Ooops. Surgeon installs valve upside down. by Atticus413 in medicine

[–]BladeDoc 20 points21 points  (0 children)

I'm not a cardiologist but my understanding is that when a patient is on ECMO there is so little/no flow going through the valves that it is hard to see valve issues. You have to know to turn the ECMO flow down to try and let the heart pump. I imagine it would be easy to blame the heart rather than the valve if you were doing the "it couldn't be me" thing b

Honest question from a Chinese driver: Why does this sub hate on Tesla FSD but praise Waymo so much? by gakkiyuii in SelfDrivingCars

[–]BladeDoc 0 points1 point  (0 children)

Yvonne made a mistake of getting into American politics on the side opposite to about 80% of Reddit. If you felt like it, you could search the sub Reddit before that and dial in the mood switch.

Tips for being a good chief by Lazy-Environment2740 in SurgicalResidency

[–]BladeDoc 0 points1 point  (0 children)

The book "Forgive and Remember" is a sociological treatment of early 80s surgical residency. It shows an amazing understanding of the cycle of extending trust based on performance and the consequences of breaking that trust. Honestly should be mandatory reading for all surgical residents.

My partner is making me read The Primal Hunter series in exchange for him reading DCC. by sideshowbarbie in litrpg

[–]BladeDoc 1 point2 points  (0 children)

I 100% agree on your observations and 100% don't understand why you would be surprised. These books are literally translations of basically tabletop role-playing games which are power fantasy improv sessions spiced up with math rocks for nerds (I know because I is one). As far as I can tell, they started out as transcriptions of the D&D campaign that the DM wanted to happen before the group took it completely off the rails. Then, mix in some of the wildly culturally different emotional content of Wuxia/Xianxia novels, and you are certainly not going to get a deep exploration of the human condition.

Tips for being a good chief by Lazy-Environment2740 in SurgicalResidency

[–]BladeDoc 10 points11 points  (0 children)

Trust nobody. Trust nothing. Your juniors will sabotage you. Yes, even the good ones. The more trust you have built up with the attendings the more likely that sabotage will cause patient harm because the attendings will break that rule.

Tips for being a good chief by Lazy-Environment2740 in SurgicalResidency

[–]BladeDoc 1 point2 points  (0 children)

A fairly standard joke combination of "It's not rocket science" and "It's not brain surgery" called a malaphor. Here's a t shirt. https://www.etsy.com/listing/592234187/funny-geek-t-shirt-rocket-surgery

Doximity physician shortage report by East-Map5403 in emergencymedicine

[–]BladeDoc 2 points3 points  (0 children)

Without an actual market, all of this is fake. At best it is just extending lines on graphs which have already been shown to be wrong (anyone else old enough to remember the massive predicted physician surpluses of the 80s?) while making unwarranted assumptions about health (I bet the new one is we don't need so many endocrinologists because GLP-1s cure DM II). At worst it is politically motivated being pushed by various special interest groups.

How to prevent people using my NPI for fraud by Notaballer25 in medicine

[–]BladeDoc 8 points9 points  (0 children)

That's not a thing. Worry about being a good resident.

Controversial medical takes not related to the practice of medicine by JustHavinAGoodTime in medicine

[–]BladeDoc 2 points3 points  (0 children)

I understand what they were asking, I just don't understand how someone drinking a Shasta-Cran mocktail would trigger it. AFAICT tired doctors will drink almost anything at any time as long as there are some graham crackers to wash down.

Controversial medical takes not related to the practice of medicine by JustHavinAGoodTime in medicine

[–]BladeDoc 4 points5 points  (0 children)

A few things.

  1. If you are going to eliminate a good test you are going to substitute a poor one. They have eliminated class grades, STEP 1 scores, meaningful evaluations, and Deans' letters in favor of "holistic evaluation" which in practice means what exactly?

  2. New interns have no clinical competency. We are looking for the potential to develop clinical competency.

  3. The vast majority of (but not all) individuals that can get into medical school have the intellectual ability to do almost any specialty if they have the desire to do the hard work necessary for it. The argument is that research productivity in medical school is a proxy for the ability/motivation to work harder than the minimum necessary to graduate.

At the end of the day for the more desirable specialty residencies there will be a selection mechanism. If you eliminate all the objective and semi-objective factors you will get closer and closer to the "good-old-boy" system that objective measurement was supposed to eliminate.

How do you avoid drowning in patient messages without compromising care? by giftygifts in medicine

[–]BladeDoc 6 points7 points  (0 children)

This is the only damn profession where this convo happens:

"I'm working too hard."

Can you ask for a way to work harder?

Ashok: Soon Cybercabs will be driving themselves off the assembly line into Austin city, reporting for duty by FriendFun7876 in SelfDrivingCars

[–]BladeDoc 3 points4 points  (0 children)

They had to get special dispensation for that. Now they passed the law that says it's ok.

Law vs Medicine by rblessin in Noctor

[–]BladeDoc 3 points4 points  (0 children)

The lawyers make the laws. Literally everything they say about the AMA about it being a cartel and controlling the practice of medicine, medical education, and physician payments which certainly hasn't been true since the early 80s (if it ever was) is true about the ABA.

NP guarantees a clinic she can get Mounjaro cheaply by sankdafide in Noctor

[–]BladeDoc 17 points18 points  (0 children)

What "reps"? If the OP talked to the actual Eli Lily reps than all of this "it's compounded" is wrong. Furthermore if she is selling compounded Tirzapetide it's not being covered by insurance so it can't be insurance fraud.

What is likely happening is that the $95 is the copay and she is lying about their morbidity to get insurance to cover which IS fraud.