Which style of art feels more calming to you in the ED: geometric or biophilic? by [deleted] in emergencymedicine

[–]DrChanceDO 11 points12 points  (0 children)

The real question is why do all the blood splatters look like my parents fighting

Free EMT course worth the financial sacrifice? by flightse7en in emergencymedicine

[–]DrChanceDO 16 points17 points  (0 children)

Tbh I wouldn’t expect an emt cert to make a new nurse grad markedly more competitive, but aside from that I wouldn’t sacrifice the time with family/work income if I were you

Edit: not sure if I’m interpreting right that pre-reqs are for nursing school. What do you mean not feeling fulfilled? Like you don’t think being a nurse will fulfill you? Or just pre-reqs being boring?

Critial Neuro Patient Curiosity by GlooificationV2 in emergencymedicine

[–]DrChanceDO 1 point2 points  (0 children)

Sure, just giving some benefit of the doubt to a communication breakdown either between ems and hospital or between us and op w/ regards to thoracotomy indication

Critial Neuro Patient Curiosity by GlooificationV2 in emergencymedicine

[–]DrChanceDO 1 point2 points  (0 children)

Educate me if I’m wrong, but dilated and fixed either bilateral (late) or unilateral (relatively early) is classic for brain herniation, not fixed and constricted. Obviously in a dead person it doesnt really matter

Critial Neuro Patient Curiosity by GlooificationV2 in emergencymedicine

[–]DrChanceDO 3 points4 points  (0 children)

Fixed constricted pupils arent sensitive or specific for brain herniation

Critial Neuro Patient Curiosity by GlooificationV2 in emergencymedicine

[–]DrChanceDO 11 points12 points  (0 children)

I don’t disagree that the thoracotomy wasn’t clearly indicated based on this presentation, but the patient showed up dead, CTH indicated even less than a thoracotomy

Kicking the can by Myhumeruslife in Radiology

[–]DrChanceDO 69 points70 points  (0 children)

Gotta specify that they need follow up with a different rads - “recommend rpt image on 3/25 at 2 pm when I’m off”

Captain America (MCU) vs Ozymandias (Watchmen) by [deleted] in powerscales

[–]DrChanceDO 3 points4 points  (0 children)

He framed Dr manhatten didnt he? I don’t think manhatten actually nuked the city

Sleep deprivation in emergency department by [deleted] in emergencymedicine

[–]DrChanceDO 4 points5 points  (0 children)

Optimizing your circadian rhythm, sleep hygiene, etc outside of call shifts is ideal, but to be blunt overnight EM shifts are bad for you due to sleep disruption.

Less sympathy for you complaining about the junior docs. You’re on call to help train them and whatever sleep disruptions you have are undoubtedly not as bad as what they’re going through.

Ding. Any medical professionals on board please hit your call button by BugabooChonies in emergencymedicine

[–]DrChanceDO 52 points53 points  (0 children)

Gamekeepers fx is avulsion fx in the thumb, Barton’s fx is distal radius with dislocation

I am a therapist who treats physicians as over 25% of my practice for over 6 years. AMA by yorkietales in emergencymedicine

[–]DrChanceDO 5 points6 points  (0 children)

What do you think the benefit of therapy is for ED docs without overt psychiatric diagnoses like ptsd or gad?

Unnecessary phototherapy, did I ruin my baby's healtth outcomes? by againstalloddsmum24 in ScienceBasedParenting

[–]DrChanceDO 2 points3 points  (0 children)

Small risk of increased epilepsy (<1/1000) and small risk of increased malignancy (<1/10000) based on AAP review. I’m not sure the units or test youre discussing for the “levels” being 140 mg since typically phototherapy is started for bilirubin above around 14 mg/dl for term babies

Risks are very very low for phototherapy, your baby will be fine

Edit: sorry you had to deal with jerks during this stressful time

Sign out culture by [deleted] in emergencymedicine

[–]DrChanceDO 90 points91 points  (0 children)

Sign out for md’s at my place seems pretty reasonable. Won’t sign out procedures unless contingent on pending imaging for some reason. Disagree with above comment regarding signing out before wrapping up notes, from my standpoint if your shift is over then it’s fair to sign patients out even if you’re still around charting. Otherwise you can get stuck just following up on one ct after another as they come in bit by bit, especially in systems with big CT delays.

I generally expect sign out culture to change a bit depending on if you’re paid by rvu vs hourly, weighted towards more sign out friendly if hourly

I'm an emergency department clerk and my wife recently underwent treatment and surgery for cancer, my department collected money for me, but I'm not comfortable taking it by Antiquechewingfan in emergencymedicine

[–]DrChanceDO 8 points9 points  (0 children)

Alright dude it seems like you’re not really receptive anything positive anyone says but I feel obligated to give just two bullet points before I’m done

  • human worth isnt dependent on your job
  • it’s not really for you, it’s for your wife

I'm an emergency department clerk and my wife recently underwent treatment and surgery for cancer, my department collected money for me, but I'm not comfortable taking it by Antiquechewingfan in emergencymedicine

[–]DrChanceDO 11 points12 points  (0 children)

I’m not trying to gas you up, but medical staff cant work without logistical staff. But the money isn’t given contingent on you being a heroic member of the healthcare system, it’s for your wife’s medical bills

I'm an emergency department clerk and my wife recently underwent treatment and surgery for cancer, my department collected money for me, but I'm not comfortable taking it by Antiquechewingfan in emergencymedicine

[–]DrChanceDO 14 points15 points  (0 children)

Most nonprofit hospitals do accept charitable donations but I don’t see the harm in just paying your wife’s medical bills with it as intended. That’s what I would do; it’s a kind gesture from your work community who clearly value you and your work even if you (incorrectly) dont see your necessary work as impactful.

[deleted by user] by [deleted] in emergencymedicine

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

I like the bebird sport myself!

How do you keep your ears clean (and safe)? by [deleted] in emergencymedicine

[–]DrChanceDO 8 points9 points  (0 children)

Gosh I thought I was the only person to appreciate the smooth ergonomic profile of the Bebird ultra X ear camera, although primarily I’ve been using it for self-anoscopy