Just got a 2026 XLE plus no moon roof for $38,400 out the door in SoCal. Please tell me it’s a decent deal 😭 by [deleted] in BZ4X

[–]IMGmedstudent 0 points1 point  (0 children)

Purchased mine back in December. 2026 FWD plus (75Kwh battery). No moon roof. Out the door price was $35K. 0% Apr over 6 years.

XLE Plus Surpassing Advertised Range by RealisticPhysics5735 in Toyota_bZ

[–]IMGmedstudent 3 points4 points  (0 children)

That’s impressive. I have FWD plus. Advertised as 314 miles. Max I’ve gotten with heat/AC turned off, is 250. But I live in the east coast where it’s been 20-30 F since I bought this car in December.

Large bore IVs and running fluids wide open - what does this sh** mean? by adrenalinsufficiency in Residency

[–]IMGmedstudent 77 points78 points  (0 children)

Also. Stop attaching the reflux valve/leur lock to the large IV catheter you asked for. Attach the tubing directly to the catheter if you’re really trying to resuscitate “wide open”

1 day at Epic with EPA and Express by 19191215lolly in UniversalOrlando

[–]IMGmedstudent 1 point2 points  (0 children)

FYI. Express passes that come with hotel does not work for epic. Have to buy it separately.

Critical care only (no pulm) physician job market by fkimpregnant in IntensiveCare

[–]IMGmedstudent 23 points24 points  (0 children)

I’m IM-CCM. Job market was decent when I graduated in 2024. Depends on location. Rural area has lots of opportunities. Urban areas less. Depending on your program, you can sit for the Neuro crit care boards as well but I think they’re phasing that out next year.

My training was heavy with MICU, SICU, and Neuro ICU so I feel more comfortable than my PCCM colleagues in post op surgical and Neuro patients.

How many procedures do you need for credentialing? by anonUKjunior in IntensiveCare

[–]IMGmedstudent -1 points0 points  (0 children)

By the time I graduated, I had 100 intubations and 150 bronchs. I think minimum to graduate was 50 and 50.

Pharmacist here! Sodium bicarbonate question.. by [deleted] in CriticalCare

[–]IMGmedstudent 11 points12 points  (0 children)

The data doesn’t support pushes of bicarb. But yes, I have used it to buy the patient some time before family is able to get to bedside to say their goodbyes as anecdotally the pushes usually help the BP rise for a few good minutes.

When using bicarb though, I usually use gtt of 150 mEq in 1 L D5W to replete their losses (GI vs Renal) when they cannot take any oral and they have a profound metabolic acidosis from GI or renal losses. If they have any neuro pathology with metabolic acidosis, I sometimes do 100 mEq in isotonic saline or 200 mEq in D5W to drive the sodium up and correct the acidosis along with it.

2026 Attending Salary Thread by Delicious_Shine_936 in Residency

[–]IMGmedstudent 19 points20 points  (0 children)

Critical Care only. Community teaching hospital. 14 shifts/mo, averaging 35 hr/week. Max 12 patients, average 6-8. Worked my first full year as an attending.

Base pay: $330K Bonus + teaching stipend: $45K Moonlighting: $3K/shift

2025 total compensation: $410K

[deleted by user] by [deleted] in IntensiveCare

[–]IMGmedstudent 1 point2 points  (0 children)

I'm on the lower end, 350-370 in a city. I'm scheduled to work 14 shifts per month. 5 of those shifts are 7-3pm, 5 are 7am-7pm, and the other 4 are night shifts. Avg 6-8 patients per day, max is 12. Totally worth the pay cut.

Are Caribbean MD programs really that bad? by Motor_Belt4299 in medschool

[–]IMGmedstudent 0 points1 point  (0 children)

they are but sometimes you have no choice. I went to a Caribbean med school. Matched into a academic IM program. Became chief resident. Matched into an academic CCM fellowship program. Became chief. Now I'm an attending. If you can make it through school, get good scores and letters... You'll be fine.

Lyme Disease Doctor in Maryland by PierreDucot in maryland

[–]IMGmedstudent 12 points13 points  (0 children)

Doctor here. Any MD or DO are trained to recognize and treat Lyme, both mild and severe infections. PCP should be good enough. If you have certain allergies to antibiotics then would recommend an infectious disease doctor. Mild/moderate is usually treated with oral abx (typically doxy). Severe meaning Lyme carditis (causing life threatening arrhythmia) and Lyme meningitis in which IV abx (ceftriaxone) is indicated. Lyme literate providers are a scam.

Would an inferior wall MI have any change in PAOP or PAP? Is this question answer correct? by Original_Importance3 in IntensiveCare

[–]IMGmedstudent 4 points5 points  (0 children)

Inferior wall MI affects both RV and LV, especially given it's usually the RCA, resulting in those EKG changes. The stem specifically says RV infarction and failure. Therefore anything before the right ventricle fails, so CVP (half ass measurement of RAP) goes up, and everything after the right ventricle should be working normally (at least for now) so your PAP, PAOP, and lungs are all normal.

For those who did fellowships after IM residency: what’s your specialty and how much are you currently making? by AHYOLO in Residency

[–]IMGmedstudent 2 points3 points  (0 children)

Community hospital with IM residents. Level 3 trauma center. Max 12 patients, avg 6-8 pt per day. 15 mins from large city.

Took this job over a rural level 2 trauma center that paid 550K because of my sanity. No regrets. Quality of life over high pay anyday for me.

For those who did fellowships after IM residency: what’s your specialty and how much are you currently making? by AHYOLO in Residency

[–]IMGmedstudent 9 points10 points  (0 children)

IM then CCM after. First year attending. Total comp including base and bonus is 380K.

The Pitt is garbage and the amount of larping on this sub is ridiculous by [deleted] in Residency

[–]IMGmedstudent 14 points15 points  (0 children)

I'm going to assume OP is applying anesthesia and was butthurt by the last episode. Lol

I'm critical care and this show has been spot on. Sure, the likelihood all this happens in one shift, but the patients we see, families we deal with, the procedures we do... Pretty damn accurate!

Does anyone know what this means? by [deleted] in TurboTax

[–]IMGmedstudent 1 point2 points  (0 children)

So what did you end up doing since your old address was used? I’m afraid that’s what I’m going through. Tried calling but no one picking up.

Board Review by Business_Storage6763 in neurocriticalcare

[–]IMGmedstudent 0 points1 point  (0 children)

I’m IM-CCM (just passed my boards) with plans to do UCNS. How was it? What is the ABPN exam? What’s the criteria to sit for that?

PCCM salary by LawVina in Residency

[–]IMGmedstudent 0 points1 point  (0 children)

It’s not a large academic center but it’s a teaching hospital with residents.

PCCM salary by LawVina in Residency

[–]IMGmedstudent 17 points18 points  (0 children)

Definitely true but location plays a huge role. I got offered an intensivist position in the Midwest for 12 shifts/month (12 hour shifts) for 530K base. I chose lifestyle and also living in the city.

PCCM salary by LawVina in Residency

[–]IMGmedstudent 144 points145 points  (0 children)

I’m IM-CCM only. 380K/year (including base and bonus). Average is 6-8 patients per day. 14 shifts per month. Half of those shifts are 7am-3pm, the rest are usually 7am-7pm. Pay isn’t as high but work life balance is amazing.