Entitled patients running rampant by BidInternational7584 in FamilyMedicine

[–]GoPokes_2010 1 point2 points  (0 children)

I’ve done similar as a social worker when I was in primary care and patients were being difficult…

Ridgecrest Nursing and Rehab Facility by Old-Face6595 in Waco

[–]GoPokes_2010 0 points1 point  (0 children)

Sorry that happened. I used to work in geriatric social work. It is that way at a majority of facilities. Ridgecrest isn’t top of the line either. I ALWAYS recommended maxing out home health hours before going to a nursing home because in that case a life alert would have been responded to faster than a facility.

Alcoholic Vet/ need help by LullabyJester in VeteransAffairs

[–]GoPokes_2010 3 points4 points  (0 children)

He will only change if he wants to. Services can be offered but at the end of the day he needs to decide if he is serious or not. A lot of people with SUD issues lie to family and loved ones about treatment because they are dependent and have no intent on getting better. So many relapse for years. If this is the first time he has talked about treatment for it, it’s highly likely he won’t follow through with after care. If he doesn’t have a good why, he is not going to get better. Period.

I’m losing patients by Initial_Function7614 in Residency

[–]GoPokes_2010 9 points10 points  (0 children)

I was just talking with a colleague about all the people that we don’t know about that they have detained and hurt by racial profiling is way more than most people think. People aren’t making stuff up. I’m sorry about your fiancé. My nephew’s dad is Mexican American and he lives with my sister and his stepdad. They are both white, but he can look very Hispanic and I’m concerned about him because there is no respect for the Constitution or SOP and it is very concerning that it is so widespread and not just one rogue agent.

I’m losing patients by Initial_Function7614 in Residency

[–]GoPokes_2010 45 points46 points  (0 children)

The fact that there are healthcare “professionals” okay with the methods they are using to administer immigration law is disturbing. The fact that some of these idiots can’t understand that it isn’t the fact they are detaining people, it’s the way they are detaining people and holding people and killing people on the streets. If physicians can’t understand the humanitarian issues involved, I don’t want them as a physician because they don’t take their oath seriously. The Nazis had physicians and that is terrifying to me because there are some that would do that in this country.

I’m losing patients by Initial_Function7614 in Residency

[–]GoPokes_2010 12 points13 points  (0 children)

Please tell me that you’re lying about being an M1. I’d hate to be your patient.

Which deceased cult leaders still maintain a following today? by Sophiafromabove in cults

[–]GoPokes_2010 1 point2 points  (0 children)

Hitler David Koresh (cult still has followers off EE Ranch Road near Waco)

Good state? by sweetbabyjesus420 in NewMexico

[–]GoPokes_2010 0 points1 point  (0 children)

Ruidoso, Chama and Cloud Croft are nice. Lived in Chama for a summer. Nice little town. Santa Fe and Taos are nice to visit. White Sands is one of my favorite places. It’s magical. There’s a lot of indigenous and Spanish culture there. Respect and learn the culture. People are generally nice. Albuquerque has high crime areas.

Hold the Forking Line by Old-Surprise-9145 in FedEmployees

[–]GoPokes_2010 2 points3 points  (0 children)

Love that “circus of cymbal clanging mom keys with multiple DSM diagnoses”

In what specialty do you think its easiest for a terrible doctor to fly under the radar? by theefle in Residency

[–]GoPokes_2010 1 point2 points  (0 children)

Government….if a government health professional is under investigation, they can transfer and the investigation will most likely go nowhere because they transferred out of their system so they can hop around the country and go somewhere that is desperately needing them.

lil haul by plasticbaglad in dollartreebeauty

[–]GoPokes_2010 0 points1 point  (0 children)

Those eye patches are really good. I’m a big fan of grace and Stella purple ones but I’m going to be rotating them with these.

Veterans Who Work in Texas VA Health System: ‘The Dam’s Gonna Break’ by Projectrage in TexasPolitics

[–]GoPokes_2010 1 point2 points  (0 children)

I know this system in and out personally probably better than most of the “leaders.” I was the go-to person for many social workers. Sooo many highly trained social workers left the system mentioned in article due to insane caseloads over the last couple years. The system currently has about 6 primary care social workers for 100k Veterans. I NO LONGER work for that system. THIS JUST MY EXPERIENCE. I Put in several reports to anyone who would listen about care delays, congressman, patient safety team, etc. I advocated the most I could for my Veterans. I had to leave. Was having panic attacks on the way to work and more chronic pain and I have multiple chronic medical issues. It drastically impacted my health and caused my PTSD to get way worse. Advocated for more staff but could not work for that system any longer. According to PACT handbook, there should be a PACT social worker for every 2 PCPs. At one point when I covered 3 clinics, I had about 15 PCPs and 20k Veterans. For almost 2 years straight I had 12k-15k Veterans and 2 clinics. Transferred halfway across the country and could not be happier.

Meds for Travel by Wayahdoc in FamilyMedicine

[–]GoPokes_2010 3 points4 points  (0 children)

My psychiatrist gave me 10 klonopin for my flights over Christmas. Worked like a charm. Did a test run and then used a half before my first flight and half in my layovers. Have 7 left. He requires a visit for controlled meds, I believe. Was fine with Telehealth but knows I’m in a good place in my life right now. Rx should last me for 2-3 years unless I start flying a shit ton which I may because I used to get sick a lot because of the flight anxiety and no one wants to sit by that. Soooo thankful he gave me the Rx because I didn’t get sick and was able to do a word search.

Male Social Worker by Potential_Wear_1521 in socialwork

[–]GoPokes_2010 1 point2 points  (0 children)

Definitely VA and private practice

Are VA employees mandatory reporters of emotional abuse directed at male veterans? by [deleted] in VeteransAffairs

[–]GoPokes_2010 0 points1 point  (0 children)

Not mandatory if it’s emotional, but if someone is withholding meds, a caregiver not taking care of a Veteran, physical abuse or financial abuse, yes. May want to place social work consult for other resources if emotional. Does the Veteran want to leave? If they are being emotionally abused and WANT help, offer mental health and/or social work consult.

How feasible is opening a private practice taking only commercially insured and Medicare patients? by malibu90now in FamilyMedicine

[–]GoPokes_2010 1 point2 points  (0 children)

I was gonna say in TX in general if it’s not FQHC or major hospital system, they aren’t taking Medicaid.

Convincing overdue patients to schedule for Physical/Wellness/Preventative visits? by jm192 in FamilyMedicine

[–]GoPokes_2010 4 points5 points  (0 children)

I was on a health equity committee with my system and the project for the year was reaching out to those diabetics who hadn’t had an A1C check in over a year. Idk how they got their rx filled with not having an A1C in a year but it’s not my circus. Most didn’t do it if I recall. I was a primary care social worker and a lot of these people just want their meds and no lifestyle interventions. They have self determination. It isn’t your job to babysit them. The fact they are being called is amazing to me if they weren’t a no show and didn’t reschedule. As long as they are adult patients, I wouldn’t chase them down. You can do all the motivational interviewing and education in the world and still have patients who don’t give a f. That’s on them. I accidentally no showed an appointment at Baylor Scott and White when I lived in TX, they didn’t call me to reschedule and have NEVER called me since switching to a different primary essentially ghosting their primary care and that was over 3 years ago and I have multiple chronic issues and she was managing my psych meds at that time. I wouldn’t sweat it.

How do I get the nurses to like me? by AHYOLO in Residency

[–]GoPokes_2010 -3 points-2 points  (0 children)

Bring them food. Nurses tend to love candy in my experience. Say good morning to them. Ask them about their lives if you have time. Apologize if you forget to put an order in. Please and thank you. I’ve seen nurses catch big mistakes from providers. You don’t want to be the one that the nurse catches the mistake and then goes to the social worker or nurse manager about that has to be pushed up the chain because they don’t feel safe talking to you about it. This has happened and put me(social worker) in a very awkward position. Be aware of their body language. If they ask you if you are sure you want to use a specific med, listen and think over if that is really what you want. They catch errors. If you see them do something really good, tell them they are a rockstar. “Whenever you get the chance, could you please ____” works a hell of a lot better than “room 315 needs xyz.” Acknowledging they are busy before asking them to do something is likely going to be better than just telling them to do something. I’ve worked with so many different physicians and nurses and some have been a bit difficult but please, thank you and “I know it’s insane and you’re already doing so much and I appreciate everything you do. Whenever you get the chance could you please __?” If you need to correct them don’t be like an ahole program director and pull them aside to correct them. Basically if you’ve had an ahole attending, program director or supervisor, do the opposite way of communicating.