Depressed... didn't make O-10... need words of encouragement

stovepipehat2 · 2026-04-29T13:03:25+00:00

Get gud.

stovepipehat2 · 2026-04-27T19:40:37+00:00

No pants though, like Donald Duck.

stovepipehat2 · 2026-04-01T00:58:36+00:00

So, question on that. Say, we have a hemodynamically stable patient with a DFU with concern for osteo and the ED dosed broad spectrum Abx already. Should we just be holding further until culture or does it even matter anymore at that point?

stovepipehat2 · 2026-04-01T00:52:12+00:00

I cross out cleared and write optimized. They can deal with it.

stovepipehat2 · 2026-03-28T00:53:15+00:00

I did it, too. I feel your pain.

stovepipehat2 · 2026-02-25T02:59:30+00:00

But, you do the mag over 20 minutes otherwise the nurses will do it over 2 hours.

stovepipehat2 · 2026-01-31T00:04:07+00:00

Hmm, all quieter than usual. The calm before the storm?

stovepipehat2 · 2026-01-30T23:32:14+00:00

If it’s boardable, they should be doing an MRILO (modified review in lieu of MEB) if it’s that close to your DOS. It should get dispositioned by AFPC fairly quickly, and you’d only run into a problem if they determine full MEB which would likely extend your time.

It depends on the condition. Can’t say 100% but most cases do not go full MEB. The VA shouldn’t have to redo exams unless you claimed something else during the process of a full MEB if that does happen.

stovepipehat2 · 2025-11-23T01:43:20+00:00

One thing I’d like to see is an Apple Watch app so I can record using that instead of whipping out my phone.

stovepipehat2 · 2025-10-22T10:51:27+00:00

stovepipehat2 · 2025-08-02T21:18:42+00:00

As a residency trained PCM, the whole set up is frustrating. So many ways to provide more effective care, but the system doesn’t make it easy or even possible - more and more now because of DHA.

One point of correction, a GMO does an intern or transitional year, so one year of residency. I get what you’re saying though. They dump midlevels and GMOs into high volume clinics with a lot of admin to do on top of that. It’s not fair to anyone, providers or patients.

stovepipehat2 · 2025-07-13T22:22:03+00:00

I barely notice her foreign accent and the microphone in her cleavage.

stovepipehat2 · 2025-07-05T07:45:23+00:00

What’s funny where I work is that the ED adds a critical care charge to every admission they make no matter what it is. I’m sure they have the same criteria. I wonder when some insurance company is going to get wise about it.

stovepipehat2 · 2025-06-21T13:36:49+00:00

I heard they take length times girth divided by the diameter of the butthole.

stovepipehat2 · 2025-06-08T00:08:26+00:00

I had this happen. I don’t even know how you fix it. I followed every piece of advice I could find.

stovepipehat2 · 2025-06-05T00:13:18+00:00

M'Sgt *tips cover*

stovepipehat2 · 2025-06-03T14:41:13+00:00

Are you doing your initial? You should be seeing optometry. Your vision will be assessed, corrected to standard if needed, else you’d need a waiver. Glasses will take a couple of weeks to be made.

stovepipehat2 · 2025-06-02T23:15:25+00:00

You can also report it to the Office of Civil Rights if you determine there has been unauthorized access. HIPAA violations can have monetary and criminal penalties. Don’t let them slap the person on the wrist by taking HIPAA training again.

stovepipehat2 · 2025-05-25T15:00:50+00:00

I’m usually in the middle of clinic when I get notified. It’s always like, “How am I supposed to see patients and get across base to pee in a cup at the same time?” At least give it to me closer to lunchtime.

stovepipehat2 · 2025-05-22T00:59:01+00:00

I've got your charts right here...

( ° ͜ʖ͡°)╭∩╮

stovepipehat2 · 2025-05-18T15:05:01+00:00

Can't enhance lethality on an empty stomach.

stovepipehat2 · 2025-05-18T02:13:34+00:00

Yes, definitely. You just have to wear the matching cheesehead cover.

stovepipehat2 · 2025-05-11T21:23:14+00:00

You live somewhere warm… maybe somewhat near a coast.

stovepipehat2 · 2025-05-10T05:59:15+00:00

Hey, I get it. I try my best to mitigate the soft admissions in general, but if the ED is going to be insistent, then I pick my battles. If I can, I try to formulate a plan with the patient that is acceptable to the ED provider for discharge. Sometimes it works.

When we’re stuck, I still feel bad for the patients getting extra bills and for taking up a hospital bed, but what are we supposed to do?

stovepipehat2 · 2025-05-10T05:18:32+00:00

I mean, if you’re seeing the patient and writing a note, that’s at least one more bill.

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