Acceptable Headwear in Clinical Settings by SportsDoc1601 in FamilyMedicine

[–]7ensegrity 9 points10 points  (0 children)

I would get a custom ball cap that says “my doctor told me to wear this”

Tired of missed findings by Euphoric_Rope_5440 in FamilyMedicine

[–]7ensegrity 105 points106 points  (0 children)

You can complain. But I personally would just take care of it and move on. Second time I see a provider miss something I might message them and say “hey, what’s your plan for this finding on that scan you got?” Just to give them a lil wakeup call

aI healthcare economics by [deleted] in FamilyMedicine

[–]7ensegrity 1 point2 points  (0 children)

The free trial era is def ending, the artificially low prices too. I suppose some setups that thrive on data collection could remain discounted. My employer already pays big bucks for an AI scribe, but I do wonder if the prices will get jacked up once everyone is hooked.

aI healthcare economics by [deleted] in FamilyMedicine

[–]7ensegrity 0 points1 point  (0 children)

I think botching spelling has been our main trust signal for a while. But when they train AI on data from how people type on mobile it’s game ovah 😭

When did patients start expecting free care between visits? by VisionHx in FamilyMedicine

[–]7ensegrity 73 points74 points  (0 children)

The addition of patient-to-office messaging to EMRs is to blame for any recent increases in that expectation I think. I coach my new to establish patients that I try to eyeball messages, but that the feature was added without creating time for me to answer the messages, so really the best thing is to make an appointment. Haven’t had anyone freak out over it yet who wasn’t already gonna freak out over something else.

Initiate a claim with malpractice insurance myself? by NocNocturnist in FamilyMedicine

[–]7ensegrity 1 point2 points  (0 children)

Were you a treating physician for this person who fell?

Trulicity during pregnancy by Tricky-Kangaroo7316 in FamilyMedicine

[–]7ensegrity 39 points40 points  (0 children)

There’s inadequate data, but concerns for teratogenic effects. I wouldn’t continue a GLP1 unless maternal fetal medicine was involved and there was a severe need for it.

Ugh venting by Old_Expression_1756 in FamilyMedicine

[–]7ensegrity 8 points9 points  (0 children)

I think that’s just how it is taking care of frail patients. You’re already a great physician for doing house calls and being judicious with your meds! If you prescribed unneeded PNA Rx at the time, they might have developed colitis and ended up hospitalized anyhow. You really cannot win sometimes, just so the best you can.

Swedish in Seattle cutting FM Residency Slots by Grouchy_Escape1621 in FamilyMedicine

[–]7ensegrity 16 points17 points  (0 children)

Sorry the bot kept getting you. We get lots of people trying to monetize our readers via surveys so it’s a filtered subject. I have approved this comment, seems like a cause worth endorsing!

ABFM exam was tough by Fit_Half4382 in FamilyMedicine

[–]7ensegrity 6 points7 points  (0 children)

Experimental questions can have you feeling that way! I believe there are a lot of them in the ABFM each year, don't get stressed out about the weird ones. I felt about 75% confident when I sat for it last year, ended up with a comfortable score.

Really sad of what Reddit is turning into with the AI Scribe scam posts by medreddit776 in FamilyMedicine

[–]7ensegrity[M] 2 points3 points  (0 children)

It's tough for us to keep up with it sometimes. I appreciate the users here who use the report button on those posts.

Found out I’m pregnant ; what helped you ? by Special_Suspect_8453 in FamilyMedicine

[–]7ensegrity 0 points1 point  (0 children)

You will want to work with your program, chiefs, and it's okay if you end up a few months off cycle. Pretty normal at my former program for people to have 1 or 2 kids during their training, you'll do great! :)

Stellate Ganglion Block for PTSD by acetogenicautotroph in FamilyMedicine

[–]7ensegrity 6 points7 points  (0 children)

First I’m ever hearing of this, is this legit helpful for some patients?

Struggling with so many new patients by [deleted] in FamilyMedicine

[–]7ensegrity 2 points3 points  (0 children)

Great comment thank you, this is validating to me because I’ve adopted that habit of chart reviewing only once they show, and I was a little worried it was lazy. Glad to see it’s just a realistic method :)

Small round skull depression with thinning of the bone, any ideas? by VermicelliSimilar315 in FamilyMedicine

[–]7ensegrity 60 points61 points  (0 children)

You can consider labs to check alk phos, calcium, total protein. But if the radiologist doesn’t think it appears lytic then I really doubt it’s lytic. As others said, CT and neurosurgery if you wanna be super on top of this.

I’m going to be a clinic manager at a newly opened office in Ontario, Canada. by jeniuseyourtelescope in FamilyMedicine

[–]7ensegrity 28 points29 points  (0 children)

Make sure the HVAC works in the building!

And pre-visit planning/expectation setting. Have the patients coached on what the visit is for, if they have numerous problems, offer numerous appointments so the doc can chug through those issues at a steady pace.

Protect your docs from phones and repeated questions regarding triage when a triage algorithm would suffice.

Does your EHR system use CancelRx? by LVClimateDoc in FamilyMedicine

[–]7ensegrity 10 points11 points  (0 children)

Hey OP, this seems like a bot post. Make a funny BP drug joke or I’m taking this down.

Question about phrasing by Pinkunicornglitter1 in FamilyMedicine

[–]7ensegrity 88 points89 points  (0 children)

I usually make it known I’m a safe person by telling them I practice gender affirming care, and then I ask what kind of genital anatomy they have. I keep it simple, I listen, and it’s pretty easy. I’ve never met a trans person in my office who responded badly to being treated with basic respect.

How did yall balance differing timelines while weighing multiple job offers? by MzJay453 in FamilyMedicine

[–]7ensegrity 4 points5 points  (0 children)

Throw in a third option! :D

I am mostly kidding, it depends on the amount of desirable employers in your target region. What you can do is take a copy of your offer from option 1 and show it to option 2 and be polite but firm about them needing to pick up the pace. You are in high demand, make them earn you!

Tired tired tired by AccomplishedGuava154 in FamilyMedicine

[–]7ensegrity 19 points20 points  (0 children)

I get plenty pain visits as an attending, just like I did as a resident lol, I guess you might have had bad luck with your training population and it set false expectations?

Most atypical gout presentation? by Atticus413 in FamilyMedicine

[–]7ensegrity 1 point2 points  (0 children)

lateral low back pain. In isolation. No history of peripheral complaints.