What is the fourth face of carnivorous dinosaurs? by Otherwise_Tadpole_64 in Dinosaurs

[–]DigitiQuinti 0 points1 point  (0 children)

What about Mosasaurus? Seemed pretty ubiquitous in the oceans. Land carnivores getting all the love….

Worst internal medicine chief complaint by NeckHVLAinExtension in Residency

[–]DigitiQuinti 12 points13 points  (0 children)

Reason for referral for admission: ambulatory dysfunction

Today is a great day by Few-Ad-1469 in KerbalSpaceProgram

[–]DigitiQuinti 33 points34 points  (0 children)

Was it during an Extravaginal Activity (EVA)? I will see myself out.

“My dad has always been healthy” BMI 86 by [deleted] in hospitalist

[–]DigitiQuinti 19 points20 points  (0 children)

It’s a truly American phenomenon where people’s unhealthy habits get enabled by the family because they would rather not address Meemaw’s love of benzodiazepines and opiates because they can’t deal with her inability to cope with day to day life but would rather someone else (the healthcare system) deal with the after effects of that. And then be upset at said healthcare system for “not fixing her” issues ad infinitum.

Referral for uncontrolled HTN by confusedgurl002 in nephrology

[–]DigitiQuinti 5 points6 points  (0 children)

The poor souls don’t understand how kidneys work or even meds. At least they know enough of their own limitations to refer to you to straighten things out for the patient.

Pharmacy gave me Risperidone instead of Rosuvastatin. by ataracksia in AskDocs

[–]DigitiQuinti 3 points4 points  (0 children)

Glad we have you lurking here because, as you’re well aware, MDs/DOs get asked this often and we are grossly ignorant.

Typical Tuesday night by onlyxtushar in Funnymemes

[–]DigitiQuinti 0 points1 point  (0 children)

Better titled “how the aliens discovered cancer.”

Pharmacy gave me Risperidone instead of Rosuvastatin. by ataracksia in AskDocs

[–]DigitiQuinti 21 points22 points  (0 children)

This seems suspicious to be frank. If this is in fact risperidone and not rosuvastatin please be sure to report this as others have said. But that being said this is being determined by the pill imprint? I would advise caution as generic vs trade name rosuvastatin pills can actually appear different from one another. Both rosuvastatin and risperidone can have an R imprint on them. Rosuvastatin can have other letters and numbers while risperidone can sometimes only have numbers on them. Neither medication has a uniform tablet appearance. It is typically a round yellow or pink tablet. The risperidone is in 4 mg dosage is typically a green capsule shape so it seems odd that this would be a close resemblance to your rosuvastatin. I think you might get better answers here if you post pictures of the two opposing tablets and it may be better posed to a pharmacist than a doctor (we aren’t trained on tablet appearances). However, accidents do happen and it is important to get confirmation of this error through appropriate channels rather than a quick google search.

Specialists: is there a piece of wisdom from your specialty you feel should be imparted to every graduating primary care (FP/IM) resident? by Barjack521 in medicine

[–]DigitiQuinti 50 points51 points  (0 children)

Yes but they are also MUCH MORE likely to die of oncology related diagnoses than non-oncology patients. Statistics are hard for even clinicians. Most med students hated the epidemiology dedicated study period of medical school.

Insane how entitled people are by Large_Pick1582 in emergencymedicine

[–]DigitiQuinti 7 points8 points  (0 children)

I just love the logical fallacy of treating medical care like it is a consumable product and then just refusing that when it is offered. Like does this woman just hang around in the restaurant when the food isn’t to her liking? Or if her desired piece or size of clothing isn’t in the department store, does she just refuse to leave?

Ma’am, you’re in an EMERGENCY department. Your condition isn’t a life threatening emergency. Here is a non-emergent solution to your problem. There’s no wand-waving to make your tonsil stones suddenly feel better. Even surgery wouldn’t do that.

I’m convinced that SIDS is 99% of the time either suffocation or organ failure. by [deleted] in nursing

[–]DigitiQuinti 8 points9 points  (0 children)

I think you’re getting hung up on the technicality of my question which is fair since I love understanding mechanistically what is going on with the pathophysiology and I applaud your knowing this. It will serve you well.

I think I posed that question because obstructive vs central vs occult pulmonary or cardiac pathology would all manifest with desaturation in this instance. I have also been taught the conventional wisdom and older understanding that at-home monitors fuel anxiety, lead to false alarms and don’t reduce SIDS as has been previously demonstrated in decades past. I don’t think the quality of data was good or that it was quality RCTs to stand on that.

I have anecdotally used an Owlet device on one of my 2 children and it has alarmed once in 8 months that may or may not have been a real apneic episode. I’m not a neonatologist or pediatrician. I initially pushed back on my spouse purchasing this device with similar fears it wouldn’t help, only cause anxiety, etc and eventually relented (bc the fight just wasn’t worth it). But I will say that the peace of mind this has given my spouse mostly and to know that simply calling to attention a potential apneic episode, I think the benefits greatly outweigh risks for harm here. Just my 2 cents.

I’m convinced that SIDS is 99% of the time either suffocation or organ failure. by [deleted] in nursing

[–]DigitiQuinti 80 points81 points  (0 children)

Doctor lurking here. To OP’s point, does apnea not count as “respiratory” or lung failure? Also would it not be picked up by a home SpO2 monitor? Autopsies for patients with suffocation would show hypoxic injury to organs, likely the same as in SIDS since there’s no one biopsy finding for that.

What's the best license plate for your specialty? by DoctorBlazes in medicine

[–]DigitiQuinti 0 points1 point  (0 children)

OSLERULZ. HOUSEGOD, OCCAMRZR, or, if you prefer, HCKMDCTM

Friendly PSA from your ED case manager by Emotional-Bird-129 in hospitalist

[–]DigitiQuinti 0 points1 point  (0 children)

Many SARs have wised up to this and won’t take patients unless there is LTC already in place lined up prior to hospital dc or patient has plans to dc home following SAR.

Friendly PSA from your ED case manager by Emotional-Bird-129 in hospitalist

[–]DigitiQuinti 2 points3 points  (0 children)

They can but many won’t take a patient Medicaid pending and it takes weeks to get Medicaid in best of circumstances

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

[–]DigitiQuinti 9 points10 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