consider a career in nephrology if you wanna be woken up in the middle of the night for stuff that doesn’t matter. if that seems like the life for you, please check your nearest nephrology fellowship program. they’ll have spots open.
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Or... you could be a dialysis nurse called by a nephrologist at 0030 on Monday morning, to drive 80 miles for emergent HD so they can avoid intubation.
I hit there and the man was sitting up, in no distress, talking with absolute ease. I was.....annoyed.
Does it also have consults where zero basic evaluation has occurred before making the call? I want to have a career helping clinicians entirely too lazy to open UpToDate.
If it makes you feel better, I’ve repeatedly said “fuck no,” when, at 12 am, the hospitalist asks me if they should consult nephrology before giving IV contrast for a CT.
11 pm, ED: potassium is 6,3 we are going to start the management, we’ll let you know in case of worsening
3:30 a.m., ED: everything is good, potassium is now 4,8
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I hit there and the man was sitting up, in no distress, talking with absolute ease. I was.....annoyed.
3:30 a.m., ED: everything is good, potassium is now 4,8