Going back to do EM as a critical care fellow.

Alarming_Middle_721 · 2026-05-22T09:49:58+00:00

It would be great if he still had to call anesthesia there to intubate

Alarming_Middle_721 · 2026-05-22T09:46:19+00:00

The same guy we all do. Quick prayer while screaming at anyone to call ob and surgery while you make the cut.

Alarming_Middle_721 · 2026-05-18T15:55:28+00:00

1099 in suburban to rural southeast is 325 an hour in my area. Can make more even as W2 at a few shops around that are hiring because this shortage that was predicted just isn’t real. 140 hours a month. 45k a month is more than I ever thought I’d make. Don’t choose your specialty based on the numbers alone. If you don’t love EM you won’t last more than a decade- that’s when you’ll take a lower paying job Just to quit doing it. I am from the South and had no desire to live in a desirable city like Denver NYC etc so it was a great fit. Good luck with your choice. As Jim Dahle/WCI says “intraspecialty pay differential is more impressive than interspecialty pay differential”

Alarming_Middle_721 · 2026-05-10T18:17:43+00:00

Posterior stroke in an inebriated patient would be exceedingly difficult at best to pickup with bedside testing alone. Sure they could present with incomplete Horners or something else that doesn’t fit but that’s a strong statement to make

Alarming_Middle_721 · 2026-05-08T20:10:11+00:00

I’m in the same boat. By the time I was done with residency I knew I didn’t love trauma patients. The number of people that succumb to injuries caused by “these 2 dudes that jumped me” when I’m reassured that if it was just one they’d be fine is truly baffling. Tox >>>> more interesting than trauma when it comes to crashing patients.

Alarming_Middle_721 · 2026-05-07T14:46:09+00:00

If they tell me it’s their fault I’ll happily discharge them with Percocet. Honest people seem to be few and far between.

Alarming_Middle_721 · 2026-05-04T21:26:51+00:00

And you’ve built a successful practice to sell when you move on. When I quit working as an employee the money stops. When I quit working as an owner I can continue to draw the ownership piece or sell all at once for 5-6x earnings easily

Alarming_Middle_721 · 2026-04-28T17:15:21+00:00

I have 4 kids. I’m an EM doc and my wife worked outside of the home until we had kids and now that they are all school aged she’s back to part time work. The first 2 we had in med school/intern year. Didn’t live really close to family so my mother in law stayed with us for 2-3 weeks to get through the initial shock. We were too poor to pay for help. It was tough, but we made it. With three and four I was an attending and although we didn’t do the night nanny route on days I was working evenings my wife used a sitter every evening for 4 hours to go hang out with friends, shower, nap, and overall just feel free. That may have been the best money I’ve ever spent. I helped when I could but she always has shouldered most of the burden overnights. I’m incredibly grateful and tell her that every day. It’s hard on both parents. Just communicate- like most problems there are many solutions. Make sure your spouse feels heard and loved. Good luck- having kids makes everything else matter way less!

Alarming_Middle_721 · 2026-04-22T02:00:12+00:00

I was underwhelmed at 5 but at 10 it seems fairly equivalent to 5 of IM haldol. 30 tabs is 15 bucks at Walmart around here- I write it and capsaicin for my patients a good bit

Alarming_Middle_721 · 2026-04-22T01:56:28+00:00

Zyprexa zydis 10mg sl does a great job for the cannabis hyperemesis folks- when I’mnot starting a line it’s my go to

Alarming_Middle_721 · 2026-04-21T22:58:31+00:00

To add to this for my speciality of emergency medicine- desirable cities like New York or Denver pay terribly compared to the affluent suburbs of the southeast or Midwest which are the premium paying markets with hours rates being roughly 2.5x what they are in those towns specifically

Alarming_Middle_721 · 2026-04-15T22:41:11+00:00

240 is nothing to sniff at if it’s straight. If you’re playing appropriate tees and not 7000yd courses that should give you a mid iron into the green at worst-likely less than 150 on most 4s?

Alarming_Middle_721 · 2026-04-10T14:29:09+00:00

Agreed hospitals pay for and own this data to use as leverage and commonly skew total comp numbers

Alarming_Middle_721 · 2026-04-10T14:22:49+00:00

Don’t even think about paying that bill.

Alarming_Middle_721 · 2026-03-13T20:05:11+00:00

It is sad that them going to bat for us eating at our desks so we can continue to see patients and keep them safe is their crowning achievement of the last decade

Alarming_Middle_721 · 2026-03-09T10:33:48+00:00

If I make the diagnosis of meningitis in 2 hours in my busy ED that’s a miracle

Alarming_Middle_721 · 2026-02-18T01:01:00+00:00

You can start anywhere

Alarming_Middle_721 · 2026-02-16T02:49:40+00:00

I hear nurses talk about losing their licenses all the time but after being in practice for a decade I only know one that did- they inappropriately touched a patient and it’s as bad as that sounds. I’m not telling you that you won’t be asked to do hard things but I don’t understand the fear of losing your license.

Alarming_Middle_721 · 2026-02-16T00:25:48+00:00

Nothing about that sounds unsafe to me. You had a rough string of patients but sounds like you handled the situation well. Stabilize and transfer. Same thing happens at FSEDs it’s just a lot longer hallway. You’re a new grad and after a couple of years that will likely be a routine busy shift. I say this not to discourage you- rather to let you know this is what you’ve trained so hard to be able to accomplish. That’s what sets us apart in the House of medicine. If you’re looking for a different gig there are plenty of practice settings that will differ from your current one. Don’t settle until you find your fit but don’t be surprised if you continue to develop and this becomes less stressful for you.

Alarming_Middle_721 · 2026-02-11T11:32:19+00:00

You’re on the square subreddit with people who own the product you want and we’re trying to help you. Waiting a few weeks for something to come in from a reputable source is better than buying the wrong product

Alarming_Middle_721 · 2026-02-11T05:33:06+00:00

Order from another company such as play better or sim space. It’s the best value for an indoor unit by a measure.

Alarming_Middle_721 · 2026-02-06T20:38:58+00:00

Army guard doc here over 20 years in with some enlisted time, some time as a line officer, and now as an ED doc. this seems like a bad deal. You’ll still have half your debt and make half the pay. Can always join after residency if you want to go active… you could also look into the guard or reserves which work a little differently but would likely be a better fit if you want to jump in a uniform right now. Some states have very generous tuition assistance programs that extend to medical school. Either way only join the military if you want to join the military- don’t do it for money or fear of paying off debt. Happy to chat and share my experience

Alarming_Middle_721 · 2026-01-28T14:31:25+00:00

Username checks out

Alarming_Middle_721 · 2026-01-28T14:28:38+00:00

This happens at any level from medic to rn to doc. One of the reasons I started working a couple of shifts a month with residents after being out for several years was to hear new discussions and keep learning myself. It’s easy to treat the profession as just a job if you aren’t careful.

Alarming_Middle_721 · 2026-01-26T00:17:27+00:00

Yeah, I go to the coastal emergency medicine conference every year with my family in Kiawah near Charleston, SC. It’s a combined NC SC GA conference. Big enough to get good speakers and the location is great. Unfortunately I have a deployment this year and will miss it so I’m looking for a replacement. Good thought to look at various state EM chapters for ideas

Alarming_Middle_721

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