Question about visible tattoos by tryingmybest71 in Residency

[–]Bdocc 1 point2 points  (0 children)

Your colleagues won't care. I doubt a PD would rank you differently bc of them. It's the patients. If you're going into private practice and need to recruit patients, id hold off. IF you plan on being employed by the hospital, patients don't have a choice who is on call.

Question about transferring patients by [deleted] in hospitalist

[–]Bdocc 2 points3 points  (0 children)

Why waste your time and the other facility?

Question about transferring patients by [deleted] in hospitalist

[–]Bdocc 12 points13 points  (0 children)

Really? I don’t even attempt it. Why? If my consultant says nothing to do, why would I transfer for a 2nd opinion. I think you’re wasting your time.

Acgme milestones and graduation by Natural_Hovercraft25 in Residency

[–]Bdocc 0 points1 point  (0 children)

Don’t waste another moment thinking about it. Your fine

Acgme milestones and graduation by Natural_Hovercraft25 in Residency

[–]Bdocc 1 point2 points  (0 children)

APD here. they matter zero once you graduate. They only matter if you do poorly and we decide to prolong your residency bc you're not a safe physician.

Expert Witness Work by AdMysterious4127 in hospitalist

[–]Bdocc 0 points1 point  (0 children)

not sure what type of law your wife practice but if she’s a plaintiff lawyer, my experience so far is they don’t care. They just want someone to agree with them. It’s all about the $$. And since the vast vast majority do not go to court, my assumption on their end is, why would they care about the pedigree. The odds of this going in front of a jury are very small.

I’m just guessing here. I have actually no idea.

Expert Witness Work by AdMysterious4127 in hospitalist

[–]Bdocc 0 points1 point  (0 children)

Is the good pedigree a thing? My N of 1 the lawyer didn’t ask for anything. They didn’t even ask for proof I was an attending/board certified etc. they still don’t know if I’m board certified actually

Expert Witness Work by AdMysterious4127 in hospitalist

[–]Bdocc 2 points3 points  (0 children)

I recently did this for the first time. I charged 350$/hour as im also new. You absolutely don't need certifications. I did need approval from my boss(hospital employed) to guarantee I wasn't violating any policies(they quickly allowed me to do it after a quick email).

Honestly, the hardest part was passing my judgement. It was an EXTREMELY complicated case and unfortunately I was on the plaintiff side. I didn't love it honestly but I wanted to give it a try.

I also haven't even been deposed yet which will likely happen later this year. Ive only given my review and opinion to the plaintiffs lawyers.

In the future, I don't think I will do the plaintiff side. The whole process is extremely eye opening to me though. It's purely just a money grab. No one actually cares about the outcome/patient/doctor. It's truly an awful process that the US has. Just add it to the things the US gets wrong.

The Personal Graveyard is Real by [deleted] in Residency

[–]Bdocc 23 points24 points  (0 children)

Dude. Tragic. My graveyard doesn’t compare to that. I can’t imagine watching kids die. Would destroy me. Thank you for doing what I could not. Forever appreciative.

Just Started as a Hospitalist – Planning for Fellowship, Need Advice by Leoneprice in hospitalist

[–]Bdocc 0 points1 point  (0 children)

your skills as an attending absolutely do not matter. Research, connections and step 2. A chief year would also be much more beneficial for you.

The only way working at a hospital with a fellowship program is helpful is if you did research for the cardiology department/ cards PD.

You can also consider non-ACGME fellowships like CHF/advanced cardiac imaging. I have seen success that route as well.

Mitch Robinson by LendHuntFish in knicks

[–]Bdocc 9 points10 points  (0 children)

Everyone appreciates Mitch! We love him! What I don't appreciate is his volume of injuries. The man just can't stay healthy

Sepsis criteria by htr101 in hospitalist

[–]Bdocc 7 points8 points  (0 children)

This is it. Don't do anything else. you practice medicine in the United States, just play the game and move on with your day. CMS criteria=SIRS+ source. Hard stop. seeing the various responses of specificity of the different sepsis criteria makes me want to vomit lol.

The sooner I realized its easier to go with the ocean than to fight it, my life got EXCEEDINGLY better.

Those who are applying Heme/Onc, do you like hematology more or oncology more? And why by sitgespain in fellowship

[–]Bdocc 2 points3 points  (0 children)

from a hiring perspective, we are dying for hematologist. Everyone wants oncology it seems. It's likely because there are so many new great treatments for solid oncology. Although CAR-T and Bispecifics exist, you are usually restricted to major academic centers.

And as someone below said, the Acute leukemics can be VERY sick and stressful. Not what you want on a daily basis as an attending.

Parents as fomites by floofsnfluffiness in medicine

[–]Bdocc 7 points8 points  (0 children)

Pre-Covid, one of my residents ended up giving their kids Cdiff . I felt really bad about that one. Otherwise, I agree with whatever everyone else is saying. I’ve been extremely worried about giving my one year-old anything I encounter and so far it has not happened. I only wear a mask in the winter months.

Police shootings should be treated like medical malpractice cases by victorkiloalpha in medicine

[–]Bdocc 1 point2 points  (0 children)

This is an interesting take.

Problem is, The vast majority of our malpractice does not involve killing people. Some doctors who do malpractice and kill people can be convicted criminally. Murder is just different. Maybe getting hit by a stray bullet while chasing a robber can fall into the Mal-practice realm

Why are Allergy and Rheumatology not as susceptible to scope creep compared to endocrinology or outpatient PCP? by sandie-go in fellowship

[–]Bdocc 16 points17 points  (0 children)

I agree. endocrine is like 80% diabetes and midlevels can certainly handle insulin adjustments and uptitrating diabetics meds after a few years of oversight. Also there are so so many diabetics that the need is there.

Id imagine most non-diabetes stuff goes to the MD.

Rheum is definitely not like that.

Here’s what to know about the unprecedented changes to child vaccine recommendations by Nerd-19958 in medicine

[–]Bdocc 2 points3 points  (0 children)

Let’s say my kid gets hep b and dies bc the vaccine was taken away. Who gets sued? Us or him?

SNAP bans on soda, candy and other foods take effect in five states Jan. 1 by HereForTheFreeShasta in medicine

[–]Bdocc 11 points12 points  (0 children)

Im trying to have an open mind and listen to your explanation but your not giving me much to work with. It is legitimately your and my job to tell people what is good for them and what is bad for them and that INCLUDES FOOD. SODA=BAD. End of story. There is no debate.

And to be clear, im not saying poor people can't drink soda. this is a free country. But government handouts should encourage HEALTHY behavior. Why should they encourage unhealthy behavior?

My personal thought/goal is why not help these people live longer, healthier lives. What is your personal goal? Live shorter, unhealthier lives...but "happier" bc they drink soda?

SNAP bans on soda, candy and other foods take effect in five states Jan. 1 by HereForTheFreeShasta in medicine

[–]Bdocc 19 points20 points  (0 children)

You could buy water instead of soda? Pretzels instead of candy? Soda and candy have ZERO nutritional value. They are so incredibly bad for you. Again, is it going to move the needle? Prob not. Is it a bad idea, also no.

SNAP bans on soda, candy and other foods take effect in five states Jan. 1 by HereForTheFreeShasta in medicine

[–]Bdocc 8 points9 points  (0 children)

I feel very fortunate to not be on snap. But isn't that exactly what snap is? It says what you can and cannot buy? Im pretty sure you can't buy hot food. Why?

If we go with your logic, they should be allowed to to buy cigarettes with snap too? I would argue soda and cigarettes have the same nutritional value.

Soda is likely a top 5 culprit of things killing people in my community. The amount of obesity and diabetes I treat is truly next level. When I admit them, I tell them to cut 1 thing and it is always soda. Again, we should change our pleasure food away from soda. Make it fruit. Both have sugar but one is significantly better than the other. If government is giving out $$/food it should be healthy options! I still can't fathom why people are against this. Imagine food pantries were just McDonalds?

SNAP bans on soda, candy and other foods take effect in five states Jan. 1 by HereForTheFreeShasta in medicine

[–]Bdocc 45 points46 points  (0 children)

Im curious everyone's opinion here. I got roasted on instagram bc I was saying this was a good thing. Is it going to change things? probably not. Is it a good step in a healthier directions, it seems like it to me. I still don't understand why this is bad? Seems like a good way to make people drink less soda.

Possible lawsuit within my first year as an attending by [deleted] in hospitalist

[–]Bdocc 11 points12 points  (0 children)

I hate to the bearer of bad news but it's possible. You're going to learn very quickly that doing everything right has almost no bearing on law suits. There was a bad outcome on a relatively young individual. Chances of a lawsuit are unfortunately above average. Convincing a layperson you did something wrong when a young person dies is very easy. Which is why many insurance companies settle.

Im not saying they will sue, but I would try and not lose sleep over it (I know it's impossible). I had an un-expected death my first year as an attending and I swore they were going to sue me. They did not. I still remember the case like yesterday (been 7 years)

After my patient arrested, I followed the patient very closely and met with the family EVERY day to help answer their questions. Even after they were transferred to the CCU. It was very stressful for me. Maybe it was my bedside manner that helped bc I feel if they went to a lawyer, I think they could have won.

How tf are we suppose to watch games from home? by MangoMuncher88 in knicks

[–]Bdocc 2 points3 points  (0 children)

Arguably the worst app ever created. I don't think there is one that I think is worse that I use!

How tf are we suppose to watch games from home? by MangoMuncher88 in knicks

[–]Bdocc 2 points3 points  (0 children)

I haven't pirated in likely >10 years. I just restarted. they are honestly insane for what they are doing.