that forum somewhere between the right-wing conspiracy theories and rants about midlevels.

Originally Posted by Brachyury

Yeah, I love reading posts by a bunch of right-wing nutjobs with poor grammar

Originally Posted by tallash

+1

The gas guys get hella worked up. I stopped reading that forum somewhere between the right-wing conspiracy theories and rants about midlevels.

Come on guys, don't miss the forest for trees. The point is they have an active forum. We may choose not to engage in conspiracy theory if you like, but let's engage in something.

Tell me about the last good book you read. I literally keep a list. Some I actually read, and others I get on audible.com, but I like good lit.

Originally Posted by jdh71

Tell me about the last good book you read. I literally keep a list. Some I actually read, and others I get on audible.com, but I like good lit.

The Shah's Last Ride - William Shawcross! very interesting read!!!

http://www.amazon.com/Shahs-Last-Rid...3045607&sr=1-1

Originally Posted by jdh71

Come on guys, don't miss the forest for trees. The point is they have an active forum. We may choose not to engage in conspiracy theory if you like, but let's engage in something.

Tell me about the last good book you read. I literally keep a list. Some I actually read, and others I get on audible.com, but I like good lit.

awww......so i just orderd "house of God"...so many attendings have made refrences to this book so i thought i would check it during my down time....so i open the first chapter and i almost choked on my coffee..something about penises and getting screwd..lol....

i really loved a thread in the anesthesia forum about a difficult real life "what would you do" scenario while as an intern.....that would be really fun and hopefully stimulate discussion?

Originally Posted by tallash

+1

The gas guys get hella worked up. I stopped reading that forum somewhere between the right-wing conspiracy theories and rants about midlevels.

Funny...I thought that "right-wing nutjobs with poor grammar" comment was aimed at jdh.

Originally Posted by gutonc

Funny...I thought that "right-wing nutjobs with poor grammar" comment was aimed at jdh.

]

Originally Posted by jdh71

It will be quiet in here until the end January when people want help with their rank lists, and after everyone blows a load telling us where they matched, it will be dead in here again next interview cycle...

I seem to remember you starting a similar thread in an attempt to inject some life into the IM forum last year. Need I remind you how that turned out? But God bless you for trying again and again.

Originally Posted by jdh71

Is it that IM people are just that ****ing lame in general?

If you have to ask the same question more than once, then I guess you have your answer.

As for Tebow, did anyone else catch Mark Kriegel's article where instead of using "passer rating" which would place Tebow 21st in the league, he asked some guy to come up with a more inclusive statistic he termed "adjusted yards per touch" which made Tebow the 5th best quarterback in the league behind only Brady, Rogers, and a couple of others.

I found that one hard to swallow. He's sloppy for sure and I think the only reason they're 6-1 with him is because Denver's defense is actually half-decent and picks up the slack. Although, he does come off as a horrible passer he is actually one of the best rushing quarterbacks which sounds really weird to say but he's built like a fullback and doesn't try to avoid contact. The winning streak can't last forever though.

Tebow is a winner, I'll give him that. If he can improve his passing ability, he will be tough to deal with. Denver has lucked out w/ a fairly easy schedule since the Detroit game, and their conference is awful.

Now let's wait and find out if we have to watch a rematch of the most boring college football game ever....

Originally Posted by Newbie212

Tebow is a winner, I'll give him that. If he can improve his passing ability, he will be tough to deal with. Denver has lucked out w/ a fairly easy schedule since the Detroit game, and their conference is awful.

You can only run for so long in the NFL. If wants to ever be great or last more than a couple years, he'll need to figure out how to get the rock to someone else to carry down field.

Originally Posted by wooster201106

I seem to remember you starting a similar thread in an attempt to inject some life into the IM forum last year. Need I remind you how that turned out? But God bless you for trying again and again.

If you have to ask the same question more than once, then I guess you have your answer.

As for Tebow, did anyone else catch Mark Kriegel's article where instead of using "passer rating" which would place Tebow 21st in the league, he asked some guy to come up with a more inclusive statistic he termed "adjusted yards per touch" which made Tebow the 5th best quarterback in the league behind only Brady, Rogers, and a couple of others.

I found that one hard to swallow. He's sloppy for sure and I think the only reason they're 6-1 with him is because Denver's defense is actually half-decent and picks up the slack. Although, he does come off as a horrible passer he is actually one of the best rushing quarterbacks which sounds really weird to say but he's built like a fullback and doesn't try to avoid contact. The winning streak can't last forever though.

It's not uncommon for a rookie to take years to get used to the pace of the game. I still say, Tebow is making it happen, and that's gotta say something.

good books people - I need them names

other suggested readings:

The mind's I - Daniel Dennett

The Curious Incident of the Dog in the Night-Time- Mark Haddon

Foucault's pendulum -Umberto Eco

Originally Posted by jdh71

good books people - I need them names

This year's Pulitzer prizewinner for fiction: "A visit from the Goon Squad" by Jennifer Egan is awesome.
"The Cat's Table" Michael Ondaatje. I never read The English Patient but this is reportedly just as good (and not nearly as schmaltzy as the movie The English Patient would lead one to believe the book is)
"Just Kids" by punk rock icon Patti Smith. It's a memoir of her younger days, particularly after first moving to NYC and moving in with Robert Maplethorpe. I just started it but it's great so far and my wife loved it.

http://www.nytimes.com/2011/12/06/op...-legal.html?hp

What do you guys think of this modest proposal? Seems to open up talk about lots of ethical issues.

Originally Posted by Newbie212

http://www.nytimes.com/2011/12/06/op...-legal.html?hp

What do you guys think of this modest proposal? Seems to open up talk about lots of ethical issues.

**** yeah you should be able to sell your kidney. It's your effin' kidney! Saying it targets the disadvantaged is insulting to those groups it pretends to to try and protect. If you want to make the case that one should have a certain cognitive level and of a certain age to sell one, I'd be ok with. But my kidney is my kidney. If I can give one away, I should be able to sell it.

Originally Posted by jdh71

I'll be back to this thread later. I promise.

In the mean time I'd like to leave a little helpful advice . . . just because EPIC will let you pull it into your note, doesn't mean you should. Are you guys trying to make baby Jesus cry or what?

Word. Also...let's do away with "copy previous note." Our BMT service is staffed by midlevels (because we don't have enough fellows to staff it, residents don't rotate on it and it's just generally a miserable place to spend your life...but I digress), and with the exception of the 24h events and daily labs and imaging, the notes don't generally change much from HD#1 to HD #57. It's embarassing to the division and useless to consultants. But it keeps the coders and billers happy, so they keep doing it.

Originally Posted by gutonc

Word. Also...let's do away with "copy previous note." Our BMT service is staffed by midlevels (because we don't have enough fellows to staff it, residents don't rotate on it and it's just generally a miserable place to spend your life...but I digress), and with the exception of the 24h events and daily labs and imaging, the notes don't generally change much from HD#1 to HD #57. It's embarassing to the division and useless to consultants. But it keeps the coders and billers happy, so they keep doing it.

I find myself at the U next month. Doing consults. About half of which come from BMT service, staffed by the NPs, who's I'm sure are fine at the bread and butter, but they consult the **** out of everything. Ugh. Oh well. Lots of bronchs.

www.digg.com

I can also waste a TON of time at digg

http://www.guardian.co.uk/technology...n-tram-youtube

Jail time for making racist comments?

Looks like they found out exactly what Tebow has on his in-game, playbook, armband.

Get through your residency holiday party

Originally Posted by jdh71

www.digg.com

I can also waste a TON of time at digg

if you like digg, you'll love reddit.

Honestly, I'm impressed that many on this thread still actively seek out "real" news stories. It's quite refreshing as many physicans and student-doctors I've come across consider perusing the trivial Yahoo news stories as, well, being informed (note: guilty myself of getting lured by the goddamn pictures for these articles). I only seek out political/policy related stories pertaining to where healthcare in our country is headed and how this will impact the next 50+ years of my life. Selfish, I know. But I guess I'm old fashioned in that I still believe that bright, talented and compassionate medical professionals who feel well compensated and appreciated can do phenomenal things for people.

Stupid, I know. (*step* *step* *step* as gets off of soapbox)

Originally Posted by DreamingTheLive

Honestly, I'm impressed that many on this thread still actively seek out "real" news stories. It's quite refreshing as many physicans and student-doctors I've come across consider perusing the trivial Yahoo news stories as, well, being informed (note: guilty myself of getting lured by the goddamn pictures for these articles). I only seek out political/policy related stories pertaining to where healthcare in our country is headed and how this will impact the next 50+ years of my life. Selfish, I know. But I guess I'm old fashioned in that I still believe that bright, talented and compassionate medical professionals who feel well compensated and appreciated can do phenomenal things for people.

Stupid, I know. (*step* *step* *step* as gets off of soapbox)

All my news comes from NPR...for better or worse. I just can't be bothered to watch news on TV anymore (I canceled cable TV because it was a time vacuum) and I really only read tech news. So news of the world, the economy, etc I get from NPR.

http://www.wired.com/wiredscience/20...universe-size/

the size of the universe . . . I think Douglas Adams said it best though . . .

Space is big. You just won't believe how vastly, hugely, mind- bogglingly big it is. I mean, you may think it's a long way down the road to the chemist's, but that's just peanuts to space. ~ The Hitchhiker's Guide to the Galaxy

Originally Posted by jdh71

http://www.wired.com/wiredscience/20...universe-size/

the size of the universe . . . I think Douglas Adams said it best though . . .

Space is big. You just won't believe how vastly, hugely, mind- bogglingly big it is. I mean, you may think it's a long way down the road to the chemist's, but that's just peanuts to space. ~ The Hitchhiker's Guide to the Galaxy

I watched some freaky stuff on NOVA last night on their "Fabric of the cosmos" series. One thing that stood out in particular was new revelations about Black holes...there is a new theory that matter is destroyed as it enters a black hole, but all of the information is retained on the surface in 2D. As a result, many astrophysicists are starting to believe that 2D is the actual representation and the 3D that we see is merely a hologram of the universe.

It got really hard to follow, but truly fascinating....starts at 47:00
http://www.youtube.com/watch?v=wy9gX...eature=related

Also good stuff here:
http://www.youtube.com/watch?v=8eZqQ...eature=related

And here:
http://www.youtube.com/watch?v=Rp3_c...eature=related


NOVA is the bomb.

First earth-like planet found, confirmed by NASA

http://www.smh.com.au/technology/sci...206-1ofx3.html

Who want to get off-world? I'd consider it.

just when you thought astrophysics couldn't get weirder . . .

http://www.projectworldawareness.com...tating-matter/

Realclearpolitics.com

forums.anandtech.com for all the techies out there. The Hot Deals thread is MONEY.

To BlackNDecker: RESPECT

In other random news... CP3 TO LAKERS! WAAAT?!

Originally Posted by dolor21

forums.anandtech.com for all the techies out there. The Hot Deals thread is MONEY.

To BlackNDecker: RESPECT

In other random news... CP3 TO LAKERS! WAAAT?!

Deal vetoed. I hope the lakers get D Howard if the Bulls can't snag him.

Best Book (Series)=Harry Potter!!

Originally Posted by dolor21

forums.anandtech.com for all the techies out there. The Hot Deals thread is MONEY.

To BlackNDecker: RESPECT

In other random news... CP3 TO LAKERS! WAAAT?!

Anandtech is the bomb, and their news spinoff...dailytech, is my main news website. Unfortunately the comments after each article quickly disintegrate into absurd arguments, but there is usually more to learn from the comments than the article.

On the way to the code please check the cover of the currently best selling medical book in the universe . . .



A few people this morning forgot to do this. A few nurses this morning, who should have known better, lost their sheet. It wasn't helpful. Codes should be calm. If you're not calm in a code, you need to go to more. Lastly, just because you're flipping your sheet, don't expect me to. Compression, epi, rhythm check - we will continue this in two minute intervals, until I call said code or decide to shock the patient. I may at any time suggest other drugs or interventions. Screeching like a harpy is not in the algorithm.

Also, if you are my friendly neighborhood hematologist/oncologist "consulting" (wink,wink,nudge,nudge) on a patient of yours who I am taking care of for you (you are welcome) please mind the EF of 10% before dumping in 2 units of blood the patient does not need. This makes the patient hypoxic, and hypoxic hearts with low EFs can go into funny rhythms . . . that is all . . .

Screeching like a harpy

I am turning blue here .... hahaha ... This is the funniest line I have heard since Curb your Enthusiasm's last episode

What the best way to diagnose Morgellon's of the anus? Bx?

Uptodate has failed me.

I dont know abt Dx, but this seems to be a reasonable Rx

http://images.sodahead.com/polls/000...r_5_xlarge.png

Originally Posted by jdh71

On the way to the code please check the cover of the currently best selling medical book in the universe . . .



A few people this morning forgot to do this. A few nurses this morning, who should have known better, lost their sheet. It wasn't helpful. Codes should be calm. If you're not calm in a code, you need to go to more. Lastly, just because you're flipping your sheet, don't expect me to. Compression, epi, rhythm check - we will continue this in two minute intervals, until I call said code or decide to shock the patient. I may at any time suggest other drugs or interventions. Screeching like a harpy is not in the algorithm.

I have been told that I look "too calm and relaxed" indirectly by attendings who I have never worked with.... so, I think that there might be a school of docs that like the shrieking/frazzled approach to codes

I have been told that I look "too calm and relaxed" indirectly by attendings who I have never worked with.... so, I think that there might be a school of docs that like the shrieking/frazzled approach to codes

Ha!! what are they talking about!?? this is a GIFT not to be taken lightly!!

Originally Posted by francisco84

I have been told that I look "too calm and relaxed" indirectly by attendings who I have never worked with.... so, I think that there might be a school of docs that like the shrieking/frazzled approach to codes

You and me, my friend, are cut from the same cloth. I think too often some people think if you're not freaking out, you're not taking things serious.