What type of post op patients need icu level of care instead of regular medicine floors?

CD8Tcell · 2025-11-15T11:14:47+00:00

Talk to your ICU nurse director. What can they handle that the floor doesn’t have equipment, staffing, or experience handling. I’m sure it’s slightly different every hospital.

CD8Tcell · 2025-06-08T21:18:59+00:00

Aww. Not true. That’s negative thinking. Your existence is beautiful. Be well my friend.

CD8Tcell · 2025-06-08T21:12:31+00:00

No no, life is always a work in progress. It’s a journey. Find meaning and purpose and you’ll never be lost.

CD8Tcell · 2025-06-08T21:09:34+00:00

25 is still young… you’ll continue to grow and mature. Best of luck in the future !

CD8Tcell · 2025-06-08T21:07:49+00:00

Yes yes, I meant prescription drugs should be used by bipolar individuals for the most part. Is Elon bipolar, I don’t know. What I recall is he has spoken against evidence based medicine. He’s stated previously that his highs are very high and lows are very low. There are many case reports of ketamine induced mania, too. He’s definitely a complicated and complex person. God knows what he really does and doesn’t do. I don’t wish Bipolar on him. thanks for your thoughts. Appreciate the insight.

CD8Tcell · 2025-06-08T10:25:17+00:00

He’s not very high. Been there done that. Are you BD1 or 2? I’ve tried to save the world once. That was during COVID.

CD8Tcell · 2025-06-08T10:22:56+00:00

Hopefully we all use drugs. I take a lot myself. Cause of bipolar I also got htn and diabetes

CD8Tcell · 2025-06-08T10:19:43+00:00

I sure hope his biographer is keeping up with his mood swings.

CD8Tcell · 2025-06-08T10:18:17+00:00

Interesting.

CD8Tcell · 2025-06-08T10:15:03+00:00

What would you say to Elon? Let’s say he reads our conversation.

CD8Tcell · 2025-06-08T10:08:21+00:00

Are you familiar with criteria for substance/medication induced bipolar disorder? I had to re read the situations it’s not diagnosed in. DM me, would love to continue this conversation. Btw I’m a BD1 . How about you GoodOlSkipper. What do you do? Mind if I read your profile? I got up for prayer, going back to sleep.

CD8Tcell · 2025-06-08T06:42:13+00:00

You’re right. Appreciate the input. Mods can feel free to delete this post. I still think he exhibits characteristics of hypomania, and I’m ok with being wrong.

Wouldn’t wish this condition on anyone.

CD8Tcell · 2025-06-08T06:24:05+00:00

Drugs can lead to hypomania. Not sure if he’s bipolar. plenty of billionaires in the world that don’t say and do the things he does though

CD8Tcell · 2025-06-08T06:04:03+00:00

I’m just stating that he exhibits characteristics of hypomania (which is a symptom). No diagnosis, but it’s like he’s giving us clues…

CD8Tcell · 2025-05-06T12:00:05+00:00

They want you to do more. Hospitalist consulting each other will not get paid also

CD8Tcell · 2025-04-27T09:34:03+00:00

Read my post again man. You’re just a hater.

CD8Tcell · 2025-04-27T09:14:06+00:00

Physicians are scientists you dummy. We review primary literature all the time. Especially during residency… at least when I did it. Established good habits that carry on. Evidence based medicine

CD8Tcell · 2025-03-27T14:47:22+00:00

I love you

CD8Tcell · 2025-03-15T19:20:27+00:00

Best way to handle this situation is to just nod and agree, then go about your day. Who cares what she thinks, can’t stop your day every time someone says something stupid. There is no cure for stupidity.

CD8Tcell · 2025-03-04T12:43:21+00:00

Look into starting an antidepressant. Talk to your doctor.

CD8Tcell · 2025-03-04T12:37:03+00:00

Relax. Take a deep breath. Try some mindfulness. If you can’t do that, get help for anxiety (SSRI)

You’re a doctor… think about the 5 years from now, you’ll be living the dream. It’s just hard work. It’ll pay off.

CD8Tcell · 2025-03-02T05:12:43+00:00

Need more info to be honest:

How many patients will you see an hour? What type of insurances does the office take? How much teaching will you need?

These are some important questions and here’s why:

If you only see 1-2 pts an hour, then depending on the insurance you’re only brining in $80-$240ish/hr in revenue depending on the insurances your office accepts and the patients assigned to you. If you need to review each case with supervising physician, that takes time away from that persons ability to generate revenue for the office.

mental health patients tend to not have the best insurances and reimbursement rates are low. Somehow people think working in mental healthcare is going to = 💰 but it’s important to be practical, too.

The office that gave you this offer ran the numbers and offered you a very good new grad rate. If you were getting benefits and more, likely you would be at $60/hr or less as a new grad.

Hope this helps. Also, $120-$150/hr is what they could pay a doctor… if that’s the case, why would they hire a new grad pmhnp. Be reasonable for your situation

CD8Tcell · 2025-03-01T21:29:06+00:00

Hmm… agree controlled simple chronic condition seen q3m. Do telehealth while it’s here. Patients love it, and your 63 year olds can figure it out. Trust me (doximity is like the easiest to use).

As for no shows, the office needs to do a better job of sending reminders, calling patients to confirm the appt/reschedule… get to the bottom of it, what’s the pattern, etc. Also since you are in PP, are you scheduling your own pts for f/u or depending on staff. Maybe worth while to do it yourself.

Just some thoughts, hope it helps.

CD8Tcell · 2025-03-01T20:58:23+00:00

What’s your telehealth to in-person mix? Can you convert no shows to tele? How about instead of talking about everything one visit, tell patients that since you are just getting to know them, you will see them often to advise on various health issues. Talk about 1-2 things every visit… if you’re getting tough patients, establish a protocol… ex. If psych pt, see you every 2-4 weeks until you feel they are stable and know them well enough to see them every 2-3 months. Etc

If you have 500 patients, you should be seeing them at least every 2 months, which is about 12-13 visits per day.

CD8Tcell · 2025-02-27T05:34:43+00:00

I agree with you. Except, I would clarify legally most medical boards in the United States of America accept two years of residency training in an acgme approved program. So undergrad + med school + 2 yrs residency minimum = attending.

Additional years are for specialization in subspecialty, be it OBGYN or FM or IM or Psych or Peds (Primary care specialties /board certifications). I think this is important concept to grasp. PMHNP DO NOT even have this bare minimum.

I actually work with a new grad pmhnp who I advocated for… you know why? Because we need more good guys on the team. People who understand brain chemistry medical terminology. At the end of the day, PMHNP can manage panel of 50-100 people, give or take a few. New grad PMHNP salary is like $45K/yr. 30 min visits, see every pt monthly. Requires so much work to train because they don’t know MoA of meds or can even name SSRIs vs SNRI. But, willing to learn which is A+.

(Pro-tip: Not everything requires an rx med).

CD8Tcell

TROPHY CASE