I can’t ghost breathe
One more letter e in there...
As always, your recap is worth it’s weight in bacon. Thank you!
Ok first stupid question but do you add pecan shells to the wood when you smoke?
Fuck that looks melt in your mouth even without sauce good!
I say that more often than not now.
It’s funny - just observing - they try and try and try. It doesn’t seem like it’s working too well for them here. Like a zit, the pus always surfaces.
Snopes. The ghetto fack check. And shit.
There are some real good ones, it really depends on the hospital that does the hiring. There are some great GREAT ones out there. It really is sad that they stay away from larger teaching hospitals, where it’s ALL green eggs and ham. Again not to be “that guy” but even up to 20 years ago they were the places to go. The unions... did that do a number on them
The thing is - now the good ones are going to lay low like during the Obama years. Those media leaks were cleaned QUICK. I can’t imagine now-BUT there is hope. Nursing staff isn’t going to guide you but some people can. A few - here are some - The VA police. They know who says hello every morning and who won’t even acknowledge them. Let’s face it. If you are a doctor and you cannot say hello to the ONE group of people specifically there to protect them every morning is a shit head. That said. The barbers. All VAs have them-the larger ones anyways. They can tell you who the good male docs are (females don’t get their hair cut there). Kitchen staff. Again, if you cannot look a fucking cashier in the face and at least acknowledge that person-you are a prick. The ones that know their names, know the doctors names. 50% off all doctoring is straight up intuition. You RELY on training but after a while - half the time - you know the story. Again, if a physician cannot develop simple human interactions with those around them, stay away. Call me old school but that’s my advice.
It should be on every billboard in every city.
Shit - you almost made me piss my pants!!! THAT topped it off tonight!
Funniest shit I have seen all day. Sadly.
Yes, please take the advice. I really do wish you the best in your career. Right here on this board- There are many fine doctors and other medical professionals that - although I can and will only speak for myself, I am sure anyone wouldn’t mind fielding questions. Myself included. Even the ones you may feel embarrassed about. Like “why am I doing THIS???” You know- they are saying and ordering something and I don’t get the physiology — Any. Time. Believe me when I say everyone has been there.
First, Thank you for your service. Second, please, PLEASE be cognizant about being neutral there. They are looking. They WANT to send you for a psych consult. And yes, I am telling you point blank the bait was opiates and benzos. It was. Again, the level of disgust I saw at the VA’s (plural) I worked at was bad. Again, there are some docs that actually care. There are. But most are not there by choice and see you as a hassle. And those kids that were med students and in college under Obama are getting out of residency. Idiots that see YOU as the hassle. Now because of YOU who “voted for Trump (insert leftist excuse here) for the past four years”. They hate you. Now they are allowed to let it show. And it will. And not a fucking politician in the world will do a thing about it. Watch.
Absolutely. This is gonna be long, but I truly hope it helps.
Mostly today, fortunately for nurses, most of it is all point and click. But the actual typing part - I know when a nurse fucked the case almost immediately is after checking for spelling. Spelling errors lead to provable carelessness when I get you in the deposition stage. I look first then run every word through a spell check-medical-legal grade spell check with Latin, Greek, all the bells and whistles. Fucking up the spelling is the smoke. The fire is when I start reading and comparing orders written versus orders carried out. Good thing for you - you can’t get sued. The hospitals settle nurses cases. Whatever you do, no matter how much time it takes, check your spelling. By now you had a million classes on it, right? Because of lawsuits. Next thing nurses get burned on is an example I get weekly. Nurse comes off one shift briefs nurse on next shift-and this shit happens in the ICUs of all places more than anywhere else, but the nurse will go and either not speak to the patient and document that they were awake when they thought the patient was napping and didn’t want to wake him or her. Vitals look good, looks comfortable, and maybe he was. But when someone inevitably walks in the door and the patient codes, well, are you gonna lie - and you are gonna get caught - or tell the truth? Either way you are fucked. Wake the patient up if the orders say to. Sometimes a doc may be concerned about something he or she hasn’t documented yet. Sometimes that doc wants you to see that patient visibly awake q whatever. I do it all the time in my practice practice. Just follow the orders to the letter, especially early on. Later when you get some salt you can move fast, but take your time. And in I can go on and on and on but in the interest of time my third piece of advice is always be nice to the patients family. They usually tend to drop the lawsuits - and I see it first hand - when they like the nurse if it was the nurse that fucked the case. Almost across the board. It’s always “oh I really liked him or her, let us talk to our lawyer...” and that’s sort of in a way where it ends. Be cool wi to with them. You don’t have to be an ass kiss but if you see a family and someone doesn’t have a drink or at least offered a bottle of water or something... ya know what I mean? A jello, an ice cream sandwich for the kids. Shit you have access to. It goes a long long way. Let me know if you want any more tips, I am happy to help you out!
I’m not saying it’s all due to him one bit. I saw it start about 2 years after Clinton getting in in the ms-1 groups. But it was a steady increase. After Obama’s second term-from MY vantage point in our groups - exponentially. I mean, CLEARLY exponentially. But then again, I am in a smaller city now in the south, so it could be just this area. I could tell you the year the ms-1s - we all shook our heads and said “holy fuck it’s over”. 1995.
Is that what they are??? Frigging everywhere in Florida
Find out how many are black in a few years. Look this one up-Obama took out almost every measure for blacks to get into med school. Their MCAT score is no longer considered. That’s what separates that general college population from the med school material.
That’s the one! So basically, and again, this is out there, I have copies of emails I sent to different people that would talk about it later. So the name of the game for years, now again, I am typing on a phone and it’s late so this is nutshell BUT it’s all out there. The name of the game has always been to get your guns thru involuntary psych hospitalizations. The program itself was created by the head of psychiatry at USF and a VA psychiatrist who was. “Women’s Psychiatrist” - which really was a thing post OEF/OIF. Something polish the name. Anyway the deal was, start asking if they had guns in the home during the triage screening. It didn’t go over well - even in 2010-2012ish so they financially incentivized it. Not openly, of course but via bonuses written into the contracts. Now-I cannot and will not say if it was x amount of dollars per gun, because it was never discussed in MY negotiations, but I am a vet, ex enlisted who too the gun bill and went from there so, I think they knew my answer. BUT second hand - like from someone who has it in their contract confirmed it to me...TO ME. Please do not take this as anything other than it is. Second hand info on the internet. I’m not saying it’s false, I don’t want to open up a crazy can of worms if I am the butt of a strange joke everyone else was in on. So I don’t know for sure but that was the word so to speak. Fucking sick. So here we are today. Every depression screening what do they ask? Guns. To be continued because I am beat but it gets nuttier.
I just wrote a huge thing and of course deleted it on accident. In a nutshell, most VAs are set up just like that. Now, when you go downstairs, in the waiting area, before Trump, did it remind you of a refugee camp? It did, right? That’s a joke to these kids. THE joke, I should say. There are good ones there, don’t get me wrong, but patients don’t see them. Rarely anyways.
I could not agree more. At all. The web of money in the medical industry is simply mind boggling. Nobody taught me to go and hire a UR person to deal with insurance companies. Nobody taught me how to hire personnel and make payroll. Shit for years I was paying cash under the table to the rest of the staff for the longest time. It’s why private practice is the dinosaur. PAs do that shit now.
Thank you much!