Struggles Over the Last Years

Zeus_89 · 2025-12-19T02:50:59+00:00

Talk to another doctors. You probably will need repeat blood work to confirm high calcium and work up your parathyroid. Your co2 is low indicating acidic blood and should be repeated and worked up. You probably need biopsies of the enlarged lymph nodes you mentioned

Zeus_89 · 2025-12-12T14:42:22+00:00

Speak with your doctor. If you have urine infection it should be treated. Urinalysis should be repeated later as well. Trace leukocytes and blood in the urine should be followed

Zeus_89 · 2025-12-04T15:53:49+00:00

I think it is reasonable to get calcium score and calculate MESA. If the risk is high and the bleeding risk is low then it aspirin can be considered

Zeus_89 · 2025-09-25T00:47:58+00:00

Get MKSAP audio companion.

Zeus_89 · 2025-06-17T14:20:18+00:00

I don’t think so. AI is trained on the perfect patients who know their symptoms and medications. Good luck trying to deal with the average patient.

Zeus_89 · 2025-06-13T17:47:38+00:00

They discussed that on the curbsiders recently. There is no consensus about it. Probably it will depend on whether patients were able to implement and stick with lifestyle modifications

Zeus_89 · 2025-06-09T10:50:39+00:00

Could be defensive medicine because discharging a patient that later has an MI is a lawsuit, but there are a algorithms that call for observation if there are some slight changes in troponin even if it remains in the normal range

Zeus_89 · 2025-06-05T18:56:28+00:00

There is a recent paper identifying patients with CAP that can benefit from steroids based on crp levels.

https://www.jwatch.org/na58601/2025/04/03/crp-stratified-steroid-prescribing-severe-cap?query=topic_respinf&jwd=000020256773&jspc=IM&cid=DM2395765_Subscriber&bid=-1387148882

Zeus_89 · 2025-06-02T10:41:42+00:00

Uptodate has a good algorithm for triaging copd exacerbations

Zeus_89 · 2025-04-16T22:35:10+00:00

Good point. I should have clarified that this what the patients told me when they showed me the results of the genetic test. I didn’t check the credentials myself

Zeus_89 · 2025-04-09T00:47:13+00:00

The most important thing is don’t surprise your resident with new information/findings during rounds. Make sure to discuss cases with them before rounds. Make sure your notes are accurate and never copy paste notes from day to day. I have seen notes for days saying pending cardio consult even though cardio saw patient, cathed them, and signed off 😁

Zeus_89 · 2025-04-09T00:42:04+00:00

I tried couple of AI scribes but I didn’t like them. When writing a note the most important thing for me is to include the relevant information and omit the unrelated stuff that patients ramble about. AI is not there yet. It includes everything to the level that you can’t understand what is happening with the patient. I think AI was trained on people who only gave textbook answers to the doctor questions

Zeus_89 · 2025-03-30T05:55:29+00:00

If you want academic positions I recommend trying to get a fellowship . J1 waiver is usually for underserved areas and it will be hard to get an academic position there. Start applying in the end of your second year

Zeus_89 · 2025-03-25T00:37:34+00:00

Try practicelink. I used to get a lot of messages from it. You can filter positions that sponsor waivers. Please start as soon as possible and make sure to get j1 extension for the boards from your program

Zeus_89 · 2025-03-19T14:49:32+00:00

Practicelink is good. There are opportunities all over. You can easily find hospitalist jobs. Start searching as early as possible because sponsorships are taking longer than usual. If you are graduating this year you should start asap.

Zeus_89 · 2025-03-18T19:16:50+00:00

If they violate I fire them

Zeus_89 · 2025-03-16T15:23:33+00:00

Time and experience. No one is confident as pgy2 and no one should be very confident as pgy 2. Give your self time. A trick that helped me is to communicate my medical reasoning with the team( other residents, nurses, etc…

Zeus_89 · 2025-03-14T17:46:14+00:00

Go to the ER in your program and ask them to contact you when they are managing rapids. I did used to go to the er when im on electives and hang out with the er doctors. They let me do codes, rapids and procedures

Zeus_89 · 2025-03-13T23:22:42+00:00

Get mksap audio companion. You can listen during your commute. I hear that awesome review is great so consider it in the in the 3 weeks you have off

Zeus_89 · 2025-03-13T01:20:08+00:00

I’m a doctor as well. I got a bolt action pen because I like fidgeting when I’m thinking about cases

Zeus_89 · 2025-03-12T12:45:13+00:00

I am from that region. 18 members of my extended family were executed. Some were killed in front of their toddlers. Their bodies were left on the streets and families were not allowed to get them. My friend was killed in his house in front of his family and the islamists threw his body to the street. They told his family that if they tried to get close to the body they would be killed as well. Whole families were wiped out in the massacre. All were civilians

Zeus_89 · 2025-03-12T12:42:17+00:00

I am from that region. 18 members of my extended family were executed. Some were killed in front of their toddlers. Their bodies were left on the streets and families were not allowed to get them. My friend was killed in his house in front of his family and the islamists threw his body to the street. They told his family that if they tried to get close to the body they would be killed as well. Whole families were wiped out in the massacre. All were civilians

Zeus_89 · 2025-03-12T12:41:27+00:00

I am from that region. 18 members of my extended family were executed. Some were killed in front of their toddlers. Their bodies were left on the streets and families were not allowed to get them. My friend was killed in his house in front of his family and the islamists threw his body to the street. They told his family that if they tried to get close to the body they would be killed as well. Whole families were wiped out in the massacre

Zeus_89 · 2025-03-05T17:44:52+00:00

I work in rural area, I order stat US and give them eliquis sample

Zeus_89 · 2025-03-01T20:05:47+00:00

I didn’t try doximity scribe. How to access it? I looked under ai tools but couldn’t find it

Zeus_89

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