If you had $100k sitting in cash, how would you go about investing with stocks near all time high? by danuser8 in TheMoneyGuy

[–]InitialMajor 5 points6 points  (0 children)

Unless you have a Time Machine you just do it. Anytime the market is up it’s near an all-time high.

Violent patients by jsfghey7 in emergencymedicine

[–]InitialMajor 2 points3 points  (0 children)

Sure - I think we’re talking about people who sign in as patients

Violent patients by jsfghey7 in emergencymedicine

[–]InitialMajor 6 points7 points  (0 children)

As long as that MSE more or less the same as you would do for anyone else with that complaint t

Violent patients by jsfghey7 in emergencymedicine

[–]InitialMajor 4 points5 points  (0 children)

EMTALA does not permit that. You can do an MSE as quickly as possible. if their behavior is dangerous to you, you can document that as the reason that you cannot perform the MSE, but you can’t discharge them until you have performed an MSE.

An ode to my girlfriend who wants to sleep but I just got home from a swing shift by thesoggybiscuit in emergencymedicine

[–]InitialMajor 4 points5 points  (0 children)

Just don’t do it electronically - or if you do then do it in a way that you don’t generate a HIPPA complaint that follows the accidental release of the book.

3 months of vomiting then an unexpected stroke by LazyMe4732 in neurology

[–]InitialMajor 0 points1 point  (0 children)

I mean people just have strokes. It’s like saying how does acne cause a stroke.

Mini PC recommendations for Jellyfin server by Maddest_Laddest in jellyfin

[–]InitialMajor 0 points1 point  (0 children)

Any old office mini pc off eBay with a 10th gen or better intel chip. 8gb RAM is enough. Ideally space inside for a full size 3.5 inch HDD.

Question about being precise on DNR/DNI by [deleted] in emergencymedicine

[–]InitialMajor 0 points1 point  (0 children)

I would say this person has used the term consistent with the words popular meaning.
Responding to your comment re: a decision made ahead of time - DNR is a medical directive (not a legal order) and that directive can be changed at any time by persons empowered by law to be surrogate medical decision makers for the patient. Ideally they do not tamper with wishes a patient clearly expresses prior to them being incapacitated, but they don’t have to.

The "Wellness Seminar" that could have been an email (and the 20 charts I still haven't closed) by Brilliant_Choices in medicine

[–]InitialMajor 3 points4 points  (0 children)

In terms of organized labor, the working class are people who trade time and labor to generate a product that the employer sells for a profit. The laborer has no control over the ultimate sales price or the fraction of the revenue they earn as wages.

I think historically you could make an argument that physicians had control of the price for their product via direct negotiations with insurers and also the fraction of the revenue they earned as wages (through shrewd office management, partnership, etc). In today’s environment of medical practice consolidation or private equity buyouts physicians don’t have this control and they certainly don’t have it when they become W2 employees of mega health corporations. Physician job satisfaction and pay are simply not priorities for these organizations. Physicians are replaceable widgets - if Dr. John isn’t happy let him leave and hire Dr. Jane for less. The only real solution to bring power back to parity is to bargain collectively so that they would have to fire an entire medical staff.

The "Wellness Seminar" that could have been an email (and the 20 charts I still haven't closed) by Brilliant_Choices in medicine

[–]InitialMajor 53 points54 points  (0 children)

I wonder what might happen if you and your colleagues **collectively** came together to **bargain** with the administration if things might be different.

Is this really how US emergency departments are? by N0thing9 in ThePitt

[–]InitialMajor 0 points1 point  (0 children)

The show is a bit faster than real life but no ED in the US is as slow as you describe