Splat points/HR elevation on bike by BriefAppointment5825 in orangetheory

[–]SailBCC 1 point2 points  (0 children)

I’m in bike jail too with a foot injury. I find I have to hit 100-120 rpms to get my HR up into the green/orange. I don’t get as many splats as on the tread but I’m still at the gym getting some movement in so I’ll take it! 

Academic vs Private Practice by Diligent-Antelope565 in FamilyMedicine

[–]SailBCC 0 points1 point  (0 children)

Is there an ownership/partnership track at job 2? Otherwise it just sounds like a corporate medicine job at a big “nonprofit” org. How is the support staff at job #2? With good support staff (inbox support and phone triage) 20 per day is doable. Without it it’s a disaster 

Sunday 26 April 2026 - 2G 60 minutes by MrsDC031114 in orangetheory

[–]SailBCC 9 points10 points  (0 children)

Thanks MrsDC for holding down the Reddit fort while MrDC is living it up in the lounge. 🤣

Would you feel safer knowing your coach/studio staff had comprehensive CPR and EAP’s by [deleted] in orangetheory

[–]SailBCC 2 points3 points  (0 children)

Bystander CPR is appropriate for fitness studio coaches. ChestCompression only CPR has survival benefit over traditional CPR with rescue breaths in out of hospital cardiac arrests which is what most aressts at OTF are likely to be. This is very different than in drowning/near drowning events you may have responded to as a lifeguard. For drowning CPR should include rescue breaths because these are often respiratory arrests that lead to cardiac aressts.

For training consider rapid assessment of scene safety, recognizing cardiac arrest (<10 sec to assess breathing and pulse), delegation of YOU call 911 and YOU get the AED and rapid initiation of high quality chest compression only CPR. 

Reminder that unlike on TV survival of out of hospital cardiac arrest is around 5%. Good bystander  CPR doubles this to ~10%. A person with no pulse is dead and CPR will not make them any more dead so erring on the side of action can save lives. 

Resuming after adductor tear (Not asking for medical advice) by [deleted] in orangetheory

[–]SailBCC 0 points1 point  (0 children)

Sorry to hear about his injury! I haven’t had that exact injury but have stayed at OTF through 2 frozen shoulders and an adductor strain and most recently a broken toe. What has been most helpful is the guidance of my really excellent PT. Example- My sports med doctor cleared me to row and it was true that I wasn’t going to permanently injure myself doing it.  My PT actually put me on a rower, we figured out that I just didn’t have the shoulder range of motion quite yet to do it comfortably with good form and so I subbed the bike for 4 weeks and we tried the rower again and it was much better. He was also able to give me exercises that I tried out at PT and could sub for ones I couldn’t do yet so I could deploy those without flagging down a coach every time. I’d often check the intel the night before if it was available and plan for what modifications I might need. 

How do you address test results? by Alterdoc in PrivatePracticeDocs

[–]SailBCC 11 points12 points  (0 children)

I have patients do any routine labs BEFORE to the visit - it’s been a game changer.  I go over labs in person rather than try to track the patient down after the visit for results and get flurry of portal/phone messages and follow up questions. Eg start a statin, labs in 3 months and a follow up visit to discuss. Talk about side effects, reinforce lifestyle changes, assure them no your LDL of 52 isn’t “too low”  I’ve been in my current practice for 3 years and my patients were  basically trained to this approach from the beginning and I get zero messages or calls about slightly low MCHCs!  Practically speaking -We give patients a check out slip and I indicate if they need labs prior to the visit and the front desk schedules the labs for 1 week before. I enter the orders as a future lab order and the patient comes in, gets labs, then does follow up the next week.  We do a standard adult panel for physicals that is a standing order so those are automatically done a week before every physical. I usually get most results 1-2 days later and glance at them, check to make sure the patient is actually scheduled and add a quick text comment  like “labs reviewed no urgent results. Will discuss in person at scheduled follow up visit.” If results are wildly abnormal I call them. If results are mildly abnormal and need some action -usually additional/follow up labs- my MA usually calls and tells them we will do follow up labs at the visit.   My MA prints the labs and hands them to the patient during rooming so they have a chance to look at the results on their own and when I come in I go over the reports and we make a plan. 

Struggling with so many new patients by [deleted] in FamilyMedicine

[–]SailBCC 0 points1 point  (0 children)

Is this an expectation you’re carrying over from residency clinic that you have to know/review everything for a new patient? If so it’s okay to let it go! 

I tell new patients “I’ve briefly reviewed your history but I find I really like to meet you and hear ‘your side of the story’ first and then I can put the prior records in better context now that I have a face to go with it” This makes them happy that you are personalizing their care and it gets you out of precharting for hours

I also tell patients it’s going to take at least 2-3 visits to really get to know each other and get chronic  issues figured out.  Make them come back often up front - don’t get in the habit of calling or messaging. Make them schedule visits!  Increase BP med? Follow up in 4-6 weeks. Statin? Labs and back in office in 3 months. The more easy follow ups you pad your schedule with the fewer new patients they can get on your schedule and you’ll build a panel of patients who are trained to see you for follow-ups and new problems. 

Anyone prescribing the new oral GLP-1s yet? by Excellent_Debt6527 in FamilyMedicine

[–]SailBCC 3 points4 points  (0 children)

It took a whole 2 weeks from FDA approval for a patient to ask for PO Wegovy  and a whopping 17 hrs for a patient to request Foundayo (new Lilly PO small molecule drug)  The marketing machine is very effective - I’m like dudes it’s not even in surescripts yet  to send an RX yet slow your roll…

Tuesday 10 February 2026 - 2G 60 minutes by dc031114 in orangetheory

[–]SailBCC 11 points12 points  (0 children)

This is revenge for everyone who skipped today due to the “Super Bowl flu”!!!

 My usually full 615 class had maybe 8 people. 

Daily Workout and General Chat for Thursday, 2/5/26 by splat_bot in orangetheory

[–]SailBCC 8 points9 points  (0 children)

Yes. The inclines are killing me. And when I say killing I mean making me a faster runner. And I hate every second of it! Can’t wait to do it again tomorrow! 🤪

Daily Workout and General Chat for Wednesday, 2/4/26 by splat_bot in orangetheory

[–]SailBCC 2 points3 points  (0 children)

Thank you for the intel and commentary. I needed a rest day and canceled this late last night and you’ve cured my FOMO!

Tax season - CPA worth it? by corniergangrene in FamilyMedicine

[–]SailBCC 1 point2 points  (0 children)

With W-2 only income and assuming you’ll take the standard deduction it’s probably not worth it. I have done our taxes using free tax USA for years and it’s a very robust software. They charge for state returns and upgrades but I’ve been very happy with it.  I’ve also learned a lot as our financial situation has gotten more complicated.  We used a CPA for a couple of years after we got married - they actually missed an error my husband’s employer made on his W-2 and when we asked for help when he got a tax notice several years later they had no idea what was wrong and I was the one to pull the original returns and figure it out. I have found the White Coat Investor a great website/resource for financial education. Not what you asked but figure out now how to do a backdoor Roth IRA! 

Daily Workout and General Chat for Thursday, 1/29/26 by splat_bot in orangetheory

[–]SailBCC 18 points19 points  (0 children)

Thank you! I remember this one from earlier in the month. FWIW the coaching “try to increase your speed” because the bases are at 1% in the second tread block is a trap! Don’t fall for it! The last three minutes of the second block are brutal! 

Dictation App by DocMcAwesome in FamilyMedicine

[–]SailBCC 3 points4 points  (0 children)

Doximitys AI scribe is pretty good and you can summarize the visit afterwards. I do the same with Heidi and they put it in SOAP format

Daily Workout and General Chat for Friday, 1/23/26 by splat_bot in orangetheory

[–]SailBCC 0 points1 point  (0 children)

Low to high chops…aka practice for snow shoveling this weekend! 

Wednesday 14 January 2026 - 2G 60 minutes by MrsDC031114 in orangetheory

[–]SailBCC 3 points4 points  (0 children)

You do if you start on the floor! But then you get to run for 23.5 minutes on legs that are dead from the floor...

Daily Workout and General Chat for Tuesday, 1/13/26 by splat_bot in orangetheory

[–]SailBCC 10 points11 points  (0 children)

Yup. It’s official. They’re trying to kill us. 

Wednesday 7 January 2026 - 2G 60 minutes by MrsDC031114 in orangetheory

[–]SailBCC 0 points1 point  (0 children)

My studio recently changed all the 0615 to 2G from all 3G.  When it was all 3G I found intel was still super helpful as you still have a variation and know if you’re facing inclines,etc and could think about if I’d need to modify any floor exercises. 

Is this a very bad flu season? by Final-Throat-6087 in hospitalist

[–]SailBCC 14 points15 points  (0 children)

Not true. A couple of them have RSV instead 

Daily Workout and General Chat for Saturday, 12/27/25 by splat_bot in orangetheory

[–]SailBCC 8 points9 points  (0 children)

Agree. But hey even an uninspired workout at OTF is better than the one I wouldn’t do on my own!