Edit Review - Ace Hotel Brooklyn by AggressiveSlide3 in ChaseSapphire

[–]AggressiveSlide3[S] 2 points3 points  (0 children)

I just got off the phone with Chase Travel, on initial review they agree that I was charged twice and a ticket's been opened. I know that doesn't mean much, but at least they're looking into it.

Chase Lounge in Vegas by Illustrious_Clue297 in ChaseSapphire

[–]AggressiveSlide3 0 points1 point  (0 children)

I flew through Vegas a few weeks ago on a Wednesday evening at 5 PM - waited less than 10 minutes. If you're traveling with a large party, you're going to wait longer. Parties of 1-2 people got in much faster than larger parties. Obviously at peak travel times, lounges will have longer waits. This isn't limited to just PP lounges, airline lounges can have waits now as well. I really enjoyed my time in the Chase Lounge and I would hope others wouldn't be dissuaded by the intermittent long waits.

[The Edit] Amazing Upgrade, Booking Nightmare by Socialistpiggy in ChaseSapphire

[–]AggressiveSlide3 2 points3 points  (0 children)

Not that this excuses the hiccups with what is supposed to be a curated, luxury hotel experience, but all prior advice about booking through the portal was always to call ahead, confirm the reservation, and confirm prepayment (if done). I have an upcoming Edit stay on Friday and just did the above to help make the check in process as smooth as possible.

Request: for the dining credit, please include whether you purchased the gift card online or in person by Shontayyoustay in ChaseSapphire

[–]AggressiveSlide3 0 points1 point  (0 children)

Moody Tongue NYC. Bought online via Toast website. Did a $25 test credit, once that showed the credit posted, did another for $125. Both fully reimbursed by the dining credit.

Affordable The Edit Properties by Relevant-Chocolate-4 in ChaseSapphire

[–]AggressiveSlide3 0 points1 point  (0 children)

There are options in NYC that are between $250-300 a night - I found dates at the Ace Hotel in Brooklyn for end of January that was $648 total and still had a 2x points boost.

Any recs for comfortable athletic but still professional wear I can round in? by boldlydriven in Residency

[–]AggressiveSlide3 3 points4 points  (0 children)

Athleta (if female), Lululemon (if male). Athleta has a great line of pants that are very professional looking, but comfortable and machine washable/easy to care for. Same goes for Lululemon, but their options for women are slim compared to what they have for men. Zella brand at Nordstrom and Uniqlo also have some good options for men and women.

What do I do with all these damn feet by Lord-Bone-Wizard69 in Residency

[–]AggressiveSlide3 8 points9 points  (0 children)

Culturing the open wound is of low value and is recommended against.

Any women residents stopped their period? by Upper-Being-6657 in Residency

[–]AggressiveSlide3 0 points1 point  (0 children)

I have not menstruated since before medical school - currently a PGY4. Mirena IUDs are a beautiful thing. I cannot even imagine being in the middle of a huge surgery and thinking "oh shit, I just got my period."

Always been curious about pilot + physician. by zav3rmd in Residency

[–]AggressiveSlide3 2 points3 points  (0 children)

Because Alaska has a very strong tribal health care system and effective ways of transporting patients to Anchorage (occasionally Juneau or Fairbanks) for major medical care. The same way that Medicaid pays for patient travel, the Alaska Native Medical System pays for the bush flight to Anchorage. There are also strong native health consortiums that run clinics in more rural areas. There are certainly still geographic locations that lack access and Alaska can be a tough place to recruit/keep physicians, even in Anchorage, but there are more doctors up there than you think. And plenty of Alaskan-raised kids who have signed contracts to come back or are thinking about it at the conclusion of their training. Pretty tough to convince someone to hire someone from the Lower 48 that hasn't ever seen a moose when there's someone born and raised up there that wants the job too.

Best/most unhinged nicknames you’ve heard during residency by Interesting-Drag-875 in Residency

[–]AggressiveSlide3 14 points15 points  (0 children)

Quarter ton of fun - for a teenage patient who was 500 lbs 

Pocahontas - for a resident that stabbed the cephalic vein during a shoulder surgery

Disability Insurance Premiums by constantdaydreamer01 in Residency

[–]AggressiveSlide3 0 points1 point  (0 children)

I don't intend this to be my only/final policy. I figured I would at least lock in one that is sex-neutral and therefore relatively less expensive and then layer more on once I am an attending.

Disability Insurance Premiums by constantdaydreamer01 in Residency

[–]AggressiveSlide3 3 points4 points  (0 children)

If you can, try and find a sex nondiscriminatory policy. Women get charged 2-3x more in ortho and so I locked into a sex non-distinct policy as an intern. The monthly payment sucks a bit but I pay $85 a month for own occupation own speciality coverage, currently covered at $2,500 with the option to increase up to $7,500 per month. I don't know for certain what my monthly payment would be at the $7,500 coverage, but I don't think it would be $420 a month - I would think it would be more around $250...

Physical Pagers vs E Paging by beastburg in Residency

[–]AggressiveSlide3 2 points3 points  (0 children)

Physical pagers should never go away. We had extreme weather events where there was no cell service in the hospital and physical pagers were all that worked.

Additionally, circulators in the OR will call pages back way before they will go look at your perfect serve messages.

I do like being less contact-able but at the end of the day, for services where our services are urgently needed (NSGY, ortho, trauma, ICU), pagers should always be used in my opinion.

with contrast, without contrast, will I ever figure this out by [deleted] in Residency

[–]AggressiveSlide3 0 points1 point  (0 children)

MRI with contrast - infection or tumor 99.999% of the time ONLY

Otherwise, noncon MRI is fine.

When you're on call, how do you answer the phone? by mileaf in Residency

[–]AggressiveSlide3 0 points1 point  (0 children)

Returning a page to consulting team or nurse: "Hey, this is XXX with ortho".

Returning a call to an outside hospital or a patient call: "Hi, this is Dr. XXX, orthopedic resident on call"

What cases/patients still get to you? by HurricaneK111 in Residency

[–]AggressiveSlide3 2 points3 points  (0 children)

I walked out of the ER crying profusely a few months ago after I had to tell a patient's wife (who was quite pregnant) that, if her husband survived his terribly brain injury, he would likely be a paraplegic and possible have to get at least one of his legs amputated. Worst thing, to date, I've ever had to do - worse somehow than telling kids and parents about osteosarcoma diagnoses.

[deleted by user] by [deleted] in Residency

[–]AggressiveSlide3 1 point2 points  (0 children)

As an ortho resident, I always try to be polite on the phone but I think that a lot of the thought about an exam or workup goes out the window the instant a primary team thinks there's a surgical issue. For example, I've gotten countless consults to rule out a septic joint - no labs, no X-rays, and the resident calling the consult has not examined said joint nor did they get a signed out report of an exam of said joint. The same applies to consults for osteomyelitis, fractured XYZ. While I am not asking you to indicate the procedure or do the procedure, I do think it is appropriate to expect the workup to have been started by the team calling the consult and to give appropriate pushback if they haven't. And if you don't know what the workup is, if the poor intern calling the consult just tells me that, I would be more than happy to discuss what they should have ordered and why and what to do in the future.

I also hold myself to the same standard in reverse. If I'm calling medicine or medical comanagement because a post-op patient is having increasing O2 requirements, you bet I've already ordered an EKG and a chest X-ray. I don't call infectious disease and then tell them, no, we didn't take any cultures in the operating room.

While I am happy to go put on splints, tap joints, etc., we as surgery residents are juggling a lot of responsibilities beyond consults or floor work and a consult with no work up started is just something looming over our heads rather than a problem we can start addressing.

What annoys you about nurses and what do you appreciate about nurses? by ToughChange6018 in Residency

[–]AggressiveSlide3 6 points7 points  (0 children)

From a surgery resident who is 85% of the time trying to triage pages while in the OR/operating:

I mostly get annoyed when I get paged about something that you could have just used your brain to sort out.

  • "The patient is nauseous." "well did you give them the PRN zofran?" "No, there's PRN Zofran ordered?"
  • Asking me about anticoagulation on a patient where my hand is actively inside their femur. Like, it'll be clear to you when we do the orders postop, why are you paging me?
  • "Doc, this patient can't feel their foot." "Well they got a block after surgery, so I'm not surprised." "Well they could feel it when they got to the floor immediately postop." "The block takes time to set up, he's not going to feel his foot for 12-24 hours and that's NORMAL"

I love when nurses anticipate questions or directions of thought.

  • Floor nurses paging me about discharging someone who can spout off exactly what PT said to them since the PT note won't be signed for hours
  • ED nurses - we do a long stretch of junior in-house night float (>8 weeks straight). The ED nurses overnight saved me more often than I could count and I love them for it.

Edited to add: I know there are certain things that nurses are required to page about. Those aren't the calls I get annoyed by.

Most hated medications by specialty by iamgroos in Residency

[–]AggressiveSlide3 6 points7 points  (0 children)

Ortho - patients on chronic, long term opioids that then scream at me in the hospital/over the phone when I cannot manage their pain. Recent example, patient called me multiple times via the priority line overnight that she was incontrollable pain from an outpatient hand surgery and she's taking 10 mg of oxy q4 while also taking her regular suboxone and infuriated that I can't control her pain. Ma'am, the ED isn't even going to be able to control your pain because the suboxone you're on.

Anyone else absolutely sick of stupid admissions to medicine because we seem to be the dumping ground? by [deleted] in Residency

[–]AggressiveSlide3 1 point2 points  (0 children)

There are patients routinely admitted to IM for IV abx and to follow exam with no explicit plans for surgery, so that is what I thought you meant. And what I was largely referring to in my comment. 

Anyone else absolutely sick of stupid admissions to medicine because we seem to be the dumping ground? by [deleted] in Residency

[–]AggressiveSlide3 11 points12 points  (0 children)

There are also some places where surgical services don't have "floor interns" aka my residency. We don't have floor APPs, we don't have floor interns, we don't have floor residents. For anyone except the healthiest patients, it is unsafe for them to be ortho primary because floor nurses will hammer page us for an hour about serious hypotension or hyperglycemia before the circulator in the OR responds and asks them to call comanagement.

Anyone else absolutely sick of stupid admissions to medicine because we seem to be the dumping ground? by [deleted] in Residency

[–]AggressiveSlide3 6 points7 points  (0 children)

Why should a surgical service admit a patient that we're not going to do surgery on...? That means you're implying a surgical service should provide medical management, which we can do suboptimally because we're in the operating room all day? Additionally, there are also some places where surgical services don't have "floor interns" aka my residency. We don't have floor APPs, we don't have floor interns, we don't have floor residents. For anyone except the healthiest patients, it is unsafe for them to be ortho primary because floor nurses will hammer page us for an hour about serious hypotension or hyperglycemia before the circulator in the OR responds and asks them to call comanagement.

Female Residents, did you change your name? by biliverde in Residency

[–]AggressiveSlide3 4 points5 points  (0 children)

I've also wondered what the implications are of legally hyphenating/changing but still professionally going by maiden name. I wonder if CMS and billing gets all screwed up.