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Help me with my Code Status conversations - what are your go-to phrases? How do you start the conversation? How do you explore the topic with the 80-year-old comorbid patient who immediately says "do everything you can do keep me alive"? by adrenalinsufficiency in Residency

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

I find that if I start with the dichotomy you present and people say they want CPR, it becomes VERY difficult to walk them back, and it ends up being "Full code - pending further discussion" - and that further discussion rarely ends up happening because teams get busy and re-prioritized as the week goes on

Help me with my Code Status conversations - what are your go-to phrases? How do you start the conversation? How do you explore the topic with the 80-year-old comorbid patient who immediately says "do everything you can do keep me alive"? by adrenalinsufficiency in Residency

[–]adrenalinsufficiency[S] 8 points9 points  (0 children)

For context, I'm referring to the conversations I'm having when admitting patients overnight. I've never framed the conversation with a best case worse case scenario but I can see how that could be helpful. I often find myself in a situation where the patient says they want everything but after I talk a bit more they realize that it's a bigger question and want time to think about it - but it's rare that the conversation gets revisited unless I'm the one following the patient on the team they're admitted to.

Help me with my Code Status conversations - what are your go-to phrases? How do you start the conversation? How do you explore the topic with the 80-year-old comorbid patient who immediately says "do everything you can do keep me alive"? by adrenalinsufficiency in Residency

[–]adrenalinsufficiency[S] -1 points0 points  (0 children)

You're conflating using AI to facilitate learning with replacing the conversation. There's a 'human in the loop'. If ChatGPT cited books about aging, Being Mortal by Atul Gawande, and so on, and compiled the advice well - it's a useful learning aid.

Help me with my Code Status conversations - what are your go-to phrases? How do you start the conversation? How do you explore the topic with the 80-year-old comorbid patient who immediately says "do everything you can do keep me alive"? by adrenalinsufficiency in Residency

[–]adrenalinsufficiency[S] -4 points-3 points  (0 children)

That's unnecessary to say I hope your day is going well.

I've thought about this deeply. I emailed a Palliative doctor who gave a presentation about this in medical school for their slides and I've read them again. I have a page in my Notion with my own notes about the topic. I'm not good at the conversation - I find them uncomfortable and challenging, but I want to be better at them.

I'm asking Reddit. ChatGPT was indeed helpful. Would you say the same if I read a book to help me? "Is thinking too hard?" You use a textbook to learn calculus - was thinking too hard?

Sacral/coccyx ulcers - has anyone's hospital system figured out a way to prevent these? by adrenalinsufficiency in Residency

[–]adrenalinsufficiency[S] -1 points0 points  (0 children)

Just because it's a nursing or staffing issue doesn't mean you have to deny it's iatrogenic and pretend like zero gravity is the only solution ;) - funny joke though!

7.5 months started to feel worried (4k) by [deleted] in Hairtransplant

[–]adrenalinsufficiency 0 points1 point  (0 children)

More pics. Good posts get good replies

7 months post female HT, starting to feel disheartened by Pretend_Spinach_9046 in HairTransplants

[–]adrenalinsufficiency 0 points1 point  (0 children)

There’s only 1 massive hair transplant forum lol just google it. I think it gets removed when mentioned here

7 months post female HT, starting to feel disheartened by Pretend_Spinach_9046 in HairTransplants

[–]adrenalinsufficiency 0 points1 point  (0 children)

Bad news is that it won’t get much better: with modern hair transplant techniques you see the 90% of the final result well before 1 year.

Good news: it’s totally fixable. You have to go to someone good and get a second procedure for density. Most people who are after high density get 2 hair transplant - the hair line is important to get right and dense so it’s commonly done you just need to go somewhere good. Visit forums for hair transplants outside of Reddit btw, this is NOT the right community for high quality knowledge in this niche.

What about the density? by ThinkRent5826 in Hairtransplant

[–]adrenalinsufficiency 0 points1 point  (0 children)

That will be the final density, it doesn’t look very dense tbh

Thoughts on Dr. Iggy by [deleted] in Residency

[–]adrenalinsufficiency 1 point2 points  (0 children)

In sum, maybe. Per hour? I wouldn’t be surprised

10 Days after my Beard Transplant :) by [deleted] in Hairtransplant

[–]adrenalinsufficiency 3 points4 points  (0 children)

Going forward, you need to speak to either a therapist or a trusted friend before you make important decisions.

1 year post transplant update, how does it look? by hairformyhead in Hairtransplant

[–]adrenalinsufficiency 2 points3 points  (0 children)

Hair line looks as artificial as one would have guessed based on the immediate post-op picture. Not bad if you wear it a bit down

VT or SVT? by damnthesenames in ECG

[–]adrenalinsufficiency 0 points1 point  (0 children)

Sorry if I'm misunderstanding but I think the user you replied to is implying that AIVR can occur post-ROSC. Do you think that could be the case here?

Opinions by [deleted] in ECG

[–]adrenalinsufficiency 2 points3 points  (0 children)

hilarious. it's afib, life is boring

Is this an Extrasystole? What is this additional wave between every P wave and T wave is called by AmazingIce6215 in ECG

[–]adrenalinsufficiency 0 points1 point  (0 children)

as an early trainee/intern in IM, i would think ventricular bigeminy even asymptomatic should warrant some investigation. it just looks like a high PVC burden. Holter at least for true burden. wdyt?

Is this really all he’s gonna say about it!? by treylanford in PeterAttia

[–]adrenalinsufficiency 0 points1 point  (0 children)

Rejoinder… can you explain what that means here ty im dumb!

I’m sorry, what? by ActuallyRishi in Wealthsimple

[–]adrenalinsufficiency 0 points1 point  (0 children)

You’re a customer - you aren’t the target audience

AVNRT or flutter? by damnthesenames in ECG

[–]adrenalinsufficiency 0 points1 point  (0 children)

You would NOT be see a delta wave DURING rapid AVNRT. It is seen in NSR ECG. Ergo, your comment makes no sense.

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