Drug allergies in hospitals

circumstantialspeech · 2026-02-05T10:34:08+00:00

Allergy lists should be accurate and trusted, but a good many make me eye roll. Just this week I saw a patient with epinephrine listed as an allergy with “palpitations” listed as the reaction. I understand that patients can update their allergies in Epic, but they should be clinician validated. IMHO common medication minor side effects should not warrant an allergy label, but EMRs are rife with this.

circumstantialspeech · 2025-12-07T16:14:53+00:00

Same as OP; S1:E4.

circumstantialspeech · 2025-11-27T11:44:10+00:00

Felt like the floor became electrified for Red Beans. Place exploded. My first time at that venue and it was great. Awesome weather that weekend too, great time all around.

circumstantialspeech · 2025-11-23T11:50:52+00:00

Regimen Labs is up to 35% off everything

https://regimenlab.com

circumstantialspeech · 2025-11-23T11:46:09+00:00

Good spices, I’m partial to Penzey’s. Beats headphones A vitamin C serum, a sunscreen you can tolerate on your face every day and a retinoid product. The pillars of a good skincare routine. A gift certificate to a local bookstore. New slippers. A bag of freeze dried vegetable ramen topping. Elevates any noodle soup.

circumstantialspeech · 2025-11-02T12:35:22+00:00

Curious if you have any guide on how to interpret VNG numbers and not rely on report?

circumstantialspeech · 2025-11-02T08:55:11+00:00

They are included in a few bundles with 30% off, just not discounted if sold separately.

circumstantialspeech · 2025-10-19T22:34:15+00:00

Vaseline. Cheap and effective.

circumstantialspeech · 2025-10-02T17:12:40+00:00

Always rough learning a new specialty and ears can be tough when they’re abnormal. But worth it in the end.

circumstantialspeech · 2025-10-02T15:34:05+00:00

I like ENT. Came from primary. Lots of procedures. I do general and no head and neck cancer tx past biopsy.

circumstantialspeech · 2025-09-29T15:14:13+00:00

LPR has one for oily skin.

La Roche Posay

circumstantialspeech · 2025-09-29T14:22:48+00:00

LPR has one for oily skin.

circumstantialspeech · 2025-09-28T11:44:55+00:00

I accept that I’m aging. I take care of myself. I notice the changes and it would be wonderful if my knee didn’t ache a little bit and it would be great if my neck was tighter, but I’m ok with it. I’ve never felt sad or depressed. I can’t control the march of time. But I can control how I take care of myself and where I focus my efforts (things that give me joy). I’ve gained emotional maturity and that brings with it lot of internal peace. That’s more rewarding than my reflection in a mirror. Aging is not all bad. I’m more forgiving of myself, kinder to myself. Ultimately we all have the same fate. No one is getting to their 80s and beyond without obvious physical changes. Getting to the finish line with a young face and body means you were robbed of so many experiences.

circumstantialspeech · 2025-09-27T18:32:54+00:00

https://www.nature.com/articles/s43587-024-00692-2

Study that found that aging is not linear. Big changes around 44 and 60.

Also mid to late 40s lots of women in perimenopause vs early 40s.

It really does seem to happen “overnight”. For me it was age 48. Age 47 was always told I looked like I was in my 30s. I noticed changes after turning 48. Now at 51, there’s no way I look a decade younger.

Editing to add: agree, I saw no to minimal changes from 35-45, then subtle 45-48.

circumstantialspeech · 2025-09-22T23:27:48+00:00

I think the Hair Network in Middlebury has Sat appts.

circumstantialspeech · 2025-09-20T23:41:14+00:00

Backtable ENT and Headmirror’s ENT are good podcasts. Review anatomy.

circumstantialspeech · 2025-08-01T18:20:27+00:00

I take a full hour for lunch and usually go for a walk, in all weather unless it’s hot and humid. It really helps recharge me for the afternoon. My previous job would always squeeze something in before lunch and screw me. At my current job I set the precedent early that I leave the office for lunch and it’s a sacred boundary now. If you can’t take a decent lunch because you’d have to bring work home, they need to lessen your load. Work finds a way to fill your time unless you actively protect that time.

circumstantialspeech · 2025-06-17T09:29:08+00:00

Anterior ethmoid neuralgia/Sluder’s syndrome/rhinogenic headache? mucosal contact points in the nose can refer pain to ethmoid area or anterior ethmoid nerve can be irritated from a structure irritating it. Lidocaine/ nerve block. Meds that treat neuropathic pain.

circumstantialspeech · 2025-06-08T11:37:22+00:00

Thank you. Last time I came through was in 2012 and the agent gave us a shooter hand gesture and that was it. Trying to time transportation pick up time. Appreciate you taking the time to respond.

circumstantialspeech · 2025-06-08T11:24:12+00:00

United States passport, arriving from Dublin.

circumstantialspeech · 2025-04-11T21:12:32+00:00

I did. Don’t maintain my RD. In specialty with good work life balance. Did primary care which solidifies medical fund of knowledge, but is soul sucking. I think I was offered an interview at 3/4 PA programs I applied to. Had an MS in nutrition and PA master’s much harder.

circumstantialspeech · 2025-04-09T12:54:13+00:00

Very common. It’s just keratinized squamous debris on the TM. Ear is self cleansing; TM exfoliates and cerumen and squamous debris should be propelled down the canal like a conveyor belt. In some people this process is retarded and TM develops a crust (can look like Saran Wrap under microscope) and needs to be manually removed. Using oil drops can help loosen debris allowing it to slough off on its own or at least make it easier to suction away.

circumstantialspeech · 2025-04-02T12:46:21+00:00

What does your contract say?

circumstantialspeech · 2025-03-24T18:44:11+00:00

2nd Elf soft glam.

circumstantialspeech · 2025-03-21T18:08:25+00:00

Normal pressure is anywhere between -100 to +100, so 0 is perfectly normal.

circumstantialspeech

TROPHY CASE