u/MikeGinnyMD

October is the best month to be a pediatrician.

-PGY-22

RANT/

4yo patient new to me. CP, doesn't walk. Still in diapers. Markedly delayed/intellectually disabled (BTW, I wish they'd update the ICD-10s/IMOs because "mental retardation" is an outmoded term and it's still the one I have to use on the problem list).

NOBODY at her prior practice had thought to order a PT referral. NOBODY at her prior practice had prescribed a wheelchair, walker, or stroller. NOBODY had done an OT referral. NOBODY had offered to prescribe diapers. I was honestly appalled.

By the end of the visit, her mom was looking at me like I was some sort of saint as I put in referral after referral after referral and DME orders. As for me, I just got more and more horrified through the whole visit. This mom is ready to cry tears of joy because I did what I consider to be the bare minimum of my job. But really what happened is that someone had dropped the ball really badly and her mom had just accepted that as par for the course.

I don't get it. You don't do Pediatrics for prestige, money, or power (if you did, someone really failed at giving you career advice). There is one reason to do this job and that's because you care about kids. So why are you doing this if you're going to suck at it?

/rant

-PGY-22

Yes, another day in Pediatrics clinic. This is the sound of disease being stamped out.

And then I wonder why my last audiology test wasn't exactly normal. No, it wasn't the raves I went to in my 20s. It's the children screaming in my ear. My Apple Watch gives me a volume warning at least twice a week.

-PGY-22

"...but what about Second Distance Day?"

I'm so tired.

“May your child discover the harmonica.”

Send help. I believe bourbon counts as help.

He has a 3wk brother.

It’s AUGUST.

Where is my hiding rock? I’ll see you all in May.

Do you know what happened last time I had a flu in August? The CoV-2 pandemic.

-PGY-22

He has a 3wk brother.

It’s AUGUST.

Where is my hiding rock? I’ll see you all in May.

Do you know what happened last time I had a flu in August? The CoV-2 pandemic.

-PGY-22

I've noticed a pattern of Dermatologists prescribing econazole 2% cream for simple superficial fungal infections, like tinea pedis (this was an incidental finding on one of my patients at a Derm visit for a different reason).

Is there something about econazole that makes it superior to clotrimazole? I usually reach for clotrimazole or terbinafine topical for tinea or for intertrigo.

-PGY-22

So we are flying AF from SFO to CDG to ELC ALC on Friday. I usually get a little gift of See's chocolates for the crew before a flight like this and it's usually very appreciated.

But with AF, I feel like giving an AF crew chocolate is like carrying coals to Newcastle. Although, I once gave an LH crew See's chocolates and they were very appreciative, so maybe I'm overthinking this.

Any ideas for alternative gifts? They need to be able to fit in my backpack. They need to be TSA-happy. They should be the kind of thing the crew can share.

Or do I just stick with the See's?

EDIT: I can type god. I promis.

I just opened Google Maps and it's red with red/white indicating a closure. It won't affect me right now but I hope whatever it is, it's cleaned up by quitting time for me (5P).

Anyone know what's going on?

UPDATE: It does seem to be clearing. Maybe it was just a bad crash.

If there is one bit of advice I’d give you it’s this: don’t try to impress your new colleagues, seniors, or attendings today or ever.

Just do what you’re told, ask questions, and be ready to learn. As the year progresses, you’ll learn how to accomplish different tasks and when to do so. That’s how you impress people.

-PGY-22

I have some very nice Japanese chef knives and they need sharpening. I’d like a place that will sharpen them in expert fashion while I wait (sorry; can’t go without my knives for three days).

Any recommendations?

The formal recommendation is not to open them because the powder can be an ocular irritant. If I tell the parents about this, what do we think of opening the capsules and sprinkling the contents on some apple sauce? I do know it also comes as an oral suspension, but the insurance won't cover it.

-PGY-21

The formal recommendation is not to open them because the powder can be an ocular irritant. If I tell the parents about this, what do we think of opening the capsules and sprinkling the contents on some apple sauce? I do know it also comes as an oral suspension, but the insurance won't cover it.

-PGY-21

The formal recommendation is not to open them because the powder can be an ocular irritant. If I tell the parents about this, what do we think of opening the capsules and sprinkling the contents on some apple sauce?

-PGY-21

I'm a doctor (the UO weighed in on abortion and determined that the fetus is viable once it graduates from medical school) and my medical assistant is Filipina.

A beloved colleague is leaving tomorrow and we're doing brunch for her. I was going to bring bagels and my medical assistant (MA) asked me for blueberry bagels and strawberry schmear (I work in a region where there are maybe ten Jews, so Einstein is the closest to authentic bagels we get unless I want to make them from scratch).

So my question to this group is whether I need to be machmir and release the shedim on her (or space lasers, which must be the modern equivalent) or whether I should show some rachamim.

My bubbe, may her memory be a blessing, would plotz if she heard about this. Oy vey.

What have you done to deserve a CPS call today?