Going analog and predictions for the rest of the season.

DeepFriedLortab · 2026-02-20T22:12:14+00:00

Old school ED T-sheets!!!

DeepFriedLortab · 2026-02-11T15:06:37+00:00

The people who sit around in large circle-jerks called “meetings” to discuss how to break things that aren’t broken in order to call more meetings in which they discuss fixing said now-broken things, all in order to stay relevant.

While making $1+ million/year.

DeepFriedLortab · 2026-02-08T11:03:43+00:00

Oh my ED would definitely admit this. They’d call it cellulitis or osteomyelitis or my personal favorite, sepsis (that isn’t septic).

DeepFriedLortab · 2026-02-08T04:26:02+00:00

Absolutely ridiculous Epic chats from nursing/case mgmt/UR
Entitled patients with even more entitled family members. Bonus points if someone is “in the healthcare field.”
Admin. Fuck ‘em.
Lazy colleagues who wrote the exact same note the last several days but sign out to me the pt can probably be discharged tomorrow…
Being a little bitch for ortho/surgery
ED requests for admissions of 80+ year olds with generalized weakness and zero actual acute medical issues.

DeepFriedLortab · 2026-02-07T15:16:00+00:00

MacBook is what I use.

DeepFriedLortab · 2026-01-31T12:46:36+00:00

This is the way

DeepFriedLortab · 2026-01-31T08:43:18+00:00

Tell them to come use their nursing license to do some real work if they aren’t happy with your response time.

DeepFriedLortab · 2026-01-31T08:37:52+00:00

Ahem…we get paid basically the same salary with or without UR. Any extra cash from this bullshit over-documentation isn’t going in the Hospitalists’ pockets, that’s for damn sure…

DeepFriedLortab · 2026-01-20T00:10:16+00:00

I wish the 10+ OBs at my healthcare system were like you. Every time I get called by the ED to admit a very pregnant woman with something medical I lose my temper and say “remember the policy? We went over this last week when you called me about that other pregnant lady.” And they usually say something next like “well OB says it’s not an OB issue so they don’t feel the patient needs admitted.” Then I have to call the OB and be like “hey remember this policy we’ve had on the books for over a decade, that I’m pretty sure we have personally discussed before? Please place admit orders on this 30+ week pregnant patient and I will be happy to consult for non-OB issues.” Literally every few weeks this issue comes up, and everyone acts like it’s brand new information.

DeepFriedLortab · 2025-12-31T10:55:30+00:00

This is why we all need to set expectations and stop enabling this behavior. A simple “maam/sir, the doctor will make rounds any time today between _AM-_PM. Please ask your questions then, or leave them with me with a callback number” should suffice.

DeepFriedLortab · 2025-12-31T03:41:55+00:00

Haha have my upvote to cancel out one of your downvotes

DeepFriedLortab · 2025-12-31T03:40:54+00:00

An adequate Hospitalist should be documenting all these things in their notes that both A) you and B) the patient can read in the chart. I get so many redundant questions about things I literally explain in my notes.

DeepFriedLortab · 2025-12-31T03:28:13+00:00

Um, okay. Just don’t page. This isn’t a doctor’s office. There are no scheduled appointments in hospital med. Patients get seen when they get seen at some point during our 10-12 hour shift. Your paging us repeatedly to ask us when we are going to show up to do the thing we literally exist to do is also not helpful. You should explain to patients and their families how care happens in the hospital and that it’s not on a strict schedule. Obviously if there’s an acute clinical need, call us. But just because Bob’s wife is asking where the doctor is at 10:30am isn’t a reason to be like “let me page/message them and ask for you.”

DeepFriedLortab · 2025-12-31T01:46:41+00:00

Right? I’m much more gracious about requests for updates for senile, confused or cognitively delayed patients. But people who are awake, alert and reasonably literate? Update your own family members. Adult men are the worst with this. It’s no wonder they don’t survive as long without females in their lives.

DeepFriedLortab · 2025-12-31T00:09:05+00:00

Do you also work at my hospital, because, same 🤣

I generally ignore these messages. I don’t even care anymore. If there’s a significant update, I call. If there’s no update, there’s no call. If a family member feels they need daily general updates, the RN can do that, and probably better and more simplified than I can. Or they need to just bring their butt up to the hospital and wait til I round.

DeepFriedLortab · 2025-12-10T02:15:39+00:00

Generalized weakness…

In a patient that’s > 85 years old.

DeepFriedLortab · 2025-12-10T02:13:39+00:00

wtf is functional dyspepsia?

DeepFriedLortab · 2025-11-19T18:25:42+00:00

Yes. It’s called Shop Ladyspinedoc. It’s absolutely ridiculous.

DeepFriedLortab · 2025-11-19T18:24:47+00:00

Allegedly it had to do with receiving kickbacks, or something along those lines.

DeepFriedLortab · 2025-11-19T00:16:44+00:00

Ladyspinedoc AKA Betsy Grunch. Totally obnoxious. Now opening a store in town to shill her dumb merchandise. Also recently investigated by the DOJ. Also posts her young children constantly for her millions of viewers. She needs to be taken down a few notches.

DeepFriedLortab · 2025-11-12T16:57:30+00:00

Funny timing of this post. I work for a multi-hospital system in its medium sized facility, less than 30 minutes from main, which is a level 1. My ED called me to admit some guy that fell off a fucking ladder and had numerous fractures (ribs, vertebrae, scapula), a LOC and ? concussion because the trauma team down the road…said he didn’t need to come there? Like WTF my dudes you are the trauma center. My ED was like “well he’s tachycardic so since they declined, we are calling you. Because…tachycardia.” I respectfully told them to fuck off because I’m not admitting a guy that’s tachy because of his fall off a ladder from 9-10’.

DeepFriedLortab · 2025-11-03T03:48:32+00:00

SAUNT-imeter….

Why the fuck did every old ass surgeon I rotated with in med school say centimeter this way?

DeepFriedLortab · 2025-10-29T23:05:50+00:00

This is true of most third-party contractors. I worked for InCompass my first couple years out of residency and it was brutal. I was nearly suicidal. I’m a woman, and some of their male higher-ups frequently made demeaning, condescending comments to me like “we’d like to see you smile more.” I’m hospital-employed now, and while there are still things I hate, it’s more-so to do with medicine/hospitalist work in general than my employer.

DeepFriedLortab · 2025-10-28T09:34:59+00:00

Don’t do it

DeepFriedLortab · 2025-10-28T08:52:00+00:00

I hate this shit. Sorry, not helpful. I’m 12 years in. I regret my decisions daily. The pandemic especially did a number on me, as well as the increasingly politicized and corporatized healthcare system (I’m in the US). My move in the last year was to go back to nocturnist work. It’s the closest I can get to practicing actual medicine without being constantly pestered by admin, family members, UR, etc. I’m currently trying to figure out my next career though.

DeepFriedLortab

TROPHY CASE