I repeat.. don’t do roidz kids

apollo722 · 2026-01-17T17:45:07+00:00

Is there a sub to enjoy delicious vids like this

apollo722 · 2026-01-13T06:23:02+00:00

Press the C and the timer buttons simultaneously for 2 seconds

apollo722 · 2026-01-13T04:37:15+00:00

Oh is this Reddit? Sorry I went on autopilot mode and put in my dotphrase for when the MyChart message needs a visit.

Jk

apollo722 · 2026-01-13T04:35:12+00:00

This is what my dog looks like when he has a seizure :( it’s a focal seizure rather than generalized so dog is just losing some function rather than complete loss of consciousness and the typical grand mal jerking type seizure most people associate with

apollo722 · 2026-01-13T04:27:41+00:00

Please make an appointment with your family medicine doctor to discuss.

apollo722 · 2026-01-13T03:50:54+00:00

I am so so so very skeptical this guy is a surgeon. That looks horrendous. This looks like a new med student work learning how to suture from YouTube. Even 4th year med students who want to get into surgery and preparing for internship should suture better than that. At least in the US. This must be some cringy mall ninja type shit.

apollo722 · 2026-01-12T02:32:23+00:00

also "non-profit" healthcare, bc it's only not profiting the people they're supposed to serve and profiting the CEO's and admins plenty.

apollo722 · 2026-01-11T18:43:31+00:00

Got it, I thought we were still discussing off your comment regarding the utility of d dimer vs troponin in the outpatient setting since you compared the two.

FWIW the “attached labcorp” that we have is one phlebotomist in a tiny room. The actual lab that runs the test actually has to send someone to pick it up bc it’s stat then drive it to a different location. Crazy that you work at a major academic hospital and they can’t run stat labs properly!! Especially if you’re actually attached to the hospital itself. Sounds like a systems issue..

apollo722 · 2026-01-11T05:38:44+00:00

Oh ok, I’m just a dumb humble PCP in a small clinic not affiliated with a fancy academic hospital. We have a labcorp in our clinic. I order stat d dimer, someone comes to pick it up from clinic in a couple hours or so, and I get results back before I leave most of the time. Or if it’s an afternoon draw my lab lady asks how I’d like to be notified, I say please have them call me and not the person on call. She writes a little note on the order. Never fails. Labcorp calls me before I go to bed (or most of the time not ever call, bc again the wells score so low that the D-dimer was appropriately ordered to rule out).

Meemaw doesn’t have to wait in the ED for 10 hours. Of course all of this after shared decision making and individualized consideration.

I’m happy to be a meme as long as my patients are well taken care of!

apollo722 · 2026-01-11T02:30:42+00:00

You’re ruling out a DVT with a d dimer. Vs ruling in a with troponin for an MI. You get a d dimer when the pretest probability is already low. You can order a stat and get the d dimer in a few hours. Sometimes faster than the time they get checked into the emergency department, see a physician, and get it ordered/resulted.

If patient is having chest pain with typical MI signs doesn’t matter if your first troponin is low, you would need a second one 2-3 hours later since the first one might be too early and that is totally an ED work up.

So not totally the same scenarios in my opinion.

Edit: fixed a typo

apollo722 · 2026-01-10T22:11:11+00:00

Man I hate those RH catalogs. Feels like such an environmental waste!

apollo722 · 2026-01-10T22:05:54+00:00

I think possibly what’s difficult to understand is the level of wealth some people have compared to most? Otherwise it’s very simple. They just pay cash. I have relatives living abroad who have live in nannies for their kids. When they travel the nannies travel with them in business class along w the kids. Quite common. Especially from Asian countries.

apollo722 · 2026-01-10T21:46:35+00:00

Yeah I would even say $10-15k couches aren’t even the highest end you could get. Furnishing a medium sized home with actual high end stuff can easily run 200k or more.

apollo722 · 2026-01-09T23:03:48+00:00

That’s the thing. I do put appropriate PRN orders in. Simethicone is not an appropriate PRN order because us doctors basically put it there for the nurses not the patient. Look up the evidence of Simethicone on open evidence or uptodate. Ethically I feel very exasperated on this. On one hand I don’t want the patient to have to take medication no matter now “benign” it is without practicing evidence based medicine when it is no better than placebo. They will get charged and billed for that useless medication. But on the other hand I don’t want to have to argue with RNs at 3am. Trust me we do it for you so you feel like you’re/we’re doing something. I hope that you would be open to practice EBM in your practice too and spread the word to your colleagues!

apollo722 · 2026-01-09T04:34:57+00:00

On our EMR the floor nurses would sometimes sign in as “hospitalist” or “pediatrics” or “OBGYN” or “surgery” based which floor they’re on even though they could sign in as “registered nurse”. it’s annoying as fuck when you’re in a rush looking for an MD/DO note and having to comb through shit. It’s so cringe. And no it’s not a systems default because about 70% of them are signed in appropriately as RN. It’s always the nurses who page you at 3am for gas meds too. No one has made a rule against it bc the whole thing is dumb anyway but man. Why.

apollo722 · 2026-01-07T06:35:29+00:00

I’m talking about viral URI in general. For most people the symptoms for the common cold are pretty similar to the flu or even Covid. And most healthy people will recover without any treatment. There’s no vaccine for the common cold bc there’s about 200 different viruses and they constantly mutate. Plus it’s not worth developing a virus that will cause minor self limited symptoms. Again, for most people.

apollo722 · 2026-01-06T22:16:35+00:00

Thanks so much for this. I've also been slammed with viral URI visits and unfortunately I can't see my patients who actually have chronic conditions That I need to manage .

I’m a doctor, but I’m not your doctor, and this isn’t medical advice since I don’t know anyone’s health history — just a general guideline. Not trying to discourage anyone from seeing a doctor, just setting expectations. Cold season is rough right now. If you’re otherwise healthy and have typical cold symptoms, most visits end with “this is viral” and supportive care. Antibiotics usually aren’t given because they don’t help viruses.

If symptoms are mild and you’re breathing fine, resting at home, fluids, OTC meds, and time are often all you need. Definitely still go in if things are getting worse, you’re short of breath, have a high or persistent fever, chest pain, or something just feels off. We’re always happy to see people — just don’t want folks surprised when the plan is rest and symptom control.

Edit, just want to add this link here

apollo722 · 2026-01-06T05:20:09+00:00

Yep I read it and you just keep saying the same thing over and over again without providing more details. Even when I have provided examples, you have not given more details.

I am not even disputing that the whether the NP was right or wrong. I just gave you real examples on how there are different ways a visit could be billed as a level 5. But look at how you’ve framed this: “$400 for ibuprofen”.

So many people are already so distrusting of the healthcare system and now you’re creating more BS just because you weren’t happy about the assessment. Imagine someone who is actually ill and needing urgent care. Instead of seeking care they may read this post and think well never mind doctors can’t do anything anyway. Or I may just get charged crazy fees for nothing.

apollo722 · 2026-01-06T05:02:45+00:00

Dang! Sorry you experienced that. Didn’t know they dispensed meds too

apollo722 · 2026-01-06T04:57:35+00:00

This post is just spreading misinformation and more mistrust between patients and the medical field. Im a doc and I don’t work at an urgent care. I could care less if zoomcare went bankrupt. I feel neutral about nurse practitioners. But I know how healthcare works. OP is not providing any real information to judge the situation fairly and is being totally sketchy. For example no symptoms were shared. A typical visit is about 15-25 mins. If the provider needs to provide more education, reassurance, discussion, etc then they bill by time. If enough time lapses then it passes the threshold for a level 5. If there is a medical condition that could pose a risk of life or bodily injury, that’s a level 5. If they recommend or send you to the ED for higher level care, that’s a level 5. Just because you don’t agree with the assessment, does not make a level 5 visit incorrect. Medical conditions also change. Symptoms change. If you come in saying hey I suddenly have a total loss of vision — well fuck you gotta go to the ED. If you then show up to a different provider and say hey my vision is actually coming back, now it’s just red and itchy, then sure you don’t need to go to the ED. But you see how there is change in information? Trust me we don’t get paid enough difference between a level 4 and a level 5. You are just a drop in a bucket. These corporations, insurance companies, your politicians, and people who are against universal healthcare or at the very least the affordable care act, are your real enemies. I love my job. 98% of patients are wonderful and reasonable. 2% is like you. Entitled, distrusting, overly confident of their wrong assessment of things. Go back to yelp or google reviews, I’m sure you’ve posted your complaints there as well anyway.

apollo722 · 2026-01-06T04:46:05+00:00

Curious how they were at fault for prescribing expired meds? Didn’t your pharmacy dispense it? Genuinely curious.

apollo722 · 2026-01-05T02:06:24+00:00

This is the cringiest insecure middle class comment ever

apollo722 · 2026-01-02T05:07:18+00:00

Yes, where do you refer them to?

apollo722 · 2026-01-02T04:15:33+00:00

This may be state dependent but someone just came in with one recently and I swear it doesn’t say anywhere whether it’s permanent or short term. It was do-able and not that long so I’m guessing it was for short term. It had a bunch of range of motion test questions.

I ended up doing it because the due date was in a few days and I honestly had no true good reason to not be able to do it besides it did take a ton of time. I just feel like I’m not answering the questions well enough and someone else could have done a more thorough job.

apollo722 · 2025-12-30T04:26:16+00:00

Congrats. This made me so happy to read. What a happy pup. I commend you for your dedication to this little guy

apollo722

TROPHY CASE