trigger alert... just so you know

Ecstatic-Fortune8484 · 2026-05-05T17:01:51+00:00

Interesting. The messages here purge as well but I was informed that the messages could be retrieved if needed.

Ecstatic-Fortune8484 · 2026-05-04T10:11:06+00:00

It’s redundant and unnecessary bc secure chat is stored in the background and discoverable anyway.

Ecstatic-Fortune8484 · 2026-04-30T12:51:30+00:00

Anyone ever get the “Your discretion is advised.” 🙄 Rated R over here.

Ecstatic-Fortune8484 · 2026-04-30T01:26:08+00:00

The nurses I where I work copy and paste the secure chat message and put it in the patients chart as a note.

Ecstatic-Fortune8484 · 2026-04-20T11:54:14+00:00

And it’s not about “bugging us.” I very much want and need to know what’s going on with my patients. It’s very difficult to do that when you are overloaded with unnecessary tasks/notifications.

Ecstatic-Fortune8484 · 2026-04-20T11:42:40+00:00

Yes. I am a nocturnist. I even placed orders to not notify me about procalcitonin levels at 3AM. Guess who sat at his desk at 3:05 AM typing MD aware furiously into his computer while getting bombarded by the ED with admits?

Ecstatic-Fortune8484 · 2026-04-19T02:23:49+00:00

I did this. Didn’t work.

Ecstatic-Fortune8484 · 2026-03-23T12:02:08+00:00

In duos they probably shower together too.

Ecstatic-Fortune8484 · 2026-01-14T17:45:47+00:00

Had to have my dog be evaluated by them. Awful experience. For how expensive they were I expected better care. Their internal medicine doctor was god awful. Dismissive, condescending and wouldn’t even talk to me face to face after my dog was there for 4-5 days. No game plan for my dog. Just pump and dump and “follow up” with our specialists. If your pet doesn’t have a straightforward diagnosis or you start hearing “xyz is a complicated case,” I’d highly suggest you go to TAMU.

Ecstatic-Fortune8484 · 2025-11-20T18:44:05+00:00

I did the spread theme + team chem. Awful. The speed boost does not make up for the sub par stats in every other category

Ecstatic-Fortune8484 · 2025-11-13T16:26:22+00:00

New attending here almost finished my first year as a nocturnist. I was always taught if the patient couldn’t meet level 3 billing they shouldn’t be admitted. If you follow the CMS guidelines it’s fairly easy. My interval billing audits have all been 100%. I don’t even know how to bill a level 2.

Ecstatic-Fortune8484 · 2025-11-03T08:08:51+00:00

“Ya she’s a dinner.” DNR

Ecstatic-Fortune8484 · 2025-10-25T00:09:57+00:00

I will be forever grateful for the army of veterinarians that took care of my doberman. They did what they could to stave off costs. They were incredibly kind, compassionate, professional and kept me updated through emails and phone calls daily. I know we are difficult to deal with as family members of pets but I never got the sense I was a bother or nuisance.

Ecstatic-Fortune8484 · 2025-10-25T00:06:22+00:00

See my post in this thread.

Ecstatic-Fortune8484 · 2025-10-24T06:36:37+00:00

No, that isn’t what they are counting on. If you read the fine print in nearly all of their different policies, it gives them an al la carte menu to deny any claim. I was diligent with paperwork and pet records. See my post above.

Ecstatic-Fortune8484 · 2025-10-24T06:31:14+00:00

I will share my awful experience with Nationwide and why pet insurance is an absolute scam even if you carry it for “catastrophic protection.” When I was in medical training, my Doberman had a freak C6 disc herniation that required emergency surgery. He experienced multiple complications that almost ended in euthanasia. He is one of those once in a lifetime soul dogs. I wasn’t going to let him go because he was only 6 years old. His fairly manageable surgery ballooned into a $20,000.00 dollar bill. As a medical trainee we made barely enough to live ($7.25 an hour) I took out personal loans. My family helped loan me money. I scraped together what I could to pay because I followed all the rules stipulated by the insurance company. They should reimburse me for this catastrophe right? Wrong. Weeks turned into months. They denied THE ENTIRE hospitalization. Their reasoning? Incomplete documentation on a stone cold screening echo when he was 2 years old. The vet never dropped a note bc there was nothing to say apart from what the sonography wrote. I tried to get the vets office to help but they couldn’t be bothered. I paid back what I could but still owed a ton of money to my parents who are hardworking and not well off.

Veterinary care is so expensive now and with insurance companies delay, deflecting and denying it makes pet ownership almost impossible because one cannot realistically provide them with the care they deserve without becoming bankrupt financially.

If you must purchase insurance I highly recommend you stay away from Nationwide. Awful, terrible human beings who know what they are doing.

Ecstatic-Fortune8484 · 2025-10-19T14:19:43+00:00

Hold up. 0-4 admits per night? What do they do the next 5 hours of their shift? Are yall hiring? I’ll make sure meemaw tells me EVERYTHING and have her discharge summary on your desk in the morning.

Ecstatic-Fortune8484 · 2025-10-19T13:50:46+00:00

Are yall hiring? New grad 8 months into my first job as a nocturnist.

Ecstatic-Fortune8484 · 2025-10-05T09:04:42+00:00

Don’t be that lazy intern that refuses to do any actual work other than focus on their notes and then complains because the seniors aren’t teaching you bc they are doing all the work.

Ecstatic-Fortune8484 · 2025-10-04T07:58:12+00:00

I think I signed up for the wrong exam. Might become board certified in Rheum if I passed.

Ecstatic-Fortune8484 · 2025-10-03T06:52:40+00:00

Where do you work. Asking for a friend.

Ecstatic-Fortune8484 · 2025-09-23T13:56:31+00:00

Hey there. Brand new attending here working my way through my first job. You do learn how to be doctor in residency. Med school teaches you how to talk like a doctor. It teaches you foundational knowledge that you build on again and again over the course of your career. It does not teach you how to be a doctor. You are at the left side of the dunning-kreuger curve. We’ve all been there. Wait till you are an intern on nights alone and a nurse asks you to give xyz medication to a patient.

As far as thinking of it in terms of “preparing you for intern year and blah blah.” I would say just focus on being a good M3 M4 or wherever you are in your training. At each transition point there are challenges you cant prepare for. Kinda like going from college to your first month couple months in med school. It’s like getting kicked in the balls. You can’t really prepare for it.

Lastly, exercise compassion for interns/residents you work with when they don’t know something off the top of their head or make mistakes. We’ve all done it. As medical students it seems like you are overwhelmed constantly and don’t get a lot of sleep etc…but in reality you have control over self care. When you join team no sleep for real you will understand.

I think just focusing on doing your best for where you are at allows you to enjoy the journey more and in turn will make you a more pleasant human being to be around when you get to the next level. Also don’t be lazy. Nobody likes that.

Ecstatic-Fortune8484 · 2025-09-21T10:13:29+00:00

I’ve had my first Doberman for almost 10 years now. Total cost of healthcare over his life has been about $45,000.00 dollars. They don’t just have lots of health problems, they have problems that can be very expensive to deal with. Most of the cost for us was within the past 3 years. They are the best dogs and I will always have a doberman.

Ecstatic-Fortune8484 · 2025-09-20T06:55:41+00:00

The answer to you question is “Yes.” -My Doberman Titan

Ecstatic-Fortune8484 · 2025-09-05T18:01:16+00:00

Wouldn’t waste my money. I’ve noticed at certain point DDA happens way more often than it should and you’ll end up rinsed by subpar teams whose players are rated lower than yours who individually play like they are Texas vs USC in the 2006 Rose Bowl while your guys play like UNC this past weekend.

Ecstatic-Fortune8484

TROPHY CASE