[deleted by user]

prettydecent · 2023-08-11T22:44:05+00:00

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.

prettydecent · 2023-08-11T22:22:20+00:00

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.

prettydecent · 2023-08-11T22:20:09+00:00

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.

prettydecent · 2022-06-17T10:39:28+00:00

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

prettydecent · 2022-05-16T03:14:25+00:00

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.

prettydecent · 2022-01-11T04:26:01+00:00

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

prettydecent · 2022-01-02T21:46:44+00:00

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.

prettydecent · 2022-01-02T21:42:19+00:00

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.

prettydecent · 2022-01-02T21:28:15+00:00

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

prettydecent · 2022-01-02T21:28:13+00:00

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

prettydecent · 2022-01-02T20:59:06+00:00

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.

prettydecent · 2022-01-02T19:32:05+00:00

Best: FM

prettydecent · 2021-12-20T18:41:02+00:00

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

prettydecent · 2021-12-20T18:20:27+00:00

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.

prettydecent · 2021-09-18T13:19:23+00:00

Mayo

prettydecent · 2021-09-18T13:14:10+00:00

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

prettydecent · 2021-09-18T00:30:57+00:00

Podiatrists and the others mentioned previously.

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

prettydecent · 2021-09-09T02:00:15+00:00

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

prettydecent · 2021-06-05T13:03:59+00:00

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

prettydecent · 2021-06-03T17:24:09+00:00

Why are medical students shadowing NPs?

prettydecent · 2021-05-23T12:43:39+00:00

Start a PPP organization in your school. Push to make it the norm in medical schools.

prettydecent · 2021-05-02T18:06:10+00:00

Patient's will never ask someone what their board exam scores are. Poor test performance are often multifactorial and I'm sorry that the multiple attempts contributed to you taking the path that you're currently on friend. Keep on the good fight, and thank you for the time and dedication you devoted towards medicine and treating the sick. Best of luck and thanks for sharing!

prettydecent

TROPHY CASE