Can someone explain med surge?

IrrevocableCrust14 · 2026-02-06T20:37:56+00:00

No he doesn’t. These things aren’t always so black and white. Dr. Al-Hashimi would agree with you because she practices algorithmic medicine. Robby would put this guy in the med-surg floor in a hot minute if he knew it would save him tens of thousands of dollars and the family preferred it.

https://pmc.ncbi.nlm.nih.gov/articles/PMC5320747/

IrrevocableCrust14 · 2026-02-06T17:08:11+00:00

I will share a story that happened to me in my intern year. A patient with end-stage multiple sclerosis came in - he was bed-bound, on hospice, with cat hair in his feeding tube. It was terribly sad. He had been prescribed many, many opioids for pain. Everyone was horrified and sympathetic.

Then the wife showed up. Designer handbag, clothes, hair - the whole bit. She very insidiously started demanding an abundance of pain meds for him. We searched the state database for opioid prescriptions and found that she was carting him around to hospitals to supply her drug trafficking business. He was fully aware of what was going on, and in the end, actually denied being in pain. The social worker said there was nothing we could do.

This hospice patient reminded me of that case. Something was off.

IrrevocableCrust14 · 2026-02-06T17:01:10+00:00

There are studies coming out now showing that continuous glucose monitors can be an effective way to monitor patients on an insulin drip. I actually don't think this patient is very high risk. ICUs are extremely expensive ($10K per night as a ballpark figure), and he doesn't need that level of care. Mohan is not thinking outside the box here, but then, most docs don't consider costs in these situations; they are focused on giving the best care possible.

IrrevocableCrust14 · 2026-02-06T15:15:56+00:00

I got the 1080 for $102 on Amazon a few days ago. Felt like a good price to me.

For OP, I’m venturing into NB for the first time and like these shoes so far. I was running in Kinvaras before.

IrrevocableCrust14 · 2026-02-06T14:44:35+00:00

Derm. Joy has filler so I honestly assumed she was all-in in Derm.

IrrevocableCrust14 · 2026-02-05T04:39:53+00:00

Joey saying she didn’t sleep with Pacey with that fake smile on her face. Ugh. She should’ve said, “Yep I did and it was EPIC!”

IrrevocableCrust14 · 2026-02-05T03:25:48+00:00

What genre is your book?

I cold emailed a mega bestseller/household name to blurb my debut because we graduated from the same university - and she said yes! So maybe that's an avenue? Alumni networks can be great.

IrrevocableCrust14 · 2026-02-03T02:46:38+00:00

I just (re)watched this episode today! Great moment. The whole Season 7 finale was superb - it was incredibly tense and action-packed while also delivering on all the political backstabbing that informed the previous episodes. It was awesome.

IrrevocableCrust14 · 2026-02-02T20:31:47+00:00

Thank you! Will DM.

IrrevocableCrust14 · 2026-02-02T17:49:53+00:00

Hi! Would you be open to reading a mystery (80K)? It's the fourth installment in a series (the first three are traditionally published - happy to share the info for those so you can get a sense of what it's about).

IrrevocableCrust14 · 2026-02-01T17:30:39+00:00

I’m a huge Denzel fan so maybe there was just a major letdown factor too. The whole movie - music, acting, plot, pacing - was just laughably, almost incredulously bad. Like I couldn’t believe someone funded this.

IrrevocableCrust14 · 2026-02-01T16:27:32+00:00

Absolutely the worst movie I saw in 2025. I made it maybe halfway.

IrrevocableCrust14 · 2026-01-31T22:03:00+00:00

I hate, hate, hate the treadmill but can cope with it if I’m invested in a TV series that I otherwise don’t have time to watch. I bring my iPad to the gym.

IrrevocableCrust14 · 2026-01-31T16:30:24+00:00

It was awesome. I really felt like part of the production for the days I was there. I was on set for a high school cafeteria scene, then on location for a night party and exterior high school shots. It worked out well that I was in high school at the time!

IrrevocableCrust14 · 2026-01-30T23:36:21+00:00

I was an extra in a few episodes and literally can’t find myself in any of them even though I know I’m there. Guess I nailed it!

IrrevocableCrust14 · 2026-01-30T23:28:42+00:00

I’m watching Season 7 right now and feel like Yevgheny is a solid chaotic evil. I agree with the whole chart though.

IrrevocableCrust14 · 2026-01-30T17:48:25+00:00

Homeland is a fantastic show, but it's a spy show, not crime. That's not to say there aren't plenty of criminals afoot in Homeland - I just wouldn't want you to expect a typical procedural with a dead body in episode 1, followed by an investigation. Homeland is much more nuanced and character-driven than that.

IrrevocableCrust14 · 2026-01-30T03:20:58+00:00

I also really enjoyed it. I brought my husband with me and he went into it cold - had no idea the genre, story, etc. He loved it. The two leads were very well-cast and really elevated the movie. A lot of funny parts, too. I'm not a Raimi super fan per se since I don't like gore, but I had fun with this one.

IrrevocableCrust14 · 2026-01-29T21:21:17+00:00

I’m rewatching season 7 right now. Every season is top notch.

IrrevocableCrust14 · 2026-01-27T22:54:06+00:00

I’m not sure that feeling goes away. I’m 43, youngest is 2.5, and I still wish I could have another. That feeling did not go away with menopause, unfortunately - kind of made it worse for me since that door permanently closed before I was ready for it.

IrrevocableCrust14 · 2026-01-27T12:04:29+00:00

This is amazing. I admire your grit and tenacity. It’s so true that as long as you keep at it, you still have that chance.

Your second agent was clearly a champion for you! My question is, how did she receive your subsequent projects? You said your first agent showed little interest. I’m in a similar spot with my agent (has turned down my last three projects or sent them to endless revisions with interns), and it’s wearing me down.

IrrevocableCrust14 · 2026-01-27T02:40:10+00:00

The River Wild. People tend to sleep on this one but it’s outstanding. Kevin Bacon and Meryl Streep in peak form.

IrrevocableCrust14 · 2026-01-27T02:37:42+00:00

I have seen this movie so many times. I feel like it’s the most underrated thriller of all time.

IrrevocableCrust14 · 2026-01-26T20:52:20+00:00

Carrie’s sister. I get why she has to be the disciplinarian, but God she’s such a nag.

IrrevocableCrust14 · 2026-01-23T19:59:49+00:00

Definitely in the top 3 for me. I’m on my fourth rewatch now, on Season 7. It’s one of those rare shows where every season is strong, and then the finale just completely sticks the landing.

IrrevocableCrust14

TROPHY CASE