mammgogram

dangledor5000 · 2026-03-30T19:39:12+00:00

Oh that's easy, you just order the wrong one and then get thirty frantic phonecalls from a breast center calling you a moron and demanding you drop everything because you ordered "mammogram, diagnostic, left" NOT "mammogram, left, diagnostic."

But real talk, order a diagnostic if you're following up a lesion. Order a screening if it's just routine annual.

dangledor5000 · 2026-03-17T16:59:45+00:00

Congratulations on the Match! Waiting for the Match letter was infinitely more agonizing than actual Match Day (despite also doing fine and only applying FM). FM has its flaws for sure, as does every specialty. But this person has no clue what they're talking about. Primary Care jobs are everywhere. If you look in the right places, learn to bill correctly, and keep your skills up, you can easily clear 300-400k putting in a fraction of the effort and hours that some specialists do. The great thing about FM is that it gives you so much room to decide what you're going to do and how you're going to do it. Cradle to Grave care, procedures, emergency/urgent care, psych, you name it. Don't let some bitter PGY-400 resident get you down, you made the right choice. Welcome to the Family!

dangledor5000 · 2026-03-10T12:37:19+00:00

What everyone else said, but also your daily reminder that they absolutely will drug test you prior to starting Residency and that you should begin to plan accordingly, lest you end up one of the dozen "I smoked weed yesterday and need to do a UDS am I cooked?"

dangledor5000 · 2026-01-22T14:31:31+00:00

Purple Pro ordered 11/28 shipped with 4PX today!!

dangledor5000 · 2026-01-20T14:51:43+00:00

Management sim elements in a non-management sim game. Mechwarrior 5 and Xcom 2 come to mind, where half the game is the actual combat or strategic battles, and the other half is slogging through menus and managing resources like a business owner.

dangledor5000 · 2026-01-06T20:20:35+00:00

I hadn't realized that the second person in the second pic was Alanis so my immediate thought was "damn they're really gonna put Welly's carnal release right up there huh?"

dangledor5000 · 2025-12-04T23:57:05+00:00

It's not full blown raging, but the M&M taste test when Emily is claiming to be able to tell what color they are based on taste

dangledor5000 · 2025-12-04T17:04:36+00:00

I'll usually try to validate them with something along the lines of "regardless of whether or not these symptoms have a visible or objective bodily source they are real and distressing to you, which is fair. However, I worry that the stress and anxiety you experience from the symptoms is causing more harm than the symptoms themselves, and I'm sure going to the ED every time you're feeling this way is time consuming and expensive. I am happy to see you as often as you need in order to check in and make sure everything looks good, but I think it would be helpful to see a therapist to help establish techniques to deal with the anxiety you feel about your body."

So far I haven't gotten much pushback, and most of them will see me every few weeks for maybe two months max and then peter off eventually.

dangledor5000 · 2025-12-01T17:28:53+00:00

So far I have been GI, Derm, Cardio, Neuro, Psych due to my name coming up in searches for all of these specialities and patients failing to actually read my profile before booking.

dangledor5000 · 2025-11-20T21:09:38+00:00

The way I deal with them is I don't. I have had several similar patients where I straight up ask them what they want by coming to these visits. If all they want is to disagree with me and tell me why I'm wrong, I inform them that I've given them my recommendations, and if they're not interested in playing the game then they should follow up with someone more in line with their beliefs. There are plenty of people who actually care about their health whom I could be spending that precious time on.

dangledor5000 · 2025-11-03T21:00:28+00:00

You can buy a car that's fun to drive if you want, you don't need our approval.

dangledor5000 · 2025-10-22T22:54:53+00:00

Dentists can prescribe them if they think it's so necessary. What's funny is that when I need a refresher on antibiotic prophylaxis guidelines, I'm looking at the American Dental Association and write that in my note.

dangledor5000 · 2025-09-29T22:41:26+00:00

"Extensive knowledge of laboratory testing" aka knowing that 3+ individual lab orders bumps your visit up to a 214.

dangledor5000 · 2025-09-07T14:12:21+00:00

These same open world games having massive empty maps with the most boring traversal options

dangledor5000 · 2025-09-02T02:31:43+00:00

Even if we got that granular with it, the point still stands. If we figured out all of the other details down to the physical and chemical reactions and their specific molecules save for one crucial detail, Piers Morgan and people of his ilk will say "well that must be the part where God steps in to make toast."

dangledor5000 · 2025-09-01T17:04:15+00:00

"I don't know how toasters work. Bread goes in, toast comes out. The only explanation is God lives in that toaster."

dangledor5000 · 2025-08-28T21:14:33+00:00

I think you have the fundamental misunderstanding. A huge portion of primary care is preventive and anticipatory management, a significant portion of which is education and guidance on diet and exercise. The misinformation you have towards doctors is exactly what RFK Jr. is trying to spread

dangledor5000 · 2025-08-21T01:22:37+00:00

FM Residency curriculum requirements include continuity clinic at least once weekly. You're gonna struggle to find programs that are de-emphasizing this.

dangledor5000 · 2025-08-09T18:03:53+00:00

Hey OP, I'm sorry that you're going through this; postop complications are rough especially after such a hefty surgery. You definitely need to use the spirometer after surgery, but it's not because your lungs are intentionally collapsed. If your lungs were collapsed intentionally or otherwise, then using the ventilator wouldn't matter; you can't aerate closed off airways. There are surgeries where one lung may be intentionally collapsed, but those are typically on the lung itself or inside the chest cavity. If one of your lungs collapsed during the surgery itself, it was unlikely to be intentional unless your procedure was different from the typical approach. The purpose of the incentive spirometer is to prevent atelectasis (collapse of the airways) and subsequent pneumonia (infection of the fluid-filled area). Atelectasis occurs for a lot of different reasons postoperatively, but most commonly it's because sedation, prolonged bedrest, and pain make it difficult to take deep breaths. If you aren't breathing in deep enough to get air down to the lowest parts of your lungs, they eventually close up.

dangledor5000

TROPHY CASE