u/foreverand2025

Acronyms you hate, acronyms you love

I’m admittedly a bigger fan of acronyms than most my colleagues, who tell me they sometimes have to google my notes to make sense of things (in my defense, I pale in comparison to optho). I even enjoy somehow doing the same on consultant notes, or using context clues to figure out what they meant.

A particularly useful one is USOH (usual state of health). Occasionally I’ll drop BIBEMS (brought in by EMS) as a nod to my former EM days as well. My specialty is also fraught with its own great acronyms to confuse other consultants that wind up on our cases.

It however slightly saddens me to see SOB now becoming SHOB (I get why, but still). Neurosurgery will forever be NSG to me, the newer NES, as a millennial, always makes me pause to query why duck hunter or the old school Zelda are being brought into the mix.

What about you guys?

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u/foreverand2025 — 10 hours ago
▲ 325 r/medicine

Medical records of ghosts

I began working on a retrospective trial at my institution with some colleagues. Much of the data was retrieved for us by an IT team, but there still exists a plethora of information that we have to pull chart by painful chart.

Working in an oncology subspecialty, we treat a fair number of old and young patients, many with poor outcomes. As I scraped through about 100 charts, extracting bits of information from each, a number of patients were deceased.

On Epic, when you open the chart of a deceased patient, it asks if you're sure you want to go into a dead patient's chart. Yes, I'm sure. As another reminder of their passing, the patient photograph that sits in the left upper hand portion of the chart - typically a not great photo of their face, though occasionally someone is smiling brightly, and a couple patients even had their dogs with them in the photo (did they bring them to clinic? upload the photo manually from home?) - is turned a dark shade of grey. Whose idea was this, to turn the photos grey? Maybe it helps prevent us from trying to order follow up labs on the dead. It's a bit haunting, whatever purpose it serves.

I click through the chart. Check for the information I need, make a note in excel, then close the chart out. Many are still living. A significant amount are dead. Some of the dead would be beyond 80 by now (as I look them up, I have to enter their date of birth). Fine, they likely lived a full life. Some would have been about my age, had they lived til today. Others, still, are much younger, and died well before they were able to experience much of a real, adult life.

One by one I go through them, filing away what I need in excel, closing out the charts. The charts of ghosts.

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u/foreverand2025 — 5 days ago
▲ 8 r/okc

Furnishing a new home: where to shop?

Hey everyone. I am getting the essentials (mattress, bedding, kitchenware) at Costco so the house can be lived in. I then need to furnish literally everything else. I may get a sofa and dining room table at Costco or may not - but I don’t want my house to look like some existential scene from a magazine.

Where can I go to get homey stuff? Good deals? Things of that nature? In or around OKC.

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u/foreverand2025 — 6 days ago
▲ 3 r/mac

Second monitor with Mac Neo?

Hi everyone. I got a Mac Neo and am really enjoying it. I do some work on excel where having a second monitor would be really helpful, to have a webpage open on the big monitor to look stuff up and then excel on the main laptop monitor to type stuff into excel.

Is this possible on the Neo? Any recommendations for a second monitor if so? Not for gaming or videos so doesn’t have to be a quality monitor. Just trying to make this excel task easier.

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u/foreverand2025 — 7 days ago
▲ 17 r/Judaism

I need help understanding how to practice Sabbath in today’s world, please

Hello.

Very briefly: I am Jewish but barely “practiced” even as a kid (Christian father), but did my birthright. I recently began going to Temple (next Friday evening will be my third service). I picked up and began reading “Sabbath” by an author named Heschel. I work at least every other weekend - usually just the morning but have to use my phone periodically after (healthcare, on call). My weekends off I usually have my young children. I am more than willing to turn electronics off outside of work related stuff (which usually falls on the weekends I don’t have my kids).

With that out of the way, I would like some help. I never practiced Sabbath as a kid or adult before. I would like to start. I ordered some Shabbat candles in the mail already.

I also want to teach my young kids to practice Sabbath. Maybe not so much for religious reasons but to foster spending time in the moment for them.

Simply put, I have no idea what else to do from here. Any help would be greatly appreciated.

Thank you.

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u/foreverand2025 — 12 days ago
▲ 10 r/okc

Haircut place for guys?

Anywhere for guys to go to get a haircut that isn’t just buzz cut or short on top? Recommended stylist? Ideally someone who can help figure out the way to cut my hair for someone who doesn’t really know besides 1 on sides and short on top. Paying fairly is fine. Would like to avoid a bougie drink whiskey in the waiting room vibe if possible.

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u/foreverand2025 — 12 days ago
▲ 55 r/okc

Places to meet aged 30-50 year olds in OKC not involving alcohol?

Seems like most the recommendations to meet others are bars. For those who don’t drink alcohol, are there alternative spots?

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u/foreverand2025 — 13 days ago

Did cancel culture ruin public discourse?

When cancel culture was heating up maybe 7-8 years or so ago, I didn’t really think much of it given I didn’t participate in it much nor do many things offend me.

However there seems to be little doubt in my mind that now the popular way of “debating” things is to shout, bring up straw man arguments, or be obviously selective/biased to “prove” a point while simply claiming “I don’t know about that” when a valid counterpoint is used in rebuttal.

This has solidified in my mind the definition of intelligence as “the ability to hold opposing ideas in one’s mind and discuss them with nuance without becoming offended.” Unfortunately this has gotten harder and harder to do. Many of us seem to zoom in on things via selection bias and dig our heels in.

What has your experience been when debating topics with others in contemporary time? Is it all about who’s right? Or are people still able to change their mind and pursue the truth even if it’s disagreeable with their personal opinion?

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u/foreverand2025 — 13 days ago

A thank you to teachers who care

Non-teacher here. I stumbled on this page after someone linked it in a thread discussing high school seniors unable to read a basic sentence. The premise of referencing this subreddit was to discuss the struggle of teachers.

As a healthcare worker, we often draw similarities between us and teachers. We both deal with an often difficult public. Our work is frequently undervalued. Enduring emotional abuse is normalized in our daily work. And without a personal passion for what we do, many of us would quit and often be paid the same or better for a much less stressful 9-5 office job.

But after watching the video of high school seniors struggling to read, as someone who grew up going to low SES schools in a state ranked near the bottom for public education, I just want to say thank you to the teachers that care. Thank you to the teachers who take the time to teach. Thank you to the teachers who saw me having a hard time in my personal life and took the time to check up on me. Thank you for the teachers who put up with my bad attitude and didn’t write me off for it. Thank you for the teachers who saw me struggling but did not give up on me.

Because of those teachers, I went on (much to my own surprise) to building a much better life for myself and my kids thanks to an eventual higher education degree I never thought I’d obtain. I know there are a lot of little shits out there and when I was a kid I probably sometimes came off as one of them. So thank you for the teachers who still cared and invest in their students despite all this.

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u/foreverand2025 — 15 days ago

Hospitalists or PAs who replace well written notes with crappy ones, why?

Dear colleagues,

There are patients with sloppy notes. Sometimes, we take the time to clean up and fix the note. Format it. Update it. Make it reflective of the actual case.

And then, while off, you rather than copy forwarding this well polished note, copy an old crappy note and then randomly add stuff without updating it and revert the note to human slop.

Why? I’m not upset anymore. I know want to know why. That is all.

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u/foreverand2025 — 15 days ago

Long story short I’m starting over as a single parent with two young kids. Got a Costco membership to buy some of the quick essentials to make my new place ready for overnight stays. What mattress would you guys recommend (planning queen for me, then kids are elementary school age) I get? Thanks everyone! Hope it’s okay to post this here.

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u/foreverand2025 — 15 days ago
▲ 140 r/ChatGPT

I’m looking for a rental and had to call a place after requesting a tour on Zillow. The “person” who answered spoke naturally and had a pronounced southern drawl.

The person asked what I was looking for, etc, narrowed down the property they had which I was interested in. However I noticed if I paused while talking the person replied right away. For example when asking when I could do a tour I said “hang on let me check my calendar” and they immediately replied when I paused. Which I’ve noticed when using any LLMs talk feature.

I also noticed a sound of a phone ringing periodically in the background but it sounded the same each time. But no other voices.

I was too embarrassed to ask “are you a human or AI?” in case it was a human. And they didn’t introduce themselves as “a helpful AI chatbot” or whatever as some customer service “agents” do. So at the end of our conversation I said “oh and what did you say your name was?” And they replied (in the southern accent) with a name and that they were a chatbot. Or virtual assistant maybe.

So we already are staring to struggle differentiating real vs AI videos and pics. If art is human or not. Guess this is next on the list. What’s next??

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u/foreverand2025 — 26 days ago