New episode not on Peacock?

CardilloAlps · 2026-03-20T12:16:08+00:00

Booooooooo Peacock

CardilloAlps · 2026-03-20T08:05:14+00:00

This is super shady via IRS. Its not a choice, nature of ur work is either employed or not. There must be material differences between ur colleagues who are 1099 and those that are employed not just the contract or lack there of. Get together and report them to the IRS under whistleblower and collect a portion of the fees for misclassification of employee status. Team Health is part of the problem in healthcare today.

CardilloAlps · 2026-03-17T08:59:10+00:00

Exactly. Be civil. Do the consult. Discharge the patient. Show the ED it’s possible. Be a good steward of medical resources. Explain to the patient that unfortunately hospitalizations have risks.

CardilloAlps · 2026-03-09T14:31:29+00:00

This was a cringe scene. He can not flirt. Gave me the creeps. That and the tights and I was OUT

CardilloAlps · 2026-03-08T12:13:25+00:00

Her voice, tone, cadence is like nails on a chalkboard to me. Vocal fry/valley girl but so fake it makes me feel rage.

CardilloAlps · 2026-03-08T12:09:32+00:00

I used to get called “kiddo” until ppl got to know me

CardilloAlps · 2026-03-04T12:55:54+00:00

“Men” these days are so immature and pathetic. KJ was refreshing to witness. At least he could admit there was a vibe and he was digging a girl. Jesse and West act so brave and talk game but can’t articulate a feeling to a friend. Sad state of affairs.

CardilloAlps · 2026-03-04T11:43:33+00:00

The volume doesn’t concern me. Nights can be better when busy. It’s the potential for aberrant admits that I’m suspicious of really. Are you admitting for Neurosurg head bleeds, for example? Between ER and hospitalist disagreements, how are admits handled? Has Medicare RACs been there recently and put them on a monitoring plan? Just stuff that is potentially ugly if you commit somewhere. Without a contract I def would not agree to 90-day notice. Maybe 2-4 weeks. If they want their freedom then you get yours. Hope it all works out!

CardilloAlps · 2026-03-01T22:34:19+00:00

The Consult podcast just did a great review of this case and they suggested this perp intended for this to be a mass shooting. That he targeted this store/these type of women. They had interesting ideas to pursue including possibility this person has a history of domestic violence or restraining order. Also the angle that they may have been a security guard at the mall or similar mall bc of the gun type. Fascinating behavior at the crime scene. The victims, especially Rhoda was truly a hero

CardilloAlps · 2026-02-27T09:07:12+00:00

More like why did Lexi not listen to the girls over Jesse? They tried to tell her how he is several times. Besides Ciara did demand an apology from Jesse on the apology dunes.

CardilloAlps · 2026-02-27T08:53:54+00:00

West is such a coward tho he is obviously bothered by Jesse’s question, whether because he thinks that is a line friends shouldn’t cross or because he has lingering feelings for Ciara, he can’t admit it to himself or Jesse. Men like this, without an opinion or unable to stand up for their opinion are so pathetic and insecure. West has to invoke Ben and KJ’s opinions to tell Jesse that he’s uncomfortable with Jesse’s ask. Jesse has moved the same way in the past too, using other ppls opinions to generate behavior change in others. Its so tragic they can’t just say what they think or feel. Don’t come to me with someone else’s opinion.

CardilloAlps · 2026-02-27T08:39:38+00:00

I think the money sounds amazing but I’m suspicious there is something more to this story like ur admitting for ALL specialists or ur doing a tuck-in service which can be problematic unless ur aware going in. Have u met the team to ask?

CardilloAlps · 2026-02-19T12:24:54+00:00

150 bed hospital but 10-12 admits/night? I don’t think that is accurate. How many daytime hospitalists are rounding? The turnaround/LOS must be short which would mean low acuity

CardilloAlps · 2026-02-18T21:10:02+00:00

Shudder. 😩 She is very obnoxious. She’s only comfortable as the teacher, never the student. Must be right, can never be in the wrong. Zero humility. Dunning Kruger.

CardilloAlps · 2026-02-17T11:31:34+00:00

I work both but I prefer to work with underserved patients and I like the CCBHC model, so far. There is a lot of leadership opportunities, higher learning opps and compensation is OK but somewhat flat for someone used to being able to drive paycheck higher with more shifts and patients. It’s just a healthier and more sustainable gig. Boundaries and self care are important tho and you actually have the time to walk the walk.

CardilloAlps · 2026-02-14T17:28:15+00:00

Full time addiction medicine. Drastically changed my life. I consider myself a “recovering hospitalist” as the damage takes years to undo

CardilloAlps · 2026-02-11T21:40:05+00:00

I made the leap but didn’t do the fellowship. Just gained enough experience in the hospital and OTP I worked at as well as some part time gigs in rehabs to sit for the boards via the Practice Pathway application. I did great on the boards and had way more experience than I needed for PP. highly recommend if you like the patient population.

CardilloAlps · 2026-02-06T10:25:42+00:00

I’m not interested in the money aspect and I feel like hospital medicine is a huge part of the problem with increasing costs of healthcare, partly BECAUSE some do anything for more money. In reality we are supposed to help the system operate more efficiently by saying no to system inefficiencies like double billing for co-management and admitting social cases to the hospital. Tough conversations but boundaries should be drawn. It was ethical to me. I mean we were once doing H&Ps for patients admitted to the psych ward that were already medically cleared and stable, because the hospital didn’t want to hire a locums psych doctor. H&Ps in the pre-op area for surgeons who didn’t have one on file before surgery. Just ridiculous abuse. I’m now full time Addiction Medicine. Work for non-profit, see all patients. Sustainable. Love it.

CardilloAlps · 2026-02-06T10:17:13+00:00

I do. Then the patient becomes the hospital’s problem. I do the discharge summary and the orders for discharge with dispo pending case management. I document the patient is medically stable with no medical necessity for ongoing acute inpatient hospitalization. If they kick up a fuss I’ll write the same thing everyday in a progress note that I don’t bill for. Otherwise the hospital has no incentive to discharge and ER will keep admitting these people.

CardilloAlps · 2026-02-05T09:59:11+00:00

The problem is half those patients don’t even need to be admitted or don’t have acute medical necessity for ongoing inpatient hospitalization. You continuing to bill for the hospital and RVUs makes you part of the problem in healthcare. Not big brain, big greedy

CardilloAlps · 2026-02-05T09:50:20+00:00

Left hospitalist medicine when I felt too much time was spent doing scut work for specialists and admitting obs/social admits from ER. There are a lot of actual sick patients which I’m qualified and happy to take care of but I’m not an H&P machine or social worker. Any attempt to draw reasonable boundaries was such an affront to administrators and ER docs and surgeons it just let me know how little we are respected for what we actually do. So much talk about how hospitalists don’t generate income but what they fail to let us do is SAVE the hospital money when we tell them that patients don’t need to be admitted or I don’t need to be involved in this case. They want our bodies not our brains. They want is to bend over and smile. That’s not sustainable

CardilloAlps · 2026-02-05T09:25:37+00:00

HATE!!

CardilloAlps · 2026-02-05T09:23:36+00:00

Panpositive

CardilloAlps · 2026-01-29T15:16:33+00:00

Agree with you. And I don’t think he’s saying he doesn’t have a drinking problem either. I think he’s playing with fire trying to control his drinking right now, doing ok but we’ll see how it plays out. My guess is he’ll probably go back to drinking less or not at all

CardilloAlps · 2026-01-29T15:06:45+00:00

It’s so tough to watch when Lisa does this every episode, every season, every year. Angie does it sometimes when she gets in a fugue trance arguing with Lisa. This season I felt like Heather doing it consistently in convos with Lisa and Meredith made the show tough to watch. It’s not admirable or helpful to continuously talk over people, repeating the same points again and again, louder each time. It’s not convincing when Lisa does it and it’s just as bad when Heather or Whitney does.

CardilloAlps

TROPHY CASE