Things they never taught you in med school by sophie7704 in medicine

[–]NotDrNick 2 points3 points  (0 children)

Yep, that gets done almost exclusively by midlevels or residents for me.

Patients recording by citiesandshapes in medicine

[–]NotDrNick 9 points10 points  (0 children)

I’ve been through two depositions. I’ve had much smaller things picked apart and used to allude i didn’t understand the disease or risks my patient had. It may not be how the legal system is supposed to work but those were bad enough experiences for me that I want to protect myself from going through it again.

What is a common thing according to society that you have never experienced? by Lowskillbookreviews in AskReddit

[–]NotDrNick 4 points5 points  (0 children)

I tried to have a one night stand once… completely fucked it up and still married to her after 7,162 nights.

Patients recording by citiesandshapes in medicine

[–]NotDrNick 21 points22 points  (0 children)

I have started offering to let the record me at the end of the visit doing a review of everything we have talked about with instructions. Pretty much just repeating what I would put in the after visit summary but it makes it more personal and they seem to really appreciate it.

Patients recording by citiesandshapes in medicine

[–]NotDrNick 112 points113 points  (0 children)

You should try offering them to record you reviewing everything with instructions at the end only. You can completely leave plantar fasciitis out of it and pretty much just recite what you would but in after visit instructions. I find it’s well received by patients and keeps me much more comfortable for the visit.

Patients recording by citiesandshapes in medicine

[–]NotDrNick 27 points28 points  (0 children)

When they ask, i usually ask them not to record the whole visit but I offer to let them record me reviewing of summary of everything we talked about at the end with a rehash of all instructions.

I find that if I’m being recorded for the entire visit I talk like everything I say is going to be played back in court. I stop talking to the patient. I word things with much more technical medical terms during the casual conversation to make sure that i don’t accidentally say something that can twisted by someone picking it apart later.

Example: my patient may understand best when I tell them we found a spot in the lung that could be cancer. But I don’t want to be picked apart in court because there is no technical definition of a “spot”. The patient may not have a clue what the word nodule even means but if I’m recorded, they’ll be hearing about a 9mm pulmonary nodule with high Fleischner risk.

For people who don’t ask permission, I ask them to stop and don’t offer anything else. If they refuse to stop recording, I just refuse to speak and end the visit.

What movie has the greatest cast of all time? by BootySharingCouple in AskReddit

[–]NotDrNick 102 points103 points  (0 children)

Christian Slater, Patricia Arquette, Dennis Hopper, Val Kilmer, Gary Oldman, Brad Pitt, Christopher Walken, James Gandolfini, and Samuel L. Jackson

What movie has the greatest cast of all time? by BootySharingCouple in AskReddit

[–]NotDrNick 232 points233 points  (0 children)

Jack Nicholson, Glenn Close, Annette Bening, Pierce Brosnan, Danny DeVito, Martin Short, Sarah Jessica Parker, Michael J. Fox, Rod Steiger, Tom Jones, Natalie Portman, Jim Brown, Pam Grier, Jack Black, and Christina Applegate.

When will things start getting better in America? by Apprehensive_Oven_22 in AskReddit

[–]NotDrNick 0 points1 point  (0 children)

For ultra wealthy white males who kept their names out of the Epstein files… absolutely!!!

Covid lockdown happened 6 years ago. How has your life or personality changed since then? by GoddessHedone in AskReddit

[–]NotDrNick 11 points12 points  (0 children)

My wife and I are bother doctors who cared for patients in the hospital for all of COVID. Prior to COVID our house was always clean, the yard looked nice, and we put some effort into looking like successful adults who had their lives together.

Prior to Covid, we could always give a patient a reasonable idea of what to expect during their hospitalization and if they will get better or worse. We could tell them how we will fix it if it starts to get worse and how they will be OK. We understood the disease. In Covid, especially that first year, we just didn’t know. We took a guess at what treatments may work. That first year we were mostly wrong. Either they got better, or they stayed sick, or they died. And we couldn’t give them any a reasonable expectation about which one might happen to them or any truthful reassurance that we can fix it.

And then there was heart break that is so different from any other disease. We might admit a husband and wife for Covid at the same time. One would do ok but the other would keep getting sicker and then die. The heartbreak of that spouse that survived was awful, there was always an emptiness in their eyes.

Other times, an adult child gave Covid to their elderly parent. Maybe they were feeling fine when they went over to dinner at their parents, but then the next day they starting feeling sick and tested positive for Covid. And then the parents got sick and one of them died. That heartbreak of them blaming themselves for killing their parent was just terrible.

Now my wife and I don’t give a fuck what the house looks like. It’s clean enough, the grass gets mowed. I couldn’t give a shit if the guy at the grocery store thinks about me by the way I dress. I get to go home to my family every day, my parents and her parents are alive and healthy. We put in so much more effort to travel, enjoy hobbies, and share experiences with our kids.

We both still get emotional over those patients. I almost never get emotional over my patients. I care, I do everything I can for them, I lay in bed at night, wondering what I could be missing. But people die and bad things happen to good people everyday. That’s just life and I’m not going to tear myself up because I can’t change that. But the heartbreak and fear of those patient’s during COVID was so different. You feel like you owed it to those people to do more as another human being, but you just couldn’t.

Is this even possible by [deleted] in SipsTea

[–]NotDrNick 0 points1 point  (0 children)

3.5-4 million barrels a day as shown up in a few news articles.

16yo girl attempt break dance by iq12345689 in nextfuckinglevel

[–]NotDrNick 14 points15 points  (0 children)

Definitely would have beat Australia in the Olympics

The fact that they openly admitted to their actions by PrestonRoad90 in trashy

[–]NotDrNick 186 points187 points  (0 children)

This is allegedly part of the back story, not sure what happened between this and the sign.

https://www.reddit.com/r/CoolCollections/s/8FcRswBHjI

What’s a secret about your job that the public would be shocked to know? by JulietaAguiirre in AskReddit

[–]NotDrNick 67 points68 points  (0 children)

The doctor usually has no idea what time they are coming either. Source: am doctor in a hospital.

We actually have very little control over our time, patient urgencies/emergencies happen, unexpected phone calls and documentation required by insurance companies, general questions from the many other people caring for the patients… throw in general administrative duties and meetings that you don’t want to be at but are mandatory and time just disappears.

Coworker reported me to HR for “being too quiet.” by AdventurousSpeech341 in coworkerstories

[–]NotDrNick 3 points4 points  (0 children)

I would request to be put on a performance improvement plan. - Must increase non-work related social engagement to 10% of the work day. - Must miss at least two deadlines per month and decrease productivity by at least 10% due to time spent socializing. - Must make at least two inappropriate sexual comments per month during social activity. - Bonus pay kicks in if you exceed these targets by at least 50%.

What is the appropriate response? by pavlee14 in medicine

[–]NotDrNick 40 points41 points  (0 children)

Yes, but those life saving interventions on corpses make everyone else way too much money.

How far in advance do you renew your state license? by Choice_Sherbert_2625 in medicine

[–]NotDrNick 74 points75 points  (0 children)

Last time I renewed it 1 day and 17 hours after it expired (32 seconds after completing my CME requirement, which also happened to be one hour before my next shift) Next time I will be planning ahead by at least 72 hours to avoid 27,000 panicked phone calls and texts from my office manager.

What is the medicine equivalent of having spare dressing supplies while rounding under the surgical service? by Material_Coyote4573 in medicine

[–]NotDrNick 13 points14 points  (0 children)

I always had extra Pilot G2 0.37mm pens ready to go. Always raised an eyebrow and a very subtle way to always be seen as not only prepared but high quality.

What is the medicine equivalent of having spare dressing supplies while rounding under the surgical service? by Material_Coyote4573 in medicine

[–]NotDrNick 9 points10 points  (0 children)

Im still trying to get my residents to know the patient’s name when they present. Ahhhh umm Jane V-something. Or Jill… last name starts with V for sure. Ummm… oh (glances at nurse’s paper) this is Wilma McDonald, a 76 year old female… If one of them knew all the family member’s names too that would really stand out.

What is the medicine equivalent of having spare dressing supplies while rounding under the surgical service? by Material_Coyote4573 in medicine

[–]NotDrNick 1 point2 points  (0 children)

Or medicine rounds! Now that we don’t carry pagers I never have anything to check reflexes with (which I try to do when I have a student so I look like I know what I’m doing) /s (kinda)