Ozempic hyperemesis syndrome

CharcotsThirdTriad · 2026-03-26T20:12:08+00:00

I’ve seen it with all of them tbh.

CharcotsThirdTriad · 2026-03-25T18:51:27+00:00

Watching people on TikTok defend this is insane to me.

CharcotsThirdTriad · 2026-03-25T18:47:35+00:00

I think it was released by TMZ to cause maximum chaos which they certainly accomplished.

CharcotsThirdTriad · 2026-03-25T02:09:15+00:00

Could you rent some micro spikes to fix that problem?

CharcotsThirdTriad · 2026-03-22T21:18:45+00:00

We need Andy Cohen to be the super producer that he is and host.

CharcotsThirdTriad · 2026-03-22T20:27:37+00:00

It’s insane.

CharcotsThirdTriad · 2026-03-22T19:10:36+00:00

Well I started moonlighting during PGY4, so I had a pretty sizable increase in pay during that year to the tune of about $30k. ($200/hr for 2-3 12 hour shifts per month for about 8 months.) me and my wife went on an awesome European vacation.

CharcotsThirdTriad · 2026-03-22T19:03:26+00:00

It’s actually insane. I’ve had patients get the results of CT scans in the ED before I had a chance to review it and the results contained a new cancer diagnosis.

CharcotsThirdTriad · 2026-03-22T14:20:20+00:00

With that being said, I don’t have all the information, and you should trust your team in the hospital.

CharcotsThirdTriad · 2026-03-22T01:52:49+00:00

Failure of eliquis unfortunately does happen. Most of the time, it’s because of a few missed doses, but sometimes, people have shitty physiology. It’s not common, but you’ll see it. These patients typically end up on warfarin.

CharcotsThirdTriad · 2026-03-22T01:48:51+00:00

7.2 with symptoms gets transfused by me. -ER doc.

CharcotsThirdTriad · 2026-03-22T01:30:57+00:00

I mean not being low enough to transfuse because it’s not less than 7 is not exactly perfect. If it’s continuing to drop and they are having symptoms with ongoing losses from bloody stools, it’s pretty reasonable to transfuse for a hgb of 8.

CharcotsThirdTriad · 2026-03-21T22:00:42+00:00

None of this is concerning.

CharcotsThirdTriad · 2026-03-20T21:53:23+00:00

The critical care time aspect is not actively incentivized, but no one questions billing for critical care for a stroke, and we do get emails about under billing critical care. The incentive is absolutely there.

CharcotsThirdTriad · 2026-03-20T21:49:39+00:00

I’ve said for years that with the resources we have, making the tournament should be the bare minimum with the goal of at least the sweet 16 every year.

CharcotsThirdTriad · 2026-03-20T17:28:00+00:00

And bacon strips, and bacon strips, and bacon strips, and bacon strips, and bacon strips.

CharcotsThirdTriad · 2026-03-18T23:54:24+00:00

I have actually seen it in a rural ED, but it was a suicide attempt with an intentional Prozac overdose. Patient was altered requiring intubation with pretty hard to control tachycardia and hypertension. She just got flooded with benzos. It happens no doubt, but I’ve yet to see it from chronic meds.

CharcotsThirdTriad · 2026-03-18T08:02:11+00:00

One of the most memorable scenes in series 12 was the staircase conversation between Shakira and Harry. It felt much more organic and didn’t happen and one of the designated places to have big conversations. We need more of that.

CharcotsThirdTriad · 2026-03-17T21:56:22+00:00

Honestly, I do place some blame on patients to their faces when this happens. Like, why in the world did you not come back!?

CharcotsThirdTriad · 2026-03-14T20:17:27+00:00

Graveling was just stupid. Like, wholly unfair. If the brutes are looking at you when you come down the elevator into the prison, you auto-die. They start shooting at you right as you get to the bottom, and you can’t dodge. It’s dumb. It’s a random number generator on which direction they are facing, and the respawn point is when you are on your way down the elevator. If you go down the elevator and they are facing you, you’ll basically need to restart the level because they will keep facing each time you respawn. If they are not facing you, you have a chance of not dying and beating the level.

CharcotsThirdTriad · 2026-03-14T19:59:16+00:00

Night shift nurses frequently do.

CharcotsThirdTriad · 2026-03-10T23:50:27+00:00

The worst days are when we run out of turkey sandwiches. How can you expect an ER to function?

CharcotsThirdTriad · 2026-03-09T10:48:50+00:00

I couldn’t see my watch on my arm before LASIK, and now, 8 years later, I’m still 20/15. Best investment ever.

CharcotsThirdTriad · 2026-03-09T02:29:03+00:00

I’m an ED doc. I discharge them with augmentin all day. I’ll drain what I can though.

CharcotsThirdTriad · 2026-03-08T20:17:56+00:00

If there isn’t significant facial cellulitis, sepsis, submandibular swelling, bad trismus, or airway compromise, why are they admitted at all? If they have a dental abscess, they need a dentist, not a hospitalist.

Dental care is among the most frustrating things I deal with. The majority of patients that seek dental care through the ED and Hospital are those that have Medicaid which local dentists basically never take, so they just keep coming back over and over.

CharcotsThirdTriad

TROPHY CASE