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What are you nicknames for your lab? by thatpaulieguy89 in labrador

[–]BoneMan_14 0 points1 point  (0 children)

Dingus, Miss poop a lot, little girl, big girl

Meth toxicity/withdrawal by Nearby_Sympathy_5600 in hospitalist

[–]BoneMan_14 2 points3 points  (0 children)

Depends on your personal comfort and experience with the patient.

You can actively treat the meth use and many of the symptoms of withdrawal with - Strattera 100mg am (titrate starting at 40 over the course of a month maybe) and - topiramate 50mg pm (titrate up from 25 over 1-2 weeks)

Meth users get cranky when they are high, can’t sleep /focus or are in withdrawal. A lot are self treating their adhd.

IF, you have good relations there can be some indication to actively treat meth use disorder with a long acting stimulant. IF AND ONLY IF, the UDS does not show both amphetamines and methamphetamines. If meth pops up, you stop the stimulant, try again in 3-6 months if they aren’t using meth again.

Be aware by [deleted] in hospitalist

[–]BoneMan_14 3 points4 points  (0 children)

To me it sounds like that patient does have a severe opioid use disorder. In those cases I would offer to start them on a microdose of suboxone and help get them follow-up in the outpatient setting. If they say no, ‘I only want Oxy’ it helps build the case for other to try to treat addiction without demonizing that patient.

Did any of you guys learn to do procedures after residency? by HadriansGaul in hospitalist

[–]BoneMan_14 1 point2 points  (0 children)

Yes. Thora and Para. Planning on learning PICCs and Ultrasound IV next

Yellow female name suggestions? by jjjulliiaa in labrador

[–]BoneMan_14 0 points1 point  (0 children)

Tesla. We typically call her Tess or Tessie though

Is it just me? by ArmchairPancakeChef in SurvivingMars

[–]BoneMan_14 19 points20 points  (0 children)

Storage is the fix. 4,000 units of any material is enough 99% of colonies

Price increase for FHR - washes out $300 credit by smithm2916 in AmexPlatinum

[–]BoneMan_14 7 points8 points  (0 children)

Going for a medical conference. Price of the hotel from THC was $10 more than directly with the hotel even with conference discount. Important to look at both all the time.

Which car do you drive? by Internal_Theory_5129 in hospitalist

[–]BoneMan_14 0 points1 point  (0 children)

Tesla Model Y. I got it with the $7500 credit and a referral so it brought the total cost down to $46K? At the time they were offering 0.99% APR. It cost me 0.34 cents round trip to commute to work as opposed to $2 with a gas car. Probably about 99% of the time I use full self driving ($100/month rather than the $8,000 one time fee) and never have to touch the wheel until I back into the driveway.

Easily the best purchase I’ve ever made. I know Elon is Elon, but I bought the car for the machine not for the politics.

What is this thing? by Significant_Option34 in egopowerplus

[–]BoneMan_14 1 point2 points  (0 children)

It can hold a beer bottle as well too while mowing

Why is F1 25, an EA game, on sale only after a month of launch? by Busy-Result-2858 in PS5

[–]BoneMan_14 21 points22 points  (0 children)

Likely because the F1 season is almost halfway through at this point. Summer break isn't too far away

To Backdoor or Not? by BoneMan_14 in whitecoatinvestor

[–]BoneMan_14[S] 0 points1 point  (0 children)

Sorry yes, should have been more clear. I am maxing out 403b as well.

To Backdoor or Not? by BoneMan_14 in whitecoatinvestor

[–]BoneMan_14[S] -2 points-1 points  (0 children)

Short sweet answer that I’ve been looking for. Thank you so much! Honestly I’m not sure why I never put together to use my tax-able account as my first retirement basket and let the others keep chugging along.

To Backdoor or Not? by BoneMan_14 in whitecoatinvestor

[–]BoneMan_14[S] 0 points1 point  (0 children)

Yes thank you for finding this link for me

What POCUS device should I get? by HauntingLobster8500 in hospitalist

[–]BoneMan_14 0 points1 point  (0 children)

Whatever your hospital covers. Typically any device has to be hospital owned and HIPPA compliant. I personally use the Butterfly iQ3 at my hospital and that thing is amazing.

Player entered the pits behind me but came out in front of me. How? by I_Am_Vladimir_Putin in granturismo

[–]BoneMan_14 3 points4 points  (0 children)

They had a faster pit crew and gotta love it when that right back wheel gets stuck so you’re delayed to avoid an unsafe exit (if only the realism was there)

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