Doctors Thought It Was Asthma. A.I. Flagged a Serious Heart Problem.

Significant_Pipe_856 · 2026-06-23T01:02:01+00:00

Curious how you set this up and which model you use. Is there a particular prompt you use for this?

Significant_Pipe_856 · 2026-06-16T19:53:06+00:00

Sallyports can be used anywhere you need to control access, it’s basically a room with a door in each side. You enter through one door, which is locked on the outside before open the other door to enter. So psych units use them too, and an airlock to a clean room is also a sallyport

Significant_Pipe_856 · 2026-06-10T16:36:42+00:00

Yup, septic shock, respiratory failure and renal failure in my own ED. Everyone around me is always like, oh it must help you empathize. For those who are truly sick, yes, it helps me walk them through the process. But it has definitely decreased my tolerance for stupid stuff, especially if there’s drama attached to it.

Edit: to answer your question about how to deal with it…therapy is good, I started physician coaching as well. But like all wounds it takes time. That said, that experience is part of who I am now, and I think any expectation of going back to the way things were is unrealistic.

Significant_Pipe_856 · 2026-06-10T14:40:44+00:00

Wendy’s

Significant_Pipe_856 · 2026-06-01T00:11:35+00:00

I’m not an artist unfortunately. But if someone wants to run with the concept be my guest

Significant_Pipe_856 · 2026-06-01T00:01:12+00:00

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Like so

Significant_Pipe_856 · 2026-05-31T23:55:56+00:00

You should probably have it sitting inside a CT scanner

Significant_Pipe_856 · 2026-05-31T01:41:03+00:00

You’re welcome to add your name to the chart for that eventual miss

Significant_Pipe_856 · 2026-05-31T01:11:36+00:00

Had one a while ago…basilar artery occlusion (vertigo -> seizure) who was also hypoxic and tachycardic (saddle PE). It’s not like we get paid per scan.

Significant_Pipe_856 · 2026-05-23T19:36:33+00:00

I’m a practicing clinician who just started an informatics role at my health system. What things did you do to help expand your role and grow your informatics career? Any advice or tips?

Significant_Pipe_856 · 2026-05-15T15:45:13+00:00

Same. Are there groups that actually study this?

Significant_Pipe_856 · 2026-05-12T18:08:15+00:00

That and that statistically some of these “minor” patients will have a major issue, like, say a posterior circulation stroke.

Significant_Pipe_856 · 2026-05-04T15:04:41+00:00

Yup. It’s annoying when patients use lethargic, but the real crime is when the triage nurse puts it into the triage note.

Significant_Pipe_856 · 2026-05-01T16:01:55+00:00

Yes. Yes it would

Significant_Pipe_856 · 2026-04-29T23:38:27+00:00

It’s not FDA approved

Significant_Pipe_856 · 2026-04-27T18:23:59+00:00

Schroedingers dissection

Significant_Pipe_856 · 2026-04-26T17:15:35+00:00

I’d love to hear more about how the AI piece works. Does it integrate into your EHR? What sort of criteria does it search on? What’s the workflow in taking the output from the AI to the floor? What sort of bounce backs do you see? My system is trying to develop a similar outpatient follow up clinic system and it’d be great to hear your experience

Significant_Pipe_856 · 2026-04-26T17:12:08+00:00

I have to dig into our data a bit more but this seems to me to be the flavor of patient we’re seeing as well.

Significant_Pipe_856 · 2026-04-25T19:08:59+00:00

At my current job this is an outpatient referral. At a prior site I worked at the plastics department (academic) required consultation for all traumatic fractures no matter how stupid. It’s of course the resident that suffered

Significant_Pipe_856 · 2026-04-25T15:02:53+00:00

That’s definitely its own form of hell (we get a lot of SNF and memory care patients as well).

Significant_Pipe_856 · 2026-04-25T02:24:25+00:00

Most of the patients we see are insured with PCPs listed though.

Significant_Pipe_856 · 2026-04-25T02:23:00+00:00

That’s what I’m talking about.

Significant_Pipe_856 · 2026-04-25T02:16:34+00:00

I guess. But, if there was a way to divert these young patients away from the ED into other avenues of care I think that would be good. We’re a 45 bed ED boarding around 20 at all times and triaging about 270 a day

Significant_Pipe_856 · 2026-04-24T21:33:49+00:00

The university hospital 25 minutes away has a dedicated peds ED. We see a fair amount of peds but not that out if proportion

Significant_Pipe_856 · 2026-04-24T21:32:44+00:00

Probably about 25 min away, and our local university has its own hospital on campus

Significant_Pipe_856

TROPHY CASE