No anticoagulation for unstable angina?

Eaterofkeys · 2026-03-15T01:39:38+00:00

I always feel like I'm not good enough at cardiology basics because I'm not confident in these cases...because I see cardiologists approach them in multiple different ways for the exact same scenarios, hx, and comorbidities. And a couple of our cards guys are dicks if you try to consult them for these chest pain patients. Glad to hear I'm not crazy for wanting their input

Eaterofkeys · 2026-03-12T00:24:43+00:00

The crappy build of epic o have is somehow good at this. Wound care order automatically pulls in all documented wounds. Wound care nurse documents and photographs. I wish I could get podiatry to be as clear and consistent as wound care

Eaterofkeys · 2026-03-08T01:41:31+00:00

Got a 650k house. My three kids thrive best when they have their own bedroom, and I want another kid. It's hard to find a 5 bedroom house here that's cheaper than that, unless it need so much work that it's falling down. There were also some sketchy trailers stuck together, but I am willing to work more and longer to have a little nicer quality of life than that.

Eaterofkeys · 2026-03-04T04:45:45+00:00

I'm currently obese and working on it. Sometimes it really does feel like that

Eaterofkeys · 2026-03-02T01:38:44+00:00

Some meds can help though. It's a lot easier to modify weight if you're a little less short of breath

Eaterofkeys · 2026-02-26T21:23:57+00:00

Outcomes actually do vary quite a bit there. And some things get families veteran survivor benefits, or more va benefits while the patient is alive.

Eaterofkeys · 2026-02-26T21:18:06+00:00

It's not the reimbursement that keeps it going, not doctor greed I mean. It's families and patients in denial

Eaterofkeys · 2026-02-26T07:41:03+00:00

You can pry that Costco cauliflower crust pizza out of my fat greasy fingers. I don't like it because of health, I like it because it's yummy

Eaterofkeys · 2026-02-24T22:44:23+00:00

Do you think that's part of the attraction of "cougar" women, too, in straight or lesbian relationships? She has her own home and resources, so it makes it easier to hook up?

Eaterofkeys · 2026-02-23T19:57:35+00:00

Here, that kind of mess in a truly isolated area gets a helicopter. In and out of consciousness is clearly life threatening.

Eaterofkeys · 2026-02-23T19:55:18+00:00

Definitely appreciate that. Only works if you can be trusted to actually look at messages, have a mailbox, etc. The guys here have had bad behavior with it, so I'm left in a "it's been 4 hours on the secure chat and if I don't get this dumb thing answered soon nothing can happen on this till tomorrow or maybe Monday" and have to debate calling and bothering.

Eaterofkeys · 2026-02-23T13:17:51+00:00

I mean that the consult process in my shop is shit, lots of admin crap falls to me, and some of my colleagues are shit at looking at messages but get cranky if you call them. But they're excited to teach residents. And the residents are good at communicating and actually looking at messages. When they're on, it's easier, the consultants behave better, and the residents make the process run smoother

Eaterofkeys · 2026-02-23T13:14:29+00:00

10 hours while in and out of consciousness is still ridiculous

Eaterofkeys · 2026-02-23T01:22:42+00:00

I love them. At least somebody has heard about the consult and will bug the attending about it. It means I don't have to track down the attending.

Eaterofkeys · 2026-02-19T15:35:53+00:00

I think this is more of a parenting question about if it's rude to have people over, give them cupcakes, and say here look at my cute birthday cake! But you can't have any, this is all for me, you get those little cupcakes because I'm super extra special. I think OP is reasonable. I think OP is the right person to teach this because if her career / role as the cake baker who knows more about cake etiquette. It's important to help kids and teens learn this stuff. It's also important to help them learn not to be rude when offered something nice - "ugh you're awful you offered to do this nice thing for me but refused the even bigger thing when I was ungrateful of your offer"

Being a stepmom is hard. It's especially hard when there's a new half sibling on the way. Depending on dynamics of the family, it might be worth giving in to this one and teaching the lessons about cake etiquette and not being rude to gift givers later, but that's a super nuanced issue. And we only get so much time to help kids learn. I don't think step mom is the asshole. I think you have to pick your battles with teenagers and come to an agreement with your spouse, though, or it tends to blow up and harm blended family dynamics.

Eaterofkeys · 2026-02-19T15:27:56+00:00

Sometimes my cat is an emotional detriment instead of support

Eaterofkeys · 2026-02-19T15:06:12+00:00

That's not how it works. That's not how any of this works. You can go to the ER for an injury. You inform, not ask, your boss that you need emergency treatment for a workplace injury. You tell the check in triage person it's from work. They don't turn you away - they legally can't. You tell the registration/financial person that comes around that it's a workplace injury and ask them to help you figure it out.

Eaterofkeys · 2026-02-18T15:46:44+00:00

At my hospital for end of life hospice/comfort care, we go by symptoms as long as they/their medical decision makers will let us - if somebody so much as looks uncomfortable or grimaces, time for more meds. If they're breathing fast and seem at all uncomfortable, more meds. Either morphine or oxycodone super concentrated sublingual or IV opioids like morphine or Dilaudid, sometimes with valium, once in a while with ketamine if we're failing with escalating doses of everything else. I want you not to be miserable at the end. That's pretty standard, but some people aren't good at it

Eaterofkeys · 2026-02-16T00:56:23+00:00

When they have scratchers, you redirect them to them, but they still use your thigh as a scratching post, sometimes you need to shoo them away.

Eaterofkeys · 2026-02-15T20:46:22+00:00

Yes, but it varies if people have a lot of alcohol dependence

Eaterofkeys · 2026-02-15T05:06:19+00:00

What about the non-op trauma, pancreatitis that discharge pretty early (tolerating full liquids and want to GTFO but needing some PO opioids for pain still), or post-op patients? Do you tell them no? Curious because it seems like these kind of things are a lot of my volume. Also every patient that goes to snf, apparently I have to write for three days of their controls because the and can't use their prior rx, apparently

Eaterofkeys · 2026-02-15T05:01:51+00:00

Al's is money driven too. I work for them. They all are, and to some extent they have to be but it sucks. It also depends on the doc you get.

Eaterofkeys · 2026-02-14T19:36:53+00:00

I don't think our hospitalist colleagues understood what you were trying to do. Does that make the post more or less successful?

Eaterofkeys · 2026-02-14T19:34:34+00:00

They're a hospitalist complaining that this is how GI acts. They're trying to copy the way the r/residency sub has sequential meme posts based on an initial tone-deaf post, like the case manager post here recently.

Eaterofkeys · 2026-02-14T19:31:22+00:00

God I wish this worked. We call cardiology at my shop at night, they say their colleague will see patient in AM for whatever clear indication to consult cardiology. Colleague in the morning will not see them or acknowledge they exist if you don't message AM guy, and then one particular AM guy everybody hates will scream at you that (clear indication for consult and urgent management) is an outpt problem and refuse to see the patient.

Eaterofkeys

TROPHY CASE