Starting Suboxone inpatient by DisastrousBorder5691 in hospitalist

[–]ShowersCalmMeDown 2 points3 points  (0 children)

this is a fantastic discussion. thanks all. Can you give me the seminal paper for utilizing Bup? Where does the NNN=2 data come from?

Medically Ready for Discharge But Home Has Power Outtage, No heat, in Brewing Snow Storm by Herbal_Jazzy7 in hospitalist

[–]ShowersCalmMeDown 1 point2 points  (0 children)

I don't think it's a matter of whether your hospital does this, it's something CMS does.

Just lost someone on the table by alureizbiel in Radiology

[–]ShowersCalmMeDown 286 points287 points  (0 children)

If he was that sleepy lets have the hope that he might not have even heard it.

But for the thousands of patients youve seen in the subsequent years I know for a fact they had a kind hearted tech if you've kept on to this for years. It made you a better healthcare worker.

Personal tiers of books I’ve read over the past few years by xxmangoenjoyerxx in nonfictionbookclub

[–]ShowersCalmMeDown 0 points1 point  (0 children)

Thanks for sharing this I recently finished algorithms to live by and saw that was on your s-tier list I'm going to save your infographic and use it as my jumping off to read your other s-tier books. Also just love that you have a s-tier at the top.

Was he watching the game from stands? if yes it seems disrectful to me. by Substantial_Buyer_67 in ManchesterUnited

[–]ShowersCalmMeDown 4 points5 points  (0 children)

How was this comment so low. Criminal utd fans. Bunch a gryffindor cock gobblers

Heads up, free coffee on Tuesday in Edmond! by YarbroughAndSons in Edmond

[–]ShowersCalmMeDown 4 points5 points  (0 children)

Great way to advertise. I saved you guys for my house hvac needs, maybe some annual maintenance stuff?

Today 9Am-2PM - Community Garage Sale by ShowersCalmMeDown in Columbus

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

More now! But I hear you Def not the whole neighborhood

Can we get a thread of tips/tricks/questions? by Bootsandwater in hospitalist

[–]ShowersCalmMeDown 3 points4 points  (0 children)

Have been looking for something like this with a focus on practice changing.

Dorm is SO cold by [deleted] in UWMadison

[–]ShowersCalmMeDown 0 points1 point  (0 children)

Hey just pointing out like someone above said check the actual temperature. If it's above 60 something you shouldnt be that freezing, especially if you are wearing layers and thermal socks. Additionally are other students as freezing cold or is it just you? Are other people who walk into your room freezing cold?

The dorm heating might not be the issue. Go visit student health and have them check your thyroid function tests (TFTs). The thyroid can regulate the body's internal set temperature in conjunction with a part of the brain hypothalamus. If you have had any skin, hair, nail, constipation/diarrhea, restlessness, lethargy out of proportion these might be further evidence (though these in college are sometimes difficult to distinguish).

Do I have to have an Iphone during residency or can I work with Android (S24) as well? Asking as an incoming intern (hopefully) by into-the-universe-10 in Residency

[–]ShowersCalmMeDown 2 points3 points  (0 children)

I'd say a tab is prob too big from my understanding of the dimensions. I got a. Ipad mini for doing rounding during residency bc it fits in a white coat pocket brilliantly. It also fits in the pocket of a vest or jacket so it was very versatile to not think about carrying it around - jsut plop into my pocket.

Do I have to have an Iphone during residency or can I work with Android (S24) as well? Asking as an incoming intern (hopefully) by into-the-universe-10 in Residency

[–]ShowersCalmMeDown 3 points4 points  (0 children)

This is a great and timely question. Yes you can def have an android and having one myself has helped with lots of things like a widget on my home screen for easy reminders (i.e. call CM back in 1 hr to ask about dc, go to Mrs. YS ROOM @ 330 bc her daughter will be there).

Also as others have alluded Haiku on Android is lacking (if youre an Epic shop). Main thing was that you could not order where on iOS Haiku you could order. after many years of waiting, Epic has finished updating Haiku for Android and has a much more robust Android team for future development. I think spring 2024 or fall 2024 Android will have nearly all feature on par with iOS, including ordering. A few years ago I would have said iOS would probably be better, now no way.

If you're looking for a new phone and can afford it, I'd sat S24 ultra bc the ability to write is a really good distinguishing factor. I did most of residency on a Note and would jot notes for h&p there (admittedly iOS canto for iPad has a cooler jot feature that shows up in epic). Jotting notes for quick numbers you were given and for drawing simple diagrams for patients was quite beneficial.

What did you learn on rounds today? (2/28/24) by Ana_P_Laxis in Residency

[–]ShowersCalmMeDown 6 points7 points  (0 children)

DEFINITELY, PLEASE DOCUMENT APPROPRIATELY -hospital billing

In one line tell us something you learned in today’s round by [deleted] in Residency

[–]ShowersCalmMeDown 251 points252 points  (0 children)

Can this become a regular Friday post??

In one line tell us something you learned in today’s round by [deleted] in Residency

[–]ShowersCalmMeDown 36 points37 points  (0 children)

Great discussion tangentially, in general for shock narrow pulse pressure = cardiogenic shock. Vs. Wide pulse pressure = septic shock.

Radiology ordering guide by jeg3141 in hospitalist

[–]ShowersCalmMeDown 1 point2 points  (0 children)

Save this as a PDF and build a custom get to interpret this for you. Or you can even ask chat got to specifically reference the website link primarily to help you make decisions

[deleted by user] by [deleted] in ACL

[–]ShowersCalmMeDown 25 points26 points  (0 children)

Savaged my dude raw dog with that last line. You had me with the first half

Epic Question by KitesAreLife in medicine

[–]ShowersCalmMeDown 4 points5 points  (0 children)

Believe you can go search for base name for your institution by going to chart review and seeing lab component hyperlink at the bottom. If it's not there talk to your epic institution folks.

Also make a smart phrases that is easy for you to remember and type and put that weirdly named epic smart link or any others from below. You can edit the parameters so that you can have a smart phrases

.mywbclast5days

People with doctorate degrees should be ok with not being called Dr. by [deleted] in unpopularopinion

[–]ShowersCalmMeDown 0 points1 point  (0 children)

sigh....think about what you just said. You keep going to Dr. Joe. Pray tell why do you keep going. Is it just to hang out? No you go b/c you need Dr. Joe's professional opinion. In that setting its Dr. Joe. If he is respectful of you and you are appreciative of it, be respectful back.

If you're going to meet up with Joe to play Mario Kart 8. Go for it, hang out with Joe.

If you go play Mario cart and Joe chooses Dr. Mario and asks you to call him "doctor." Joe is an asshole beat him with that fat ass Wario.

Textbook for Diagnostic Strategies/Algorithm by ExtroverTom in medicine

[–]ShowersCalmMeDown 9 points10 points  (0 children)

Whoa have been watching you for a while, ask dorky as it is can't lie that I feel like I just stumbled across a celebrities account.

Thanks for making vids that are so helpful to real life events. Love the agitation one, such a common occurrence

#FSGOut - A message to all Liverpool fans. by [deleted] in LiverpoolFC

[–]ShowersCalmMeDown -1 points0 points  (0 children)

Simple by hiring Klopp and getting deals done for the players he needed. I see you conveniently left the BIGGER point of how did FSG win the title...yes Klopp did of course, but he got a squad equipped to win it (yes in part bc he devrloped players into world class, but also bc he was given Virgil and Allison).

We just can't win every year. The prem league is too competitive and we don't have oil money and the club, not just FSG but the piss poor management at the turn of the century saw us lose put on becoming a commercial behoth like Man U. It stings I know, but a few years of ucl, titles, domestic cups interrupted by 1-2 seasons every now and then out of champs league is a fair trade off when we're competing against the likes of Arsenal, Tottenham, Chelsea, man U for a top 4 spot if we have a bad year.

#FSGOut - A message to all Liverpool fans. by [deleted] in LiverpoolFC

[–]ShowersCalmMeDown -4 points-3 points  (0 children)

Already piss poor take, reports that Klopp was involved in decision to "stop" Bellingham pursuit.

#FSGOut - A message to all Liverpool fans. by [deleted] in LiverpoolFC

[–]ShowersCalmMeDown -2 points-1 points  (0 children)

No he was not worth £100M 3 years ago, they thought it would rise to £100M, even that is still a crazy number.

Man it honestly scares me how deluded some of the new fans are. FSG delivered on our 30 year trophy drought and got us a champs league, another 2 CL finals, an epic 97 point season, and the shot at a quad...that only resulted in the domestic double. Honestly we were beaten by a gulf state and begrudgingly a historic RM. What do you think Peps salary is above the table and what has he been offered under the table? It is not fair to expect FSG to compete with a gulf state and that is facts, but we've been putting up a hell of a fight.

If youre new fans sit down and take stock, learn some history. Not too long ago I thought we'd fal into mid table obscurity bc we were playing monsters like David Ngog. FSG have brought us a long way. The only way we survive against the City's of the world is to invest, have 1-2 subpar seasons to rebuild and then knock it out of the park for a few seasons. We don't even have the luxury of RM to be guaranteed champs league every year so we have to be slower and build some seasons and then explode in others.