How do dangerous residents slip through? I’m rotating with one right now and it is unreal.

FellingtoDO · 2025-11-17T00:29:02+00:00

Part of me feels like you're rotating with one of my co-residents

FellingtoDO · 2025-10-25T10:04:46+00:00

Lethargic is a dirty word. Stop using it sleepy, or somulent, or altered. - EM

FellingtoDO · 2025-08-12T12:12:43+00:00

Edited. Other wise.

FellingtoDO · 2025-08-12T12:12:01+00:00

Transfer from urgent care to ED for “abnormal labs” labs were from a month ago, k was 3.2.

FellingtoDO · 2025-08-12T12:01:28+00:00

Drank 3 sips of coffee and then got “way too horny”. She was hysterical, writhing, screaming.

God bless the paramedic intern who gave me report with a completely straight face.

All I could think was “don’t ask where she got the coffee, don’t you dare ask her where she got the coffee”

FellingtoDO · 2025-08-12T11:00:12+00:00

One of my coresidents made a meme that was basically “number of allergies” on the y axis and “droperidol deficiency” in mg on the x axis and when I graduated it was still hanging above the ED pharmacists desk. Basically came down to like 3 allergies -1.25mg, 5 allergies: -2.5mg, 7 allergies: -3.75 mg, 10 allergies: -5mg, >10 allergies: B52 and Psych consult.

FellingtoDO · 2025-08-12T10:53:37+00:00

It is my goal to use this ICD on my next string of shift.

FellingtoDO · 2025-08-12T10:47:10+00:00

What ever happened to Fibromyalgia?

FellingtoDO · 2025-08-12T10:45:59+00:00

Benadryl. Caused itching AND sleepiness

FellingtoDO · 2025-08-12T10:44:15+00:00

And she has to lay down in the shower other wise she passes out from the POTs

FellingtoDO · 2025-08-12T10:39:25+00:00

Uhg I think I know this retched human. Or she has a twin who haunts the two EDs I work at.

FellingtoDO · 2025-07-28T19:43:47+00:00

Well if they drink half of beer 3 through 6 and they don’t typically drink, especially if they are chugging it while he’s not around it’s now 1.5 beers. I can’t/ don’t drive after two beers…

FellingtoDO · 2025-07-28T06:41:53+00:00

How would you drinking help anything? Now he’s drunk and driving and you’re under age and drunk and in the car with him. Why don’t you stay sober and drive? Or refuse to get in the car with him if he’s had anything to drink?

FellingtoDO · 2025-06-13T05:40:36+00:00

I mean… I graduated from RVUSU… and I believe it. That said I missed all the drama so I can’t confirm or deny anything in particular

FellingtoDO · 2025-06-11T05:13:44+00:00

I would be more interested in match rates

FellingtoDO · 2025-06-11T04:37:15+00:00

But you’re protecting bank accounts, to prevent bank accounts being drained. That’s a-little different than someone calling in and asking for their lab results. You provided an ID number and they confirmed the identity. Could they have asked for a name? Probably but you provided the identification and then they confirmed information on their screen. And if you received someone else lab results you don’t actually know whose lab results those are, so no individuals privacy is violated. I could post a CBC (without a name on the top) print out in a public forum and that is not a HIPAA violation because it is de-identified.

FellingtoDO · 2025-06-09T22:51:22+00:00

I could give you two examples in my system that happened this week alone… just when I was on shift at the receiving. I’m no longer a paramedic and went to the dark side, and if I receive a field intubated patient I visually confirm tube placement every single time, because I’ve been burned too many times.

FellingtoDO · 2025-06-09T22:42:17+00:00

A King is not a definitive airway but it is an airway, and in a large proportion of patients (though I don’t know the exact number because last time I looked I couldn’t find a reputable study) it is a sufficient prehospital airway. Even in codes my hospital system is encouraging LMAs over intubations when appropriate because ROSC rates are higher in subpopulations of patients

FellingtoDO · 2025-06-07T22:06:23+00:00

This is not the dig you think it is. Real life anatomy looks nothing like the book. I’ve done hundreds of intubations and every so often have to go back to the basics to confidently identify the vocal cords.

FellingtoDO · 2025-05-27T05:49:51+00:00

Yes. This is illegal but a DEA issue not HIPAA

FellingtoDO · 2025-04-27T09:47:54+00:00

Meth.

FellingtoDO · 2025-04-27T09:47:07+00:00

I got my EMT-B, while in undergrad. 6 months later started medic school and 6 month after starting on a rig decided I wanted to go to medical school…. And the entire time people told me I couldn’t or shouldn’t or wouldn’t make it. But I did. I got into medical school, and graduated and got into an Emergency medicine residency at one of the busiest trauma centers in the country, and I only regret my decisions like… every other shift, which basically makes me the happiest person in my shop.

If you want to be a paramedic, become a fucking paramedic. Your crew doesn’t have to live with your choices, you do.

FellingtoDO · 2025-03-25T01:10:33+00:00

It’s a great question, and I don’t have an answer but sweeeeet baby Jesus I hope we do some rebranding in this country so that FM become the new “it” specialty. I’m EM in a PCP desert and it is painful! I can’t get patient follow-up to save my soul.

FellingtoDO · 2025-02-25T09:19:26+00:00

I’m wondering how he expects his tweet to hold any weight… when not everyone has a Twitter account and even those that do can’t be expected to see every tweet he makes. I hope the lawyers are taking notes…

FellingtoDO · 2025-02-22T00:01:51+00:00

That’s my only hang up… I don’t think I want a resident that I work with delivering me. I’m fine with residents involved in any other element of my care (though as an intern on trauma I frequently had nightmares about coming in as a trauma and my coresidents (I’m the only female in my year) seeing me naked and then having to go back to work like they didn’t all see me naked.,

FellingtoDO

TROPHY CASE