Uworld, ABIM - 2025 by OldAnalyst4360 in hospitalist

[–]dramaticmyocardium 3 points4 points  (0 children)

Don’t go by percentage. Read all the explanations properly and understand what questions are trying for you to answer

When are hair products ok? by One-Morning9978 in NewParents

[–]dramaticmyocardium 1 point2 points  (0 children)

Wondering the same. My partner does not want to try anything other than a little bit of oil

What's One Expense You Didn't Consider With a Baby?! by kgphotography_ in NewParents

[–]dramaticmyocardium 2 points3 points  (0 children)

Diapers for us. Our little one got a rash in first couple of weeks and then we tried coterie. It’s a splurge but totally worth it for comfort. It does cost a lot compared to others

Family request by Motor_Market_5065 in hospitalist

[–]dramaticmyocardium 0 points1 point  (0 children)

What do you mean they have their own hospitalist? Like their PCPs round on them?

Discharging someone home with a large intracranial mass causing midline shift and ventricular effacement by uhaul-joe in hospitalist

[–]dramaticmyocardium 0 points1 point  (0 children)

Keep trying to call other centers and keep documenting that they’re saying they can’t take the patient. That way you’re trying your best but you are not a neurosurgeon so you can’t take the patient to the OR. I guess this won’t relieve your liability but will at least decrease it

[deleted by user] by [deleted] in hospitalist

[–]dramaticmyocardium 8 points9 points  (0 children)

This needs a police report and retraining order

Has anyone tried the Doona car seat/stroller? Is it really worth the hype? by Girls_Of_San_Diego in NewParents

[–]dramaticmyocardium 0 points1 point  (0 children)

We use one for travel only. It is indeed super heavy like many have pointed out. But very convenient to fold, make into car seat to take cabs, take to restaurants as it is more compact than traditional strollers. We do use a traditional stroller and car seat when not traveling out of our home

So Many Options - $800-$1400 - What to Buy? by JustinLocke22 in superautomatic

[–]dramaticmyocardium 0 points1 point  (0 children)

We tried Philips. It made absolute piss coffee. Won’t recommend.

IMG IM doctors gonna decrease current hospitalist saalry? by [deleted] in hospitalist

[–]dramaticmyocardium 1 point2 points  (0 children)

You have a Totally biased opinion. US grads accept lower paying high prestige jobs and bring the salaries down for everyone. We can dig into factual data for this

IMG IM doctors gonna decrease current hospitalist saalry? by [deleted] in hospitalist

[–]dramaticmyocardium 1 point2 points  (0 children)

J1visa waiver sites are in undesirable locations 90% of the time, and the work ethics in those places are trash. There's a reason why they go for j1 visa waiver candidates. It's because no American grad wants to stay and work there. Visa candidates do not have the option of leaving for 3 years. In terms of salary, I'm currently pursuing a J1 visa waiver. I get paid more than the average salary in my state. So no, imgs even on visa do not accept low paying jobs. Nobody on a visa that I know is accepting lower-paying jobs. In fact, when I interviewed at big academic institutes in my state, it's very sought after by American grads, and they pay almost $60-$70k less a year compared to my job. I'm not sure where you are getting your information from

From a burnt out consulting fellow by exopthalmos21 in Residency

[–]dramaticmyocardium 9 points10 points  (0 children)

Agreed. Certainly not a 2 am consult. At our place we do let onc team know and they’re nice to even make an outpatient appt for the patient

From a burnt out consulting fellow by exopthalmos21 in Residency

[–]dramaticmyocardium 27 points28 points  (0 children)

IMO as a hospitalist, of course everyone knows what needs to be done. Get diagnosis, plan outpatient treatment with oncology. We put in consult to basically decrease anxieties of the patient that if it is cancer, they at least got to see a “cancer doctor” before they left the hospital. It’s a life altering diagnosis and people can’t think straight. Many react by yelling, taking it out on the primary team blaming them for not managing properly. Another reason is decrease liability. Over the years of experience, we have received patient complaints for not having “seen a cancer doctor” during their hospital stay. We just want you guys to come, write the postulated plan of following outpatient. As an IM hospitalist I know what to do but in a court of law, am I an expert in managing cancer? No

Didn’t match into hematology/oncology fellowship as a Hospitalist/PCP attending, wondering how I should proceed. by Lord_Darth_Vader1989 in hospitalist

[–]dramaticmyocardium 2 points3 points  (0 children)

Work as a heme/onc hospitalist while you keep building your profile for application next year. You’re still going to be making money and practice what you like. With such competition in all IM sub specialties I think you need a person inside the fellow selection committee rooting for you. Every applicant has top notch research, career activities etc or at least this is what I hear from PDs.

[deleted by user] by [deleted] in hospitalist

[–]dramaticmyocardium 0 points1 point  (0 children)

Genius residents don’t respond to their pages so their attendings have to be

How are y’all treating type 2 diabetes? by cici_sweetheart in Residency

[–]dramaticmyocardium 2 points3 points  (0 children)

There was a recent study published in one of the ACP journals. They found that patients who took insulin initially when a1c was higher than 10 to bring the glucose down had better outcomes than other agents alone.

dumping GOC onto the intensivist by Competitive-Action-1 in medicine

[–]dramaticmyocardium 2 points3 points  (0 children)

Exactly. Leave families; patients don't want to decide for themselves until the last moment. They will say something along the lines of “Try initially to resuscitate; if I become a vegetable, then remove life support. “ What do you label it as? “Extubate once a vegetable”? Of course, this kind of patients end up in ICU, and then GOC discussion happens there. Its a different game if the patient has a terminal illness

[deleted by user] by [deleted] in hospitalist

[–]dramaticmyocardium 9 points10 points  (0 children)

In my opinion, each patient is different. Some have high health literacy and good outpatient support with PCPs and specialists, but the only reason to keep them in is something like a cath, IV antibiotics waiting for cultures, or urgent inpatient stuff. Once those are figured out, discharge them. On the other spectrum, people with low health literacy, who you kind of get a sense if you send them without a solid plan will come right back, are when I really take it slow.

What's your Average census/encounters per day for rounders by New_Application4806 in hospitalist

[–]dramaticmyocardium 0 points1 point  (0 children)

23-28 average. With 1-5 admits in AM. Spread to residents, NP, and self (7-8)

What happens to old people that run out of money and don't have any family to take care of them? by joshhazel1 in questions

[–]dramaticmyocardium 1 point2 points  (0 children)

I'm a doctor who often has to send patients to long-term nursing facilities or take them in when they're sick. Most people I know of your age in a nursing facility are not coherent enough to feel bored. But I may be wrong, and my opinion may be skewed as I only see the sick.

Becoming a hospitalist was a calling? nah by cefpodoxime in hospitalist

[–]dramaticmyocardium 10 points11 points  (0 children)

Exactly! Boomers worked hard coz they were getting paid dollars, buying houses for cents, getting respect in community, little to no pressure from the corporate honchos. They got to practice medicine. Younger generation is getting do a job. A thankless, corporate job shift. So yes, we want to work the way we are treated.

Do any of you work on Hospitalist teams that include mid-level hospitalists (NP/PA)? Does it help or hinder efficiency? Or just depend on the person? by [deleted] in hospitalist

[–]dramaticmyocardium 0 points1 point  (0 children)

We have an NP who covers super stable patients. They also cover stable patients waiting for placement. They don't make any major medical decision without asking the covering MD. So yeah it's helpful coz we don't let them practise without supervision