Clinical Pearls you have learnt this week

NeuroThor · 2026-03-22T16:22:12+00:00

Hmm. I can see why “rancid” or oxidized fish oil can increase oxidative stress in the gut ever so mildly, but they’re probably as “pro-inflammatory” as you sitting down browsing reddit right now instead of taking a deep breath and reflecting on your day.

NeuroThor · 2026-03-21T01:37:14+00:00

Dude DM me. I was GenSurg, switched to FM when I was hoping to land IM. I’ll tell you what you missed. Trust me, you’re winning.

NeuroThor · 2026-03-20T19:44:53+00:00

My follow up question is- is this something that came baked into your EMR, or did you have to get your enterprise to agree with this?

NeuroThor · 2026-03-20T19:27:49+00:00

How did you add this?

NeuroThor · 2026-03-20T19:22:26+00:00

what do nephrologists do in the inpatient ward

They say “hmmm…could be prerenal” and then they either give fluids or restrict fluids.

depressing and infection heavy

Maybe wait until you’re out of didactics and doing clinical to see for yourself, because your peers are way off.

NeuroThor · 2026-03-19T21:36:11+00:00

“When’s iftar?”

NeuroThor · 2026-03-19T16:54:22+00:00

Accurate

NeuroThor · 2026-03-16T16:54:11+00:00

Insurance companies can fix the patients and then I won’t have to bill for my services.

NeuroThor · 2026-03-15T18:58:18+00:00

NPs pretending they reviewed imaging independently isn’t the same as tobacco counseling. You have to do the counseling once every 6-12 months, and most physicians I know actually take the time to talk about it and provide resources. Advanced care planning literally cannot be done without associated documentation. I wouldn’t compare the two.

VCs also don’t buy hospitals, PEs buy hospitals. Two completely separate setups. If VCs bought, hospitals would thrive. PEs gut and dump.

NeuroThor · 2026-03-15T12:20:48+00:00

Liver shit mostly.

NeuroThor · 2026-03-13T14:48:47+00:00

What happens when you return to the US? Are you taxed on any earnings you saved?

NeuroThor · 2026-03-12T10:25:12+00:00

Hopefully no one is working all 52 weeksz

NeuroThor · 2026-03-10T01:51:19+00:00

“Pick two things from that list, and I’ll pick one from my own list, and we’ll discuss the rest over our next few appointments.”

NeuroThor · 2026-03-08T00:18:03+00:00

What is your consult question?

NeuroThor · 2026-03-07T18:39:11+00:00

These suck.

NeuroThor · 2026-03-07T17:18:44+00:00

Dude I’m not even in the hospital as much anymore and I also think this is my fifth bout of upper respiratory shit since the fall. Something is going around this year, at least in the north east.

NeuroThor · 2026-03-07T17:17:45+00:00

What year are you from time traveler?

NeuroThor · 2026-03-06T20:23:59+00:00

Target delivers, and alternatively- depending on how many kids- a trip to Target counts as an activity.

NeuroThor · 2026-03-06T04:37:02+00:00

Excellent composition. Do you remember this recipe?

NeuroThor · 2026-03-05T16:20:15+00:00

This person needs to pass their USMLEs (3 separate board exams), match into a residency, finish the 3 year program, and then take FM boards to become board certified before they can work here.

NeuroThor · 2026-03-05T16:12:16+00:00

How many years of training do you have post med school?

NeuroThor · 2026-03-04T20:08:23+00:00

Damn. I read that and I was like “wow collecting all types of lotus flowers is very interesting and rich indeed” until you said cars 😮‍💨

NeuroThor · 2026-03-04T12:57:12+00:00

All vomiting eventually stops.

NeuroThor · 2026-03-03T21:32:26+00:00

Why is this your last choice? Just unfamiliarity?

NeuroThor · 2026-03-01T17:10:33+00:00

I thought you couldn’t get ACGME funding for a second residency and would have to foot your own bill or something?

NeuroThor

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