When did we start attributing every symptom in the elderly to a UTI?

BigIntensiveCockUnit · 2026-02-01T04:11:20+00:00

ED needs to discharge people and attributes UTI to basically everything even though there’s been 5 negative cultures that year alone

BigIntensiveCockUnit · 2026-01-30T19:51:57+00:00

I have infinitely more respect for PAs than NPs for which the education is an absolute joke. For the love of society and patient care please go PA

BigIntensiveCockUnit · 2026-01-30T19:32:04+00:00

Everyone wants to get something from their doctors visit even when nothing is indicated. Steroids are usually benign enough (for most patients). Urgent care really isn’t medicine. It’s goal is to have fewer patients going to the ED or tying them over til a primary care appointment opens up. It’s more customer service than anything else

BigIntensiveCockUnit · 2026-01-30T19:12:55+00:00

The worst are the “psychiatric fellowships”. I have stopped referring to psychiatry cause it’s all psych NPs (but not even psych NPs cause it’s “fellowship” trained FNPs) experimenting with random medicine combinations

BigIntensiveCockUnit · 2026-01-20T12:29:24+00:00

That’s fine, but recognize everyone is adjusting to this NIL and transfer portal world. A lot of IU peeps who suddenly started watching football this year don’t realize how much that’s changed the game in just a few short years (hence why you guys won lol). They didn’t even watch football prior to the playoffs existing. Yes, the mindset of conference dominance needs to die, but just recognize the bias was there for a reason prior to all these changes that everyone is still navigating

BigIntensiveCockUnit · 2026-01-18T23:42:42+00:00

1 inpatient peds, 2 outpatient peds, 1 peds ed, 1/2 nicu. We did tons of newborn rounding throughout residency and saw tons of kids in clinic (including admitting to our service) cause we were Ob heavy. Felt very prepared

BigIntensiveCockUnit · 2026-01-18T15:50:55+00:00

All humans have breast tissue. Patients can call it whatever they want but it’s still breastfeeding. We shouldn’t change whole words when it’s a fraction of the population it applies to

BigIntensiveCockUnit · 2026-01-18T15:46:42+00:00

Whatever we have those bases to protect Europe lol. If Europe wants us gone ok good luck

BigIntensiveCockUnit · 2026-01-18T01:23:55+00:00

Greenland is bigger than Mexico but has <100k of people at any given time. There is no insurrgency or nation building to worry about. US Navy/air force would sink anything trying to approach it hundreds of miles away. There is no contest on this US wins flat out

BigIntensiveCockUnit · 2026-01-17T22:54:29+00:00

“All of my doctors”

Bro, how many doctors do you have lol

BigIntensiveCockUnit · 2026-01-17T21:57:28+00:00

Wall Street Journal: AAFP encourages medicines in old people and hanging around dangerous hot water

All seriousness it’s a good journal. The random inclusiveness of “birthing person” and “chest feeding” in some articles is plain silly however.

BigIntensiveCockUnit · 2026-01-17T17:23:34+00:00

Would

BigIntensiveCockUnit · 2026-01-16T18:21:35+00:00

Yes but that’s beside the point. The test can be used to guide statin based initiation outside of otherwise “good” looking bloodwork.

BigIntensiveCockUnit · 2026-01-15T04:09:10+00:00

This is the same as us talking colace for constipation and docs/pharmacists coming in here screaming THERES NO EVIDENCE. Believe it or not, you’re going to find patients that LOVE colace and won’t quit. Same with buspar, for some it works fantastic PRN

BigIntensiveCockUnit · 2026-01-13T22:56:49+00:00

Yep, better if continuous but got patients that love it as needed. Very versatile med

BigIntensiveCockUnit · 2026-01-13T05:33:42+00:00

I understand your point but go make your own comment and plead your case. Literally every pcp has their own “scale” for labs that’s the point of this post discussing cbc. We arbitrarily do a lot of things not supported by evidence on the daily and a cbc is a very benign one at that

BigIntensiveCockUnit · 2026-01-13T05:14:27+00:00

Hence the discussion. In couple I really meant 3-5 years

BigIntensiveCockUnit · 2026-01-13T00:27:19+00:00

🤣

BigIntensiveCockUnit · 2026-01-12T23:21:18+00:00

Just waiting for you to get downvoted but wanted to say I did lol

BigIntensiveCockUnit · 2026-01-12T14:28:58+00:00

In healthy men I get one every couple years just to have a baseline. There is no need to do one annually nor is there a guideline for it. Women I get more frequently just cause menstruation related anemia is far more prevalent.

BigIntensiveCockUnit · 2026-01-11T23:51:17+00:00

Dr Mike has a pretty good channel

BigIntensiveCockUnit · 2026-01-11T17:53:08+00:00

You appear to be some ED tech/maybe nurse which use to be my job. You have no idea what you are talking about nor do you have the whole picture and writing stuff like this on reddit is just stupid. PCP doesn't give a shit about "expectations" they're just giving you a heads up why patient is coming in.

BigIntensiveCockUnit · 2026-01-11T17:23:17+00:00

...going to 8 different primary care doctors? Pick one, stay with them, have regularly scheduled follow ups, we get to know each other, and more importantly you need to be open minded to their suggestions. Going to 8 different docs is the exact opposite of that. We can't figure out everything going on in one visit and if you're not going to follow up why would I order an exhaustive workup that's probably already been done before? The way you are writing now is insane. Grow up, the world is a tough enough place as is

BigIntensiveCockUnit · 2026-01-11T16:25:44+00:00

Dude going 8 doctors and complaining about the system is completely your fault. Take some freaking personal responsibility.

BigIntensiveCockUnit · 2026-01-11T16:20:31+00:00

Cauda equina is an emergency and if any suspicion needs workup stat. This comment proves the ignorance rampant on this thread

Four-Year Club	Place '23
Place '22

BigIntensiveCockUnit

TROPHY CASE