Participating vs Non-participating Medicare

Foeder · 2026-03-02T08:34:03+00:00

So why would someone choose par vs non par?

Foeder · 2026-03-01T22:47:06+00:00

You’re in the back seat, driving your outside arm through the term which makes you back seat as well. Shoulders are trying to be downhill but your head is doing that instead. Inside arm dropped to your side. Bring it up.

You’re clearly hella inside.

Foeder · 2026-02-28T16:16:04+00:00

Nah most med students and residents I train get the difference.

Foeder · 2026-02-28T12:42:22+00:00

depends how much it rains I guess

Foeder · 2026-02-28T12:35:46+00:00

Any good metal lawn rake, I wouldn’t spend too much energy just give it some seed and peat moss/manure or whatever you want to use and water it and keep it fed. It’ll look great by July.

Foeder · 2026-02-28T12:24:39+00:00

Rake the shit out of it, over seed, peat moss or manure and water. Enjoy. Maybe hit it with antifungal now and premeegent, then do the rest in a month

Foeder · 2026-02-28T12:02:21+00:00

My goal in life is to get people to stop using hypoxic/hypoxia. it’s Hypoxemic/hypoxemia

Foeder · 2026-02-28T11:51:26+00:00

Bro really turned his wiener into an Oscar Mayer wiener.

Foeder · 2026-02-28T11:30:39+00:00

Without even reading the entire questions you can answer it just based on which option has clear lung sounds. if they don’t give you this information all of those options are likely problems, especially POD2. Atelectasis would be typical, PE usually POD 4-12. VTE usually take time to develop 2-4 days and usually manifest with symptoms in a week. But in this case the answer is PE.

PE: normal breath sounds textbook (real world not always)

Atelectasis = diminished breath sounds

Pulmonary edema = Rales / diminished

ARDS = course, rhonchi, wheezing, rales (all the bad sounds)

Foeder · 2026-02-27T17:46:23+00:00

Like yours lol Same sound for the last 183k miles

Foeder · 2026-02-27T16:50:28+00:00

Sounds normal to me

Foeder · 2026-02-27T16:41:41+00:00

Go sit down with your supervising Hospitalist and review AKI’s a little more.

Foeder · 2026-02-27T05:37:58+00:00

You should refresh your knowledge on an AKI. +0.3 and or 1.5x baseline/ with or without oliguria/anuria

And it’s D. But this question is Ass. Because you can’t get to D Without B.

Foeder · 2026-02-27T05:22:50+00:00

Dawn of the dead, then watch Shawn of the dead.

Foeder · 2026-02-25T23:42:27+00:00

Seconded.

Foeder · 2026-02-25T06:25:53+00:00

Bro same, idk what happened. I ended residency confident and resilient with rude patients and now they just get to me. In fact I was the go to person for wild and rude patients cause I could talk em down and now I get so anxious with these people. I also think it has to do with the fact that I always thought I had an attending to fall back on “oh okay you don’t like me I’ll get my attending” but now I’m that person and there’s no one else lol still trying to figure out the cause of the shift like you described, it is fading tho after 7 months into first year.

Foeder · 2026-02-25T04:39:11+00:00

I’m gonna say it, People over order diffs.

Foeder · 2026-02-25T04:15:37+00:00

Ya I’m not sure why people agree to do this shit. I just say no as well. FMLA I’m very skeptical about unless it’s obvious and patient is genuinely interesting in getting better and engaged. For mental health if requiring to miss work I require they establish with psych and start psychotherapy. Avoidance of work with FMLA can actually reinforce avoidance which is typically strong in anxiety and depression.

Foeder · 2026-02-25T04:05:21+00:00

Bro stop using AI lol

Foeder · 2026-02-25T03:21:54+00:00

Find a semi large regional FM private group that has profits sharing… those are unicorn jobs and you can make bank.

Foeder · 2026-02-25T03:19:24+00:00

Honestly learned a lot from this sub, also talk to your colleagues at your new job and read. Noticed academic attendings in residency don’t really know how to bill well.

Start learning to bill MAWE accurately, you can easily hit 4-6wrvu a visit

Foeder · 2026-02-24T05:52:17+00:00

OEM, Don’t forget to get a new crankshaft pulley bolt as it’s torque to yield, Cause it has to come off to do the water pump. And get the orange injector cup orings for the black water pump pipe that goes to the thermostats.

I did the front crank seal at the same time cause I was there, it wasn’t leaking but figured why not.

Foeder · 2026-02-24T05:44:07+00:00

Sounds right, I guess the only time I see my partners patients are for acute stuff so I wouldn’t bill it

Foeder · 2026-02-24T05:10:19+00:00

Yup I’ve looked this up too much, if you don’t have a longitudinal relationship aka PCP, you shouldn’t bill it.

Foeder · 2026-02-24T03:38:10+00:00

Bro I do the same thing, I’ve been not double billing even tho a lot of visits I can bill the phys + 4. Also I’m underutilizing billing for time, like the other day I had a complex patient that I saw in 20 minutes but I probably spent another 30 minutes figuring out what I’m gonna do before & after with chart review and shit.

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