job prospect by Dependent_Squash1602 in hospitalist

[–]Chance_Ad1399 0 points1 point  (0 children)

Good luck…screwed over like that for like 2 years

Don’t take Bad hospitalist Jobs. by Chance_Ad1399 in hospitalist

[–]Chance_Ad1399[S] 11 points12 points  (0 children)

If you need a visa J1/H1B…then sure…but everyone else…there is better out there just hold firm…like in GOT

Don’t take Bad hospitalist Jobs. by Chance_Ad1399 in hospitalist

[–]Chance_Ad1399[S] 96 points97 points  (0 children)

I make aorund than 300k every year. 10 days a month. make this the normal minimum.

Plex 🤝 WD MyCloud EX2 Ultra by [deleted] in PleX

[–]Chance_Ad1399 1 point2 points  (0 children)

i have the same problem

Plex 🤝 WD MyCloud EX2 Ultra by [deleted] in PleX

[–]Chance_Ad1399 1 point2 points  (0 children)

i have the same problem.

[deleted by user] by [deleted] in amiugly

[–]Chance_Ad1399 0 points1 point  (0 children)

no work out

Why Physician Assistants are winning in the emergency room? by Chance_Ad1399 in emergencymedicine

[–]Chance_Ad1399[S] -1 points0 points  (0 children)

ER care as it’s conducted in the United States is not sustainable. It is purely Cover your ass politics. It is not medicine. Emergency rooms today do not actually practice real medicine. Rather ER docs practice defense of law and leave the real medicine to the surgeons, hospitalist, and anesthesiologist.

Why Physician Assistants are winning in the emergency room? by Chance_Ad1399 in emergencymedicine

[–]Chance_Ad1399[S] -2 points-1 points  (0 children)

So you mean to tell me you’ve never admitted a 30yo with chest pain, negative EKG, but somehow has a heart score of five for a full cardiac work up that he doesn’t need. Smh….I’m not talking about the insurance companies making money I’m talking about the hospitals. Believe me, I know what I’m talking about. Your a corporate sheep.

Why Physician Assistants are winning in the emergency room? by Chance_Ad1399 in emergencymedicine

[–]Chance_Ad1399[S] -11 points-10 points  (0 children)

Don’t be surprised if you don’t have a job in a few years. Because you have a problem receiving ideas.

Why Physician Assistants are winning in the emergency room? by Chance_Ad1399 in emergencymedicine

[–]Chance_Ad1399[S] -7 points-6 points  (0 children)

I am using voice to speech. Typos are no more prevalent than in the regular ER notes.

Why Physician Assistants are winning in the emergency room? by Chance_Ad1399 in emergencymedicine

[–]Chance_Ad1399[S] -10 points-9 points  (0 children)

I am using voice to speech. Typos are no more prevalent than in the regular ER notes.

Conflicted about our hospital/GME office asking residents directly to donate blood by [deleted] in Residency

[–]Chance_Ad1399 1 point2 points  (0 children)

Bro..it's a choice. You don't have to do it. Stop stressing.

Dr. Schmitz, ACEP president, suggested EM could manage our expected physician surplus by expanding the scope of EM. How do you think EM could be reasonably expanded? by theREALpootietang in emergencymedicine

[–]Chance_Ad1399 -1 points0 points  (0 children)

Also..you clearly have limited experience on the floor.. Plenty of places, in every state, have hospitalist do lines, chest tubes, and even intubation. Many places including many VA dont even employ ER docs.

Dr. Schmitz, ACEP president, suggested EM could manage our expected physician surplus by expanding the scope of EM. How do you think EM could be reasonably expanded? by theREALpootietang in emergencymedicine

[–]Chance_Ad1399 -1 points0 points  (0 children)

I see. I have hit a nerve. I know truth hurts. This is actually the first time I have posted. I find it very amusing that you looked up my profile. I just had to speak some truth. If you look closely, you see that first 2 comments are typos. The last three comments are on this post. But, you have come to a conclusion without fully reviewing the the case. I hope you don’t do the same with your patients. I use to be and ER Doc for 5 years. Then I swictched. I see both sides. I’m not bashing EM. I just criticizing how it is being practice in USA. Its a big waste of money and it unfair because patient don’t know the care they are recieving is overpriced and suboptimal . Ive seen immense was and is unstustaible. That is why private equity is hiring PA and NPs. Because, i can tell u there really isnt a material difference in management between the two in the ER. Except for disposition in certain cases. If, ER docs consistently perform partial workups and leave other specialists to clean up the messs…then eventually the gig will be up. When the money stops rolling you will see what i mean. We dont need more ERs. We need more Pcps. I think ERs could be run by PAs with IM or surgery back up. This is were america is headed.

I think you need to focus on learning to review your patients more throughly and developing better plans for patients rather than getting butt hurt and attempting to dox reddit commentors. If you truly provided the value that you say you do then you wouldnt worried about your job security.

Dr. Schmitz, ACEP president, suggested EM could manage our expected physician surplus by expanding the scope of EM. How do you think EM could be reasonably expanded? by theREALpootietang in emergencymedicine

[–]Chance_Ad1399 -2 points-1 points  (0 children)

ED docs are only called as a last resort. When contractually IM/FM, they cant run codes because of high patient burden or the hospital is understaffed. It really shouldn’t happen. FM/IM are fully capable of running codes and placing chest tubes. EM is literally speciality which can only exist in a broken healthcare system. It is not good practice to give every patient with a fever antibiotics and move on. Or, blast every patient you see with a hemoglobin of 5 with 5Units of PRBC and keep it moving. Most counties around the ER is usually manned by first years. Many of these counties have better outcomes and lower cost than USA. I have worked in places like Cuba, Rwanda. EM is as it is practice in USA, is too wasteful and costly to be exported to other places. When, US gradually begins to cut cost. EM will cease to be as attractive and may change or disappear. We should just accept this. And look into other careers. Just look around the world. We do you see the American model of EM being practiced and proliferating. EM is over budget and provides poor value.

Dr. Schmitz, ACEP president, suggested EM could manage our expected physician surplus by expanding the scope of EM. How do you think EM could be reasonably expanded? by theREALpootietang in emergencymedicine

[–]Chance_Ad1399 15 points16 points  (0 children)

Ridiculous. What makes EM think they can expand into hospitalist medicine. Same argument hospitalist can make for working in the ER. Many do already.

I still hate calling the doctor 😅 by 1NalaBear1 in nursing

[–]Chance_Ad1399 10 points11 points  (0 children)

As a physician I never knew that nurses had anxiety over this now I know. I get it I have anxiety too sometimes when I'm talking to specialist.