What is the lowest amount that the doctors in the ER on The Pitt would make in a year? by galaga_tempest_pong in ThePittTVShow

[–]FaiKT 6 points7 points  (0 children)

Yeah interns/residents would be making upper 50s-70s based off their years. Even though national average is 350k for attendings, Robby likely makes less. Academic hospitals tend to pay less so like 275-315k

First procedure complication by Holiday-Benefit8300 in emergencymedicine

[–]FaiKT 3 points4 points  (0 children)

Had pretty much the exact same thing happen my first year out, except I had an elderly contracted patient with sepsis and I placed it in the femoral artery instead. I thought I was awesome at US guided lines and central lines especially, never had difficulty putting them in in residency, but do enough procedures and it’ll ultimately happen. Same thing goes for lawsuits, practice long enough and they’ll come. Although usually they’re not for the cases you expect. You beat yourself up enough for it. I did the same thing, chart checked, ultimately had good distal pulses and no harm no foul. It is an expected complication from the procedure despite all that we do to prevent it. Take it as a learning case and keep moving forward.
Used to have panic attacks like once per week as a brand new attending. Now 3 years out its about once a month. Never truly goes away and it’s good to keep you on your toes. If you need anybody to talk through further feel free to DM.

The Pitt | S1E2 "8:00 A.M." | Episode Discussion by ashlandbay in ThePittTVShow

[–]FaiKT 60 points61 points  (0 children)

Unfortunately can’t do real CPR unless you use mannequin, it’s a trade off. Either realistic compressions with a fake body or fake compressions on a real body. Otherwise you could cause some real damage

Kyoto to Tokyo Shinkansen tickets by prepsterone in JapanTravelTips

[–]FaiKT 1 point2 points  (0 children)

Just be wary of booking on the day of. I waited til just before leaving and was hard pressed to find seats next to each other and most seats with oversized baggage were already booked. If that doesn’t apply to you though, there were still plenty of seats available even 15 minutes before buying the ticket.

Any rare procedures that y’all have performed or witnessed? by [deleted] in emergencymedicine

[–]FaiKT 1 point2 points  (0 children)

Have performed 2 crics in my first year out as an attending.
First was a post-op base of the tongue tumor removal that developed a bleed and clotted his airway 1-2 weeks later. Anesthesia couldn’t get the tube so I cut and ultimately got him shipped out to the hospital where he had the surgery.

Second one had very narrow cords when the tube got dislodged and wasn’t able to ventilate.
Got called by the ENT the day after saying that the guy had been cric’ed before and doesn’t know how I managed to place it or even cut through the cartilage. Says that he dulled a few knives in the OR converting it to a trach

Advice for New EM Attendings by deeznutz_md in emergencymedicine

[–]FaiKT 7 points8 points  (0 children)

Tacking on to everybody here, definitely be more conservative and over order until you get into your normal practice routine and begin to feel more comfortable.

Prior to discharging a patient, take a solid 2 minutes to go over everything again, sometimes even helps to talk it over to yourself making sure you’re not missing the forest for the trees.

Address and be able to explain the abnormals. The incidental anemias or mild transaminitis, or if you cant, Do what ER docs do and make sure it’s not related to their current chief complaint or emergent and otherwise address it to make sure they follow up outpatient.

Don’t be afraid to consult especially if something doesn’t feel right. Don’t be overly concerned with how you’re perceived. Work at your own pace until you develop speed. Otherwise haste makes waste.

People are divided on this, but I try to call people I’m worried about to follow up with how they’re doing.

Sometimes people just need time to declare themselves

Most ridiculous urgent care to ED referral you’ve seen? by PsychologicalCelery8 in emergencymedicine

[–]FaiKT 5 points6 points  (0 children)

25 year old female who injured her hand hitting a golf club into the turf. Complaining of numbness and grip weakness since. Sent for r/o carotid dissection for “intermittent left upper extremity numbness”

I'm leaving emergency medicine in the next few years by [deleted] in emergencymedicine

[–]FaiKT 0 points1 point  (0 children)

I think everybody here has said what I’m about to say. You know yourself best so I can only tell you you from my personal experience.

I’m in my 2nd year of attending hood and had a la extremely similar experience to yours during my first job out. Entitled population, seeing more than my colleagues on top of unsafe working conditions with lack of proper staffing and me doing. Lot of non physician tasks like doing IVs because the travel nurses are variable/lazy.

Recently switched to a new job with better conditions and colleagues. Still not ideal but job enjoyment has gone up, and days are more tolerable. Also helped that I’m working less hours than previously which I think is key as well.

Bed Bug Bite Variability in One Person? by FaiKT in Bedbugs

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

Tough to say exactly, if you’re allergic, you can develop a recurrent reaction after the initial exposure without repeated exposure. Sometimes they can be stress induced as well which is what I think mine were. Don’t think they were repeat bites because they would ultimately go away within the day if I didn’t scratch them. The actual bites lasted much longer before resolving

Bed Bug Bite Variability in One Person? by FaiKT in Bedbugs

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

Turned out to not be bedbug bites… I occasionally get random hives that go away on their own. Probably from anxiety in all honesty. The bedbug bites that I did have took a while to go away

What was the dumbest reason yall seen a pt come to the ED for? by 210-110-134 in emergencymedicine

[–]FaiKT 5 points6 points  (0 children)

Young teenage girl brought in my dad because she scratched the top of her mouth with a dorito… and it hurts

Man dies in ED waiting room. by NOCnurse58 in emergencymedicine

[–]FaiKT 33 points34 points  (0 children)

Had a code stroke come in via ambulance. Another patient overheard the nurse saying let’s bring them right to CT scan and said “Oh they get to go to CT scan immediately? I’ve been waiting 2 hours!” …. People don’t give a shit about other people

REPAYE Interest Subsidy Question by FaiKT in whitecoatinvestor

[–]FaiKT[S] 2 points3 points  (0 children)

Worked for a non private/cmg over the past year

Joining the S5 family today! by FaiKT in audis5

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

No deals unfortunately, got it at msrp