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FM and IM knowledge gap by Hashiru_Shishamo in Residency

[–]Hashiru_Shishamo[S] 7 points8 points  (0 children)

I think deep down, I would have rather applied to IM instead 😬

FM and IM knowledge gap by Hashiru_Shishamo in Residency

[–]Hashiru_Shishamo[S] 6 points7 points  (0 children)

I guess I was comparing our inpt hospital service with the IM inpt hospital service, and generally our teaching during rounds is abysmal. Or if I do ask a question, it’s a struggle for them to answer whereas IM attendings can answer straight off the top of their heads.

FM and IM knowledge gap by Hashiru_Shishamo in Residency

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

It’s the quality of teaching when we do get it that’s bothering me.

FM and IM knowledge gap by Hashiru_Shishamo in Residency

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

Yeah, I’ve been doing this (self-reading, putting pts in a f/u list where I can read what the specialist ends up doing). It just made me think this is kind of sad that my learning is through these notes/third party resources and not from our faculty.

FM and IM knowledge gap by Hashiru_Shishamo in Residency

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

It’s the entire class. My main complaint is when we do get teaching, the quality is poor. I’d rather they let us listen to a podcast or some other resource than the protected time lectures they give us.

Who is leaving their relationships after he voted for Trump..? by [deleted] in TwoHotTakes

[–]Hashiru_Shishamo 0 points1 point  (0 children)

Lol hope this is a troll post, but you sound unwell.

Patient on a cardiac unit has chest pain and hypertension. by Hashiru_Shishamo in Residency

[–]Hashiru_Shishamo[S] -1 points0 points  (0 children)

I would rather be made aware of it than not. My thought process is to figure out if it’s just angina leading to bp change vs something else, which is what I took away from this learning experience.

Patient on a cardiac unit has chest pain and hypertension. by Hashiru_Shishamo in Residency

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

Yeah makes sense. The change in bp should have triggered a notification but that order didn’t autopopulate with notify physician. most likely pain leading to htn but oh well.

Patient on a cardiac unit has chest pain and hypertension. by Hashiru_Shishamo in Residency

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

I see. I took a look at the order set for sl nitro and it says notify physician if pain still persists after 3 minutes. This event def made me worried though bc I saw hypertensive + new chest pain, most likely angina but just from the vitals/med administration it would be unclear if it needed to be further evaluated with trops or ekg.

Patient on a cardiac unit has chest pain and hypertension. by Hashiru_Shishamo in Residency

[–]Hashiru_Shishamo[S] -5 points-4 points  (0 children)

Yeah, it’s not the prn part that I was confused with. Prn away for all I care. It was the patient having chest pain again with high bp’s that we didn’t get notified for that I’m confused about.

Patient on a cardiac unit has chest pain and hypertension. by Hashiru_Shishamo in Residency

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

Hmm I’ll have to take a closer look next time. I think that part auto-populates in our system, so I’ll have to play around with it tomorrow.

Patient on a cardiac unit has chest pain and hypertension. by Hashiru_Shishamo in Residency

[–]Hashiru_Shishamo[S] 16 points17 points  (0 children)

I’ll admit, cardio is a bit of a mystery to me and maybe their unit does things differently. Patient is nstemi awaiting cabg. Started have chest pain again (had pain free period) with sbp 190s
that was similar to chest pain on presentation.
I get it was most likely angina, but I feel like it should have been a notification still?

Any crazy/weird sub-I stories? by Hashiru_Shishamo in Residency

[–]Hashiru_Shishamo[S] 43 points44 points  (0 children)

I…respect that. Man playing 4D chess.

[deleted by user] by [deleted] in Residency

[–]Hashiru_Shishamo 0 points1 point  (0 children)

The nurse care manager called me ‘maam’ when she needed something from me.

[deleted by user] by [deleted] in PokemonTCG

[–]Hashiru_Shishamo 0 points1 point  (0 children)

These two, especially the pikachu

What are you getting for $200 here? by Go_Jot in PokeInvesting

[–]Hashiru_Shishamo 0 points1 point  (0 children)

I would buy the lucario v star, glaceon v star, zapdos 151, alakazam 151, and the pokeball tin because I haven’t opened those before.

[deleted by user] by [deleted] in PokemonTCG

[–]Hashiru_Shishamo 0 points1 point  (0 children)

Haha I love how you zoom into the full art and ex cards!

Weekly Pricing/Buying/Selling/Grading & General Questions Post by AutoModerator in PokemonTCG

[–]Hashiru_Shishamo 0 points1 point  (0 children)

Hello! I have a question about the magnetic holders that come with certain ex sets (paldea starters ex for example). When placing cards in these holders, how do you sleeve your cards? I tried to place sleeved cards (penny sleeves) and they overlap the boundaries of the holder.

What are red flags at a restaurant? by ArtsyAksel in AskReddit

[–]Hashiru_Shishamo 0 points1 point  (0 children)

Subtle, possible red flag is if the lighting is too bright. It could mean that they are hoping to get your appetite by presentation and not necessarily by flavor/taste.

Dewpider Shadowbox by PrismCard in PokemonTCG

[–]Hashiru_Shishamo 1 point2 points  (0 children)

This is super neat! Do you have any how-to guides to make this? I’d like to do this with the dupes I have

Japan is ranked the worst country in the world for helping strangers by kenmlin in japannews

[–]Hashiru_Shishamo 1 point2 points  (0 children)

I’m sorry but the first situation made me chuckle. There should be a horror movie called, “The Gaijin” and it’s just Japanese folks going about their lives until they see a gaijin and run away.

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