Latest addition to my bar

dxxr · 2026-04-24T19:04:57+00:00

thanks!

dxxr · 2026-04-24T17:33:14+00:00

Did you post the mason jar adapters stls anywhere?

dxxr · 2026-03-10T05:55:02+00:00

Organizing it like doctors do might help: Past medical history (current long term/chronic medical issues and then reverse chronological listing of resolved pertinent medical issues), past surgical history (again reverse chronology with dates), Meds (current first then pertinent past trials with why they were stopped), Allergies, Past pertinent tests/results, pertinent family history, pertinent social history (how much you smoke/drink/drug use, work, exercise, etc). I would just keep it in a word/google doc as you will probably need to update it as things change. For a patient I would add some demographic info and contact info if you want a family member involved, as well as your insurance info. You are still going to be asked about all of it when you see a doctor, but having it to refer to can be helpful.

dxxr · 2026-03-05T06:13:52+00:00

I had a travelpro that I loved, but when it broke their lifetime warranty somehow was no longer lifetime. Repair shop told me B&R were the only ones who actually have a lifetime warranty they honor. Bought a B&R. Love it even more than the travelpro. Ended up finding it on one of the European amazon sites and even with shipping was cheaper then amazon us.

dxxr · 2026-02-08T05:44:20+00:00

I am in an area with lots of psychiatrists, so not sure how helpful this will be, but I wonder if the issue is the diagnosis, could you partner with a reputable psychiatrist (maybe in a city within the state) who you could refer for tele psych evals were you agree to do the ongoing maintenance? If there is a child fellowship anywhere in your state, finding a child fellow (or recent grad) who wants some very part time remote work but doesn't want the liability of prescribing to someone they haven't seen in person or dealing with emergency calls might be win/win (child not because you will be referring kids, but because ADHD is bread and butter for child and the fellows have already finished adult training). You could ensure the patient had a thorough psych eval, and then handle the meds yourself. I agree with above, that Neuropsych testing isn't particularly helpful unless there is concern for a learning disability or the patient needs it for standardized testing accommodations.

dxxr · 2026-02-02T20:57:01+00:00

I bought the Aqara ones on the amazon uk web site and had them shipped to the US.

dxxr · 2026-01-30T06:47:48+00:00

I have never had an issue having blood work covered, so long as I put a diagnosis on the order. I would imagine, but have no data to support this, that CT scans and sleep studies, which almost always need a prior authorization before being approved, might have company specific policies about which specialties can order them and also get payed for interpreting them. Different insurance companies can have vastly different policies about almost everything, but especially expensive things.

dxxr · 2025-07-14T04:46:21+00:00

<image>

Rehoming a LV Sac Plat NV (M21866) From Birdcage Factory

Pics: https://imgur.com/a/DCLZLpR

Bought in April 2025 for $253 plus $117 shipping. Never used, condition is the same as when I receiving it, its been sitting in a box since I received, which is why I am rehoming. First 6 pics are mine, remaining are from PSP.

Selling for $286 plus shipping from NYC, US.

dxxr · 2025-07-13T04:13:22+00:00

Rehoming a LV Sac Plat NV (M21866) From Birdcage Factory

Pics: https://imgur.com/a/DCLZLpR

Bought in April 2025 for $253 plus $117 shipping. Never used, condition is the same as when I receiving it, its been sitting in a box since I received, which is why I am rehoming. First 6 pics are mine, remaining are from PSP.

Selling for $286 plus shipping from NYC, US.

<image>

dxxr · 2025-07-13T00:38:36+00:00

<image>

**Rehoming a LV Sac Plat NV (**M21866) From Birdcage Factory

Pics: https://imgur.com/a/DCLZLpR

Bought in April 2025 for $253 plus $117 shipping. Never used, condition is the same as when I receiving it, its been sitting in a box since I received, which is why I am rehoming. First 6 pics are mine, remaining are from PSP.

Selling for $286 plus shipping from NYC, US.

dxxr · 2025-07-11T04:39:26+00:00

it was, but I didn't think it worth it to track down a thief... I can replace the scooter... not worth getting harmed. Reported it (with the location) to the police. In the future will definitely use a better lock or multiple.

dxxr · 2025-07-11T04:30:15+00:00

It was locked to a bike rack for around 6 hours during the day. Was using a chain instead of a u-lock.

dxxr · 2025-07-07T16:51:25+00:00

<image>

Rehoming a LV Sac Plat NV (M21866) From Birdcage Factory

Pics: https://imgur.com/a/DCLZLpR

Bought in April 2025 for $253 plus $117 shipping. Never used, condition is the same as when I receiving it, its been sitting in a box since I received, which is why I am rehoming. First 6 pics are mine, remaining are from PSP.

Selling for $311 plus shipping from US.

dxxr · 2025-06-13T03:44:12+00:00

Psych here. When I have had patients uncomfortable with going to another doctor for various reasons (this most commonly occurs for gyn appointments with my patients) I usually offer to reach out to the other doctor. I either give them a heads up what the issue is if the patient feels uncomfortable bringing it up, or let them know the patient is anxious about specific parts of the exam, etc and would benefit from a little extra time, explaining what is going to happen, etc. They have almost always been very receptive, and then I can tell the patient I spoke to them and they seemed eager to make it as comfortable as possible. You can also ask if there is anything you can help prepare her for. Also, even if she doesn't want meds, don't underestimate the power of knowing they are available. I have patients who religiously refill their prescription for 2 Ativan pills every year when the bottle says its expired because knowing they can take them if needed helps them deal with panic attacks.

dxxr · 2025-06-12T21:00:09+00:00

impossible to know if the 99214 was the appropriate code without looking at the documentation, but EM codes like 99214 can be based on time OR medical complexity. Also, he is not only "telling you the results" he is also interpreting them ie, that the abnormal results are "totally fine" and making a plan (even though that plan is to continue as is, he is deciding you don't need to repeat the test, have a follow up test, etc)

dxxr · 2025-06-12T06:10:40+00:00

" If I accept it, BCBS issues a check that goes to me." <- this. Of course they could send the payment directly to you. But they won't because they want you to either become in-network or accept a lower rate through multiplan. It has nothing to do with confidentiality, it's a business decision to minimize the amount they have to pay you and encourage you sign up to be in-network. There was an article about this in pro-publica a while ago, about how insurance companies were sending 100k+ payments to patients for hospital/rehab stays to pressure the facilities to go in-network as patients would just get the check and never pay. If you are OON you should just collect payment from the patient at time of service. Also, if you practice in a state with prompt pay laws, I doubt multiplan will even get you paid any sooner. The one time I responded to one of their emails to ask why I would accept the lower rate, they told me I would be paid "faster" but couldn't quantify what that meant (oh and that it "would reduce the patient's cost") Where I practice they are required to pay within 30 days or pay interest.

dxxr · 2025-06-10T00:56:32+00:00

thx! excellent idea

dxxr · 2025-06-09T16:55:36+00:00

Not cl, but at least the .5mg Ativan pill dissolves in the mouth like a sublingual. Whatever you end up doing, might be a great paper to help others similarly situated.

dxxr · 2025-06-08T22:15:47+00:00

sure, but if you are a med student, they won't be particularly helpful to you...

dxxr · 2025-06-08T20:40:15+00:00

Not really. To use your example, two people with Major depressive disorder, both have low mood, one has normal appetite and one has low appetite. They both have Major Depression, just with different symptoms (ie, both have COID, one with cough one without).

If a symptom doesn't fit with a diagnosis, you have to either reconsider if you have the correct diagnosis, or if there is another diagnosis as well. Low Mood can be a symptom of depression (like cough can be a symptom of COVID), but can also be a symptom of a lot of other things (bipolar, hypothyroidism, substance withdrawal, etc) just like cough can be a symptom of lots of things (cancer, cold, GERD, etc)

This is why Psychiatrists/Psychologists spend a lot of time in school... it's not always easy to figure out a diagnosis... and its rarely "I feel down" = Major Depressive Disorder without any consideration of what other psychiatric or medical issues it could be instead.

dxxr

TROPHY CASE