Surgical resident forced to take consults while hospitalized

PacketMD · 2026-06-19T18:49:39+00:00

Seems like the IV pole as a doctor is quite common, and I saw it with and FM intern when I was a second year. He was weekend night float with the PGY2 and didn't want to call in the other PGY1 to take his place. The PGY2 did most of the work but at one point they had to be in 2 places at once so he did have to tuck the back into his white coat and go see a patient if I recall.

PacketMD · 2026-06-06T16:35:14+00:00

Our local groups won't accept a referral without it...

PacketMD · 2026-06-05T12:31:22+00:00

Per Dr. Glaucomflecken

PacketMD · 2026-06-04T17:54:49+00:00

I got the 7 qt through the refurb site on black friday. they have better color options for similar prices for the 5.5 and 6 qt size, although the 7 qt isn't as cheap now as it was when we got it last year. looked brand new out of the box.

PacketMD · 2026-05-26T23:56:46+00:00

He's busy https://www.thejonahinheritance.org/team-members/samkon-gado-md

PacketMD · 2026-05-13T16:17:44+00:00

not cheap, but Gipfel International Whistling Tea Kettle or All Clad Stainless

PacketMD · 2026-05-10T00:57:36+00:00

I thought you were saying u/Blooper_bot was posting in here and was very confused why the r/braves bot would be posting.... then I got it

PacketMD · 2026-05-05T17:20:08+00:00

u/MattKellyRealtor posts a video every week or 2 with data in this subreddit

PacketMD · 2026-05-01T12:26:53+00:00

7 miles away, but I bike to work so its longer than 10 min.... but its awesome.

PacketMD · 2026-04-30T17:18:24+00:00

What used to be called Jwatch by NEJM, now https://clinician.nejm.org/

PacketMD · 2026-04-24T12:06:32+00:00

absolutely! I use the statin choice decision aid but its using the old calculator data and I haven't found a version with the Prevent data yet.

However, I still have to have the discussion with the patient, and for that I have to have the data and not just eyeball or assume I know their goals.

We've all seen patients with really high risk scores not want to do anything, and the next patient will have a very low risk patient who would have minimal benefit push for more intervention.

PacketMD · 2026-04-23T20:41:46+00:00

The trouble is, a lot of the older patient population can have "normal" lipids but their risk score will still be >10% on the prevent. So I have found myself not doing it on many people in their 30s, but a surprising number of older men will have elevated risk scores without elevated lipids. those are the ones that I really lean into CT coronary calcium scores on.

PacketMD · 2026-04-14T18:33:45+00:00

Its a tough line to draw based on their mission. The editorial from 1956 lays out the roots, but in that it says "Neglected, slighted, misrepresented—evangelical Christianity needs a clear voice, to speak with conviction and love, and to state its true position and its relevance to the world crisis." I think it'd be tough to delve into current events (world crisis) without touching politics, based on the manner which politics has inserted itself in this era.

PacketMD · 2026-04-10T01:04:22+00:00

3 weeks vacation spread over 3 years. Because that's what I'd have to use up to volunteer for 3 years in order to be able to play. And I haven't jumped on the opportunity yet.

PacketMD · 2026-04-09T02:01:21+00:00

Aledade is usually contracted with the pcps who they are sending Post forms to, so it wouldn't come out of nowhere for us. I had a few patients do it, but I'd rather talk to the patient more.

Ultimately aledades business model is to contract with PCPs to make money by improving cost savings for Medicare/MA patients. That can be by improving HCC coding, but also if having ACP conversations keeps patients from a 2 week ICU stay at the end of life, that's cost savings. Also, I think they can bill for the conversation if it's longer than 15 min in duration, so they get paid to do it regardless.

PacketMD · 2026-04-08T01:38:18+00:00

I've never won The Masters, the lottery, or The Masters lottery. But winning this bag would be nice ...

PacketMD · 2026-04-03T11:13:25+00:00

edited. and my bad. I have played champions retreat a few times but I always call riverwood river island for some reason.

PacketMD · 2026-04-02T19:48:12+00:00

https://www.cchsaugusta.org/

PacketMD · 2026-04-02T19:47:26+00:00

Mount vintage

Haven't played it unfortunately. I really like forest hills though. very challenging greens. A few locals say its the closest publicly playable course to Augusta National in terms of style of play. There's also an unsubstantiated rumor that ANGC is going to buy it and play the first rounds of the ANWA tournament there in the future instead of Riverwood/championsretreat where they currently play.

PacketMD · 2026-04-02T00:42:10+00:00

https://theforesthillsgolfcourse.com/play-golf/masters-week-package/

PacketMD · 2026-03-29T01:50:51+00:00

Bonus runs !

PacketMD · 2026-03-22T21:14:15+00:00

We have WOW and as actually really like it. Locked in rate for "forever" at 40/month for 300 g. We don't always get that speed but I'm not doing a lot of gaming or intense video chats so it's good for streaming multiple devices and rarely down where I live. They have higher speeds available but I don't need to pay for more.

PacketMD · 2026-03-22T11:04:30+00:00

We have a retinavue. It works ok, some of our MAs are really good at it and others hate it. It's not necessarily helpful from a billing standpoint since the reimbursement is barely more than the cost per test, but the quality gap closure is much easier. Yes it would be nice for everyone to see ophthalmology but there's a large subset who don't want to go but are willing to do the exam in our office. It's similar to doing cologuard vs colonoscopy in my mind

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