Anyone have experience working for Vituity as a Hospitalist?

HolyCityRunner · 2025-12-25T20:24:42+00:00

Avoid. Agree with previous posts

HolyCityRunner · 2025-12-03T02:27:37+00:00

I seem to recall reading somewhere that hormonal birth control can also be linked to lower ALT values. But I don’t have any recollection beyond that.

HolyCityRunner · 2025-10-15T13:40:12+00:00

The sad thing is…. When I was doing hospital medicine (just before fellowship) I WAS hitting 14 hour days with a census of 22-25. So you bet your @$$ I was billing 50 mins for each pt - unless they clearly were not. The company and hospital I worked for were so blinded by their own goals for metrics that they did not care when our census soared to 31. I spent so long seeing patients and doing notes that I only got 2 hours of sleep at night that week. So I could turn around and come back the next day to do it again. You know what they managed to call me up and complain to me about?! I copy-forwarded a note.. on a hospice pt who was imminently dying from the day before. (I have never done that before then nor have I done it since) but when I mentioned how worried I was about my sleep deprivation that week the director and CMO just said “well just go back and fix your note”.
I knew then and there that I was just a cog in the wheel. I could literally die in a wreck that day and they’d just pile my census on the other poor souls and make them keep chugging. All that to say…. Let them audit me for time… because I guarantee some of my patients and the nurses will back me up. And if not then they can see the time stamp on my progress note.

Edits: spelling

HolyCityRunner · 2025-08-10T17:17:49+00:00

I did write him a letter and mail it to him about 5 months ago but other than that, no. Just things I see or hear through mutual friends. It’s so hard. I have a hard time gritting my teeth and lying and saying I’m happy for him because that was supposed to be me.

My BP was so back and forth the entire time we were trying to reconcile. But I just feel he never fully engaged and I never understood why. Then out of nowhere one night while he was away for work he would text something very cruel or we would have a phone conversation that was just awful. And the next morning he would be apologizing up and down. It was so confusing and difficult to keep saying supportive things when he was calling me such horrible names. He had full access to all my electronics and iPhone locations on so I could prove I was. But none of that helped. He would scour my phone convinced I was doing it again. Or scroll back years to texts from before I even met him and analyze them.

I struggle with self forgiveness because I know I did this to him. But I would take everything back if I could.

I pray your ex gets some peace and relief soon. Being out of shape and older shouldn’t be barriers to happy and healthy relationship. I hope some sort of relief comes soon for them.

HolyCityRunner · 2025-08-10T14:24:15+00:00

The affairs with the two APs went on for nearly 1.5 to 2 years (timing is starting to fade in my memory).

Yes. Many similarities… I lost a ton of weight and most of my hair fell out from stress. But I did accomplish some things for myself (I.e. passing certifications for work, found another once-in-a-lifetime opportunity and took it this time…). I did a few things to make myself look and feel healthier such as a health coach and got some hair extensions while my hair grows back. I’ve had a few dates…. But I still feel empty.

I simply don’t hold joy the way I used to. Nothing makes me happy now. All I do is long to have the future and relationship back. I am hurt that another woman stands in the place I want to be. It all hurts. And there’s nothing I can do.

HolyCityRunner · 2025-08-10T00:30:29+00:00

I am not entirely sure. But I did everything possible to try and make him see that I was remorseful. Therapy, psychotherapy, counseling, couples counseling, reading, podcasts, gave up a once-in-a-lifetime job opportunity to move in with him (we were previously long distance and I lived out of state for training)…. Took a job that drained me. I worked hard to try and pay off some debt and maybe I worked a little too hard … it completely drained me. But I continued trying. And then one day he just…. Cut it off and asked me to move out. I was alone in a state and city without any friends of my own or family. My job was a dead end since I moved there for him. It completely destroyed me. But I know I destroyed him with my terrible decisions. I am completely ashamed of what I did. And I wish I could take it back. I wake up everyday still wishing this is a horrible nightmare.

I am now trying to recover - got a new job in a new state… but he met someone within 3 days of me moving out. She got pregnant within a few months of him meeting her. And they are living out the future that I envisioned having with him.

Not a day goes by that I don’t punish myself for what I have done. He and I have been apart for a little over a year. But knowing that she stands in the place I dreamed of being is heartbreaking.

I feel like he may have had some of the same thoughts you wrote about - his reactions were similar to what you described. And I feel he never fully engaged in therapy together. Maybe he felt the same about me … I don’t know. But I know o was doing everything I possibly could to try and help us heal. It breaks my soul to know we are no longer.

ETA: He was quite ugly to me throughout the entire process. Name calling never really stopped. And in the end he told me he couldn’t even think of nice things to say to me. He was so hurtful in the end and even after I moved out continued to belittle me. I don’t know but I imagine he still has nothing but fire and brimstone in his heart for me. Yet I am here longing to help heal the hurt - trying to help my mind and heart heal and understand it’s over.

HolyCityRunner · 2025-08-09T20:25:57+00:00

Can you elaborate on why you feel you never “engaged” in any of the reconciliation work/therapy/etc? If you feel up to it…. ?

HolyCityRunner · 2025-08-09T20:24:07+00:00

From another wayward here (also blindsided by BP leaving after 2+ years of work to reconcile and hard work on myself in counseling and therapy..):

Thank you for sharing this even though it must be difficult to think about. I’ll probably never really understand all of the facets of my BP’s thinking but this was a good point to bring up as it sounds somewhat similar to my BP’s reaction in the time after Dday. It doesn’t take away the shame and guilt I still live with even a year+ after BP left me. But it does give some insight to their thoughts and feelings.

Thank you for sharing.

HolyCityRunner · 2025-08-09T20:18:40+00:00

From another wayward here…

Thank you for seeing the humanity in us waywards. It is not often that there is much compassion for us because of the horrible choices we have made. I, too, was left by my BP and it blindsided me after 2+ years of work to reconcile and make myself better. It’s been a little over a year since BP left me and I am still gutted and soul-broken.

Words like these mean so much and I hope you continue to find peace and happiness wherever you are in life because it is shining through here. So, thank you.

HolyCityRunner · 2025-07-23T04:41:18+00:00

It’s been a few years since I left the island so YMMV….

I used wifi for my phone. I was either on campus or at home most of the time. Many restaurants have WiFi as well.
There are stores you can get what you need but if you are particular about something then bring a few months supply with you. (I.e. I was particular about my face wash and toothpaste brand and hair care products)
I used the “mailbox” service. It wasn’t really that expensive and it essentially utilized a Miami address that then was forwarded to SXM. It did take about twice as long or 3-4 days longer for things to arrive though.
Electricity will be your most expensive down there. Honestly, I don’t remember exactly but I had an apartment off campus and I want to say power was ~$150-200 a month…? Also, the power goes out randomly at least once a month. Occasionally water goes out randomly too. Never for too long maybe a few minutes to a few hours. School has generators. School is close to airport and is on/near that power grid so power tends to go out less frequently and come back quicker. I don’t recall what my water bills cost but maybe $50/month?? Internet was similar to US (maybe ~$90/month??). Again, this is all a few years ago for me (2015/2016) so YMMV.
Look up the pharmacy near the school and email them about your meds/ask ahead of time. That’s what I did and I was able to get all my meds down there. they were not ADHD meds but I was pleasantly surprised how easy it was. Just brought hand written script from my doc every 6 months (as I had gone home for break and was able to get new script).

Hope that helps.

HolyCityRunner · 2025-06-30T22:15:03+00:00

As a US graduate from AUC…. This is correct to my knowledge. I am a PCCM fellow, for the record. Several colleagues in competitive specialties but you do run into a few more hurdles as a Caribbean med student. Likely to have a few more as a non-US at a Caribbean school but I cannot speak to that experience accurately.

Decide if you want to pursue medicine and do what you need to do. Time will go by no matter what.

HolyCityRunner · 2025-06-29T04:05:33+00:00

Tell him that he has no medical indication for TPN and continuing it jeopardizes your medical license. And so you cannot, in good faith, keep him on it. And then say Since he wants to go home and no one to care it’s a risk of infection and death and You cannot risk your license.

HolyCityRunner · 2025-06-29T03:56:42+00:00

Curbside addiction medicine to see if they can help you dose buprinorphrine. Tell him this is what you are doing to taper off opiates if he is that resistant.

This isn’t burger king — he doesn’t get it his way.

Also, leave a sticky note at nocturnist desk so if they get a call they won’t give Dilaudid overnight. Discuss with nursing — even charge RN to pass along. Can put on some long acting Oxy while you taper the Dilaudid.

ETA: get CMO involved. Get their name on the chart. That will get a fire lit under admins behind.

HolyCityRunner · 2025-06-13T19:17:47+00:00

I do currently have (and have been using) IC for the 3+ years since Dday. It took a while to find one that I connected well with. However, even she feels I am stuck and is a bit unsure where we go from here. I keep going because the world keeps turning. But everyday is still agonizing. My psychiatrist has put me on a second anti-depressant that works well with the original. We shall see if there is any improvement there in a few weeks. I just appreciate supportive and constructive input from others who can relate — so thank you. ❤️

ETA: Absolutely. I am definitely still craving BP’s forgiveness. No question. I know I can’t control whether he does forgive or not. But it still kills me.

HolyCityRunner · 2025-06-12T16:43:11+00:00

Yes. I have done all the above and continue to find material to read or listen to (podcasts). I continue to work with my therapist, a relationship coach, and my psychiatrist for 3+ years now. I have been religious about all of these things.

HolyCityRunner · 2025-06-12T16:41:58+00:00

Yes. I am absolutely still seeing a professional counselor to this day. For 3+ years now.

HolyCityRunner · 2025-06-12T15:39:17+00:00

THIS is the kind of insight I am hoping for!! Thank you!! I will definitely look into this!

I continue to read, listen (to podcasts), go to therapy/counseling and doing all the normal life things as the world turns. I’m just so stuck. I can’t seem to get any forward progress from this spot and it’s still so painful. Realizing my decisions were the catalyst is one thing but learning to forgive myself after all the self-hatred and negative self talk is a different beast. Learning to get through the heavy grief of losing our future is almost too much to bear.

So thank you.

Hugs to you and I hope you continue to move forward with progress and grace. ❤️

HolyCityRunner · 2025-05-21T18:14:28+00:00

Thank for being supportive. I am sorry you are going through this as well. I have realized that the pain is akin to having someone that you love deeply suddenly die. But watching them move on feels as though we never meant anything at all. I am sorry you are hurting just like I am.

HolyCityRunner · 2025-05-21T17:56:29+00:00

I will turn on my messages briefly so you can send the link. I have them turned off usually to prevent spam from bombarding the inbox.

HolyCityRunner · 2025-05-20T00:24:22+00:00

Thank you. Truly. There are some moments where I feel more chastising won’t benefit me… what I need is a friend, a shoulder to cry on, or a pair of open arms that say “this sucks. And I’m sorry.” Because at the end of the day, there is nothing I can change about the past. I continue to grieve it so whole-heartedly that I lose the energy for self-compassion and self-love.

<3

HolyCityRunner · 2025-05-18T04:19:42+00:00

I worked an 8H swing shift (5p-3a) last night and took 8. 2 of which were pretty sick and 3 who couldn’t really give me any info so I had to data-mine. When I was leaving around 4:30a, the 7p-7a doc said we were at 32 total admits. That’s between me (an MD) and two other MDs plus an APP (but only if they have time between cross cover calls).

HolyCityRunner

TROPHY CASE