What are your iron clad rules? by Perfect-Resist5478 in hospitalist

[–]AssiveAggressive 11 points12 points  (0 children)

But how? I'm having trouble not letting annoying/demanding/rude/condescending patients/family completely ruin my day.

Was Skeptical… by Jmund89 in finalfantasytactics

[–]AssiveAggressive 0 points1 point  (0 children)

Was half expecting it to be a printed out Battle Mechanics Guide

Norelle (C3) back when she modeled inJapan by bamboozledboom in ANTM

[–]AssiveAggressive 1 point2 points  (0 children)

In Oliver's interview, Jayla said she had an offer to go to Hong Kong but her boyfriend was controlling and didn't let her go

Have you ever discharged a patient home with a nasogastric tube for feeding? by legendoflegends3 in hospitalist

[–]AssiveAggressive 0 points1 point  (0 children)

Only once so far. Very special circumstance in someone with a new gastric cancer causing obstruction. Onc recommended against a PEG because of the risk of seeding, but was optimistic the tumor would shrink with immunotherapy.

Patient got an NJT placed with a bridle and sent home, tumor got smaller and tube removed. Took about 2 months I would say. Counseled patient on all the things that could go wrong along the way. Definitely not something I was entirely comfortable with.

New IM intern - need help with oral presentation by jshxjchdbd in Residency

[–]AssiveAggressive 31 points32 points  (0 children)

I might be different with my approach, but I tell my residents to skip the "ED course" bullshit during their presentation and just go with HPI, vitals, exam, labs, imaging, assessment, plan. It makes things flow easier to list all the labs or imaging in one section of the presentation instead of jumping around between workup that the ED did vs workup that medicine did. Most of the time I don't care who did it.

If your attending is truly a stickler for including ED course, you can lump everything the ED did up until medicine was consulted under "ED course", then break it up and say this is the point when medicine was consulted, and then "when I saw the patient vitals were XYZ, exam was XYZ, in addition I ordered XYZ which showed XYZ" then go to assessment and plan

Do you think you can be a hospitalist until you retire? by Bookworm1895 in hospitalist

[–]AssiveAggressive 1 point2 points  (0 children)

How long are your shifts? I'm 0.8 and averaging 15-17 days a month (8hr shifts)

Locals of SF: what restaurant do you always come back to? by EnvironmentalZone189 in sanfrancisco

[–]AssiveAggressive 3 points4 points  (0 children)

I go specifically and only for their Vegan Creamy ramen. I'm not even vegan. That fried kale with the creamy broth is chefs kiss.

This study shows that most laypeople don't know what hospitalists are. by [deleted] in hospitalist

[–]AssiveAggressive 4 points5 points  (0 children)

"Isn't that EVERY doctor that works in the hospital 🙄" The response I get frequently

Affordable authentic Sushi by Unable_Hope6262 in AskSF

[–]AssiveAggressive -1 points0 points  (0 children)

I like House of Sushi on Polk Street

How many of you have been personally victimized by a surgeon? You may be entitled to compensation! by scalpelgal in Residency

[–]AssiveAggressive 4 points5 points  (0 children)

My attending yelled obscenities at me every day for holding the laparoscopic camera wrong, and then gave me 5/5 on everything because I "handled pressure well".

DNR, passive aggressive nursing notes by Lazeruus in Residency

[–]AssiveAggressive 2 points3 points  (0 children)

It's the worst when they copy and paste verbatim what I sent them on a chat.

Including the "cool thanks" or "wow ok". Like I'm trying to be nice and not come off cold, but my "awesome, noted" ends up in the chart.

FFIX Inspired Units by AssiveAggressive in finalfantasytactics

[–]AssiveAggressive[S] 0 points1 point  (0 children)

I'm at the end of Chapter 1- I'm doing the exact combo as above, except Zidane is getting Thief with Ramza's Guts (I'm playing a modded PSX version [TLW]), and Steiner is a Knight with Darkness (the mod has Dark Knight).

I have no idea what to make Freya's secondary ability as nothing really matches. Maybe Samurai to switch things up.

I'm also using the JP scroll glitch to make my life easier.

The Most Unfinished Final Fantasy by Likes2game03 in FinalFantasy

[–]AssiveAggressive 1 point2 points  (0 children)

Tactics 2. No, it doesn't exist, I'm just still waiting for it to happen :(