How much medical management (HTN, diabetes, HLD, etc) do you do on inpatient psych? Did you do any of it as a resident (after off-service IM)?
Title (Source: Student Doctor Network)
Source: Student Doctor Network - April 15, 2022 Category: Universities & Medical Training Authors: psyspy Tags: Psychiatry Source Type: forums
POC Glucose for diabetics in outpatient setting
Currently practice in ASC where, by policy, all diabetics get a FS glucose check and generally canceled if FS >250.
Moving to outpatient hospital procedure suite.
How many of you are routinely checking FS glucose in diabetics?
Are you only checking in the setting of steroid injection?
What's your cutoff number to cancel the case?
Literature indicates that rise in BG is about 100 and lasts 2-3 days. (Source: Student Doctor Network)
Source: Student Doctor Network - March 26, 2022 Category: Universities & Medical Training Authors: NJPAIN Tags: Pain Medicine Source Type: forums
Question for Podiatry
When it comes to the “average” podiatrist practice how much of your practice is diabetic wound care? (Source: Student Doctor Network)
Source: Student Doctor Network - March 19, 2022 Category: Universities & Medical Training Authors: NDcienporciento100 Tags: Podiatry Students Source Type: forums
Osa out of hospital endoscopy
Hi
Ive been approached by an out of hospital premises i work at to help develop an osa protocol.
Does anyone know of any guidelines for this that are recent and practical?
Also should i ask to be renumerated for this work?
Ive already done the diabetic procotol and updated their anesthesia pathway and documentation for free...
It suited me to do so as its quite a lucrative sideline and the owner gives my choice of days so the situation isnt terrible
Thank you (Source: Student Doctor Network)
Source: Student Doctor Network - March 3, 2022 Category: Universities & Medical Training Authors: PpfSuxTube Tags: Anesthesiology Source Type: forums
Poly pharmacy and falls
Long story short, I had an older patient on sedating meds which I had been working to minimize. Last time I saw her she was having poor PO intake and I focused on enhancing that and getting her to be medically evaluated in the ER because she is also diabetic on insulin (which she did not follow through on, and it was telemedicine so I could not arrange direct transport). In hindsight I should have probably lowered her meds because blood levels could have been going up. She then proceeded to...
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Source: Student Doctor Network - February 20, 2022 Category: Universities & Medical Training Authors: meow1985 Tags: Psychiatry Source Type: forums
How to categorize virtual patient education?
Hi everyone, I am currently volunteering with a free clinic to provide virtual diabetes/nutrition education to Spanish Speaking patients. I give the presentation to the clinic's patients and also serve as an interpreter for the clinic's nutritionist. During these meetings, I get to really learn about the patients as they ask us different questions pertaining to their conditions (5 people max show up so essentially just hearing out patients and trying to help them with their nutrition and...
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Source: Student Doctor Network - February 5, 2022 Category: Universities & Medical Training Authors: conflicted0892 Tags: Pre-Medical (MD) Source Type: forums
Blood glucose level to cancel cataract surgery
Thoughts on this? What would be your BG range and cut-offs?
Recently I cancelled one whose BG was 400-500 mg/dL. Pt claimed to be compliant with all her diabetic medications. Talked to her PCP and found out she was lying and that she actually ran out of her humalog a month ago. No recent A1c.. given the hx I can assume her BG in the 400-500's range for the past month. Not the healthiest patient either, with CHF exacerbation in the last 3 months, known CAD, morbidly obese. Known history of...
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Source: Student Doctor Network - January 20, 2022 Category: Universities & Medical Training Authors: coffeebythelake Tags: Anesthesiology Source Type: forums
Simplifying medications for people with type 2 diabetes
(Source: BMJ Comments)
Source: BMJ Comments - December 13, 2021 Category: General Medicine Source Type: forums
The role of geriatricians in deintensifying treatment for diabetes
(Source: BMJ Comments)
Source: BMJ Comments - November 22, 2021 Category: General Medicine Source Type: forums
AMA releases document on appropriate language and health equity
https://www.ama-assn.org/system/files/ama-aamc-equity-guide.pdf
The AMA recently released this equity guide focused on how words nobody finds problematic are now problematic. For example, the term "diabetic" is dehumanizing - the correct term is "person with diabetes." I wonder if this was concluded after surveying diabetics and finding that the majority consider the term dehumanizing, or because a small handful of academics decided it was. The term "whitelist" or "blacklist" is also...
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Source: Student Doctor Network - November 11, 2021 Category: Universities & Medical Training Authors: TehTeddy Tags: Medical Students (MD) Source Type: forums
Modifier 25 use question- example
I'm having a debate with another pod buddy of mine regarding use of a 25 modifier in this situation-
A patient returns to your office your treatment of a his diabetic foot ulcer. You perform a debridement and after you measure you realize that the wound hasn't progressed. You evaluate the patient's shoe gear and the rest of the limb for any ASOI or ischemic changes. You call the patient's home nursing service and give new orders verbally.
My belief is that all you can bill for is the...
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Source: Student Doctor Network - November 4, 2021 Category: Universities & Medical Training Authors: king22 Tags: Podiatric Residents & Physicians Source Type: forums
Ten-year follow-up of sitagliptin treatment in patients with type 2 diabetes mellitus
Early and effective intervention with a dipeptidyl peptidase 4 inhibitor (DPP4i) before the development of advanced atherosclerosis in type 2 diabetes mellitus (T2DM) patients without a history of cardiovascul... (Source: Diabetology and Metabolic Syndrome Comments)
Source: Diabetology and Metabolic Syndrome Comments - October 24, 2021 Category: Endocrinology Authors: Sachiko Hattori Tags: Short report Source Type: forums
When do you pull the tube?
Please vote before seeing the comments so we can get the best data possible. Please also keep the first 20 posts free of comments that would influence people too much. Thanks!
Given the situation:
43 M
Dx: Osteoarthritis
Surgery: Knee replacement
PMH
HTN, HLD,
Diabetes with A1C of 7.2 on meds well controlled for the last 3 years he's been diagnosed,
BMI 30, Height: 5'11" Weight: 215
NPO for 12 hours
MP 2 airway with slightly thick neck but maskable with oral airway.
Pt asked you to do...
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Source: Student Doctor Network - October 9, 2021 Category: Universities & Medical Training Authors: dchz Tags: Anesthesiology Source Type: forums
When do you "break the global"
https://www.cms.gov/outreach-and-education/medicare-learning-network-mln/mlnproducts/downloads/globallsurgery-icn907166.pdf
You're on call. A new patient shows up your list - admitted septic overnight. Some sort of forefoot gangrene, meth injecting, diabetic, vasculopath, smoker train wreck. Or perhaps another DPM already took a crack at a partial amp or toe amp and the whole thing fell apart (and they don't have priviledges at your hospital or the patient was transfered to you...
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Source: Student Doctor Network - September 14, 2021 Category: Universities & Medical Training Authors: heybrother Tags: Podiatric Residents & Physicians Source Type: forums
Retake GCSE for medicine?
Thread Starter
Retake GCSE for medicine?
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Source: The Student Room - July 31, 2021 Category: Universities & Medical Training Authors: GANFYD Tags: Medicine Source Type: forums
