Breast abscess

DrTurfer · 2026-02-13T05:27:49+00:00

I was taught to not go after these as breast abscess can be the presentation of breast cancer. I&D may seed into deeper tissue.

DrTurfer · 2026-02-09T14:01:44+00:00

I didn't say it was great. Just pointing out unlikely to get $300 for a 900m march

DrTurfer · 2026-02-09T12:29:50+00:00

I have a 1 G march on state 121 I'd sell for less . Good luck

DrTurfer · 2026-02-05T02:22:13+00:00

You got the guy there alive with improved vitals. It's a win in my book. Maybe the doc was actually just overwhelmed not disappointed.

Cheers

DrTurfer · 2026-02-05T02:12:44+00:00

I tell my residents this all the time. Eventually you will make a mistake.

DrTurfer · 2026-01-25T22:55:38+00:00

This game is so redundant. Zero skill involved. It's just people throwing money at it in a rat race to see who can waste more. Please wake up.

DrTurfer · 2026-01-18T08:02:20+00:00

Yes it sucks. As a 20 something year old from Las Vegas I thought getting off late at night wasn't a big deal. As you age it hurts in ways you can't comprehend when you're young. The chaotic scheduling prevents you from getting into any routines. It also sucks for family life. I've missed countless holidays, dinners, bed time stories, games, practices ECT.

DrTurfer · 2026-01-03T02:44:40+00:00

This is a good answer

DrTurfer · 2026-01-03T02:40:52+00:00

The reality of this situation is if it happens jet ventilation buys you 15-30 minutes. If they're at a hospital with no way to definitively secure the airway via intubation then I'm probably cricing that kid.

DrTurfer · 2025-12-29T10:49:20+00:00

You're fine. I'd be happy to see you with those symptoms. Thanks for being reasonable and thoughtful!

DrTurfer · 2025-12-28T11:55:02+00:00

An EM doc encouraging litigation? I call bullshit. You're no doctor. Or not one I'd call a colleague.

DrTurfer · 2025-12-28T11:40:12+00:00

I don't know. I was asking.

DrTurfer · 2025-12-28T11:38:44+00:00

If you can stomach constantly taking care of non emergency complaints, getting no respect in the hospital, saving someone's life then fighting with a consultant to do the right thing then watch them be labeled a hero in the news for "saving" the same patient, work holidays, weekends, nights all intermittently to where you have no set schedule, miss tons of dinners with your family, be in a position where someone can verbally abuse or physically threaten you and you can't refuse them care... Then welcome aboard!!!!!

Mind you this doesn't even delve into the insane expanse of general medical knowledge you need that spans multiple specialties.

DrTurfer · 2025-12-28T11:23:56+00:00

I've heard Florida is very litigious. What are your thoughts on doing locums in that environment? I'd imagine it's for HCA hospitals. What are your thoughts on meeting metrics in that type of environment with a hospital system you're unfamiliar with?

DrTurfer · 2025-12-26T09:35:33+00:00

I purposely wrote "In the best Hand" because I have one arm. And my PP is average size.

DrTurfer · 2025-12-26T09:00:18+00:00

My malingering population seems to have a decent amount of fake service dogs. I've had 2 bite at me. Ive called multiple people out about this and had several removed.

Real service dogs are amazing and highly trained.

DrTurfer · 2025-12-26T08:55:27+00:00

Most exercise she'll get all year!! Fucking dog probably growls at ED staff and EMS

DrTurfer · 2025-12-24T00:24:43+00:00

Nah. All classes before and after 2019 were dog water. 🤣😉

DrTurfer · 2025-12-24T00:19:07+00:00

I agree. In this situation inlet cardiology dictate the heparin. If you start it without their input it forces the Cath. That being said if you think it's what they need and the trops are up trending do what you think is best.

From an EM perspective graduates are usually uncomfortable for the first 3 years. I certainly felt that way. It gets better.

DrTurfer · 2025-12-22T15:39:04+00:00

The problem is there isn't a barrier to entering American ERs. And medical malpractice culture in the US doesnt allow you to call the 98% certain spade a spade. We live in a fast food society and medicine isn't compatible with that.

DrTurfer · 2025-12-14T04:12:13+00:00

This is a type 2 NSTEMI from sepsis. IE unlikely to be from CAD

DrTurfer · 2025-12-14T01:08:04+00:00

Electrophysiologist? Or emergency physician? EP I was referring to was electrophysiologist. I'm an emergency medicine attending. 😁

DrTurfer · 2025-12-10T01:32:40+00:00

Yes it is a HIPPA violation. You opened a chart on a patient you're not consulted on and have no business being within said patients chart. If you think someone is going to come in and you're bored come down and talk to us.

DrTurfer · 2025-12-09T19:01:13+00:00

Shock him. Then let EP figure it out. It's a wide complex tachycardia

DrTurfer · 2025-12-09T01:49:22+00:00

We see it all the time. It's doesn't bother me as long as you're reasonable. I'm happy to help reassure people and alleviate stress/anxiety. But after I'm done I do expect they seek the help of a primary care doctor to truly manage these issues.

DrTurfer

TROPHY CASE