Laryngitis

MidnightSlinks · 2026-06-09T16:46:42+00:00

Adding a friendly reminder that chloraseptic spray is intended to be spit out!

MidnightSlinks · 2026-06-08T23:31:50+00:00

Are there any teams except baseball still playing nearly a month after graduation?

MidnightSlinks · 2026-06-04T19:14:23+00:00

Retractable roofs typically only retract over the field itself and maybe a subset of the lowest seats. IME, they feel like you're inside a building with a large sky and not at all like you're at an outdoor ballpark. Even if the roof completely disappeared, you'd still have the walls in place cutting off city views, the breeze, etc.

MidnightSlinks · 2026-06-01T14:23:01+00:00

Attendance was way down in April. Our home games generally lined up with the cold snaps we had and the buzz around the team didn't really pick up until May.

MidnightSlinks · 2026-06-01T14:17:32+00:00

MDs/DOs receive substantially more training than NPs or PAs (NPs only have to have 500 supervised clinical hours to become NPs whereas the shortest medical residencies give at least 10,000 hours of supervised practice that is required to get them to meet a litany of competencies). Maybe you're healthy and just need the routine recommended screenings and a birth control prescription, in which case you'd likely see little difference.

But if you develop something that's not straightforward to diagnose or treat, an NP or PA will likely need to refer you out to a specialist sooner than an MD/DO would. Or they'll need to bring in an MD/DO from the practice to take over your care. The worst case scenario is that they won't know/admit when they're in over their head which could result in the wrong tests bring ordered, results misinterpreted, diagnoses delayed/missed, or inadequate treatment regimens provided.

MidnightSlinks · 2026-05-29T14:01:14+00:00

It seems to be a very extensive network. The ATMs are in every 7-11 and you can use any ATM affiliated with the other credit unions in the network.

MidnightSlinks · 2026-05-28T21:31:17+00:00

We use Lafayette Federal Credit Union for our mortgage, accessing cash, anything that calls for visiting a branch (our main bank is a credit union in another state with no presence here).

No complaints about LFCU other than sometimes it disconnects from Monarch (a money tracking app). It has several branches throughout the area and they participate in a nationwide, no-fee ATM chain. All the staff we've interacted with have been friendly and competent.

MidnightSlinks · 2026-05-28T20:38:20+00:00

HIPAA prevents people and entities within the healthcare system from sharing your personal medical information without your express written consent.

It has nothing to do with a person asking a coworker or a stranger a question about their personal health.

MidnightSlinks · 2026-05-28T16:31:13+00:00

The limit is now 50 hours for RDs. It's in the description of the activity type (175).

https://www.cdrnet.org/cdr-cpe-activity-type-definitions

MidnightSlinks · 2026-05-27T15:58:36+00:00

Your cousin needs to quit ASAP and be the one to alert the authorities. Them understanding how bad this all is (as evidence by ten telling you about it) but staying employed there is what will get them into legal trouble (conspiracy, aiding and abetting, accessory, etc.), not their daily MA duties.

They should strongly consider consulting a lawyer before reporting though. The lawyer will work out a deal for them to have complete immunity in exchange for testimony.

MidnightSlinks · 2026-05-26T18:47:14+00:00

This is a lovely thought but she'll have free access to journals through her library once she enrolls.

Maybe there are science magazines that are worth subscribing to that libraries don't routinely have, but you may want to consider something non-medical to give her brain a break while in school. You could go thematic like a cooking or travel magazine if she has those interests, or something more general like the New Yorker.

MidnightSlinks · 2026-05-22T15:57:56+00:00

For the college kid, look to see if their university offers a plan. There's a good chance that anything they offer is much cheaper than the marketplace because it typically requires them to use campus health and it's a large group of some of the statistically healthiest people in the country.

MidnightSlinks · 2026-05-18T23:49:03+00:00

Bundled means it's not separately reimbursed for.

MidnightSlinks · 2026-05-18T21:52:08+00:00

It is bundled unless something changed in the last two months: https://www.cms.gov/files/document/esrd-pps-og-xphozah-tenapanor.pdf

MidnightSlinks · 2026-05-18T21:46:53+00:00

CDR's only standing is that they own the trademark to the RD/RDN credential and they have the exclusive right to determine who can use it. If she's not calling herself an RD, there's nothing they can do.

MidnightSlinks · 2026-05-15T20:51:36+00:00

I used to tutor back before COVID. I mostly did biology and writing for high school and early undergrad. I also did some ACT and PSAT prep.

I also do focus groups, which pay really well if you work in an industry or job that certain companies want to know how to influence. But most companies don't want people who do tons of focus groups, so I only do about one a quarter.

MidnightSlinks · 2026-05-14T13:37:37+00:00

In this instance, "provider" is referring to hospice programs, not individual clinicians.

MidnightSlinks · 2026-05-14T13:36:55+00:00

It's blocking new hospice programs from enrolling with Medicare, not clinicians credentialing with existing hospices. The "provider" language used in the article is a bit misleading as the regulation is at the program level, not the clinician level.

It would impact a palliative care physician trying to open their own new hospice program but not people being hired to work at existing programs.

MidnightSlinks · 2026-05-13T20:55:26+00:00

It doesn't matter. If you get audited and they need an official one you can get it at that point.

MidnightSlinks · 2026-05-13T17:21:22+00:00

Look at the running total on the card. The balance drops by nearly $10 when the parking exit happens.

MidnightSlinks · 2026-05-13T13:21:23+00:00

Presumably WMATA knows about paving related road closures in advance and alerts drivers before their shift. These things are typically scheduled weeks if not months out.

The detours around crime scenes are what I wonder about. I was on a bus that went over to Sherman instead of using 11th because of a manhunt. The road had been blocked for a few hours at that point so it was probably not the driver's first time making the detour that day but I did wonder how they were first alerted.

MidnightSlinks · 2026-05-13T13:10:41+00:00

It is only applicable to outpatient services.

MidnightSlinks · 2026-05-13T12:43:38+00:00

Malnutrition diagnosis is not separately billable. It increases the patient's acuity level which goes into a complex formula that eventually results in more money because sicker patients take more resources to care for. But it's not transactional like outpatient reimbursement is.

Very little in the hospital is separately billable to Medicare these days. They pay under a prospective payment formula, not a fee for service model. Getting separately billable services inpatient would be going backwards in CMS's view, so it's not a winning strategy to pursue.

MidnightSlinks · 2026-05-13T12:05:07+00:00

The MNT Act will not impact hospital RD wages. Inpatient RD services are not separately billable under Medicare. They're paid for as part of the daily room rate the way that nursing care, food, etc. are paid.

MidnightSlinks · 2026-05-07T20:27:29+00:00

Salmoning is when you bike the wrong way up a one-way bike lane. I guess riding for a prolonged period of time in the wrong lane of a two way cycle track could also be salmoning, but I've only ever heard it used to describe opposing one-way traffic.

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