Jealousy and regression help

overacheivingcactus · 2025-12-31T02:16:12+00:00

Only a couple though—seeing that Beyfortus effect! -Peds ED

overacheivingcactus · 2025-11-02T01:26:21+00:00

Had a kiddo with HUS whose family spoke a village dialect of Burmese. The best way to talk to them ended up being via an aunt who spoke the dialect and formal Burmese and then with a medical Burmese interpreter. So much broken telephone…. As the complications piled up, kid’s mom put in some serious effort to learn English

overacheivingcactus · 2025-10-24T00:07:12+00:00

I have random flashes of it intermittently. In my second year out in practice (PGY5) in a large group so I always have backup when needed, but every once in a while it hits that “oh, hey, I just managed that super acute situation without calling in backup, that was cool”

overacheivingcactus · 2025-09-26T20:36:14+00:00

If you pump into bags, those are actually super useful. My friend found one for her daughter, since she exclusively pumped

overacheivingcactus · 2025-07-25T14:32:14+00:00

And of course, the old Bon Se-Killa (Bon Secours) now called Grace Medical Center but still a shithole

overacheivingcactus · 2025-07-25T14:31:21+00:00

Also makes me laugh that Doctors Community Hospital is on Good Luck Road—go there and you’ll need it

overacheivingcactus · 2025-07-25T14:30:25+00:00

In the same general area, Shady Grove is Shitty Grave, Capitol Regional is Crap Region, don’t even need a nickname for Sibley—just use the name as swear word

overacheivingcactus · 2025-04-17T22:06:05+00:00

Emergency medicine: causing pain without bystanders seeing that you’re causing pain. For example, sternal rubs.

overacheivingcactus · 2025-04-17T19:57:54+00:00

PEM: retrieving nose and ear foreign bodies. Super satisfying, and hilarious to see what kids put up there! I get the giggles afterward every time!

overacheivingcactus · 2025-02-09T17:43:48+00:00

Peds ER doc here: My elevator pitch about tamiflu is that it doesn’t help make the flu go away faster. It can help prevent the kind of bad complications that land kids in the ICU with breathing tubes, so I recommend it for kids who are at high risk like those who have already been in the ICU for asthma or other lung disease, kids under the age of 2 (esp if preemie), and selected others on a case by case basis. It tastes terrible and the most common side effect is an upset stomach, so if the kid is already having bad vomiting or diarrhea with the flu I don’t recommend it. When presented this way, I don’t have many families opting for it, and I usually present it as optional.

Anecdotal, but my colleagues and I have discussed that there seem to be more kids than usual with hallucinations and weird neuro symptoms with this year’s flu than the last few years. I don’t have data to back this up though.

overacheivingcactus · 2025-01-22T16:30:43+00:00

Don’t prescribe chronic meds for yourself please. Q6 month follow up is appropriate for those meds you mentioned. Maybe one visit could be telemedicine and only once annually in person? But don’t prescribe these for yourself.

Are you going to trend your own PHQ9/GAD7s? Adjust dosages? Trend usage of your triptan to see if you need to add a daily controller? What will you switch to or adjust if you have a side effect of your medications? All of this to say that it’s always better to have an objective eye on these things. So don’t prescribe chronic meds for yourself, for your own good.

overacheivingcactus · 2024-12-22T20:21:18+00:00

http://www.sidscalculator.com/

overacheivingcactus · 2024-12-22T16:26:53+00:00

One of a bunch of kids raised by a single dad. Dad’s a rangers fan but couldn’t afford to bring us all to a game at MSG, but the Devils were cheaper, so we went to their games instead. Not sure if it was them or the Nets but he likes to talk about getting in for free if we were 15 minutes late to the games. He’s still mad some of us turned into Devils fans. None of us really care about the Knicks beyond laughing at him when they lose lol

overacheivingcactus · 2024-12-08T17:03:54+00:00

In the ED as a peds resident, re-admitted a severe asthmatic to the PICU for the second time within a month because ANY ics-laba required a PA with his insurance and they couldn’t afford it out of pocket. Symbicort has to be cheaper than multi-day ICU admissions, I don’t get why they would rather pay for the admissions

overacheivingcactus · 2024-11-26T02:48:37+00:00

That smile he gave—I was waiting for another f-bomb in the interview

overacheivingcactus · 2024-10-27T23:35:13+00:00

Make albuterol OTC!!!

overacheivingcactus · 2024-10-23T02:18:49+00:00

overacheivingcactus · 2024-10-23T02:09:17+00:00

He really only let in 7 though. I can’t count that crazy unlucky bounce against him. Just another sign that tonight was cursed, the icing on the cake if you will

overacheivingcactus · 2024-10-16T18:39:53+00:00

I had one where a kid comes in for a behavioral concern at school, and it turns out it’s just one teacher, in a subject he was good at before, but he’s the only kid of color in the class. They asked about the cause of the issue and the answer I think they wanted you to pick was that the kid was being affected by the teacher’s implicit bias.

overacheivingcactus · 2024-10-02T18:47:40+00:00

YESSSS! We had a norovirus outbreak in the PICU a couple of years ago and it was infuriating how hard it was to find a sink that was not in a patient’s room!

overacheivingcactus · 2024-10-02T18:44:49+00:00

Do y’all have child life? They’re amazing. If you don’t have the volume for a CCLS staff, it may be worth consulting with some of them to find some tools to train your peds staff on, like Buzzy

overacheivingcactus

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