u/Spiritual_Extent_187

In the residency world there is a huge push to get pocus training in FM. None of the faculty have ever touched an ultrasound. We have a tech rep come once a year to give a demonstration but that’s it. Residency programs are now required to check off that a physician has had pocus training for the ABFM but barely anyone uses it. Also, I’ve never seen practicing docs around here touch it. I know for our hospital, they wouldn’t give the clinic a machine because of liability purposes.

I haven’t heard of anyone using point of care ultrasound in primary care, and if so, what do they use it for? If they find something, do they refer to specialist? I dunno, it just seems too much. And residency programs are scrambling since not one person knows how to use POCUS, in our shop they shadow a ultrasound tech and maybe see some u/s in ed and that checks the box

I’m 37 M, and have 0 friends. I can’t easily go to a bar or meeting place and talk to people. The only thing I can think of is “Hi.” And that’s it. I don’t have stories to tell. I’m boring as fuck. I don’t have any “favorite” anything, and if I do, it’ll change tomorrow. I have no idea how to read social cues or know any jokes. I usually wait for the other person to talk and do the conversation leading but idk how to do that. And when they ask questions about me, I always have to stop and think cause I take a while to process a correct or good answer. I feel like I have no idea where to even start.

Been running around the dungeon for over 2 hours, and went everywhere possible. I see a chest in the first floor that’s blocked by a blue box and can’t get there. I can’t progress further without both the blue and red key but figures the blue needs to be found first. Where do you guys go to get the key? TIA! 😀

I’ve been seeing a rise of obese patients wanting ozempic, wegovy, zepbound etc. they don’t have diabetes. I usually tell them if there isn’t a medical contradiction, I can send it and see what insurance says. If it doesn’t cover or co pay covers X amount, you can pay for it. If you can’t afford it, we can switch you to contrave or metformin. After that I feel like I just say, nothing else I can do, diet or exercise. Sometimes our MA can try a PA but a ton of times insurance denies PA so it’s like well, too bad, we tried.

Do you guys see a lot of glp-1 askers? Do you tell them they can try hims or compound clinics? One suggestion was to send to endocrine but ours is a 6 month wait

Think about it, we alll like familiar foods. I know what chicken nuggets taste like from McDonald’s, same with fried chicken from kfc or burgers from Burger King. With local restaraunts, you have no idea what it’s gonna be like. If they have spices that hurt your tummy, you can have explosive diarrhea or stomach cramps. Or if they have veggies you never seen or food has an odor never smelt. Sometimes you travel to lie on a beach in Greece or Kenya for a week and eat familiar food or go party in Thailand and eat food you know. Etc etc.

Here’s the big problem, you have to wait till you get to the speaker to know what they sell in the menu and read it. I always say “give me a few minutes” when I get there. Why? Cause I don’t k ow what the fuck they want. I dunno what they are selling and what the prices are. If they had it earlier, I can read for a few minutes and then order

I used to be an Abercrombie and hollister guy. Now I’m 38 and feel “aged out” lol

I mainly shop at express and H+M for good jeans now. I still rock a pair or two of ripped jeans haha

I have been playing that song nonstop for days lmao, all the aunties love it and it’s now their new ringtone. Definitely a nice anthem song

WALK WITH GRACE

MoVE WITH FINESSE

I would like to try Mexican, Indian and other ethnic cuisines with spices but when I try them, I sprint to the bathroom, have bad cramps and my ass feels like it’s on fire and my stools are runny, explode and feel bad

How do people eat high level spices and feel normal?