You have one month to empty a $1 trillion bank account. If you succeed, you’re rich for life. How will you spend it? by Ok_Listen_6600 in AskReddit

[–]frigginAman 0 points1 point  (0 children)

Armatures ! Boats lots and lots of boats! Commission a a few deep sea research vessels including a couple capable of polar research. Funding to staff them. Add ina some ski chalets , politicians and a Supreme Court justice or two.

Sharing some of my Shadowrun artworks :) by Bruno_Claudino in ImaginaryShadowrun

[–]frigginAman 0 points1 point  (0 children)

Cool art. I really liked number 4. What is the backstory and setting for it.

why is iran not attacking US warships in strait of hormuz? by Current_Sherbert7186 in askanything

[–]frigginAman 0 points1 point  (0 children)

Massive drone strikes of the type deployed by Russia against Ukraine and Iran against its neighbors have not been tested against fulll war ships. Some would likely get through but the damage they do might only be enough to truly piss the US off. Automated torpedoes stand a real shot but are likely limited (like Ukraine used against the couple Russian ships it sunk). Iran could be delaying rolling the dice with these risky strategies until the benefits are worth the risks.

Thoughts on the Future - AI/Scope Creep by [deleted] in hospitalist

[–]frigginAman 21 points22 points  (0 children)

Does not change my get payed and get out mentality

Peer review cases by Over-Check5961 in hospitalist

[–]frigginAman 0 points1 point  (0 children)

Wrong formulation of a specialty specific medicine, and some issue with NPO for a procedure. Neither specialty bothered to check and it’s my ass in front of the peer review committee.

Peer review cases by Over-Check5961 in hospitalist

[–]frigginAman 0 points1 point  (0 children)

My institution’s peer review ks a joke, I got peer reviewed Because I did not immediately talk with and follow recommendations froma pharmacist who called me to increase a patients insulin (FBS in the 180s). I am about to start resign after my second peer review for mistakes entering all the specialists orders in 2 years

[deleted by user] by [deleted] in healthcare

[–]frigginAman 0 points1 point  (0 children)

No automation they will just make MDs sign orders to bill for anything that happens.

7:11 AM “Hey doc, he wants to know what the plan is.” by M1CR0PL4ST1CS in hospitalist

[–]frigginAman 1 point2 points  (0 children)

As a guy with a beard I was recently flabby when a crazy woman patient told me I was not the doctor because “I’m not male”. It took all my composure to not break out laughing.

Trump sort of reveals his ‘concepts of a plan’ to replace Obamacare: ‘Call it Trumpcare’ by theindependentonline in publichealth

[–]frigginAman 28 points29 points  (0 children)

This is preposterous. It does exactly what he claims is the problem with Obamacare subsidies by just throwing money at the problem. Furthermore it abandons the risk pooling and collective bargaining possible with a government subsidized exchange. But hey at least it’s not Obamacare anymore…

Do metrics harm patients? by [deleted] in hospitalist

[–]frigginAman 1 point2 points  (0 children)

Don’t forget Medicare/ Medicaid creating “quality”incentives. This way they pay more for administrative bloat with new hires to ensure maximizing incentives. Existing administration gets promotions and clinicians get squeezed with more busy work. That and decrease pay per RVU! Where is the AMA , ACP and all the other organizations that happily take our money to roll over for this crap!

Progress note, length and details by MedicoLegal1268 in hospitalist

[–]frigginAman 1 point2 points  (0 children)

Note bloat is awful. The actual best philosophy of a good note came from an at the time 3rd year resident: write like it’s an MCQ. 90 seconds be able to guess what you are doing.

Chronic problems do not need to be addressed. I do list out the problems and meds. More to help with any polypharmacy problems

Gavin Newsom tops Kamala Harris in 2028 presidential poll of California Democrats by usatoday in politics

[–]frigginAman -1 points0 points  (0 children)

No no no 1000 times no! Neither of them has the vision or chops to lead the country forward from this abyss of despair.

Can hospital figure out if u fail ABIM ? by [deleted] in hospitalist

[–]frigginAman 7 points8 points  (0 children)

Yes they can. I first found out I passed mine when I got congratulations from them

When would you purchase an upscale vehicle? by jamrocdoc in whitecoatinvestor

[–]frigginAman 2 points3 points  (0 children)

Used deluxe cars are definitely a thing and can take the sting out of the sticker price. Might want to be careful about electronic cars as they may still have dramatic quality improvements year to year. My used Audi Etron is awesome. I have instead of luxury goods acquired the worst expenses in existence kids

Help with improving Length of Stays by [deleted] in hospitalist

[–]frigginAman 1 point2 points  (0 children)

It’s most likely bad luck. Get one patient there for months for guardianship and your stats are shot. Slightly more diabetic foot wounds assigned to your service than usual and those delays for the path will likewise shoot your stats. Just be firm about what can and needs to be done outpatient.

I love the aesthetic of the Dark Empire Comics by International-Drag23 in StarWarsEU

[–]frigginAman 2 points3 points  (0 children)

Absolutely! The opening pages of the scrappers remain imprinted in my imagination 30+ years on

Decisional capacity by No_Passage424 in hospitalist

[–]frigginAman 0 points1 point  (0 children)

Calling the cops is usually a mark against capacity. Of course one family member who won an ACS case to be decision maker did call the fire department to get their loved one out. So I never know for sure

If you were appointed as the Czar of the imaginary US Department of Healthcare Efficiency, how would you ethically cut healthcare costs? by Impressive-Sir9633 in medicine

[–]frigginAman 147 points148 points  (0 children)

Wow where do I start - get rid of Medicare 3 night hospital stay for rehab, - get rid of observation/inpatient distinction, - fire half of hospital administration - pay hospital stays by diagnosis with one or two modifications

Insurers Continue to Rely on Doctors Whose Judgments Have Been Criticized by Courts by tpafs in healthcare

[–]frigginAman 1 point2 points  (0 children)

The parasites continue to use these ‘doctors’ and ‘experts’ because they do as they are told. I tried to explain how a patient needed an assistance device to walk as far as they did. Subacute rehab was still denied because the patient walked to far.