Cardiac Rotation tips

On my first month of cardiac and am just looking for tips on what to do to to at least look competent. Fortunately I had ICU already so I have an algorithm for A lines and central lines but moreso it’s information overload and the setup.

I’m in a different hospital for my cardiac stuff that’s gone through a lot of turnover and the rooms are horribly stocked. Half the battle is getting there at 4 AM and there being no hotline, no A lines, 5/10 cc syringes missing, some crucial meds not in the cart. I chase down pharmacy and anesthesia techs to help me stock while scrambling to set up all the drips.

I’m also trying to make sense of bypass and what’s happening in the surgery. Another issue is line organization, there are so many drips and I’m struggling to find a way to keep everything untangled…

Because I’m still slow, I’m getting there at 4 and we get relieved at 7 pm. Hopefully as I get faster, I will come in later but I would rather come in early and be prepared than rush. Does anyone have tips on how to succeed on this rotation?

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u/photon11 — 12 hours ago

Need help refining my rules

I found my problem - Need help

So month 2 of learning the OTE entry model based on ICT concepts. My mistakes have been confusing internal and external structure. I get confused on what's my swing high and low and the noise in between.

2nd is contradicting timeframes. Lets say daily is bullish but 4 hour is bearish. I get confused on what direction to go.

3rd is how to use multi time frames. I use daily 4 hour and 1 hour or 30 mins. Im drawing supply/demand zones on each one of them and FVG's and am just making a mess.

Now that I know my confusion, I really am looking for help on making a set of rules. Please let me know if I am understanding this correctly. Lets say for example we are bullish on the daily:

Ruleset:

  1. Go on daily and confirm higher highs and higher lows. Draw your daily demand zones and if theres any supply zones

  2. The 4 hour is going to be our structure. Identify swing lows and swing highs. A low is valid only if it breaks structure! everything in between is internal. Identify demand and supply zones too

  3. Draw fibonacci and identify golden area.

  4. Go on 1 hour and see if there are any areas of interest - OB, FVG that line up with the golden zone of the fib.

  5. Wait for price to come down to that area and confirm MSS to the upside and execute your buy position.

  6. 2:1 ratio of reward to risk needed.

Does this make logical sense? Am I using the time zones correctly.

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u/photon11 — 19 days ago

Need Help with ICT concepts

So month 2 of learning the OTE entry model based on ICT concepts. My mistakes have been confusing internal and external structure. I get confused on what's my swing high and low and the noise in between.

2nd is contradicting timeframes. Lets say daily is bullish but 4 hour is bearish. I get confused on what direction to go.

3rd is how to use multi time frames. I use daily 4 hour and 1 hour or 30 mins. Im drawing supply/demand zones on each one of them and FVG's and am just making a mess.

Now that I know my confusion, I really am looking for help on making a set of rules. Please let me know if I am understanding this correctly. Lets say for example we are bullish on the daily:

Ruleset:

  1. Go on daily and confirm higher highs and higher lows. Draw your daily demand zones and if theres any supply zones

  2. The 4 hour is going to be our structure. Identify swing lows and swing highs. A low is valid only if it breaks structure! everything in between is internal. Identify demand and supply zones too

  3. Draw fibonacci and identify golden area.

  4. Go on 1 hour and see if there are any areas of interest - OB, FVG that line up with the golden zone of the fib.

  5. Wait for price to come down to that area and confirm MSS to the upside and execute your buy position.

  6. 2:1 ratio of reward to risk needed.

Does this make logical sense? Am I using the time zones correctly.

reddit.com
u/photon11 — 19 days ago
▲ 4 r/ICTTrading101+1 crossposts

I found my problem - Need help

So month 2 of learning the OTE entry model based on ICT concepts. My mistakes have been confusing internal and external structure. I get confused on what's my swing high and low and the noise in between.

2nd is contradicting timeframes. Lets say daily is bullish but 4 hour is bearish. I get confused on what direction to go.

3rd is how to use multi time frames. I use daily 4 hour and 1 hour or 30 mins. Im drawing supply/demand zones on each one of them and FVG's and am just making a mess.

Now that I know my confusion, I really am looking for help on making a set of rules. Please let me know if I am understanding this correctly. Lets say for example we are bullish on the daily:

Ruleset:

  1. Go on daily and confirm higher highs and higher lows. Draw your daily demand zones and if theres any supply zones

  2. The 4 hour is going to be our structure. Identify swing lows and swing highs. A low is valid only if it breaks structure! everything in between is internal. Identify demand and supply zones too

  3. Draw fibonacci and identify golden area.

  4. Go on 1 hour and see if there are any areas of interest - OB, FVG that line up with the golden zone of the fib.

  5. Wait for price to come down to that area and confirm MSS to the upside and execute your buy position.

  6. 2:1 ratio of reward to risk needed.

Does this make logical sense? Am I using the time zones correctly.

reddit.com
u/photon11 — 19 days ago

Why do you invest in stocks?

Made a post yesterday but need to add clarification. I'm in medicine (anesthesia) with 2 years left in training. and then will be a full physician. Since college, I have been investing in VOO only. My plan will be to pay off loans ASAP dedicate 4-5k a month to VOO until retirement.

The reason for this post is i've always loved the idea of stocks and looking at fundamentals to try to find upcoming companies. I did an MBA and loved this portion of my finance/accounting class. My portfolio only has VOO but I would love to add growth/value stocks in the future.

What deters me are the classic stats of no one beats the index funds and the monkey experiment where they went head to head with wall street investors. My initial plan was to invest mostly in VOO 90% with 10% in stocks with the understanding that I could not make anything in that 10%.

Is fundamental analysis and learning more about valuation even a worthwhile skill or am I no better than a monkey lol? I love the idea and want to actually read books and learn more about it; but at the same time if its no better than gambling at the casino, it might not be worth it. I just do not want to spend hours on a skill that has little to no actual return.

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u/photon11 — 23 days ago
▲ 0 r/stocks

Why do you invest in stocks?

Made a post yesterday but need to add clarification. I'm in medicine (anesthesia) with 2 years left in training. and then will be a full physician. Since college, I have been investing in VOO only. My plan will be to pay off loans ASAP dedicate 4-5k a month to VOO until retirement.

The reason for this post is i've always loved the idea of stocks and looking at fundamentals to try to find upcoming companies. I did an MBA and loved this portion of my finance/accounting class. My portfolio only has VOO but I would love to add growth/value stocks in the future.

What deters me are the classic stats of no one beats the index funds and the monkey experiment where they went head to head with wall street investors. My initial plan was to invest mostly in VOO 90% with 10% in stocks with the understanding that I could not make anything in that 10%.

Is fundamental analysis and learning more about valuation even a worthwhile skill or am I no better than a monkey lol? I love the idea and want to actually read books and learn more about it; but at the same time if its no better than gambling at the casino, it might not be worth it. I just do not want to spend hours on a skill that has little to no actual return.

Realistically, why would you want to invest in stocks vs just holding an ETF when the data says stocks underperform in the long run?

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u/photon11 — 23 days ago

Value or Growth Investing

So im a medical resident with 2 years left and been investing in VOO since college. I have about 15k in it and plan to invest 3-4k a month of my monthly income once I finish residency until retirement. My main priorrity after finishing residency will be to aggresively pay off student loans.

I know this may be frowned upon here but I also set aside some money as "fun money." Stuff to invest in like up and coming stocks, swing trading forex. Money I am 100% comfortable losing.

At the same time, I don't want to just gamble. For the "fun money," what's the smartest way to go about it? I did an MBA and my favorite part was economics and accounting! I loved going through cash flows/balance statements and analyzing stocks. We did a stock simulator class and it was amazing.

My main question is that with my "fun money," is it a good idea to go invest in healthcare stocks/AI stocks that potentially are growth or value stocks? I won't have the actual capital for a few years but if it is something worth my time, I want to spend my spare time learning fundamental analysis since it's enjoyable to me anyway.

I went down the Forex day trading rabbit hole but It seems more like gambling to me than proven methods

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u/photon11 — 24 days ago

Value/Growth Investing Advice

So im a medical resident with 2 years left and been investing in VOO since college. I have about 15k in it and plan to invest 3-4k a month of my monthly income once I finish residency until retirement. My main priorrity after finishing residency will be to aggresively pay off student loans.

I know this may be frowned upon here but I also set aside some money as "fun money." Stuff to invest in like up and coming stocks, swing trading forex. Money I am 100% comfortable losing.

At the same time, I don't want to just gamble. For the "fun money," what's the smartest way to go about it? I did an MBA and my favorite part was economics and accounting! I loved going through cash flows/balance statements and analyzing stocks. We did a stock simulator class and it was amazing.

My main question is that with my "fun money," is it a good idea to go invest in healthcare stocks/AI stocks that potentially are growth or value stocks? I won't have the actual capital for a few years but if it is something worth my time, I want to spend my spare time learning fundamental analysis since it's enjoyable to me anyway.

I went down the Forex day trading rabbit hole but It seems more like gambling to me than proven methods

reddit.com
u/photon11 — 24 days ago

Value/Growth Investing

So im a medical resident with 2 years left and been investing in VOO since college. I have about 15k in it and plan to invest 3-4k a month of my monthly income once I finish residency until retirement. My main priorrity after finishing residency will be to aggresively pay off student loans.

I know this may be frowned upon here but I also set aside some money as "fun money." Stuff to invest in like up and coming stocks, swing trading forex. Money I am 100% comfortable losing.

At the same time, I don't want to just gamble. For the "fun money," what's the smartest way to go about it? I did an MBA and my favorite part was economics and accounting! I loved going through cash flows/balance statements and analyzing stocks. We did a stock simulator class and it was amazing.

My main question is that with my "fun money," is it a good idea to go invest in healthcare stocks/AI stocks that potentially are growth or value stocks? I won't have the actual capital for a few years but if it is something worth my time, I want to spend my spare time learning fundamental analysis since it's enjoyable to me anyway.

I went down the Forex day trading rabbit hole but It seems more like gambling to me than proven methods

reddit.com
u/photon11 — 24 days ago

How to create supplemental income as a physician?

Medical resident in anesthesia here. Been investing in VOO since college and have about 15k there! Plan is to just aggressively invest in VOO every month 4-5k until retirement. Running the numbers, that can equate to 5-8mill by 65!

Now my main question is what avenues are there for supplemental income as a physician. I want to support my parents and pay off their mortgage but obviously the game with ETF's is you have to wait.

I feel like the answer is simple which is to work more lol. I'm just in residency halfway done and just don't know the finances of extra call shifts and what they will look like when I am done.

It would be great to be able to have something which doesn't involve exchanging more time for money. I have a "fun money" fund which is a small account for things like crypto or forex but I haven't deeply gotten involved in technical or fundamental analysis. Maybe this is an avenue?

Would just love other people's advice on skills or potential avenues I can be doing to supplement my income when I am done with residency!

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u/photon11 — 25 days ago

Swing trading or Stock flipping

So im a medical resident with 2 years left and been investing in VOO since college. I have about 15k in it and plan to invest 3-4k a month of my monthly income once I finish residency until retirement.

I know this may be frowned upon here but I also set aside some money as "fun money." Stuff to invest in like up and coming stocks, swing trading forex. Money I am 100% comfortable losing.

At the same time, I don't want to just gamble. For the "fun money," what's the smartest way to go about it? Would technical analysis be best or trying to flip stocks using methods that Warren Buffet talked about to find undervalued stocks. I think it would be great to find a way to have some supplemental income and at the worst case scenario, I learn fundamental analysis/technical analysis/

I just don't know how to approach the fun money investing and what skillset I should be learning!

For context, I've been backtesting ICT concepts on forex and it still just seems low probability and luck. I just don't know what would be the best market and best method "technical or fundamental" to go about

reddit.com
u/photon11 — 25 days ago
▲ 0 r/stocks

Investing in stocks as supplemental income?

So im a medical resident with 2 years left and been investing in VOO since college. I have about 15k in it and plan to invest 3-4k a month of my monthly income once I finish residency until retirement.

I know this may be frowned upon here but I also set aside some money as "fun money." Stuff to invest in like up and coming stocks, swing trading forex. Money I am 100% comfortable losing.

At the same time, I don't want to just gamble. For the "fun money," what's the smartest way to go about it? Would technical analysis be best or trying to flip stocks using methods that Warren Buffet talked about to find undervalued stocks. I think it would be great to find a way to have some supplemental income and at the worst case scenario, I learn fundamental analysis.

I just don't know how to approach the fun money investing and what skillset I should be learning! I think I am interested in learning about growth stocks!

reddit.com
u/photon11 — 25 days ago

Next game to try?

Big CK3 fan and am wanting to expand to another game! Loved the role playing and political intrigue .

I want to play another game and I have EU5 but actually haven’t played it given the updates and improvement. I’ve heard good things about Victoria 3 and imperator!

It looks like wherever I look on steam or reddit, people say Vic 3 is buggy and unplayable and same with EU5.

What would be a good next game to try that’s still playable ? And how would u suggest learning the recommended game given that CK3 took hours of tutorials on YouTube haha

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u/photon11 — 26 days ago

Using multiple time frames for ICT question

So learning ICT concepts for last 2 months. I want to use 4 hour 1 hour and 15 min. What I do is use 4 hour to see highs and lows and draw a fibnonnaci into the optimal zone. I go down to the 1 hour and see if theres an order block for FVG. If price hits there, I go down to 15 min to look for MSS.

The confusing aspect is some youtubers only use 1 hour for both market structure AND order blocks FVG and then 15 min for 5 min for entry. Is this a more valid form of analysis?

All in all, I need someone to explain for my timeframes, do I even need 4 hour if i am using 1 hour for my OB and FVG's? How do I use the multiple timeframes to my advantage

reddit.com
u/photon11 — 28 days ago

Using multiple time frames for ICT. Need help

So learning ICT concepts for last 2 months. I want to use 4 hour 1 hour and 15 min. What I do is use 4 hour to see highs and lows and draw a fibnonnaci into the optimal zone. I go down to the 1 hour and see if theres an order block for FVG. If price hits there, I go down to 15 min to look for MSS.

The confusing aspect is some youtubers only use 1 hour for both market structure AND order blocks FVG and then 15 min for 5 min for entry. Is this a more valid form of analysis?

All in all, I need someone to explain for my timeframes, do I even need 4 hour if i am using 1 hour for my OB and FVG's? How do I use the multiple timeframes to my advantage

reddit.com
u/photon11 — 28 days ago

How Do I use multiple time frames?

So learning ICT concepts for last 2 months. I want to use 4 hour 1 hour and 15 min. What I do is use 4 hour to see highs and lows and draw a fibnonnaci into the optimal zone. I go down to the 1 hour and see if theres an order block for FVG. If price hits there, I go down to 15 min to look for MSS.

The confusing aspect is some youtubers only use 1 hour for both market structure AND order blocks FVG and then 15 min for 5 min for entry. Is this a more valid form of analysis?

All in all, I need someone to explain for my timeframes, do I even need 4 hour if i am using 1 hour for my OB and FVG's? How do I use the multiple timeframes to my advantage

reddit.com
u/photon11 — 28 days ago

ICT trading strategy question

I'm a new trader and want to master the OTE entry model. Where I am getting confused is "finding the narrative." I'm using too many timeframes and end up confusing myself. I have a day time job so I've been using paper trading. Here's my strategy:

  1. 4 hour to find trend and external highs and lows
  2. 1 hour to find relevant order blocks or FVGS
  3. Use fibonnaci to find retracement into entry zone
  4. use lower time frame for reversal of structure

Now sometimes I notice on paper trading that it'll take literal days or even a week for a trade to happen. If I don't want as much downtime, can I take the above model but then use 1 hour for external highs/lows, 15 min for order blocks and 5 min for entries?

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u/photon11 — 29 days ago

Confused by too many time zone and internal/external structure

I'm a new trader and want to master the OTE entry model. Where I am getting confused is "finding the narrative." I'm using too many timeframes and end up confusing myself. I have a day time job so I've been using paper trading. Here's my strategy:

  1. 4 hour to find trend and external highs and lows

  2. 1 hour to find relevant order blocks or FVGS

  3. Use fibonnaci to find retracement into entry zone

  4. use lower time frame for reversal of structure

Now sometimes I notice on paper trading that it'll take literal days or even a week for a trade to happen. If I don't want as much downtime, can I take the above model but then use 1 hour for external highs/lows, 15 min for order blocks and 5 min for entries?

reddit.com
u/photon11 — 29 days ago

ICT concepts in different timeframes

For the videos I saw, I identify external highs or lows on 4 hour but where I get confused is where should the identified order blocks be? Does it make sense to find the order blocks on the 1 hour and then 5 minute for reversal change of character?

Or should I strictly be using 4 hour for the external highs and lows plus FVG/order blocks?

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u/photon11 — 1 month ago

Am I understanding this ICT model?

Newbie here who has been paper trading for a month. Essentially, my model is that I look at the 4 hour and look at the trend and then only trade with the trend. I try to identify an order block and once price moves back into the order block after a big move, I go on the 1 hour an look for a reversal or change of structure. I identify the 1 hour order block which prompted that change of structure and take my entry there down to the 4 hour time frame...

I believe this is the box entry method? Stuff I still am unclear on is whether I should be using FVG or order blocks and what other ICT strategies there are that I can supplement

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u/photon11 — 1 month ago