Today a student asked me at 5:30 pm if “......there’s anything else he can help with. “. And I looked at him blankly, said “nope!” and turned back to the computer to keep typing my note.
He was trying to go home. 🤦🏻♀️I’ve become THAT resident 😩
@r4tcatcher@DGlaucomflecken 1) wash your hands often and before eating
2) judicious antibiotic use
3) keep up with dental health esp in setting of heart/valvular disease
4) safe sex when non monogamous
5) don’t use IV drugs
- Always send a U/A if a urine culture is being sent (with only a couple of exceptions).
- Simple cystitis does not cause systemic symptoms, such as fever. Such symptoms usually imply infection that has spread beyond just the bladder.
3/
Since when does @Wayfair require customers to pay return shipping on unopened furniture?
Their return policy used to be 👌: if not happy w/ product then full refund no problem
Now return shipping cost is deducted from refund?
This will be my last order from @Wayfair ✌🏻
@TBrnaughtTB “Re-loop”?! Plzzz 😫 how about LOSE MY NUMBER.
Jk I’ll help if needed but maybe give the Abx a chance to work before calling back less than 7 hours later.
I’m triggered obviously
Primary: hi we’d like to consult you for Pseudomonas aeruginosa in the urine
Me: is the patient symptomatic?
Primary: No
Me: kidney transplant?
Primary: no
Me: why was the patient admitted
Primary: LVAD shocks
Me: why was the urine culture sent
Primary: just because
Give pts a structure/framework in which to tell their story.
My fav Qs
1. Think back to the last time you felt well/like yourself, when was that?
3. So when did you start feeling poorly?
4. what made you decide to see a doctor?
5. What sx interferes w/ your daily life most?
A good doctor is skilled at leading the HPI to gather an accurate history.
Reorient, rephrase, clarify. What’s the baseline & when did it change? What helped, what didn’t?
It’s the difference btw diagnosing “bacterial pna” for the 8th time in 1 year and diagnosing COP.
The 9th circle of hell in ID is trying to “rule out” TB in a patient who is presenting with lymphadenopathy and fevers who has a history of partially treated TB with strong TB risk factors who also has a new diagnosis of lymphoma 🫠
@mitchdumais So it’s universal then?
Our Ortho teams are exceptional at sending multiple bone and tissue cultures without us having to beg for them.
Vascular on the other hand… 😒
I lovvvveeee discussion treatment options in depth with patients. I love explaining the pathophys so that they understand what’s going on. I love seeing their lightbulbs come on. I love educating patients and arming them with knowledge.
@TBrnaughtTB So much of consulting is about psychological reassurance. I’m happy to metaphorically hold the consulting teams hand while they do all the right things 🥰 I consider it a form of talk therapy lol