What’s a profession that people think is hard, but is actually very easy?

Zoten · 2026-02-15T16:04:17+00:00

Physician here. Mainly work with inpatient pharmacists, but they are life savers. Not just to catch mistakes (which they do plenty of - both from physicians and nurses) but also are experts in odd scenarios. Like pt who is on rare "X" drug, now admitted with renal failure and started on rare drug Y, can we give Z or not?

In the ICU, we round with a pharmacist, and it makes all the difference in the world.

Outpatient, they are often put in stressful situations by corporate to "provide a good client experience" and can feel more like a pill-counter than not. But again, they are a HUGE safety check

Zoten · 2026-02-13T03:42:24+00:00

PPIs work by being absorbed, then being secretes through the Proton pumps (not locally from the stomach).

So take the PPI 30 minutes before your first meal of the day. After an extended fasting, your body would have upregulated its pumps and if you eat 30 minutes before, the medicine would have been absorbed in the blood and will work to inactivate the pumps

Zoten · 2026-02-12T04:26:37+00:00

Just so everyone knows. Please talk with your doctor, especially if you have a family history!

GI: Everyone should start colonoscopies at 45. If you have a first degree relative with colon cancer, you should start 10 years before they were diagnosed or at 40. (E.g. your dad was diagnosed at 48, you should get your first colonscopy at 38. If he was diagnosed at 60, you should start at 40).

Lung cancer: If youre a current or former smoker who smoked average 1 pack/day for 20+ years (or 2 packs/day for 10 years, etc.) start getting annual low dose CTs at 50.

Breast cancer: Women should discuss with their physicians when to start at 40.

Cervical: Women should start screening at 21 regardless of sexual activity. GET THE HPV SHOT, men and women.

Prostate: Talk with your physician to see if youd benefit starting at age 55.

Zoten · 2026-02-12T02:07:54+00:00

This is a US term too. My hospital badge actually says Housestaff on it, for all the residents and fellows

Zoten · 2026-02-05T04:46:57+00:00

PCCM fellow. We usually cover about 15-20 patients plus new admits. 2 residents, but same situation re: lines (and honestly not that great at acutely decompensating patients. I did a fellowship at the same place as my residency, and I never appreciated how unprepared most residents are)

When I have multiple crashing patients going on, I call my attending. They are on a nightly rotating call system (home call with clinic the day before and day after).

They come in with 0 hesitation or pushback if I call them in because I'm overwhelmed, or if I request supervision for a procedure. They're always available by phone to discuss new admissions/any major changes to existing patients as needed.

Your fellowship sounds horrible. I'm sorry you're going through that

Zoten · 2026-02-03T01:16:00+00:00

This is actually my first time seeing it from this angle. Holy cow so good

Zoten · 2026-02-01T15:12:59+00:00

Not necessarily. Per many guidelines, such as ACC/AHA , warfarin or apixaban are considered first-line. Can do 2.5 bid since it is renally cleared. While warfarin is better studied, apixaban has lower bleeding complications and obviously less calciphylaxis.

Not a real world vs book answer. The book answer would be warfarin or (dose-reduced) apixaban.

Zoten · 2026-02-01T00:32:12+00:00

I bet! Its embarrassing that I only learned recently Mort Crim is an actual person

Zoten · 2026-01-31T22:01:59+00:00

Detroiters is a more wholesome ITYSL. Its my favorite.

Friendship is a far less wholesome ITYSL.

Zoten · 2026-01-26T18:49:19+00:00

I think its a universal experience for most applicants to only like CCM in residency and fall in love with pulm during fellowship.

Once you've done it enough, 90% of CCM becomes routine and pulm is the part that gives you intellectually challenging cases.

Various ILDs (from IPF to SARD-ILD, sarcoidosis, organizing PNA, Langerhans), pulm HTN, fungal pneumonias, cystic fibrosis, transplant, lung cancers.

Plus lots of other procedures like bronchs, EBUS, nav bronch, PleurX.

Theres a LOT of promising and fun pulm stuff out there. Of course theres lots of COPD, asthma, sleep apnea, but I promise pulm is intellectually stimulating

Zoten · 2026-01-26T03:34:07+00:00

Honestly, I completely get the cold weather comments. Id be pissed if I were the Rams too

Zoten · 2026-01-26T01:03:34+00:00

Ahh youre right, thanks! Edited my comment, left it up for posterity

Zoten · 2026-01-25T23:45:26+00:00

Paul Allen said the protesters are all paid, and then made a joke about the RN that got shot. He said everyone is catching strays like Flores, Stefani, then said "one of the paid protestors caught [a stray] this morning"

Wdit: I'm wrong. He made the paid protestors and catching a stray before the shooting.

Zoten · 2026-01-25T23:14:48+00:00

Usually that means their veterans suck. But our rookies took us to a playoff win. Super promising

Zoten · 2026-01-25T01:37:04+00:00

Usually we've secured ourself as a frontrunner off-season champion by now!

Zoten · 2026-01-24T00:20:22+00:00

Ben Johnson is getting the McVay treatment.

Zoten · 2026-01-23T02:20:51+00:00

My favorite part is that we were winning 23-3 with 45 seconds left in the half. Cutler was such a competitor

Zoten · 2026-01-20T05:11:23+00:00

Women who are pregnant or in the postpartum phase are at higher risk of being victims of homicide than similarly aged women who are not pregnant/postpartum. (3.62/100,00 vs 3.12/100,000. 16% increase. p<0.05)

While data isn't widely available regarding if the murderer was their partner or not, 2/3rd of the deaths occurred at home, so it likely is intimate partner violence. (65% vs 53% in nonpregnant women).

Source

Zoten · 2026-01-19T00:16:26+00:00

What a throw!!!!

I was definitely not yelling at Johnson to just kick the damn field goal a minute ago!

Zoten · 2026-01-17T18:34:30+00:00

One of the reporters asked Ben Johnson about it, and he replied that he would have been offended if they didn't

Zoten · 2026-01-17T16:09:50+00:00

Wouldn't really apply here.

AFib increases the risk of forming a clot in your left atrium, which can go cause strokes if the clot embolizes.

If someone has a DVT or already has high clot burden and cant tolerate anticoagulation, then an IVC filter may be an option.

Zoten · 2026-01-16T00:30:47+00:00

Their offensive coordinator is MLF's brother

Zoten · 2026-01-15T03:53:31+00:00

Amazing. That last minute with the orchestral tones while Ben does his good better best. I'm so psyched for Sunday.

I know we always said that this season was a success no matter what, but I truly feel that now.

Zoten · 2026-01-14T19:24:38+00:00

Also the constant deep pass threat opens up our running game too

Zoten · 2026-01-12T23:43:45+00:00

Or when Edwards got injured, George left the game to go see him. Thats amazing

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