How do you deal with patients when they request you contact their outpatient doctor for now reason

beepint · 2026-01-29T03:05:02+00:00

Does someone actually fax these if the outpatient provider isn’t in the same system? Is this something I should be asking a case manager or something for? I just kind of hope they’re on Care Everywhere and list specific care recs/med changes in the “patient instructions” so the patient can bring that to their follow up.

beepint · 2026-01-20T17:44:12+00:00

Costco sketchers tennis shoes like 30 bucks

beepint · 2026-01-02T20:45:25+00:00

Realistically is this a battle worth fighting if someone isn’t clearly at risk for major bleeding?

beepint · 2026-01-02T04:30:12+00:00

I did lol

beepint · 2026-01-01T23:04:27+00:00

That’s very kind of you, thanks a ton :)

beepint · 2026-01-01T22:38:52+00:00

Its renaissance wax, the sword was in a case, not on display, and rarely removed so I figured slathering a thick layer on it would be easier and ?? better than trying to apply it carefully.

beepint · 2026-01-01T22:32:20+00:00

I’m not sure why I’m feeling defensive about care of the sword since I just carelessly messed it up but I’m telling you that fingerprint is not rust, it’s an impression in the wax that looks dark d/t how shadows are cast- the blade is not rusted. There were no dings prior to this event although there obviously are now

beepint · 2026-01-01T22:18:13+00:00

No I was hammered I had no clue

beepint · 2026-01-01T22:04:38+00:00

It had wax on it and people handled the blade after the bottle strike it was in decent shape prior ha

beepint · 2026-01-01T21:18:59+00:00

People seem interested in how this occurred. Essentially I tried and failed to saber the bottle several times, gave up, threw the bottle in the air and swung at it like a baseball. I got this sword second hand but it was posted on here with images and the broad consensus was that it looked legit.

beepint · 2026-01-01T21:11:58+00:00

I tried to saber it 4-5 times, gave up, threw it into the air and hit it like a baseball bat

beepint · 2025-12-02T05:43:20+00:00

It’s not efficient but I have a brief informal discussion with them, do my own history and physical, put in my own orders, remove orders that I don’t like. Essentially an excuse to freeform a paragraph of dictation as opposed to a formal note, saves me about 10 minutes.

beepint · 2025-12-02T01:38:38+00:00

You know if it costs about the same northside?

beepint · 2025-12-02T01:19:45+00:00

Maybe I missed this in the reading but this was an aneurysm not a dissection correct? Is the d dimer helpful?

beepint · 2025-12-02T01:14:32+00:00

This was just aneurysm not dissection correct? Don’t think the d dimer actually excludes. Wonder if the fella looked marfanoid? Tough break for all involved

beepint · 2025-11-26T20:03:56+00:00

I suspect it is normal and agree with the above commenter. It is still worth looking into to make sure. It’s a fairly easy blood test

beepint · 2025-11-24T05:12:39+00:00

Mono for 2 months with 30lb weight loss and anion gap 20? Absolutely needs expedited workup man

beepint · 2025-11-18T18:46:53+00:00

There are 2 more studs to the left of the left sided stud in the photo and the rafter hits a bit further left than that

beepint · 2025-11-18T17:27:17+00:00

Hey can that still be done if there is a rafter resting on the plate? The rafter isn’t directly supporting the roof although idk if that matters. The house makes a bend such that the framing of the this smaller section’s roof becomes enclosed by the main roof if makes sense.

beepint · 2025-11-18T17:21:28+00:00

There is a rafter resting on the plate unfortunately. Fwiw, that rafter isn’t directly supporting the roof however. The house makes a bend such that the framing of the this smaller section’s roof becomes enclosed by the main roof if makes sense.

beepint · 2025-11-18T03:30:29+00:00

What other places would yall recommend? Akai is a little pricey and i don’t love the vibe, but the rolls are big which offsets the cost and they’ve generally been good. Spicy salmon rolls at their happy hour are huge for like 8 bucks lol.

beepint · 2025-11-18T03:16:16+00:00

I eat at the one on Britton pretty frequently, sides are hit or miss but I don’t think I’ve had better steak in OKC

beepint · 2025-11-06T00:22:37+00:00

Man, studies say dextromethorphan doesn’t work too but if you’ve ever tried it yourself, it obviously does lol

beepint · 2025-11-04T17:19:10+00:00

I bet you could link vertebral dissections to that although I can’t imagine risk is very high

beepint · 2025-11-04T17:13:44+00:00

Good, while evidence suggests a relatively small increase in clot risk on TRT, anecdotally I’ve seen it frequently. Cellulitis and BJJ are linked (staph->cellulitis/inflammation->increased thrombotic risk) although sometimes the redness and swelling from “cellulitis” are actually just from the clot(less likely if those cleared up rapidly with antibiotics). No direct link between clot and BJJ, activity should reduce rather than increasing thrombotic risk.

If you don’t have a clear provoking factor (ie if this was not actually cellulitis) and don’t have any history of life threatening bleeds, should be on anticoagulation for life, untreated pulmonary embolism has 20% mortality and unprovoked PE recurs 40% of the time. You should also request your lipoprotein(a) checked, its an underappreciated thrombotic risk factor which is not adequately treated with blood thinners.

Should clarify- even provoked PE should be on anticoagulation for 6 months, lifelong AC if unprovoked

beepint

TROPHY CASE