You have to be very careful about “filtering” as well. It becomes far too easy to write off a legitimate concern if it has to pass muster with your “filter” before you consider it. The HPI and subjective portions of a note are explicitly for the things the patient (or their caretaker) tells you. It is subjective. Then you do your objective examination and testing, then you make an assessment, and if you can justify that assessment with the testing and history, then you can make a plan. SOAP notes go in that order for a reason.

That doesn’t mean you ignore them. You listen to what they’re saying, maybe take it with a grain of salt, and actually get a good history and physical.

Stories like this make me very glad that I got my pediatric experience in a good children’s hospital before starting medical school. The attending physicians made sure to drill it into everyone’s heads that if the parent is expressing concern about a change in condition or “something just not being right”, you report that to the patient’s physician and nurse ASAP. Everyone from the physicians down to the admin folks were empowered to challenge decisions they thought weren’t in the patient’s best interest.

Hell, I even had a case where, as the ER tech, I challenged a physician on her diagnosis of a child and refused to let her discharge the kiddo without looking at him again. The mom told me something was wrong, and even with just an EMT license, I was able to see something was subtly wrong as well. It turns out the mom and I were right and the physician changed her diagnosis and admitted him to the hospital for treatment instead of discharging him home to follow up in clinic in a couple days.

Thank you!

Do you know the name of this sculpture or the name of the artist?

“The only moral abortion is my abortion.”

I am now rather curious about the context. I saw his comment about being on his boat, but hadn’t seen him around prior to that. I don’t remember the username though, so I can’t look up the profile.

There have been a few problems recently with pharma factories failing inspections in regards to sterile production environments. The last one I heard about was a while ago, but I think I remember a pharma company deciding to close some factories and stop making those products because coming up to code would be too expensive and the products aren’t that profitable.

MRI sometimes uses a non-radioactive contrast depending on what you’re trying to get images of. MRI is probably the safest imaging modality, but it’s very expensive, kind of difficult sometimes due to how long it takes, and isn’t useful for every kind of imaging that needs to be done.

He was banned from trying to join any branch of the military because he did so poorly on the ASVAB (and probably also failed a psych eval). While many police departments are deeply corrupt, I don’t think any of them want the bad press that would come with hiring him. Maybe he can get hired as a deputy in a sheriff’s department run by someone like Arpaio.

Usually the situation they put themselves in is taking a job as a cop and refusing to deescalate any situation.

Not even a sip for me. I was offered small amounts of champagne or wine at special occasions, but I never drank any because I could smell the alcohol on it and didn’t want to.

I’ve just always been some variant of the “mom friend” and after I turned 21, I was still the DD most of the time.

Nope. The first time I drank any alcohol ever was on my 21st birthday. My Dad made me a gin and tonic with Bombay Sapphire, and that set the standard for the kind of alcohol I will drink. It’s a good thing I’m a lightweight because I only drink the expensive stuff. (The cheap crap burns too much.)

I’ve tried to drink coffee a couple times. I never was successful at it. My body just hates something in coffee and it just comes right back up before even hitting my stomach. So, I guess it’s gone down my esophagus, but never further than that.

I end up going to the ER way more than I want to. It’s really annoying; if you walk into an urgent care or a regular doctor’s office (besides my regular care providers, they’re used to me now) and say you think you have a kidney infection or other kidney problems and you just need antibiotics, they just go “NOPE” and yeet you out the door to go to the ER. So far, I have been successful in preventing them from calling an ambulance for me.

Never have I ever drank alcohol illegally or underage.

One of the problems these monsters have been having with carrying out executions is that they can’t get pharma companies to sell them the drugs they use and they can’t find actual healthcare professionals to perform the act. That’s why there’s been a few cases recently of having to cancel or postpone an execution because they couldn’t get the damn IV line in.

As an absurdly fervent Tolkien fan, people bringing up the Eagles spikes my blood pressure in a way that cannot be good in the long run.

The article specifically describes the housing options that are single-occupant with doors that lock and accommodation for pets. They are also working on solutions for couples to help keep them together where possible. It’s not ideal, and it’s not a permanent fix, but they interviewed someone that’s staying in the safe, clean, cabins while attending a 2 year college program to get a better paying job.

There is definitely more that the state could be doing as a whole, but they are investing a lot of money into programs and housing with free or heavily subsidized rent to help people get back on their feet. The article specifically mentioned a model where “rent” costs 30% of the resident’s income and the rest is covered by a rental assistance program.