What is most revenue-generating?
Revenue generation in medicine is pretty opaque and not straightforward, but I'm curious if anyone knows what makes the most money for the hospital/medical system on average. Specifically, I'm interested in medical subspecialties only, and finding out what is the most revenue-generating and/or profit-maximizing in the inpatient and outpatient settings. I'm guessing these would be procedures like cardiac stents, endoscopies, or bone marrow transplants? Is there a way this information can be...
Read more (Source: Student Doctor Network)
Source: Student Doctor Network - May 17, 2023 Category: Universities & Medical Training Authors: Duke1K Tags: Internal Medicine and IM Subspecialties Source Type: forums
First week of heme onc fellowship, feeling overwhelmed
Anyone else get this feeling? I just completed first week of fellowship in the bone marrow transplant unit. Feel completely overwhelmed and stupid. Feel like I don’t know anything and all the acronyms and stuff the attending mentions all sound like a foreign language to me. Is this normal or am I behind? (Source: Student Doctor Network)
Source: Student Doctor Network - July 9, 2021 Category: Universities & Medical Training Authors: osprey099 Tags: Hematology / Oncology Source Type: forums
Bone pain?
I have a late 30's female patient with a history of leukemia (bone marrow transplant, chemo, nephrectomy), who has lateral hip and thigh pain. Unilateral pain. No obvious exacerbating or alleviating factors. Moderate to severe intensity, constant.
She's got femoral diaphysis infarctions, several of them, and they match up exactly where she hurts. The lateral hip distribution isn't the main focus, it is the proximal and lateral thigh.
She's got buttock pain as well, which was positive on...
Bone pain? (Source: Student Doctor Network)
Source: Student Doctor Network - July 13, 2020 Category: Universities & Medical Training Authors: SommeRiver Tags: Pain Medicine Source Type: forums
31yo Stg IV Lymphoma Pt with h/o opioid abuse and psych history
Was on opioids previously for various pains, but became addicted and overtook and used her friend's pills etc
H/o ER admission for suicidality, withdrawl, etc.
Coming to see me monday
Currently on Norco 5's 2 tablets every 4 hours for what she describes as diffuse bony pain.
PET scan shows lypmh nodes lighting up in the neck/mediastinum/groin
On high dose chemo and going to undergo bone marrow transplant after it.
What would you do?
Appreciate in advance any advice in this delicate...
31yo Stg IV Lymphoma Pt with h/o opioid abuse and psych history (Source: Student Doctor Network)
Source: Student Doctor Network - April 20, 2018 Category: Universities & Medical Training Authors: Timeoutofmind Source Type: forums
NBME 16 the unsolvables
Answer and please explain if you did get them right >.<|||
3) 28. 27 y/o with hodgkins gets bone marrow transplant. two weeks after transplant, develops an erythematous, maculopapular rash, diarrhea, and elevated serum liver enzymes and bilirubin. no evidence of infection or drug reaction found. what's the mechanism of these symptoms? It’s graft vs host so answer should be c right?
a-donor macrophages secreting cytokines and affecting host cells
b-donor plasma cells ellaborating...
NBME 16 the unsolvables (Source: Student Doctor Network)
Source: Student Doctor Network - July 19, 2016 Category: Universities & Medical Training Authors: fatwalletuab Source Type: forums
Ribavarin, BMT and nicardipine
Anyone have any experience using this drug in bone marrow transplant patients? I have an adult in my unit now the peds onc guys refuse to pass on to the adult service who's got RSV. She had been getting aerosolized ribavirin, but then we had to intubate her. Onc is pushing us to continue the treatments, but the stuff gums up his ETT and she becomes impossible to ventilate. If you do use it, how do you protect your vents from the particles?
A totally random aside question: do you consider nicardipine a negative inotrope in adult patients? (Source: Student Doctor Network Forums)
Source: Student Doctor Network Forums - June 3, 2013 Category: Universities & Medical Training Authors: Stitch Tags: Critical Care Source Type: forums
