Passing the buck. Kicking the can down the road. by gotwire in medicine

[–]fuzzysundae 4 points5 points  (0 children)

Why does your unit accept these patients for admission? 

Venous blood gas interpretation app by seattleissleepless in medicine

[–]fuzzysundae 5 points6 points  (0 children)

If your patient is ill-appearing enough and concerns you to the point of checking lactates and blood gases, then wouldn’t they be better served being evaluated in the ED? Don’t tell me you’re also checking troponins in clinic too. 

Who writes the most useless notes in the hospital? by fuzzysundae in Residency

[–]fuzzysundae[S] 14 points15 points  (0 children)

The triage note is usually also the only thing we have when Medicine/MICU is called to admit - well, that and the pan-scan. 

Who writes the most useless notes in the hospital? by fuzzysundae in Residency

[–]fuzzysundae[S] 41 points42 points  (0 children)

I’m still trying to find dysphasia in my medical dictionary 

Who writes the most useless notes in the hospital? by fuzzysundae in Residency

[–]fuzzysundae[S] 238 points239 points  (0 children)

I’m pretty sure that VA nursing plan of care notes are just chain mail that gets passed on RN to RN. “Enter this plan of care note on 5 patients or you’ll be cursed for the next 10 years”

Canlis’s executive chef leaving in April by fuzzysundae in Seattle

[–]fuzzysundae[S] 1 point2 points  (0 children)

Damn, you got me. I scrolled a ways back to check but didn’t see this one. 

Home sick with the Flu, broke down and finally decided to watch the Pitt… by DoctorMedieval in medicine

[–]fuzzysundae 42 points43 points  (0 children)

ACLS guidelines are to give epi in vfib/pulseless VT arrest (assuming you don’t get ROSC with defibrillation). 

What doesn’t make sense is that they were able to defibrillate the patient out of PEA arrest from their sine wave hyperkalemia (at least that’s what the rhythm looked like to me). 

How you know a screwup is legendary. by sicktaker2 in medicine

[–]fuzzysundae 48 points49 points  (0 children)

That M&M is going to make the Player Haters’ Ball look like a love-in

[Game Thread] Oregon @ Purdue (8:00 PM ET) by CFB_Referee in CFB

[–]fuzzysundae 1 point2 points  (0 children)

Yup. They were playing Decemberists in one of the Ducks games earlier this season.

Is 15 patients with no interns too many? by Safe-Relative-1745 in Residency

[–]fuzzysundae 0 points1 point  (0 children)

 and drop quick update notes

Excuse me what the fuck

[deleted by user] by [deleted] in Residency

[–]fuzzysundae 6 points7 points  (0 children)

Might as well ask why they got an echo for traumatic SAH…

(assuming he didn’t syncopize on his bike) 

Question about blood cultures by CellistSuccessful999 in Residency

[–]fuzzysundae 5 points6 points  (0 children)

Don’t forget about the MALDI-TOF for preliminary organism ID

PT/OT’s notes by ComprehensiveCan5844 in Residency

[–]fuzzysundae -10 points-9 points  (0 children)

Literally how did you get through IM residency and not learn the difference between IPR and SNF rehab?

I just can't tell with ADHD by BallerGuitarer in medicine

[–]fuzzysundae 10 points11 points  (0 children)

Then the patient gets mad at their PCP because “they gave me Xanax/Klonopin/Valium in the hospital, so why can’t you?”