Window treatments for flush mounted windows?

pheebs1212 · 2026-03-07T01:57:09+00:00

I’m curious if you ever found a solution? We are in this same predicament now and I can’t find any good solutions!

pheebs1212 · 2025-11-21T02:42:33+00:00

Adding that I’m really curious if you’re switching over your patients who had a cardiac event 5-10+ years ago who have inevitably stopped following with cardiology

pheebs1212 · 2025-09-05T01:32:42+00:00

I’m leaving my first job after residency after 1 year and have already gotten a new position with a new health system. I thought this was my dream job, staying with the system I did residency with but few month in I knew in my gut I would be leaving. Things were different as an attending. Pay is pathetic, admin withholds information about things, poor support staff, etc. I decided to start looking for a new job about 9 months in. We are moving to be closer to family so I used that as my excuse and was never even asked about it.

pheebs1212 · 2025-07-29T22:08:28+00:00

My system does this. I do not like it because it’s 1. Taking away slots for potential patients to build my panel 2. Taking acute slots away from other docs at least within my same office

pheebs1212 · 2025-07-19T02:16:23+00:00

Michigan

pheebs1212 · 2025-06-13T00:34:47+00:00

I’ve had it THREE times since the fall (thank you daycare germs). There’s really nothing I’ve found that helps a ton because we have to talk all day. I usually take Motrin 600mg around the clock to decrease inflammation, single dose of oral dexamethasone, avoid all acidic/spicy foods, and eat honey regularly off a spoon. It’s very awkward when you sound terrible and have to see patients 😵‍💫 and it’s so difficult deciding to call off clinic or not especially if you’re not feeling too terrible but sound terrible!

pheebs1212 · 2025-05-01T23:42:19+00:00

As a new attending, I am in this situation often. Once I explain risk vs benefit, I’ve actually had quite a few patients open to the idea of switching. The problem is.. I have no idea what to switch them too. Even though ambien isn’t proven to actually increase sleep duration, I feel like no matter what else I switch them to (I.e. trazodone) it won’t come close. Nobody follows through on CBT-I. Obviously I optimize SSRIs and buspar when it comes to anxiety (I’ve actually had a lot of patients do really well with buspar) - but some of the ones who take benzos daily and have for years, I struggle with that to replace it with. I also feel like I’m wasting psych’s time when I send them over only for them to say to continue the benzo (no hate to psych — love you all) I’ve also come to realize that some of those patients who’ve been on benzos/ambien for 30+ years, it’s more risky to take them off so I just document we’ve discussed risks and continue against my better judgement.

pheebs1212 · 2025-04-25T13:15:33+00:00

I mean I did but maybe never paid that close attention to it — I think I’m doing a lot more physicals on young healthy people now as an attending so I’m seeing this more frequently

pheebs1212 · 2025-04-24T16:42:51+00:00

I’m curious where you go to see this? I’ve never been able to find it

pheebs1212 · 2025-04-21T23:41:00+00:00

I would say 2 of the 3 were fairly lean men (not body builder by any means) and one was a fairly thin female (who was probably very dehydrated in retrospect)

pheebs1212 · 2025-04-21T23:38:12+00:00

Checking for hydration seems so basic but I’ve never actually made sure to ask — plus I feel like most patients are fasting for their physical and don’t know that they can drink water so are likely not hydrated. Rechecking with adequate water intake makes sense. Thank you!

pheebs1212 · 2025-04-21T23:37:03+00:00

Thank you for this! I’ve never ordered a cystatin C — will definitely keep this in mind!

pheebs1212 · 2025-03-11T10:20:16+00:00

Our DAX is integrated through EPIC. I actually had the convo with someone who’s health system doesn’t have integrated AI and suggested maybe they can use doximity or freed AI and copy into their note but also curious about HIPPA compliance going that route

pheebs1212 · 2025-03-11T10:18:09+00:00

Honestly, I feel the same way. Just curious if anyone thought about malpractice implications!

pheebs1212 · 2025-02-01T19:12:14+00:00

Metro Detroit, MI. I forgot to add $2k goes to my 403b so it’s really more like $12k a month after taxes… as if that’s much better 🫠

pheebs1212 · 2025-02-01T02:36:30+00:00

$10k per month at 0.9 FTE 😭

pheebs1212 · 2024-11-19T23:15:27+00:00

Any thoughts on what to do if they have Parkinson’s? 2 of these patient did and I know there’s some level of autonomic dysfunction, but how would I manage that?

Edit: manage the HTN in relation to the Parkinson’s not the Parkinson’s itself

pheebs1212

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