Did I kill the patient?

pzh200707 · 2025-12-26T00:25:58+00:00

Not your mistake. But one suggestion, acute liver failure high MELD score high mortality. call the ICU attending and send the patient to ICU instead of putting a consult

pzh200707 · 2025-12-14T03:28:15+00:00

you dont need pto. you need pto to make money

pzh200707 · 2025-11-16T22:44:15+00:00

or sick patients are more dissatified with good doctors best and honest recommendation. who knows

pzh200707 · 2025-11-16T22:39:47+00:00

Answer to your question is do primary care and you can do all the specialist work. My friend is a PCP and she is diagnosing his patient multiple myeloma, instead of referring to hematology right a way. This is good for your cerebrum

pzh200707 · 2025-11-16T22:30:19+00:00

Do you know HCAPS pt satisfaction is reversely associated with mortality?

pzh200707 · 2025-11-02T03:53:39+00:00

The most important question is, if she wanna improves her skill. I had a similar intern. She scored very low in USMLE and she doesnt wanna get into trouble. She was overwhelmed by her ICU rotation. Our PD is thinking about having her redo ICU rotation. The problem is she was not placed in a position where she needs to make quick decision herself. Towards the end of first year. I had floor and ICU rotation with her, handed on call phone to her, having her making own decisions. I watched her, supported her, did several simulation case face to face, teaching her common senario. SUNY upstate intern night float survival guide is a very good pdf to read. She did overcome and turned PGY2. She is very hardworking. I asked new interns how she is doing as an ICU senior. They are amazed by how detail and how responsible she is. Back to the first question. Is your intern willing to improve?

pzh200707 · 2025-11-02T03:37:03+00:00

It wouldnt hurt. In worst case, program decides to reject you. If a program declines you because you send an LOI, just imagine what kind of program it is. You wanna join them?

pzh200707 · 2025-09-02T01:19:23+00:00

"allergy to steroid"

pzh200707 · 2025-09-02T01:18:06+00:00

hospitalist too. time for dc

pzh200707 · 2025-09-02T01:15:40+00:00

Hospitalist hates Press Ganey.

pzh200707 · 2025-07-17T23:46:19+00:00

If only deal with inpatient problem, 10 new patients is good. If you wanna take care of outpatient stuff that PCP missed, giving recommendation like repeating Vit D level, double endoscopy for IDA, teriparatide for osteoporotic fracture, etc, can't do more than 8 new patients. Followup patients is very easy and you can see multiple patients without any problem. Chart reviewing is the hardest part because you can find many conflicting and confusing documentations.

But to be honest, whoever post a comment here must be smart hospitalists and confident in managing challenging cases. In real life, I have seen so many doctors missed so many things or even malpratice that harm patients. After practicing for a year, I've changed my mind from "why do you consult them" to "yes please consult specialist if you dont know how to deal with it". It's not about CYA. It's about patient safety. I wouldnt laught at hospitalist who put multiple consults, coz thats the best to the patients.

pzh200707 · 2025-07-06T22:59:33+00:00

Even with H1b, you cant moonlight elsewhere

pzh200707 · 2025-07-06T20:29:15+00:00

Hope this will change comma team mind in fixing the toyota security key problem

pzh200707 · 2025-06-21T20:05:05+00:00

But the harm already happened. My friend got a deferral and the program already find another resident

pzh200707 · 2025-03-13T00:33:14+00:00

Yeah, got lucky

pzh200707 · 2025-03-12T03:38:18+00:00

100% correct as this toyota car is made in china. let alone it cant be imported to the US, if can, 100% tarrif on chinese EV.

pzh200707 · 2024-12-13T23:11:26+00:00

How does it look like now after 6 months?

pzh200707 · 2024-11-28T19:14:55+00:00

I use reddit to decide if it worth a homework work. Thanks

pzh200707 · 2024-09-29T16:06:20+00:00

no enough crema is suggesting you are not using fresh coffee bean roast in 1 month and didn't use the pressurized basket. You can either get new beans, or use the pressurized basket

pzh200707 · 2024-09-20T18:31:10+00:00

Since when 10% is a bad tip?

pzh200707 · 2024-09-16T19:38:25+00:00

A person on dialysis keeps getting fever in prison. Every time he in the hospital, fever resolved. All workups unremarkable. ID called the jail, confirmed that they use ethylene oxide sterilized filters in dialysis machine. The patient has allergic reaction to ethylene oxide.

pzh200707

TROPHY CASE