I have a protocol - happy to share!

AMB REF: E-consult PALL CARE ONC
Reason for consult: let's do this bup thing

Yes. We use bup all the time for chronic pain if trying to decrease OME, but depending on how high it was prior, have faster and slower options to microinduce (I usually do with films to have more control).

They covered the $100 CPT code for vaccine administration - none of the cost of the actual vaccines.

Agreed - I happened to be on vacation, so that wasn’t possible. I did try to complete the series with them, but couldn’t - was told PCPs don’t stock it, as it’s not often needed - told to go to the ER.

Compared with many, this is a small bill. But CONTRACTING RABIES would be $$$, and the vaccine/Ig are the recommended post-exposure prophylaxis immediately after event. How would you prefer I had obtained that?

I'm a doctor. Our healthcare system is broken. #medsky (2/2)

My personal beef is that we order the MOST restrictive diet (cardiac, consistent carb, renal, etc) and then adjust the insulin/diuretics/phos binders to that, knowing the pt will leave the hospital and eat whatever they want. Better to liberalize the diet and work to make the meds fit their life!

And Med-Peds is owned by some random guy!

Here I’ve moved! I feel like the worst part of this is trying to find people to summarize me the breaking articles all over again…

This resonates 😂