subungual

Hey, thanks for asking! Kid is almost 4 now and doing great. She eats a pretty varied diet, fortunately-- if she were picky, I expect we'd have had to have made some changes early. We made the call after consulting with her pediatrician and a dietician, both of whom were on board. All check ups have gone well, and she's been ahead on all of her milestones. She's never had any clinical or lab evidence of any deficiencies. I'm a physician myself, and I take care to watch out for anything concerning. There's a reasonable body of literature out there now supporting the safety of a well-implemented plant-based diet in kids. We actively supplement B12 and DHA/EPA.

I call her diet plant-based rather than vegan, as she's not old enough to make the ethical calls herself, but it's been interesting watching as she notices the difference between our diet and others and begins to ask questions and comment on it. As she gets older and spends more time at friends' houses, we'll probably ask that parents/school/etc. not serve her meat, but we're not going to be militant about eggs or dairy. As she gets older and can make more of her own choices, she'll make her own calls on all fronts outside the house. As of yet, she's asked about other people's omni food, but she's always turned it down when offered. We've been careful to specify that these are our own personal choices and have encouraged her to start thinking about where she stands on them herself. We're curious to see how things go from here.

As a ~7 year vegan, I eat a fair number of substitutes. As others have said, I don't do it for my health or because I don't like the taste of meat.

That said, in line with the article, when I was in college, I had the Maddox "For every animal you don't eat, I'm going to eat three" image blown up as a poster on my dorm door. I had a "PETA: People Eating Tasty Animals" t-shirt that I wore around. My aim was to upset the vegetarians, and I made fun of them whenever I saw a window. I can't speak for others' motivations, but the fact that there was a group of people living a lifestyle that I thought was borderline impossible cast inherent doubt and judgment on my own choices. Having to confront the fact that they might be right led to a lot of unresolved cognitive dissonance and anger.

If you'd have told me that ~20 years later I'd be vegan, married to another vegan, and raising a child on an entirely plant-based diet, I'd have laughed in your face.

Thank you! It's definitely worth dipping your toes, I'd say. I made the call to try it at 29 and matriculated at 32. There's one person in my class who is a decade older than me, another my age, and several who were in their late 20s when we started. The average age of med students is slowly climbing, and there are plenty of nontraditional students out there. I wish you success regardless of what you decide!

Great hearing from you! I think you're taking a wise approach. I inverted things from the way that you did them-- I spent a year studying for the MCAT alongside work (had taken all the prereqs 10+ years earlier as a part of my degree). I used MCAT prep as a litmus test for my seriousness about the whole thing, and after it went well I quit my job to stack up post-bac courses and tick the various remaining application boxes.

It's funny that you say that about the lottery-- my wife and I were unsatisfied in our careers and were very focused on financial independence/early retirement and had set a pretty aggressive retirement date. As we were each thinking through what we would do on the other side of retiring, I realized I'd probably make the run at med school that I'd been considering for a long time. At that point, it stopped making sense to wait.

There's no question that it's a pretty significant upheaval. Fortunately, my wife has been very supportive throughout and even encouraged me at several points to make the jump. We had to move across the country, and we've had a kid in the process. Timing with COVID ended up working out well, as we don't really have the feeling of lost time and opportunity that others seem to.

Good luck in making your decisions from here-- it sounds like you've been thoughtful and intentional about the moves that you've made, and I hope you figure out what's best for you and your wife.

I left tech ~6 years ago to pursue medical school. I'll be graduating and starting residency soon. A significant number of my classmates express regret for choosing medicine, and a lot of them fantasize about pursuing a career in tech, instead. I feel pretty well inoculated against this, having had a varied life and a collection of very different work experiences before med school.

I'm happy with my choice. My work still involves the computer, but I certainly don't spend most of my time on it. I get to interact with a wide variety of people, and sometimes I can make their days and lives a little better. My work is challenging and involves a lot of thinking and dealing with imperfect information. If I want to fold in skills gained from tech work in the future, there is no shortage of opportunities. Leaving tech for medicine was about the worst financial decision I could have made, but I would absolutely do it again. It's been a long road, but it was the right decision, I think.

I fully understand what you're saying, but it's somewhat skew to the point I'm trying to make. The people I'm talking about are the ones who have already baked health effects of their habits into their calculus and claim to acknowledge them. For someone who has already bought into the idea that their smoking or drinking will shorten their lives, an elevated BP reading, finding themselves having trouble taking more than one flight of stairs, or even having some chest or leg pain when they're walking around are unlikely to be major wake-up calls. My point is that people may know the end result, but they generally don't have a sense of what the path to that result looks like and underestimate its effects.

Not here to proselytize about your lifestyle choices, and I've certainly enjoyed my fair share of smoking and drinking myself over the years. That said, as someone who works daily with patients whose health has been destroyed by excessive drinking or pretty much any level of smoking, it's always been striking to me how surprised people tend to be by the results.

A lot of people performing the calculus of "eh, what's five to ten years off the end of my life as long as I'm enjoying it now" seem to think it works neatly like that-- they'll die earlier from cancer or a heart attack, and that's it. I'm struck by how often they are surprised and upset by the fact that instead of that, they're living the last 30 years of their lives with irreversible heart, lung, liver, and vascular issues that leave them unable to do the things they've enjoyed outside of smoking and drinking. Just a thought.

Yep, pain at the infusion site is an incredibly common complaint with potassium IV. The person you replied to is talking confidently outside of their expertise.

It's fascinating to me that everywhere that I've traveled and lived in South America (including Colombia), people seem to have this narrative about the locals that they'll "just shoot you and go through your pockets after." I've not seen any evidence that it's based in anything except media-cultivated fear of their own culture. I'm not used to hearing it said about the US, but with the constant pushes here to keep us afraid and willing to give up civil liberties, it makes sense that I'd run into it one day.

I've not really encountered the idea that it's unnatural exploitation, to be honest, and I completely agree with your point there. The core ethical argument that I generally see presented for veganism is that once you've advanced past the point of requiring animal products to live a healthy life, consuming them becomes entirely a matter of convenience, taste, and preference. The argument follows, then, that it may not be ethical to subject animals to the realities of modern husbandry simply on account of these reasons.

The question of whether abuse is inherent is largely academic at this point. The fact of the matter is that almost all of the animal products we consume are the result of optimized industrial processes that result in shortened, low-quality lives for those put through them. Whether an animal could, under the right circumstances, be humanely raised for resource extraction or slaughter doesn't really apply in modern consumption.

Whoa, I'm an ethical vegan and pretty steeped in theory, and I've never encountered this wing before. I doubt I'll agree with them, but I'd be curious to read if you have anything you can link or cite.

Haha, yeah, fair. I imagine the cats that do live there are probably enjoying themselves through this but have had their capacity overwhelmed.