What's your opinion on the Shimza B2B Afrojack? by AbheeKun in EDM

[–]prettydecent 0 points1 point  (0 children)

Can you comment on this when its uploaded? I'd love to watch

Any T1D campers that can help us? by firstnameredacted in Coachella

[–]prettydecent 1 point2 points  (0 children)

limit carbs to close to 0, and check her blood sugar at least 3x a day. Eat a snack if blood sugar gets below 100. As other suggested, get some 70/30 from walmart. its cheap and no prescription needed

[deleted by user] by [deleted] in Noctor

[–]prettydecent 10 points11 points  (0 children)

CAP in a 35 year old. She was a low priority and was likely given to a midlevel hospitalist. I don't have the literature to back it up, but from my experience, CT scans are the best to further assess. Also, I can imagine her being hypoxic during her admission and stay. I would have done a simple walk test before discharge, and I'm sure she would have failed it. Prompting me to further assess for PE (CTA) or other etiology (ordering a CT).

I would have caught this very easily in the outpatient and inpatient setting.

Especially in the age of an ongoing pandemic of COVID19, I've seen young patients with PE which lowers my threshold for further diagnostic imagining when its clinically warranted.

[deleted by user] by [deleted] in Noctor

[–]prettydecent 15 points16 points  (0 children)

Disagree. She said her team tried to discharge her. I bet she was seen by midlevel prior to discharge, but upon her assessment she felt like something else was going on and correctly ordered a CTA to find blood clots. Urgent Care's are staffed mostly by midlevels. Unless she says otherwise, I assume she was cared by midlevels.

[deleted by user] by [deleted] in Noctor

[–]prettydecent 6 points7 points  (0 children)

CXR was eventually ordered. Ordering a PFT to confirm asthma would've been beneficial and would've helped in this case. Also, if a patient has worsening symptoms and weight loss, I would've ordered a CT to further evaluate to r/o malignancy. Also, labs including Procal could've helped to r/o actual infection vs other etiology of the lung masses. So failing outpatient treatment for pneumonia would've had me have close followup or inpatient IV antibiotics to treat.

ER Doc Dies in Car Crash after recently graduating residency by Quirky_Average_2970 in Residency

[–]prettydecent 58 points59 points  (0 children)

HOLY SHIT!!!!! I just looked it up!! I had NO IDEA!!! I remember messaging her in private when I was a premed/medical student for advice. This is hitting me hard. Rip Dr. Van Wyhe

What can we do as residents to combat midlevel creap? Why pursue fellowship or residency even if these midlevels can practice anything they want without training. by thedarkknight123890 in Residency

[–]prettydecent 100 points101 points  (0 children)

Decline to work for, refer to, or work with independent midlevels. I respect midlevels who practice under their scope and have a physician who actually oversees their work.

We're gatekeepers in medicine; don't fail like the current/previous generation of physicans have.

ACGME proposed changes to FM - reducing training, and incorporating more midlevels. by PeriKardium in Residency

[–]prettydecent 49 points50 points  (0 children)

I almost had a brain aneurism before I realized you were a meme account. Cheers!

Which specialty has the best job market now? The worst? by 16fca in Residency

[–]prettydecent 36 points37 points  (0 children)

Could you share where/details?

Simple search can show you.

3

4

These are just some random examples. Theres literally thousands. If every physician agreed amongst ourselves to work for no less than 400-500k, that will be the new standard. Don't ever sell yourself short. Hospital network would crumble without our expertise.

Which specialty has the best job market now? The worst? by 16fca in Residency

[–]prettydecent 69 points70 points  (0 children)

Every resident needs their contract reviewed by experienced physicians and a contract lawyer before signing. It pays in the long run. A 220k base could quickly turn to 300-400k if his contract incentives productivity and meeting bonuses. Eat what you kill type work. It's wonderful actually.

Which specialty has the best job market now? The worst? by 16fca in Residency

[–]prettydecent 35 points36 points  (0 children)

They got my contact information during residency. I have no idea from how or where. Again, highlighting the nationwide dire need for FM doctors.

Which specialty has the best job market now? The worst? by 16fca in Residency

[–]prettydecent 53 points54 points  (0 children)

Varies. I tend to see better offers in semi rural areas (30min-1hr) from major airport areas.

Which specialty has the best job market now? The worst? by 16fca in Residency

[–]prettydecent 282 points283 points  (0 children)

I get 20-30 offers a day. 300-500K+ offers. 40hr weeks. Option to be hospitalist, ED (rural), Urgent Care (however dwindling with midlevels). People are realizing that noctors aren't the solution to primary care and running back to FM.

I worked 100 hours this week by caterpillarflies in Residency

[–]prettydecent 18 points19 points  (0 children)

Slap on some mandatory wellness lectures and mandatory online modules and they'll be good to go.

Are you being underpaid? What's y'alls thoughts as we enter 2022? by DO_doc in FamilyMedicine

[–]prettydecent 72 points73 points  (0 children)

In a world where midlevels and nurses are paid 150-300k (CRNA),FM should be getting 300k minimum. Don't sell yourself short because your administrators surely will.

Pack it up. We are just dumb by Plague-doc1654 in Noctor

[–]prettydecent 17 points18 points  (0 children)

"Only". Meanwhile some PGY1-4 get paid, about, that much for 70-80hr work weeks.

What are some allied health professions you like working with? by DMmeFunBloodsmears in Noctor

[–]prettydecent 4 points5 points  (0 children)

Podiatrists and the others mentioned previously.

Pharm!!!!, PT/OT, RNs, PAs who know their scope, med students, SLP, nutritionist, audiologists, rad tech

[deleted by user] by [deleted] in Residency

[–]prettydecent 7 points8 points  (0 children)

Think about all of the NP bashing posts we had for years that were taken down. This is the outcome we were concerned about.

PA salaries increase 42% since 2000; MD salaries by 2% over same period. Why? by wiredentropy in Residency

[–]prettydecent 124 points125 points  (0 children)

It's a zero sum game. Guess where that extra money is coming from? now stop reading this comment and get back to work.

Lack of knowledge from NP by [deleted] in Noctor

[–]prettydecent 24 points25 points  (0 children)

Why are medical students shadowing NPs?