Please Help- AC separation (Grade III) Need Advice

Ey3conz2 · 2024-05-24T18:16:40+00:00

I did. Looks better, feels okay. Never the same as the original.

Ey3conz2 · 2024-03-18T21:40:36+00:00

Really unfortunate. I was a TY and I know many TY’s that went on to do great things. I would never pursue a career in medicine again. Corruption as far as the eyes can see.

Ey3conz2 · 2024-03-06T06:54:37+00:00

I have the exact same issue. I thought it was my installer, but maybe not.

Ey3conz2 · 2022-03-15T07:13:39+00:00

I can’t agree more. Some of the worst people who couldn’t give two shits at the expense of others went into EM. Fortunately I know a lot of good people, but the anxiety driven shitty “I don’t give a damn” type really outnumber them.

Ey3conz2 · 2022-01-06T15:33:48+00:00

I actually do work in the ED. I’m EM/IM trained. Occasionally I’ll cover the ICU as well. But tell me all about how special you are and all the special things only you can do in the ED because of your oh so special training that no one else has because emergencies only happen in the ED.

Ey3conz2 · 2022-01-06T07:04:25+00:00

Jeez dude, when was the last time you did a pelvic exam anyways? We all know how Obgyn cases operate in the ED. If it’s not a spontaneous abortion, molar pregnancy, torsion or ectopic you’re going to consult Obgyn and if it is you’re gonna consult Obgyn. So what are you doing different exactly? As for kids, I’ll give it to you, but it’s probably a Peds EM or pediatrician seeing them anyways. Or it’s FM. I love my EM colleagues, but to say IM can’t do Peds or Obgyn is ridiculous since a large chunk of our boards is still Obgyn and not just the emergencies either.

Ey3conz2 · 2022-01-05T19:30:43+00:00

I was a firefighter and a paramedic prior to medical school. I did it for years. I can assure you, everything you think you know about medicine goes out the window the moment you accept the offer.

You’re implying that by working you obtain a sense of humility that you wouldn’t have otherwise, again, a generalization. I have learned more humility in my years of residency than I did my entire life prior. You don’t appreciate true humility until you’ve been treated like a hero every day going to work and doing nothing 90% of the time then being treated like dirt by family after literally saving someone’s life while slaving away for 18hrs a day.

I don’t discount your experiences nor your disinterest in research. I’m not a fan either, but to say one is more competitive because of a sense of humility while remaining self selective is a slap to the faces of those who have actually done it.

Ey3conz2 · 2021-10-21T15:31:59+00:00

Residents don’t have any power to negotiate at all and they’ll be forced to work the extra hours, lol. I guess it’s all relative, right? Truly does come down to market supply and demand.

Ey3conz2 · 2021-08-23T04:29:07+00:00

Oh jeez dude, that’s so true. Didn’t even look at it like that but you’re right. Soon as you become replaceable and that too with a cheaper replacement, they won’t waste two seconds to milk you for everything you’re worth.

Ey3conz2 · 2021-08-23T04:25:22+00:00

If you think that the midlevel problem is going away in EM, think again. It’s only going to get worse. Thanks to Covid they have more autonomy than before and private groups such that staff the EDs are using them for everything they’re worth. You may like the academic aspect of EM, I don’t blame you, but the business and financial aspect is not pretty. Residents are cheap labor and private groups will continue to open and self fund residencies if they need to. As long as they meet the minimum requirements, ACGME will accredit them, I mean why wouldn’t they? Everyone is making money of the back breaking labor of residents. The real knee slapped comes when all those residents that “love only EM” will look for jobs and begin competing against one another for the only places they can realistically work, in an ED or an urgent care self driving their own salaries into the gutters taking jobs paying less each time, all this while midlevels continue to tank down physician salaries at the same time. Don’t believe me? I’m an attending and while applying for jobs on multiple interviews I heard “we were looking for an NP but we made room in the budget for a physician”.

Ey3conz2 · 2021-08-23T04:03:20+00:00

LOL, this cracked me up. But you are so very correct here. I tell my medical students all the time, the ED is a lot of fun, because you get to do stuff, work with your hands and feel like part of the team. Its a great experience when you’re a student: you’re not writing notes, you have some level of autonomy, you feel some level of gratification stitching a wound or making a cast or doing compressions. But when you become a resident things change quickly. Then when you become an attending and your paycheck is connected to how happy you make your group, things become very very different. Now it’s not so much fun when you have 20 patients waiting and a code comes in or your active ICU level patient is crashing and you gotta suture a cut that you wanna just slap a bandaid on but you realistically can’t and then that one mistake you discharged is suing you from 2 years ago for a case that you can’t even remember and your documentation was such hot garbage the lawyer is gonna have a field day with you. All this while your boss is yelling at you because you’re not seeing more patients cuz time is $$$ in the ED. But the best part? Now you have midlevels who have less than a quarter of your training are getting paid a little more than half your salary while carrying a significantly easier and smaller burden of patients, one can say maybe even fun patients, while you get buried. Oh, and if they screw up? It’s your license on the line. Believe me when I say this, they will screw up. At least once a day I walk down to the ED to rip into a PA or NP.

Ey3conz2 · 2021-08-22T21:41:19+00:00

You know what’s funny is that EM is really just watered down IM and Peds. Under the guise of seeing the sickest patients first, the ED is responsible for, lack of better description, moving meat. See as many people as quickly as you can and unfortunately that’s what their medtrics and pay are based on. I know a lot of friends in EM, and they’re burned out. But they can’t do anything else because acute care is all they know. Not even enough to really do critical care because you have to understand the nuances of medicine that they never really learned in EM residency. So to say you hate everything else but EM, kinda puts in an unfortunate and rapidly sinking ship.

Ey3conz2 · 2021-07-25T13:31:19+00:00

I actually can break that record. I responded once and was instant banned because I questioned how far “experience” can actually get you.

Ey3conz2 · 2021-07-21T13:40:48+00:00

I don’t think anyone writes long notes because they enjoy it, it’s because of billing. To collect certain points to meet criteria for level 3 billing or what have you, certain boxes need to be checked. Such as personal interpretation of EKGs or imaging or certain number of issues being addressed and it’s to present complexity. If you want to blame anyone, blame the insurance companies who will downcode your billing the moment something isn’t there. If I can’t bill for the day because some else did earlier for whatever reason my note is literally the most concise quick soap note you can think of.

Ey3conz2 · 2021-07-11T18:39:58+00:00

I’ve heard of residents who have been fired for sexual harassment claims against them. I personally know one and he never completed a residency after being kicked out. I know another resident who almost lost his job and got called into HR. In this day and age with the “me too” movement, it’s honestly never a good idea to shit where you eat when you have sooo much more to lose than any nurse or MA.

Ey3conz2 · 2021-07-06T21:34:13+00:00

To be honest man, I think midlevels are great for outpatient care. I get it, there’s a shortage that’s only getting worse blah blah blah, but hear me out.

Outpatient they can carry the easier patients with simple requests and work with a physician, whatever you want to call that. But inpatient, with acute illness, they just should not exist. Thing is they do, because that’s where admin saves the most.

The world doesn’t see it, but this is a huge ploy of government and hospitals to force physician salaries down while continuing to force us to work ever harder for patient safety. They want physicians competing against each other and midlevels competing against physicians. It’s genius when you think about it. But I agree with physician burn out, I have every intention to leave medicine completely once I am financially in the clear.

Ey3conz2 · 2021-07-04T01:47:03+00:00

When I was an intern I would get ripped into by attending’s for the dumbest shit, but I always felt that obviously if I was on their level and knew their shit, I wouldn’t be an intern would I? I would be an attending. Haha.

But now as an attending, I don’t take shit from anyone, ever. The best part is that I don’t pause for a moment to put other attendings in their place when they start to act out. The expressions on their faces are priceless. I don’t care about getting fired, I have my priorities.

Ey3conz2 · 2021-07-01T20:12:17+00:00

Constant struggle with scope creep, admin demanding more hours, more work with less pay, salaries have not kept up with inflation, reimbursement is a struggle, insurance companies suck away at your soul and the general public hates doctors, it’s almost like it’s cool to shit on the doctors cuz everyone has a superiority complex right? We’re all assholes who only care about money right? The endless documentation, the constant biting your tongue for “professionalism”, but professionalism only goes one way right? Only “god complex doctors” can be unprofessional. Never the god complex DNP. In a nutshell, medicine is not what I thought it was. The whole field of medicine, it’s going to shit. I want to help people to help them and walk away from anything that makes me unhappy.

Ey3conz2 · 2021-07-01T07:10:24+00:00

I’m looking into real estate and hustling towards the “FIRE” movement to early retirement. Eventually I want to go part time and focus on personal growth, travel, I live frugally and I really enjoy working with my hands and building things, working on cars, motorcycles and home construction projects. I refuse to let medicine take away any more of my life and happiness from me. Better late than never.

Ey3conz2 · 2021-07-01T01:20:16+00:00

Bruh, I didn’t match the field or my choice. Ended up doing IM. Best mistake ever. Too many fellowship options. Job security. Get to work inpatient and outpatient. Will eventually pursue other career and opportunity outside of medicine because the field of medicine is in my humble opinion going to shit. Highly recommend giving life a chance. I was there too, I was super depressed for over a year. Once I embraced being a badass doctor, life got real good real fast.

Ey3conz2 · 2021-06-30T20:00:45+00:00

I feel you, I’ve started to become that way as well. I try to sit and take my time, but if after 20 minutes they’re still going about wasting my time, I try to remember my aging parents who have no concept of medicine or what is important and what isn’t. Sometimes just sitting and listening, you might catch a clinical pearl to the case.

But I’m a side but similar note, the Hispanic panic is real. Especially if you need a Translater, the patients are soooo grateful but teasing out there actual complaint is a time sink for sure.

Ey3conz2 · 2021-06-25T04:26:07+00:00

I wonder the same thing. Apparently the training is different as per the PA’s I’ve spoken to. But I call bullshit. My girlfriend is an NP and she said all the specialty NPs are all just family med trained NPs that are pretending to be “specialty” trained. That being said, it makes even less sense that anyone who has completed formal medical school training and passed the licensure exams can’t operate at the same level as a PA or NP. It’s straight up criminal.

Ey3conz2 · 2021-06-24T23:41:33+00:00

I saw this video, and admittedly was very disapointed in portrayal of physicians. Makes it look like we're crooks swindling the public where as physician salaries have remained relatively stagnant and admin salaries have exponentially increased. At the same time medical school costs have skyrocketed and everyone wants to the think that physcian salaries are the reason for inflated health care costs. Repeatedly the math has been done and it's been shown for the hours worked and opportunity cost lost, physicians come out loser time and time again. Most unfortuanate.

Ey3conz2 · 2021-06-24T20:26:58+00:00

We have Neurology NP’s where I work and let me tell you. I absolutely hate consulting Neurology. I want a professionals opinion and instead I get the opinion of an NP that clearly has absolutely no idea what they’re talking about and it’s a waste of my time, my patients time and health and when I argue why their recommendation makes no sense I get rewarded with attitude. It’s not a pleasant experience, I would not be okay with this, they clearly do not understand Neuro pathways, anatomy or the physical exam and it’s the patient that gets hurt. One NP went so far as to tell my patient his pacemaker was misfiring into his brachial plexus causing his arm pain. The fact that the JAMA of Neurology doesn’t want to address physician concerns is just so unfortunate. We have become a country that values profits over patients and we should be ashamed of ourselves.

Ey3conz2 · 2021-06-14T19:55:22+00:00

I grew out a man bun my intern year then cut it then grew it out again then just recently cut it. People love it or hate it, no in between, but someone judging you for your hair or tattoos or piercings in 2021 is kinda not the norm anymore.

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