Dr PayItBack
@drpayitback.com
Anesthesiologist ➡️ Interventional Pain. I used to blog and post about money stuff.
CPR is approved for moderate to severe ventricular fibrillation. Ask your doctor if CPR is right for you.
November 14, 2025 at 1:57 AM
CPR is approved for moderate to severe ventricular fibrillation. Ask your doctor if CPR is right for you.
Reposted by Dr PayItBack
Doctor LLMs don't want you to know this one weird trick
November 13, 2025 at 11:13 PM
Doctor LLMs don't want you to know this one weird trick
Getting a picture of the spine and being surprised that it says “degenerative change” is like being surprised that it says “bones”
November 11, 2025 at 11:45 AM
Getting a picture of the spine and being surprised that it says “degenerative change” is like being surprised that it says “bones”
Reposted by Dr PayItBack
i think we should show a little more gratitude for artificial preservatives. food not going bad so quickly rocks
November 1, 2025 at 7:48 PM
i think we should show a little more gratitude for artificial preservatives. food not going bad so quickly rocks
PCP has pt on 4 agents for sleep/RLS…has never checked iron…ferritin of 6…what are we doing chat
October 23, 2025 at 12:07 AM
PCP has pt on 4 agents for sleep/RLS…has never checked iron…ferritin of 6…what are we doing chat
PCP’s A.I. scribe turns “degenerative disc disease at the L3-4 level” to “one of his lumbar discs is three-quarters damaged”
This shit literally may make me leave the profession.
This shit literally may make me leave the profession.
October 21, 2025 at 10:05 AM
PCP’s A.I. scribe turns “degenerative disc disease at the L3-4 level” to “one of his lumbar discs is three-quarters damaged”
This shit literally may make me leave the profession.
This shit literally may make me leave the profession.
Reposted by Dr PayItBack
bit of an eccentric opinion but i believe everyone should know the phonetic alphabet and i think everyone should start shouting in it a half millisecond after anyone mishears anything
October 20, 2025 at 1:20 PM
bit of an eccentric opinion but i believe everyone should know the phonetic alphabet and i think everyone should start shouting in it a half millisecond after anyone mishears anything
What an interesting and nuanced strategy that I am sure has been consistent across many diverse situations.
October 18, 2025 at 8:46 PM
What an interesting and nuanced strategy that I am sure has been consistent across many diverse situations.
Public school bus drivers are the best patients and possibly the best people I interact with on a regular basis.
October 16, 2025 at 10:39 AM
Public school bus drivers are the best patients and possibly the best people I interact with on a regular basis.
What is the life expectancy for ESRD + bipolar disorder + persistent cocaine use
October 10, 2025 at 4:23 PM
What is the life expectancy for ESRD + bipolar disorder + persistent cocaine use
Reposted by Dr PayItBack
its so funny to feed your body stuff like Hard Seltzer and Smart Ones and Cheez-It and then act like it's betraying you when you reach the outcome you've requested
October 10, 2025 at 2:34 AM
its so funny to feed your body stuff like Hard Seltzer and Smart Ones and Cheez-It and then act like it's betraying you when you reach the outcome you've requested
Philadelphia should probably give up on the whole “sports” thing.
October 10, 2025 at 2:16 AM
Philadelphia should probably give up on the whole “sports” thing.
New healthcare model to reduce burnout involves replacing patients with A.I.
October 9, 2025 at 11:14 AM
New healthcare model to reduce burnout involves replacing patients with A.I.
Primary care NP referred a bedbound 94yo patient w tailbone pain to me telling them they would get a steroid shot, does the class have any guesses what a physical exam demonstrated as the cause of their pain?
October 2, 2025 at 8:51 PM
Primary care NP referred a bedbound 94yo patient w tailbone pain to me telling them they would get a steroid shot, does the class have any guesses what a physical exam demonstrated as the cause of their pain?
Stop trying to give people healthcare. They don’t want healthcare. They would rather kill you where you stand than have healthcare.
October 2, 2025 at 4:25 PM
Stop trying to give people healthcare. They don’t want healthcare. They would rather kill you where you stand than have healthcare.
Reposted by Dr PayItBack
slightly ominous mailer from the Red Cross
October 1, 2025 at 7:24 PM
slightly ominous mailer from the Red Cross
I’ll tell you one thing, I would never get killed by listeria
October 1, 2025 at 9:35 PM
I’ll tell you one thing, I would never get killed by listeria
My most conservative opinion is that if you are a grown adult, I expect you to know why you are taking any medication you are taking.
September 30, 2025 at 8:23 PM
My most conservative opinion is that if you are a grown adult, I expect you to know why you are taking any medication you are taking.
i doordashed buffalo wild wings to my medbed but it incorporated them into my body like the fly
September 28, 2025 at 2:57 PM
i doordashed buffalo wild wings to my medbed but it incorporated them into my body like the fly
AI scribes are great bc instead of an assessment and plan you have a gobbledygook paragraph summarizing the patient’s thoughts on what is wrong with them “the patient can feel her disc coming out her skin” okay good thank you
September 26, 2025 at 5:08 PM
AI scribes are great bc instead of an assessment and plan you have a gobbledygook paragraph summarizing the patient’s thoughts on what is wrong with them “the patient can feel her disc coming out her skin” okay good thank you
There are special pills your doctor won’t give you. Special pills that only help, with no risk. They won’t give them to you because they hate you. If you research them on the internet and ask for them, then they will give them to you.
September 26, 2025 at 12:47 AM
There are special pills your doctor won’t give you. Special pills that only help, with no risk. They won’t give them to you because they hate you. If you research them on the internet and ask for them, then they will give them to you.
Please don’t put “electrocution” in the past medical history of an alive person
September 24, 2025 at 12:27 PM
Please don’t put “electrocution” in the past medical history of an alive person
If you put an allergy to contrast dye on someone’s chart that says “elevates blood pressure”, I assume that you hate them and want them to die.
September 23, 2025 at 10:38 AM
If you put an allergy to contrast dye on someone’s chart that says “elevates blood pressure”, I assume that you hate them and want them to die.
What’s the deal w bird watchers
You just pick an animal and watch it
What’s up w that, why
You just pick an animal and watch it
What’s up w that, why
September 21, 2025 at 12:19 AM
What’s the deal w bird watchers
You just pick an animal and watch it
What’s up w that, why
You just pick an animal and watch it
What’s up w that, why
I’ve been put on a PIP that involves me never saying “impossibly thin iPhone Air” to a patient
September 20, 2025 at 1:38 AM
I’ve been put on a PIP that involves me never saying “impossibly thin iPhone Air” to a patient