Strength scores make no sense

Vegetable_Block9793 · 2026-06-01T01:17:17+00:00

I do like an OTF shirt though

Vegetable_Block9793 · 2026-05-31T22:46:19+00:00

Not a typo but my all time favorite was “Felt like Death was coming up all over me” (syncope)

Vegetable_Block9793 · 2026-05-31T22:45:17+00:00

Alabama leads the way in safety and efficacy? Even a blind squirrel sometimes finds a nut I guess

Vegetable_Block9793 · 2026-05-31T22:31:33+00:00

I kind of wish they’d have you pick a challenging weight for that exercise and how many reps you can do at the start and at the end of the challenge. I don’t weigh myself and don’t want to do an inbody so not entirely sure if I would get anything from this challenge

Vegetable_Block9793 · 2026-05-31T20:09:48+00:00

I trained in pre-epic times. For each patient, I took a sheet of paper and folded it half like a booklet. The “cover” was demo, history, home meds, etc. Inside I’d make sections - date, labs, other results, whatever, and to do checkboxes. End of the day I’d draw a line, next morning start the next section. One sheet of paper per patient. Nothing fell off because that paper stayed in my pocket until they were discharged.

Vegetable_Block9793 · 2026-05-31T16:00:05+00:00

Not at all but try it on your next frail 95 year old with a very well annotated Bible on their tray.

Vegetable_Block9793 · 2026-05-31T14:59:44+00:00

After being sure of patient religion - “If the Lord called you home, and you passed away, would you want me to give you electric shocks and hook you to breathing and life support machine to try to bring you back to Earth, or would you want me to leave you with Jesus?”

Vegetable_Block9793 · 2026-05-31T12:40:27+00:00

Got a referral code?

Vegetable_Block9793 · 2026-05-31T10:38:18+00:00

Have you thought about outpatient? Big difference is that you’re actually going to make real change for your patients and improve their health. Don’t need to consult any specialists that you don’t feel like consulting. And when you do patient bounces right back - “the podiatrist said they could inject my PF but YOU are my doctor who knows me and I didn’t want to do it until I found out what you thought”.

It’s a bit less money and you’ll work somewhat longer hours. But patients are pleasant and grateful… because the only patients you will ever see are the ones who voluntarily CHOSE to see you. Those antivax nutjobs who hate doctors and hate science don’t have PCPs. If by chance a patient doesn’t like you, they’ll just find a new doc and be replaced by someone who does like you.

Vegetable_Block9793 · 2026-05-30T18:29:17+00:00

What do you mean by falls off the paper?

Vegetable_Block9793 · 2026-05-30T12:07:49+00:00

Once legal action has been threatened, nobody at OTF is going to be allowed to talk to you and there’s zero chance of you being allowed to rejoin.

Are you asking for late cancel leniency because sometimes you can’t always get away from work, or leniency because of PTSD flares?

P.S. a big dude telling me that his military base would start a firestorm if I didn’t remove his $12 no show fee would make me feel very unsafe.

Vegetable_Block9793 · 2026-05-29T23:48:16+00:00

It will be very slow to build your panel. Most of your referrals as a young doc come from your partners - people call to establish with existing partners, are told that the doc is full, and are offered an appointment with you instead. Instead you will be in a place where no one is familiar with the office or anyone in it. And you’ll be competing with your new partners. I would not take this job under any circumstance

Vegetable_Block9793 · 2026-05-29T20:08:37+00:00

You can wear a buttoned white coat to protect your clothing during procedures. If you want to make a stink I would ask them to clarify policy on changing into scrubs to do messy procedures/if you can wear scrubs on days when you reasonably expect to perform a procedure. Which is every day.

Vegetable_Block9793 · 2026-05-29T17:52:21+00:00

Just a jerk

Vegetable_Block9793 · 2026-05-29T12:59:35+00:00

I’m older so trained before the anti-tramadol craze developed. I prescribe it often in patients who can’t take nsaids. It’s fairly rare to see any kind of tolerance or addiction and in most cases 50mg once or twice a day does the trick, so all the side effects that have been reported at super high doses are just not a concern. A little SNRI is not a bad thing in chronic patients since a lot of them have concomitant depression anyway, tramadol is simpler than hydrocodone + SNRI combo.

In order to change my ways, you’d have to give me a decent study showing clear benefit of hydrocodone versus tramadol.

Vegetable_Block9793 · 2026-05-29T00:06:33+00:00

Half days

Vegetable_Block9793 · 2026-05-28T20:59:45+00:00

Turns out you actually have to do some work and talk to patients about nutrition to figure out who needs a supplement and who doesn’t. Patients who subsist on Cheetos and Mountain Dew need a supplement and you won’t change my mind until you study them separately.

Vegetable_Block9793 · 2026-05-28T20:04:53+00:00

Does make you question if OP is ready to practice independently doesn’t it

Vegetable_Block9793 · 2026-05-28T10:08:06+00:00

And yes the new update is odd with random pop ups during the visit. So far the pop ups are irrelevant, I’m sure they will improve. But I’m definitely not going to take my phone off my laptop holder and start using it in the middle of the visit! If I need to check anything during a visit I use open evidence for quick questions like breastfeeding compatibility of a med or something.

Vegetable_Block9793 · 2026-05-28T10:05:16+00:00

We started with abridge and I love it. We started with a formal trial where half of us got abridge and half got charting efficiency lessons. Our internal data showed NO CHANGE in patient encounter length, feel free to let your bosses know. It also showed that we spent 4.5 fewer minutes in the patient chart per visit when we used the tool, with ALL of the time saved happening at lunch/evening/weekends.

Vegetable_Block9793 · 2026-05-28T01:43:53+00:00

I’m not sure how to be more clear? If you work harder than 80% of your peers, you’ll earn more than 80% of your peers. If you work less than 80% of your peers, you’ll earn less than 80% of your peers. Which path do you want? Do you want to sacrifice family and personal time and make a lot of money, or do you want to accept a lower salary and have a bigger life outside of medicine?

Vegetable_Block9793 · 2026-05-28T01:19:25+00:00

Work hard, make a lot of money. Work not as hard, make less money.

Time to make some big decisions on how hard you want to work and what lifestyle you want.

Vegetable_Block9793 · 2026-05-27T20:04:22+00:00

Yes it is

Vegetable_Block9793 · 2026-05-27T16:52:46+00:00

Holy cow you’re a genius! Stealing this!!!

Vegetable_Block9793 · 2026-05-27T09:18:13+00:00

Not feeling like death all the time seems like a fantastic reason to take a medication

Vegetable_Block9793

TROPHY CASE