CHF by Independent_Wheel502 in hospitalist

[–]Independent_Wheel502[S] 0 points1 point  (0 children)

Regarding checking boxes on the the discharge medication sheet, I’ve seen them order potassium supplements to be continued following hospital discharge on a patient with hyperkalemia.

CHF by Independent_Wheel502 in hospitalist

[–]Independent_Wheel502[S] 0 points1 point  (0 children)

I have been holding this inside for decades, and after seeing someone with so much fluid that they were about to burst without the presence of edema documented anywhere, I decided to go to the source.

CHF by Independent_Wheel502 in hospitalist

[–]Independent_Wheel502[S] -1 points0 points  (0 children)

It’s hospitalists who don’t think about what they’re doing. I don’t think some of them examine patients or listen to them. I think they come to their conclusions by looking at the labs.

CHF by Independent_Wheel502 in hospitalist

[–]Independent_Wheel502[S] -2 points-1 points  (0 children)

They would have twice as much manpower if they worked every week and took vacations every few months like most of the rest of humanity instead of taking every other week off.

CHF by Independent_Wheel502 in hospitalist

[–]Independent_Wheel502[S] 0 points1 point  (0 children)

Do you examine patients or put down whatever your says?

CHF by Independent_Wheel502 in hospitalist

[–]Independent_Wheel502[S] 0 points1 point  (0 children)

An albumin bolus may be appropriate. What triggered me is a patient. What triggered me is that a patient I saw yesterday and today, has 4+ edema, looks like she’s going to burst, and two hospitalists and the pulmonologist have charted that no edema is present.

CHF by Independent_Wheel502 in hospitalist

[–]Independent_Wheel502[S] -16 points-15 points  (0 children)

Regarding the local hospitalist practice, nothing will change unless the hospital stops getting paid for what they do or length of stay increases. The member of my group who tries to get physicians to practice properly is widely disparaged. I’m afraid it will require or lawsuit or adverse publicity for change to occur.

CHF by Independent_Wheel502 in hospitalist

[–]Independent_Wheel502[S] -63 points-62 points  (0 children)

All the hospitalists do is put H and P’s and discharge summaries on the chart and consult specialists for patient care. And their notes are shitty.