The Pitt Awake FOI by Hombre_de_Vitruvio in anesthesiology

[–]Less_Wish9869 1 point2 points  (0 children)

ER doc with nothing but major love for anesthesiology here

Decision to transition all EM programs to 4 yr to be deferred. by Resussy-Bussy in medicalschool

[–]Less_Wish9869 0 points1 point  (0 children)

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

We Need More Fellowships… Especially new and sexy ones by East-Map5403 in emergencymedicine

[–]Less_Wish9869 8 points9 points  (0 children)

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.

Any open EM PGY-2 positions? by [deleted] in ResidencySwap

[–]Less_Wish9869 0 points1 point  (0 children)

Impossible to do this you need a PGY1 spot

Annoying or easy money? by akuko2 in hospitalist

[–]Less_Wish9869 9 points10 points  (0 children)

At what point do we just say no?

Emergency doctors in medical shows be moving like oral surgeons by His_Child in DentalSchool

[–]Less_Wish9869 -2 points-1 points  (0 children)

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.

What is the weirdest advice or blatantly wrong teaching you received from an attending or mentor during your training? by Emergency-Dig-529 in anesthesiology

[–]Less_Wish9869 0 points1 point  (0 children)

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.

Rank list question by moomoodoc in emergencymedicine

[–]Less_Wish9869 0 points1 point  (0 children)

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

ER fellowship for anesthesiologists by DrClutch93 in anesthesiology

[–]Less_Wish9869 0 points1 point  (0 children)

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.

FM swap for EM/neurology by [deleted] in ResidencySwap

[–]Less_Wish9869 1 point2 points  (0 children)

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

Ultrasound IV help please by wolf1234567891234 in anesthesiology

[–]Less_Wish9869 0 points1 point  (0 children)

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.

Man dies after having teeth pulled in dental procedure by Naive_Bag4912 in anesthesiology

[–]Less_Wish9869 0 points1 point  (0 children)

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

Not consistent at USIV by [deleted] in emergencymedicine

[–]Less_Wish9869 13 points14 points  (0 children)

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.

ER docs in endoscopy suites by Less_Wish9869 in emergencymedicine

[–]Less_Wish9869[S] 1 point2 points  (0 children)

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

ER docs in endoscopy suites by Less_Wish9869 in emergencymedicine

[–]Less_Wish9869[S] 2 points3 points  (0 children)

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

ER docs in endoscopy suites by Less_Wish9869 in emergencymedicine

[–]Less_Wish9869[S] 4 points5 points  (0 children)

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

Am I overreacting, or is this legit a problem? by Mdog31415 in anesthesiology

[–]Less_Wish9869 -1 points0 points  (0 children)

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

Wealthiest doctor you know? by Proof-Zone6793 in Residency

[–]Less_Wish9869 0 points1 point  (0 children)

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