Recent content by Merovinge

I don't know, the REMS system for Spravato seems to be very secure with keeping it off the streets/regularly ingested. Why would this be any different? I apologize as I am not tracking it closely, my understanding is this would be only used in a therapeutic setting rather than take 1 molly QD #30.

This is a common non-sense prescription style I see from folks who don't understand psychostimulants well. Outside of those rare outliers discussed above where BID makes sense to have 16 hours of coverage, there are rarely times that 0800 and 1200h of the same dosage of Adderall XR makes sense...

You've never met a clinical psychologist (PhD) who does psychotherapy all-day everyday that was good?

I don't understand what the purpose of this question is. Are you able to go back in time and change your clinical grades? Apply to places you want to go, if you are shooting for a lot of tier 1 places, have some reasonable back ups in solid academic programs in geography you like. Learning to...

I'm not a car person and felt that way but have felt better opening up the strings a bit. I drive a 7 year old BMW 2series I bought with cash my first year as an attending, had to shop around to find the one with the smallest engine and no addons :rofl:. We recently got a Model Y and it's both...

I'm not sure I follow. I am through 7 years (in a week, I took of the end of fellowship to start attending life early) and my partner through 6 years. We had a negative 150k networth at the start of that time. Even subtracting out a recent private equity buyout, we will have added 2 million...

Yes and honestly the data on this stuff is pretty wild. You are dramatically more likely to work in the city you complete training in. You will also enjoy the time more if the city fits you as a person, and when you are happier you learn better and practice better medicine. You are also more...

I have yet to meet someone ending adult residency with no geographic preference. You don't care if it's a huge city or a tiny spot surrounded by cornfields (and I do have a lot of respect for Iowa for the record). You don't envision yourself living in a part of the US? Because where you do...

You'd be amazed. One of my best friend's is a hospitalist who is on year 10 of attendinghood, wife is a part-time nurse after they had a kid 3 years ago (FT nurse before that). Net worth is under 1/2 million including home equity. Between lifestyle creep, daycare, travel, insurance, it...

This reminds of me of someone discussing gravity where they explained it was not an object falling back to Earth's larger gravitational pull but rather some extremely confusing relativity thing that I clearly don't recall 20 years later. Yes, absolutely people can outpace market returns with...

I'm not sure it's Andrew Wakefield bad, but it's awfully close. There is a similar but slightly less intense group that does that same thing to anyone prescribed lithium. They seem to scan any post on reddit and harass doctors prescribing this to save peoples' lives.

Yes this is the right take. I just saw the question about getting someone's top choice. That clearly is not happening for all applicants and trying to point out why. Glad my pick of Ohio as an "ew" state came out right, although the state is better than people give credit for, particularly...

As above, smaller numbers make for more variation outside of your control. You will get a spot but you cannot predict an exact program and chances for any given year. It's actually a great reminder about the role of chance, 1 year earlier or later could be the difference between Harvard and...

That's a really nice way of saying doctor hubris is exactly what has made our professional a ripe target for the financial industry. If I can excise a brain tumor I must be able to beat the market. It didn't help that older generations of doctors were trained to trust their instinct and n=1...

Just for a brief example, if you started with a mere $1000 and compounded at 0.5% daily (less than the midpoint being advertised above), after 10 years you would have.... $81,368,729,469.60. 81 billion dollars starting with $1000 after 10 years. Does that sound reasonable to you?