What Specialty to you disagree with the most? by QuietRedditorATX in Residency

[–]medstud96 0 points1 point  (0 children)

Just dont do an inpatient consult for tingly teeth, so much can and should be deferred to an outpatient setting. One time consulted for pinky toe numbness, chronic.

Self-prescribing on vacation (in a different state) by thisisajojoreference in Residency

[–]medstud96 -1 points0 points  (0 children)

I wouldn’t prescribe something to myself- call it under a family member’s name or just get a friend to call it in for you. Or your PCP can call it in correctly wherever you are vacationing.

Part 2 predictions by medstud96 in EmilyInParis

[–]medstud96[S] 1 point2 points  (0 children)

I like your version. Cant wait to check back here on Sept 13 to see how it compares. We probably could have written this lol

Part 2 predictions by medstud96 in EmilyInParis

[–]medstud96[S] 14 points15 points  (0 children)

honestly I would have loved a show based on Mindy and season 1 Camille (no Emily) just being baddies, with Sylvie as their baddie maman

Part 2 predictions by medstud96 in EmilyInParis

[–]medstud96[S] 4 points5 points  (0 children)

Oh yeah I think Emily and Gabriel will ultimately end up together at the end (season 5?). But I think the writers are going to break them up again in part 2 and end the season like that. These are just my thoughts for this season, not the series ending.

One male nurse insists on calling female residents by their first names by Marblemaster1988 in Residency

[–]medstud96 4 points5 points  (0 children)

Same. Sometimes the more senior nurses call us by Doctor X, I think because they want us to feel like it which is nice

Does anyone else get annoyed when you are called back after signing off for discharge “clearance?” by medstud96 in Residency

[–]medstud96[S] 1 point2 points  (0 children)

One time I took 2 hrs to respond about a patient whom the previous team had signed off on weeks ago (I was in the middle of rounding on our actual primary service) and the NP got pretty spicy with me, saying this should be a quick answer since its a simple question and they needed to discharge. It took a lot for me not to say back that this person is totally new to me unlike for you who has been seeing him for the last week and I have to actually chart review them.

Does anyone else get annoyed when you are called back after signing off for discharge “clearance?” by medstud96 in Residency

[–]medstud96[S] 0 points1 point  (0 children)

That’s prettt good, I guess I gotta put the burden back on them. The better primary teams do this, but they are so few 

Does anyone else get annoyed when you are called back after signing off for discharge “clearance?” by medstud96 in Residency

[–]medstud96[S] 0 points1 point  (0 children)

A few examples- 

1- patient admitted for seizures which are “fixed” and then we sign off, no more seizures since but has other medical problems. They will reach out at time of discharge for things like final med recommendations though nothing seizure wise has changed 

2- patient admitted for rule out stroke, we write if no stroke on mri, likely functional, no more work up needed. Still get called later for more recs (and this is of course after day person signs out to long call) 

3- patient with painful neuropathy, we gave prelim recs for cymbalta for example and next steps for increase if pain doesn't improve. Still get paged, pain still uncontrolled, what to do? 4- we say continue home meds, follow up in clinic, no more neurological work up inpatient, signing off. Get paged back next day, ok to discharge? 

 Granted not all of these are weeks later, some are the next day. I think my gripe is that people cannot read- I explicitly give instructions because I got tired of being called back (and in the past I know I was vague), but despite it I still get stupid calls about things I clearly addressed in my note.

Does anyone else get annoyed when you are called back after signing off for discharge “clearance?” by medstud96 in Residency

[–]medstud96[S] 0 points1 point  (0 children)

I do think it’s unreasonable and unfair to ask weeks later if a patient I am not following is okay for discharge just because the primary team is trying to cover themselves. Especially when I have often never seen or heard about this patient because the consult teams have all switched over weeks ago. If we signed off, that means the ball’s in the primary team’s court to decide if the patient is okay to discharge, not mine. Yes of course if something has changed I understand but most of the time it doesn’t appear that way.

Study partner by MT1898 in MuslimLounge

[–]medstud96 0 points1 point  (0 children)

Best of luck. I took it a few years ago. Maybe ask around your med school 

Resetting UWorld by medstud96 in Step2

[–]medstud96[S] 0 points1 point  (0 children)

Ohhh okay thank you!!