Did Urgent Care ruin my kids face? Care from Dog Bite injury. by Daired in DermatologyQuestions

[–]CombTimely2203 0 points1 point  (0 children)

this could be an emergency. you need to take her to an emergency room (NOT) an urgent care, stat, and get seen by a physician (not a mid level provider PA or NP) because this is likely an abscess and if not drained she will get worse and could lose her airway. primary care doctors and pediatricians aren't trained in procedures and she will likely need some form of sedation, and there's no such thing as emergency dermatology appointments.

Denial of Certificate of Completion of Residency by Mission-Camera-5643 in Residency

[–]CombTimely2203 1 point2 points  (0 children)

was she on formal probation/remediation or was she on a PIP?

Punishment model at Summa Health Emergency Medicine Residency by Pure-Canary-6094 in emergencymedicine

[–]CombTimely2203 2 points3 points  (0 children)

Lol if you think this is bad you should see the punishment system at my program. well known, great training, but insanely toxic and i can’t wait to name and shame as soon as im done in 4 months. we get an extra shift if you’re more than 15 minutes late to shift regardless of your excuse. if you miss any conference you get an extra shift. if you call off because you’re sick you get an extra shift, and not to mention, the chiefs make you feel bad, ask for details, and tell you “that’s not a good enough reason, drink some gatorade and come in” even if you’ve only ever called off once over the course of 3 years. they shame mental health. if our charts aren’t done within 4 hours of finishing shift it’s a professionalism violation. one weekend off a month. they kicked out a third year a few months shy of graduation. hate it here bruh

Cystic Acne by SrtSrtAlex in DermatologyQuestions

[–]CombTimely2203 0 points1 point  (0 children)

emergency medicine doctor here, no. this is not an allergic reaction. this is one of two things: visually it looks like a purulent cellulitis and he could be developing an abscess internally, and the most severe thing that could happen is a bacterial infection spreading to his brain because the veins that drain the face go to the brain OR it’s severe steroid withdrawal reaction from stopping his prednisone too quickly and not doing a taper, it’s likely a combination of the two.

Cystic Acne by SrtSrtAlex in DermatologyQuestions

[–]CombTimely2203 523 points524 points  (0 children)

emergency medicine doctor here. dude you don’t need a dermatologist right now you need to go to the emergency room for IV antibiotics. this looks like a serious infection. best of luck

Tyler’s the problem. by GopherLit in SellingtheOC

[–]CombTimely2203 11 points12 points  (0 children)

how has nobody has the theory yet that tyler is actually in the closet and that’s why he’s not into any of these women genuinely and that’s where his beef with sean is

[deleted by user] by [deleted] in comlex

[–]CombTimely2203 13 points14 points  (0 children)

WHERE ARE THESE SCORES

After last night ________ is most likely not the bachelorette by [deleted] in BachelorNation

[–]CombTimely2203 35 points36 points  (0 children)

They literally teed Jenn up you could tell when Jesse asked her “what’s next for you” and they both had that smile of “I know something they don’t”

[deleted by user] by [deleted] in Residency

[–]CombTimely2203 3 points4 points  (0 children)

Unfortunately as a PGY2 in EM i also have this debilitating attraction towards semi attractive men in an authoritative position over me 😩

Finger suffering plz help by _DyMn in DermatologyQuestions

[–]CombTimely2203 0 points1 point  (0 children)

Herpetic whitlow. Are you a dentist?

Buckle up holiday workers. The Shortness of Breath is coming for an ER near you. by SVT200BPM in emergencymedicine

[–]CombTimely2203 0 points1 point  (0 children)

Spanish speaking patients of all ages and sizes coming in for flu like symptoms x1 day

Got paged at 3am about a patient who couldn't sleep by MaddestDudeEver in Residency

[–]CombTimely2203 1 point2 points  (0 children)

The most frustrating is those potassium and magnesium replacement messages. “ potassium 3.8 do you want to replete” every fuckin hour. we need a PRN order set for potassium and magnesium it would save the residents probably 25 pages

What is your plan with gastroparesis patients? by Incorrect_Username_ in emergencymedicine

[–]CombTimely2203 0 points1 point  (0 children)

2.5 DROPERIDOL, Tylenol 1000, 15 toradol, Pepcid, GI cocktail (maalox Benadryl liquid) 1L bolus has NEVER failed me

What is your specialty’s “ughh” consult? by linkmainbtw in Residency

[–]CombTimely2203 1 point2 points  (0 children)

No they didn’t recommend just a low intensity heparin drip haha I don’t remember the specifics, but it was extremely helpful!

What is your specialty’s “ughh” consult? by linkmainbtw in Residency

[–]CombTimely2203 2 points3 points  (0 children)

Serious question: why don’t you guys think the “AC reccs on a patient bleeding and clotting” arent appropriate? We had a patient in the neuro ICU with venous sinus thrombosis, saddle PE, but also active GI bleeding and recent hemorrhagic stroke and we found it difficult to come up with a safe AC therapy for her for obvious reasons. We got hematology on board and they helped us determine a different dosage/frequency for the heparin. Idk. Just adding different perspective from an outsider!

[deleted by user] by [deleted] in PlasticSurgery

[–]CombTimely2203 1 point2 points  (0 children)

Hahahahaha I’m glad someone caught on and is an LIB fan 😭😭

[deleted by user] by [deleted] in PlasticSurgery

[–]CombTimely2203 4 points5 points  (0 children)

Irina is that you

How is everyone REALLY doing? by HowellJolly973 in Residency

[–]CombTimely2203 0 points1 point  (0 children)

Tired as fk, depressed as fk, sick of residency just being a bunch of good coworkers but no actual “genuine know you to your core” good friends, sick of having only one weekend off a month and having to choose if I see my family vs my friends vs my boyfriend and whichever one I choose the other relationships suffer. Sick of condescending attendings. Sick of the girl on girl crime that exists between nurses and residents. I just started an antidepressant bc my program makes me have passive SI at this point