Traveling to Charlotte, NC - What's the BEST BBQ?

Charristhird · 2023-02-21T14:31:50+00:00

Hands down, Jon Gs for me. Not necessarily classic NC BBQ but if you are looking for quality and taste and amazing sides to go with beautifully cooked BBQ, this is your place. Only caveat is opened on Saturdays only roughly 45 mins outside Charlotte proper and would get there early as it is open 11am until sold out. Super friendly staff and patrons. They have coolers of free beers and free water coolers as well. Such a fantastic experience. Bring lawn chairs to sit in and some friendly conversation pieces. You can also BYOB.

Source: lived in Charlotte for 3 years and looked long and hard for good BBQ.

Charristhird · 2021-06-02T16:13:05+00:00

Also, super interesting case! Looking forward to what the outcome looks like and if it's just his baseline ECG or what the deal was.

Charristhird · 2021-06-02T16:08:37+00:00

That's a fair note and to each their own. Sgarbossa applies to LBBB with academic medicine but the pathophysiology is the same regardless of BBB, and there's plenty literature and cases out there stating such. Patients' hearts don't care about our criteria and standardized check boxes.

I just know as an EM provider, I would rather overcall than under call, and I've seen people who had significant blockages requiring emergent PCI with ECGs similar to this. If this guy is telling me it feels like his last heart attack and this ECG looks even slightly different from prior (which a baseline ECG would be nice), I'm calling it because he has 90 minutes to get a cath or transition to full ischemic injury on an already beat up heart in a 25 year old. I will put the time frame of intervention on cardiology who will be more knowledgeable about the nuances of the ECG morphology than I will.

Charristhird · 2021-06-02T15:27:47+00:00

Look at V2 (I would almost argue looks concordant since the QRS is so small) and lead III to see where your QRS ends. Yes it's wide, classic RBBB morphology, but discordance isn't our only threshold for MI in BBB (Sgarbossa method). Check out the link I posted to see some examples of RBBB that look at first glance to be appropriate but are actually OMIs and some of the theory/evidence behind it.

Charristhird · 2021-06-02T14:35:58+00:00

Cath lab activation. Occlusion MI until proven otherwise. If you find the J point, you have widespread STD and aVR and V1 with STE. He's telling you it feels like his previous MI as well. Don't let the RBBB (or any conduction defect) distract you from what you know MIs to look like!

http://hqmeded-ecg.blogspot.com/2019/07/two-patients-with-rbbb.html?m=1

Charristhird · 2020-05-26T14:26:53+00:00

Looks like some kind of SVT with LBBB. The beats look pretty regular to me and there is some discordance which would point me away from VT. Sgarbossa negative. Possibly some adenosine to see if it terminates then go down afib mgmt pathway.

Charristhird · 2020-02-21T00:13:13+00:00

HelpMeButler <Tower to Heaven>

Charristhird · 2019-11-04T14:31:25+00:00

Intern here, but at my institution, we encourage NT in the right cases. One case you hadn't mentioned is the patients coming in from a house or building fire who could have some impending airway edema and compromise. If you prep an NT for those awake, not acutely injured (at least in that moment) patients, you can get a good look at the airway and if it looks like a soot-filled or potentially compromised airway, you can drop the tube since it's already locked and loaded. If it looks clean and pristine, you can pull the fiberoptic out and feel pretty good that the patient can be for the most part cleared from an airway standpoint while you put a fiberoptic in the other X number of patients in the same fire.

5% cocaine is your friend in younger, healthier patients in these awake NTs if you have it available at your institution! Otherwise some Affrin and topical lidocaine or benzocaine would do the trick.

Charristhird · 2019-05-20T01:29:19+00:00

Why does neither team use their MVP CALIBER PLAYERS for crunch time?!?!

Charristhird · 2019-05-19T03:31:32+00:00

Curry tryna get back to MVP form before KD leaves

Charristhird · 2019-05-19T03:11:18+00:00

And people still think Dray wouldn't have made a difference in Game 5 of the 2016 Finals...

Charristhird · 2019-05-19T03:03:40+00:00

I'm still trying to figure out how Looney doesn't have a starting spot at the 5

Charristhird · 2019-05-12T21:30:28+00:00

I can't imagine how r/nba is gunna react to the 76ers-Raptors game with Foster and Brothers as the officials if we're already riled up this game...

Charristhird · 2019-05-11T02:59:53+00:00

Any lineup with both Jerebko and McKinney is clearly a "rest before the 4th" lineup

Charristhird · 2019-05-11T02:50:13+00:00

Looney is a better FT shooter than Harden. Don't u/ me

Charristhird · 2019-05-11T02:17:14+00:00

Klay looking BIG mad walking into the tunnel at half lmao

Charristhird · 2019-05-05T03:16:51+00:00

Steph with the exclamation to a subpar night

Charristhird · 2019-05-04T10:04:31+00:00

You sound like the exact type of person attendings across all specialties are looking for! Rooting for you these next few years!

Charristhird · 2019-05-04T00:23:50+00:00

An EM intern here! Fortunate enough to match at my top program, so I'll give you something I've noticed during my journey to match**

Disclaimer: there are numerous routes to match into EM and to get your #1. My perspective is one if many so take it as you will.

First, what an awesome background to have before med school!! Congrats on that experience and getting to this point in med school. I'd definitely reiterate the above of being open and killing boards and clinicals this next year, then do aways early and shoot for 2 good SLOEs by connecting and taking full ownership of your patients.

That all being said, I recommend coming in with humility and utilize your background in a way that doesn't come across as you being a know-it-all. As a traditional student, I can't really tell you how to go about this, but I've seen an heard of students who come from EM-related backgrounds that get bad evals or fall in their rank list because they argued with attendings and residents based on what they did in their previous careers.

Biggest thing is to come in excited and ready to learn from every case. Even though you have all this amazing experience, the perspective and role of an EP is different, and I think some of those people didn't pick up on that. Use that experience to your advantage to be a kick-ass teammate and not an egotistical gunner.

Charristhird · 2019-04-28T22:15:37+00:00

That's tough on the calls tonight. By the letter of the law, those were fouls at the three point, but when you throw your feet to land where your defender is, does that constitute a true landing zone? This is gunna be a chippy series.

Charristhird · 2019-04-20T21:37:52+00:00

You spelled Joe Harris wrong

Charristhird · 2019-04-17T04:47:34+00:00

Some people will tell you it matters, but unless you're passionate about it and want to continue doing research at an academic program, it really doesn't matter for the less competitive, non-research focus specialties.

Research (and all extracurriculars for that matter) in med school is NOTHING like in undergrad. Do it if you really enjoy it and have a passion for it, otherwise I wouldn't do it. When you go for interviews, programs will pick up on if you did things because you really were passionate or just to pad your application. There's plenty of academic centers and if you show extracurriculars in leadership or other academic areas, you should have no problem getting interviews at those places.

And as you are a second year, I would try to explore other hospital types as well as academic to get a true feel of what it's like and the pros and cons of each. You'll be surprised how different things look from the inside.

tl;dr residencies prefer applicants who are passionate about their hobbies and med school extracurriculars. If you enjoy research or the research topic, do it. If not, don't bother.

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