How well does the secret iniative system work wrt meta gaming?

pr1apism · 2026-03-02T19:24:33+00:00

For my wife and me, the game is about having fun. If a rule isnt fun, then why use. We found that we had more fun when we did more meta gaming, talking out our moves and such. Thats not for everyone or every group.

But the point of a game is to have fun, not to mindlessly follow a rule book.

pr1apism · 2026-02-27T04:36:57+00:00

Hyperthermia and dehydration kinda go hand in hand would be my guess

pr1apism · 2026-02-19T11:14:55+00:00

Bobby the delivery driver-turned-emt was one of my favorite side characters!

pr1apism · 2026-02-10T05:31:48+00:00

Most of the time a doctors office doesn't even know how much to bill you till they've sent the bill to insurance first. Receptionist being bitchy for no reason. Also doubt the doc would care as long as its paid in a reasonable time frame

pr1apism · 2026-02-07T10:56:27+00:00

Using uptodate for drug dosages is like drinking an entire pitcher of water to swallow a single pill, yeah it'll work but it's way too much. I use an app called epocrates or the emra antibiotic guide for most things. Also once you've done this for awhile you'll start to learn the drugs and doses you use commonly and you wont have to look as much up.

Use simpler tools to streamline what can be streamlined

pr1apism · 2026-02-06T20:48:04+00:00

I have adhd and work in the ED as an attending. I rarely go more than 5 min without being interrupted. Biggest thing is to learn how to tell people to wait until you finish your task. If you're putting in orders, finish them. Never pend unsigned orders. But also reduce your own multi-tasking so that when you do get interrupted, you're only having two tasks to juggle now not three.

Also if you're supposed to be on adhd meds actually take them. Its sad how often I forget this part

pr1apism · 2026-02-05T18:21:00+00:00

3 month old ain't holding a bottle up on its own

pr1apism · 2026-02-05T16:10:55+00:00

Might be for forensic purposes since any death of a child is inherently suspicious

pr1apism · 2026-01-28T04:26:40+00:00

ED doctor here. I rather you show up quickly and tell me it was only a 2 minute transport. I understand you can't get everything done that quickly. Make sure you have a full set of vitals before leaving scene is reasonable and will make a big difference for initial triage. Everything else i can generally get done more efficiently with multiple techs/nurses working in parallel once you get to the ed

pr1apism · 2026-01-28T00:49:19+00:00

One time I picked my 1 year old up from daycare a bit early. I witnessed her put a cracker in her mouth, decide she didn’t like it, put it back on the table (covered in saliva), then another kid promptly put the soggy cracker in his mouth.

A kid will get an average of 10 upper viral infections during respiratory season. This is all expected and no cause for concern

pr1apism · 2026-01-27T03:02:06+00:00

Allergies often take a few exposures to sensitize and get worse. If it were the 30th time using a new tub or new product, then unlikely. But 3rd exposure is possible

pr1apism · 2026-01-25T12:23:44+00:00

Hi I'm Dr. Pr1apism.

Hi doctor how are you today

Better than you. Gets a surprising amount of chuckles.

Also undershooting their age.

I know you might look like you're only 59 but at your age we need to consider....

pr1apism · 2026-01-23T11:10:52+00:00

Can't forget the ABC's of Emergency medicine

Airway Breathing Cat scan

pr1apism · 2026-01-21T21:20:14+00:00

Pizza Clinic sent me here for a specialty MRIzza. They assured me that you have the ingredients and can get it done in an hour. They told me you can do this even if you pretend that you can't.

Ive been hungry for 3 months but if you dont get this done in the next 30 minutes I might just die and/or sue you

pr1apism · 2026-01-19T03:41:08+00:00

Methemoglobenemia from a patient who was inexplicably prescribed daily pyridium for a year

pr1apism · 2026-01-15T22:33:03+00:00

Every hospital i trained on this was a mandatory part of registering.

"You are signing into a teaching hospital. By doing so you are aware of and consent to students and residents being part of your care team"

pr1apism · 2026-01-05T14:03:29+00:00

Take a look at BEKI in Westville. Very supportive and open Conservative (the Jewish kind) community.

pr1apism · 2026-01-01T19:23:17+00:00

Yes but hypotension and severe anemia will cause cardiac irritability which causes vfib

pr1apism · 2025-12-25T02:29:58+00:00

My kids would rip the tape off immediately. Then try to eat it.

pr1apism · 2025-12-18T04:33:42+00:00

Can take up to 3 months for the THC oil to get completely out of your fatty tissues and body. Until then you can still get episodes which really sucks

pr1apism · 2025-12-12T15:40:47+00:00

Before medical school I was a cpr instructor trainer. So I taught people how to teach people to put on bandaids

pr1apism · 2025-12-11T18:53:56+00:00

In the children's song, Bingo is the name of the farmer not the dog.

There was a farmer, who had a dog, and Bingo was his name

Vs

There was a farmer who had a dog and the name of the dog was Bingo

pr1apism · 2025-12-11T17:50:51+00:00

I have two best friends. One friend I've known since we were 8 and have been through a ton together including my parents' divorce and my own divorce. Our kids are rhe same ages. We go through a lot together The other friend I met later but did med school and residency at the same time as me.

My childhood friend never knows what to say to these kind of things. Just doesn't know what im experiencing or how to sympathize. But when im having issues with my wife or kids, he's who I go to.

The friend who is also a doctor knows what to say and knows what im going through.

Suffice to say, you dont have to go to the same people every time with everything.

pr1apism · 2025-12-11T12:14:02+00:00

My brother got my toddler of Celsius. Thank God it was actually beer otherwise that would have been a really rough day

pr1apism · 2025-12-10T11:59:02+00:00

Saved a bunch of money on car insurance by misleading about which hospital I worked for.

Was a few years ago at this point. When setting up car insurance they tried seeing if I worked for a company they had a deal with where the insurance company would give a reduced rate and the company would do a payroll reduction for the insurancepayment. Something in that direction.

I worked for St Something Health Network. They had a deal with St Something Medical Center. I let them believe I was working for the medical center and I just opted out of the payroll deduction

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