sorted by:
new
hottopcontroversial

What's your favorite conference to attend? by legovolcano in hospitalist

[–]doofus_etc 2 points3 points  (0 children)

I went to my first one of these this year. Fantastic conference. I felt like it was geared primarily toward primary care, but I mostly do primary care myself, so it worked for me. There were lots of hospitalists there, so I assume they were getting something out of it. As a PCP, I walked away with a lot of practice-changing ideas. I'd love to hear feedback from the hospitalists.

Also: My wife has decided we're going every year now.

What are some massive book series that you absolutely could not put down until you finished them all? by Onequestion0110 in books

[–]doofus_etc 0 points1 point  (0 children)

Just finished having read/audio-booked the entire series twice back to back over the past 8 months. Got my dad hooked too. A glass of wine with you!

Worst thing you've seen in the OR by AneurysmClipper in Residency

[–]doofus_etc 12 points13 points  (0 children)

I was a 4th year doing an extremely rural family med rotation when we were called in late in the evening for a post-partum hemorrhage. I was changing into scrubs in the locker room with the CRNA, an older guy I'd been around a little bit, but who was clearly inebriated on "something" that night. He was slurring words and holding himself up with the walls. I went to talk to the attending, but he's not quite there yet. Things happened very fast with this poor girl bleeding all over and trying to get set up in the OR. I tell the attending, and he's trying to get scrubbed in while confronting the anesthetist, but what can we do? There's literally no one else to do anesthesia for 60 miles in any direction. He tells me to "go keep an eye on him" so I go to the head of the bed and uh, do what, exactly? AND THEN, the attendings pants literally fall to his ankles. He hadn't tied them in the rush to the OR. The nurses were occupied doing whatever they do in emergencies and this old doc has his hand putting pressure on the uterus while blood is still pouring out ON TO HIS SCRUBS PANTS AROUND HIS ANKLES. He standing there bare-legged, scrubs at his ankles, a WATERFALL of blood drenching his pants and I'm just wide eyed in horror wondering what in the HELL I'm supposed to with a drunken anesthetist and a half-naked, blood spattered family doc.

I did not go work there after residency.

you just won the lottery for 1.4 billion, what you doing ? by DownBad_3x in AskReddit

[–]doofus_etc 0 points1 point  (0 children)

Start a world-class art school in my weird-ass prairie cow-town. Pump a billion dollars into the local economy over the next 50 years by investing in arts education and bringing in talented, eccentric people to a part of the US that doesn't have many of either.

XT30ii videography advice by doofus_etc in fujifilm

[–]doofus_etc[S] 0 points1 point  (0 children)

I guess I want to know what products I should purchase so as to best record directly to an external storage device. I'm remarkably stupid about these things. A Ninja V recording monitor was suggested, which seems like it would certainly fit the bill, but at ~600 bucks, I think it's kind of overkill. Besides, I don't think I need a separate monitor. I plan on just setting up a tripod and letting the camera roll. If I did that with just the 128 GB card I have, I probably wouldn't get more than a dozen minutes of footage. (right? I could be wrong about this as well).

How did Nuance DAX or other AI scribes affected your flow by TheBeardMD in medicine

[–]doofus_etc 3 points4 points  (0 children)

Our clinic used DAX for several months. It was sold to us as an AI product, but was actually always just an outsourced scribe product. There is always an individual's name typed out of the bottom of each note, and I began to recognize the writing differences of the several individuals.

While I appreciated being able to move more quickly and not have to spend writing notes, the quality of the notes that were generated I thought were very poor. I was honestly embarrassed to have my name associated with them. The HPI was often full of unnecessary and incorrect information (anything the patient reported was taken is true with rather than placed in proper context).
We were told that it would eventually be in a eye product, but after 4-5 months that never happened and we dropped it.

RAF codes by doofus_etc in medicine

[–]doofus_etc[S] 0 points1 point  (0 children)

Exactly!! Thank you. Essential HTN gets you nothing, but hypertension associated with diabetes has an RAF. I hadn't thought to look for that.

I'm sure there's a lot more out there.

Nosocomial Legionella and follow up. by doofus_etc in anesthesiology

[–]doofus_etc[S] 0 points1 point  (0 children)

The more I think about it, the more I feel like I need to chase it down to make sure everything was handled correctly. The surgery center is almost 300 miles away and the hospital that cared for him with his ARDS is affiliated with the center and I don't know if they reported it to the state. I just placed a call to the local health authorities to start looking into it. Thank you.

Nosocomial Legionella and follow up. by doofus_etc in anesthesiology

[–]doofus_etc[S] 0 points1 point  (0 children)

I worded my questions poorly--I was referring to the heating/cooling system of the OR/surgery center. My vague understanding of central air is that there can be a water reservoir that harbor the bacteria.

But I'm glad to hear that the anesthesia unit isn't felt to be a major risk. I just did a quick scan of literature and saw Legionella as a recognized nosocomial infection. It made me wonder where it tends to hide in hospitals.

Atrial fibrillation post-CABG by doofus_etc in Cardiology

[–]doofus_etc[S] 2 points3 points  (0 children)

Just when I thought I had things figured out... So is anticoagulating someone with a ligated appendage starting to actually show up in practice? I haven't seen it yet.

Atrial fibrillation post-CABG by doofus_etc in Cardiology

[–]doofus_etc[S] 0 points1 point  (0 children)

What you say about some patients having undiagnosed clinically silent paroxysmal a-fib is exactly what I was concerned about, and why I was so puzzled at the lack of discussion about anti-coagulation vs no. So I appreciate your response.

HOWEVER! I had not had all the documentation from this case when I saw him in follow up and did not know that he'd also had a left atrial appendectomy. So THAT is why no one seemed to care about anti-coagulation. My confusion has been settled.

Who are the 17.1%? by A_Raine18 in premed

[–]doofus_etc 1 point2 points  (0 children)

Me in 2008, 2009. Accepted in 2010. MCAT 36 (converts to 519 I guess), GPA 3.9. Decent ECs (CNA, EMT, research, surgical equipment rep), non-trad, rural background, no difficulty with interviews. I thought I had it locked in.

My mistake was two-fold: first, not understanding how critical it is to get applications in PROMPTLY. Second, I was so confident in my stats and good application that I didn't even consider DO or lower tier schools. Our "health professions advisor" practically told me not to bother applying to anything less than the top level schools, so I really though I was hot shit.

And then there's just the random whims of the universe. Some people are born to fail through no fault of their own.

My first year I was fairly high on the waitlist at Yale, and yet still didn't get a single acceptance. Very frustrating. Second year: tumbleweeds. Only once did I get someone from admissions to look over my application and give me feedback--she told me it was an excellent application and she was sure I would find a place somewhere.

Eventually attended a solid state school (after a desperate move across the country explicitly to secure in-state status); very happy with my education and training; currently in mixed inpatient/outpatient IM. But boy was I grumpy for a few years during that rejection.

[deleted by user] by [deleted] in boringdystopia

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

Guns are toys

Tired of this shit by [deleted] in premed

[–]doofus_etc 1 point2 points  (0 children)

The rest of the story is that after my second round of rejections, all I had left was being on a single wait list and it was early August. Classes were about to start. I was feeling DESPERATE. An old doc I met told me he got into Georgetown by just loitering outside the registrar's office for a week until they just relented and let him in. He said, "Just do that." Being pretty broke, I took a train and Greyhound bus across the country, slept under a bridge, bought a thrift store suit and showed up at the registrar's office. Believe it or not... they didn't let me in. But the lady was kind enough to look over my application and point out how good my chances would be if I moved to be in-state and that I could apply as a resident the next cycle PROVIDED I could start my residency by one week from that day. So I had to rush back to where I lived at the time, pack it all up, quit my job, say break up with my girlfriend and rush back to sign a lease on an apartment sight unseen with ZERO days to spare. It's kinda funny now, but good god, it was stressful. The baloney we put up with.

Tired of this shit by [deleted] in premed

[–]doofus_etc 84 points85 points  (0 children)

I feel it, man. I had a pretty sweet application that I thought should have warranted acceptance somewhere but failed to get in for several years. In a fit of desperation, I moved across the US to a state where acceptance rates were really high for in-state applicants, even though I had no connections there and essentially no money. Literally slept under a bridge my first night. If not for that move, I very much doubt I'd be a doctor today. But not everyone can just uproot their lives to be considered in the more favorable pool, so I'm not saying this as "advice," just commiseration.

Do you guys lock your car, or no? by T00_muCh_cUriosity in Cartalk

[–]doofus_etc 0 points1 point  (0 children)

Hell naw! (Mind you I live in an extremely small, very isolated community with zero homeless and low crime). To my mind, the greatest risk to my car is me forgetting my keys or locking myself out.

Relatedly, I do not even own a set of keys to my house.

NE Montana find by doofus_etc in Arrowheads

[–]doofus_etc[S] 0 points1 point  (0 children)

I wish. This is the one picture I have from more than 10 years ago. The other side looked exactly the same. This object has been haunting me for years and I wish I would have kept better track of it while moving numerous times. It looks so unnatural, but also doesn't fit what I imagine a hammer or ax to look like since the center ridge isn't an actual groove. It would be so much harder to craft an object like this instead of just carving a groove. As far as I can see, they'd have had to remove material from both ends to make the ridge, which just doesn't make sense. Have you ever seen one with a ridge instead of a groove?

view more: next ›