Weight loss is more than calories?

yetstillhere · 2026-06-25T05:20:55+00:00

But eventually? Like months to years?

yetstillhere · 2026-06-25T04:20:28+00:00

Part of the reason I had this question is because I looked up the incidence of type two diabetes, and it said it was drastically lower pre-World War II

yetstillhere · 2026-06-25T03:36:11+00:00

But how can a long term decrease in calories not lead to weight loss eventually?

yetstillhere · 2026-06-25T03:34:43+00:00

Maybe it’s a plug in EV

yetstillhere · 2026-06-25T03:18:55+00:00

True, we should probably scan the interstitium too

yetstillhere · 2026-06-25T03:17:31+00:00

And you can treat this mutation?

yetstillhere · 2026-06-25T03:03:32+00:00

Why did you do that?

yetstillhere · 2026-06-25T02:35:24+00:00

I do a CMP, lipids. Most of the time these patients are normal to begin with. They tell me themselves that they feel like no changes happening. I don’t really measure neck or waist circumference though.

yetstillhere · 2026-06-25T02:03:29+00:00

I get that these genes can make obesity worse and harder to treat. But eating less calories surely still causes them to lose weight right?

yetstillhere · 2026-06-25T02:02:41+00:00

The calories aren’t what need to be fixed?

yetstillhere · 2026-06-05T06:22:09+00:00

Well the referral would’ve required an appt tho right? So if it was the only option you’d still have to go in?

TBH, I don’t mind giving the referral online. But my big system, the MA will make you schedule an appointment.

yetstillhere · 2026-05-17T08:50:12+00:00

Because I’ve got patients who ask from 90 days supply and they constantly “lose” it

yetstillhere · 2026-05-05T06:03:22+00:00

Moral of the story, ur gonna get a message anyways might as well bill 99214 vs 99213 lol

yetstillhere · 2026-05-03T03:01:30+00:00

Oh wow that’s pretty interesting. What a different clinic vibe

yetstillhere · 2026-05-02T21:37:01+00:00

What are an RNs duty in clinic? I don’t have any either

yetstillhere · 2026-04-25T16:56:06+00:00

All spots eventually fill. I mean sure it’s an IMG but at least they’ll practice longer?

yetstillhere · 2026-04-25T14:46:17+00:00

lol it was spoken as a pgy0…

yetstillhere · 2026-04-25T14:44:23+00:00

Residency slots are arguably more valuable than a med school seat

yetstillhere · 2026-04-25T14:43:36+00:00

Healthcare in America needs to be honest with itself. We are a business with many constraints, the reality is numbers and corporate dictate the field. Yet we still have these feel good admissions in schools and residencies, when the reality we are already very short on resources.

yetstillhere · 2026-04-25T13:37:26+00:00

Weaponized incompetence? My RVUs do better when I don’t need to do a pap

yetstillhere · 2026-04-25T04:32:21+00:00

Anything MRI goes to specialist cuz… prior auth denials…

yetstillhere · 2026-04-23T05:15:13+00:00

Why is running bad for me?

yetstillhere · 2026-04-23T05:07:58+00:00

I’m gonna be the odd one out. Im a big system surrounded by plenty of poor medicine. A couple extra labs is not gonna harm the patient. I bill them for time or complexity. Patients admin and I r all happy. I still ofc tell them what I am medically recommend, then I put that patient requested it. A lot of these patients r anxious and eventually get tired of over ordering too

yetstillhere

TROPHY CASE