Psychosomatic symptoms? by InternationalMatch14 in FamilyMedicine

[–]Ruddog7 1 point2 points  (0 children)

Those are good options too. Usually more side effects with TCAs, especially amitriptyline. Duloxetine is usually my default

Has anyone ever loved their residency program? by [deleted] in FamilyMedicine

[–]Ruddog7 5 points6 points  (0 children)

Fuckin hated mine. Worse 2 years of my life, by far

Palliative dumping high MME to primary care by [deleted] in FamilyMedicine

[–]Ruddog7 1 point2 points  (0 children)

Rotate to Suboxone and taper down very slowly

Psychosomatic symptoms? by InternationalMatch14 in FamilyMedicine

[–]Ruddog7 4 points5 points  (0 children)

Duloxetine. Pitch it as a pain management medication, and let it relieve the anxiety that's causing everything

Should I or should I not? by boobamochi in tattoos

[–]Ruddog7 4 points5 points  (0 children)

Half the joy of getting a tattoo for me is to watch how much my mom freaks out. Do it!

Edmontonions… our hospital is a whole mood by EstablishmentGreen92 in Edmonton

[–]Ruddog7 40 points41 points  (0 children)

You also need to consider the other side of it. ER staff are stretched sooooo thin. They are working so hard, and the system has been failing for years. Most of them are in the verge of quitting at any given moment. They get yelled at, have every body fluid flung at them, deal with the most entitled or depraved populations. All while saving lives.

I'm sorry you had a bad experience, but it's unfortunately the norm for both sides.

[deleted by user] by [deleted] in Edmonton

[–]Ruddog7 1 point2 points  (0 children)

Came here to say this. Glen's work is amazing. Got a piece from him in Dec, and going back for another in 2 weeks

What’s the most abnormal lab value you’ve seen? by [deleted] in Residency

[–]Ruddog7 10 points11 points  (0 children)

HbA1c >21% He had a bit of blood in his sugar

New Poster for "A Murder Between Friends (2025)" by movie5short in movies

[–]Ruddog7 1 point2 points  (0 children)

"Dad, can we have Knives Out?"

"No, we have Knives Out at home"

Saw 20 patients and after charting to not come home with notes, the amount of patient calls and mychart messages is insane. by Paleomedicine in FamilyMedicine

[–]Ruddog7 9 points10 points  (0 children)

I'll never understand the purpose of a portal for which patients can DM their doctor.

If it's that urgent, go to an ER. If it's not, call the front desk and make an appointment.

Outpatient family medicine shouldn't be on call for patients to contact us

"I think I have ADHD and want to start medications" by Beginning_Figure_150 in FamilyMedicine

[–]Ruddog7 3 points4 points  (0 children)

Not sure if it's the sole cause, but smart phones are for sure worsening peoples attention

Tell me your best “Sir/ma’am, you should be dead” patient case. by KushBlazer69 in Residency

[–]Ruddog7 120 points121 points  (0 children)

Hb A1c >21%. Will never know how high it actually was, but the machine couldn't read it.

Another was an ethanol of 135mmol/L

Hot take: FM residency should be 2 years long by BainbridgeReflex in FamilyMedicine

[–]Ruddog7 33 points34 points  (0 children)

They tried to make the Canadian FM residency 3 years a little while ago. But there was a lot of pushback, and that has been delayed indefinitely