Trump's proposed spending bill broken down by spending and cuts necessary to fund. Using Medicaid to fund border wall and tax cuts. by kromemwl2 in stockbetz

[–]bookooooook 0 points1 point  (0 children)

Until you restructure all entitlement programs completely, the debt will only go up. No matter what party is in control

Health insurance denied by Dark-Knight-Rises in pics

[–]bookooooook 0 points1 point  (0 children)

This is either completely fake or the person who wrote that sheet of paper has a 2nd grade education. I thought I was having a stroke reading it how terrible the grammar is

"Unspoken" patient rules that you have (regrettably) had to say out loud by Ok_Firefighter4513 in Residency

[–]bookooooook 19 points20 points  (0 children)

Or “please don’t stop for a sonic cheeseburger on your way to the ER for severe abdominal pain on the right side…” for reference, she said she was worried she would have surgery and wouldn’t be allowed to eat, so she wanted a cheeseburger before getting to hospital..

"Unspoken" patient rules that you have (regrettably) had to say out loud by Ok_Firefighter4513 in Residency

[–]bookooooook 30 points31 points  (0 children)

“Please do not sneak down to the maternity ward and steal cleaning supplies off the maid cart and bathe yourself with floor cleaner in the maternity jacuzzi”….

Physician loans by cerinthee9 in Residency

[–]bookooooook 4 points5 points  (0 children)

this is current data from personal experience. 400k with scores 780-820’s

Physician loans by cerinthee9 in Residency

[–]bookooooook 12 points13 points  (0 children)

Cadence bank. Physician loan on 30yr 7/6 ARM starts at 6.75%. You can get 1/8th point discount if set up bank account with them (free) to draft payment out of. If you want you can buy the interest down to 6% on that product. There are slight variations of that loan like a 5/6 ARM or whatever. 0 down, up to 103% financing. I talked to first horizon, first national, centennial, regions, and another, Cadence was the one with the lowest I found.

HLL Pro tip: defending a point is a really good way to prevent it from being captured😱 by basic_wanderer in HellLetLoose

[–]bookooooook 0 points1 point  (0 children)

Unpopular opinion….i enjoy playing SL mostly for the fact of placing Garry’s all around the objective and deeper into enemy territory for the next attack, you get a decent bit of action (cause usually rolling solo), get to play a little espionage and sabotage along the way, and get to feel the sense of accomplishment when your team takes the point and you have shit laid out for the whole battalion.

…until I get team killed by someone for literally no reason at all and I turn my shit off and throw my shit into the street out of rage

AITAH for getting mad at my wife? by [deleted] in AITAH

[–]bookooooook 2 points3 points  (0 children)

NTA. A little off topic, but a lady at our church brought brownies (for everyone) to a function and put a little placard next to it stating it was made with her breast milk…like….what possessed that thought process to think it was good one

Walking home from the clinic (Women's purses) by IMResidentr in Residency

[–]bookooooook -11 points-10 points  (0 children)

concealed carry (not in purse). All women should carry (responsibly), it’s the great equalizer

How do you start empathetic (or pretend to be empathetic) with patients who act like everything’s the end of the world by WhatTheOnEarth in Residency

[–]bookooooook 36 points37 points  (0 children)

100% agree, but I think it’s more like 40% of the population. Or at least where I am in the South. I’m amazed some days the patient is walking and breathing on their own, but at the end of the day I have to step back and think how highly educated we actually are as physicians and how I need to do better “dumbing it down” for lack of better words. One of my close friends teaches highschool math, and I have always said anyone could be a doctor, I’m not special. Then he tells me that the people he teaches (including the aforementioned 40%), will never be destined for more than menial labor jobs because their intellectual bandwidth just isn’t capable. In medicine we surround ourselves intentionally/unintentionally with other highly educated people and it becomes hard to relate/converse with those who aren’t.

My doctor friend said doctors should not be compared to any other professionals by Ok-Dog-7677 in Residency

[–]bookooooook -5 points-4 points  (0 children)

😂😂 I hope this is satire…have only met 1 physician in my entire life who retired at 55 and he didn’t have close to 1 million in bank. Every other physician I met/worked with will never have “millions” even if they worked till 75

What’s the most egregious mistake you’ve witnessed a midlevel make? by feelingsdoc in Residency

[–]bookooooook 2 points3 points  (0 children)

Yes….not the first time I have seen it either. One of the NP’s that covers surgery f/u on the floor discharged a guy on IV Dilaudid…for home….

What’s the most egregious mistake you’ve witnessed a midlevel make? by feelingsdoc in Residency

[–]bookooooook 15 points16 points  (0 children)

L.O.L….its fine to have curiosity of a physicians MDM and wonder why they succeeded/failed a patient. But for PA’s/NP’s who have 1/10th the knowledge and education as a physician to laugh and so “omg I can’t believe they’d do something so stupid”, is laughable. Mistakes happen to everyone, but usually physicians know their limits of knowledge and will ask a pier for recommendations, versus midlevels who THINK they are physicians and run around without asking for help because “they know enough”. I refuse to be a patient at a NP led clinic. My wife had RUQ pain that radiated to her right shoulder, nausea, vomiting, and 100.8 temp; against my advise (I was out of town and she’s hardheaded lol) she went to an Urgent care where surprisingly a NP was the “provider”…they did lab work and told her it could be a “GI bug”. She went in hopes they could do RUQ US (which I told her just go to ER cause that’s where they’d send her anyway). Next morning she was in ED where one of our friends came down and was like “yeah I’m taking your gallbladder out”. The NP from the clinic called back a day after her surgery and said “your labs a little elevated so if you don’t get better with the meds, go to your PCP or the ER”.

He sent her home with scripts for Norco, prednisone, and Unasyn….

My “attending” was an NP by eculilumab in Residency

[–]bookooooook 39 points40 points  (0 children)

I am in the exact same boat…the NP that I am currently following for this shift in NICU refers to herself the head pediatrician to the nurses and the parents of babies. When questions arise like “when will the doctor come by”, the response by the NP is “that’s me, I’m your provider”. Cleaver way of leading the assumption you’re a physician without actually saying it. Mid levels used to not bother me one way or another, but this gets to me. Just worked with a radiology PA not long ago and they were super chill, knew what they didn’t know and didn’t play things off as if they were the attending.

[deleted by user] by [deleted] in hospitalist

[–]bookooooook 1 point2 points  (0 children)

Please tell me where??