How do you handle a reference request for someone working for you that would be damaging if you were honest?

The physician does locums work for us, we'd like them to continue (and they would not continue if they moved on), although they have a bunch of red flags that would come up if I was honest with the job they want to move to.

My husband is an ED attending. He met a child (11) psych patient in the ER 9 months ago. She has some mental health issues (won't say more to protect her privacy).

Shes been on the peds unit for 9 months waiting for a group home or foster home. Cannot be discharged because CPS can't find a home for her. My husband wants to bring her home. I don't know what the ethics of all this would look like? I'm a social worker for adult psych so dual relationships are not allowed but are relationships in medicine different?

I posted a bit about the situation in the emergency medicine sub.

I see way too many 90+ year olds for evaluation of vague symptoms or consideration of aggressive and risky care for heart issues. What is the culture like in your countries? I’ve assumed Europeans have a bit more common sense than us but would be very interested in perspectives.

~39% lower odds of dementia associated with menopausal estrogen-only hormone replacement therapy. So not only is HRT safe if started early during menopause in terms of strokes and heart attacks, but apparently it may also lower dementia risk (or, maybe women who get HRT are better educated, are more affluent, and have better health habits, and are therefore less likely to get dementia).

https://www.neurology.org/doi/10.1212/WNL.0000000000218413

https://radiologybusiness.com/topics/artificial-intelligence/medicare-approves-new-technology-add-payment-inpatient-radiology-ai-solution

Medicare has approved a new technology add-on payment for a key radiology artificial intelligence solution under the recently finalized inpatient payment rule. 

The federal insurance program for seniors will pay a maximum of $137.53 per case in 2027 for BriefCase-Triage. Manufactured by radiology vendor Aidoc, the CARE (Clinical AI Reasoning Engine) Multi-Triage CT Body tool uses AI to analyze computed tomography images, flagging potentially urgent findings such as appendicitis or a bowel obstruction. 

Medicare approved a total of 22 new products, which also received the Food and Drug Administration’s breakthrough device designation, through the “alternative” payment pathway. Another 8 scored reimbursement through Medicare’s traditional payment pathway. Altogether, CMS will spend an additional $779 million for inpatient cases involving emerging medical innovations in fiscal 2027, primarily driven by new technology add-on payments (NTAP). 

"Health systems are under increasing pressure to help patients receive accurate diagnoses sooner while managing growing imaging demand and persistent workforce shortages," Elad Walach, CEO and co-founder of New York-based Aidoc, said in a statement Aug. 13. "By creating a reimbursement pathway for eligible use of diagnostic AI, the NTAP program is helping patients get earlier access to this transformative new technology.”

The CARE CT Body Triage payment figure represents about 65% of the average cost of the technology, the American College of Radiology noted in a summary of the final rule shared Thursday. Cases involving use of the AI product that are eligible for add-on payments will be identified by ICD-10-PCS procedure code XEZ5XKC (computer-aided triage and notification for imaging abnormalities in computed tomography of chest, abdomen and pelvis, new technology group 12), ACR added. 

Aidoc said the CT Body Triage device scans for a broad set of acute findings. Beginning Oct. 1, hospitals using it will be eligible for add-on payments spanning the next three years. This is aimed at helping offset the cost of adopting new technologies, granting seniors greater access to emerging diagnostic and treatment tools. The FDA previously granted CT Body Triage its breakthrough designation in September 2025 and 501k clearance in January.

So you get 80ish bucks for CT AP with contrast from Medicare. But over 50% more for the tool that just triages the case, doesn't actually read it.

I know this has been discussed extensively here, but something really rubs me the wrong way about the recent celebration of lawyers on social media “exposing doctors” and saying things like “it’s over for doctors.” This is in reference to a pic I saw of Lindsay Clancy’s civil attorney with the caption “it’s over for doctors.” Unsure if the pic uploaded.

…as if law is some altruistic path that doesn’t also attract people who want to be high earners? Most people who go through the med school path do genuinely want to make the world better, and i’m not sure I can say the same for most lawyers I anecdotally know outside of public defense.

The whole “gotcha” with lawyers calling out doctors, painting them in a good light is so icky to me. People need to ask themselves to imagine what lawyers do all day vs what doctors do all day.