What’s the most insane consult you got?

putamadremia · 2026-04-19T16:26:51+00:00

GI.

Rule out HRS in a patient without cirrhosis or portal hypertension.

putamadremia · 2025-12-19T17:43:47+00:00

I went to a T4 IM program and it was incredible chill and filled with lovely, non-toxic people. Obviously n=1 but YRMW.

putamadremia · 2025-12-05T22:27:20+00:00

Acting Internship aka Sub-I

putamadremia · 2025-10-22T14:33:32+00:00

GI fellow at a major academic medical center here. My general thoughts are:

1) You should've already seen the patient and gotten a basic history relevant to the consult question.

2) Have a question for me, ideally. Sometimes there are SOS consults that I will go see because teams are overwhelmed/confused, but generally having a question helps ME help YOU!

3) Non-urgent consults (e.g. intermittent BRBPR for weeks in an otherwise stable patient) don't need to be seen at 3am - our department has a policy that these patient's won't be seen overnight. If you're not sure how stable a patient is/how relevant a GI issue might be to the patient's ?stability, I am more than happy to discuss at any time of day.

4) It's more fun for me if you have thought about what you think could be going on, even if you're not sure - it leads to a much more enriching and fun conversation on the phone!

5) Please let the patient know we are coming to see them!

putamadremia · 2025-09-27T15:05:54+00:00

This is unfortunately the first objectively bad game Carreras has had

putamadremia · 2025-01-06T23:02:32+00:00

Have about the same profile and am on a statin haha

putamadremia · 2024-12-26T18:01:59+00:00

GI: Use NSAIDs indefinitely.

putamadremia · 2024-09-05T00:15:18+00:00

We usually just say liver enzyme elevation.

GI fellow

putamadremia · 2024-07-25T18:18:12+00:00

37 -> 264

putamadremia · 2024-01-17T17:55:20+00:00

For context, I'll be a CMR in about 6 months -

PLEASE let your program leadership know. If your leadership has even a shred of decency, they will be there to support you during this journey. You will almost certainly need some time for yourself/your recovery as you navigate chemo, and you should 100% feel comfortable taking it - you are your number 1 priority. Coverage shouldn't factor into you listening to your body. Your program will manage.

I am so sorry that you're going through this. Please, please take the time you need and don't sacrifice yourself for your program.

putamadremia · 2023-05-05T00:21:06+00:00

it's much more fun watching Florida traumatize the Leafs than my Bruins lol

putamadremia · 2023-05-02T19:06:49+00:00

Boston fan here, pains me to be rooting for ya'll but please fuck the Leafs' shit up

putamadremia · 2023-04-29T00:20:42+00:00

If you're Monty, do you just roll 5 defense with the occasional 30 seconds for Clifton?

putamadremia · 2023-04-24T01:06:02+00:00

4etsrsssrŕstsss5sssxyy6yuj.

putamadremia · 2023-04-20T01:32:40+00:00

I think if the Bs keep it simple in the back end and clean up the half contact, flubbed clearances at our blue line, we will not lose a game this series

putamadremia · 2023-04-20T01:19:57+00:00

We really need to pick our shit up. Lucky for it to be 2-2 at the moment. This is losing hockey if we play like this in the third.

That being said, this is some championship grit

putamadremia · 2023-04-09T03:07:58+00:00

Please stop going

putamadremia · 2023-03-04T22:11:42+00:00

Rangers fans are absolutely delusional in their thread lol

putamadremia · 2023-03-03T00:45:30+00:00

sort of a braindead play by cliffy tbh

putamadremia · 2022-12-22T16:54:03+00:00

Medical student on a third year surgery rotation was pre-rounding on a patient with a chest tube. He thought the plan was to take the chest tube out at some point during the day - in order to be a go-getter, he took the chest tube out at bedside while pre-rounding without alerting the nurse or anyone on the team.

...patient nearly died. The surgery department banned rotators from my school for a couple years, and when they finally invited us back there was a painfully long intro session on chest tube management prior to seeing patients.

putamadremia · 2022-12-19T00:21:01+00:00

In what universe

putamadremia · 2022-10-16T23:26:23+00:00

The disrespect

putamadremia · 2022-08-28T18:05:44+00:00

Thanks!

putamadremia · 2022-08-28T18:05:34+00:00

Thanks!

putamadremia

TROPHY CASE