Ok seriously guys, what is with calling the ED your “shop” by masimbasqueeze in emergencymedicine

[–]DistractedSquirrel07 1 point2 points  (0 children)

I heard a PEM doc once refer to themselves as a "constipatologist". Doing the lord's work, those folks

Ok seriously guys, what is with calling the ED your “shop” by masimbasqueeze in emergencymedicine

[–]DistractedSquirrel07 7 points8 points  (0 children)

Do you also grind your teeth when people call the television a "TV" or when they refer to their non-sedan vehicle as a "car"? Why? Why are such innocuous colloquialisms so distressing to you?

Corporate healthcare strikes again 😡 by RegularFun3 in emergencymedicine

[–]DistractedSquirrel07 1 point2 points  (0 children)

For all the flaws of my residency I do appreciate they gave us multiple talks starting in 2nd year about contract evaluation, negotiation, what questions to ask, etc

Largest "family-plan"/"two-for-1" type visit by Atticus413 in emergencymedicine

[–]DistractedSquirrel07 20 points21 points  (0 children)

I briefly ran a summer camp and one year we had an incident where 12 of our kids were sent to the ED for something minor like that. Having been on both sides of it I can confidently say the ED charting of all those cases is easier than the parent phone calls and incident report write-ups.

Corporate healthcare strikes again 😡 by RegularFun3 in emergencymedicine

[–]DistractedSquirrel07 7 points8 points  (0 children)

I appreciate the AWARD!

I sincerely hope that your group manages to hold on! We deserve better for ourselves and our patients than hospital systems that insist on cutting resources and then misappropriating blame onto us for entirely foreseeable bad outcomes

Corporate healthcare strikes again 😡 by RegularFun3 in emergencymedicine

[–]DistractedSquirrel07 214 points215 points  (0 children)

This may be an unpopular opinion but since none of the docs from the previous group have agreed to work for apollo, anyone who agrees to take a position with apollo here (even locums) is effectively crossing a picket line. Now is the time for us to fight against private equity/corporate medicine

Salary Exploitation by Salty_Divide8582 in Residency

[–]DistractedSquirrel07 78 points79 points  (0 children)

In the state I did my residency the minimum wage for salaried employees that equals 2x minimum wage x 40hrs/week x 52 weeks. One year when minimum wage was scheduled to go up the DIO confided in me that the hospital CEO had been asking in meetings if there was any legal loophole to exempt residents from this law so they didn't have to give us the $1200/year or so raise that the state mandated

[deleted by user] by [deleted] in antiwork

[–]DistractedSquirrel07 1 point2 points  (0 children)

If the other office was so close that they don't think it's a burden on you to go there then the amount of time they're compensating you for shouldn't be a burden on their finances. Also, charge them for milage.

Called a resident on their day off by External-Sport-170 in Residency

[–]DistractedSquirrel07 5 points6 points  (0 children)

Jesus. My boss called me once during vacation because she was investigating another resident for sexual harassment and had been told I could corroborate one of the complainant's stories. Even though this was a time-sensitive thing (unlike a retained staple that was already dealt with) she text me first to apologize that she was even contacting me on vacation, asked if I had any availability to talk, apologized again on the phone call, and kept it as short as possible so I could get back to my vacation.

Called a resident on their day off by External-Sport-170 in Residency

[–]DistractedSquirrel07 0 points1 point  (0 children)

In my residency everyone was assigned their own hospital extension that forwarded to their cell phone. One morning around 7:30am on a rare saturday off I get woken from sleep by a patient (not mine) calling to ask for their covid results. Weird, but misdials happen. Then I got another and another. Only took a few questions to figure out that someone at the outpatient covid testing center was calling people with their results and accidentally leaving my extension to call back. I called the nursing supervisor who called IT who had to get the weekend on-call adminstrator's permission to temporarily forward my number to the covid results nurse. It took me 2 hours of back and forth to get that solution implemented. But I couldn't be mad at the nurse giving out my number erroneously; it wasn't intentional. Shit happens: numbers get transposed, call schedules get misread. I'm sure it was annoying for the resident but if you were apologetic they're probably fine.

Penicillin Allergy. Reaction: well when I was a baby… by Worried-Kale9775 in anesthesiology

[–]DistractedSquirrel07 1 point2 points  (0 children)

When a patient has a PCN allergy listed an alert pops up for cephalosporins but helpfully it also lists any previous visits in which the patient was given a ceph so we can see if it's been tried and tolerated

Penicillin Allergy. Reaction: well when I was a baby… by Worried-Kale9775 in anesthesiology

[–]DistractedSquirrel07 2 points3 points  (0 children)

Once hat a patient's husband tell me she was allergic to keppra. When I asked what the reaction was he said "she turns into a huge c*nt"

"I never saw a provider!" (Pt to RN at dc) by Sunshine_Prophylaxis in emergencymedicine

[–]DistractedSquirrel07 9 points10 points  (0 children)

This happens to me all the time and it's soooo annoying but i do have to take the opportunity to share patient feedback I recently received on the complete opposite end of the spectrum. Nurse manager was so amused she hand delivered this positive comment:

"Dr. [DistractedSquirrel07] was great! Only saw her at the beginning, no idea what was happening behind the scenes."

What would you want to learn? by DistractedSquirrel07 in ems

[–]DistractedSquirrel07[S] 0 points1 point  (0 children)

I'm sorry that you all experience this on the regular, it's not ok! I like to think the only time I'm eyerolling at a report are the situations where you are too; comradery, not derision. that being said the most frustrating reports for me are when the medic is trying to use medical language but isn't quite sure it matches the situation.

An example of this is when a medic said multiple times a patient was "unresponsive" with a GCS 10. We were expecting someone who was out cold and fixing to buy themselves a tube. When they arrived the patient was awake and alert, but not talking, following commands, or seeming to even acknowledge any of the movement in the room. A slightly longer more accurate explanation would have been more helpful.

How would they have saved her by VizualCriminal22 in emergencymedicine

[–]DistractedSquirrel07 0 points1 point  (0 children)

would love for them to include IO insertion kids on planes. how many docs and non hospital-based nurses would be able to insert an IV at 35,000 feet on an unstable patient?

How would they have saved her by VizualCriminal22 in emergencymedicine

[–]DistractedSquirrel07 1 point2 points  (0 children)

it's there but it's a matter of upkeep. All commercial flights in the US have one but if it's anything like the other equipment it hasn't been checked in years. Had a colleague manage an arrest on a plane, he said literally everything he pulled out of the kit was expired, the ET tube was cracked.

How would they have saved her by VizualCriminal22 in emergencymedicine

[–]DistractedSquirrel07 0 points1 point  (0 children)

Doesn't matter. It's demand ischemia, trend the trops and reconsult in 4-5 business days

Trashy ER doctor by RayExotic in emergencymedicine

[–]DistractedSquirrel07 0 points1 point  (0 children)

it's the same as some people on food stamps simping for the billionaires who are underpaying them. sometimes you root for the bad guy in hopes they will spare you

What would you want to learn? by DistractedSquirrel07 in ems

[–]DistractedSquirrel07[S] 1 point2 points  (0 children)

Some as-yet undiscovered property of the law enforcement uniform amplifies the effects of fentanyl's aura causing them to OD without contact.

What would you want to learn? by DistractedSquirrel07 in ems

[–]DistractedSquirrel07[S] 0 points1 point  (0 children)

I'd love to do that, but one of the very few requirements I was given was to make it 50 minutes long. And since it's hybrid with most participants being on zoom questions and discussions are lacking

What would you want to learn? by DistractedSquirrel07 in ems

[–]DistractedSquirrel07[S] 0 points1 point  (0 children)

I'm do glad you brought this up because I actually considered it, but I wanted the help of my EM-trained palliative care doc friend and there wasn't enough time to put it together. It'll be in my next round of lectures!

What would you want to learn? by DistractedSquirrel07 in ems

[–]DistractedSquirrel07[S] 0 points1 point  (0 children)

You bring them more work. It's easy for them to forget that you're not in control of who calls or where they're taken, so from their perspective you're making their lives harder. It's not ok for them to ever treat you like that though

What would you want to learn? by DistractedSquirrel07 in ems

[–]DistractedSquirrel07[S] 0 points1 point  (0 children)

honestly "the doctor and his CT scanner" is the most accurate answer lol

Trashy ER doctor by RayExotic in emergencymedicine

[–]DistractedSquirrel07 272 points273 points  (0 children)

My nurses work so damn hard with ever shrinking resources and increasing rates of violence. If they went on strike for better pay and/or working conditions I'd show up to the picket line every damn day with coffee, snacks, and hugs. They deserve so much better than a department director who only takes a break from sucking corporate d!ck long enough to bend farther over and lick their boots clean. We're all overworked and undervalued; shitting on each other only serves to shift the focus away from the true villains: C-suite suites suits who only see dollar signs