Recent content by timpview

Yea it’s not a good thing. There’s a reason why the center place of corporate medicine (Tennessee) is leading the charge on this.

Unfortunately that doesn’t matter.

And even if you get “certified” they can take that back whenever they want haha

Yea how would that be any different than a cath lab where all sedation and intubated patients are managed by an RN? I guess sometimes we have RT for intubated patients. Our RN/MD are “sedation” credentialed only- or basically one online module a year.

Depends.. My personal take is stress testing is nearly worthless, completely over-utilized and just a reflex test that many of us (especially now APPs) do to make it look like we’re taking the patient and whatever concerns they have seriously (silly chest pain, sob, fatigue). I do find some...

I would do everything I can to see if it doesn’t have to be an official suspension. Sounds like it’s past that So unfortunately you’re going to be 63 and having to explain it to some clowns in credentialing. I would get a dated letter explaining it from your PD as well as you may need that for...

How many years away are you from being piss poor?

How much are hospice directorships going for or jobs that are hospice outpatient only, ie signing certs/recerts, participating in bimonthly IDTs and just being available for the nurses/midlevels if needed.

It’s your last sentence. Corporate medicine is always the devil you know. Not a lot of illusions there. You take a decent paycheck and answer to your boss. You know your place. If a private opportunity exists obviously you could get equally or more screwed over by partners.. though the...

As a cardiologist that purposefully doesn’t apply for TEE privileges because life is 100x easier when you say, sorry I don’t do TEEs (mostly to neurology and ID), I just can’t wrap my head around those fixated on wanting to do them in such meaningless situations.. especially when you’re in such...

The thought of doing a TEE on a coding patient sounds like the dumbest idea I’ve ever heard. Obviously ruling out tamponade is 1000x easier with a TTE. Sure.. maybe you diagnose a dissection one time out of a thousand.. in which case that guy is dead regardless Just because you can doesn’t...

Why would you be doing (or want to be doing) TEEs as an ER doc? I guess if you’re wanting to cardiovert more people. They’re time consuming and annoying to do.

Yep you get word a PIP is coming than I wouldn’t do anything with it.. not acknowledge or respond to it. I wouldn’t open the email. The timing would just happen to coincide with a bad health issue in a family member that will now cause me to resign in order to deal with that personal tragedy.

Seriously.. that’s some of the worst advice I’ve seen here

Has nothing to do with the cardiologist knowing what to do with them… it’s the fact that the ER doc or the NP hospitalist at 2 in the morning doesn’t know what to do with it