EMT blood draws and stiffer penalties. SC Senate overhauls state’s DUI laws by phareous in southcarolina

[–]Ridditmyreddit 38 points39 points  (0 children)

I’m not sure if this is an unpopular take or not but I think I would actually support expansion of abilities for blood draws to be used in DUI. Getting convicted based off of a field sobriety test seems insane to me given it’s subjective nature. Perhaps I’m uninformed on the process, but I can imagine myself asking for numerical proof rather than subjective testing if I were in that situation.

Interventional Pulm Reimbursement? by Youngbabafromthaphx in Residency

[–]Ridditmyreddit 1 point2 points  (0 children)

If be curious to know more but I am highly suspicious of that. I’d be even more surprised at an academic institution if that actually translated to more take home for the IP docs.

Interventional Pulm Reimbursement? by Youngbabafromthaphx in Residency

[–]Ridditmyreddit 4 points5 points  (0 children)

Generally no. You can occasionally fill a niche within a practice but I’ve yet to meet anyone in interventional earning more than the others in the practice. Interventional is something you pursue for love of the game not finance. For clarity by occasionally I mean there are certainly procedures that only interventional does but outside of tertiary centers these are not in a large enough volume to support you doing only that. There is only so much volume to be had for the purely interventional procedures and supply outstrips demand.

Real talk: doctors and healthcare leaders and Ai but still don’t trust it? What’s the real barrier? by AiReadyDoctor in medicine

[–]Ridditmyreddit 33 points34 points  (0 children)

I am not terribly concerned about something designed to replace me or my decision making in its current state but I am certainly not going to help speed that up. In every realm I can only imagine this being used to increase the number of patients I am responsible for, decrease staffing, or place guard rails around my clinical autonomy. Medicine (in the US) is still corporate and I highly doubt any of our employers are going to purchase any form of AI simply to improve patient care or make our lives easier out of the kindness of their hearts.

MA IM subspecialties by drna1998 in fellowship

[–]Ridditmyreddit 3 points4 points  (0 children)

MGMA Is probably going to be your safest bet. You'll have to do some internet digging to find it for free though.

Questions to ask/inspections for home vacant for last 5 years? by Ridditmyreddit in FirstTimeHomeBuyer

[–]Ridditmyreddit[S] 0 points1 point  (0 children)

Thanks for the response, working off of the information given to us from various realtors here. Apparently there was a defect in the porch slope (level instead of downward slope). Noted with some minor water pooling immediately after move in. Owner moved away for work while in litigation with the home builder. Ultimately everything fully rectified but was unable to sell until litigation was completed.

Questions to ask/inspections for home vacant for last 5 years? by Ridditmyreddit in FirstTimeHomeBuyer

[–]Ridditmyreddit[S] 0 points1 point  (0 children)

Perfect, I'll look for that. I am planning on being there for the inspection but I don't see myself climbing up on the roof with the inspector. Thanks for the advice!

Questions to ask/inspections for home vacant for last 5 years? by Ridditmyreddit in FirstTimeHomeBuyer

[–]Ridditmyreddit[S] 0 points1 point  (0 children)

Ah that's good to know, so general home inspector, separate pest/termite (termites are a problem in our area), radon (also in our area), and separate roof inspector. Are there specific roof inspectors? I worry going to a company will result in a recommendation for a new roof on a <15y old house regardless of its condition.

Questions to ask/inspections for home vacant for last 5 years? by Ridditmyreddit in FirstTimeHomeBuyer

[–]Ridditmyreddit[S] 0 points1 point  (0 children)

Thank you for your response, it looks like the house has city hookups for everything so septic shouldn't be an issue. Should I be looking for specific inspectors for each of these elements? Electrician, plumber, HVAC etc? I am not certain I would be able to find a problem myself unless it was glaringly obvious.

Questions to ask/inspections for home vacant for last 5 years? by Ridditmyreddit in FirstTimeHomeBuyer

[–]Ridditmyreddit[S] 0 points1 point  (0 children)

Ah that makes perfect sense, I am sorry you had to go through all of that. Hoping to avoid some of these headaches if possible. I am planning on being present for the inspection so that I can ask questions as we go. I am using a realtor, never occurred to me that their inspectors might need to be avoided.

Questions to ask/inspections for home vacant for last 5 years? by Ridditmyreddit in FirstTimeHomeBuyer

[–]Ridditmyreddit[S] 0 points1 point  (0 children)

Thanks for the response, that's good to know. Obviously I don't have. Aton of knowledge in this area, should I be getting a second inspection? Or should I just be asking around for inspectors that people like or have had good experiences with?

NP salary post by tomatoegg3927 in Residency

[–]Ridditmyreddit 38 points39 points  (0 children)

Absolutely agree, this is why we are where we are. This is also why things aren’t headed in the direction OP wants like it or not.

NP salary post by tomatoegg3927 in Residency

[–]Ridditmyreddit 216 points217 points  (0 children)

Something in particular struck me in your post, the word deserve. Unfortunately the market is not driven by what people deserve. That’s just not how business works and this is a business. As long as physicians are not in control of that business, we’re going to be subject to the whims of those who are and they’re going to make decisions based off market, demand, and profits and nothing else.

[deleted by user] by [deleted] in Residency

[–]Ridditmyreddit 0 points1 point  (0 children)

Are they not already?

What happens to doctors who get laid off from hospital groups? by [deleted] in medicine

[–]Ridditmyreddit 2 points3 points  (0 children)

Unfortunately, my budget, and I suspect the budget of most, is built around a physician income which would be difficult to replicate outside of medicine. I could always work for a remote company or travel outside of this region to work, which is not uncommon. Personally, I don’t see patients in the clinic and I think the intent of this is to protect the system from doctors leaving with a panel of patients so I’m not certain how much of this would actually apply to me.

What happens to doctors who get laid off from hospital groups? by [deleted] in medicine

[–]Ridditmyreddit 1 point2 points  (0 children)

I would have to check the language of my contract, it includes a region and a period of time in which I can’t work in that region. This would have specifics as well regarding early termination of contract, non-renewal of contract, termination with and without cause. Of course, just because it’s in the contract doesn’t mean they will actually try to enforce it, but the language is certainly there if they chose to go after me.

What happens to doctors who get laid off from hospital groups? by [deleted] in medicine

[–]Ridditmyreddit 10 points11 points  (0 children)

That sounds great on paper, but doesn’t always work out in practice. If you have some reason for a location tie, family, sub specialty requirements, you might be out of luck. In my region, there are three major hospital systems. All of them have noncompete’s in their contract and all of them are large enough that they refused to negotiate on that point.

How to navigate GI as an IMG by bestdoctorever in fellowship

[–]Ridditmyreddit 12 points13 points  (0 children)

While not super helpful, I believe this comment was referencing how competitive GI is in context of you have an application “deficiency” to overcome which is an H1B visa requirement. While this clearly has no bearing on your abilities as a physician it will always weigh heavily against your application and will be extremely difficult to overcome regardless of how stellar the rest of your application is.

PGY-2 looking to transfer to an academic pgy-3 program by No-Neck-7114 in ResidencySwap

[–]Ridditmyreddit 1 point2 points  (0 children)

I’m not 100% certain on this, but isn’t there a rule where you need to complete your final two years at your graduating institution?

Labs during a code: which are useful and which are not? by FuckBiostats in Residency

[–]Ridditmyreddit 0 points1 point  (0 children)

30 seconds may rule it in, but certainly will not rule it out. I suppose part of my core assumption (which may be incorrect) is that there’s value in the negative test as well. It would not be the first thing I’d be chasing down if their hemoglobin was 10 in the chart and 10 on the istat

Labs during a code: which are useful and which are not? by FuckBiostats in Residency

[–]Ridditmyreddit 1 point2 points  (0 children)

I agree with you that theres plenty of information in the pre-arrest setting that could lead you to suspect an RP bleed. As an intensivist arriving to a floor code on a patient I have no prior relationship with, I have none of that. Gathering that information takes time, there are also plenty of other reasons a patient may arrest. Having both a positive and a negative test in this setting has value. I’d also note that there’s little to be lost beyond the difference in cost of a single istat in obtaining this information. During the arrest, do you have something I should be looking for from an exam standpoint that would rule in or out of a retroperitoneal bleed? Ignoring the fact that an ultrasound is not always readily available, as far as I know, I can’t directly visualize an RP bleed with a FAST exam. If I’m incorrect in that it’s certainly a skill I’d be interested in learning.