1. You may not know, but is this very different from his pre-COVID baseline? It sounds like maybe, or it got worse but it's not all new if he had pica (that's not an acronym) before.

  2. Warning: I’m no ED or tachycardia expert.

  3. This is outside my area but I think closer to me than to you.

  4. Thank you so much for replying! I have not yet seen a patient who abuses diuretics, is that something you’ve seen a lot of? I have limited knowledge as I’m new to this area of psychiatric nursing and trying to learn a lot on my own but I was under the impression that potassium is the most dangerous of deranged electrolytes and I most commonly see potassium and phosphate as refeeding supplements I believe. I work in inpatient psych so the patients are receiving input from gp psychiatrist and dietitian to tailor refeeding supplements and monitor very closely, fainting and collapsing is also a large risk issue.

  5. Potassium is what kills you quickly due to arrhythmia. Phosphate kills you slowly in refeeding.

  6. Cut costs too far and anything will fall apart. It’s equally true whether it’s private equity coming in with budgetary savagery to wring short-term profits or Tories with boundless infatuation with austerity.

  7. You’re right, it must be British republicans fault! If only they would vote harder for British democrats!

  8. Tories have been underfunding and defunding the NHS for decades. It is the “British Republicans’” fault. It isn’t salaries, or just salaries; it’s systematic hollowing out of a formerly effective health system.

  9. Isn’t Nrmp match better than the previous free for all system.

  10. Probably, but it traded individual abuses for bureaucratic abuses that require specific exemptions from normal tax and labor laws.

  11. PGY1 IM resident here looking to switch into Psychiatry.

  12. You have nothing to lose by contacting PDs directly. Some might say yes, and that’s cheaper and easier than the Match.

  13. I agree. Guardianship looks like the only way out, but it’s attacking a narrow target with carpet bombing.

  14. There are holes in the story. Hagen lived independently but now cannot without home assistance, presumably 24/7, which cannot be set up again because…?

  15. I really think it’s weird how poor modern human vision is considering the survival advantage of being able to see.

  16. Losing the acuity to read text doesn’t stop you from stabbing a deer or hauling a plow. That has been the selective pressure for most of human history.

  17. Can’t they just prescribe it as off label use? i.e trazodone for depression?

  18. It is trivial to design a test with 100% sensitivity: make the “test” just a yes in all cases. The test is useless but highly sensitive.

  19. Whine when you’re off the clock. There are patients to take care of. Back when I was in your shoes we had four times as many patients and we worked twice as long. Do the math, buck up, be a man! Kids these days…

  20. because a hospital is supposed to be a clean space while getting exposed to pathogens shouldn't be transferred outside of the supposed (un)clean space. and what do you mean if they're ''dirty''? didn't you have microbiology in medschool?

  21. The more common complaint here is that hospitals are hotbeds of omni-resistant superbugs and people outside the hospital are uncomfortable seeing people wearing their scrubs! That was true pre-pandemic and it was true to the point of people crossing the street to stay away during the worst of the corona times.

  22. I was on the first season of Real House-Staff of New Jersey! It was pretty fun, but the drama got to be a little much.

  23. Boosting levels of Tylenol improves headaches. It is likely, though, that lack of Tylenol does not cause headaches.

  24. Let me comment on what you linked to. And by comment, I mean rant in exasperation. And by rant in exasperation, I mean repeat the same rant I’ve spouted repeatedly every time I come across that damn paper.

  25. Life changing for me. Same for my husband. There are good studies that Zoloft improves neuroplasticity after a stroke and improves stroke recovery. They probably don't work for everyone but when they do work they are a godsend.

  26. Clarification: Are you saying that you've had two positive HIV tests? You are currently pregnant? Were the positive HIV tests an initial screening test followed by a confirmatory test? If these are all yes, then please talk to your doctor about getting antiretroviral therapy asap. Medication now will give you the best chances for your pregnancy as well as for your future health.

  27. I think you read this backwards. Tested twice, both negative, OP is worried that the tests are false negatives because of taking Valtrex.

  28. I’ve never tried to call myself an upperlevel provider, but now I feel obligated.

  29. I tried that line. I still got a well drink and I think the bartender might have spat in it.

  30. EzriCare: “You want tears? I’ll give you something to cry about!”

  31. I work in an academic setting, and most of my work is consults. I know I take a pay cut for it, but I like interesting cases. I also like medical students and residents. I like meeting with very smart doctors in other specialties. I have gotten the impression that academics don’t always have better consult requests or referrals, but they tend to be a little bit more respectful of my psychiatric opinion. (My time, not so much.)

  32. This is not a forum for medical conspiracy theories from non-experts.

  33. Exactly. No one calls me "man doctor". No need to qualify sex.

  34. Urologists shocked to learn that there is no female urinary system.

  35. where would the pee be stored? makes no sense

  36. We’ve been over this. Women are more prone to UTIs because of disorderly pee storage. It’s basic physiology.

  37. True story: our heme/onc program had a collective pet goldfish that we named Jak. One day he finally died and we were all just a little bit too excited that we would get a new fish and call it Jak2.

  38. How do they feel about antifungals

  39. They felt confident. I appreciated their can-did attitude.

  40. Exactly. If you can't even make meth with it then what's the point? Lol

  41. Steve Jobs fundamentally died of rich guy syndrome. He made a lot of money making some clever business decisions, the world fawned over him and he became wealthy enough to never have to hear real disagreements anymore, and he stopped understanding that having made a lot of money didn’t make him the genius that people who wanted to sell stories about him claimed. Incredibly common in tech and finance workers with lots of money and no social or emotional skills in their private lives.

  42. Is this more common among rich people? Plenty of less rich people also choose quackery over medicine despite the pleas and protests of their doctors.

  43. I think the reason why people get more upset is that with patients without means, we always feel that plays a large roll - patient would get treatment but they lack resources, insurance, transportation or education.

  44. Sure, but I have seen plenty of pride, ignorance, and poor medical literacy among people who are regularly affluent, middle class, barely scraping by, and destitute.

  45. Definitely check your contract for how much time you have to give notice. Mine is 3 months but I’ve heard as much as 6.

  46. I’ve encountered more “I’m out at the end of the month, suck it” than genuine fear of not giving the full 90/120 days, but I’ve been educated here that there actually can be legal consequences, and I haven’t tried it myself.

  47. I glanced at the post’s title and thought telemedicine was the newest esport.

  48. Make them criminally liable for the harm caused by their decision, just like we are as doctors, and this bullshit will stop overnight.

  49. But they’re not treating! They’re not denying treatments! They’re only saying that they won’t pay for treatments.

Leave a Reply

Your email address will not be published. Required fields are marked *

Author: admin