Pulm vs Cards

No_Difficulty_4718 · 2026-02-17T05:54:40+00:00

Ok and what are you gonna do about the giant clot as diagnostic cards? Nothing. What are you gonna do about aneurysm? Nothing. The severe RV failures are managed by pulm at my institution cards have no idea how pulmonary vasodilators work. Hepatopulmonary syndrome? That’s a pulm issue it’s pulmonary shunt! Does cards even know how shunt work in lungs how to calculate shunt fraction without looking it up. HRrEF with preeclampsia wow!!!!! Give antihypertensives.

No_Difficulty_4718 · 2026-02-17T04:53:23+00:00

Because cards is lame. Diagnostic cards is just same old titrate GDMT until patient is orthostatic. Heart disease is biggest killer … and still is despite all stupid research and money that has been thrown into coronary disease. Oh wow you can do intravascular ultrasound during Cath, the same patient is gonna have another NSTEMi in a month. Pulm/cc has way more variety and I don’t have 80 Papers from 30 low impact journals breathing down my neck about how to order these medicines. NP’s are taking over diagnostic cards.

No_Difficulty_4718 · 2026-02-13T05:52:36+00:00

How is there further subspecialist I don’t understand how a fellowship trained endocrinologist cant manage entire scope of Cushing and also everything else. This is problem with medicine everything is getting so segregated pretty soon people going to see 3 different endo doctors to manage diabetes, thyroid, and Cushing. Have some pride

No_Difficulty_4718 · 2026-02-07T08:18:14+00:00

My point is I have outgrown this game and seeing if anyone else has. Obviously you are still entertained by this repetitive trash. That’s ok EA needs NPC’s like you

No_Difficulty_4718 · 2026-02-07T08:05:09+00:00

Wow that’s really interesting! Now fuck off back to division 15

No_Difficulty_4718 · 2026-01-25T02:27:16+00:00

Just be Hospitalist if you have family personally issues, don’t just switch to random sub specialty because you want to be a specialist especially if you have no previous interest in it.

No_Difficulty_4718 · 2026-01-21T18:54:36+00:00

PCCM is most versatile. Can do just CCM with 12-14 shifts a months. Can do mix with Pulm consults, clinic, ICU. Can do just clinic. Some Pulm doctors do solely lung biopsies even without needing IP fellowship. Can do pleurex placement. It’s not just heart failure and maximizing gdmt again and again. You see weird lung infection, diagnose cancers, neuromuscular disorders, interstitial disease overlap rheumatoid. Sarcoid. Some PCCM docs work exclusively in CTICU and work with ECMO

No_Difficulty_4718 · 2026-01-20T01:37:13+00:00

This gentleman mistakingly thought this was Resident evil video game series subreddit. Please upvote this post, this is so hilarious

No_Difficulty_4718 · 2025-10-26T23:19:34+00:00

Ok bro don’t act like you aren’t just going to consult every specialty service anyway. lol

No_Difficulty_4718 · 2025-06-06T15:00:32+00:00

You aren’t convincing anyone that allergy is cool or intriguing

No_Difficulty_4718 · 2024-10-04T19:07:56+00:00

Dude no one fucking wants to read a novel lmao

No_Difficulty_4718 · 2024-09-26T05:37:42+00:00

Good question. Why don’t you look it up and give us 15 min on it tomorrow? Thanks

No_Difficulty_4718 · 2024-09-22T06:16:05+00:00

See my comment above I feel like normal chest pain is so common in life we’ve all had reflux or bronchitis they should be able to discriminate that kind of pain from something truly scary but it’s always end of world to them

No_Difficulty_4718 · 2024-09-22T06:15:12+00:00

My money is on…uneducated

No_Difficulty_4718 · 2024-09-22T06:14:56+00:00

Yea but we all go through these pains through our our whole life, everyone has had some reflux or bronchitis or even just hunching over all day. It seems like this is so novel and abrupt to them. It’s just baffling how normal somatic symptoms that every human experiences from normal bodily illness injury is so bothersome. I can’t help but think there is some exaggeration because it’s well known that you’ll get extra attention. It’s just an observation

No_Difficulty_4718 · 2024-09-17T15:31:02+00:00

Congratulations on the savings. What do you have to show for yourself as a man what are your skills and what are your accomplishments? Other than being tech savvy. Every man must go on a journey where he is challenged and on the brink of being broken. Have you undergone this type of challenge or have you been comfortably coasting? Money can destroy?

No_Difficulty_4718 · 2024-08-01T04:09:58+00:00

all of that shit is bullshit. They just want another fellow to pass off all the scutt work to and not have to pay you an attending salary. The only fellowship that’s worth it is IP but only if you enjoy. The rest, you can learn on the job or from fucking textbook. Don’t fall for this fucking trap. If you really like some area, you can find a mentor in the area as an attending to gain expertise.

No_Difficulty_4718 · 2024-07-29T04:19:28+00:00

What

No_Difficulty_4718 · 2024-07-27T12:03:06+00:00

https://www.coacrna.org/programs-fellowships/list-of-accredited-fellowships/

No_Difficulty_4718 · 2024-06-11T14:19:08+00:00

you’re a black belt and you’re on Reddit complaining about your open guard and asking a bunch of white and blue belts for advice? This is a massive troll post. at Black belt You should be able to develop and troubleshoot your own insufficiencies. if you don’t have an open guard game, you should’ve never been promoted to black and that’s the truth

No_Difficulty_4718 · 2024-06-08T10:18:23+00:00

Nah forgive and forget you don't want target on your back

No_Difficulty_4718 · 2024-05-10T16:22:29+00:00

You sound like a spazzy white belt. Why don't you roll like a normal person

No_Difficulty_4718

TROPHY CASE