gdp's Comments

Crasstalk : Jazzy New Week Open Thread

Thu, 5 Feb 2026 07:36:04 +0000

Behold, Cilantro ice cream: https://xcancel.com/haruotpe/status/2018940050982...

Crasstalk : Jazzy New Week Open Thread

Tue, 3 Feb 2026 22:18:59 +0000

I'll just leave this here: https://xcancel.com/TaiwanKanko99/status/20185317... https://xcancel.com/mimi_taiwan/status/2018549501... https://xcancel.com/UnseenJapanSite/status/165023... https://xcancel.com/IcezeoZeo/status/201866531493...

Crasstalk : Breezy Weekend Open Thread

Sun, 12 Jun 2022 20:02:04 +0000

> Gusband’s BP is garbage. Any ideas? Maybe, but I'd have to know a bit more about his medical situation. Let me know if you'd like me to review his chart. Email: 7rrpprjc5y@snkmail.com

Crasstalk : Power Through Open Thread

Sun, 12 Jun 2022 19:46:44 +0000

> My girl left me for Chad Thunderfuck. Bruh.

Crasstalk : Breezy Weekend Open Thread

Sun, 12 Jun 2022 19:31:53 +0000

Medicare criteria for Hospice is basically 6 months life expectancy, or less: https://www.medicare.gov/coverage/hospice-care No requirement regarding whether or not you have a cardiologist. However, if this is going through a payer other than Medicare, then the criteria might be different. There might also be some in-house referral criteria being used by his primary care provider. Some kinds of end-stage cardiac patients can fall into the situation where they amaze everyone by hanging on for years and years of 6-month hospice renewals, and this had lead to some crack-down on hospice being used to provide care for patients who are maybe not truly terminal.

Crasstalk : Rest Time Open Thread

Mon, 1 Nov 2021 16:33:25 +0000

Yup, I'm on Oahu.

Crasstalk : Rest Time Open Thread

Mon, 1 Nov 2021 03:48:53 +0000

It worked out well, Hawaii turned out to be one of the best possible places I could have ended up working at. The state and its people have really been quite responsible and diligent in keeping the pandemic under control -- mostly.

Crasstalk : Rest Time Open Thread

Mon, 1 Nov 2021 03:14:13 +0000

I'm doing fine, signed up for this temp agency job with a hospital in Hawaii, for a contract that was supposed to be 6-months long. That was in March of 2020, right before the world exploded. I'm still here, although hopefully not for that much longer.

Crasstalk : Rest Time Open Thread

Mon, 1 Nov 2021 02:54:05 +0000

Halloween, when the dead visit the living. Braaaaiiiiiiinnnnnsss....

Crasstalk : Push It Along Open Thread

Fri, 15 Feb 2019 03:47:01 +0000

There are not that many primary care doctors that can manage to deliver personalized care in a modern "retail medicine" environment. For those that insist on trying, many burn out -- as one of my co-workers just did about two months ago. She was a very dedicated family medicine doc who I respected a great deal. She knew all her patients in detail, even the most complex ones. Actually, I should say ESPECIALLY the most complex ones. I've inherited about half her patients, and her finely detailed patient narratives are a marvel to behold. Back when I first started, I didn't see how it was possible for her to keep up with everything, and in the end it seems she couldn't -- by the time she departed, it was common for her to be 1-2 hours behind schedule by the end of the day, every day. Now, the highly efficient docs in the group? The ones who never catch grief from impatient parents in the waiting room, or from the administration wanting the late paperwork completed yesterday? Most of them produce the most disorganized pieces of crap, relying on the EMR to produce a perfectly bill-able but completely gibberish mess of auto-generated text, created from check-boxes and drop-downs. I've too often seen patient records where anything not auto-generated was simply strings of the same note cut-and-pasted with barely anything updated. Patient walks in, they do a quick exam based entirely on pattern-recognition, then slap the patient into a template. Your best bet for an medical experience with a personal touch? Well, there are "Concierge Medicine" doctors, who will give that sort of treatment, at a high price. To find someone who takes ordinary insurance though, you'll have to do a lot of searching to find someone not too ambitious, not too well advertised, practicing in some niche that's sheltered enough to allow that un-optimized style to survive. And oh yes, I turned in my 90-day resignation notice already as well. I'm quitting too.

Crasstalk : Winter Weekend Open Thread

Fri, 11 Jan 2019 23:23:46 +0000

Shit. I was giving a patient a referral to a urologist and didn't quite manage to suppress a giggle when I said "Dr. Whang".

Crasstalk : Baby Name Battle Royale - Round 1

Wed, 19 Dec 2018 14:42:36 +0000

What happens if the final is Clara vs. Clara?

This outcome is reserved for the "secret hidden evil twin sister" scenario.

Crasstalk : Chug Along Open Thread

Thu, 4 Oct 2018 12:11:37 +0000

Just reminding everyone, we are ALL gonne die.

I am soooo ahead of you guys, I've been dead inside for years. Dead before it was popular. Hipster Dead.

Crasstalk : Weekend Open Thread

Sun, 12 Aug 2018 15:03:13 +0000

I just open the door. I am not a risk taker in any way -- I just have relatively little instinct for self preservation.

Crasstalk : Humpty Open Thread

Thu, 9 Aug 2018 21:48:12 +0000

Oh good. Ciprodex is actually better than Cortisporin for a couple of reasons -- most significantly because of better safety profile in event of a perforated eardrum; also more convenient dosing schedule. It just happens to cost a whole lot more because it is brand-name only, so some insurances don't cover it. Did you get a copy of the manufacturer's copay assistance card for some savings? Note that some insurances are not compatible with copay assistance cards, most significantly Medicare and Medicaid. https://www.ciprodex.com/patients/ciprodex-otic-e...

Crasstalk : Humpty Open Thread

Thu, 9 Aug 2018 20:42:52 +0000

Uh, did I just say Polysporin-HC earlier? Sorry, I meant Cortisporin (Neomycin-Polymyxin B-Hydrocortisone).

Crasstalk : Humpty Open Thread

Thu, 9 Aug 2018 10:36:20 +0000

This is the version with hydrocortisone? Also, if your ear canals are swollen to the point where they are shit closed, you'll need ear wicks put in.

Crasstalk : Humpty Open Thread

Wed, 8 Aug 2018 23:25:11 +0000

I had a professor who did some clinical and epidemiological work on asbestos. He used to tell this story about one part of his research, how they quantified the asbestos fiber load in a deceased patient. During the autopsy, they'd remove the lungs and cremate them. Afterwards they'd sift through the ashes and recover a perfectly intact little pile of asbestos fibers, from some guy who might have worked in a shipyard or such, several decades ago.

Crasstalk : Humpty Open Thread

Wed, 8 Aug 2018 23:19:40 +0000

If you ever feel one coming on, a 50/50 combo of vinegar and rubbing alcohol works great. A couple drops in each ear after you swim really helps.

And much cheaper than the commercially prepared "Swimmer's Eardrops". But would not recommend using until after the current infection is resolved and ear canals are healed up, as the mix will probably be too irritating right now. Also, with regards to antibiotic/corticosteroid combination eardrops, Polysporin-HC is usually much cheaper than Ciprodex.

Crasstalk : Mid Week Open Thread

Wed, 18 Jul 2018 22:03:51 +0000

What's your favorite way to cook bacon?

Cut into cubes and braised, of course. https://en.wikipedia.org/wiki/Red_braised_pork_be...