Zero people worked late/early in my office. I was first in and last out. The nurses pulled the charts for the next day on the day before. There was no need for any extensive preparation. We always did what was best for the patient. The problem is that you never performed

my buddy told me he was on a plane and they were like “is there a doctor on board” and he was like “im a paramedic” and they were like “no it’s ok we found a DOCTOR” and the doctor was like “uhhh i haven’t examined a patient since med school can we please bring the paramedic”

So the only options for getting an MRI are 6 weeks from now or send the patient to the ED with a note pinned to their shirt that says “sorry this is not an emergency more of a subacute issue but I don’t know what else to do.”

Let me let you in on a little secret about 1990s nostalgia: you don't miss Blockbuster or dine-in Pizza Hut. You miss analog life with other people who weren't distracted and were really present to enjoy mundane moments with you.

ICU scenarios (and pet peeves): - Hey doc, this patient with ileus in bed 6 has a blood pressure of 186/68. What do you want me to give? - Any worrisome symptoms with this BP? - No, I am just worried she will stroke out - Don't give anything - No hydralazine then? - No, please

when i was a kid our pastor took us downtown to show us how to “reach to the lost” and the first thing he did was walk up to a homeless guy on the street and say “sir i’d like to tell you about jesus” and the guy responded by reciting the entire first chapter of John from memory.

Residents, please know basic human decency before tweeting. Please. You can't be calling calling out students who are already stressed and tired and feeling horrible about themselves over something as trivial as a question. Compassion is bread and butter.

2 things on my mind: 1- why are we still using ACE-inhibitors when we can use ARBs 2- losartan is the worst ARB no conflicts of interest, just being real.

Kaitlyn McSurdy Telmisartan Telmisartan Telmisartan Telmisartan. 24 hr half life Partial PPAR-gamma agonist Increases insulin sensitivity and adiponectin levels Causes mild decrease in lipid levels. It really is the best ARB option IMHO for a big chunk of the population

Clinicians w/ the highest empathy levels & patient satisfaction scores are at a higher risk of burnout. They may feel immense pressure to provide care that is beyond their human limits (physically & emotionally). Just a reminder that you are human & you deserve rest, too.

Dear old people, stop texting “call me” unless someone is in an ambulance. - love, josh, a millennial

Thinking a lot about a coworker who didn’t tell anyone he was retiring and just left at the end of his last day and never came back.

pheochromocytoma is ridiculed as a zebra dx with an incidence of 0.8/100,000 pt years withholding ondansetron d/t risk of TdP is considered reasonable care when the incidence of drug-induced TdP is 0.4/100,000 pt years

Just to be crystal clear, “I feel fine but my wife made me come in” has a positive predictive value for something being *really* fucking wrong that approaches 100%

I want to say this publicly: If I ever sexually abuse someone, doubly so if I have spiritual authority over them, a thousand times so if it’s a child, please pursue me with every bit of zeal you can muster. Please expose me publicly, never let me get within 100ft of a pulpit

INSANE 🚨 American Surgeon says a Health Insurance Company stopped her from doing surgery on a cancer patient AGAIN After a year of denials and appeals they finally got the insurance company to say yes. Only for them call and say she can’t do the surgery until the timeframe the

The ⁦AAFP⁩ believes that everyone deserves access to affordable health care. Actions taken by the House will result, according to the Congressional Budget Office, in 13 million people losing their health care coverage. aafp.org/news/media-cen…

60 hours. That’s how much administrative work is generated per U.S. physician, every single week. Roughly 9 hours by the doctor, and 50+ hours by staff — just to keep up with the bureaucracy. That’s 60 hours not directed toward patient care. No other developed country comes

The Sunday Scaries can hit hard but remember dread isn’t part of the job description, rest is still productive, and you’re allowed to protect your peace before the grind begins again.

Hard to imagine things getting better from here.