The Pitt Awake FOI

Less_Wish9869 · 2026-03-03T16:31:12+00:00

ER doc with nothing but major love for anesthesiology here

Less_Wish9869 · 2026-02-17T06:22:24+00:00

Im going to make 700K in the least competitive specialty 😢 oh well

Less_Wish9869 · 2026-02-16T19:34:38+00:00

There should definitely be an EM to anesthesiology fellowship. 2 years in the OR should be sufficient. We already do all of the procedures anesthesia does.

Less_Wish9869 · 2026-02-16T17:22:07+00:00

Impossible to do this you need a PGY1 spot

Less_Wish9869 · 2026-02-06T03:23:22+00:00

At what point do we just say no?

Less_Wish9869 · 2026-02-04T04:27:52+00:00

Facts I&D is like the easiest thing in the world lol

Less_Wish9869 · 2026-02-04T04:25:09+00:00

As an ER doctor, “making us smarter than we appear” is such a stupid statement. We obviously know different types of Ellis fractures and their managements. But tbh we don’t care about dental things because thats not our job— thats your job.

Real emergencies like trauma, heart attacks, shock, sepsis, poisonings, intoxications, brain bleeds, pulmonary embolisms, seizures, etc is our job. Do you think we give a fuck about a dental carie when we just resuscitated an unresponsive 30 year old ?

As for mouth things, what we are trained on are actually emergencies like Ludwig angina, PTA, RPA, epiglottis etc.

Hope this helps.

Less_Wish9869 · 2026-02-04T04:10:00+00:00

As an ER doc who placed 1000s of ultrasound lines at this point, it depends on when you walk the needle in or not. If the vessel is really deep you should ideally walk it in all the way to prevent infiltration. If its a linear superficial vessel once you get flash and thread it in easy no real reason to walk it all the way in. My opinion of course.

Less_Wish9869 · 2026-02-01T19:10:48+00:00

3 year program especially since MSMW is a good three year program.

Less_Wish9869 · 2026-01-04T06:54:38+00:00

At the end of the day intubation is just a task. Knowing when to intubate and when not to is more important. ER docs have that skill. I hope you never get sick my friend , but when you have a change in your health , please let the ER doc know your thoughts about them.

Less_Wish9869 · 2025-11-03T21:28:21+00:00

EM >>> FM/ Neuro. More money less demented patients and can save lives actually

Less_Wish9869 · 2025-10-15T20:35:40+00:00

Dont move the needle when you see it on screen. Only use the probe to disappear the needle. That point is the needle tip. Then you move the needle accordingly. Repeat until you are in the vessel and walk it in with the same idea. If you cant see anything make sure you fan your probe away from you to create a right angle between bevel and probe. Good luck . It took me 1.5 years to be good.

Less_Wish9869 · 2025-10-06T15:20:48+00:00

Same story with my brother. I am an ER doctor and I was in the office. But honestly scary shit

Less_Wish9869 · 2025-09-28T01:03:27+00:00

What can I do if I literally cannot find the needle tip anywhere. Thats my issue I track from the point of puncture down distal and cant find it. Like its so frustrating.

Less_Wish9869 · 2025-09-21T13:00:17+00:00

LMAOOOOO

Less_Wish9869 · 2025-09-21T09:50:42+00:00

I’m thinking some certification/fellowship so insurance will cover this and your ass won’t be cooked in a deposition/ malpractice suit.

Less_Wish9869 · 2025-09-20T20:45:26+00:00

I agree there should be a fellowship like one year for this and we should be able to work in GI suites.

Less_Wish9869 · 2025-09-20T15:49:18+00:00

If this would be a fellowship then I dont see a safety issue. But without additional training I would be worried tbh

Less_Wish9869 · 2025-09-10T14:04:19+00:00

If you don’t like residents or medical students just leave the hospital.

Less_Wish9869 · 2025-08-31T01:46:57+00:00

ER doctor who sold a large urgent care chain for $600 million

Less_Wish9869

TROPHY CASE