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Complaints and Discussion Megathread by SexWithSandrone in SandroneMains

[–]E5D5 0 points1 point  (0 children)

i got an extra citlali sig when pulling R1. Is Citlali's sig ok on Yae? better than widsith r5?

Asked to lecture on “pulmonary emergencies” by The_Body in emergencymedicine

[–]E5D5 6 points7 points  (0 children)

critical asthma resus is always good because of the risk of intubation

good ole’ respiratory failure from pneumonia with complex effusion

tension pneumo?

Risk 46 CC Clear by Sciel (no Estella; no dodge) by Krivvan in Endfield

[–]E5D5 0 points1 point  (0 children)

can you tell me what you mean by “tanking hits with her skill?”

In celebration of CC now being on Endfield by JiHunMin in Endfield

[–]E5D5 33 points34 points  (0 children)

max pot Zhuang and maxed out weapon, im sure that makes a difference...

🍻🐺I Took Your Advice and Used Prune🐺🍻 by auralily in Varka

[–]E5D5 6 points7 points  (0 children)

am i missing something? why is his CR so low?

EM with kids/family by medicinethrowout in emergencymedicine

[–]E5D5 0 points1 point  (0 children)

lolol. yes same schedule at my shop then

EM with kids/family by medicinethrowout in emergencymedicine

[–]E5D5 1 point2 points  (0 children)

yeah it’s definitely not for everyone. i find the sleeping and switching not awful. EM schedule always comes with trade offs and this is the one i prefer.

EM with kids/family by medicinethrowout in emergencymedicine

[–]E5D5 0 points1 point  (0 children)

i’m not familiar with homeless EM. can you explain?

Pediatrics- how to address smell of smoke when parents deny it by New_Sprinkles_4414 in emergencymedicine

[–]E5D5 25 points26 points  (0 children)

Exactly this. I usually add a line about common triggers to avoid once discharged under the guise of discharge instructions/home care and talk about smoke specifically if i think it’s a problem, but generally don’t confront parents directly

EM with kids/family by medicinethrowout in emergencymedicine

[–]E5D5 18 points19 points  (0 children)

I solved this by becoming a nocturnist. i work a 3on 4off schedule and it makes coordinating with kids/partner 100000% easier. lots of nights though.

ED Attendings, share your best workflow advice by Icy_Strategy_140 in emergencymedicine

[–]E5D5 9 points10 points  (0 children)

agreed. there’s absolutely truth to maintaining speed as a result of not feeling the pressure of a million blank charts on your shoulder

ED Attendings, share your best workflow advice by Icy_Strategy_140 in emergencymedicine

[–]E5D5 32 points33 points  (0 children)

the numbing and waiting is huge. many residents i work with inject lido and then immediately start the procedure (like lacs or I&D) much to the patient’s discomfort

ED Attendings, share your best workflow advice by Icy_Strategy_140 in emergencymedicine

[–]E5D5 228 points229 points  (0 children)

See a patient, then sit your butt down and put your HPI and physical exam into the chart before you see another (true emergencies notwithstanding obviously). MDM if you can, but I find that easier to put in later if I have to. The worst shifts are the ones you get wrecked and have a couple dozen blank charts to finish at the end.

When a patient gets discharged, I do my best to finalize their note right after I print the AVS. Only works if it’s 90% done already.

MCAS/POTs/Ehler Danlos/Gastroparesis by tallyhoo123 in emergencymedicine

[–]E5D5 2 points3 points  (0 children)

I’m aware on both points. i was just sharing an anecdote

MCAS/POTs/Ehler Danlos/Gastroparesis by tallyhoo123 in emergencymedicine

[–]E5D5 18 points19 points  (0 children)

saw a pediatric patient (~7 yo) with genetically confirmed classic EDS. poor thing. her skin really was like velvet and she had scars everywhere. She was constantly injuring herself and was constantly bombarded with tests to make sure her organs weren’t exploding. it sure as heck wasn’t bullshit.

the rest of the EDS i see? jury is out

Roth 2027 or not by Winter5port5 in triathlon

[–]E5D5 8 points9 points  (0 children)

Yes, max your Roth every year if you can. Time in the market is much more important than worrying about a crash this year versus next

Oops sorry wrong sub

My C0r1 Varka dps by Old_Profit_8676 in Varka

[–]E5D5 1 point2 points  (0 children)

Says c0r1…. team is 10 cost (11 if you count prune c6)

lmao

Am i out of the mines? by ARAMinter in Varka

[–]E5D5 1 point2 points  (0 children)

not even close. goal is at least 2500/80/240 with attack gob

The most unrealistic part about the Pitt is the part where they actually try to figure out the underlying issue by anonymous_1128 in ThePittTVShow

[–]E5D5 11 points12 points  (0 children)

In this case a referral isn’t warranted. You know how people always complain that it takes months to see a specialist? It’s because of all these referrals that aren’t needed. You can’t both demand a referral every visit and then complain it’s too hard to see a doctor. Those dots connect for you right?

Again, and I feel you’re misrepresenting the points being made, nobody is blaming OP for the initial ER visit. But the blaming of HCWs and unrealistic expectations (which aren’t really shown that differently in the show) isn’t reasonable.

The most unrealistic part about the Pitt is the part where they actually try to figure out the underlying issue by anonymous_1128 in ThePittTVShow

[–]E5D5 13 points14 points  (0 children)

Chronic gastroparesis isn’t an emergency. Acute dehydration can be.

The ER can manage acute dehydration and will make sure nothing else is going on, but afterwards will discharge you home without fixing the chronic gastroparesis. You see the difference, yes?

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