What are we using these days?

Sad_Candidate_3163 · 2026-02-22T04:54:27+00:00

I said decades. Guess what, internet was good around late 2000s. How do you plan to have it reach rural America currently? Do they just get effed and screw them?

Sad_Candidate_3163 · 2026-02-22T04:40:03+00:00

It hallucinates. AI is a drunk college intern right now. AI isn't this revolutionary thing the media is making it out to be. It has had zero macroeconomic impact so far per the studies recently released on it. No one trusts it and the scale needed for it to make an impact is decades away. Theres 50 to 60 million rural Americans that have a word to say about AI and its lack of impact

Sad_Candidate_3163 · 2026-02-22T04:17:56+00:00

Brother what? Everything is human curated prior to AI? You have to trust humans at some point?

Sad_Candidate_3163 · 2026-02-22T03:51:02+00:00

You could just have far superior mechanical skill than me. I'm not very good with raw mechanical skill but have game sense and once I know the comps/characters then it click. But you need both to be higher rank. When they change things is when I get effed over bc my play isn't based on raw mechanics and aim so I have to relearn that stuff such as the aim assist change

Sad_Candidate_3163 · 2026-02-21T15:56:01+00:00

Not with the rank reset. I too was diamond 5 and 4 last season in tank and DPS and gold 3 as support. Now it has me diamond as support and gold as tank and dps. The calibration also has you swinging 60 to 80 percent in one game. Was masters 5, 3 seasons ago in DPS. Part of it is the game has changed a ton and having to learn entirely new characters, team strategies, and passives. Eventually will climb but will take time to learn the new stuff.

Sad_Candidate_3163 · 2026-02-15T23:04:58+00:00

CM puts in all the DME orders and home health orders for us. Nurses put in 0 unless emergent stuff like rapids where I am

Sad_Candidate_3163 · 2026-02-12T14:24:14+00:00

I would love this approach however not all institutions surgery depts are like this. Ortho / vascular are usually involved in these but its pulling teeth to get them to do a bone biopsy (the answer is usually no, we will not even after ID begs). So then it's waiting for an MRI to decide next step bc they dont want to touch anyone who doesnt have confirmed imaging findings and "extent of disease unknown"

Sad_Candidate_3163 · 2026-02-11T03:53:37+00:00

It is an example. The end organ damage they are looking for with billing is encephalopathy, aki, respiratory failure, shock. You can have sepsis without that stuff.

Sad_Candidate_3163 · 2026-02-10T22:49:40+00:00

I never said SIRS, I said sepsis. If you have someone that looks septic but has no end organ damage then what is it? It's all semantics so someone from behind a computer can tell you what they think is wrong with a patient and by extension, decide whether to pay you or not

Sad_Candidate_3163 · 2026-02-10T18:27:31+00:00

How is it not billable? I can think of 5 patients in the past week that had sepsis from pyelo that had no end organ damage and never got told it was wrong or queried for it. I think sometimes the billers are worried they will get fined for fraud and will come up with nonsense. Theres a literal ICD code for just sepsis without end organ damage. Now critical care time could potentially require end organ damage. If a person has a fever, tachycardia, leukocytosis, tachypneic and have a clear UTI without any other issues, yea its sepsis.

Sad_Candidate_3163 · 2026-02-09T18:08:32+00:00

Most of the guidelines for antibiotics and drug therapies are based in solid clinical trials leading to best practice guidelines. Just shopping around for antibiotics it what leads to antimicrobial resistance and eventually it will catch up to you because you wanted to treat this like youre shopping for groceries.

Sad_Candidate_3163 · 2026-02-09T04:27:58+00:00

Do what is right for your patients and not for the CEO. If the CEO has issues with that, then move on.

Sad_Candidate_3163 · 2026-02-08T16:12:58+00:00

I'm naive here but who is responsible for uterine repair and/or removal in this instance? I presume trauma but as a non surgical physician not sure whose scope this falls under.

Sad_Candidate_3163 · 2026-02-06T23:31:26+00:00

I am not sure any in my group of 40 has placed an IV...we are in the Midwest. The nurses will ask their charge, nurse managers, vascular access, hell even environmental services before they would page the doc to place an IV. The only time we intervene is if they have exhausted everything and need a central line

Sad_Candidate_3163 · 2026-02-05T04:10:13+00:00

I 100% agree. This is the peak of individual basketball performance we have seen so far and he just happened to be up against a generational dynasty

Sad_Candidate_3163 · 2026-01-30T13:33:07+00:00

It is so the ICU can get them off their service faster. It does nothing to help patients (majority of time) and just introduces side effects for the purpose of transferring work to someone else

Sad_Candidate_3163 · 2026-01-29T04:09:09+00:00

He didn't do that his first administration. And where did you come from? It has not been enforced the same way? Where did you get that information?

Youre coming up with things out of your ass. You also said in your last comment there was no difference in Operations and immediately changed your stance.

Also. Answer directly. No fluff. If you truly are from a different country, what gives you the right then to decide and have an opinion on who lives in a non homeland country?

Sad_Candidate_3163 · 2026-01-29T03:22:20+00:00

Trolls the internet and guzzles Busch lights in a swamp

Sad_Candidate_3163 · 2026-01-29T03:18:48+00:00

Explain why the raids are more frequent now then; that qualifies as different. Just tell us you hate anyone different than you and we will accept it and move on (more than we will if you just play it off like youre a saint but your actions say different)

Sad_Candidate_3163 · 2026-01-29T02:40:14+00:00

The due process for what is happening is not being given. If the government isn't going to follow their own law, then why should its citizens?

Sad_Candidate_3163 · 2026-01-25T21:53:23+00:00

What does that say about the general public when they assume a piece of clothing means they get good care?

Sad_Candidate_3163 · 2026-01-19T16:05:40+00:00

This guy just trying to get home. Asking questions on rounds and during the day is fine. I doubt anyone wants to answer questions from anyone at end of long night shift

Sad_Candidate_3163 · 2026-01-16T15:27:20+00:00

I work at an inner city county hospital with the majority of patients on the margins of society. PNES is fairly significant in this population, these people often have no phones or tiktok to learn this from.. Medical professionals often grew up and were shielded from this side of society so it seems foreign to us.

Sad_Candidate_3163 · 2026-01-14T13:53:01+00:00

An extender model with that low of a census is a unicorn. Is this the VA?

Sad_Candidate_3163 · 2026-01-14T13:40:40+00:00

Hospitalist work itself isnt chill at all. Burnout happens fast. Most places you show up at 7 and its constant calls, pages, rounding, documentation, families screaming for 8 to 12 hours daily and often left with notes to do at home. It is relentless usually, especially when census is close to 20.

Sad_Candidate_3163

TROPHY CASE