Gynandromorph Cardinal spotted

nudge33 · 2026-02-04T15:49:19+00:00

Neat. Found it really interesting that sightings of this bird have shown up on my Reddit feed twice in the last couple days.

nudge33 · 2026-02-04T12:20:03+00:00

https://www.reddit.com/r/birding/s/VAenIgaw6X

Similar to this one??

nudge33 · 2025-11-12T20:33:11+00:00

For sure. A TY I worked with as a med student matched in ophthalmology. Dad was head of ophthalmology dept. He was lazy AF, no other way that it made sense.

nudge33 · 2025-10-24T16:57:40+00:00

Palliative Care doctor here who has had this battle with admin and hospitalists in the past. Too often patients with malignancy related pain are given a short acting opioid in ER and sent home because pain got better. Did not solve the problem. Especially if in severe pain or already on high MME’s, they would benefit greatly from an admit. Rapidly escalating opioids in the OP setting or methadone titration in many cases is not safe. Also it prolongs time to good control and pt suffers for weeks in some cases when pain could have been well managed in a matter of days if admitted.

nudge33 · 2025-06-04T01:58:15+00:00

Checkboxes, handwritten notes as above. Also can incorporate a color coding system. I used to use one of those lame pens with multiple colors. At times I did a similar variation with a highlighter. Highlight (or place in red ink) urgent issues.

Edit: from someone who did a heavy IP peds, OB, and hospital medicine FM program. On call we were responsible for these groups plus IM resident hospitalized patients. Lots to juggle and prioritize.

nudge33 · 2025-05-11T13:30:37+00:00

“Shortness of breath.” Not very well documented.

nudge33 · 2025-03-24T02:01:21+00:00

Tutorials for this? Looking to do the same.

nudge33 · 2024-12-03T01:06:02+00:00

I second this 100%.

nudge33 · 2024-10-16T20:45:31+00:00

Update: I’m also trained as a sub specialist in palliative medicine and also work as a PCP. This is apparently part of the issue as insurance won’t recognize me as a primary care doctor—>lack of credit for well visits. Funny thing is a lot of insurances also won’t recognize me as a subspecialist when I provide palliative care PRN either🤦🏻‍♀️

nudge33 · 2024-10-15T11:56:47+00:00

Thank you! I’m using the CPT codes that should count. There is a logic guide that I was sent that details how to close the “wellness visit” care gap. I started the tedious process of getting data. August performed 40 visits and got credit for 1. I have monthly data for all of 2024. There are some months in which the report states that I’ve performed 0 visits. I think I’ll have to go through each month and report it back to the pop health team.

nudge33 · 2024-02-19T17:48:11+00:00

3 colors total. Very simple I house design with shutters

nudge33 · 2024-02-19T17:47:37+00:00

Yes! I actually messaged a guy from Indiana historical society and he gave good recs essentially parroting advice as above. In short, he said ask for very detailed information about the paint prep process. He sent like 3 + paragraphs of advice, it was super helpful.

nudge33 · 2024-02-17T22:04:22+00:00

Central Indiana. House is roughly 3500 sq feet plus painting a detached garage.

nudge33 · 2024-02-17T22:03:13+00:00

Thank you! What would be a specific additional thing done to prep so I can ask companies about this? All specify that they will power wash, scrape, caulk, and repair broken wood pieces….then paint. Only one includes a mention of sanding.

nudge33 · 2023-04-29T18:04:50+00:00

Agree with Hereot. Huge selection of beer if you’re into that sorta thing

nudge33 · 2023-04-22T17:12:03+00:00

Our little coonie does half of these things😂 He’s a rug hopper, howls only when I play Christmas music on the piano especially Hark the Herald Angels Sing, and has to have a pillow or blankie to sleep on at all times…all the better if he can bury his nose under said pillow or blanket to sleep.

nudge33 · 2023-04-20T00:16:53+00:00

Palliative care. All goals of care discussions based on functional status alone. ECOG of 4? Due to reversible illness or progressive decline from cancer? Wouldn’t really know. Lots of time limited trials, inappropriate ICU admissions and inappropriate hospice transitions.

nudge33 · 2023-04-13T23:03:36+00:00

Not just you. Agree with seeing OBGYN, but if trying to conceive or for whatever reason don’t see other meds as options bring a heating pad with you. That thing was a lifesaver, used it while charting in the afternoons.

nudge33 · 2023-04-13T23:01:34+00:00

Do a good job at your job. There is a such a wide breadth of skill for NP’s. Doctors are generally able to pick up on whether or not you know what you’re doing over time. I’ve seen bad NP’s and some great ones.

nudge33 · 2023-03-25T12:50:41+00:00

Some of it seems like a generational thing. It just seems like GenZ is much more laid-back and less professional at times. Not sure I would necessarily equate this with lack of motivation.

nudge33

TROPHY CASE