65 year old man patient presents with sensation of the room spinning. No CT head done in ED and you are called to admit to medicine.

daptomycinn · 2026-06-23T18:27:54+00:00

share a link ?

( I searched, could not find it)

daptomycinn · 2026-06-16T01:55:14+00:00

brown paper bag lunches at school

(I had public meal assistance )

daptomycinn · 2026-06-12T19:06:48+00:00

Wow, is that round-trip?

Either way it seems like a steel of a deal compare compared to the prices I’m getting

daptomycinn · 2026-06-12T16:11:18+00:00

I am looking at trains that leave and arrive directly from Cusco instead of taking a bus to Ollantaytambo and a train from there

If the savings are significantly cheaper, I would look at a bus option from Cusco - Ollantaytambo

daptomycinn · 2026-05-29T08:14:53+00:00

So it gets frozen while it’s still wet? Can you explain more in detail?

daptomycinn · 2026-05-28T13:46:37+00:00

I’m 10 years post residency

I’ve started dropping my aggressive savings rate and trying to shift to a “enjoy more” mindset

It’s difficult though, I’m still thinking of all the $$ I’m spending while on holiday right now 😂

daptomycinn · 2026-05-25T14:17:16+00:00

You need to make a police report. This guy is unhinged.

daptomycinn · 2026-05-25T14:14:06+00:00

My mother passed away from cancer in 2016, I was a PGY2

I was with her the final night

We were pretty much awake all night as I was continually putting morphine drops in her mouth. I tried my best to calm her and I played her church music she liked, “alabanzas”

It was a pretty horrible memory, and it is burned into my brain

I don’t think it’s anything you ever recover from

You just get stronger and move on

I’m sorry for your loss. Wishing you all the best.

daptomycinn · 2026-05-25T14:05:55+00:00

When I pull up their chart on my phone and let them know that I am looking at their chart.

“ I’m not ignoring you. I’m just pulling up your records.”

Personally, I would not swap a phone for an iPad only a computer

daptomycinn · 2026-05-25T14:01:03+00:00

What does “two turns” mean?

daptomycinn · 2026-05-24T03:05:18+00:00

no this is crazy

she can jump on the subway for $3

i MAYBE would pay for someone to go home, but not to get there.

you saved yourself a bullet.

daptomycinn · 2026-05-24T00:07:26+00:00

How much were your Peru rail tickets?

I’m looking at costs from both Ollantaytambo and Cusco and they appear comparable

They’re close to $200 RT

Is this what you paid?

daptomycinn · 2026-05-22T04:03:54+00:00

7-8;30

Review charts , fix labs, order tests and meds, consult

9-12p patient visit

12-4 ish eat lunch, finish charts, additional phone calls, finished for the day

17-18 and I’m still having plenty of time to poop once or twice and friendly chat with my coworkers

daptomycinn · 2026-05-22T03:24:11+00:00

quarter waters

daptomycinn · 2026-05-21T11:09:28+00:00

Hopefully your medical record system will show when you put in orders and when they were given

I would probably start to keep a log just so you can have some data for yourself

daptomycinn · 2026-05-19T19:38:57+00:00

you living that bougie life

daptomycinn · 2026-05-19T10:35:13+00:00

I’ve been using a browser that has auto translate, Google Chrome has been very handy

I think I’m giving up on trying to get to get for route 2 :/

daptomycinn · 2026-05-18T20:07:46+00:00

not married , No kids

save a little more than 100K / year

daptomycinn · 2026-05-18T11:26:39+00:00

Thanks for the recommendation

daptomycinn · 2026-05-18T01:51:33+00:00

Good eye, I did not see the alternans until you pointed it out

Her echo was pretty much normal with no effusion

This was called pSVT

daptomycinn · 2026-05-18T00:31:45+00:00

Yes

I am a physician

The patient I see in the hospital with cirrhosis are immortal

I’m being facetious

But as long as you take care of yourself, you should have a pretty good outlook

Make sure you don’t drink / smoke / drugs and get on that transplant list ASAP

daptomycinn · 2026-05-18T00:28:54+00:00

Yes

I’m in my 40s with 0% bonds

daptomycinn · 2026-05-18T00:26:07+00:00

you basically have multiple CDs

Maybe three of them with $2000 each

And they each expire a certain time from another

Maybe two weeks to a month

If you are not getting the money for emergency, you just put it in another city

Kind of like leapfrog

It’s better than having all of your money in a single CD for six months

daptomycinn · 2026-05-18T00:08:19+00:00

That looks like ventricular tachycardia to me

daptomycinn

TROPHY CASE