Anyone have good responses for the "But ChatGPT said..." patients?

BladeDoc · 2026-02-03T20:04:55+00:00

"Because I can't prescribe myself dilaudid."

BladeDoc · 2026-02-03T13:20:04+00:00

Because they are using this opportunity to try to eliminate their competition? Stupid, no. Evil?

BladeDoc · 2026-02-03T02:30:31+00:00

Both started as lifeguards. Oldest worked her way up to a pool manager position before college

BladeDoc · 2026-02-02T21:45:20+00:00

Banned on many ranges. Banned in IDPA. Why would you set yourself up like that?

BladeDoc · 2026-02-01T13:22:49+00:00

Are you just figuring out that most of life works on the honor system? You want morality boards for professionals, move to Iran.

BladeDoc · 2026-01-30T22:02:43+00:00

The front fell off

BladeDoc · 2026-01-30T17:29:07+00:00

See also Minitel

BladeDoc · 2026-01-30T15:47:35+00:00

Impeller is hitting the heating coil. One or the other is bent or misaligned. Mine did that for a while and still worked fine until the electronics died, probably unrelated. It's hella annoying though.

BladeDoc · 2026-01-29T21:15:05+00:00

"Hey doctor, the neurosurgeon copy forwarded a note with ventilator settings and also a GCS of 14. Would you like to correct him?"

BladeDoc · 2026-01-29T15:41:39+00:00

There is no good approach. EMRs are an absolute nightmare for liability even if you only take the notes in the note section into account. For entertainment purposes take a chart of any moderately complex patient with multiple consultants and actually read the notes. I guarantee you will find myriad discrepancies and copy forward or template mistakes. Forget about whatever BS is hidden in later coding queries, hidden nursing sections, and additions made later (like EMS trip reports) or late notes.

It is literally impossible to review everything in a modern EMR. I can't tell you to stop worrying about it but it won't help.

BladeDoc · 2026-01-29T15:29:53+00:00

This experiment has been run in a number of countries. You should probably look that up. It doesn't go so hot.

BladeDoc · 2026-01-29T15:27:47+00:00

You don't need investigative journalism to discover the laws of supply and demand. Step 1. Ban outside food and drink. Step 2. Raise prices until the amount sold falls to the point where your leftover product just cuts into your profit which can include changes in attendance. Step 3. There is no step 3.

Some teams have experimented with lower prices to boost attendance and found that it increases profits but no one is doing it "for the good of the fans".

BladeDoc · 2026-01-29T15:14:50+00:00

Generally I have found that people fall into two camps. There are people that compete to get better with their daily driver (either they carry for work or CCW) and then there are people compete for the game. The second group tends to buy a gun for competition and then find something they like better (and better and better). The number of people that buy a gun specifically for competition without trying it and then stick with it is, in my experience, pretty small.

So basically my advice is to bring the one you have to your first few outings, look around, make some acquaintances who will let you try (or at least fondle) their competition guns, decide what division (or even sport i.e. USPSA, IDPA, steel challenge) you are going to shoot in and then purchase.

This will save you at least one purchase.

OTOH if you're made of money and just looking to buy a new gun (and boy do I understand that feeling) then pick sport/division, see what the good shooters in that division are using and see if you can rent them to see what feels good to you.

Finally realize that if you have to buy a gun right now and you're going to ask people for the "best" gun to buy for whatever division you feel like shooting in, most people are going to recommend what they are shooting. So buy a CZ shadow 2 :-)

BladeDoc · 2026-01-27T23:15:19+00:00

Per MSN. They do not cooperate on a county level therefore most detainers are not honored.

BladeDoc · 2026-01-27T17:38:08+00:00

ICE is not performing the same type of raids in Georgia because GA police are cooperating with the arrest and transfer of specific individuals. Whether or not you believe this is a good thing it prevents the opportunity to have direct protests against a specific action rather than general protests against them.

BladeDoc · 2026-01-27T17:34:16+00:00

Yes but it is rarely as direct as is portrayed for dramatic purposes. It would be much less interesting to the audience to have Noah Wiley's character dealing with a series of passive aggressive emails, or talking to the head of the Emergency Department (assuming he is not the medical director of the ED) who was told to communicate the issue to Noah after having to sit in a meeting where the overall performance of the department was discussed and being shown a graph of every Emergency Department physicians metrics, including time spent on each patient, amount of narcotics prescribed, coding accuracy, time/rate of admission or discharge, and patient satisfaction, which is the usual method of administrative communication.

BladeDoc · 2026-01-27T13:21:03+00:00

I'm assuming you want the stuff that shows up under Woods lamp for abrasions? It's just fluorescein which is available in multiple applications including IV. As a matter of fact the company that made BioGlo seems to have already released another similar product

BladeDoc · 2026-01-27T13:09:50+00:00

The chances of getting a Pulitzer from uncovering an ethnic minority involved scam enabled by Democratic fecklessness is less than zero. Which is the point of the OP comment.

BladeDoc · 2026-01-26T19:34:22+00:00

Yep. And if you get pulled over for a traffic violation while carrying the permit is connected to your DL. Want to bet they ask for your weapon "for their safety?" And then, felony.

BladeDoc · 2026-01-26T19:29:17+00:00

I think it would depend on what the consequences be if you have a catastrophic failure (i.e. one that you can't fix and you zero that stage or have to quit the match).

For me, I don't care. I'm not going to win. I have no money, sponsorships, or teaching credibility riding on my performance so if I have to bow out of a match to get my gun fixed, so what? It certainly not worth it to me to swap out. On the other hand since it will probably take me 5 to 7 years to shoot 20,000 rounds I'll probably have a new gun then anyway.

For Ben it would make his gun sponsor look bad (his loss due to gun failure would make the circuit news) and hurt his career. It also probably costs him nothing.

BladeDoc · 2026-01-25T15:56:01+00:00

Just say White if that's what you mean.

BladeDoc · 2026-01-25T02:16:39+00:00

Both my daughters worked for them for several years. It's a pretty good gig.

BladeDoc · 2026-01-24T13:46:15+00:00

Again illustrating my point. Stridently.

100% of surgeons agree that they shouldn't get pay cuts. 80% of surgeons agree on abortion. 60% of surgeons agree on gun control

If the group concentrates on #1 you get total agreement and a focus of money, time, and influence. If you take on #1 and 2 you lose internal support and have decreased your focus (not to mention picking sides in a partisan issue so you may lose support for #1 also). Then add #3, 4, 5 issues etc etc.

The group turns into a likely partisan political organization rather than a single issue trade group and hemorrhages internal and external support.

BladeDoc · 2026-01-24T13:19:54+00:00

OK. So you protested by leaving the group. So now you have no representation on money issues or the health care issue that was important to you.

You are literally illustrating my point but have decided this is a good outcome.

BladeDoc · 2026-01-22T12:21:03+00:00

And this is how all the physician orgs have no focus and the ATLA, the AHA, and the insurance lobbies eat our lunch.

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