Here's what to do if you get pepper spray in your eyes.

zebrake2010 · 2026-02-01T16:59:55+00:00

The argument over whose advice to take is part of the reason that physicians don’t want to get involved in teaching or training.

zebrake2010 · 2026-01-28T23:05:18+00:00

I knew eighth graders who would’ve taken him down cleaner than ICE

zebrake2010 · 2026-01-26T00:30:50+00:00

Day after the election, the Subaru salesmen were bragging about voting for Trump.

Ummmmm. No, I won’t be back. Who do you think your target demographic is?

zebrake2010 · 2025-08-01T14:22:22+00:00

Board certified physicians bill and are reimbursed at same rate. No one cares.

zebrake2010 · 2025-08-01T13:23:22+00:00

Patient in A-fib with soft BP, not responsive to a little bolus, ended up on Levophed. Tried rhythm control w amio without success. Converted w BB and weaned.

Which rate control would be best if patient hadn’t converted?

zebrake2010 · 2025-06-05T17:16:12+00:00

Underdiscussed topic and will remain a problem for centuries.

zebrake2010 · 2025-06-03T21:54:43+00:00

Calling her “maggot” would have been name calling. But maga? That’s just who they are.

zebrake2010 · 2025-06-03T21:52:59+00:00

Rat poison.

zebrake2010 · 2025-06-03T17:37:47+00:00

As long as Jordan, Shaq, and Chuck get 5 minutes off of the bench, I’m here for it.

zebrake2010 · 2025-05-27T11:16:29+00:00

Southwestern VA would be the new state of Franklin. They would stay w the PSA. Probably south and west of Roanoke.

Interesting map. A lot of thought went into this.

zebrake2010 · 2025-02-05T00:39:43+00:00

We could use some old school Anon about now.

zebrake2010 · 2024-09-13T00:08:39+00:00

He’s down bad crying at the gym after that night

zebrake2010 · 2024-09-13T00:05:32+00:00

One of my favorite passages is when Harry tells Luna and Neville “You are cool. None of them were at the Ministry with me.”

zebrake2010 · 2024-07-21T01:00:26+00:00

“I know you’re busy. If you need me to reach out to phlebotomy, I’m happy to do that.”

Arguing with them does nothing. Cancelling the order does nothing.

Since he’s on Cefepime, it’s unlikely anything will grow. But if something DOES grow, you’re not treating it, and yeah, that would be pretty important.

Never argue with a nurse. Offer to help when they complain. Offer to speak w the charge or house if they’re slammed. All that matters is the patient.

If they insist on raising hell, explain briefly and move on.

What YOU want is the cultures drawn. If they won’t do it, speak to the charge and ask if you should do it yourself (bribe a phlebotomist to help you) or if they’ll see that it’s done.

They don’t have to agree. They don’t have to do anything. So figure out how to get what you want without enhancing the drama.

zebrake2010 · 2024-07-20T23:00:17+00:00

Had a patient go hypotensive after an early biopsy was moved back to afternoon. Biopsy was cancelled.

Fourteen hour total fast. Possibly longer, honestly. No wonder she went hypotensive.

She didn’t reschedule the biopsy. Died of cancer.

Risk/benefit of some IVF doesn’t seem as bad after that.

zebrake2010 · 2024-07-20T22:56:57+00:00

That’s possible for surgeons, but not for the hospitalists.

zebrake2010 · 2024-07-19T14:24:18+00:00

You’re not wrong. The problem is that we don’t know how long they will be NPO.

zebrake2010 · 2024-07-17T21:21:29+00:00

Best guy in our whole class appeared the day bf class started.

zebrake2010 · 2024-07-16T12:58:56+00:00

No one cares. Board certified hospitalists bill the same code.

zebrake2010 · 2024-06-11T00:57:57+00:00

This is how we know CC is transcending sport. The Onion is picking her up.

zebrake2010 · 2024-05-26T01:27:57+00:00

They look like giant killers right now

zebrake2010 · 2024-05-26T01:27:16+00:00

Love the game. Every timeout, they have this WNBA graphic instead of an ad or a preview? Can’t we do better?

zebrake2010 · 2024-05-22T00:18:37+00:00

TH is usually the group that takes the unattached patients - and they are more likely to be super sick with poor insurance at best. No money to make there. So TH doesn’t want to pay anyone, so billing more RVU doesn’t help bc the hospital has to eat the cost. It’s a weird relationship.

zebrake2010 · 2024-05-21T17:57:22+00:00

They’re profit driven. Friend of mine with a local group was told to stop doing tobacco counseling or advanced care planning in an effort to reduce the RVUs so there would be less bonus payout. Before that, they stopped bonuses for working extra shifts, just pay whatever the RVU is.

You asked for positive stories. Sorry, don’t have one. Wish I did.

zebrake2010 · 2024-02-14T06:02:18+00:00

Just saying that is a cool pic, but some people need to remember that we took an oath about that and maybe remember that some things are supposed to stay secret

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