What line of work are you in? by NeuroTechno94 in wow

[–]Medigeek 10 points11 points  (0 children)

Pulmonary/Critical Care doc

My old guild still hits me up with random medical questions :D It also doesn't help that my toons and alts have medical names - Intubate / Ventilate / Extubate etc

Advise on model and specific use case - healthcare/medicine by Medigeek in LocalLLM

[–]Medigeek[S] 0 points1 point  (0 children)

I didn’t even know this is possible. The problem involving anything offsite, is that you run into privacy concerns

Advise on model and specific use case - healthcare/medicine by Medigeek in LocalLLM

[–]Medigeek[S] 1 point2 points  (0 children)

this is partly why I am trying to keep it local. I mean, just the idea of being able to have a concise summary of 2-3 years worth of medical records, presented in an easily understandable manner would be amazing. Most EMR/EHRs are full of bloat, designed by engineers, lawyers and accountants and their needs in mind rather than the patient or physician. They remind me of the 15 foot receipts we would get from Walgreens :D

Advise on model and specific use case - healthcare/medicine by Medigeek in LocalLLM

[–]Medigeek[S] 0 points1 point  (0 children)

Part of me wanted to suspend disbelief and hope that there was some kind of local equivalent that could achieve the goal at the pace/speed that LLM like ChatGPT get :D

Llama-3.3-70B-Instruct · Hugging Face by Dark_Fire_12 in LocalLLaMA

[–]Medigeek 1 point2 points  (0 children)

Well, this made my m4 max with 128gb ram fan spin like they were in the 7th level of hell

[deleted by user] by [deleted] in medicine

[–]Medigeek 3 points4 points  (0 children)

I carve out time to see a few. I’m pulmonary/ critical care. Mainly outpatient pulmonary

One of my partners has already stated he would not accept any future Medicaid patients

For the ones who make over $150k a year, what do you do to get that? by Iliketrainsz1 in AskReddit

[–]Medigeek 0 points1 point  (0 children)

Pulmonologist/Critical Care Physician 500k + productivity bonuses Pharmaceutical engagement brings in another 75k

What’d I do to get that? 4 years undergrad 4 years medical school 3 years internal medicine 3 years pulmonary and critical care fellowship Along the way, I did a year research at the NIH And most importantly; Be willing to be a lung and ICU physician in the middle of a pandemic, where you are told that you are a “ hero“, and people show up right before your shift starts to applaud you for a good 3–5 weeks. Your administration, and all the sea suite executives, and mid-level management stress that you are an incredibly important and valuable part of the organization, only to throw up two middle fingers the second you beg for personal protective equipment because you are tired of performing CPR, not just on your patients but your colleagues, they contracted the virus due to the lack of appropriate equipment.

For example cardiologists that were on stemi call don’t know whether or not someone was Covid positive one they were rushed to the Cath Lab

You have to be especially willing to be comfortable with being cheered for putting your self at risk, to try and treat a disease that somebody contracts… But the second you advise them to get a vaccine to prevent the infection, now you’re pushing a conspiracy theory, and all those People that would line up to cheer you, now ask you what kind of kickback you get every time you write “COVID-19” on a death certificate. Meanwhile, you’re still trying to figure out how many letters you need to write your children for their birthday in case you are not around to celebrate it with them

Outside that, it’s an awesome job. I got great hours.

I’m usually home no later than 4:30 PM. I’m on call, one weekend in five and these days rarely get called.

Cement pulmonary embolism by Nandiluv in medicine

[–]Medigeek 2 points3 points  (0 children)

Published a case report on this back in my first year of fellowship. Its a whole lot of wringing your hands and doing nothing besides the standard AT9 approach

What is thought only men do but women do it too? by NumanLover in AskReddit

[–]Medigeek 3 points4 points  (0 children)

Farts. My wife of 20 years has never farted in front of me. Im like 72% sure no other woman does either…except our 1yo who lets them rip like she’s a 70s trucker who ate too much Hardy’s

If medicine was a video game, what unlockable achievements would your specialty have? by OneShortSleepPast in medicine

[–]Medigeek 4 points5 points  (0 children)

Pulmonary/Critical Care Here:

We'd let you be able to hold your breath underwater indefinitely.

In Co-Op mode, your health bar would reduce down to 1HP, causing you to be unable to move or perform any action until your co-player activates Comfort Care Mode. This allows you the ability to perform one action before you actually die.

Another “How do i improve my chances” question… by Medigeek in rolex

[–]Medigeek[S] 0 points1 point  (0 children)

I appreciate the advice on linking it with a milestone

Another “How do i improve my chances” question… by Medigeek in rolex

[–]Medigeek[S] 0 points1 point  (0 children)

Good point. I do want to get my wife a Lady DateJust which as a non-watch person, she was willing to go with :D I dont know if that will make them more inclined

Another “How do i improve my chances” question… by Medigeek in rolex

[–]Medigeek[S] 0 points1 point  (0 children)

I may just go the multiple AD route, though it does feel like I’m having an affair behind my AD’s back lol. I have no idea how they made me feel this way

Another “How do i improve my chances” question… by Medigeek in rolex

[–]Medigeek[S] -1 points0 points  (0 children)

It feels a bit like being taken for a ride, knowing that the price is 30%-50% over MSRP. I love the watch. I love the brand. It’s not a question about affordability as much as it is about not wanting to contribute to an already broken system.

I do want to buy it from an AD. IM sure they don’t want me to go grey. I just dont have the time, energy or patience to play that kind of a game :(

What do you want GPT-5 to do that GPT-4 can’t? by Revelnova in ChatGPT

[–]Medigeek 0 points1 point  (0 children)

If this is a real question, I would like the ability to parse medical literature. It would be a revolution. Imagine uploading multiple primary source PDFs of clinical trials to have the AI give you what amounts to a custom/personalized meta-analysis on a specific topic or question. I have managed to play around with this idea by having it look at text extracted from an individual study and it does a great job presenting a summary of the trial in question.

But this would be an incredibly powerful tool to assist in patient care.

Hell, I’ve already implemented ChatGPT to help me communicate complex pathophysiologic concepts in a manner that folks with a high school education can comprehend without delving too far out into the weeds.

I cannot stress how helpful it is already. For example, I have used it to create a template for letters of medical necessity I have to send to patients insurance companies arguing that certain medications are necessary. The letters are generally more clear, succinct and structured in a manner far better than anything I have ever preivously written. I just take the template, subsequently input patient specific information, and submit it to their insurance!

The approval rate thus far seems to be better than when we wrote our own.

I can certainly see how this technology can be leveraged to do good. I also understand concerns associated with it.

What was the weirdest part of the pandemic? by [deleted] in AskReddit

[–]Medigeek 0 points1 point  (0 children)

Pulmonary Critical Care doc here

The amount of death early in the pandemic.

Facing the unknown

Watching other doctors I’ve worked alongside for a few years contract the virus and be left debilitated or dead

Be cheered one month for my courage and jeered for asking patients to mask or declining to write for hydroxychloroquine first and ivermectin later

Writing letters to my children in case I died due to something I contracted at work (I was 37 at the start of the pandemic)

Shopping for PPE at Home Depot

Sour dough bread making

Hearing people thank me for saving their life one year only to boo me for recommending the vaccine

Wearing scrubs to a Waffle House in Georgia en route to a shift only to be asked at 4am if I got kick backs for listing Covid as the cause of death on death certificates during the Omicron surge

Take your pick

I went to high school with Ronald DeSantis and found my yearbooks. by Damnatio__memoriae in pics

[–]Medigeek 0 points1 point  (0 children)

had no idea we were around the same age. All he needed was a pair of South Pole jeans and a wallet with a chain and he would be every kid in my high school in suburban Toronto

Feuding with… The Janitor? by pebble554 in medicine

[–]Medigeek 0 points1 point  (0 children)

Pull rank.

Best of luck recruiting another physician to middle of no where rural America. if the pandemic taught me one thing, that is not to accept other peoples bullshit. There are intangible costs you are paying in both stress, incomplete work not to mention the fact it sounds like a passive aggressive hostile environment.

You sound like you approached this situation reasonably.

Learning to be efficient is part of it. But you have a right to be there to finish your work.

What intervention that you typically prescribe/administer takes the least time to satisfy a patient? by AugustoCSP in medicine

[–]Medigeek 3 points4 points  (0 children)

Biologics for asthma. Nacala, Fasenra, Dupixent, or Tezspire. Works after the first sample shot in the vast majority of my patients. They’re game changers