I just finished my second family medicine rotation and it's just so ass-backwards because if we could give them the medication they need, they won't end up in hospitals/ICUs/long term care facilities/etc. The new medications are incredible drugs and can vastly improve the quality and quantity of life for patients with diseases like diabetes, heart failure, renal failure, and more...if the patients can afford them, which they frequently cannot.
medgremlin
joined 9 months ago
It's appalling how much we have to alter treatment plans based on Medicare rates. If someone doesn't have a supplement plan, they probably won't be able to afford the new medications that are MASSIVE improvements on the old ones. It's so frustrating to have to try to cobble together a treatment regimen for congestive heart failure or type 2 diabetes without being able to use the new medications because Medicare doesn't cover enough of the cost for the patient to be able to afford it. It also affects how long a patient can be hospitalized and figuring out the requirements to make sure they qualify for rehab after hospitalization is aneurysm-inducing.
Our water is polluted enough as it is. I will always advocate for yeeting the rich....into volcanoes.
I just get stuck on the interview I saw with her where she said she only accepted the payment so that there would be a paper trail that would make it harder to have her killed. She was legitimately afraid that she was going to get murdered on his orders if she didn't have some kind of collateral or receipts.
I'm so sad that Kamala stole our governor. He's going to be really good for the country as a whole, but he was ours!
The one my husband gave me is Nenya without the stones. It's just the 6 petaled flower in white gold.
I got my husband an engagement watch. It's an analog watch with a 24 hour dial, and it was very hard to find. He was delighted (especially since the ring he was getting made for me was delayed by about 4 months because of Covid)
I think the other part of it is that something like a full colonoscopy is a lot safer if the patient isn't moving at all given that one of the biggest and most serious risks is poking a hole through the colon with the camera.
That sounds more like a waking sedation. Those will get used in American medicine if it's just a sigmoidoscopy (the last bit of the rectum and colon), but for a full colonoscopy, they really prefer to conk you out a bit more than that.
The ones I observed with my attending physician were using twilight sedation with propofol, and I think they got small doses of fentanyl to manage discomfort/pain during and right after the procedure. The propofol lets them knock you out for a while without putting you under so much that they have to intubate. (That is anesthesia's job though, so it might be recorded differently on your records)
I'm a third year medical student in the Midwest. I'm aiming to do my residency in Minnesota, either Emergency Med or Family Med because apparently I like doing social work and hate my sanity or something.