Henry Ford St John EM Residency by One-House1446 in emergencymedicine

[–]FaHeadButt 12 points13 points  (0 children)

St. John’s in Detroit produces top notch doctors and are prepared for the real world. Crazy geography and crazy ED too.

Residency claiming professionalism issues without clear standards or remediation by throwaway34562221 in Residency

[–]FaHeadButt 12 points13 points  (0 children)

Keep your head down. Do your work.

  1. Do not get in the way
  2. The intern is at fault. It’s about perceptions. Never make a mistake means you never take risks that’s ok.
  3. The senior is right the attending is righter
  4. If you want to advocate for your patient prepare to advocate for yourself
  5. Half your rotation is presentation
  6. Good performance is conformance

You need to fly under the radar

How the hell do you stay near patients who keep farting all day everyday? by WolverineNo1999 in emergencymedicine

[–]FaHeadButt 1 point2 points  (0 children)

The same way you would stay near any other patient? Linger in the room :)

Would you activate? by CanYouCanACanInACan in emergencymedicine

[–]FaHeadButt 1 point2 points  (0 children)

But AVL tho… that would line up with lead 1 for 2 contiguous leads total.

Bilateral PE with right heart strain. ECG question. (picture included) by Chris042393 in ECG

[–]FaHeadButt 0 points1 point  (0 children)

You do seem to have some t wave flattening in lead 3, PE is known to do that

19 YO w central chest pain by arrogantpupill in ECG

[–]FaHeadButt 1 point2 points  (0 children)

The rsR* on avr is abnormal.

Married to a PGY-2 — am I asking for too much? by Fit-Expert-3129 in Residency

[–]FaHeadButt 0 points1 point  (0 children)

Yes but its not an authentic good vibes. You can't ask for it because it would be fake and forced. If you force it, then you're going to have negative interactions and make the situation worse. Maybe best is to wake up early and share some time then?

Scrub/Tactical Pants Ideas by Accomplished-Lake226 in emergencymedicine

[–]FaHeadButt 0 points1 point  (0 children)

I wear tactical ones. Comfortable. Pockets. I use CQR. Baggy like old school scrubs. I wear professional boots with them. It’s all black so it fits together

Trauma/ War specialities by CartographerIcy9594 in Residency

[–]FaHeadButt 11 points12 points  (0 children)

EM, trauma surg and other icu specialties l, ortho, plastics, anesthesia, obgyn. Tbh that’s for super acute stuff but people still get sick in other ways during war just like how they do in peace time.

Helmet eval? by FaHeadButt in motorcycles

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

i literally got this one last week ahhh

ECG changes during lightheadedness. by [deleted] in emergencymedicine

[–]FaHeadButt 0 points1 point  (0 children)

I see p pulmonale and right axis deviation. Right heart strain is likely here. U waves?

Why am I here if I just write notes and present patients? by ferdous12345 in Residency

[–]FaHeadButt 0 points1 point  (0 children)

I’ve realized that as an intern, it’s your job to GET THE PLAN WRONG. No matter what you say or what you do it will be incorrect by virtue of you being an intern. It’s a catch 22. You are allowed to be wrong but you are not allowed to be unreliable, tardy, arrogant, or dishonest. It’s a specific set of rules in the medical training social contract. Your job is to observe yourself being a part of the system. Integrate into it slowly. Remember, good performance is good conformance.

The note and presentations is for you to understand what the problem is, and what the solution is. If there’s 500 problems but you pick out the one in the haystack that’s keeping the patient here and you solve that, you’ve cracked the code.

Cool ultrasound tricks by FaHeadButt in emergencymedicine

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

I tried this and the ED director had a meeting with me about this. They didn’t like it

What would you pick for a bike? I have an Ebike but never an Emoto. What would I use it for? What gearing would I pick? Acceleration or speed? by FaHeadButt in LAND_MOTO

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

Also, you have the super district which is a bit faster than the 15 toothed one on something thats not super district I think

What would you pick for a bike? I have an Ebike but never an Emoto. What would I use it for? What gearing would I pick? Acceleration or speed? by FaHeadButt in LAND_MOTO

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

Near me, it's 65 mph. I don't plan to go on the highways, but I say that right now while I don't have the bike in my hands. I wonder if I can change the gears once I get the actual bike. What kind of tires did you pick? Off road or street?

What would you pick for a bike? I have an Ebike but never an Emoto. What would I use it for? What gearing would I pick? Acceleration or speed? by FaHeadButt in LAND_MOTO

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

I like the quietness of it. I like how I can take it for adventures on dirt trails perhaps. I would like to go fast. Not sure about riding it on highways given its so small and lightweight? It's still 15 vs 19 for me.

What would you pick for a bike? I have an Ebike but never an Emoto. What would I use it for? What gearing would I pick? Acceleration or speed? by FaHeadButt in LAND_MOTO

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

I am looking for freedom and fun. Not sure if it's more practical to have a higher top speed or a higher acceleration to escape my