drdangle22

IM resident on GI clinic. Keep seeing new patients referred from mid level “providers”(mostly NP but PA too) for ridiculous reasons or for concerns that haven’t had any sort of appropriate workup.
What bugs me most is how much these patients seem to trust / love their mid level providers who clearly are mismanaging them. Just today, one pt was gushing about how they recently switched from an MD PCP to an NP because the MD wasn’t as personable as her nice new NP provider.. The pt was a referral from that NP for elevated liver enzymes with literally no workup other than a CMP. It’s amazing how poorly most patients judge what is and isn’t quality healthcare.

Per above. I hope she feels the internal black hole that is my respect for her.

EDIT: post has literally nothing to do with sexuality and everything to do with her being a condescending, mean, antagonistic, and inconsiderate person who takes advantage of their power to air their grievances. Jesus..

I genuinely love wards. It’s where I want to work. Currently in a wards rotation with an attending that is hell bent on making it as miserable as possible. I often find myself thinking about how I would do things differently if I were the attending. When you were a resident, what kind of thoughts did you have about your future life as an attending and how did the reality reflect those anticipatory thoughts? Cathars me, hospital daddies and queens

Have you ever had to just suck it up and take it on the chin from your attending, case managers, and nurses for a situation you had absolutely no control over? I think I really learned the pain of being responsible for patient social issues in hospital medicine today. I cannot fucking help that one of the ten consult services I’m talking to all day suddenly decides that a patient can’t be discharged at the last second. I cannot fucking help that a patient is delirious and pulls out their lines. I cannot fucking help that the we can’t chemically/mechanically restrain a patient without giving away their mental status and ruining placement acceptance(who we are literally tricking into taking

Discuss

Doing step 3 questions and it feels like every other cards question is asking you to make a likely diagnosis based off of a murmur. Valvular pathology is not diagnosed by interpreting murmurs. Heart auscultation is essentially useless for diagnosing anything heart related in real life. The discrepancy is starting to annoy me. Anyone else?

EDIT: not dismissing the utility of auscultation at all. Only the scope of utility assigned to auscultation in uworld questions.

Historically, I’ve always really liked at least one or two models from the majority of premium brands and have found interior design in upper trim levels especially appealing across most of the board. Can’t say the same about many vehicles from the 21-22 era thus far. Feels like a lot of exteriors have adopted really goofy shapes or have tried too hard to look futuristic. Car seats are starting to adopt all kinds of tacky stitching designs. Tasteful wood accents are falling off a bit. Dash design seems like a matter of how big the smart screen can get. Anyone else disappointed with current appearance trends?

I’ve been soft searching for a new SUV for a few months but actually started going to dealers and test driving today. Between a Mazda CX-5 and Nissan Rogue. Thought it couldn’t be THAT bad but this market really sucks. Most dealers are sticking 3-5k on top of MRSP and have terrible selections. Base trim models? Forget finding those. And if you do happen to find them they are just as expensive if not more expensive than the next highest trim level. It’s all so bizarre.

Hello everyone. Looking into buying a newer (2019-2020) CX5 but slightly apprehensive about the length of the front end of the car as I’m used to driving something much smaller. It seems like visibility immediately over the dash is also not the best in this vehicle. Can’t seem to find much about front cameras and parking assist features so I’m curious to know what everyone’s experience has been in this regard. Thanks!

Just finished my student loan exit counseling and per the FAFSA loan payment simulator, my cheapest option is to pay ~ $300 per month(300k debt, 55k salary pre tax) starting in November when the covid freeze ends. Are residents really paying $300 a month towards loans? Half of my salary is gunna be going towards rent due to high COL… so how tf am I gunna cough up $300 a month towards loans and still squeeze by? Is this a typical monthly payment? I’ve heard people saying they pay 100 or less a month with similar debt but I can’t figure out how . Any wisdom is appreciated.

EDIT: What’s the market like for a voluptuous man bod on only fans?