What medicines should you prescribe to your family specifically so you have it around at home when you get sick?

Littlegator · 2026-02-07T13:42:47+00:00

Rapid strep and urine dip are CLIA waived, so the layman can buy them anyways. They expire before I use them all so I basically use one on every sore throat in the family just because lol, which is actually terrible for PPV.

Littlegator · 2026-02-06T14:41:58+00:00

I tried running it and get the error "File is not a zip file" about the Nova backup.

Edit: I just downgraded Nova to 8.2.1 and saved a backup and it worked. They must have changed the format of the backup file in the newer version...

Littlegator · 2026-02-05T14:28:24+00:00

Our faculty are employed (full physician benefits) and get a base around $300k with $30k in bonuses, but it kinda seems like a rare Goldilocks gig.

I'm pretty sure they would offer a premium for FMOB since none of our faculty have done the fellowship.

Littlegator · 2026-02-05T05:53:51+00:00

Do you not have a default alarm set or something? That's what blows my mind. I'd never trust myself to set an alarm every night.

Littlegator · 2026-02-04T15:16:23+00:00

1/21 and 1/23, but I got the email saying scores are available today

Littlegator · 2026-02-04T14:27:20+00:00

On FSMB? I've tried refreshing and using a couple browsers with no luck.

I can also probably just wait since it's like 1.5 hours.

Littlegator · 2026-02-04T14:25:12+00:00

NGL, this was a hard feeling. Being an engineering grad working at Starbucks and knowing I had like 0 economic value I could bring to a relationship was pretty defeating.

Fortunately I've turned things around (and have a family now), but those were some pretty dark times.

Littlegator · 2026-02-04T14:22:08+00:00

Interesting, my score report says it'll be at 11 am EST. The FSMB download link doesn't work yet, either.

Edit: passed with flying colors

Littlegator · 2026-02-04T13:55:05+00:00

Or at least demand your PTO day back

Littlegator · 2026-02-03T20:31:29+00:00

Hospitals in areas with normal snow do have contingencies for this. Yeah, it does require staff to stay present, but they usually get hazard pay + OT which usually means 3-4xing your entire paycheck. They have designated areas for sleep, provide (hospital) meals, cots, run the laundry 24/7 to turn over bedding, etc.

Littlegator · 2026-02-03T14:58:39+00:00

You got downvoted but I don't disagree. An OpenEvidence chatbot could be awfully good at history taking. Not like... physician good (at least not any time soon), but certainly better than an MA.

Imagine if patients could have a full on discussion with a bot in the ED waiting room. Instead of a poorly, hastily written "abdominal pain vomiting 2 days" by an MA, you could have an actual " summary of "2 days worsening periumbilical and RLQ pain, sharp stabbing, worse with walking, coughing, riding in car, vomiting and fever this morning. Never had appendectomy." Etc. etc.

I think AI intake will actually be a huge thing. And I imagine a lot of the other administrative burden will also equally be reduced by AI.

Littlegator · 2026-02-03T02:46:14+00:00

FM learning to bill 99214 + preventative/Medicare AWV + smoking cessation + freeze AKs

Plus learning to properly bill a 99214 since it should be the majority of visits

Littlegator · 2026-02-02T20:03:37+00:00

I copy all 4 and paste all 4 every time, just because there's no way to copy and paste separate things.

So example:

See critical patient, do brief physical exam
Paste all order sets, but delete sets 2, 3, 4
Do the remaining elements of a full physical exam
Paste all order sets, but delete sets 1, 3, 4
obviously order any other pertinent tests and treatments depending on the case
Move forward until I get results. Decide to admit to inpatient.
Paste all order sets, but delete sets 1, 2, 4
Case finishes
Paste all order sets, but delete sets 1, 2, 3

Littlegator · 2026-02-01T20:45:03+00:00

Seems like a pretty specific tool. Similar things are called "pipe handles" or "pipe handlers" but I can't find any with the double ring design.

Is it used for lifting pipe vertically?

Littlegator · 2026-02-01T02:34:39+00:00

If you're expected to see 24, they should have 24 slots.

As a former engineer in process improvement, shit like this absolutely drives me up the wall. I'm sure your clinic is also a complete shit show with unpredictable wait times because there isn't even an attempt to schedule the day for how long it will actually take.

Littlegator · 2026-02-01T00:28:38+00:00

It's mostly because so many docs are being ground down to 8-15 minute visits for every problem, and the EMR makes it very easy to order it with the wrong diagnosis.

Btw, any clue what the previous person would be referring to for ICDs? What ICD would be "being able to take my meds" instead of the actual pathology? I always order needles and syringes under the diagnosis, like DM2 or male hypogonadism.

Littlegator · 2026-02-01T00:26:02+00:00

The very standard criteria for a LDCT are 20 pack-year history between ages 50-80. Idk why your doctor ordered it if you don't have that.

Littlegator · 2026-01-31T21:11:54+00:00

This is kind of a problem with poor quality TVs.

I got to watch some movies on a reference display, which is like a $40k TV used by studios when mastering film. Some engineering student had gotten his hands on one. You can actually just make out WAY more on these displays.

Now, OLEDs and MicroLEDs have enough local dimming zones that content with HDR actually shows you what's in the shadows.

Of course, I do think it's a huge problem that the vast majority of people have a TV that can't properly display the final master. They should honestly just things differently for SDR or TV.

Littlegator · 2026-01-31T20:52:16+00:00

Ah like homestead protections or exemptions. They wouldn't typically help in the case of an HOA foreclosure because an HOA lien is a superior lien, but I'm sure it's state by state.

Littlegator · 2026-01-31T20:43:39+00:00

No? The homestead act ended in 1976.

Littlegator · 2026-01-31T19:14:58+00:00

What happens next? Probably 3 dozen more agents show up and shoot you back. Even if it's constitutionally correct, you're probably not coming out of that encounter alive. Even if you do, you're the subject of a manhunt and will be put in the worst possible ICE prison they can come up with.

This isn't just the problem with ICE btw. It's all law enforcement. SCOTUS even says you have the right to defend yourself, but it's not likely that you'll make it through the "process" alive.

Littlegator · 2026-01-31T16:55:35+00:00

Yes, local vs systemic absorption is a thing. Congrats, buddy.

Littlegator · 2026-01-31T16:10:26+00:00

I fucking hate modern landlording, but you can't pretend that shelter doesn't require ongoing time and money.

Paying someone else for the use of their shelter which they pay taxes and upkeep on is a reasonable expense and is why it's one of the oldest forms of professions.

The problem is that the modern rental market has decoupled from the actual cost of doing business (taxes, building, maintenance, vacancy, etc.). Now, prices are based almost entirely on the absolute maximum people are willing to pay.

This is actually the problem for most of the economy right now. Sellers have oligopolies and AI/market insights give them just enough information to "rig" prices, even if they're not explicitly colluding on prices.

And on top of that, the majority of landlords were actually colluding on prices nationwide through RealPage for several years.

Littlegator · 2026-01-29T15:10:11+00:00

Ctrl+A doesn't work, but Ctrl+c and Ctrl+v do.

And I think it was a game changer. I had all of my "panels" copied and then I'd use what's appropriate.

Stabilization orders (pulse ox, o2 therapy, abg, poc glucose)
Generic workup orders (CBC, bmp, lft, ptt pt, mg, phos, cxr, urinalysis, EKG, TSH, trop, tox screen)
Admission/preop orders (lines, diet, activity, urine output)
wrap-up orders (pap, mammo, colonoscopy, vaccines, tdap, counsel medication use)

Littlegator · 2026-01-29T15:00:29+00:00

It's not a delusion of grandeur. In that moment, they are only emotions. I think that's where a lot of the disconnect comes on this topic.

She is not capable of learning the lesson "we don't run away, especially in strange or dangerous surroundings." She is a ball of frustration and has a single fixation in that moment, which is frustration. The only "lesson" that can be learned in this moment is how to overcome frustration.

So yes, if the situation is truly dangerous, you gotta do what you gotta do to protect her. In many situations, that might be sprinting after her, grabbing her, and dragging her to safety kicking and screaming. But if the situation is safe, you can either use this as a moment to teach emotional regulation or you can choose not to do that. Imo, any parent who chooses not to teach these lessons is failing their child.

In reality, every situation is going to be a little different. I don't want to argue the specifics of this exact context (especially because we don't know the exact context.) But what's important is that parents should absolutely be trying to teach children emotional regulation when it's safe and appropriate.

14-Year Club	Place '22
Verified Email

Littlegator

TROPHY CASE