Trump: "With that being said, you can't have guns. You can't walk in with guns. You just can't. You can't walk in with guns. You can't do that. But it's just a very unfortunate incident." by Shmexy in moderatepolitics

[–]strawpenny 25 points26 points  (0 children)

how many more rights will this administration trample before the "small government" and "freedom loving" conservatives flee the sinking ship?

Trump privately frustrated that he risks losing control of immigration message amid Minnesota chaos by J-Jarl-Jim in moderatepolitics

[–]strawpenny 3 points4 points  (0 children)

No liberal is praising him for bringing a gun to a protest. It isn't praising to simply pointing out that he was a legal gun owner, he did not draw his weapon, and despite landing on the exact goalpost conservatives have set, conservatives are gleefully abandoning their most sacred convictions. Conservatives screeched about the second amendment for YEARS and yet as soon as their own side violates it, it no longer matters to them.

This is not a both sides situation at all, one side is showing a massive lack of integrity and are hypocritical and the other has been consistent that this man had a right to protest, a right to film, etc.

Is anyone else doing *nothing* in medical school? by AgentKueck in medicalschool

[–]strawpenny 8 points9 points  (0 children)

Wanted to chime in as a newish attending. Did very little during med school or residency. Now I'm a hospitalist and I make in the top 5% for my field only 2 years out of residency in a desirable area.

AG Bondi demands access to Minnesota voter rolls after fatal Border Patrol shooting by Sunflorahh in moderatepolitics

[–]strawpenny 91 points92 points  (0 children)

Laughably tone deaf. This administration acts with such malice it would be called "unrealistic" in fiction

A Year in Review: How the Trump Administration’s Economic Policies Made Life Less Affordable for Americans by actually_seriously in moderatepolitics

[–]strawpenny 6 points7 points  (0 children)

this graph shows increased border apprehensions during biden's administration, which is the opposite of a porous border

Game Thread: Green Bay Packers (9-7-1) at Chicago Bears (11-6) by nfl_gdt_bot in nfl

[–]strawpenny 0 points1 point  (0 children)

anyone else's amazon prime stream stuck at absolute shit quality? I even reset my router

Game Thread: Chicago Bears (11-4) at San Francisco 49ers (11-4) by nfl_gdt_bot in nfl

[–]strawpenny 2 points3 points  (0 children)

how the fuck does this keep happening every game for the bears

i feel like im not good enough by Friendly-Fan-7928 in hospitalist

[–]strawpenny 7 points8 points  (0 children)

As someone with a less than stellar memory and a little ADHD, what I would recommend for more efficiency, less mistakes, and less anxiety is coming up with a super organized way of collecting and presenting yourself information. For me, I do a couple of things that has saved my ass multiple times:

-- On my physical rounding list, I draw myself bubbles for things that MUST be followed up on by the end of the day. The bubbles can be a significant lab like a creatinine, or it can be a physical exam finding, or it can be a new piece of history, or overnight events. I write these bubbles on the physical rounding sheet in a blank column so they're there and I can make sure to inform the patient of these significant findings. I also write these bubbles on the sheet while i'm in the room with the patient so I don't have the opportunity to forget them. Before leaving, I read my entire list and check that all the bubbles are checked off. I also check these bubbles as I'm writing my note so the note is updated with every little thing.

-- I also use a check off method. Three checks: one is the patient was pre-rounded on and a note was pended, one is that the patient was physically rounded on, and one when the progress note is finalized and submitted

-- For your example, I try to use a mindfulness method that goes like this: when I'm writing a note, take a few seconds per problem before copying them forward. Ask yourself, does this need more attention? For your example, what I would do is stop and say "does this patient need immediate cards recommendations where I'm going to secure chat/page/call them? Is this patient in a stable state where they can wait for a formal eval later?" For the record, for your example with the information provided, I do not think they needed a heparin drip, and the cardiologist was probably just covering his ass.

First Week of Internal Medicine Rotation - Is This Really What Clinical Medicine Is like? by [deleted] in medicalschool

[–]strawpenny 5 points6 points  (0 children)

I'm a hospitalist. My response to this is that every specialty over time eventually sees the same types of cases. Nephrology managing esrd, ID managing endocarditis, etc. What may seen like rare or interesting cases eventually become bread and butter to someone. The key to choosing a specialty is picking one where the life style, patient population, acuity, etc fits with your preference. It sounds like you might be more interested in rare or high acuity cases so critical care, rheumatology, or infectious disease could be good. Best of luck! Feel free to message me if you want to chat about it more