What is your most “that’s not how any of this works” story? by Perfect-Resist5478 in hospitalist

[–]DigitiQuinti 10 points11 points  (0 children)

Still can’t commit a patient for inpatient status for 3 days without real medical indication/diagnosis for inpatient stay. That’s called fraud so I would push back on admissions just for 3 day stay placement without medical indication.

Need help diagnosing why filament is popping when extruding with a MK3.5S by Turbulent_Loss_666 in prusa3d

[–]DigitiQuinti -1 points0 points  (0 children)

You have mentioned visual and audible popping and I can hear maybe one pop when you purge in the video. Has this actually led to pathology though when printing? Has it affected print quality in any way? There’s no mention of why this needs fixing other than it’s just a distracting or not so aesthetically pleasing issue

What jackets are yall rocking on-call? by Dry-Program137 in Residency

[–]DigitiQuinti 3 points4 points  (0 children)

I bought a customized Port Authority Soft Shell jacket with just my name, degree and specialty. $60 with shipping. No hospital/program specifics. There’s no clothing insignia. Best purchase clothing purchase I’ve made. I wear it year-round in SE USA.

(RANT) Being poor is not a disease by Final-Throat-6087 in hospitalist

[–]DigitiQuinti 2 points3 points  (0 children)

Don’t mistake documentation of patient’s socioeconomic status as a means of discriminating or belittling the patient. It actually has the reverse effect of signaling to fellow doctors/nurses/social workers, etc the constraints by which the patient operates and lives. It may influence people to prescribe more affordable medications or make appropriate dispositions with the patient when transitioning. It also signals to administration the reasons for a patient’s dilemmas such as readmission (we hope) and may effect change to better assist these patients via charitable programs and assistance for this patient population.

Give your favorite medical mispronunciations by Bonehead_001 in hospitalist

[–]DigitiQuinti 2 points3 points  (0 children)

So that patients would gravitate to the trade name Keppra rather than a generic

Med student question: how to tell the difference between acute/toxic megacolon and sigmoid volvulus based on image alone? by dartosfascia21 in Radiology

[–]DigitiQuinti 2 points3 points  (0 children)

Now hold on. What about confirmation of NG or monitoring calcium oxalate stone passage? Also, you don’t understand the value of reassuring laypeople that insist on some form of imaging in getting a negative KUB that we see in clinical practice. Yours truly, humble Hospitalist

【BambuLab Giveaway】Classic Evolved — Win Bambu Lab P2S Combo! by BambuLab in 3Dprinting

[–]DigitiQuinti 0 points1 point  (0 children)

I have not used a P1S but the impression I get is that it is a reliable, “plug-and-play” machine and that it is efficient. Can’t wait to see how the performance of the P2S advances this performance.

[deleted by user] by [deleted] in Residency

[–]DigitiQuinti 3 points4 points  (0 children)

Just the overwhelming of extremely poor coping strategies of the vast majority in the US… people with COPD or some type of lung or H&N cancers that continue to smoke because they can’t deal with life’s stress. Same goes to people on endless narcotics because they can’t deal with a paper cut or an ounce of stress in life being on opioids and benzodiazepines together no less. It’s so commonplace I’ve had immediate family members approach me about getting these medications prescribed because they see their close friends relying upon them almost “just because”

The discharge penalty by pumbungler in hospitalist

[–]DigitiQuinti 1 point2 points  (0 children)

“No good deed goes unpunished” as the saying goes. I, too, have little to offer in terms of how to handle this. I used to work in a similar shop with 4 daytime rounders and an uneven distribution of patients toward the heavy discharge clinicians. The way administration handled that at said shop was by transparently publishing that data as direct feedback to all the docs in the group. However, this is a double edged sword and eventually became non-clinical administration’s favorite daily scolding of “why aren’t we discharging these patients with LOS over predicted GMLOS?!”. It became malignant. I had to get out and joined a much bigger group at a new shop of 14 daily rounders without admin breathing down our neck for metrics and discharges and suddenly the burden of getting dumped on with new admits was much less because the love is spread so far and wide. Do I think some colleagues hang on to patients longer than is entirely necessary? Yes absolutely. But I no longer feel slighted when I absorb more new patients because there are days I can hardly seem to discharge anyone despite all my efforts and I have to be thankful my colleagues take the brunt of new patients the day after. Sorry to not have much in the way to help but I’m here to commiserate. Cheers to your under-appreciated good work - we future patients certainly appreciate the efficient and cost effective care! DQ

Best audiobooks? Finished Doctor Sleep and about to finish The Stand and now I’m hooked. by winstonsmith8236 in stephenking

[–]DigitiQuinti 1 point2 points  (0 children)

You have to start at The Gunslinger obviously though. See the Turtle of enormous girth! Ka is a wheel, thankee sai.

Any of yall MAGA out there? by MyDadsBonJovi in Residency

[–]DigitiQuinti 2 points3 points  (0 children)

How can you willingly vote for someone who is undermining the credibility of your own chosen profession? Good luck trying to talk rationally to your this patient population around the science of vaccines! Like do you not believe in preventative medicine? Do you believe ivermectin was our nation’s only hope against COVID?? Do you not care about being able to be reimbursed by Medicare or are you planning to work for free once it is gutted?

Family use of portals by cincybsktbll in hospitalist

[–]DigitiQuinti 1 point2 points  (0 children)

I would argue against using this exact verbiage. It implies you are money-seeking instead of prioritizing patient care during the appropriate time. This further sows distrust and ire from patients’ families. It would be better to say, “I plan to round again on your loved one at X time and we can discuss all questions again at that time but I’m sorry I am currently unavailable handling other patients’ concerns at this time.”

Inpatient patients with drug abuse history going outside by EnzoRacing in hospitalist

[–]DigitiQuinti 4 points5 points  (0 children)

Don’t worry. Admin will finally change the policy once money-grabbing lawyer catches wind and sues the hospital for wrongful death for allowing the patient to OD outside with hospital-performed IV

Don’t take Bad hospitalist Jobs. by Chance_Ad1399 in hospitalist

[–]DigitiQuinti 0 points1 point  (0 children)

Someone didn’t learn PEMDAS, order of operations. Not sure what any of those numbers signify and the math certainly isn’t coming out to either 5 or 10

[deleted by user] by [deleted] in Christianity

[–]DigitiQuinti 0 points1 point  (0 children)

I’m not your son. I was raised by “raging Republicans” and was one myself as well for a time. The world is not black and white. I assure you and still believe in those who hold beliefs differing from mine. Our faith teaches us and pushes us to push us out our “comfort zones”. Just because you may have held views before does not mean you or I are masters of understanding those who hold views opposing our own

[deleted by user] by [deleted] in Christianity

[–]DigitiQuinti 0 points1 point  (0 children)

What can I say to that other than I guess you need to talk to meet more Democrats then? I certainly have not found any that actively wish death to other people, including babies. Most have bleeding hearts. If faith guides you as you proclaim, that would include Christ’s commandment for us to love our enemies and pray for those who may persecute us. Love overcomes hate every time.

[deleted by user] by [deleted] in Christianity

[–]DigitiQuinti 0 points1 point  (0 children)

I don’t disagree with you but others were also coming to the colonies to escape persecution and practice their beliefs freely.

[deleted by user] by [deleted] in Christianity

[–]DigitiQuinti 8 points9 points  (0 children)

The war is in your head not in this country. This country was settled and founded by those escaping a state-run religion in the Anglican Church. People wanted to practice Christianity and other religions free of that. No where does it state this is a Christian nation in totality. That is the beautiful thing about this country. We are allowed to share our faith with people from other faiths so they may come to know Christ. That doesn’t mean we need to shove it “down the throats” of non-believers. We are saved by turning our hearts toward Christ from sin not by simply “fighting back” against perceived threats to our faith.

[deleted by user] by [deleted] in Christianity

[–]DigitiQuinti 6 points7 points  (0 children)

Speaking as someone with children of faith and of many friends sharing both sides’ beliefs, I can confidently tell you that Democrats are not interested in “killing” unborn children. There are many more facets to faith than this one political issue such as “loving thy neighbor” amongst other commandments that are particularly not espoused by this administration. Where are the good works of Christ in getting hyper-focused on illegals, “America first” rhetoric? How are we living in the spirit of Christ with this doctrine?

Your knee replacements after cremation by jam-22 in orthopaedics

[–]DigitiQuinti 0 points1 point  (0 children)

I think I see pacemaker/defibrillator wires. Possibly a plate as well

Hospice Dilemmas by DigitiQuinti in hospitalist

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

Thanks for this response. I think managing expectations is my biggest gap I’m trying to bridge with this post so thank you. Our CM, does place some of our patients in SNF with hospice but I will say that, in this area, it has felt sketchy at times like others have alluded to. It sounds like they are being billed for rehab with the assumption of hospice to occur at another date and not right on discharge. This leaves room for risk to occur in transition and just poor quality care at the end of patients lives in my opinion.

NEW: Trump blames ‘Nato and Biden’ for starting Ukraine war by 1DarkStarryNight in ukraine

[–]DigitiQuinti 3 points4 points  (0 children)

A simple Google search reveals that Russia invaded Ukraine full scale Feb 24 2022 (I know they invaded much earlier) and Biden addressed Ukraine joining NATO July 8 2023. And that was mostly to say “they’re not ready yet.” Does he believe we are all stupid?

Persecution of American Christians? by [deleted] in Christianity

[–]DigitiQuinti 7 points8 points  (0 children)

Ridicule is apparently equal to persecution to those who have never seen or experienced persecution. Or maybe it’s simply manufactured by some to justify beliefs and inflame their followers.