Lurker > BlameAnesthesia

Pay off my medical school debt and probably use the left over to buy a pizza.

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PGY-3. Anesthesiology.

Not a bad deal, but I'm happy with my legion 5 pro.

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PGY-3. Anesthesiology.

The inability to hold down a job is inherent in pretty much all mental illness as defined by the DSM. It's because until actual physiologic mechanisms (and not just correlates) are underpinned in the pathophysiology of these diseases, they're more "syndromes" defined by a set of symptomatology.

There may very well be neuronal pathways, neurotransmitters, hormonal effects, physiological responses to stimuli involved in some of these diseases, but they're not defined entirely around the biology (well, most aren't). Therefore most mental illnesses probably have some physiologic overlap in terms of mechanisms because we're defining them by social standards. That would also make sense why the same drug might treat different mental illnessess (e.g. SSRIs in depression, anxiety, and OCD). That's the whole point. We attempt to treat these "entities" because they necessarily affect someone's ability to adapt into one's social circle, family, work environment, society at large, etc. These subjective experiences impact someone's ability to fit within our system.

A narcissistic personality is not disordered if it does not have other personalities to interact with, right? So in this sense, "harmful dysfunction" is the underpinning of most mental illness. So to contemplate why a symptom is part of a mental illness is more so a philosophical question.

And for what it's worth, if you have enough self-reflection to contemplate if you're a sociopath, you very likely aren't a sociopath.

This is just my opinion, it's not medical advice. I'm not a psychiatrist.

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PGY-3. Anesthesiology.

--Zero- posted...

Lame. Im about to expire!

There's no "expiration." Simply tentative dates that are ever changing based off of continued research and data.

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PGY-2. Anesthesiology.

I only tip the dealer if I have a hot table and only when I leave. Never the cashier lol. And the waiter/waitress if I get a drink.

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PGY-2. Anesthesiology.

Plenty of "good" slytherins have graduated and are credited in their history/lore. The bias of perspective from films, or even character perspective in books will overrepresent the bad eggs in the school as that's where the plot is. There are certainly troubling cultural aspects of their house, but it's really not any different to current politics and ideology. A slytherin does not inherently make you bad as they just tend to value the virtues of ambition and cunning. Unfortunately, the analog to this is kind of corporate culture where being cutthroat leads to personal success, often at the expense of others. So while being slytherin does not make you bad, one does need to ask themselves the company they keep and whether or not those influence those who are more impartial, even subconsciously. These themes do get addressed, but sort of superficially.

It also just so happens that the current events that the books and movies are set in happen to represent a darker time for that house, so in hindsight sure you can say "why are we allowing this house to even exist" wherein most of harry potter universe had slytherins who were simply ambitious wizards who contributed to wizarding society and a subset of them tended to have strong prejudices. Whereas had the house not existed, those "bad" eggs would have still had to be placed somewhere.

Lastly, the series was written initially as a children's series that grew with its audience into young adult fiction. As such, the black and white morality of the earlier books/movies tends to mature as the series progresses, but it does make it difficult to apply the "grey" to the earlier titles since they're presented entirely differently.

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PGY-2. Anesthesiology.

monkmith posted...

he really needs to spend more time finishing his damn book series.

He probably wrote himself into a corner, plus with the TV series bombing and all eyes back on the book series for redemption...well let's just say with every possible fan theory out there, it's unlikely he would put out anything that someone hadn't already thought of already. It's doomed to be underwhelming and he has spent decades on the world. With his recent success, he probably just wants to live out the rest of his years in leisure and other pet projects. Game of thrones is dead.

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PGY-2. Anesthesiology.

This has been every single place I've been to for like the past year because of covid. It'll likely stay too.

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PGY-2. Anesthesiology.

Either way those AMD gpus are exciting. I just canceled my order on my m15 r5 because of the recent news of the terrible thermal throttling. And this elusive legion 5 pro doesn't seem to exist.

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PGY-2. Anesthesiology.

What about DLSS though? I imagine when you factor in a 3070 laptop running a game with DLSS, you get better frames/performance and is probably around the same price point.

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PGY-2. Anesthesiology.

No, because there wasn't enough data yet to support whether or not vaccinated people could still transmit. A lot of our growing pains have been from trying to pull back these mandates prematurely, only to lose progress, get caught in another surge, and have to play more catch up.


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PGY-2. Anesthesiology.

ME was strong for it's time, but I bet a lot of it is just nostalgia these days.

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PGY-2. Anesthesiology.

https://www.youtube.com/watch?v=QuPfCuga5NE

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PGY-2. Anesthesiology.

~11pm. Awake from 4:45-5:30am.

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PGY-2. Anesthesiology.

I got my covid vaccine back in January when it was immediately available.

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PGY-2. Anesthesiology.

It's a fun game, but a lot of luck involved.

Generally favors playing aggressively. Landing soon, winning early encounters to gear up as quickly as possible. But opening up encounters means even if you win, there are likely several teams closing on your position and it's easy to get flanked by multiple teams.

A "safer" way to win is to land very peripherally, slowly gear up, stay hidden and follow the circle until there is one other team left. But generally speaking that other team will be better geared than you. But it's also not a very satisfying win.


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PGY-2. Anesthesiology.

https://pubmed.ncbi.nlm.nih.gov/17309970/
https://pubmed.ncbi.nlm.nih.gov/32895336/

Pretty much every procedure I have picked up either as a surgical intern or an anesthesiology resident has been pretty intuitive and my attendings commend how quickly I picked up on things like ultrasound guided regional blocks or central line placement.

Growing up, my verbal reasoning scores on standardized tests were always above average and I grew up playing a lot of RPGs with text before voice acting was common.

It's also how I keep in touch with my friends who are out doing residency all over the country. Easy enough to log on for 30 minutes to play a match of rainbow six and chat/catch up on discord.

Something tells me you are just projecting your insecurities onto the hobby as a whole. It may be toxic for you, but it's not inherent in the hobby. No more or less than someone who over indulges in quite literally anything.

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PGY-2. Anesthesiology.

Buy the rumor, sell the news

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PGY-2. Anesthesiology.

Blockchain seems useful. The current coins out there won't be utilized as currency for a while now, if at all. Potentially newer applications of blockchain in the future will be more viable for that purpose.

People think it's a pump and dump, but both the stock market and crypto is essentially just a counter to inflation of the dollar, especially in bull markets. People delude themselves into thinking that stocks have more of an underlying basis to them; and they do....sort of. They follow market "fundamentals" a little closer, but you may see thinks like a company posting record profits and stock dropping, and it's really because the market is a reflection of human behavior and psychology more than a 1:1 correlation with market/economy strength and/or performance. There is a bit of speculation that is inherently "priced in" to both good and bad news, which makes it difficult to time peaks and dips. Most people will place the bulk of their investments in "safer" options that are more likely to grow, but at a slower rate, especially if diversified. If growth beats rate of inflation, it's a better option than simply just holding onto liquid cash as savings.

Crypto is essentially just a little "riskier" in the sense that it is more volatile. Big swings up lead to dips, which are usually bought up. If you ignore the day to day ups and downs, you'll "probably" beat the % growth compared to more conservative investments. They also tend to trend upward, and at a faster rate, so people with more stomach for risk put it in their, or they use "play money" to mitigate said risk. Though I think the number of sheer coins on the market are a reflection of FOMO from the originals like BTC and Etherium. So there is potential to lose money if you buy into hype on unknown coins.

As always, YOLO'ing more than you can afford to lose is treating it like a casino. And lack of portfolio diversity is how some people "get rich quick" but at the expense of many more people losing a ridiculous amount of money.

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PGY-2. Anesthesiology.

You won't be able to "use" doge like a currency if you don't go through a crpyto wallet.

Robinhood allows buying and selling of crypto, but in essence, it's like trading it like a "stock."

Once you get your RH account going, you deposit cash into the account and then can make a purchase. You can place market orders or limit buys. The former is buying at current market rate, so the price may be off by a small margin to what you agree to buy because it changes dynamically and until the order executes, it may fluctuate slightly. This effect is exaggerated during periods of high volatility, for example.

The latter is setting a max price you'll buy it at. Benefit is you'll pay that amount if it executes, the downside is it may not execute if you set it too low and the price is rising.

Likewise with selling you have market sells and limit sells. The former will sell at current price, but again, you may see a different final amount sold depending on how it changes during the time period of the transaction. And the limit sell is a minimum price you'll sell. This is good to set a "price target" that you'd be comfortable selling and don't have to constantly monitor. If it crosses the threshold, it'll automatically sell for you. Say you want to sell all your doge at 0.95, it'll execute then and not a moment before. Downside, of course, is if it never reaches that price it will never sell.

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PGY-2. Anesthesiology.

If any game needs a reboot it's this one.

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PGY-2. Anesthesiology.

DarkRoast posted...

My psychology degree makes me more equipped than an economics degree would to understand market behavior.

Dunning-Kruger

The point is more so that an economics degree doesn't give you a 100% sure analysis of markets, and neither does psychology, but understanding why meme rallies on social media lead to these huge speculative jumps on things not tied directly to market fundamentals is a bit easier to wrap my head around, while these boomer analysts keep bemoaning how terrible all these pump and dumps are because they make no sense. GME has been hovering in the mid 100s for a while now with no real discrete action; I don't think that's a fair market price for what the stock is worth. Definitely worth more than when it was $3, and definitely worth more now that they are half a billion cash rich and debt free and can pivot as a business. But this requires insight into just how widespread meme culture is in a demographic that is starting to hit their stride more professionally and might invest in ways differently than boomers.

Seeing the likes of cuban and elon affecting market behavior through hype, the rapidness of meme culture leading to sustained "holds" on what are essentially meme stocks. These are the things that someone can observe in the market today that wasn't really the case even 5 or 10 years ago.

I think it's been rather easy to make money by following where the hype is going, but not taking it at face value and not trying to time peaks.

Maybe it's just an effect of a bored, aging millennial generation and the relative ease of casual retail day trading these days combined with stimulus checks. I guess anyone can sound smart in a bull market.

I talk about this with my attendings and they just kind of shrug, and yet I have like 3-4 colleagues from med school who turned 1k-5k into 6 figures over the recent craziness between GME, AMC, Doge, etc. They're happy with 10-20% gains on their play money when they talk stocks, and we're sitting here with 100-2000%.

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PGY-2. Anesthesiology.

YellowSUV posted...

Wake me up when cryptocurrency stops being referred to in US dollars and actually becomes a massively used currency. It would cost far too much electricity for everyone to use cryptocurrency. For now, it is a massive ponzi scheme and those currently invested don't want to be caught holding the bag.

If anything the last half year or so taught us about the market it's that stocks and crypto isn't fundamentally tethered to market fundamentals or the current state of the economy. My psychology degree makes me more equipped than an economics degree would to understand market behavior. Because it's essentially an analogue to human behavior.

There's a lot of money to be made by simply following the hype in a Machiavellian way. Set limit sell orders to a bit below the hype targets and you'll still beat conservative gains from index funds and EFTs by magnitudes. Not financial advice.

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PGY-2. Anesthesiology.

Slayer_22 posted...

Some people spent 100 bucks on Bitcoin back when it was less than 1 cent.

It is currently 57k+ per bitcoin.

This means if you spent 100 dollars when it was...let's say 18 cents, cuz you got in kinda late.

You'd have 500 or so bitcoin.

You'd have 5 million dollars right now.

So yes, 100 dollars can make you a good profit. If you invest wisely, know the risks, and get lucky.

Virtually nobody would have held that long unless they were in a coma, woke up, and remembered how to access their crypto wallet lol.

The thing with investing really low is you really need to ignore it for so long, which is hard because even if you ignored it, you'll see news of it hitting record highs or rapid gains occasionally, which will prompt you to reevaluate your position. 10k from $100 is a sweet deal, only in hindsight do you kick yourself for "almost having made 5 million."


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PGY-2. Anesthesiology.

Whatever your price target is.

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PGY-2. Anesthesiology.

eston posted...

Just wait a couple weeks and get it for 30

Godfall is still full price and that game got terrible reviews. Returnal won't be less than half for 6+ months, if not a year.

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PGY-2. Anesthesiology.

DMX99 posted...

why are we letting this happen? this isnt right, of all the things being cancelled, 70 dollar games should be number 1.

There has always been inflation of titles with next gen. I remember when games were $50, then 60. It's a pretty predictable increase.

I didn't mind paying 70 for returnal. it's the first game that truly feels next gen to me, is a solid challenge, and has a bit of a nostalgia factor to it too.

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PGY-2. Anesthesiology.

Why are you scared? Because you put more than you can afford to lose in a speculative crypto? Did you hit your price target yet or no?

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PGY-2. Anesthesiology.

toadfan64 posted...

From the 4k I've seen, it seems to get that soap opera effect even more than what I've seen with 1080. I know you can turn it off on 1080, but 4k is a bit much for me.

The soap opera effect is from framerate, not resolution. The only reason you are seeing that more with 4k tv's is because it's a newer feature to have higher framerates, but it's always an option, whereas older 1080p might just be locked in the cinematic 24 fps

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PGY-2. Anesthesiology.

Not all 4k is made equally. Meaning the resolution may be 4k, but the quality of the panel is more important in my opinion. I used to have a decent samsung plasma like 8 years ago that had amazing blacks. I "upgraded" to a budget 4k samsung that honestly looked worse.

Then once I got a LG C9 OLED, it was like night and day. If you do get a 4k TV, be mindful of viewing distance. At 65" you're still probably within 6 feet or closer to really get a benefit from it. But if you can swing it, it's like a movie theater.

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PGY-2. Anesthesiology.

Oh my god so true xD

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PGY-2. Anesthesiology.

AldousIsDead posted...

Avoided? No. Mitigated? Absolutely.

Came into the topic and would have worded it identically.

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PGY-2. Anesthesiology.

I work in an operating room, so no. I was already wearing masks for 12+ hours a day

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PGY-2. Anesthesiology.

They need to go back to the sci-fi stuff. I can only play a rehashed WW2 campaign and use the same guns over and over again. At least infinite warfare and advanced warfare had conceptual guns and more freedom for unique and creative gameplay elements. As well as a blank slate for story.

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PGY-2. Anesthesiology.

I was ready to get upset at the title, but then I read IX and I calmed down.

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PGY-2. Anesthesiology.

Devstacular posted...

It's an awkward arrangement, since minimum wage in turn fuels inflation.

But in any case, nobody whatsoever can argue that minimum wage is not unacceptably low right now.

What's worse than mild inflation is the ultra elite siphoning more and more money and hoarding it in offshore accounts, leading to chronic recession because the middle class has less and less purchasing power.

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PGY-2. Anesthesiology.

Proto_Spark posted...

The benefit of a Xbox is that its like 1/2 price of a similar PC build.

True. I guess since I'm at the high end neither the XSX or PS5 really impress me from a hardware perspective. 30 fps is just impossible to play when you're used to 144 or close to 4k 60. So with performance mode, the PS5 isn't true 4k. The only reason I even have a console is for exclusives.

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PGY-2. Anesthesiology.

DarkRoast posted...

Good luck ever finding a GPU

I got a 3070 from the evga queue

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PGY-2. Anesthesiology.

If you're going to get an XSX, you might as well build a PC. Only reason for console gaming is exclusives, of which PS5 wins, even if it's the worse console.

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PGY-2. Anesthesiology.

Broseph_Stalin posted...

The college pay gap has never been larger, you're increasing your weekly earning by ~70% just getting a degree:

https://tinyurl.com/2yezczw4

But the average student graduates with ~$30k in debt. A one time payment of $30k to increase your yearly earnings by around $20k? That's an insane deal, the best investment you can possibly make in life.

You're romanticizing a time period you never actually lived in. A time where almost no one even got to go to college, people made less and the overall quality of life was lower.

College has always yielded a return on investment. But you're ignoring data on the rising cost vs inflation and buying power of a dollar today versus decades ago.

I showed you data that showed that doctors had more purchasing power in the 70s than they do today. Anecdotally, the entrance requirements were also less. We have standardized tests and board exams that for a fact, most of my attendings admit their scores were much lower than ours. The competitiveness to enter our profession has never been higher, and the squeeze is less than it was before.

All I want is equivalency within my own industry. I worked harder to get to where I am, and I'll get less for doing so. I'm sure it's not so cut and dry across all industries and professions. But you can't argue that the middle class is shrinking what with college debt still being the problem it is today and rising housing costs that are prohibitively expensive, even with a degree.

The middle class in the 70s could afford a home on a single earner's income. I had to go through 4 years of college, 4 years of medical school, 4 years of residency, pay off half a million in debt, and then maybe look into a similar home in my 40s.

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PGY-2. Anesthesiology.

No one innovated the formula, so eventually people just got tired of the sandbox. Also MMORPGs require a robust and healthy population, of which the numerous "me too!"'s that came out diluted the populations and left mostly empty worlds and the typical hamster wheel grind.

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PGY-2. Anesthesiology.

https://www.cms.gov/Research-Statistics-Data-and-Systems/Research/HealthCareFinancingReview/Downloads/CMS1191016dl.pdf

https://data.bls.gov/cgi-bin/cpicalc.pl?cost1=54000&year1=197501&year2=202101

https://www.bls.gov/oes/current/oes291215.htm

BLS data, mean family medicine salary today $213,000. Cited article states average physician salary was $54,200 in 1975. The adjusted inflation calculator puts that at $270,000.

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PGY-2. Anesthesiology.

Broseph_Stalin posted...

No, you're missing the point. It's a better return on investment compared to the past. College degrees have never been more profitable.

You're romanticizing the past and presenting it as fact.

Cite some sources please.

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PGY-2. Anesthesiology.

Broseph_Stalin posted...

Point is the cost of a four year degree has remained stable, while the income you get from such a degree has risen dramatically. College is not a burden, it's one of the best investments you can make.

You're missing my point. It's not as good of a return on investment compared to in the past. It still beats not going to college, which is the point. You say 2 in 3 don't have a degree, and what kind of jobs are those people working? (excluding trades, because that still requires some specialization and schooling).

What I'm saying is my doctor predecessors had it a lot better than me. They graduated medical school with a fifth of my debt. Also physician wages have stagnated relative to inflation. Coupled with the rise in mid level providers, it's becoming more and more required to do fellowship to be competitive in this market. Fellowship is another 1-3 years of getting paid 70-80k when your labor is worth 300k-600k, which is opportunity cost.

So higher debt/income ratio means less time and money to put in my retirement accounts earlier, which is dependent on time to compound, resulting in a smaller end point, for having gone through the same path.

Someone is skimming off the fucking top and that's the problem. Part of that is problems within my own industry, but part of that is an overarching trend in our economy leading to a shrinking of the middle class. I imagine other professions like law, engineering, etc have similar problems in their industry.

I just want to make the same living as my predecessors. I'm having to work harder, for less. And that's a problem.

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PGY-2. Anesthesiology.

Caution999 posted...

Everybody else shouldn't be responsible for YOUR loan that YOU took out and agreed to (cuz where do you think that money will come from?).

That being said, I strongly disagree with the inflation rates of these loans. I agree something needs to be done, but to wipe them out entirely isn't the answer.

Maybe if my only option wasn't a 6.9% interest loan that accrued on day 1 of medical school that I realistically won't be able to even start paying back until after residency (8 years later) would be a start.

At the end of the day, when the only jobs available require higher education and the only way to finance it is through loans, and when those jobs are poorly paying relative to inflation, that's quite literally indentured servitude. And when that population can't afford American consumerism, the entire economy takes a downturn, which in part affects everyone's retirement funds, which is dependent on perpetual growth.

See the problem here?

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PGY-2. Anesthesiology.

Broseph_Stalin posted...

Student loan debt is higher because the share of Americans getting degrees is like three times as high as it was in the 70s. If home ownership was 10% one decade, and 30% a few decades later you'd expect mortgage debt to also be higher. Doesn't mean there's a "crisis".

The cost of a four year degree at a public university has actually remained flat over the last few decades.

This is really disingenuous. The educational requirements for even most entry-level jobs is a bachelor's or greater these days, which wasn't the case in the 70s. When college is a minimum standard for a decent paying job, and even that isn't guaranteed, there is a problem.

And this goes all the way to the top. My attendings all attended medical school with less than 100k in debt and they had higher wages relative to cost of living and housing. I'm 500k in debt from medical school, and by the time I'm done with my residency I'll be 32 going on 33. I'd have to throw my entire anesthesiology paycheck for 3 years to pay off my debt and that's extremely aggressive. More realistically I'll be closer to 40 before I'm debt free and even starting to aggressively build my retirement portfolio. So that's two decades worth of compound interest I'll miss out on relative to your typical worker from the 70s. That's a missing out of doubling my portfolio twice. Meanwhile the older attendings are sitting on 5 million dollar portfolios because the entry to professional careers was just that much more affordable.

And that's not even getting into the downward pressure on physician wages from midlevels and MBA administrators just skimming off the top.

I'm not asking for a hand out. I'm literally just asking for equivalency in the same career.

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PGY-2. Anesthesiology.

No_U_L7 posted...

is the ultra worth it? thatll be 600 after trade in

I mean it depends what you value in your phone. Your S10+ is a 1440p screen. The S21+ is 1080p. So your current phone already looks crisper.

The S21+ has better refresh rate, so scrolling will look "smoother". But the S20+ has this feature as well, and is likely cheaper. The S21+ is no better than the S20+ on refresh rate.

Battery is only slightly better on the 21+ compared to the 10+. Same with camera.

It's a marginal update in some departments, a sidegrade in others, and a downgrade in what is arguable the most important which is the display itself. It just seems like a waste, unless your phone is already glitchy, slow, or giving you trouble.

I would go with the ultra, because it's the only "upgrade" of the 3 compared to your phone by my own personal standards. But it's not enough of an upgrade, even with a $600 trade in. Which is why I'm waiting for next gen.

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PGY-2. Anesthesiology.

No_U_L7 posted...

Yeah I was gonna wait, but 600 trade in value on a 800 phone means it's only 200 really

Oh you aren't even getting the ultra? Your screen resolution will be worse than the S10+

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PGY-2. Anesthesiology.

To be honest, I don't see the upgrade outside of better refresh rate, which for a phone is not that important. The resolution is worse in all except the 21 ultra. Maybe slightly better battery, but my S10+ still holds a multi-day charge with regular use. Processor speed is kind of reaching diminishing returns with phones. You'd get 5G, but depends how much of a rollout your location has had already.

I just don't see the justification for spending $1,200. I used to upgrade every 2 years and this generation has me giving a resounding "MEH" But maybe that's just a testament to how good the S10+ was.

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PGY-2. Anesthesiology.