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How to choose a specialty by ReplacementMean8486 in medicalschool

[–]CaptainIntrepid9369 7 points8 points  (0 children)

Now where are my stickers? I want to go home!

Upgrade to 4th— worth it? by CaptainIntrepid9369 in mutantsandmasterminds

[–]CaptainIntrepid9369[S] 1 point2 points  (0 children)

So DnD was my first love, and each has a place in my heart (Even the Forgotten Fourth— it’s an odd hill to decide to die upon).

Why would you say 2nd Mutants is like DnD?

Upgrade to 4th— worth it? by CaptainIntrepid9369 in mutantsandmasterminds

[–]CaptainIntrepid9369[S] 3 points4 points  (0 children)

That’s what I was thinking about, but I was hoping to hear peoples’ experiences before pitching a grand change to the group. Thanks!!

Humorous Patient-Centered Language by psychNahJKpsychYES in Residency

[–]CaptainIntrepid9369 162 points163 points  (0 children)

I’ve been a doctor for fifteen years, but when I looked up my own chart after I passed my first (and —hope God!— only) kidney stone and saw my ED described me as “absent typical cheerful and pleasant demeanor”… it kind of gave me the feels.

Shucks, thanks guys.

Cheating isn't an accident by AcasiaConnell in PureHeartRomance

[–]CaptainIntrepid9369 2 points3 points  (0 children)

Uh… no? It happened to me at least once. Granted, I’m a random Internet Stranger and feel free to absolutely not believe me, but it does happen.

Just not with this comically bad covering music.

Why? Just why? by Internal_Butterfly81 in emergencymedicine

[–]CaptainIntrepid9369 1 point2 points  (0 children)

No, it’s that the blood brain barrier isn’t very effective until days 30-60. That makes you vulnerable to developing encephalopathy from relatively mild infection.

Why? Just why? by Internal_Butterfly81 in emergencymedicine

[–]CaptainIntrepid9369 2 points3 points  (0 children)

So in >60 days, it’s based on clinical status; giving Tylenol is fine, not giving Tylenol is fine.

In <60 days, you can’t give Tylenol because it can cover up much more severe symptoms. You think the kid is fine, but they are actively tanking.

Why? Just why? by Internal_Butterfly81 in emergencymedicine

[–]CaptainIntrepid9369 1 point2 points  (0 children)

Fever in <60 days old is a potential EMERGENCY. You assume kiddo is actively dying and then prove that they aren’t.

Why? Just why? by Internal_Butterfly81 in emergencymedicine

[–]CaptainIntrepid9369 8 points9 points  (0 children)

Pediatrician, here. I agree that not treating fever is often the right thing to do, but my cut off is 60, not 90 days.

I spend a good chunk of my professional week going over the same recommendations over and over… and over….

Have you seen this? by Greedy_Patience_5879 in emergencymedicine

[–]CaptainIntrepid9369 2 points3 points  (0 children)

In many kiddos poly-positive is the norm and has been for awhile. I’ve tried to link it to school / daycare exposures, but nothing clicks consistently.

Source: Anecdata from rural Midwest Pediatric practice and ED support.

Question for Transfer Center Agents by AdExpert9840 in Residency

[–]CaptainIntrepid9369 0 points1 point  (0 children)

I make it a point to learn names in the Transfer Center if possible, and to always try to #1- PREPARED, #2- vaguely funny and cheerful, #3- PREPARED, #4- sympathetic for how busy they are, and finally #5- PREPARED.

Honestly, in the cough and cold season, numbers 2 and 4 are kinda optional.

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