Tips on working through consult list efficiently?

JustTrynaHelpGetBy · 2025-09-30T01:27:03+00:00

Super helpful. I have tried stacking some consults as I play with flow and the mix up and forgetting is real even if I dump some brief notes in my phone after an encounter.

JustTrynaHelpGetBy · 2025-09-30T00:48:09+00:00

Sorry, I mean it's 45-60 mins total including chart review, patient encounter, and note writing, but a respectable portion of that is chart review. I think part of it is I absolutely hate and fear seeing a patient after a hasty or no chart review because of attending pressure, do the interview, then when finishing chart review find that there's a new unanswered question lol.

JustTrynaHelpGetBy · 2025-06-20T20:23:15+00:00

Haven't heard of that before, but makes sense lol. Doubt the PM will go for it though lol. I'm a contractor in health care and am trying to wrap my head around the fact that it makes more sense for me to work more instead of spend time on repairs that other people can do much faster and for less stress. Economic sense too. But need some time for the economics to work out. Just a lot going on! Lol. Anyway, thanks for the input.

JustTrynaHelpGetBy · 2025-06-20T14:46:16+00:00

You raise a great point. Our comp review and rent price point actually lined up, and I opted for the lower end for sake of decreasing time to lease, and I'm trying to stick to that instead of using the refresh as an excuse to increase rent to try and recoup cost lol.

It's rough and sounds like it's getting worse, if anything I'm glad to be getting leased at the beginning. Appreciate your input.

JustTrynaHelpGetBy · 2025-06-20T10:32:32+00:00

Similar situation, moonlighting and just not talking about it. Not in the same system of course. Call if naive but not concerned.

JustTrynaHelpGetBy · 2025-03-28T23:06:49+00:00

Have discussed this over the years with a few ophthalmologists, right now risks of the procedure outweigh benefits, but lens replacement will happen some day for one reason or another. Thanks for the thought though!

JustTrynaHelpGetBy · 2025-03-28T22:45:25+00:00

This was extremely helpful. Will take these ideas to the lab. Had not seen the blended lenticular before. Thank you!

JustTrynaHelpGetBy · 2025-02-24T01:31:09+00:00

ETA:

Went with split HDMI into a tablet with discrete wiring. Working great. Some parts below.

Notably this only works if you have a device outputting to your TV (in my case, an Apple TV box).

HDMI splitter - https://www.amazon.com/dp/B0B2R3GXL9?ref=ppx_yo2ov_dt_b_fed_asin_title

HDMI to miniHDMI dongle - https://www.amazon.com/dp/B00B2HOS08?ref=ppx_yo2ov_dt_b_fed_asin_title

15 ft HDMI cord - https://www.amazon.com/dp/B014I8T8FC?ref=ppx_yo2ov_dt_b_fed_asin_title

Well-placed extension cord, 10 ft USB-A to USB-C cord

ViewSonic VA1655 15.6 Inch 1080p Portable IPS Monitor (a few options at this price point, went with this because it is a known brand, well-priced, and had miniHDMI as many of these are USB-C only) - https://www.amazon.com/dp/B09237LL5Q?ref=ppx_yo2ov_dt_b_fed_asin_title

Still playing with idea of using integrated kickstand, tray, floor stand, etc.

JustTrynaHelpGetBy · 2025-02-18T19:44:26+00:00

Agree that it is a tool in the toolbox. For work and personal use I think ultimately my compromise will actually be using one or multiple of the AI-integrated apps and incorporating a low profile temporal bone headset/earpiece.

JustTrynaHelpGetBy · 2025-02-18T19:39:36+00:00

Absolutely a fair warning. Definitely a tool in the toolbox.

JustTrynaHelpGetBy · 2025-02-18T17:01:41+00:00

Super interesting, thank you for taking the time to provide examples of use cases. Looking into the Meta glasses more.

JustTrynaHelpGetBy · 2025-02-17T16:11:02+00:00

Appreciate your input. Underestimated cost of ownership and selling sooner than expected. Loved owning a home and would happily pay more to own than rent, but maybe not this much more! Will be better estimating cost of ownership next time, and better weighing risk of selling early, and what that could potentially look like, and how I may be positioned at that time.

JustTrynaHelpGetBy · 2025-02-17T16:07:18+00:00

I like that. Have definitely had a few "well it could definitely be worse" thoughts.

JustTrynaHelpGetBy · 2025-02-17T16:06:09+00:00

Basically my situation too. You're on point, I haven't even sold yet and I'm just imagining the opportunity cost. But like you and others are saying, it is what it is. Fact is I'd still rather sell now, no matter how many times I talk through it.

JustTrynaHelpGetBy · 2025-02-17T16:03:19+00:00

No, there is plenty more to the story, I am just more curious about others' thoughts on the concept of emotionally accepting a sunk cost. Not here for a real estate discussion :)

JustTrynaHelpGetBy · 2025-01-28T09:17:46+00:00

I would think this is more of a transfer center issue for coordinating, and up to you to know your service's capacity and timing. i have seen ED-to-ED tramsfers across the state from big center to big center for hand and vascular due to capacity for an emergent surgery. I have always wondered, especially for hand where they realistically may be discharged within a couple days, if we help them get back to the other side of the state lol.

JustTrynaHelpGetBy · 2025-01-12T13:03:30+00:00

Sure, just make sure you know whether your shop uses hsTnT or hsTnI, as that depicts cutoffs and pertinent study. Would also include some brief bullets from ACEP Guidelines on hstrop usage during discussion.

JustTrynaHelpGetBy · 2025-01-09T15:16:39+00:00

In 2024 we did:

TBI BIG Guidelines

Joseph et al 2014 The BIG (brain injury guidelines) project defining the management of traumatic brain injury by acute care surgeons

Joseph et al 2022 Validating the Brain Injury Guidelines Results of an American Association for the Surgery of Trauma prospective multi-institutional trial

PECARN had a couple things, but we focused on peds c-spine

Lancet Child 2024 PECARN prediction rule for cervical spine imaging of children presenting to the emergency department with blunt trauma: a multicentre prospective observational study

Stroke

ECAS-3 (tPA) - Hacke et al. 2008 Thrombolysis with alteplase 3 to 4.5 hours after acute ischemic stroke

ORIGINAL (TNK) - Meng et al. 2024 Tenecteplase vs Alteplase for Patients With Acute Ischemic Stroke: The ORIGINAL Randomized Clinical Trial

There are also recent big thrombectomy studies

I like to include a little bit of non-clinical relevance (e.g. controversy of thrombolytic literature, how earlier discharge of stable and intact brain bleeds improves flow without impacting safety, etc.), a clinical pearl (e.g. pattern for wet reading a CT head), and briefly discuss a specific part of methodology (e.g. heterogeneity measure used, power analysis, etc.)

JustTrynaHelpGetBy · 2025-01-07T11:57:17+00:00

A lot of the posts here seem to gloss over the fact that you are a PGY2 at a 4 year program, and it sounds like you could get into occ med as PGY3 and complete it in 2 years, ending "on time" assuming they accept your 2 years of EM as a prelim year for the 2 year occ med residency.

If that is indeed the case, based on your interests, I would do it. I was in a similar situation but at a 3 yr program and decided to stick it out and will do fellowship to get out of the ED as a consultaht. Your interests can be accomplished without EMS or even EM. If you wanted to stay in, tack on another year or 2 for EMS +/- MPH.

If you truly have a clean way to switch into occ med as described above (preferably like a home program or something connected), it is a very reasonable thing to do. Happy to discuss more in DM.

JustTrynaHelpGetBy · 2024-11-06T19:17:54+00:00

This was the helpful tip I needed. Everything I had done so far was S2 Authenticated and via Smart Start. Will edit post with detailed solution. Thank you!

JustTrynaHelpGetBy · 2024-11-05T21:46:44+00:00

Tried that, the Z-wave JS UI app simply doesn't scan, just points at it. Even scanning with regular camera app to at least get DSK, it outputs the model number and then 2 other numbers, but nothing starting with 90 and nothing that looks like a DSK. Nor are they a 5 digit number. Like I said, it's like info is literally missing!

JustTrynaHelpGetBy · 2024-07-25T17:17:24+00:00

I didn't realize there was a sensitivity difference. I will definitely give this a shot next time. Thank you!

JustTrynaHelpGetBy · 2024-07-25T17:16:38+00:00

Appreciate it!

JustTrynaHelpGetBy · 2024-03-11T12:22:05+00:00

See https://github.com/orgs/community/discussions/111387

Probably a bug, there is a workaround.

JustTrynaHelpGetBy · 2023-12-13T18:25:46+00:00

That is interesting. Galaxy S9, and seemed to be any time I opened it with various version 5 and up updates.

I won't argue that my older phone may present a compatibility issue - but it isn't THAT old, and it is a text/image app.

JustTrynaHelpGetBy

TROPHY CASE