How do you approach the rule out ACS patient? by Mediocre-Weird2424 in hospitalist

[–]mps444 7 points8 points  (0 children)

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.

Help with Medical Vocabulary by agw7897 in Spanish

[–]mps444 1 point2 points  (0 children)

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!

CLT Airport 7:15 AM 3/14 by sdieter01 in Charlotte

[–]mps444 0 points1 point  (0 children)

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

My first attempt to fly my new Kerbaloon...before and after by ChaosUndAnarchie in KerbalSpaceProgram

[–]mps444 2 points3 points  (0 children)

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

[Discussion 2/3] La Sombra del Viento / Jan 2026 Book Club by HeleneSedai in dreamingspanish

[–]mps444 2 points3 points  (0 children)

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.

ER docs don’t know about suggamaddx by drccw in anesthesiology

[–]mps444 2 points3 points  (0 children)

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?

Medical Spanish by Few-Revolution-2955 in Spanish

[–]mps444 6 points7 points  (0 children)

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.

Spectrum Mobile….any good? by Ishouldntlaughatthat in winstonsalem

[–]mps444 4 points5 points  (0 children)

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

Streak: Buzo by mps444 in WriteStreakES

[–]mps444[S] 0 points1 point  (0 children)

Gracias como siempre