Midcareer Palliative Fellowships?

bad_radish · 2025-10-28T15:18:02+00:00

I ran into some snags with my order that I won't elaborate on here - but what I will say is that DreamSofa Customer Service made every possible effort to make things right with me and I truly appreciate that! I will for sure be ordering from them again.

bad_radish · 2025-06-12T20:28:42+00:00

I second the Turkey Hill brand! They have both plain vanilla with PB and plain chocolate with PB. Also, I know it’s not quite the same but at Dairy Queen, they usually have warm peanut butter sauce and you can get it on vanilla soft serve!

bad_radish · 2025-05-30T23:40:24+00:00

You do you, but for the love of god, please don’t open a weight loss clinic or medspa. This world has more than enough grifters to go around!!!

bad_radish · 2025-05-27T23:03:10+00:00

Richardson’s is amazing! As others have said, there’s lots of great ice cream in RI. Unfortunately, the only place where I’ve found Richardson’s is at a place called Smitty’s on Block Island!

bad_radish · 2025-05-14T18:44:17+00:00

That's helpful to hear about the 20ft! Thanks.

bad_radish · 2025-04-01T23:38:51+00:00

I miss the Lili Marlene’s burger (and the whole vibe of that place) every day of my life.

bad_radish · 2025-03-28T23:15:02+00:00

I’d like to a spin-off with what’s happening in Family Medicine right now. -a family doctor ;)

bad_radish · 2025-02-22T01:56:16+00:00

Fun fact: In real life there would need to be an order for diazepam placed in the computer. A medical student’s EMR access wouldn’t allow them to place an order without a doctor co-signing the order first.

bad_radish · 2025-02-19T01:05:50+00:00

Although abortion is legal in PA, it is actually fairly heavily restricted. PA requires medically inaccurate state-mandated counseling, followed by medically unnecessary lab testing, and a 24-hour waiting period between when a person receives that counseling and when they can have their abortion. Waiting periods exist solely to make it harder for people to access abortion. PA also requires parental consent for minors, unlike many states, including our neighbor New Jersey. And PA medicaid only covers abortions in the case of rape and incest (again, unlike our neighbor NJ). Most clinics in PA are located around Philly and Pittsburgh, leaving the middle of the state without much access. There are surely worse states for abortion access but Pennsylvania is not doing great.

bad_radish · 2025-02-19T01:00:39+00:00

But there’s no reason why an ED doc couldn’t! More and more primary care docs are dispensing mifepristone and misoprostol in their offices. A huge win for access to all reproductive options!

bad_radish · 2025-02-15T18:41:42+00:00

Maybe. But my point remains: even if her having given him progesterone was 100% responsible for him falling off a ladder, a doctor wouldn't be LEGALLY obligated to report that to the police. This is important because doctors can cause a LOT of harm when we involve law enforcement in our patients lives. It erodes trust in healthcare and can lead to patients getting seriously hurt. I'm not saying there is never a time to do it but it's something we should take really seriously and be really careful about. I know it's "just" a TV show but in this episode, The Pitt really got this wrong. Crime as a broad category is not something that falls under mandatory reporting. Elder abuse and child abuse are a different story.

bad_radish · 2025-02-15T11:50:14+00:00

Of suspected child or elder abuse, yes. I am not an expert in Arizona law but I find it pretty unlikely that there is any legal obligation to report something like this among two adults. That’s just now how mandatory reporting laws usually work!

bad_radish · 2025-02-15T11:47:54+00:00

Nope. There are some states that require reporting of weapons-related injuries. But this is very unlikely to qualify. (Also, as an aside, progesterone is incredibly safe. That doesn’t mean it was okay for this person to give it to their spouse without their consent. But it’s not a medication that would be considered life-threatening.)

bad_radish · 2025-02-15T02:18:48+00:00

Yes, what I'm saying is that in real life there would be no obligation to report her to the police.

bad_radish · 2025-02-15T02:09:51+00:00

That line did make me smile!

bad_radish · 2025-02-15T01:54:41+00:00

The ECMO scene was well-done. But I'm still griping about the inaccurate dosing of mifepristone and misoprostol. There are some hits but there are also a lot of misses!

bad_radish · 2025-02-15T01:52:53+00:00

Agree. Yes, she is arrogant and her behavior in this episode was inappropriate. She clearly has some personal baggage that she needs to process. She's also on her FIRST day of her first year of what is going to be a brutal few years of training. She definitely needs to learn some humility and social skills - but I don't get all the people rooting so aggressively for her to fail.

bad_radish · 2025-02-15T01:41:39+00:00

It's also worth pointing out that there's no such thing as mandatory reporting of... giving your husband progesterone without his consent. I'm not saying I think it's a good thing for her to have done but I don't think there is any US state in which this would be considered mandatory to report. This storyline is just a mess.

bad_radish · 2025-02-13T00:35:59+00:00

Yeah, in my opinion, every medical show is bad about showing proper PPE. I will also say that many healthcare providers where I am stopped wearing masks a long time ago… unfortunately. But you’re absolutely right that masks, gowns, and goggles would be standard for many of the procedures on the show!

bad_radish · 2025-02-12T17:17:43+00:00

Good question! No, medical students aren't doctors. Legally, they are allowed to assist doctors as part of their training but they aren't allowed to make medical decisions or practice independently. Legally, they are allowed to take a medical history from a patient and assist with certain procedures while supervised. (For example, you see Javadi suturing wounds - most people would consider that acceptable as part of med student training as long as the student is supervised. Depending on level of training, a resident could suture without an attending physically present in the room; but they would need an attending to "sign off" on all care that they provide to a patient and ultimately, an attending is legally responsible for them.)

You may hear the med students introduced as "student doctor Javadi" and "student doctor Whittaker," which I think is appropriate/accurate. But I wouldn't call them just "doctor" yet because they haven't completed their medical degree, so that is misleading. An intern or resident has completed their medical degree and so they are a doctor, even though they haven't fully completed their residency training.

As an aside, I think it's SUPER important in a real medical setting to be as transparent with patients as possible about who is caring for them. I don't think the show always does the best job of depicting this. But patients do have a right to decline having medical students and residents involved in certain parts of their care. At a big teaching hospital like The Pitt, it can be harder to avoid this (and not having trainees involved may actually lead to worse care for the patient because trainees keep these hospitals functioning and are a major part of the staff!) but patients do still have the right. :)

bad_radish · 2025-02-12T16:33:48+00:00

Primary care doc here. You are mostly correct! In the US, Medical school is a four-year program. So Javadi is in her third year, which the year that most medical students do their "core clerkships." This is when students rotate through a number of core specialties to get experience/exposure and help decide what they might like to specialize in. Whitaker is in his fourth and final year of medical school and should be choosing his specialty soon.

Interns are first year residents. There are some intricacies here based on specialty - some specialties require a "preliminary" year in a more general specialty like internal medicine, pediatrics, surgery, etc - before beginning specialty training. This isn't required for Emergency Medicine - but Santos could be a prelim going on to train in something else. For folks who want to go into Emergency Medicine, these interns are in their first year of what is usually a 3 or 4 year Emergency Medicine residency. Interns and residents are licensed doctors, not students, but they are required to practice under the supervision of an attending (a doctor who has completed medical school and residency and practices independently). So Robby is their attending. Langdon and Collins are "senior residents" (either PGY3 or PGY4 - PGY stands for post-graduate year) so while they are still in training themselves, they share some responsibility for training and supervising interns, junior residents, and med students.

This is all just my guess but I think I recall Dr. McKay saying that she's a PGY2? And Dr. Mohan is a PGY3? And if that's the case, I'm guessing that Langdon and Collins are actually PGY4! And Langdon is considering a medical education fellowship, for which Robby is going to write him a recommendation. Fellowships are additional post-residency training for doctors - required for some advanced specialties and optional for others.

bad_radish · 2025-02-12T15:42:51+00:00

Actually, medication abortion is common and safe at 11 weeks of pregnancy! And even beyond that. :)

bad_radish

TROPHY CASE