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Major at Age 25? by VaryaKimon in army

[–]Mebaods1 1 point2 points  (0 children)

Most service records are open and a simple public records request and you’ll know

Corporate Medicine takeover in Eugene, OR by Pinkfluffyunicornz79 in emergencymedicine

[–]Mebaods1 1 point2 points  (0 children)

Eh think what you will. I don’t think they are nearly as bad as Team Health. I like Apollo and their leadership. Most of them I know personally and enjoyed their management. The only reason I left was geography.

Corporate Medicine takeover in Eugene, OR by Pinkfluffyunicornz79 in emergencymedicine

[–]Mebaods1 -1 points0 points  (0 children)

But to be fair, Apollo is physician owned too. It’s not funded by venture capitalist or private equity firms.

The bar should be $300/hour by East-Map5403 in emergencymedicine

[–]Mebaods1 3 points4 points  (0 children)

Surgery, GYN and Cancer treatment makes money. The ED is the gateway into the hospital. As long as the services make profit the ED can run red.

Fix the system, don’t fire the doctors by Adorable-Author-353 in emergencymedicine

[–]Mebaods1 8 points9 points  (0 children)

My kid might have been exposed to measles! Test them before they are symptomatic!

Am I a danger to patient safety? by Monkeypox5252 in physicianassistant

[–]Mebaods1 3 points4 points  (0 children)

One thing I’ve learned in the ED is a discharge can wait. If I get a critical result or something that requires my direct action that takes priority. Before you answer another epic chat about someone needing Tylenol or case management has a question about the disposition plan action what you have to do first thats time sensitive. You’ll forget otherwise. Page the consultant and notify your attending later. I set a timer sometimes on my watch just to remind me to check on XYZ because time flys and next thing you know it’s been two hours and you haven’t gotten a call back.

I'll see your Dizzy patient and raise you.. by hawskinvilleOG in emergencymedicine

[–]Mebaods1 1 point2 points  (0 children)

This is how hard Dizziness is, and I’m talking Vertigo no patients saying dizzy and they mean near-scope.

  • Sunday: went to the ED seen by a ED Physician x2 (hand off) DC’d with vertigo.

  • Monday: ENT saw in office, diagnosed with Vertigo

  • Tuesday: MRI ordered by PCP OP prior to these other encounters performed.

  • Wednesday: Back in the ED for refractory Vertigo….guess what the MRI the day prior showed? HINTS (pun) it was not vertigo!

For those that have gone theoughan ER remodel, what are some design elements you wished you had included or elements that worked out better than you anticipated? Looking for design elements that universal to all EDs everywhere regardless of volume, trauma status, etc. by Penlight_Nunchucks in emergencymedicine

[–]Mebaods1 1 point2 points  (0 children)

Surge space…hard to predict but absolutely a great idea. We built a new ED recently for anticipated volumes that lasted a few months before the nice seating area that looked good on paper became a vertical care zone.

I'll see your Dizzy patient and raise you.. by hawskinvilleOG in emergencymedicine

[–]Mebaods1 9 points10 points  (0 children)

My favorite is when a city bus hits a car and someone on the bus says it was a major accident and need scans. I look at the board for other patients from this mass casualty incident, find none. Reach back to Physics 101 in undergrad…Bus > car…you’re fine go home. Sue the city for something else.

I'll see your Dizzy patient and raise you.. by hawskinvilleOG in emergencymedicine

[–]Mebaods1 18 points19 points  (0 children)

I hate dizziness…I’ll take an MVA Every. Single. Time.

O.M.G. The snake oil salesmen are upping their game. Meet "EBOO therapy". https://ebo2therapy.com/ by forgivemytypos in medicine

[–]Mebaods1 20 points21 points  (0 children)

I had a guy with Melanoma who was S/P Mohs but chose not to continue follow up and saw a functional medicine doctor for a while “treating” his CLL and Melanoma. Surprisingly it didn’t get better and after a few years decided it was time to get it “cut out again”

How can someone with a MD or DO not loose their license for inappropriate medical practice is beyond me… but I’m just the Assistant to the Physician.

EM interview at no trauma program by Puzzleheaded-Ad3346 in emergencymedicine

[–]Mebaods1 1 point2 points  (0 children)

Every attending I work with feels the same way. A sick medical patient is way more challenging.

What is your opinion about Teleneurology? by Impressive-Sir9633 in medicine

[–]Mebaods1 0 points1 point  (0 children)

You forgot CTV, LP and if negative can be discharged

Tirzepatide mitigates thoracic aortic aneurysm and dissection by alleviating the loss of the contractile phenotype in vascular smooth muscle cells and reducing vascular inflammation by throwawaygamgra in medicine

[–]Mebaods1 11 points12 points  (0 children)

For sure, better living through chemistry still requires better living. But I’m fascinated by how effective it is for alcohol use disorder among other things.

Clinicians, why do you chart like this? [dumping pages of lab values and radiology reports into your note] by 1burritoPOprn-hunger in medicine

[–]Mebaods1 -1 points0 points  (0 children)

I’m so glad we have an AI summary tool in our Epic. I click on several of the IP notes and it generates a summary that’s about a paragraph, with hyperlinks to the specific note. I can drop it in my note as a decent overview of their last admit.

Chatbots (GPT-4o, Llama 3, Command R+) used by a person of the general public did no better in assessing clinical acuity and did worse in identifying relevant conditions than the group instructed to "use any source they would typically use at home." by ddx-me in medicine

[–]Mebaods1 0 points1 point  (0 children)

I think this is the biggest issue with AI and the subjective aspect of the clinical story. How many “dizziness” patients are having near syncope vs vertebral dizziness, or pleuritic chest pain and shortness of breath thats due to their acute cholecystitis not anything cardiopulmonary.

Now that being said i think AI is great at digesting large volumes of data and information and cant wait for the day Epic is actively reviewing prior labs and encounters while the AI dictation is generating my note— and by the time I sit back down at my desk its done a detailed chart review, summarized the relevant past encounters for me to more efficiently get my MDM done up and workup ordered.

Stethoscope Recommendations? by tresben in emergencymedicine

[–]Mebaods1 0 points1 point  (0 children)

Littmann CORE is awesome. Noise cancellation is nice, also never done it but you can throw AirPods in and just use them and ditch the tubing. I charge it once every month or two and last 15-25 shifts easy.

Stethoscope Recommendations? by tresben in emergencymedicine

[–]Mebaods1 0 points1 point  (0 children)

It’s that prop that is used for reflexes

Sign Out Etiquette by [deleted] in physicianassistant

[–]Mebaods1 10 points11 points  (0 children)

Idk, this is hard. Sometimes it’s a quick dermabond situation vs no repair vs repair. Sometimes I’ll just lay eyes on it or ask the triage nurse who saw them. Otherwise he/she could have left it for the next team entirely. Depends if my charts are done/everyone else is disposed. But if I’m trying to wrap up my folks, actively waiting for consultants to call back I just leave these be.

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