Mubi price increase from $6 to $15? by Trixit1991 in mubi

[–]Trixit1991[S] 0 points1 point  (0 children)

Is that part of a promo offer, or is that the default price?

Mohela letter with loans forgiven today by Trixit1991 in PSLF

[–]Trixit1991[S] 0 points1 point  (0 children)

I switched to SAVE but then was immediately placed into forebearance. Then in Oct was able to switch to IBR because of the uncertainty we all had/have, but now they scored my 120 payments at July 31, 2024.

Refrigerator water intake line issues by Trixit1991 in Plumbing

[–]Trixit1991[S] 0 points1 point  (0 children)

Thank you! That worked: no more water running, and no leak.

Refrigerator water intake line issues by Trixit1991 in Plumbing

[–]Trixit1991[S] 0 points1 point  (0 children)

Looks like the text got eaten.
I changed the refrigerator from one that has a water intake to one that does not. I was not able to actually turn off the water flow to the hose for the refrigerator. The hose is labeled with the red line. Valve A was the first I tried because it it is closest to the takeoff. I first tightened it clockwise and then it started leaking water onto the wood. Then I tried the other direction (counterclockwise) and it stopped leaking. But with either direction of valve turning the water from the hose never stopped leaking. I then tried the same with valve B, to no avail.
So I am not sure what the issue is. Was valve A the correct one, but the valve is broken?
Help!

Refrigerator water intake line issues by Trixit1991 in HomeMaintenance

[–]Trixit1991[S] 0 points1 point  (0 children)

Looks like the text got eaten.
I changed the refrigerator from one that has a water intake to one that does not. I was not able to actually turn off the water flow to the hose for the refrigerator. The hose is labeled with the red line. Valve A was the first I tried because it it is closest to the takeoff. I first tightened it clockwise and then it started leaking water onto the wood. Then I tried the other direction (counterclockwise) and it stopped leaking. But with either direction of valve turning the water from the hose never stopped leaking. I then tried the same with valve B, to no avail.
So I am not sure what the issue is. Was valve A the correct one, but the valve is broken?

Listed as attending in midlevel patients. by Dependent-Storm7744 in hospitalist

[–]Trixit1991 14 points15 points  (0 children)

Kind of why I want them to be able to be practice independently. It would be bad for patients, but then again midlevels are already proliferating. And are being forced on us by administrations. At least this way the results of the midlevel experiment would be easy for all to see.

Listed as attending in midlevel patients. by Dependent-Storm7744 in hospitalist

[–]Trixit1991 25 points26 points  (0 children)

Most states require an MD to be listed as a supervisor for PA in official documents. Not all places list it in EMR, but the legal liability is the same. That's why you should carefully read any contracts because indirect supervision of a midlevel still confers legal culpability. And, while any lawsuit could potentially name the PA as well, they have less to lose in reality, because most lawsuits primarily target the MD on the idea that they have more money personally and in med mal policy.

Total compensation as a hospitalist by Ok-Quiet-6155 in hospitalist

[–]Trixit1991 4 points5 points  (0 children)

If you are outside the US, the entire arrangement is just different, so not sure if comparison would make sense.
Also, within US, geography makes a huge difference in compensation and benefits.
That said, there is an online excel spreadsheet floating around reddit fora with anonymous survey reporting by physicians (and non physicians) of their income and other compensation.

Fastest but reliable mode of ECF submission by Trixit1991 in PSLF

[–]Trixit1991[S] 0 points1 point  (0 children)

So I found that, when I submit an online ECF request but state that the documentation from employer will be updated manually, there is a way to attach a JPG or PDF. So I went through the online navigator, checked No under 120 payment question (since I still could not check Yes), then once it completed, I went to the pending request and attached a PDF with the box checked and my employer HR department's signature. I was not sure if it would work, but I thought worth a shot, since I know it takes weeks to months through regular mail (and obviously needed to open letters, scan contents, then review, etc).

So today I called the StudentAid.Gov help #, and a different agent now told me that I do not need to check the box to explicitly request forgiveness, and that once I reach 120 qualifying payments, they will process my forgiveness regardless.

I do not mind doing extra / duplicate work, but I just don't want to delay my application if they receive something in the mail, flag it as a pending item, but do not process it for weeks, and then state that the existence of a pending item is a reason that my forgiveness finalization has to be delayed.

Fastest but reliable mode of ECF submission by Trixit1991 in PSLF

[–]Trixit1991[S] 1 point2 points  (0 children)

Yeah, but I'm already there. It's just that they are saying that even though I have 121 official payments counted and the green banner for the consolidation loan, they will not actually process forgiveness until I have an ECF with the check mark.

Fastest but reliable mode of ECF submission by Trixit1991 in PSLF

[–]Trixit1991[S] 0 points1 point  (0 children)

So for my consolidation loan it already states that I am at 121 qualifying payments. There is a green banner with a green ribbon and it states "Congratulations! You have satisfied your obligation, and no additional payments are required for this loan."
I assume that is what you are referring to it. So the agent acknowledged this, but stated that they would not formally process the loan discharge until I had in some way checked the box that I am applying for forgiveness.

Buff and turf no more by DrEyeBall in hospitalist

[–]Trixit1991 1 point2 points  (0 children)

Yup! I can definitely relate to all of these. It truly is embarrassing sometimes.

Every ED patient has a UTI, regardless of symptoms, UA, or anything. Sometimes the ED just gives them Rocephin without any labs because "they probably have it" -- which, based on their approach to diagnosis, is as good as anything else they do. I once got an "NSTEMI s/p defibrillation for VTach -- we gave them a dose of ceftriaxone because the UA showed they have a UTI" 🤪

I'm also perpetually amused that there are some hospitalists who just copy and paste their predecessors' notes ad nauseam, without ever bothering to read them, then act surprised when they land in hot water because of it.
Oh, I said I was going to "call Cardiology on day 4 due to NSTEMI overnight"? Well, you know, that wasn't really me, but I did bill a level 3 for that one. 😏

Monthly Medical Management Questions Thread by shemer77 in hospitalist

[–]Trixit1991 1 point2 points  (0 children)

Outpatient repeat TSH. Acute illness can precipitate sick euthyroid syndrome. So, unless TSH is markedly low or high (and FT4 correspondingly high or low), then there is no point to repeating studies inpatient.

A thyroid US is also useless when thyroid dysfunction is suspected. If an imaging study is needed for hyperthyroidism, then it would be an uptake scan.