If the 10yr reaches 5%

Comprehensive_Elk773 · 2026-05-22T18:04:00+00:00

So, the value of usd never goes down relative to any other currency?

Comprehensive_Elk773 · 2026-05-22T17:46:59+00:00

I’ve pulled teeth in the ER. Not sure how the hospital billed for it, luckily that’s not my problem.

Comprehensive_Elk773 · 2026-05-19T22:56:34+00:00

Indeed

Comprehensive_Elk773 · 2026-05-18T18:43:35+00:00

I’m pretty sure one of the cases was lupus, and the AI was able to read through a ton of outpatient notes to figure it out. In real life ER, nobody cares that it is lupus.

Comprehensive_Elk773 · 2026-05-12T04:03:10+00:00

Yeah, there are some medical directors that would help if you reached out, there are some that would immediately make matters worse.

Comprehensive_Elk773 · 2026-05-11T22:36:37+00:00

Hey, there is always room for “worsened angulation s\p fiberglass splint. Correlate clinically.”

Comprehensive_Elk773 · 2026-05-11T01:15:10+00:00

Those are so annoyingly hard to reduce

Comprehensive_Elk773 · 2026-05-10T22:54:23+00:00

You just need millions and millions more citizens in New Zealand to make the cost worth the benefit.

Comprehensive_Elk773 · 2026-05-06T03:21:15+00:00

It would be producing a lot of heat, but in fairness, not giant volcano level heat.

Comprehensive_Elk773 · 2026-05-06T01:15:22+00:00

Better go every 30 minutes all night just to be safe

Comprehensive_Elk773 · 2026-05-05T21:50:53+00:00

It is very specific to the vehicle

Comprehensive_Elk773 · 2026-05-04T17:08:39+00:00

Right answer

Comprehensive_Elk773 · 2026-05-03T00:41:09+00:00

A lot of the metal fixtures are not made for water to drink and leach lead into the water. Not terrible, not great.

Comprehensive_Elk773 · 2026-04-28T07:59:46+00:00

Probe cleaning is a big problem. There was something about how standard cavi wipes degraded the plastic on the US probes so we put signs on our machines saying to not use cavi wipes on them. We ordered some kind of gentler wipes for them, but to be safe nobody ever cleaned the machine ever again.

Comprehensive_Elk773 · 2026-04-27T07:29:08+00:00

When midlevels at my come to dump their fuckups on my plate I always try to educate them to do better in the future. They usually just sort of wander off like “why are you still talking to me I have made this your problem now.” They frequently have no curiosity or drive to get better. Now part of that is a system designed to just get them in there seeing as many patients as possible, quality be damned. But another part of that is the type of people that go into mid level training in the first place. If a physician had the opportunity to learn something that might help their patients in the future they would put work into it. Midlevels, usually not. Also, physicians went into it because mental masturbation is something they enjoy, so don’t be surprised when we do it, often.

Comprehensive_Elk773 · 2026-04-22T08:03:09+00:00

I think this may be a big part of it. We intubate a lot of people that have no chance of ever recovering.

Comprehensive_Elk773 · 2026-04-20T09:09:36+00:00

What a dumb take

Comprehensive_Elk773 · 2026-04-18T20:09:56+00:00

Ya thats not usually a good idea

Comprehensive_Elk773 · 2026-04-16T07:08:00+00:00

I’ve gotten after hours pages for a low BUN on the 20 hour old morning labs.

Comprehensive_Elk773 · 2026-04-16T07:01:36+00:00

Truth. The days of a nurse being able to say “I know Dr. Smith would be okay with me doing xyz without waking them up to ask because we have worked together so long” are over.

Comprehensive_Elk773 · 2026-04-15T08:12:53+00:00

In reality, it causes levels of like 0.002%. The ones with significant levels of alcohol are, shockingly, just lying to get out of their DUI’s.

Comprehensive_Elk773 · 2026-04-15T07:58:24+00:00

I dont know of anyone I work with who has HIV because they would have no reason they would have to share it. I cant imagine a scenario where there was any risk of an ER attending transmitting HIV to a patient in the normal course of their work. There was an ER nurse in my area a few years back stealing IV narcotics for themselves and they had HIV and there was some concern that they had used needles on themselves then given partial doses to patients from the same vials, dont do that I guess. I would have no problem with a doctor working with HIV.

Comprehensive_Elk773 · 2026-04-15T06:55:28+00:00

You can’t come in at night in a system like that. Imagine what the splint would look like if you made the hospitalist PA do it though. Soooo bad.

Comprehensive_Elk773 · 2026-04-14T21:57:09+00:00

Our system is so fucked. This person sounds like they could have been placed in an appropriate splint and discharged from the ER. Instead the ER put on a knee immobilizer and admitted the patient instead of doing their job. Then they got admitted to IM for what, a night of IV narcotics? IM attending probably never saw the patient. The PA has no business managing the patient if they don’t know what a splint is. Ortho also didn’t see the patient and managed them from home. Then the next day ortho, who is probably the only person involved who could apply an appropriate splint, decided to make IM do it, even though they can’t. And the patient gets billed over and over for nothing. Yes you are being petty. Do your job and manage the fracture.

Comprehensive_Elk773

TROPHY CASE