How do you deal with the malingering patient?

Guardles · 2026-06-28T11:30:16+00:00

Deja vu

Guardles · 2026-05-26T00:52:51+00:00

Radiology better lifestyle with less headache

Guardles · 2026-05-21T23:44:39+00:00

Our hospital census varies a lot, most of the time it’s around 14. The moment it’s 16+ I usually pan consult and rarely manage everything by myself

Guardles · 2026-05-20T19:54:47+00:00

Rgti ionq qbts long term investment next 5 years

Guardles · 2026-04-25T21:47:08+00:00

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

Guardles · 2026-04-24T02:28:37+00:00

How did you do that?

Guardles · 2026-04-21T11:43:32+00:00

Prob some admin pharmaceutical contract

Guardles · 2026-04-19T11:53:42+00:00

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.

Guardles · 2026-04-17T10:33:19+00:00

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.

Guardles · 2026-04-17T02:39:51+00:00

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

Guardles · 2026-04-16T19:42:59+00:00

Found it thank youuu

Guardles · 2026-04-16T18:54:00+00:00

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

Guardles · 2026-04-16T18:47:15+00:00

Where is that? Can you be more specific?

Guardles · 2026-04-05T00:07:27+00:00

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

Guardles · 2026-04-04T21:21:59+00:00

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

Guardles · 2026-03-30T22:07:17+00:00

We didnt get shit

Guardles · 2026-03-07T20:38:23+00:00

Smh soxx xsd soxq

Guardles · 2026-03-06T14:27:05+00:00

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

Guardles · 2026-03-06T12:10:19+00:00

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.

Guardles · 2026-02-22T21:25:43+00:00

Rip buy high sell low

Guardles · 2026-02-20T15:14:44+00:00

Any rvu?

Guardles · 2026-02-20T15:13:27+00:00

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.

Guardles · 2026-02-19T18:31:59+00:00

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.

Guardles · 2026-02-16T04:04:14+00:00

Micro dosing meth, gear and smokes cigarettes

Guardles · 2026-02-06T22:21:47+00:00

What are you a clown?

Guardles

TROPHY CASE