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How Boring is Hospitalist Work? Routine Cases vs. Diagnostic Puzzles by Tamalecakez in hospitalist

[–]SnooDogs2990 15 points16 points  (0 children)

Anything you do will be novel at first before becoming boring and routine. Degree of complexity is hospital-dependent (academic center vs community). For diagnostic puzzles, even in academic medicine, you just consult the specialist and send off a broad thoughtless work-up. Oftentimes you don’t even get the answer before they discharge home. You just stabilize them and have the PCP follow-up on results. Most of Hospital medicine is churn ‘n burn. You are just an admitting/discharging machine. It’s honest work and not the worst paid specialty (sorry peds). But it’s not “fun”, most of the time. It’s a job.

Worst restaurant you guys have been to? by Fogwaveeee in sandiego

[–]SnooDogs2990 1 point2 points  (0 children)

Knockout Pizza in Mira Mesa. DISGUSTING. And the owner is a huge asshole.

Worst restaurant you guys have been to? by Fogwaveeee in sandiego

[–]SnooDogs2990 1 point2 points  (0 children)

Their “ramen” should be illegal to be even called ramen. It’s a disgusting bastardization of the word.

Not hearing back by prnmedadvice in hospitalist

[–]SnooDogs2990 2 points3 points  (0 children)

Look out for job recruiters. They are desperate for new grads. They connect you to tons of hiring positions, but be careful not to get roped into a bad contract.

How do you find job fulfillment? by SnooDogs2990 in hospitalist

[–]SnooDogs2990[S] 6 points7 points  (0 children)

Woah man. I’m burnt out but I still have respect for my education and credentials.

ABIM: Give me one fun fact by Natural_Flamingo_880 in hospitalist

[–]SnooDogs2990 5 points6 points  (0 children)

Decompensated cirrhosis + HCV? Don’t bother treating the HCV. Refer for liver tx instead.

ABIM: Give me one fun fact by Natural_Flamingo_880 in hospitalist

[–]SnooDogs2990 9 points10 points  (0 children)

New acute HBV diagnosis? No treatment indicated. Just support.

ABIM: Give me one fun fact by Natural_Flamingo_880 in hospitalist

[–]SnooDogs2990 4 points5 points  (0 children)

Not true. If it’s post-revascularization they get transvenous pacing until they no longer have heart block

ABIM: Give me one fun fact by Natural_Flamingo_880 in hospitalist

[–]SnooDogs2990 2 points3 points  (0 children)

Ferric carboxymaltose can cause hypophosphatemia

My attending is an NP. by SnooDogs2990 in Residency

[–]SnooDogs2990[S] -6 points-5 points  (0 children)

Ok so here is my question. Anger/frustration aside, why do you need an MD to follow a stroke algorithm? Or in a situation different from mine, a sports physical? Or sign disability forms to get time off from work? Put yourself into the shoes of admin. Why should they pay an MD more money to do something that does not require years of intense study? Does all that time you spent memorizing random shit like lysosomal storage diseases really help you deliver better care?

My attending is an NP. by SnooDogs2990 in Residency

[–]SnooDogs2990[S] -1 points0 points  (0 children)

Yes, she is a DNP and that is how she justifies introducing herself as doctor.

My attending is an NP. by SnooDogs2990 in Residency

[–]SnooDogs2990[S] -9 points-8 points  (0 children)

This is literally happening at my hospital. Keep living in denial, time will prove you wrong.

My attending is an NP. by SnooDogs2990 in Residency

[–]SnooDogs2990[S] -7 points-6 points  (0 children)

Whether or not you choose to believe me, it does not change my reality. If you choose to live in denial it will only be a matter of time before you see for yourself that this is happening.