Hi, I ’ m an Attending and I am READY to Complain About Billing.
I barely knew anything about billing before becoming an attending – the only tidbits I knew were: 1) there are levels 2) gotta have a certain number of systems in your ROS with at least 2 specifics per system 3) the reason I document “fundoscopic exam: unsuccessful” in a 7 month old instead of deleting the line like a sensible person who understands 7 month olds has something to do with min-maxing billing, and 4) ED charts say “MDM” a lot.
These are the charts our coders gave me during my 10 minute billing orientation:
So that’s good – theoretically I should be able to just consul...
Source: Action Potential - September 17, 2019 Category: Universities & Medical Training Authors: Action Potential Tags: Uncategorized Source Type: blogs
Hi, I ’m an Attending and I am READY to Complain About Billing.
I barely knew anything about billing before becoming an attending – the only tidbits I knew were: 1) there are levels 2) gotta have a certain number of systems in your ROS with at least 2 specifics per system 3) the reason I document “fundoscopic exam: unsuccessful” in a 7 month old instead of deleting the line like a sensible person who understands 7 month olds has something to do with min-maxing billing, and 4) ED charts say “MDM” a lot.
These are the charts our coders gave me during my 10 minute billing orientation:
So that’s good – theoretically I should be able to just consul...
Source: Action Potential - September 17, 2019 Category: Universities & Medical Training Authors: Action Potential Tags: Uncategorized Source Type: blogs
So I ’ m a fellow now
I always “knew” that I was going to be the nice fellow. Partly because I’ve had some terrible experiences with fellows during residency (which I’m still salty about, by the way. I mean, listen, there is never a scenario where I, as an intern, am ‘deciding’ to consult you. The intern is just doing what they were damn well told) – but mostly because I figured I didn’t know anywhere near enough about pediatric neurology to be mean or even a wee bit testy.
… I was perhaps wrong.
This gradual realization reminds me of being an intern and “knowing” that I was goin...
Source: Action Potential - December 15, 2017 Category: Universities & Medical Training Authors: Action Potential Tags: Uncategorized Source Type: blogs
So I ’m a fellow now
I always “knew” that I was going to be the nice fellow. Partly because I’ve had some terrible experiences with fellows during residency (which I’m still salty about, by the way. I mean, listen, there is never a scenario where I, as an intern, am ‘deciding’ to consult you. The intern is just doing what they were damn well told) – but mostly because I figured I didn’t know anywhere near enough about pediatric neurology to be mean or even a wee bit testy.
… I was perhaps wrong.
This gradual realization reminds me of being an intern and “knowing” that I was goin...
Source: Action Potential - December 15, 2017 Category: Universities & Medical Training Authors: Action Potential Tags: Uncategorized Source Type: blogs
Acute Strokes: Peds vs Adults – Everything You Need To Know
Pediatric strokes: “Heparin first, ask questions later.”
Adult strokes: “Guns don’t kill people. Heparin kills people.” (Source: Action Potential)
Source: Action Potential - November 9, 2016 Category: Universities & Medical Training Authors: Action Potential Tags: Uncategorized Source Type: blogs
Acute Strokes: Peds vs Adults – Everything You Need To Know
Pediatric strokes: “Heparin first, ask questions later.”
Adult strokes: “Guns don’t kill people. Heparin kills people.” (Source: Action Potential)
Source: Action Potential - November 9, 2016 Category: Universities & Medical Training Authors: Action Potential Tags: Uncategorized Source Type: blogs
Differences Between Pediatrics and Adults
I am making a comprehensive list of excuses perfectly good reasons for why I, a senior pediatric resident (fearless leader of interns! attending in the making! resident of the month x 3! winner of a multitude of teaching awards given by med students!) – make a terrible adult neurology intern.
1: Adults with normal potasasium.. need more potassium. In peds, we are pretty much cool with anything over 3.2, and super scared of any number that starts with 5.
So in adult medicine this year, it wasn’t until the 3rd time I got a sign-out of “His K was 3.6, so we repleted IV” and reacted incredulously an...
Source: Action Potential - September 16, 2016 Category: Universities & Medical Training Authors: Action Potential Tags: Uncategorized Source Type: blogs
My First Week of Adult Neurology
Monday:
Attending: So! Dr Action Potential, what AED would you like to initiate?
Me: Keppra.
Attending: Correct. And why?
Me: Because… because the answer is always Keppra.
Attending: Correct.
Wednesday:
Attending: So we all agree that the patient’s seizures are not well-controlled on Keppra. Dr Action Potential, what is at the top of your differential diagnosis?
Me: … not enough Keppra.
Attending: Interesting! So what would be your recommended course of action?
Me: … give more Keppra.
Attending: Correct.
Friday:
Attending: Aha! You see, in THIS patient, we find ourselves confronting a new ...
Source: Action Potential - July 12, 2016 Category: Universities & Medical Training Authors: Action Potential Tags: Uncategorized Source Type: blogs
Things I learned in Pediatrics (Now that I ’ m done forever)
The family rarely needs you to be their friend. As a general rule, the family has a lot of friends. What they really need is someone who looks grave and important, who looks like they know what they’re doing, right there at the bedside, telling them exactly what’s wrong and what is going to happen.
I mean, it doesn’t hurt to be a nice person. That’s great as long as everything’s going according to plan and the patient isn’t actually sick. Your intern can be the nice person. But the most important thing I learned in residency is that when shit goes down, all anybody wants for their loved...
Source: Action Potential - June 20, 2016 Category: Universities & Medical Training Authors: Action Potential Tags: Uncategorized Source Type: blogs
Things I learned in Pediatrics (Now that I ’m done forever)
The family rarely needs you to be their friend. As a general rule, the family has a lot of friends. What they really need is someone who looks grave and important, who looks like they know what they’re doing, right there at the bedside, telling them exactly what’s wrong and what is going to happen.
I mean, it doesn’t hurt to be a nice person. That’s great as long as everything’s going according to plan and the patient isn’t actually sick. Your intern can be the nice person. But the most important thing I learned in residency is that when shit goes down, all anybody wants for their loved...
Source: Action Potential - June 20, 2016 Category: Universities & Medical Training Authors: Action Potential Tags: Uncategorized Source Type: blogs
Things I learned in Pediatrics (Now that I’m done forever)
The family rarely needs you to be their friend. As a general rule, the family has a lot of friends. What they really need is someone who looks grave and important, who looks like they know what they’re doing, right there at the bedside, telling them exactly what’s wrong and what is going to happen.
I mean, it doesn’t hurt to be a nice person. That’s great as long as everything’s going according to plan and the patient isn’t actually sick. Your intern can be the nice person. But the most important thing I learned in residency is that when shit goes down, all anybody wants for their loved...
Source: Action Potential - June 20, 2016 Category: Universities & Medical Training Authors: Action Potential Tags: Uncategorized Source Type: blogs
Me in The Pediatric ER
… faced with a waiting room full of “Congestion” “runny nose x 3 days” “fever of 99” “bumps on tongue” “needs stitches removed” “father wants him drug tested” and “sneezed twice and the second time green mucous came out of nose” (Source: Action Potential)
Source: Action Potential - June 2, 2016 Category: Universities & Medical Training Authors: Action Potential Tags: Uncategorized Source Type: blogs
10 Things Med Students Shouldn ’ t Do
This is my first year of being a senior resident and it is only January; and yet I have seen all these things happen.
Sadly, this has all led me to the grim realization of why I got such good evals as a medical student: it wasn’t because I was some sort of social genius. (And yes, I really thought I might have been a social genius.) No, it was because I did not do the following things, ALL OF WHICH I HAVE SEEN WITH MY OWN EYES.
Seriously, if you don’t do these things, don’t worry. You will be fine. Your residents will love you.
Do not claim to be late to rounds because you had a “Cat medical eme...
Source: Action Potential - January 26, 2016 Category: Universities & Medical Training Authors: Action Potential Tags: Uncategorized Source Type: blogs
10 Things Med Students Shouldn ’t Do
This is my first year of being a senior resident and it is only January; and yet I have seen all these things happen.
Sadly, this has all led me to the grim realization of why I got such good evals as a medical student: it wasn’t because I was some sort of social genius. (And yes, I really thought I might have been a social genius.) No, it was because I did not do the following things, ALL OF WHICH I HAVE SEEN WITH MY OWN EYES.
Seriously, if you don’t do these things, don’t worry. You will be fine. Your residents will love you.
Do not claim to be late to rounds because you had a “Cat medical eme...
Source: Action Potential - January 26, 2016 Category: Universities & Medical Training Authors: Action Potential Tags: Uncategorized Source Type: blogs
10 Things Med Students Shouldn’t Do
This is my first year of being a senior resident and it is only January; and yet I have seen all these things happen.
Sadly, this has all led me to the grim realization of why I got such good evals as a medical student: it wasn’t because I was some sort of social genius. (And yes, I really thought I might have been a social genius.) No, it was because I did not do the following things, ALL OF WHICH I HAVE SEEN WITH MY OWN EYES.
Seriously, if you don’t do these things, don’t worry. You will be fine. Your residents will love you.
Do not claim to be late to rounds because you had a “Cat medical eme...
Source: Action Potential - January 26, 2016 Category: Universities & Medical Training Authors: Action Potential Tags: Uncategorized Source Type: blogs
