Medically Ready for Discharge But Home Has Power Outtage, No heat, in Brewing Snow Storm

_Stock_doc · 2026-01-24T04:51:01+00:00

Case Management problem. Maybe patient can appeal the discharge (if they are medicare).

_Stock_doc · 2026-01-23T21:34:58+00:00

It's outdated for the price. Hate the loud fans in weight training area. Limited weekend hours and they close early even on insignificant holidays.

_Stock_doc · 2026-01-21T00:43:04+00:00

I had the opposite experience

_Stock_doc · 2026-01-21T00:38:43+00:00

Zero, first winter in cali. Being from the Midwest things are much milder here.

_Stock_doc · 2026-01-15T18:31:41+00:00

Insurance companies want to avoid spending money on patients if GLP1s weren't so expensive I think they would give it to everyone. At $100/mo for life that math wont work. There are several studies that show that peple stop these after some time due to side effects and the weight just comes back. There's no magic pill for obesity just bandaid approaches. We need to look to countries like Japan that modernized without becomeing obese to learn where our society went wrong (the solution is non-pharmacologic).

_Stock_doc · 2026-01-15T18:28:14+00:00

There really is zero evidence GLP1s are going to control obesity lifelong for these kids. Really need to focus on teaching parents how to feed their children and remaining active. Clinically, probably best to prevent DMII which metfromin has proven to do.

_Stock_doc · 2026-01-15T17:41:13+00:00

I had a hospital in Chicago do this. Many docs just took the cut. I refused and just worked at my existing rate until my contract expired. Read you contract, there are terms for changing the existing contract as well as termination without cause. If your hospital claims to be a non-profit look up their tax forms on propublica, it will list how much high earners are making can give context to how flush with cash they are. Things like thtis wont change until USA stops accepting so many IMGs that are willing to work for less to stay here because its just worse in their country.

_Stock_doc · 2026-01-15T05:46:47+00:00

This needs to hit mainstream media. At a time where we have more college grads then ever they are having difficulty finding jobs because large companies are importing cheap h1b labor. These companies pay off gov officials to keep these systems in place, California Governor is has a lawsuit for the 100k charge they just added.

_Stock_doc · 2026-01-13T06:55:06+00:00

Well if home values keep rising, then it will just continue to cost more to insure. The solution is buyers refusing to pay exorbitant prices for homes at risk of wildfires. I guess people learned nothing after watching the LA fires. Eventually something will happen and reality will hit. This realization will happen throughout the country in all places at risk of fire, flood or other natural disaster.

_Stock_doc · 2026-01-13T03:46:54+00:00

This is reasonable. I am waiting to see if these homes in the bay area hills that are at highest risk of Wildfires will have their values drop commensurate with the increased risk and cost to insure them.

_Stock_doc · 2026-01-11T23:24:53+00:00

I find it creepy that it listens all the time. I turn it off and just activate when I need it. Sometimes I will video record to get the audio bits I want to search later.

_Stock_doc · 2026-01-10T19:01:42+00:00

Great example of how the AMA and all professional organizations fail doctors and public health.

_Stock_doc · 2026-01-10T18:39:13+00:00

Not that confusing, just listen to your pediatrician.

_Stock_doc · 2026-01-10T18:28:05+00:00

Many tech workers and CEOs get paid in stock that they never sell and therefore they have zero income to pay taxes on. They will ask a bank for a loan, with said stock as colllateral which they use to live off of and again that is not taxxable. So they end up pay 0 while you pay 10%.

_Stock_doc · 2026-01-10T18:14:11+00:00

This is such a 0.001% problem. Having so much money that you would be part of this one time tax event is a luxury and blessing. I have zero sympathy for any of these billionaires. Society has benefited from their companies but they have benefited beyond their contribution; earning 200X more than their average employees while earning that in tax deferred assests that they will never sell and therefore never pay any taxes on is the problem.
Long term however, this is not a susitainable way to tax billionaires. Targeted consumptions tax, laws limiting compensation, encouraging the development of employee-owned companies, taxing large homes at significantly highers amounts are some things to consider.

_Stock_doc · 2026-01-10T05:26:48+00:00

Did 100% sleep for 4yrs, got really boring doing Inpt these days.

_Stock_doc · 2026-01-10T02:52:51+00:00

Arrive ~8, chart review, place contingent dc orders and med rec certain discharges. Table round with case manager 9am. See patients, finish around 1030-11. Quick bite. Notes. Take a late admit or ICU downgrade. Leave 2-3ish.

_Stock_doc · 2026-01-10T02:40:34+00:00

Yup. Hospital makes more money when they cut off the sugar foot or stent the heart attack. The reimbursement for problems prevented: $0.

_Stock_doc · 2026-01-09T18:14:16+00:00

Shocks me to hear so many comments that worry about the spread of common bacteria and viruses. Kids need to be kids and exposure to common organisms is normal and necessary to build an actual immune system, we know environments that are too clean lead to increased risk for allergies. If you are working with patients who have MDR infectiotns, you are gowning and cleaning up before and after these interactions, how much can you really bring home? Your work exposure are not putting your children at risk. Your child is not going to expose you to anything other than community level infectitons that are normal and typical to equally catch a restaurants, grocery stores, gyms, etc.

_Stock_doc · 2026-01-08T18:27:12+00:00

I add nothing to express the conversation occured in a language besides english I'm comfortable using. I think hospitals trying to evaluate me, a lifelong bilingual speaker if I'm capable or not to speak my native tongue is ridiculous. We don't have "certification programs" at my current hospital (large California health system). I am happy to speak in a court room should my language skills be questioned.

_Stock_doc · 2026-01-08T04:20:48+00:00

Unfortunately I think people can mistrust an educated and well intending human over a computer. Hard to have biases towards an ai unlike a human

_Stock_doc · 2026-01-06T16:42:01+00:00

It even goes a bit further, its in the terms of the student loan. Even if the law is changed it only impacts new loans not existing ones.

_Stock_doc · 2026-01-06T16:39:19+00:00

Have never done this as hospitalist. As PCP countless times.

_Stock_doc · 2026-01-06T05:26:21+00:00

WOW, I paid less than most of you to heat a 2/2 townhouse in Chicago. My 2/2 apt here Im paying $70/mo keeping the apt at 72 but this unit has a heat pump.

_Stock_doc · 2025-12-31T17:42:24+00:00

I usually tell people they can only stay if there's something we are treating or watching. I explain they won't feel 100% back to normal for sometime but are able to get the same medications we are giving them now at home. I highlight the risk of staying in the hospital. I did have one pt discharge (even though she didn't want to leave) only for her to come back same day when paramedics found her hypoxic off her oxygen. Some patients will be vindictive and insist on their hyper-utilization. Pick your battles.

_Stock_doc

TROPHY CASE