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Joined 3 years ago
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Cake day: July 3rd, 2023

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  • “Isn’t it weird that your job is basically staring into a hole all day? Like, did you lose a bet or something?”

    I have a very broad scope of practice, so I stare into other holes as well! But no, didn’t know how much of my profession would involve starting into holes.

    “Do you ever feel like your patients are secretly judging you while you’re judging their behinds?”

    Eh, not really? Most people tend to be quite self conscious and so are wrapped up in their own judgement to judge me.

    “What was the first time you told someone, ‘I want to dedicate my life to bottoms,’ and how did they respond?”

    I think it was my parents? Pretty much their response was “seems like a good way to pay the bills”.

    “If you think about it, the rectum is like the backdoor of the body. Do you ever knock, or is it more of a barging-in situation?”

    I like to take the door by surprise. If you give them notice by knocking, they clean up the place a bit. Gotta catch them by surprise to know what’s really going on.

    “Would you say the rectum is the most underappreciated organ, or is it just happy to be left alone?”

    Underappreciated for sure. Ever seen that meme about which organ is the most important? Anus shuts up and everyone dies.






  • Yes, have been approached many times. Very open to shadowing and have had multiple people shadow me.

    How would you prefer to be asked?

    I’m not sure exactly what that question means? I guess I would prefer someone say “I am interested in medicine, can I shadow you to see if it’s something I truly want to do?” Or “I’m applying to medical school and need shadowing hours. Your profession sounds like fun, can I shadow you?”. Problem is you gotta know someone. Or know someone who knows someone. Can’t just walk in off the street and say “I want to shadow”, I’ll likely say no. Most institutions do have a program to facilitate shadowing, which can help with access to willing docs.

    Does that answer your question?


  • Hi gang! Doctor here, trained at and still work at the local “Rectal Foreign Body Center of Excellence”, so I feel somewhat qualified to give my professional opinion.

    Yes, nothing without a flared base should be used in this fashion. BUT, there’s pretty much no risk for harm here. Mechanical obstruction is unlikely because, as OP says, it’ll get mushy and get pooped out. Bananas aren’t much of an irritant like a citrus fruit, so not much risk for chemical damage. Someone else said there might be a risk of potassium overdose, but not really. The rectum does absorb, but not as much as the stomach. So while some potassium will be absorbed, this is at worst equivalent to eating the same number of bananas. Which won’t harm you.

    So not a big risk here. That being said, flared bases, everyone!



  • The latter is called “doctor shopping” and it absolutely happens.

    The goal of the advertisement is to have the patient be interested, not the doctor. Admittedly some doctors are not up to date on the latest obscure cutting edge treatments, so there is some possible benefit. However, most doctors are capable of performing cost benefit analyses and understanding side effects, but when a patient comes in asking for a medication, it definitely tips the scales towards the medication.




  • Actual article here is worth a read because I find when newspapers write about these articles, they miss the point hard.

    This actually has nothing to do with “memory”, but instead reading text. They studied 52 doctors responses to standardized (read publicly available online) cases written in front of them. Half got access to LLM. Neither group was significantly different.

    Then they ran 3 trials solely with LLM and find that these were significantly better.

    My thoughts: 1: Terribly small sample size overall, but would like to see more LLM numbers. 2: The primary purpose of this study was to explore if doctors are better with LLMs helping them. We’re not, and the authors discuss a very good point of “prompts matter”. 3: As is always my gripe with these kinds of things, written text translates to real patients extremely poorly. A computerized text interface is better at handling and responding to text patients. Human doctors are still better at treating human patients.