Memes of Podiatry

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Crayola227 said:
30,000 feet... who else you wanna call?? (Get it?)
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Not Ghostbusters! This MD clearly doesn’t know about the real “emergencies” at 2am…
Paging @air bud for an urgent VA toe amp meme consult

D

Post in: 'You’ve been made, all 10 of you'

podgal2003 said:
My goodness you guys are entertaining… you know, as well as I do that many providers in our profession, VA and non-VA, deal with a high levels of comorbidity. There are just as many VA and non-VA that have positioned themselves where they don’t deal with life and death situations. The profession provides options that allow exposure to the full scope of care according to the individuals desires. This is what APMA points to, the ability to shape your career in a way that limits your exposure to seriously ill patients. Transplant and other surgeons as well as many of the medical...
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Hybrocure said:
Not gonna lie I went looking into the dental forum today to see if they have a meme thread. They don’t. Instead their bad jobs are working 10 days a month for 250k.

Be wary if you seek to gaze into the abyss
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Dental forum doesnt have memes. Just endless W-2 screenshots, existential dread from too many days with their wives, and nonstop complaints that golfing 20 days a month somehow still isn’t enough
 
amoxicillin_resistant said:
View attachment 406818
does this count as a podiatry meme? it says the word “toes” u guys like toes right
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Patient comes in with “Painful Eyes Moving TOES Syndrome”
Podiatry: “Time to schedule a 2am toe amp.”
Ophtho: “Sounds like an urgent eye consult.”
Neuro: “Classic. Time to guess what’s actually going on.”
Ortho bro: “This **** better not be above the ankle.”
All of us: “Whatever it is, at least we can bill for it.”
Ah yes, true interprofessional collaboration in action.
 
Bored Snorlax said:
Patient comes in with “Painful Eyes Moving TOES Syndrome”
Podiatry: “Time to schedule a 2am toe amp.”
Ophtho: “Sounds like an urgent eye consult.”
Neuro: “Classic. Time to guess what’s actually going on.”
Ortho bro: “This **** better not be above the ankle.”
All of us: “Whatever it is, at least we can bill for it.”
Ah yes, true interprofessional collaboration in action.
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Optho getting a hospital consult?

🤣
 
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Bored Snorlax said:
Patient comes in with “Painful Eyes Moving TOES Syndrome”
Podiatry: “Time to schedule a 2am toe amp.”
Ophtho: “Sounds like an urgent eye consult.”
Neuro: “Classic. Time to guess what’s actually going on.”
Ortho bro: “This **** better not be above the ankle.”
All of us: “Whatever it is, at least we can bill for it.”
Ah yes, true interprofessional collaboration in action.
Click to expand...
 
I actually remember my last hospital consult. A hospital in my area waited until it was after hours so they could bypass our desk. It was for an inpatient and I had no privileges there - I told them where and how hard they could shove it.

I’m convinced they use Google to make their ophtho call chart since I was told that I was on their schedule and that I had multiple weeks coming up.
 
eyeeye_captain said:
I actually remember my last hospital consult. A hospital in my area waited until it was after hours so they could bypass our desk. It was for an inpatient and I had no privileges there - I told them where and how hard they could shove it.

I’m convinced they use Google to make their ophtho call chart since I was told that I was on their schedule and that I had multiple weeks coming up.
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They do that to our urologist all the time… he and his wife just left our health care desert. Ever hear of a urologist taking “FREE” call? Then a 26 yo nurse threatening to report him to the board? Nicest guy ever. No matter what specialty we are victims to idiots in the hospital.
 
Sendin_Toes_2market said:
They do that to our urologist all the time… he and his wife just left our health care desert. Ever hear of a urologist taking “FREE” call? Then a 26 yo nurse threatening to report him to the board? Nicest guy ever. No matter what specialty we are victims to idiots in the hospital.
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God damn that nurse is dumb.

Work for free or we'll tell the state board! Lol please
 
Sendin_Toes_2market said:
They do that to our urologist all the time… he and his wife just left our health care desert. Ever hear of a urologist taking “FREE” call? Then a nurse threatening to report him to the board? Nicest guy ever. No matter what specialty we are victims to idiots in the hospital.
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That sounds ridiculous. He should’ve dialed the state board’s number and handed her the phone.

Also, be careful to review your agreements/policies before refusing to take calls after-hours.

First, if it’s a call about your patient, it’s your patient. Not responding could be considered abandonment.

Second, your employment agreement (if you’re directly employed) or the hospital Bylaws or policy as a condition of privileges could require call coverage (crappy, yes).

Third, if you have privileges at a hospital and are someone’s listed “covering provider” when they are out.

No one should be expected to do it for free, unless you’re employed by the institution and it’s part of your employment agreement. Then your base salary should take that into consideration.
 
diabeticfootdr said:
First, if it’s a call about your patient, it’s your patient. Not responding could be considered abandonment.
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Strenuously disagree. Like 75% of DPMs (my estimate), I'm just a peon working in a lowly private practice office with no financial arrangement with the hospital. Just because my patient decides to show up to the hospital at 6pm on a Friday, this does not obligate me to rearrange my evening and weekend plans simply to facilitate patient throughput. If they are too stupid to figure out what to do with a purulent toe until Monday, the CMO needs to have a conversation with the general/orthopedic/vascular surgeons receiving a $5k/week call stipend about what they're being paid to do and maybe they're the ones to be lectured about patient abandonment.

Secondly, the designation of "your" patient needs to be defined. If I've been managing this ulcer for weeks, yeah you're right I'll take responsibility for this one. If I amputated a homeless guy's toe 14 months ago and never saw him since, I contend it does not establish him as "my" patient.

All of this is going to be institution and community dependent, but there's a lot of power in being able to say the word "no." We have a right to delineate our boundaries.
 
Adam Smasher said:
Strenuously disagree. Like 75% of DPMs (my estimate), I'm just a peon working in a lowly private practice office with no financial arrangement with the hospital. Just because my patient decides to show up to the hospital at 6pm on a Friday, this does not obligate me to rearrange my evening and weekend plans simply to facilitate patient throughput. If they are too stupid to figure out what to do with a purulent toe until Monday, the CMO needs to have a conversation with the general/orthopedic/vascular surgeons receiving a $5k/week call stipend about what they're being paid to do and maybe they're the ones to be lectured about patient abandonment.

Secondly, the designation of "your" patient needs to be defined. If I've been managing this ulcer for weeks, yeah you're right I'll take responsibility for this one. If I amputated a homeless guy's toe 14 months ago and never saw him since, I contend it does not establish him as "my" patient.

All of this is going to be institution and community dependent, but there's a lot of power in being able to say the word "no." We have a right to delineate our boundaries.
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The person in the story was an MD. So abandonment could absolutely could apply to them in this scenario. First question to ask yourself isn't will I be paid for taking this call, but will I be sued and possibly lose if I don't. I don't know how it works for DPMs in terms of patient ownership but definitely could be the case for a urologist.
 
Adam Smasher said:
Strenuously disagree. Like 75% of DPMs (my estimate), I'm just a peon working in a lowly private practice office with no financial arrangement with the hospital. Just because my patient decides to show up to the hospital at 6pm on a Friday, this does not obligate me to rearrange my evening and weekend plans simply to facilitate patient throughput. If they are too stupid to figure out what to do with a purulent toe until Monday, the CMO needs to have a conversation with the general/orthopedic/vascular surgeons receiving a $5k/week call stipend about what they're being paid to do and maybe they're the ones to be lectured about patient abandonment.

Secondly, the designation of "your" patient needs to be defined. If I've been managing this ulcer for weeks, yeah you're right I'll take responsibility for this one. If I amputated a homeless guy's toe 14 months ago and never saw him since, I contend it does not establish him as "my" patient.

All of this is going to be institution and community dependent, but there's a lot of power in being able to say the word "no." We have a right to delineate our boundaries.
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What defines “not responding”?

I think responding within a 24 hour time window is fair. Being expected to show up to the hospital within an hour when you’re not employed by the hospital, or showing up in the middle of the night and aren’t taking call there is a bit much
 
Crayola227 said:
The person in the story was an MD. So abandonment could absolutely could apply to them in this scenario. First question to ask yourself isn't will I be paid for taking this call, but will I be sued and possibly lose if I don't. I don't know how it works for DPMs in terms of patient ownership but definitely could be the case for a urologist.
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To be clear, it's not about the money. The purpose of the call stipend isn't to have an ancillary revenue stream a certain website alludes to. The purpose of the call stipend is so the on-call provider can be made whole. If you're on call, and you're expected to make changes in your private life in order to be available to answer that call, that's a loss to the doctor, and that loss should be compensated. That's just fairness.

The flip side, is that by offering that call stipend to the doctor, the hospital is justified in their expectation that the doctor is reliably available when the institution needs him/her. If you don't make the doctor whole, you have no expectation that they will avail themselves to care for your patient. If the hospital won't pay a call stipend, again I'll argue it is the hospital committing patient abandonment and not the doctor. That's like not paying for A/C repair and then when inpatients are all dying of heat stroke, telling families to sue the HVAC company for negligence.
 
Podiatrists have been ahead of the curve for not using stethoscopes. Us and ophtho really, because they're vision doctors not listening doctors. Gen surg uses them as props to look doctory in photos. Neuro uses them when they lose their reflex hammers. Even ER docs used them primarily to get their exam bullet points documented before they changed e/m coding 3 years ago.
 
Adam Smasher said:
Podiatrists have been ahead of the curve for not using stethoscopes. Us and ophtho really, because they're vision doctors not listening doctors. Gen surg uses them as props to look doctory in photos. Neuro uses them when they lose their reflex hammers. Even ER docs used them primarily to get their exam bullet points documented before they changed e/m coding 3 years ago.
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How do you do a complete H&P?
 
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