Ugh…strong work man.
Few understand how heavy such a task is to the clinician.
I’ve only pushed TPA once as a rural medicine overnight ED locums doc as a radiology resident (rural MN…there are a few hospitals in driving distance of a famous clinic in SW MN where I trained). While uneventful & straightforward, it was a harrowing decision.
Yes, that’s why we ⚡️ ing & 🫂 ing 🐸 so much today. Tough stuff.
Sadly not that fixable kind of CVA.
Ooooo frog 🐸🥺😢 🫂
Yeah, neither was mine. TPA didn’t help didn’t hurt. Bought me a helicopter though, which was almost a community event :)
I had a CT PE study put it the ED. Indication “chest wound.”
Massive exophytic & ulcerative breast cancer with regional nodal Mets and widespread nodal, pulmonary, & bone mets. So sad…
Wow, hearing this makes me even more grateful and thankful every single day 🫂
cancer EVERYFUCKINGWHERE it seems these days 😭
That is not good😔
Rural med revs up the nerves no doubt!
I had a kid with a benign but locally aggressive intra-orbital mass…and a metric shit-ton of medical bills.
I sold 100 bitcoin to make a mortgage payment and started locums to make ends meet during residency.
Fuck man. I’m sorry about your baby. Fuck the 🌽 that’s what it’s for. That’s rough seeing any kid go through that but especially your own. 🫂
$4 drug at Walmart fixed it.
https://www.nejm.org/doi/full/10.1056/NEJMc0708819
I had to take her to Chicago after the clinic wouldn’t treat her with what was then new medicine.
But as this $4 drug destroyed many careers in pediatric ophthalmology & neuro-ophthalmology, they had to invent some bullshit syndrome just in time to justify almost $100,000 in cardiology and radiology imaging to compensate themselves for lost surgery revenue.
OMG insane 👀
Everything relating to the modern healthcare system scares me so much. Sad to say that my default is not to trust a single word that any healthcare professional says until they prove to me that they are actually logically discerning what is best for patients. So much corruption, and often it seems there are many good individuals that are stuck in a backwards system where they don’t realize how much they are impeding real health advice and treatments
Welcome to medicine. Where money cloud judgements & institutions
A decent physician should be able to communicate the rationale and level of certainty for any diagnosis & treatment regimen.
For my daughter, the recommendation was intralesional vincristine injection…the rationale for rejecting propranolol was only 2 years of global experience with the drug…we thanked them for their opinion and left for an institution with better thought’s & recommendations…albeit they fleeced us.
Luckily you understood it all, to the normal plebs like us..what the hell do we know!
The tought of your child requiring « Intralesional vincristine » must have cause many a nightmare. 🙏🏻
Well, it was the small chance of bilateral blindness that was terrifying.
We were willing to tell the famous docs that we were going to a less known children’s hospital for newer and therefore less well tested care. But the totally obvious superiority of propranolol clearly didn’t have double blind placebo controlled proof…a good example of “proof” not being necessary when obvious.
OMG that must have been so difficult! hope your baby is ok now 🙏🏻
She is fine. $100,000 in medical charges, most of which I realize now was total bullshit, which cost me just shy of $15,000 due to in and out of network charges for three insurance plan-years in an 8 month span (…doctor years start July 1 and generally don’t do internship at the same institution as radiology residency)…
Today she’s beautiful, sees great from both eyes, and just turned 12 on a family trip to Israel this past summer.
I’d be about 100 btc richer had it not been for being fleeced by my future peers as a poor resident, but I wasn’t so stupid as to part with all my mined coin…
A sick child is one of the worse experiences in life 💔
Indeed, for the past 10 years my company and I have committed to raising funds for the our local paediatrics department at our local hospital. My son has been there years ago so it feels good to be able to give back to the community and kids 💜
