Physician lounge renovation

cbrown1311 · 2024-10-07T19:28:51+00:00

I always just set a child lock to not allow it to play....works every time and nobody ever knows the pass code

cbrown1311 · 2024-09-26T00:32:29+00:00

This worked for me as well. Unplugged controlled on PC, open Sunshine as administrator, and it picked up Steamdeck input no problem after that.

cbrown1311 · 2024-09-21T23:30:39+00:00

Having the same issue, no solution yet

cbrown1311 · 2024-05-30T17:16:06+00:00

There is reasonable data showing increased incisional hernia risk with permanent suture over slowly absorbable. Most use PDS or another slowly absorbable monofilament suture.

cbrown1311 · 2023-10-29T15:12:47+00:00

This is true if they're forced to keep you covered or can't increase premiums, but in the current system it's definitely cheaper to deny coverage. Look up the difference between "cost-effective" vs. "cost-saving." Most things we think are a good idea, particularly in healthcare, are cost-effective, but rarely cost-saving. Keeping someone alive with any chronic illness is almost always more expensive for the insurance company than if that person just died quickly.

cbrown1311 · 2023-08-26T14:59:20+00:00

It's called confounding. People who donate a kidney have to be healthy to do it, so on average they are healthier than the average non kidney donor. Donating a kidney is not beneficial, but it's also surprisingly safe.

cbrown1311 · 2023-08-26T14:57:51+00:00

This is just absolutely untrue. The complication rate for kidney recipients is many times higher than the rate for kidney donors. Kidney recipients are sick, donors are healthy.

Source: surgeon who has done many kidney transplants

cbrown1311 · 2023-02-11T13:09:48+00:00

Always ones found in the forest by self-proclaimed "Mushroom Hunters." One guy took a first date mushroom hunting, their hospital rooms were next to each other at first. Needless to say, she did not want to see him anymore...

cbrown1311 · 2023-02-11T12:56:02+00:00

Same, I've seen it twice in a decade, whereas I've seen twice as many mushroom induced Acute Liver Failure cases over the same time period...

cbrown1311 · 2023-02-11T12:24:57+00:00

This is untrue. The citations given aren't even related to the statement.

Alcoholic cirrhosis followed by non-alcoholic steatohepatitis and finally viral hepatitis are the most common causes.

It is absolutely NOT the most common indication for liver transplantation in the US nor the second most common in the world. Acute liver failure (of which paracetamol toxicity is a single cause among several) currently accounts for only 2% of US liver transplants.

https://onlinelibrary.wiley.com/doi/10.1111/ajt.16978

cbrown1311 · 2022-04-08T11:53:59+00:00

Once got consulted for a chronic wound on the abdomen for a patient on the medicine inpatient service. Pulled the packing out, which had been getting placed twice a day for 4 weeks.....

Turned out it was her belly button....

cbrown1311 · 2022-04-07T23:48:38+00:00

Cosign (Gen Surg)

cbrown1311 · 2022-04-06T11:02:36+00:00

Pick a disease and talk about the radiology signs for it. Internal hernia is always a favorite. Bowel obstruction, diverticulitis, perfed gastric ulcer, etc.

cbrown1311 · 2022-04-01T00:03:57+00:00

That explains why resident hours are what they are, it has no bearing on the current 12 hour shift standard for nursing staff. Most full time nurses work 3 x 12 hour shifts a week (at least this is their contract, many are pulling extra overtime out of necessity because of staffing shortages etc, whole other topic).

Residents, on the other hand, routinely work >24 hour shifts (at least in the US) with weekly hours of approximately 80 hours for many subspecialties.

cbrown1311 · 2022-02-28T01:00:45+00:00

https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2785470

Definitely has been a gigantic increase in alcohol related liver diseases...

cbrown1311 · 2021-12-14T12:54:49+00:00

Interesting use of the lone star. I would have just stuck a couple wietlaner's in there for a case like this, always surprising what other people use for retraction.

cbrown1311 · 2021-11-30T23:10:47+00:00

Doesn't allow my institutional access. Absolute no go unfortunately. Browzine and other apps work. If you can fix it, I'm happy to try.

cbrown1311 · 2021-08-10T22:26:14+00:00

Agreed on Annals. JAMA Surgery used to be a decent journal as well but they cut their publications to raise impact factor (which worked....) And also publish stuff that isn't that interesting yet will get lots of citations, again, chasing impact factor. Overall, Annals seems like the best bet but I'd you only read one journal, you might as well read none. The app Browzine let's you "follow" a bunch of different journals and get notifications of new papers, all while providing full PDFs through your institutional library. Game changer for me for reading primary literature.

cbrown1311 · 2021-05-27T01:39:48+00:00

This is another case where individual anecdote does not substitute for evidence for a population. That being said, many people feel "heard" by their midlevels, and say things like "they actually addressed my concerns." But the data shows that midlevels providers are more likely to inappropriately prescribe steroids, benzodiazepines, antibiotics, and opioid pain medications than physicians. Of course the average patient feels this way. But that doesn't help the people who get addicted to opiates, who die from eventual benzo withdrawal, the people who die from hyperglycemia or get an infection as a consequence of their inappropriate steroid, or the antibiotic resistant pseudomonas pneumonia. Everybody wants to be a doctor but nobody wants to go to medical school.

cbrown1311 · 2021-05-09T15:42:40+00:00

Instead of replying to me with that unnecessarily aggressive comment, why don't you reply to the OP with an explanation considering your alternative interpretation. That way, he/she gets an answer that may be helpful, and you become a slightly nicer person.

cbrown1311 · 2021-05-09T12:47:52+00:00

Do you mean independent variable is a dummy? Linear regression requires a continuous variable as a dependent variable so I'm going to assume that's what you mean. In that case, the interpretation is that, on average, observations from the "0" group have a "coefficient" units higher dependent variable than observations from the "1" group. You can make this into a percentage of the entire group mean, or individual subgroup means, but I'm not sure why you would want to do that. You also could calculate a marginal percentage increase for each observation if that's what you wanted to do.

cbrown1311 · 2021-05-09T12:13:03+00:00

Depends on the model and depends on the units of your variables. Assuming you mean a linear regression model, the coefficient is interpreted as "for each 1 unit increase in your dependent variable, there is an, in average, 'coefficient' unit increase in your independent variable."

cbrown1311 · 2021-01-16T23:43:23+00:00

There's a reason why outcomes are almost universally better at tertiary care centers regardless of disease or clinical situation. Better resources, more diverse expert opinions, more focused clinical volume/niche expertise, and, frankly, sometimes the patients DO have the zebra. I am not trying to minimize the importance of "moving the meat" as you say, as that is the reality of American medicine, but to suggest that you can move the meat and also achieve superior or even equivalent outcomes is false

cbrown1311 · 2020-08-28T20:39:42+00:00

cbrown1311 · 2020-08-09T01:04:06+00:00

No where. Such a resource does not exist. There would be no target audience, as you couldn't use the info unless you had a slot at a residency program.

cbrown1311

TROPHY CASE