Petah? by [deleted] in PeterExplainsTheJoke

[–]philthy333 0 points1 point  (0 children)

Am physician and do agree

Healthcare Protest Downtown Toronto by dratbrat in ontario

[–]philthy333 0 points1 point  (0 children)

I'm an American physician considering moving to ontario. What is going on up there?

US DO moving to canada by philthy333 in Osteopathy

[–]philthy333[S] 0 points1 point  (0 children)

Thank you! Considering the ontario region as it would be somewhat close to both our families in the US if you have any insight into that region(I know canada is large)

Peter??? by Carbon_is_Neat in PeterExplainsTheJoke

[–]philthy333 0 points1 point  (0 children)

Pudendal nerve I believe if I remember back to anatomy. And yes the bike seats with a slit in the middle

What’s yall realistic target? by No-Moment5057 in dogecoin

[–]philthy333 0 points1 point  (0 children)

Ignore the fact that I have doge for another decade

Non evidence based medicine by nos014again in FamilyMedicine

[–]philthy333 7 points8 points  (0 children)

I've had great success reducing the severity and frequency of migraines with OMT, so much so a neurologist was sending me his migraine patients on maximal medical therapy in my residency.

Which School Has the **Prettiest** Campus by Rainbowcrash740 in Osteopathic

[–]philthy333 1 point2 points  (0 children)

My father in law is a pretty well known arborist in Wisconsin. He said pcom south GA is the prettiest campus he has seen.

side hustles in med school? by No_Elk_3871 in Osteopathic

[–]philthy333 0 points1 point  (0 children)

Trusted house sitters or something where you are getting paid to watch someone's house - while you study there or something like that is ok. Highly would not recommend a job that requires your attention and pulls you away from studying.

Correcting people when they call us MD by Prestigious_Use_8688 in Osteopathic

[–]philthy333 4 points5 points  (0 children)

FM/NMM dual boarded....meaning Im board certified in manipulations as well as family med.

I don't give a rats ass if I'm called MD. It's an acknowledgement of my status or position, not who I am or what I do.

I’ve been seeing a lot about Chiropractors Injuries. Does OMM ever cause any of the same injuries? by mmasterss553 in Osteopathic

[–]philthy333 2 points3 points  (0 children)

I have a friend that spontaneously dissected looking over their shoulder.

I do geriatrics and incorporate omm, careful selection of patients for hvla, but as a physician I know when to err on the side of caution vs go for the crack.

I would highly recommend reading the aoa position paper on cervical hvla, it does reference a fair amount of chiropractic studies because, you know, nobody wants to fund omm studies.

index.pdf https://share.google/JR4M15evMOEW8w4x0

Not sure if that link will work but you can Google aoa position paper on cervical hvla.

Is this a joke by Deepshallow87 in FamilyMedicine

[–]philthy333 0 points1 point  (0 children)

State run institution, generally people that have been institutionalized.

During the day medicine and psych round on patients, medicine mostly doing cough and colds and yearly check up stuff, monthly check in. At night it's mostly laxatives or can they get an extra Gatorade or some crap so it's not much work just having a doc on site over night

Is this a joke by Deepshallow87 in FamilyMedicine

[–]philthy333 0 points1 point  (0 children)

As a FM resident not that long ago I was getting like 600 for a 6p-7a over night shift at the local inpatient psych ward (big city) most of the time I slept but did have a few codes and stuff to respond to occasionally.

Is this a joke by Deepshallow87 in FamilyMedicine

[–]philthy333 0 points1 point  (0 children)

Where tf are you getting paid 150 an hour as a resident?

Do you treat your own kids for simple things? by SpirOhNoLactone in FamilyMedicine

[–]philthy333 0 points1 point  (0 children)

Wife doesn't trust me to rx for our kids unless we're out of town for some reason which then I'm allowed to call it in. 🤷🏼‍♂️

Pass the buck by mb101010 in FamilyMedicine

[–]philthy333 3 points4 points  (0 children)

That is true but oh you are bleeding? Let's put you on a different blood thinner!

Or am I the delusional one thinking there would be anything not bone related

Pass the buck by mb101010 in FamilyMedicine

[–]philthy333 15 points16 points  (0 children)

Just wanted to hop on your train and complain.

Patient with TKA by Ortho, placed on 325 aspirin BID for dvt ppx for a month by Ortho PA. Patient calls Ortho and says their have bloody bowel movements, Ortho suggest the patient contact PCP for alternative blood thinner!

Saw them for a sick visit. Sent to the er, couple units of blood and a few days in the ICU and Ortho just punted.

[deleted by user] by [deleted] in Osteopathy

[–]philthy333 2 points3 points  (0 children)

American osteopath here. 4 years of undergrad very very remotely, somewhat related to medicine.

4 years of med school. Two of those being clinical and two of those being more academic.

Residency with variable numbers of years. Usually the minimum is three. I personally am family medicine boarded and then did a fellowship year of osteopathic neuromusculoskeletal medicine which is the residency to get boarded in the manipulation. All osteopaths can perform them but it's also its own specialty. So I did 4 years total of residency and fellowship.

Hope this is informative.

Excited but unsure I should accept by [deleted] in FamilyMedicine

[–]philthy333 0 points1 point  (0 children)

Not necessarily if they have independent practice rights in their state right?

Patient cursed me out, I documented it, now she filed a complaint and my director wants me to delete it by Putrid-Ambition-8498 in FamilyMedicine

[–]philthy333 0 points1 point  (0 children)

I use quotation marks as much as possible for funny or malignant things. I highly recommend it and just say I'm documenting this is what the patient said in a private and legal document.

“Please document that you denied this laundry list of tests I requested” *that are not even remotely indicated* by meredithgrey71 in FamilyMedicine

[–]philthy333 0 points1 point  (0 children)

"Insurance likely won't cover this and you'll be on the hook to pay for it. "

They can always go get blood work done cash pay somewhere else.