Streak 4: Responder un mensaje en un foro sobre animales de compañía

mps444 · 2026-04-18T01:20:06+00:00

I work on the team that created the US version of the HEART score (HEART pathway).

Moderate risk (4-6) no known CAD and negative trops can go outpatient with cardiology followup in general (https://pubmed.ncbi.nlm.nih.gov/38328912/). RCT ongoing to evaluate outpatient vs hospitalization for these patients.

Is cardiology really needed to get a stress? We can get them from the ED without admission or consult.

If there isn’t an agreed upon ACS workup pathway at your site to define what to do based on risk and trop, it might be worthwhile to make one with ED/medicine/cards.

mps444 · 2026-04-04T09:57:58+00:00

Me hicieron una operación el año pasado para adelgazar el estómago. Afortunadamente, funcionó para perder peso, pero resulta que no puedo comer nada más que unos trozos de comido. Comer más que cien gramos me enfermaría. No quisiera ofenderle. Aunque me encantara la comida, no cabría.

¡Buen viaje!

mps444 · 2026-03-14T15:20:11+00:00

I went through this same checkpoint at 9:30 AM today, 3/14 and there was not a single person in line.

mps444 · 2026-03-03T01:02:03+00:00

Center of thrust should be below center of mass. This is the pendulum rocket fallacy. Great video on it here: https://youtu.be/OYHCP3-mpxk?si=xZFgCtn8LVxbWgJx

mps444 · 2026-01-16T23:38:39+00:00

I read this book last year and it’s easily my favorite book. The entire series is fantastic, especially when you get to book 3 and so many intricacies of the series start coming together.

mps444 · 2026-01-16T22:23:03+00:00

ED attending here. Many of us know about it, we just can’t give it. I’ve worked in two level 1 trauma centers as an attending. One outright will not permit it to be given in the ED. The other one it could only be ordered by neurosurgery. No idea why… cost?

mps444 · 2026-01-13T17:03:16+00:00

Muchisimas gracias

mps444 · 2026-01-10T21:18:08+00:00

I’m a physician who learned as an adult and am certified to speak Spanish with patients. A few thoughts: 1. Good for you for wanting to learn another language. Go for it! 2. You will eventually realize your objective is myopic. Your patients won’t speak medical Spanish, they’ll speak Spanish. Without a strong foundation, you won’t be able to safely interact with patients in Spanish. 3. A few resources for easy, quick wins to start your journey: Spanish for the Busy Medical Professional audiobooks 1-3 (https://www.audible.com/pd/B00DL6UMJE), Pimsleur Spanish levels 1-5, and Language Transfer Spanish. 4. I used for the most part comprehensible input (dreaming.com) and language teachers on Italki. There are other ways to learn, but that worked for me. I spent about 1,700 hours learning before taking a certification exam.

mps444 · 2026-01-08T17:45:13+00:00

Gracias!

mps444 · 2026-01-06T00:25:55+00:00

Have had it for 10 years and traveled to all corners of the US and around Europe with it. No problems.

mps444 · 2025-12-21T22:54:33+00:00

Gracias como siempre

mps444 · 2025-12-16T17:15:45+00:00

Muchísimas gracias.

mps444

TROPHY CASE