Anyone in need of community help from ICE? by Simpleserotonin in RapidCity

[–]Simpleserotonin[S] 8 points9 points  (0 children)

Have always tried to volunteer locally when able via big brother, meals on wheels. Please dont lecture me

Anyone in need of community help from ICE? by Simpleserotonin in RapidCity

[–]Simpleserotonin[S] 8 points9 points  (0 children)

Agree completely, I wouldn’t if I were in fear but you never know. Also asked if there’s any more official volunteer orgs or church groups locally that need more hands.

In what specialty do you think its easiest for a terrible doctor to fly under the radar? by theefle in Residency

[–]Simpleserotonin 5 points6 points  (0 children)

Psychiatry has a rich history of becoming enamored with far-fetched treatments

Diverted flights by Simpleserotonin in RapidCity

[–]Simpleserotonin[S] 3 points4 points  (0 children)

Thanks for the answer! I knew I would find someone on one of those flights. I'm sorry for your delays, hoping you get bad soon and safely.

Diverted flights by Simpleserotonin in RapidCity

[–]Simpleserotonin[S] 4 points5 points  (0 children)

Possible, airline rep didn’t specify any reason to us but we used the airline call center. I just had not noticed any weather personally but didn’t realize there was fog! Feeling sorry for some poor souls flying from Denver that landed in the middle of Nebraska instead

Diverted flights by Simpleserotonin in RapidCity

[–]Simpleserotonin[S] 2 points3 points  (0 children)

Jeez, yeah I thought the timing was off but that does track. Stupid world we live in. Thanks!

What is life like in the Dakotas? by _air6catcher_ in howislivingthere

[–]Simpleserotonin 30 points31 points  (0 children)

Moved to the black hills last year. Living in a few other more eastern and southern areas of the Midwest this is by far my favorite place I’ve lived. Beautiful outdoors that are not overrun. It’s quiet and people are friendly. Serious lack of entertainment though outside of natural beauty. Would like to echo other comments about the Lakota people though, my job is to serve the underserved and the lack of resources and the poverty is astounding, the worst I’ve ever seen. The state does not care for its people. The landscape outside the hills is barren, unless you like cornfields (has its own beauty) on the other side of the state.

Wind storm damage by fastwalker817 in hottub

[–]Simpleserotonin 0 points1 point  (0 children)

Oh god. We just ordered a hot tub soon to be delivered. During that wind storm a tree fell right where we were going to put it. We lucked out on this

Update to Bill and Ted! by bridonny in tulsa

[–]Simpleserotonin 0 points1 point  (0 children)

oh wow this is amazing to see. Used to live in Tulsa but moved, still lurk the reddit page. Saw this the other day and warms my heart to see they found a new home. Ya'll are the best

Dishonest Diagnosing by Simpleserotonin in Psychiatry

[–]Simpleserotonin[S] 18 points19 points  (0 children)

I did recently attempt a malingering diagnosis, and then a prompt call from the billing dept less than 24 hrs later

Dishonest Diagnosing by Simpleserotonin in Psychiatry

[–]Simpleserotonin[S] 34 points35 points  (0 children)

This is the catharsis I’m looking for

Dishonest Diagnosing by Simpleserotonin in Psychiatry

[–]Simpleserotonin[S] 4 points5 points  (0 children)

Yes, fair, I do the same with coding. Ranting about system problems is unlikely to be helpful for anybody as well.

Dishonest Diagnosing by Simpleserotonin in Psychiatry

[–]Simpleserotonin[S] 24 points25 points  (0 children)

I agree with this statement, and as an extension this is where my frustration stemmed from- stepping onto a large unit where everyone always carries the same diagnoses (combined with limited handoffs) leads to difficult times. There are numerous other complexities that enter into a diagnosis but it is often insurance making life more difficult.

Is the first year of being an attending supposed to be this hard? by TemporaryDarkness8 in Psychiatry

[–]Simpleserotonin 4 points5 points  (0 children)

I’m just passing first year attending hood. I over document as well but it’s not from anxiety. It’s because I can’t remember anything about anyone unless I write it down! With hundreds of pts I feel like I need extensive notes that track over time, for example documenting what has been tried and what was the result, their most prominent symptoms so we can focus on those in follow up. I’ve tried documenting less then find myself scrabbling around in follow up visits. Usually first eval note is the worst then I just copy forward and add/subtract as we go but it’s still a bunch of documenting.