Adam Ludvigson
@adamlud
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Actual real-life *board-certified* urologist | Endourologist | he/him
Massachusetts, USA
Joined October 2011
When you get unexpectedly called on in grand rounds and have to answer something
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This is known as the Ludvigson Tube-Stent Rule and you have to cite me if you use it
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Constant source of confusion so I’m just going to decree in my practice that if it comes out of the body, it’s a tube. If it stays inside, it’s a stent. Therefore: Ureteral stent Nephrostomy tube Nephroureteral tube SP tube
🙋♀️🙋♂️❓⁉️ Settle a debate on rounds. What do you call them at your hospital?
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I could have also said they work like toggle bolt drywall anchors. Is that what you people want
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I was giving a presentation and someone asked how UroLift implants work. I said they worked a little like duffle coat toggles and everyone made fun of me for knowing what those are. It's honestly a curse being this cool and fashionable
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“Quacking sound and waddling gait is noted, consistent with a duck” — old Radiology saying
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When you do a quick case for your partner on your call day so they don’t have to add it on later
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I think there are likely many other hospitals who could use a little investigative reporting like this
Major new @nytimes investigation: For years, NYU Langone’s Manhattan emergency room has been secretly giving priority access to donors, trustees and other VIPs, while providing only cursory care to the homeless. @sarahkliff @jbsgreenberg @virginiahughes 🧵
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I’m just getting over COVID and everyone at the hospital’s concern is touching but as I start to feel better it’s getting very slightly alarming how many people are expressing sympathy for how “tired” or “sweaty” I look
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Me: How many times per night do you get up to urinate Patient: [pure 260 Hz sine wave tone overlaying almost imperceptible infrasonic rumble, followed by a complex series of clicks and sharp whistles] Me: How many coffees per day
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Chart lists my patient’s written language as English but spoken language as “unknown”
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This patient has cancer and spends all of their time on the phone having arguments like this with a company that makes hundreds of millions of dollars in profit every year. I cannot describe how angry this shit makes me
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Their solution was for me to open a new ticket, as if I had just ordered the scan, so that I could have the peer-to-peer. Except this time when I opened a new ticket, the scan was approved immediately. I asked why this time not the last, and they said “iunno”
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Not only do I have to justify to this insurance company why a patient with cancer and kidney stones might need a CT scan of the abdomen, I also have to have an argument about what 22 minus 10 is
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On the phone right now with an insurance company who says I can’t do a peer-to-peer because it’s been longer than 10 days. Order was placed on the 12th. I said “today is the 22nd, that’s 10 days.” They said “no, that’s 11 days, because the 12th is day one.” Excuse me
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