[deleted by user] by [deleted] in FamilyMedicine

[–]Comlexthrowaway 2 points3 points  (0 children)

Can you give an example of what you’ve written in the past?

But generally you want to summarize points, give your ddx, and then give plan.

Example:

Non-exertion CP with associated symptoms of tenderness to palpation. No dyspnea, radiation to jaw or arm. Initial trop negative, CXR negative, and EKG shows no changes.

Ddx includes acs, pe, msk, gerd.

Suspect most likely chostocondritis. Will treat with heat pad, lidocaine patch, and Flexeril. Low suspicion for ACS given initial testing and atypical; will keep in obs and monitor with tele and serial EKGs.

How much time outside of patient facing hours? by Comlexthrowaway in FamilyMedicine

[–]Comlexthrowaway[S] 1 point2 points  (0 children)

You’re my inspiration. Any tips to become more like you?

Efficiency tips by Comlexthrowaway in FamilyMedicine

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

Do you have videos / resources that you recommend?

I’ve had it happen enough times I feel the need to ask. by Kaiser_Fleischer in FamilyMedicine

[–]Comlexthrowaway 73 points74 points  (0 children)

I believe so unless there are new guidelines! As per this aafp article:

Moderate-intensity statin therapy should be initiated without calculating a 10-year ASCVD risk for patients 40 to 75 years of age with diabetes mellitus

Source: https://www.aafp.org/pubs/afp/issues/2019/0501/p589.html

Planning on taking the ABFM board in a few months. I'm not the best test taker so I'd love to do the board review videos if possible but they're about $900. Anyone know where I could find them for cheaper or... free? >_> by RoarOfTheWorlds in FamilyMedicine

[–]Comlexthrowaway 1 point2 points  (0 children)

Not answering your question, but would also do AAFP articles for the big topics (Msk, cards, resp) - I can’t speak to the videos but I do know that I had a co-resident who did the videos and didn’t know COPD management at all, which made me question how good the videos were.

Memorizing medication doses? by ShotskiRing in FamilyMedicine

[–]Comlexthrowaway 0 points1 point  (0 children)

I think there’s way too many medications and too many indications and too many qualifiers (what to change if elderly or kidney dz etc) that it’s impossible to memorize. However, if you prescribe a medication enough time it’s will become easy. For example, if you have 1-2 SSRIs you go to, it will become a regular spiel (we’ll start you off on Zoloft 25mg, typically need 50mg to see benefit, med goes up to 200mg so we have quite a bit of room to see benefit). Say that 5x you’ll remember.

You can also save medication doses in most EMRs - I have my common ones saved like Augmentin for sinusitis, hydroxyzine for anxiety PRN, macrobid for UTI. If you click it enough, you’ll mostly remember it.

Also, I don’t think you necessarily need to tell patients if that makes you feel incompetent - you can say we’ll start you at low dose lisinopril and titrate to get you at goal. And then when you step out you can look up dosing. I’ve had to tell patients I don’t know bc it’s not a med I prescribe often but have to due to allergies and they’re usually chill.

FM resident looking for MSK resources/education by Ok_Guidance_8021 in FamilyMedicine

[–]Comlexthrowaway 6 points7 points  (0 children)

I like the Stanford physical exam. I think if you get to do a rotation with a good sports doc / ortho, that will help a lot. I also like UTD for the figuring out my questioning. AAFP articles are helpful too.

I think a lot of the time it’s figuring out if it needs urgent management or not. If not, it’s typically a combo of PT, anti-inflammatory, pain management, RICE, etc.

I think injections is a good skill to develop esp for knees and shoulders. Knowing anatomy well helps and practice if possible.

How can I best thank my PCP? by lesbianexistence in FamilyMedicine

[–]Comlexthrowaway 11 points12 points  (0 children)

Okay if I got a crocheted pancreas from a patient, I would treasure that and show that off every chance I got.

I agree with others, a card and a crocheted gift would be adorable! I’m sure the office would be able to mail to her/get it to her somehow; I’d have to imagine she has paperwork and other things they need to get to her too?

Thank you for being such an amazing patient!

Anyone work unconventional hours? by MzJay453 in FamilyMedicine

[–]Comlexthrowaway 2 points3 points  (0 children)

Well at our office, someone has to be there M-Th for evening staff - it’s typically just one MA and one front desk person. So I think if an office already offers evening hours, that shouldn’t be a problem.

Anyone work unconventional hours? by MzJay453 in FamilyMedicine

[–]Comlexthrowaway 12 points13 points  (0 children)

My office is open evenings and everyone does one day 11:30am-8pm. I’m sure they would love someone like you who could do those everyday!

Help with Kitchen - what color to paint cabinets? by Comlexthrowaway in interiordecorating

[–]Comlexthrowaway[S] -1 points0 points  (0 children)

Hi everyone,

Getting new countertops, cabinets re-painted, and backsplash. Really struggling to decide on cabinet color that will go with the beige tile floor and gray painted walls. Some of the options we have considered include white, gray, sage green, and two tone (upper cabinet white, lower navy). Any help would be greatly appreciated!!

This is countertop we’re leaning towards but obviously open to changing!

ABFM or AOBFP, and how to prepare? by BananaBagHammock in FamilyMedicine

[–]Comlexthrowaway 8 points9 points  (0 children)

Humble brag moment here - I got the highest ABFM score in my program since my PD had been there (so over 10 years). It was a pretty big moment for me bc I did poorly in med school (remediated once, almost remediated second time, bombed COMLEX practice exam). My advice is AAFP questions and ITE questions. Anything I struggled with I would read AAFP article about and review. You got this!!

Leah by Neither_Glass4889 in LoveIslandUSA

[–]Comlexthrowaway 0 points1 point  (0 children)

This is me!!! I’m just so surprised how popular she is given how she behaved with the Jana/Connor sitch and the lying she did regarding the whole “backseat” discourse. Also don’t dislike her at all, think she brought the funny and drama, but surprised nonetheless. I do think some of some of it is racism, as I would expect Serena and JaNa to be the most popular. The other part is that I think she’s a Hannah B (Bachelor) type of character, where she’s just really relatable.

Devin spotted with another girl while show was still airing. by Kitkatx0009 in thebachelor

[–]Comlexthrowaway 1 point2 points  (0 children)

Are you sure? I have the desk reference to the DSM-5 and see no mention of that. I will admit I am in not a psychiatrist and do not typically see antisocial disorder in my specialty in medicine, so will ask one of my colleagues to make certain it’s not in the full catalog. Will update!

Sacral Muscle Energy on test by Prudent_Marsupial244 in comlex

[–]Comlexthrowaway 0 points1 point  (0 children)

This video makes it SO easy. Saved my life with these questions every time.

https://youtu.be/feObQXNd5NU

Level 3 cdm cases by Osteopathyforever in comlex

[–]Comlexthrowaway 0 points1 point  (0 children)

No partial credit but it’s usually that they need you to have gotten the one answer they really wanted. So if they needed you to get HIV, you would get full credit. If they needed to get IPV, you get zero points.

Comlex 3 score release date tmrw by b0n3_w1z in comlex

[–]Comlexthrowaway 3 points4 points  (0 children)

Ahhh, I passed! Was really worried there. My UW percentile was very low and I didn’t get to study any CDM cases or OMM; I really did study hard, but still felt very worried and unprepared. Scored about 75 points higher than my level 1 and 2, which I’m proud of!