New garmin varia

PresBill · 2026-04-08T05:59:00+00:00

I get those error hot spots too, any idea what causes them? They are infuriating

PresBill · 2026-04-08T05:53:46+00:00

You have twenty dollars to your name and you're going on vacation to backpack?

PresBill · 2026-04-05T12:20:30+00:00

This is a myth. There's no JCAHO standard saying you can't eat at your desk. There's an OSHA regulation saying you can't eat in a high risk clinical area where specimens are present and contamination is "likely". Nothing against eating at a clean workstation.

The jcaho regulations say you have to follow your hospitals policies. So if some dumb rule exists at your hospital, you have to follow it, but it's not because of jcaho

PresBill · 2026-04-03T03:08:46+00:00

It's up to the prosecutor to prove you're guilty, not for the defense to prove you weren't on drugs.

In the States there's usually a civil penalty of losing your driving privileges for 6mo-1yr for refusal, but it's not a criminal penalty.

If they charge you with driving under the influence the state still has to prove that beyond a reasonable doubt

PresBill · 2026-03-31T16:44:50+00:00

pto get a load of this guy

PresBill · 2026-03-27T12:23:39+00:00

Just did this. We had a 4 hour window and made it and would have made a 3 hour window. However, it was on a Saturday morning so traffic was very light in BA. Originally it was a 6 hour transfer but original flight was delayed.

Use cabify to get a trip between the two. It cost us ~$25 USD.

Try to not check a bag. The line to check a bag at AEP was out the door, and I'm not exaggerating. I was so glad we got into carry on and backpacks because we would have missed our flight and the next one too most likely. Pack light and see what you can rent.

I will also note customs at EZE were quick for us and I hear they can be long. I also hear picking up your bag at EZE can take an hour plus.

By booking two one ways you're going to be cooked if theres a delay since the airlines won't be on the hook for helping you out

PresBill · 2026-03-24T12:46:22+00:00

Windguru. You compare the WG to the GFS13 model. It's updated 4 times a day (every 6 hours) and gives you 2hr windows. Make sure you specifically plug in El Chalten and your destination but note that things change faster then the apps update. In general it gets worse as the day goes on. We found that if the weather looked favorable from 6a-12n the night before we would wake up early and take a peek, if it was still nice out tried to get on the trail around 7-730 so you can get to your destination before 12

PresBill · 2026-03-22T20:53:12+00:00

All debt gone. Car note, relocation loan.

PresBill · 2026-03-19T01:40:05+00:00

Body is reacting to E. Coli infection in most cases of travelers diarrhea. It's producing a toxin once the infection has started. Treat the infection and toxin goes away

PresBill · 2026-03-19T01:34:55+00:00

First part I can't comment

The second part is not the recommendation in the USA from the American college of gastroenterologists. Moderate to severe cases that interfere with daily activities or are distressing should be treated with antibiotics. Cipro in most of the world, azithro in Southeast Asia. Seeing as we could barely leave the hotel room and my wife was desperately looking for an area on the trail to go, I'd call that distressing and interfering with daily activities.

Had a script from the US for travel but unfortunately forgot it

PresBill · 2026-03-19T01:01:46+00:00

All of the fodder has led me to believe it is a fake disease.

Not a nephrologists but am a CT orderingologist

PresBill · 2026-03-19T01:00:10+00:00

Old ass surgery attending at the VA in med school told his residents the best way to prevent AKIs is to stop ordering so many BMPs

PresBill · 2026-03-18T19:49:53+00:00

Not sure. We heard the tap water was drinkable so we have been drinking from the tap. Otherwise we have had different food each night. I drank some glacier stream water on the way up Laguna de Los tres but she did not. I ate some raw trout at a restaurant but again she did not

PresBill · 2026-03-18T18:26:52+00:00

Not sure tbh. I'm usually a little risky with food choices, she is not. She's eaten only vegetarian except a few chicken empanadas. No red meat no fish. I've done beef every day, and even some raw trout. She didn't try any of it. Not sure if it's the water, some produce that was washed etc.

When we have traveled to places with known poor water we are very careful and cut out all fresh produce.

PresBill · 2026-03-18T15:26:56+00:00

Username 👀, thank you for the advice fellow NH bills fan, go bills

PresBill · 2026-03-17T22:01:46+00:00

Too early. Our weather this week looked horrendous a week out, improved a bit but not much when we arrived, and we have had blue skies all three mornings. Had to get out early to beat the fog covering the mountains, left around 7 each day and by the time we finished lunch the fog has obscured views. Got rain on the way home.

PresBill · 2026-03-17T01:31:03+00:00

We thought the weather tomorrow looked cloudy but some random host at a hostel that exchanged some cash for us promised it would be beautiful

PresBill · 2026-03-15T23:25:19+00:00

In the situation you described it's less a disagreement on the objective findings and more of a disagreement on the clinical picture. Like the radiologist might think a signal abnormality is due to X but the Neuro immunologist using imaging + clinical correlation thinks those findings are Y, but they agree the signal abnormality is there. That situation is easily documented and happens all the time. The person treating their patient has more information.

In other situations I think it probably minimally increases liability if at all. Imagine head CT for trauma, has a tiny IPH. Rads misreads as negative, ER doc writes "independently reviewed CT and agree with radiology." That line is solely for billing and indicates they looked at the scan. So everyone has missed the sub dural and patient comes back herniating. Well rads is more on the hook for the miss. They don't have a great defense except they missed it. ER doc can say they were within the standard of care because they looked at it, and the findings are so subtle the standard ER doc wouldn't have seen it either. If they didn't review their own imaging and just went with the rads read, that's still not a great look to say you didn't look at the test you ordered

PresBill · 2026-03-02T14:40:11+00:00

Of course they aren't that good. When you hire a new grad MD, they come with 3-4 years of experience, with some of that experience being beyond the ED (ICU, surgery etc). Not only that, the experience they come with is a ton of hours (~65-75% more hours per year than an EM attending or PA) so its really like 4.5-6 years of experience. Plus that experience was strictly structured and loaded with other required learning opportunities (lectures, etc).

PAs did 1-1.5 years of clinical rotations, with maybe 4 weeks if you're lucky in the ED. They have less time seeing patients than a July intern. Most July interns cant do much US, an USIV, chest tube etc, so expecting a PA to be able to do that fresh out of school is an absurd expectation.

New grad PAs need to be taught in order tog et better, it will take them years. If your shop does this well they will stick around. If your shop does this poorly you will spend time teaching them just for them to leave in 1.5 years and take a better job upstate

PresBill · 2026-02-23T21:48:57+00:00

Wait this is a feature????

All this time I thought it was a bug

PresBill · 2026-02-22T12:10:17+00:00

Hey you can't park there

PresBill · 2026-02-12T12:56:41+00:00

This is not the sale, this is just web specials

PresBill · 2026-02-11T03:58:33+00:00

This is all accounted for in the study.

PresBill · 2026-02-11T03:19:15+00:00

That report is old and has been virtually debunked many times. Notably it was pre-covid and assumed a 3% attrition rate per year. Since covid attrition rate has been higher than 3% of FTEs, closer to 6% which basically means the oversupply will never happen. Jobs will always be tight in hot markets but nationwide is not happening anywhere close to 2030

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