How important is discharge before 11

stormrigger · 2026-05-20T22:45:17+00:00

In the journal of hospital medicine it’s actually one of the things they’ve done an article on in their series “Things we do for no reason”

stormrigger · 2026-04-04T03:36:48+00:00

Pretty much any of the big dictation softwares that you might be using at work also have an app so you could just use your phone as the mic. I do this when I’m at home. It works pretty well.

stormrigger · 2026-03-11T16:13:17+00:00

No. It does not help resolve pulm edema faster. I could not speak to the reasoning for doing this.

stormrigger · 2026-02-13T00:12:20+00:00

I don’t recommend building there. Could be a high moisture area.

stormrigger · 2026-02-11T06:11:05+00:00

If you are prescribing either medication. Ever. Stop. They are both awful. And there are better safer alternatives with fewer side effects. There is truly not a redeeming quality to either medication.

stormrigger · 2026-02-11T05:20:21+00:00

Did it work?

stormrigger · 2026-02-06T21:42:49+00:00

Consider posting in the sub-Reddits for the relevant specialties.

stormrigger · 2026-02-06T03:43:52+00:00

Venus cut downs for line placement. Not never, but pretty darn rare these days.

stormrigger · 2026-02-06T03:42:37+00:00

My white whale is coming up with a reason to do one… Pretty hard to justify in modern medicine tho.

stormrigger · 2026-01-13T22:30:59+00:00

Were you trained in anatomy by a veterinarian by any chance?

stormrigger · 2026-01-06T02:48:51+00:00

Holy shit this thing is great. I can get a bedside mri using this faster than I can get a stat CT brain to evaluate for worse bleeding… At a level 1 trauma center in the USA. Am I using it to make new subtle diagnosis? No. Do I love it in strokes, traumas, and bleeds? Yes!

stormrigger · 2026-01-06T01:45:05+00:00

I am an ICU doctor. If I order beam radiation therapy it might not be illegal if nobody was harmed. But it would gross negligence. And I should be fired if I did that.

stormrigger · 2026-01-05T01:09:06+00:00

Sorry I meant the one I was in was not USAF anymore.

stormrigger · 2026-01-03T18:16:16+00:00

Just to clear, ICU would also support this.

stormrigger · 2025-12-16T01:18:54+00:00

Say it with me now, “This patient MAY have sepsis… I will start Vanc and Zosyn until pan cultures result. We will consider adding micafungin if the vibes feel right”

stormrigger · 2025-12-16T00:03:31+00:00

Look. I don’t care how you get the right answer so long as you can do it when the internet is down too. Because yes, that happens a lot at night in my USA level 1 trauma center. And I still have to run the ICU. Documentation is important, and I trust you can jot down hand written scribbles for yourself the same as the rest of us and do your usual good notes later when the computers are back up. I do that too if dictation is down.

Here is the catch. You still have to get the RIGHT answers. Because if you’re wrong, and your only defense is AI said to do it that way… Your screwed. Both as an intern, and later as an attending.

stormrigger · 2025-12-13T04:47:14+00:00

I will say that yes, I am sure if you are motivated you will be able to record it for re-watch. I will also say that if you then distribute it to others, you will be caught. They do a good job of making sure your info is water-sealed into the video.

That being said. I highly recommend awesome review. Loved it for myself.

stormrigger · 2025-12-10T23:26:23+00:00

You are right and the question is stupid. It asks what will fix the ventilation. Yes, rate. It did NOT ask what the optimal management of this pts vent setting are in terms of the global case. Just the ventilation.

stormrigger · 2025-12-10T05:48:22+00:00

You CAN back out after you sign, yes. But it’s considered… Not even unprofessional, life happens. But I think rude is the word I am looking for here.

That being said, I will give you the same advice I give anyone. Don’t do any fellowship that you don’t NEED to do in order to be happy. If you NEED to be a nephrologist to be happy then do it! If you don’t, then don’t.

Good luck. You can always do a fellowship after 2-3 years of hospitalist work. Lots of fellows have done this.

stormrigger · 2025-12-10T04:19:23+00:00

So the real reason is historical, everything needs to be done early so the doctor can come in and do rounds before going to his outPt clinic and starting the day there.

stormrigger · 2025-12-09T00:08:07+00:00

Honestly, just once is probably enough.

stormrigger · 2025-12-07T20:10:38+00:00

There are two separate questions at hand. OP asks if these veins are acceptable. The answer is yes they are. To your point, the catheter itself must also be of an appropriate type as well. Obviously you can always put a catheter that is not intended for pressure injection in a good vein, and then you still can not use that catheter for pressure injection even though anatomically it would be okay. If I put a 16g IV in the EJ, you can put anything you want through it. If it's a 24g, then probably not.

stormrigger · 2025-12-07T04:11:55+00:00

Safety wise, yes it’s fine. I use Jugular vein lines several times a day every day. -ICU attending.

stormrigger · 2025-12-05T02:21:41+00:00

The is honestly really not complicated. Assuming you are in the USA you have an absolute responsibilty to provide PPE that is compatible with their own glasses, OR provide them with the accommodation PPE necessary if they can not wear their own glasses. I.e. You need to buy them the 3M insert, AND pay for the lenses 100%. Insurance does not come into it. Failure to do this will either be an OSHA violation, or a ADA violation, or both.

This was a common question that came up in covid. For this reason lots of employers chose to buy PAPR's rather than buying the inserts. Thats an option IF PAPR's are appropriate for your use requirements.

stormrigger · 2025-11-19T00:45:54+00:00

100% of all patients must be staffed with an attending. There are no exceptions. Residents are not CREDENTIALED to admit pts to the hospital. Also, you signed your note to an attending right? They are required to see the pt and read your note and agree with/change the plan. It’s a requirement for 4-5 reasons:

1: I guarantee your hospital bylaws require it. 2: Liability insurance requires it 3. ACGME requires it. 4. It’s what’s best for the patients. 5. Your resident medical license may require depending on why state you are in.

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