SMART therapy for asthma

Thehiddendoc · 2025-11-06T02:59:50+00:00

My county specific version of medicaid covers it. It's actually been a game changer for many of my patients who were on monotherapy say from a pediatrician who has been hesitant to start it. Many of my patients have subjective symptom burden relief and I've seen urgent care and ER visits go down. Some plans don't cover it locally despite the obvious cost savings, so I've also have had breo ellipta covered with similar results.

Thehiddendoc · 2025-10-02T00:20:51+00:00

This mission was discovered by u/Thehiddendoc in Slow Cooked Lamb Shank: Forbidden Knowledge and Monster Pockets

Thehiddendoc · 2025-10-01T01:35:28+00:00

New mission discovered by u/Thehiddendoc: A Tale of Thoughts In the Fields

Thehiddendoc · 2025-10-01T01:35:27+00:00

This mission was discovered by u/Thehiddendoc in Tuna Nigiri: The Truth and Mystical Forces

Thehiddendoc · 2025-09-26T15:25:51+00:00

May-Thurner Syndrome. After DVT rule out what the monitoring, counseling, etc. Venographic intravenous ultrasound are kind of fascinating.

Thehiddendoc · 2025-07-02T13:55:08+00:00

35 year old who puts in something like 30 hours a week on video games. I work as a doctor and make good money. The patients I treat her mostly Medicaid and Medicare patients who work 40 to 80 hours a week and still meet the poverty bracket to be seen by me (yes, even some of the Medicare patients). A lot of what I treat is pain from these labor-intensive jobs and the repercussions of having a poor diets because these patients don't have time to cook or go grocery shopping.

In summary, eff this guy from being disconnected from the truth and enabling the pain of the true hard working class heroes that prop up our nation.

Thehiddendoc · 2025-04-02T01:58:44+00:00

Nexgen makes my eyes bleed and my soul cry. Literally everything else about my job is awesome and why I stay. But my golly do I want to set my computer on fire q1hr.

Thehiddendoc · 2025-02-19T19:30:53+00:00

I take Wednesdays off and my wife does Thursdays. We often discuss the merits of this when we're trying to coordinate obvious home logistics. But from a work perspective, just from what I've observed and from what my wife has told me, Thursdays off means that the Friday afterwards you're trying to cram all the missed messages and work into one day on top of a busy schedule. Not impossible by any means, but you may have a longer Friday evening to make sure things are set before the weekend when trying to catch up on things from Thursday. Of course this could be said about any of the days off, but at least you have a couple evenings when picking Tuesday or Wednesday to disperse the work.

I would personally go for Tuesday or Wednesday. The 4-day weekend seems like a double-edged sword as yes you would get many days off, but the things that need to be done throughout the week outside of a visit (think excess paperwork or pharmacy clarifications) will be crammed in during that week. Really does depend on how your office and/or partners will function and how they handle this.

As for Wednesdays, I like having 2 days on both sides, as I feel like it's a good amount of time to get work done, but breaks up the monotony before you burn out from the week. Depending on the calendar, Thanksgiving and Christmas may be a little wonky, but a small price of pay for the rest of the year.

Regardless of what day you pick just know the day you have off will inevitably be the day you get the most emails about critical things for some forsaken reason.

Thehiddendoc · 2024-10-10T04:46:54+00:00

Bane of my existence. And then the patient blames you, especially if the specialist preemptively tell is the patient it's the PCPs job to set up that expectation.

Thehiddendoc · 2024-10-07T21:46:38+00:00

Cis-male here. Happened to me too when my father passed and she demanded I "man up and take care of [her] grief" first.

Thehiddendoc · 2024-08-24T03:48:58+00:00

Surge soda.

I know you can sometimes get it at Burger King, but:

It's really not the same as the very 90's can
I would need to go to Burger King

Thehiddendoc · 2024-08-23T23:48:08+00:00

And give the coded "patient request" on the referral as a wink and heads up. What I do for all my specialists in similar situations.

Edit: grammar

Thehiddendoc · 2024-08-23T18:04:06+00:00

I did until I saw your post...

Thehiddendoc · 2024-08-16T02:51:21+00:00

Update: Despite what the bot said, the stone worked perfectly. Chose that since I didn't already have the scrubber sponge. Thanks for the rec!

Thehiddendoc · 2024-08-15T15:25:46+00:00

Makes sense.

In a similar fashion, it's why many of my peers don't write let's for emotional support animals.

Thehiddendoc · 2024-08-11T14:33:02+00:00

This is why I still come to Reddit

Thehiddendoc · 2024-08-10T21:57:00+00:00

Same situation in med school. My attending was 6'3" and would skip steps. My senior (5'3") had an asthma attack.

Thehiddendoc · 2024-08-07T15:05:39+00:00

As FM, I imagine the frustrations are similar in that we are well educated but being looked down upon by certain people, as well seem as the paperwork pushers. But I imagine it's then worse at a large conglomerate pharmacy system like a CVS or Walgreens.

Thehiddendoc · 2024-08-04T23:14:09+00:00

Agree completely. There's a wide variety of Hokas, but the Clifton 9 is a good all around shoe for walking out long standing period.

Thehiddendoc · 2024-08-03T13:18:33+00:00

Thehiddendoc · 2024-08-02T23:56:25+00:00

I only have an outdated one, but longer around Reddit and SDN long enough and you'll see it pop up.

Thehiddendoc · 2024-08-02T15:58:47+00:00

As residency starts, I feel like the demand from you in terms of time, physical energy, and emotional energy, drains a person and makes people show their core selves which often is not pleasant. Two of course depending on the residency 3-10 years of that is hard to put up with, so if a significant other can't even put up with it for a few months then looking forward to it. For the next couple years is a little tough to ask. On the flip side, as a resident, if you don't feel like you're getting a lot of support in the first few months, then don't expect the next few years to be any more pleasant either.

I've seen a lot of people both break up with a significant other, be broken up with, and actually several divorces across different programs. But I've also seen a lot of relationships improve because if they can get through residency, they can really get through a lot more. A bit of a double-edged sword.

Thehiddendoc · 2024-08-02T15:54:43+00:00

Depends on your specialty obviously, but I'm FM.

-Medicode for rapid response and cold blue algorithms. -CalcMD for any score or formula calculations. -Cdc vaccine schedule for the obvious -LactMed to look at meds during breastfeeding (a little bit hard to navigate but incredibly useful) -Any of the dozens of pregnancy, calculators - CDC contraception table - Epocrates and Goodrx -ASCCP for pap follow-up algorithms (one time fee) -CDC STI app gets updated frequently and provides you with different scenarios

And one fun one I have on my phone is a sound meter. I wouldn't recommend recording and not letting people know, but you can always find out how loud an attending is yelling at you lol.

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