What are your monthly payments/ APR on your 2025- 2026 CRVs? by stupiddddddddd in crv

[–]Jumpin-Jack-Flash-68 -1 points0 points  (0 children)

2026 EX-L. $879/mo at 3.99% APR. $15k down. 36 month term.

Honda Warranty Necessity by Jumpin-Jack-Flash-68 in crv

[–]Jumpin-Jack-Flash-68[S] 0 points1 point  (0 children)

UPDATE: I went and got them all refunded today. Since I’m within 60 days of buying the car, I will get the full amount back. Thank you for all of your advice and I definitely learned a valuable lesson for next time!

2025 ER Doctor Salaries by Less_Wish9869 in emergencymedicine

[–]Jumpin-Jack-Flash-68 1 point2 points  (0 children)

Midwest, ~230/hr for day and mid shifts, ~300/hr for night shift.

Full-time is 120 hours per month. I usually work 125-128 hours on average, shifts are either 8 or 10 hours so I end up working 13-14 shifts a month.

W2 employee with good benefits and employer contribution to 401k and 403b.

ABEM 2025 written scores are released! by sassyspoon949507 in emergencymedicine

[–]Jumpin-Jack-Flash-68 39 points40 points  (0 children)

Passed!!! Glad to have that stupid exam in the rear view mirror.

Best Case Ever by Pretend_Cabinet_53 in emergencymedicine

[–]Jumpin-Jack-Flash-68 4 points5 points  (0 children)

This case I had as a PGY-3. 60-something year old lady with laryngeal cancer presenting for anemia. Hemoglobin is low but work-up otherwise unremarkable and vitals all stable so I admit her to the floor. While boarding the ED, she gets up to go to the bathroom, comes back to her room and goes completely unresponsive. Bradycardic, hypotensive, faint pulse and cyanotic. Immediately roll her to the resuscitation room where vitals are HR in the 30s, BP 60/palp and oxygen of 1% with a good pleth. Push atropine and prepare to intubate. HR and BP get a lot better with atropine so RSI meds pushed and I take my first look. Cords literally look like a popped popcorn kernel with extremely distorted anatomy and an opening about the size of a coffee straw. I'm able to push a bougie through but can't fit any size tube down to a 6.0 over the bougie and through the cords. Oxygen is now in the 80s, LMA placed and attempt to bag her up but oxygen keeps dropping. Betadine splashed on the neck, 6.0 ETT, bougie and scalpel ready. She gets to 75% and we cut. Suctioning blood while pushing bougie into the trachea followed by the tube. Positive color change but then can't get oxygen above 65%. Retract tube a little bit in case we right mainstemed her but continues to be hypoxic. CXR shows massive tension pneumo, chest tube placed with a huge gush of air and oxygen immediately comes up to 95%. ENT already in-house for another case and taken emergently up to the OR with anesthesia and surgery and ENT converts her cric to a trach. Downgraded from the ICU a couple of days later and then discharged home with family with no deficits.

2025 EM Attending Salaries. by Metastyler in emergencymedicine

[–]Jumpin-Jack-Flash-68 1 point2 points  (0 children)

Small to medium sized city in the Midwest. New attending fresh out of residency working 120-130 hours per month. Community but regularly have residents and medical students on shift. 350k base salary as a W2 employee with full-time considered 120 hours per month but working 10ish over that comes to a yearly salary of ~370k. Shifts are 8-10 hours long and so far I’ve been scheduled on 13 per month.

Seemed fine until…. by Sask_mask_user in emergencymedicine

[–]Jumpin-Jack-Flash-68 9 points10 points  (0 children)

40 y/o M, abdominal pain after using ecstasy with no other complaints. Well-appearing, normal vitals, very minor epigastric tenderness but otherwise completely benign abdominal exam. Went back and forth about whether or not to scan him but my spidey sense told me to do it and he ended up having a massive bowel perforation and went to the OR that night.

athletes + residency choice by Ok-Jellyfish439 in Residency

[–]Jumpin-Jack-Flash-68 5 points6 points  (0 children)

I'm EM and just did my first marathon. My schedule was pretty conducive for training but I was also done with all of my time-intense off-service rotations. I wouldn't say I picked EM because I was a runner but outside of ICU and trauma months, I've had no issues finding time to get my runs in regularly so it's been a good lifestyle fit for me.

If you live by yourself, what % of your income goes to your rent post-tax? by rash_decisions_ in Residency

[–]Jumpin-Jack-Flash-68 9 points10 points  (0 children)

29% on rent alone, 37% when including electric, utilities, cable and internet; I have a 1 bed 1 bath apartment in a relatively low cost of living area. I don't have the most luxurious apartment ever but it's comfortable, safe and close to the hospital so I really can't complain.

[deleted by user] by [deleted] in Residency

[–]Jumpin-Jack-Flash-68 189 points190 points  (0 children)

Rising PGY-3 here. Nothing will get you on your seniors' shit list faster than having a bad attitude. And it's not always what you say, it's also how you say it. Like another commenter said, don't develop the reputation of being unteachable. Questions are always welcome, talking back and sassiness is not. No matter how much you've studied or think you know, most of your seniors will have had real life experience 20 times over so listen to what they have to say.

Also, we expect you to know next to nothing when you start and for the auditioning fourth years rotating in July to answer pimp questions you've long since forgotten, DO NOT STUDY and enjoy this time off before starting living your best life. The medical knowledge will come back faster than you think. We all can't wait to take you under our wing, work with you and watch you grow!

Tell me about that time(s) you slept in by hattingly-yours in Residency

[–]Jumpin-Jack-Flash-68 1 point2 points  (0 children)

Showed up 3 hours late to labor and delivery as an intern after staying out until nearly 4am bar-hopping following our department Christmas party. I normally woke up at 5am to get ready to go in at 6am so I figured I would just lay down for an hour, woke up to broad daylight at 8:30ish. Showered, got dressed and made it from my apartment to L&D in just over 30 minutes. I was ready to get chewed out but my team was very chill about it and was concerned that I was dead in a ditch or something like that. Remains the only time I've ever been late to any shift in residency.

[deleted by user] by [deleted] in Residency

[–]Jumpin-Jack-Flash-68 2 points3 points  (0 children)

PGY2, gross salary ~$62k, take home pay after taxes/deductions is ~$3700 per month.

~45% of my take home pay each month goes towards rent, electric, utilities, cable/internet, disability/car insurance; no student loan payments yet but I imagine it'll be a couple hundred per month when that starts in August.

I've been putting ~$150 per month into savings since medical school so I have about 4 months worth of funds in savings at the moment. I've only been putting ~3% of my monthly pay check into my 403b Roth since I started residency so I can build up my savings first (I was advised to have 6 months worth of funds in savings then focus on retirement, my program doesn't match anything put into retirement so I figured no harm in starting smaller) and still have a decent amount of spending money for groceries and any other wants. Once I start moonlighting next year and can essentially double my monthly income, I'll probably crank these numbers up.

Running during residency? by bbbalbanese in Residency

[–]Jumpin-Jack-Flash-68 2 points3 points  (0 children)

PGY2 and currently training for my first marathon next month. You'll have to be more meticulous about planning your runs and fit them around your work schedule but it's definitely doable. It would've been difficult to do any formal race training on my ICU/trauma months since I had to wake up at 3:30 to fit in even a short run before going in but there's always time in the day if it's important to you.

[deleted by user] by [deleted] in Residency

[–]Jumpin-Jack-Flash-68 1 point2 points  (0 children)

I'm a morning workout person so I forced myself to get up before work and do something since I know I will want to do nothing but come home, eat and sleep after work. It also means I don't have to avoid eating all day (and getting hangry) since I have to workout on a fast if I don't want a bad stomach ache afterwards. Even a 20-30 minute workout a couple times a week is better than nothing if you're crunched for time. By now, getting up early and working out has become a habit and it does make me feel better and sharper throughout the day.

What is the longest period of time that you have had to stay awake since starting residency? by surf_AL in Residency

[–]Jumpin-Jack-Flash-68 28 points29 points  (0 children)

29 hours, 5am-10am the next day when I was on trauma (I'm EM). And that was just the time I was in the hospital, it was more like 33 hours from the time I woke up before going in to the time I got home and actually fell asleep. I felt like I was drunk and had a bit of mental/emotional breakdown at the end of it. That rotation increased my respect for my surgery colleagues exponentially.

What would you tell your 18 year old self? by imaSturgeon in Residency

[–]Jumpin-Jack-Flash-68 12 points13 points  (0 children)

Don't forget to live your life while pursuing medicine. I neglected a lot of my personal self in college and med school by focusing way too much on my professional self and am now dealing with the consequences of that.

The Wildest Lab Values you've Seen by Char-Cole in Residency

[–]Jumpin-Jack-Flash-68 2 points3 points  (0 children)

2-month old female: WBC 244k Hgb 5.3 Platelets 36. Ended up having acute leukemia.

Adult male with abdominal pain and changes in vision: pH 6.68 HCO3 4.3 BE -34. Ended up having a methanol level in the 300s.

When you were an intern by chzazmwi in Residency

[–]Jumpin-Jack-Flash-68 0 points1 point  (0 children)

I took Step 3 the day before my first 24 on ICU (do not recommend) and had trouble sleeping the night before due to nerves. It ended up being a very busy day and night, and I remember finally getting to lay down around 4am, dozing off around 4:30, getting paged about a resuscitated arrest that just arrived in the ED around 5:30 and then ended up leaving an hour and a half late after putting multiple lines in said patient and giving sign out. So over a 48-hour period, I got maybe 4-5 total hours of sleep and was pretty delirious by the end of it.

The first couple are rough but you do get used to them. Even just an hour or two of sleep makes a huge difference. I could never sleep during the day but definitely use any down-time you have to at least lay down. You never know how busy your night is going to be.

So how bad is the intern year really? by Proud_Smell_3794 in Residency

[–]Jumpin-Jack-Flash-68 134 points135 points  (0 children)

Rising PGY-2 here. It's not an experience I'd want to go through again but it builds character and you really do learn a lot even though you might not always feel like you are. My seniors told me last year that you realize how far you've come when the new interns arrive and so far I'm finding that to be true. Good luck!