Recent content by Bacchus

And Goro had to reply to the 2 year gap 6 hours later. Just let it die.

Your opening line is terribly unfair. This is about the OP, no one else.

@jsat Clinical practice in a non-academic specialty (I’m not citing every new study while caring for patients in FM) is a world away from what early academia and late academia are. Do I need to stay UTD? Of course — teaching lets me do this, but I’ve never been the “bench research” type. It...

If you don’t have an existing hobby of self-care/exercise, start there.

Check to see if your department will cover the fees. As this is necessary to remain board certified my department covers the fees.

I’m an out patient FP but it didn’t take me past the first paragraph to think ischemia. Granted it was mesenteric ischemia (pain out of proportion), but still. Hindsight is 2020.

US to rule VTE? Couldn’t they just do that at the bedside? Or was it to demonstrate waveforms? Handheld Doppler could have done that instead of formal study.

Are you routinely following CBC with TIBC panels and ferritin? Sorry if you mentioned it elsewhere. I’ve had a lot of patients (in the anemia workup pathway) who don’t tolerate PO iron or have abysmal ferritin stores despite repletement and they get sent to Heme for infusions and feel better...

I’m going to be the PITA. Also I wouldn’t expect you to list everything you’re doing during your exam for us. But please palpate the thyroid. It’s completely anecdotal/firsthand bias but it saved me a world of hurt. Most patients don’t advance past ultrasound to biopsy but even those who do...

Am I an undercover now bc I don’t do 4s and longer for sinusitis, UTI etc? ;) Stop scaring me :P.

Not derailing. I do want to say semi related, buspirone got such a crappy reputation in my training but I’m pleasantly surprised how well it’s worked in my patients since being out on my own.

One of our former mods does something like this, I think. I think he has a "hydration bar" for all intents and purposes. I do have one patient on outpatient saline infusions, PRN, but she has a short-gut, pseudoobstruction, and if we didn't do this she'd be in the ED and likely admitted...

and you could argue not self limited, 1) RX and 2) Comps -- although those could be self-limiting if the patient goes into renal failure for example lol

Do you get those reports from insurers as well that you’re billing outside the average distribution for peers in your area? Lol.

First quote: this is the idea I got from our compliance presentation. Of course he’s presenting the rules as that division interpreted them. Another interesting interpretation was the rule of 3 DX may not hold if you aren’t actively managing one. Eg: Parkinson disease controlled on sinemet TID...