Probably 50/50 neuro and IR. Hospitalist service essentially 0%

But the IM or ICU resident will have the neurohospitalist supervise them so they can still do the procedure.

My DC template has a pre-fab highlighted box with the following:

Home meds changed?
New meds given?
Follow up labs needed?
Incidental findings?

Between that at the top and my 1-2 paragraph hospital summary, that's all you need. The rest is coding/billing garbage.

The skeptical cardiologist also has a nice post on the topic

open.substack.com/pub/theskept...

It also amazes me that we generally don't have a goal of care discussion before starting a restricted diet, like a thickened liquids diet order. Rather, it is an auto-pilot reflex order placed with little thought by the ordering clinician about the long-term implications on the quality of life.

I will never not be perplexed by the fact that we say we value informed consent in medicine, but practice over-the-top paternalism w food in the hospital by often refusing to order the kind of diet the patient (or family) requests, even after discussion. It’s even worse outside end-of-life care.

Also, good karma immediately came my way in the form of some jollof rice from one of the best floor nurses.

it's the purest form of the internet----so great and also so gross.

I'm here 100% for the critical appraisal. You are one of the elites for that, and I hope you are able to keep it up! Here, there, or anywhere 😄

Reddit is such a special place 😆