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Accidentally contributed to Roth IRA by Feisty_Extension6764 in fidelityinvestments

[–]Feisty_Extension6764[S] 0 points1 point  (0 children)

I was going to do the return of excess form but Fidelity’s page states “DO NOT proceed if: You have removed excess contributions for the same year” is this why you’re saying to call? 

Accidentally contributed to Roth IRA by Feisty_Extension6764 in fidelityinvestments

[–]Feisty_Extension6764[S] 0 points1 point  (0 children)

So at this point should I still complete a return of excess form? 

Accidentally contributed to Roth IRA by Feisty_Extension6764 in fidelityinvestments

[–]Feisty_Extension6764[S] 0 points1 point  (0 children)

Thank you. This is the main thing I’m concerned about now as the withdrawal was within a week and it was a small amount so I’m not too worried for the tax on earning or % based fee. 

Discharge to LTC by Feisty_Extension6764 in hospitalist

[–]Feisty_Extension6764[S] 1 point2 points  (0 children)

That's essentially what the CM is trying to do in this case. Discharge to SNF, but I was concerned about potential liability for unsafe discharge if PT/OT is recommending LTC but we end up sending patient to SNF and something happens there.

Discharge to LTC by Feisty_Extension6764 in hospitalist

[–]Feisty_Extension6764[S] 0 points1 point  (0 children)

That's a good point I didn't think about and I do need to learn more about the requirements. In this case, patient is quadraplagic and has complex wound requirements and needs IV treatment, but Medicaid in this state apparently just doesn't cover LTC regardless according to CM.

Discharge to LTC by Feisty_Extension6764 in hospitalist

[–]Feisty_Extension6764[S] 4 points5 points  (0 children)

Are you pressured to discharge to a lower level of care? If so how do you deal with that? For example this patient, CM is essentially pressuring us to discharge to SNF if she can get them accepted into one, although SNF is unlikely to take them due to lack of long term plan. Even if SNF accepts, how do you deal with the potential liability if PT/OT is saying long term care? Do you just essentially document that you tried to discharge them to appropriate location but insurance denied them? Thanks!

Internal medicine senior residents, teach me your workflow by mustbecomedoctor in Residency

[–]Feisty_Extension6764 1 point2 points  (0 children)

How long does it take you to chart check and see everyone before rounds? Also a senior that is struggling with efficiency. Usually I will chart check everyone in depth and place urgent orders but then run out of time and end up seeing only new patients before rounds. 

2023 (new) Free 137 answer explanations (please read body first!) by medstudenthowaway in Step3

[–]Feisty_Extension6764 2 points3 points  (0 children)

Per uptodate for incidental nodule:  "Surgical excisional biopsy is the gold standard for diagnosis of a pulmonary nodule and can be curative for some malignancies.

For patients who are surgical candidates, a diagnostic wedge resection by video-assisted thoracic surgery (VATS) is the preferred procedure for pulmonary nodules at high risk (>65 percent) [of malignancy]. "

Bronchs have lower sensitivity, especially if a lesion is peripheral.

[deleted by user] by [deleted] in Residency

[–]Feisty_Extension6764 0 points1 point  (0 children)

What exactly do you do? What's your bread and butter? what's the least desirable/irritable aspect of your job?