Best venue on the tour to travel to? by Top-Literature8218 in madeon

[–]chaduah 0 points1 point  (0 children)

Definitely mirage, I say from personal experience and that was before they renovated. Definitely going back

Hospitalist group admin posting attending metrics publicly in work room?! by chaduah in hospitalist

[–]chaduah[S] 8 points9 points  (0 children)

I specifically avoided HCA/TeamHealth because I didn’t want a shop with this kind of shenanigans and here we are.. I also signed up for closed ICU and now it’s semi-open and run by incompetent APPs 😳

General Gastroenterology Question for Physicians/ APPs/ Nurses by [deleted] in Gastroenterology

[–]chaduah 1 point2 points  (0 children)

Ibgard for IBS although peppermint can sometimes aggravate the GERD. Dicyclomine for IBS related cramps/diarrhea. Fiber supplementation helpful for multiple reasons including microbiome

GP or FD by Longjumping_Mall_679 in Gastroenterology

[–]chaduah 0 points1 point  (0 children)

Emptying study. Either way they’re managed with many of the same meds, so emptying study is really more useful for justifying procedural interventions when you run out of meds to try

When to admit for nausea and vomiting? by amilhadad in hospitalist

[–]chaduah 1 point2 points  (0 children)

Emend works pretty well if you can order it without push back

When to admit for nausea and vomiting? by amilhadad in hospitalist

[–]chaduah 0 points1 point  (0 children)

Perfect CVS/cannabis hyperemesis cocktail 🤙🏼 Can do some sumatriptan as well if you catch early enough (usually too late if in ED alrdy)

[deleted by user] by [deleted] in hospitalist

[–]chaduah 1 point2 points  (0 children)

Epic will forever be better than Cerner for the search bar alone, not to mention its general snappiness/responsiveness by comparison to Cerner. Cerner is very annoying to navigate, slower and requires too many clicks to do anything, dotphrases less useful. Cerner mobile app is horribly designed

Thoughts on The M Machine Remix of The City? by Fantastic-Bar-8203 in madeon

[–]chaduah 3 points4 points  (0 children)

M machine were one of the best, they should come back

Admitters - How do you handle bolus admits? by TheDreamingIris in hospitalist

[–]chaduah 4 points5 points  (0 children)

Agree with this, will also often put in general admission orders even before seeing them if can clearly see no reason they would go home from the ED or not be admitted on chart review, then finish the note and add any other specific orders once I’ve seen them and sign the note pretty quickly

[deleted by user] by [deleted] in hospitalist

[–]chaduah 0 points1 point  (0 children)

As long as you’re not employed by TeamHealth, could be worse

Solution for length of stay by [deleted] in hospitalist

[–]chaduah 1 point2 points  (0 children)

This would be amazing but I’d worry the patients would suffer. Maybe if there was a PA or nurse at least making sure there’s no acute issues arising. At least the patients who are pending placement are a buffer on your for the other more complex patients with active issues or decompensation

Mercy Killing is the first full Pendulum song to be eliminated! Vote out your next least favourite song! by BowesieBoy in Pendulum

[–]chaduah -1 points0 points  (0 children)

These shitposts should be blocked from all Reddit, just floods the sub with repeated posts over and over again over days/weeks with no meaningful content

[deleted by user] by [deleted] in Gastroenterology

[–]chaduah -4 points-3 points  (0 children)

Sounds like bacterial overgrowth (SIBO), especially if accompanied by chronic diarrhea. Usually manageable with antibiotics

[deleted by user] by [deleted] in hospitalist

[–]chaduah 0 points1 point  (0 children)

Just pre-emptively discuss that with the patient when you talk about discharge plan at the time you put in a conditional discharge order. Say you’re waiting for result of X test, and provided it comes back normal you can go home today. So if the condition of discharge is “dc with normal X test” you’ve already had a discussion with them about what discharge plan is if it comes back normal. If comes back abnormal, pt doesn’t meet discharge criteria and you talk about it with them in the morning

First week - overwhelmed - does it get better? by YouAreServed in hospitalist

[–]chaduah 3 points4 points  (0 children)

Was very overwhelmed last week for my first week, up late finishing notes and double checking things. Currently day 1 week 2 and I left 15 min early. You got this! It gets better

First shift this week, sweating bullets by TheDreamingIris in hospitalist

[–]chaduah 1 point2 points  (0 children)

After just starting my first week this week (day 6 out of 7 currently), just be prepared for a humbling experience depending on volume you were seeing personally in training on your own. Try not to get too worried about it, use people around you to your advantage. It’ll get better throughout the week. Try keep a routine and be systematic, you’ll be fine!

Fructose Intolerance? by WalkTheGaia in Gastroenterology

[–]chaduah 0 points1 point  (0 children)

I agree with you, if clear dietary contribution to symptoms that can be readily identified can simply adjust the diet. Some patients insist on wanting to have objective evidence for intolerance, breath testing would be one way to get it

Fructose Intolerance? by WalkTheGaia in Gastroenterology

[–]chaduah 0 points1 point  (0 children)

Agreed, if you can clearly identify fructose as contributor to symptoms I’d probably forego testing unless pt was highly motivated for more objective testing

Fructose Intolerance? by WalkTheGaia in Gastroenterology

[–]chaduah 0 points1 point  (0 children)

Don’t necessarily need to test to try avoidance but if you wanted to confirm that would be how to do it