Recent content by n2b8me

Sounds like Marius. He’s European though so it doesn’t count. 😝

I don't know about y'all, but patient's are always asking for doctors notes for work. Crazy right?!? What's your take on this? "sure take the rest of the year off. Here's your note!" "no way! you don't have to miss work for this." "3 days, everybody gets 3 days off here" or is there evidence...

"How do you deal with patients and family that want/need updates. Admitted 3 to obs, 8 to the floor, 2 to ICU, and 4 to stepdown. 8 patients I got in my last 2 hours. I was raised to not interrupt people" What I try to do: shotgun labs/xray from waiting room focused exam/physical in room to...

duricef and cipro

My first take is 17 out of 18 patients get the correct diagnosis. Wow! that seems pretty good!!! I have used the HINTS test, and when it is positive it is helpful... but that's rare. Usually the ROAD test is a better indicator for pathology. One thing I remember from residency was "speed is the...

For HTN med mgmt: https://kpcmi.org/files/blood-pressure-clinician-guide-kpcmi.pdf For DM meds: https://diabetesed.net/wp-content/uploads/2021/12/ADA-2022-Pharmacologic-Management-of-Type-2-PDF.pdf For CHF I think academics refer to the 2022 AHA heart failure guidelines...

Randomish side question related to nephrology… Can a nephrologist run a dialysis machine with a regular floor nurse? or is this completely ludicrous? Is managing a dialysis machine something that’s learned in fellowship?… maybe it’s just my naïveté but I always thought of it as something...

When will we be able to work without masks again in the ER?

Never have I ever... although the next time I'm disimpacting I'll try to channel my inner "house of cards"/ CMO

Has anyone had any success terminating from Anthem as a provider... we have been trying for 3 months now without success. Is this typical? Anyone else had problems terminating from Anthem as a provider? "Thank you for contacting the CA Provider Experience team. We have received your inquiry...

either way, they won't need those doses.

The cases start with about 1 hour 15 minutes left in the video

Other cases: 70 yo man from the SNF, full arrest, multiorgan system failure, gangrenous toe. Intubated. After ROSC gets the cocktail with 1000mcg fentanyl Another case 37 F with metastatic ovarian CA, liver/kidney failure, intubated. Gets palliative extubation, followed by 500mcg fentanyl with 4...

I listened to some of the expert witness testimony and there is no doubt the intent was to kill the patients... whether or not it was murder or Kevorkian, that's beside the point. 69 yo F with copd, extubated that night and then after gives 1000mcg fentanyl bolus. Dead 8 minutes later. 39 M with...