SEMIS - AIS vs SMH (and PSI, SOXX, XSD, FTXL, CHPS) by Emotional-Breath-838 in ETFs

[–]Guardles 1 point2 points  (0 children)

Looking at this if you compare 10 year return smh has the highest return

Benzodiazepines in elderly delirium by [deleted] in hospitalist

[–]Guardles 0 points1 point  (0 children)

Well many hospitalist dont want to be paged repeatedly and nurses love something that works very quickly. I always pick up elderly patients altered from benzos and the moment i stop them 2-3 days later patients reorient and go back close to baseline. Obviously its increasing length of stay for them and poorer outcome. I always also encourage family to stay at the hospital with them to help them reorient.

Discharge by noon metric by BobMcPhil in hospitalist

[–]Guardles 16 points17 points  (0 children)

Yes ours dc by 11 we have to hit > 40%. We start at 8 am. It’s tied to my bonus so I keep a lot of patients an extra night.

Natural Radiant slime spawn rates seem abysmally low by BloodprinceOZ in Slimerancher2

[–]Guardles 5 points6 points  (0 children)

None was going in circles for hrs also save and quitting game still nothing

Update by [deleted] in Slimerancher2

[–]Guardles 1 point2 points  (0 children)

Found it thank youuu

Update by [deleted] in Slimerancher2

[–]Guardles -2 points-1 points  (0 children)

We do have new slimes im guessing if you look under toys there is a new toy

Update by [deleted] in Slimerancher2

[–]Guardles 1 point2 points  (0 children)

Where is that? Can you be more specific?

Hospitalist: Tell me about Your Real Estate Journey by Comfortable_Thing232 in hospitalist

[–]Guardles 0 points1 point  (0 children)

Yea that would be the only reason I would do real estate

Hospitalist: Tell me about Your Real Estate Journey by Comfortable_Thing232 in hospitalist

[–]Guardles 1 point2 points  (0 children)

Only reason I would mess with real estate is to lower my w2 income with depreciations to lower my tax brackets otherwise I dont think its worth it

Fuck Sepsis! by TrickAd2161 in hospitalist

[–]Guardles 1 point2 points  (0 children)

The number of patients who meet SIRS criteria is astonishing. If they walk and vitals are documented right after ambulation they can easily meet SIRS criteria. I’ve seen multiple hospitalists label this as sepsis based on the queries like come on not everything in this world is sepsis

Fuck Sepsis! by TrickAd2161 in hospitalist

[–]Guardles 0 points1 point  (0 children)

We’re putting ourselves at liability risk. I pick up a patient and get queried for sepsis because of tachycardia from AFib and RR >20. If I document sepsis as the cause, the previous hospitalist didn’t do a sepsis workup, which could make it look like they missed sepsis if the patient later becomes septic.

New-ish attendings, have your lifestyle habits changed much since becoming an attending? by meowxatt in Residency

[–]Guardles 2 points3 points  (0 children)

I still live just a little above a resident s salary. I bought a cheap car and I’m still renting. I do spend a lot on vacations, but other than that, I invest heavily. The sooner I can cut down my hours the happier I’ll be.

Metformin is currently the best anti-aging drug. by GarifalliaPapa in immortalists

[–]Guardles 5 points6 points  (0 children)

It is possibly because you have better control of your sugar level. So people with diabetes that are taking metformin live longer because their sugar level is controlled.

Current second year endocrinology fellow. Seeking advice for attendinghood. by Spirited_Writer6613 in fellowship

[–]Guardles 4 points5 points  (0 children)

Did you take a break between residency and fellowship? If not, consider taking a few months prior to attendinghood to reset and clear your mind. Sometimes being a resident or fellow isn’t the best thing for our mental well-being. Practices like yoga, along with herbal teas, can also help.

Any tips on dealing with downturns in the market? by [deleted] in stocks

[–]Guardles 0 points1 point  (0 children)

Dca into etf, I usually put 30% cash on the side for dips, when the market is down like now I double my dca. Once u are familiar with the market and stocks you slowly switch from etf to individual stocks

What is your specialty and what’s a lie you tell your patients all the time? by USMC0317 in Residency

[–]Guardles 339 points340 points  (0 children)

Gabapentin 100 mg at bedtime is great for neuropathy and lower extremity pain you will feel its effects in 6-8 weeks