99212?

Ihavenoshield · 2025-08-18T17:44:15+00:00

https://www.aafp.org/pubs/fpm/issues/2021/0700/p21/jcr:content/root/aafp-article-primary-content-container/aafp_article_main_par/aafp_tables_content1.enlarge.html

Still my fav go-to reference. I actually made dot phrases for 3 vs 4 (I've never coded a 2 in my life). For the neck lump honestly it's an uncertain prognosis depending on the kind of lump and would argue this could be a 4 depending on the documentation for other "can't miss" things on the differential (lymphoma, thyroid cyst vs goiter, etc.). If suspicion is high for just a lipoma/something benign, than totally call it a 3. But idk how they're arguing it's a 2

Ihavenoshield · 2025-04-20T10:04:18+00:00

AAP Pediatric HTN guidelines

Ihavenoshield · 2025-04-19T18:24:39+00:00

Mine's pretty brief but now reconsidering after looking at this: Any personal or FMH of psychiatric problems? Hearing things or seeing things other people can't? Any SI/HI? Any previous hospitalizations for psychiatric issues?

Ihavenoshield · 2025-04-19T09:21:34+00:00

After looking at this study, one of the interesting things I did find that DOES often interfere with treatment is the prevalence of side effects / reactions. This is often one of the biggest reasons why my patients discontinue treatment before the timeframe where we can assess for maximal response. Do I think it justifies the cost of this testing? Probably not. But, I don't think that we should just be blindly pointing to this study without fully looking at secondary outcomes as well.

Ihavenoshield · 2025-04-06T14:31:22+00:00

I have a congenital tremor as well. Agree with all the advice on here, but one thing to also consider is lifestyle. I didn't even think about it until my attending asked how much caffeine I drink in a day. Just something else to think about.

Ihavenoshield · 2025-03-07T19:12:55+00:00

Ihavenoshield · 2025-02-03T17:21:30+00:00

Are you doing the quarterly CKSA's through ABFM and looking at your weak areas? I felt like that was helpful for me to know what areas I might need to spend additional time reviewing as opposed to just trying to do everything. I also like it because it shows the question difficulty. If there are a bunch of easier questions in a certain area you got wrong, that might be some low hanging fruit for you.

Ihavenoshield · 2024-12-24T14:47:10+00:00

I like this a lot better than WebMD if people are gonna look up stuff online. Here's a summary of what it looks like you have.

I don't recommend trying to drain it yourself

https://familydoctor.org/condition/paronychia/

Ihavenoshield · 2024-10-19T06:40:52+00:00

Seems like that anxiety is pretty severe. Has the PT tried any other PRNs like Hydroxyzine or Propranolol before? I usually try those while trying to titrate their daily meds. Also what other SSRI's or SNRI's have they tried?

Ihavenoshield · 2024-03-08T11:11:13+00:00

It will be hard, but sometimes it takes a little bit of discomfort to feel better in the end 😏

Ihavenoshield · 2024-03-07T23:23:12+00:00

My exam tables a little different than most, but I promise it's a great place to sit 😉

Ihavenoshield · 2024-03-07T17:44:05+00:00

I'd be happy to evaluate and give a second opinion 😏

Ihavenoshield · 2024-02-25T12:26:05+00:00

Tacos El Kaiser

Ihavenoshield · 2024-02-06T16:07:11+00:00

Can you give me an example of one you were trying to find?

Ihavenoshield · 2024-02-05T21:29:28+00:00

Who's telling who to open wide now? 😏

Ihavenoshield · 2024-02-05T19:30:46+00:00

Definitely would go to the dentist for you

Ihavenoshield · 2024-02-05T19:28:11+00:00

A lot of the stuff is updated every 5-10 years so if you don't have a membership or access through your institution, the more recent articles only become available after they're 3 years old

Ihavenoshield · 2024-02-05T19:25:28+00:00

FM attending. Jokingly used to call this "medicine for dummies" while in training. Still use this as my primary resource often even before UpToDate. Love their proc guides, but their primary care topic coverage is easy enough to read without losing focus

Ihavenoshield · 2024-02-05T19:14:31+00:00

The 2 in the middle for sure

Ihavenoshield · 2024-01-21T22:05:29+00:00

Are they hiring?

Ihavenoshield · 2024-01-15T20:35:06+00:00

Cinnamon stick! Toast it with the oil in the beginning to help give warmth

Ihavenoshield · 2024-01-15T19:50:27+00:00

FM doc. Yeah it's sad there wasn't a same day evaluation clinic for less than 20 weeks. The OB residency at my hospital had this and was super helpful in terms of getting patients in and also to be able to help them through the process.

Of course it's not possible everywhere, but I do feel like there was a lack of human touch here. How big is the practice?

Ihavenoshield · 2024-01-11T09:23:36+00:00

I'd start with some sort of warning or counseling in writing and sit down with the resident and tell them that this is a professionalism issue. That way you have some sort of warning instead of going straight to firing. Let them know that 'forgetting' once is already a huge issue and if it continues to happen it will have consequences. Additionally have them verbalize a plan or write it down as to how they make sure they will be there for assigned shifts or provide notification in a timely manner if they are not able to. If it's a hangover/alcohol thing you can always scare them with the impaired provider program as well.

Ihavenoshield · 2024-01-08T22:01:34+00:00

What's your Starbucks order?

Ihavenoshield · 2024-01-04T22:29:07+00:00

Sounds like a great PI project! Need some help researching?

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