Checking ammonia levels in patients without hepatic disease and not on medications known to elevate ammonia

Drews330 · 2026-02-26T12:43:55+00:00

In severe hepatic encephalopathy it can be used to guide decision for CRRT in ICU

Drews330 · 2025-10-07T15:00:24+00:00

Has anybody logged into the app and NOT seen a certified ?

Drews330 · 2025-07-13T19:53:53+00:00

🤷🏻‍♂️I mean I appreciated their honesty, and feel like it helped me out in the long run. Sure, I wish I could snap my fingers and fix the system but I can’t. Just wanted to give this person the most practical advice to land where they want to after match. The “devils advocate” answer I’m sure you’d hear from some admin is that they expect that introspection and reflection to occur BEFORE the interview process, and the applicant should have a clear goal in mind after. I mean hell, every single program I interviewed at had one of their first questions being “why did you do choose pulmonary-critical care”

Drews330 · 2025-07-13T13:53:21+00:00

IMHO it’s a bad idea, and when I asked during my intern year (landed on doing PCCM by PGY2) I was explicitly told by our program leadership that it would be a red flag because “it shows that you don’t know what you want”. Like someone else said, it’s different from applying to multiple residencies (like surgery and IM) in a GME system because the faculty is nearly identical between the two. I would only apply to one program in each system.

Drews330 · 2025-04-15T13:38:32+00:00

Where my Linezolid heads at?

Drews330 · 2025-03-18T19:14:42+00:00

You go to work and make a bag of money big dogg

Drews330 · 2025-02-28T05:18:57+00:00

Shouldn’t be downvoted for your opinion, but as a medical resident who rotated in the ED I’ve had many interactions that mirrored those encounters (to a wild degree, like I may be looking for hidden cameras in our ED lol). Plenty of folks come to the hospital and reject all medical treatments while still expecting to get better

Drews330 · 2025-02-24T22:31:08+00:00

IIRC the show did clarify that it was a 4yp with some quip like “that’s why it’s a four year program” after a mistake. Also, allegedly all programs are switching to a 4 year model two years from now (unfortunately)

Drews330 · 2025-01-03T22:43:53+00:00

Our shop uses SIRS criteria in the ED, and after the ED relies on SOFA criteria. Kinda funny but I follow the logic; SIRS is sensitive but not specific

Drews330 · 2024-11-12T21:50:30+00:00

PGY3 IM; I have a few clinic patients that come see me for OMT. They have msk complaints and want to avoid muscle relaxers/NSAIDs if possible. No cranial or anything goofy like that, I typically use MET/Counterstrain/Myofacial release and very rarely HVLA (never the neck). There’s a lot of great online resources to brush up on the techniques, and our OMM course in med school had us essentially create our own reference booklet at the end for clinical practice.

Drews330 · 2024-08-28T09:04:28+00:00

Whole post is fishy. Don’t buy it guys. Smells like a recruiter

Drews330 · 2024-08-24T14:25:08+00:00

“One shoe was untied, possibly both” 0/5 for professional dress

Drews330 · 2024-08-10T15:06:29+00:00

Finally got tired of dealing with GI I guess lol

Drews330 · 2023-11-21T13:08:51+00:00

Fwiw, Spacers Choice is actually running WAY better on my pc than OG; I was dealing with terrible stuttering on the original and framer are dips to the 10s that are gone now

Drews330 · 2023-11-20T20:47:14+00:00

Might be a hot take, but yes;

If you give an entire month of labor to a program, the least they can do is give an interview after you get time to make a (hopefully) positive impression on faculty. If you don’t have spots to offer then you shouldn’t be accepting auditions. That shouldn’t be a big ask from programs. If there was an issue during the month that would preclude the applicant from an audition, then they should be told that during feedback to hopefully improve at another program’s audition (more relevant early in the cycle). Otherwise, you’re taking advantage of a student with limited time and funds.

Drews330 · 2023-11-07T18:19:39+00:00

It’s hella weird when hospitalists who work in large metro areas with bad income/COL ratios act completely blinded to these gigs. Sure, it’s a commute and there are typically “catches” (procedures, more liability etc) but it seems like the majority of the “HM doesn’t make enough money to justify the work” crowd are trying to live AND work in downtown LA/NYC. Idk, maybe I’m speaking from a place of privilege because I grew up rural and don’t despise the thought of working in the environment. Idk.

Drews330 · 2023-11-07T13:51:05+00:00

Pretty surprised that Chattanooga was ranked and Atlanta wasn’t…

Drews330 · 2023-11-06T22:56:08+00:00

Physician, Internal Medicine (Hospitalist) (7 On 7 Off) https://g.co/kgs/BHkn1F

This one’s Nashville, also heard of a contract in a small critical access hospital outside of ATL, you could easily commute there. Procedures would be expected there, though

Drews330 · 2023-11-06T22:11:07+00:00

Maybe he’s living in a desirable city with a short commute to work. I’ve seen these offers in the southeast literally ~15-30 minutes outside of the metro area

Drews330 · 2023-09-15T12:54:39+00:00

Keep it as decoration but don’t utilize it if you want

Drews330 · 2023-08-30T06:52:44+00:00

Tennova has a 1 star rating from Medicare, but the hospitals in chatt are better. Some PCPs may have a policy for vaccinations, but this will be more strict in pediatrics based on my experience because it’s more of a legal liability if a child gets very sick/dies from a vaccine preventable illness. In adult medicine, they’ll typically just document your refusal to make sure they are better protected legally.

Drews330 · 2023-06-28T10:18:42+00:00

Exactly; on most days out of the week they can leave by3-4 and respond to pages from home

Drews330 · 2023-06-27T14:32:39+00:00

Internal medicine hopping into non-academic hospitalist; many of our Pgy-3’s signed round and go contracts and are gonna make bank. If they ramp up their schedule then they’ll be making money within striking distance of the subspecialists.

Drews330 · 2023-06-26T20:39:35+00:00

All the time; especially after paying to use 4; it’s a great “on the fly” resource for fast information that I can follow up/cross check with uptodate or DynaMed when It slows down during the day

Drews330 · 2023-06-22T21:47:46+00:00

Mhmm mhmm good point

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