thedocj

treading the proverbial waters of surgery residency with memes and gummy candy

[Street Medic @RndmStreetMedic]

Just me sitting here hoping that @PennMedicine sees that PGY-1s writing about how he hates DEI and acknowledges lying to get a residency match.

[Mark Cecchini, CFP® @markcecchini]

COMMANDER: We’re fighting for freedom. And part of that freedom… is the freedom to retire with dignity. So we’re going to start accounts called 401(k)s.

SOLDIER 1: What’s a 401(k)?

COMMANDER: It’s a retirement account. You put money in, it grows tax-free, you take it out when you’re old.

SOLDIER 2: So I don’t pay taxes on it?

COMMANDER: Well, you pay taxes later. When you withdraw.

SOLDIER 2: So it’s not tax-free.

COMMANDER: It’s…tax-deferred.

SOLDIER 2: What’s the difference?

COMMANDER: You pay taxes later instead of now.

SOLDIER 1: What if I want to pay taxes now?

COMMANDER: Then you do a Roth 401(k).

SOLDIER 3: What’s a Roth?

COMMANDER: You pay taxes now, and it grows tax-free.

SOLDIER 2: That’s what I thought the first one was.

COMMANDER: No, the first one you pay taxes later.

SOLDIER 1: Which one’s better?

COMMANDER: Depends on your tax bracket in retirement.

SOLDIER 1: …How would I…know that?

COMMANDER: You don’t. You just guess.

⸻

SOLDIER 4: What if I don’t have a 401(k) through my employer?

COMMANDER: Then you open an IRA.

SOLDIER 4: What’s the difference?

COMMANDER: One’s through your job, one’s on your own.

SOLDIER 4: Can I have both?

COMMANDER: Yes.

SOLDIER 4: Should I?

COMMANDER: Maybe.

SOLDIER 3: Can I do a Roth IRA?

COMMANDER: Only if you make under a certain amount.

SOLDIER 3: What’s the limit?

COMMANDER: Changes every year.

SOLDIER 2: What if I make too much?

COMMANDER: Then you do a backdoor Roth by putting it in a Traditonal first.

SOLDIER 2: …Is that legal?

COMMANDER: Surprisingly, yes.

SOLDIER 1: What’s a backdoor Roth?

COMMANDER: You contribute to a traditional IRA, then convert it to a Roth…but watch out for “pro rata”.

SOLDIER 1: Why wouldn’t I just contribute to the Roth directly?

COMMANDER: Because you make too much money.

SOLDIER 1: But this way I can?

COMMANDER: Yes.

SOLDIER 1: That feels like a loophole.

COMMANDER: It is. But the IRS is cool with it.

⸻

SOLDIER 5: I just changed battalions. What do I do with my old 401(k)?

COMMANDER: You roll it over.

SOLDIER 5: Into what?

COMMANDER: An IRA. Or your new 401(k). Depends.

SOLDIER 5: On what?

COMMANDER: The funds. The fees. Whether your new plan accepts rollovers.

SOLDIER 5: What if I just take the money out?

COMMANDER: You’ll pay taxes plus a 10% penalty.

SOLDIER 5: What if I’m 59?

COMMANDER: Penalty.

SOLDIER 5: 59 and a half?

COMMANDER: No penalty.

SOLDIER 5: …The half matters?

COMMANDER: The half matters.

⸻

SOLDIER 3: What’s a mega backdoor Roth?

COMMANDER: Okay. So. Your 401(k) has a limit of how much you can contribute.

SOLDIER 3: Right.

COMMANDER: But the total limit including employer contributions is higher.

SOLDIER 3: Okay…

COMMANDER: So if your plan allows ~after-tax~ contributions, you can put in more, then convert that to Roth.

SOLDIER 3: Does my plan allow that?

COMMANDER: I don’t know. You have to ask Betsy.

SOLDIER 3: Will Betsy know?

COMMANDER: Probably not.

⸻

SOLDIER 2: Can I deduct my IRA contribution on my taxes?

COMMANDER: Are you covered by a retirement plan at work?

SOLDIER 2: Yes.

COMMANDER: Then only if you make under a certain amount per year.

SOLDIER 2: What’s the amount?

COMMANDER: Depends if you’re married.

SOLDIER 2: What if my wife has a plan but I don’t?

COMMANDER: Different limit.

SOLDIER 2: What if neither of us has a plan?

COMMANDER: Full deduction.

SOLDIER 2: So it’s better to not have a 401(k)?

COMMANDER: No…

⸻

SOLDIER 1: Can I just keep my money in a sock?

COMMANDER: You could. But inflation will slowly destroy it.

SOLDIER 1: What’s inflation?

COMMANDER: (sighs)…

[Dr. AP | Action Potential Mentoring, LLC @action_ap]

Unspoken residency rule:

If a consult or new admit comes in within 5 minutes of check-out time, (ex: 5:55pm) volunteer to take care of the consult so the person who’s been there all day can go home on time (since you’re going to be at the hospital for the next shift anyways!)…

[Markets & Mayhem @Mayhem4Markets]

😂🤣🫠

[𝕊𝕦𝕟𝕕𝕒𝕖_𝔾𝕦𝕣𝕝 @SundaeDivine]

They scream about Socialism while their roads, hospitals, and schools are basically on a Federal IV drip.

[vids that go hard @vidsthatgohard]

“Why are you so political?”

Me: Pixar

[thedocj @almostdocj]

@AGHamilton29 Why is it that the government/GOP are willing to let the American tax payer shoulder billions in corporate bail outs, outrageous defense spending (while failing audits), and tax cuts for the 1% but when it comes to helping the lower class with student loan debt you draw the line.

[thedocj @almostdocj]

@stopvaccinating This had no actual statistical significance as a single case report but you posting the conclusion as if there aren’t major methodological issues is actively harmful to patients who could be pushed by their parents or friends to try an unproven treatment. Shame on you.

[Tim @trouble_man90]

Do it, I dare you

[Sam Tripoli @samtripoli]

This is such an amazing bit, @ronnychieng!

[The Middle-earth Mixer @MiddleearthMixr]

BREAKING: Santa Claus is currently in a dogfight with Drones over the State of New Jersey

[HoneyAfterGlow @_HoneyAfterGlow]

This video will reduce your IQ 😭😭

[Marc Wasserman, MD 🧠 @synapse2000]

When I was a third year medical student on a cardiology rotation, we had a quiet afternoon and I was chatting with one of the attendings.

He told me that he had replaced another cardiology attending who had recently passed away. The new attending was terrified in taking up some of that cardiologist’s patients because he had worked at the hospital for decades, was always available even when on vacation, gave patients his home phone number, took extra call shifts, would sometimes come in the middle of the night even when he was off to look at scans and talk with his patients and teach the residents.

The attending who took over couldn’t imagine how to tell these patients that this well respected cardiologist who had taken care of them for years and years was gone. And he said that he went into the first patient’s room to break the bad news, and the patient said, “that’s really sad. He was a great doctor and I liked him. So, anyway, this blood pressure medication. I feel dizzy on it…”

The attending said that interaction changed him. He wanted from then on to be there for his patients and be a good physician - but also have his own life and free time.

That brief conversation has stuck with me for decades now.

[Shawn Harris for Congress @ShawnForGeorgia]

Marjorie Taylor Greene doesn't want you to know the name of her opponent but will try every desperate attempt to save her seat, like bogus claims about ballot fraud.

My name is Shawn Harris, and I'm running against MTG. Can you help me spread the word by retweeting this post?

[James Connor @toJamesConnor]

🧵I’ve read through the evidence section—the first 85 pages—of Jack Smith filing on Trump’s private criminal efforts to stay in power despite knowing that he’d lost the election.

The evidence is stunning. It’s clear why Trump did not want the public to see this testimony.

13 things jumped out to me on Trump’s attempt to defraud the American people and steal the 2020 election.

[Democratic Wins Media @DemocraticWins]

BREAKING: In a stunning response, swing voters are saying it was JD Vance’s refusal to admit Donald Trump lost in 2020 that made them swing to Kamala Harris and Tim Walz’ side. Retweet so all Americans see this and know Walz won the debate.

[yammi @sighyam]

I’m going to debunk this viral sensationalist thread about Khao Kheow Zoo and Moo Deng by user doggtism. I will also highlight other threads written by Thai people. My aim is to provide further context, offer clarity, and improve the readers’ perspective. 🧵

[dean’s hotdog pants @sosaysthesword]

never stops being funny

[chris @ATR3lDES]

this is kinda the greatest plot twist in the history of cinema when you think about it.