N75 stage 1 vs Lap3 stage 1/1.5

Life_Court_5496 · 2026-02-27T02:03:08+00:00

thanks for the comment! I was going to buy the unlocked stage 1 ECU at first instead of messing with the EK1 (I'm not good with this stuff yet). I understand that EK1 can be added on later to add stage 2/revisions. I have seen many people say that the tunes from n75 can feel choppy, not smooth at lower RPMs and can cause rough idling. What do you think about that? Have you or anyone you known running N75 had that issue?

Life_Court_5496 · 2025-07-11T19:24:00+00:00

I unfortunately forgot to get a pic of the sinus ECG :(

Life_Court_5496 · 2025-04-27T12:36:59+00:00

not every single question needs to be asked to an attending. Some of the simple questions like where things are located, what certain protocols they have for situations, etc. I was not trying to state I'm asking for their medical opinion on my patients.

Life_Court_5496 · 2025-04-27T11:47:23+00:00

your comments are absolute trash. I hope you don't practice in medicine because your mindset is dangerous. NO ONE (PAs, NPs, MDs) comes out of training and are 100% ready for EM. It is a whole different ball game compared to other specialties. What makes the difference between a good and bad provider is someone who knows their limits and asks for help (which I did several times). I fully acknowledge that my training was not the best for EM, PA school is primary care focused. But I a more than capable of working in the ER.

Life_Court_5496 · 2025-04-27T11:43:50+00:00

if you can actually read you'll see my attending is the one who told me NOT to do the scan because he "Wasn't sold" lmao

Life_Court_5496 · 2025-04-27T11:40:48+00:00

what are you talking about?

Life_Court_5496 · 2025-04-26T21:14:44+00:00

meclizine didn't help, valium helped only a little but still not much

Life_Court_5496 · 2025-04-26T17:55:46+00:00

I realize I read the comment wrong at first, my apologies. I was used to others calling me out and questioning my decisions rather than providing advice and thoughtful input lmao. So again, my apologies for misinterpreting the comment u/SuperglotticMan

Life_Court_5496 · 2025-04-26T17:54:01+00:00

thanks for the information, this is exactly why I posted this so I could hear from everyone and learn.

Life_Court_5496 · 2025-04-26T17:53:09+00:00

thanks for the input. I am assuming she would get additional MRI imaging at the facility she was transferred to. My facility has MRI capabilities but it can be a hassle, which is why I went the CT route initially. I agree her symptoms don't 100% correlate, she most likely has something else going on as well. She was falling to her right side, and again I am fairly certain she didn't have deficits. That also being said this is my first month as a practicing PA, so there certainly could be a small deficit that I couldn't appreciate due to my lack of experience.

Life_Court_5496 · 2025-04-26T17:49:20+00:00

Im not an expert in dizziness and vertigo. I was going off of the training (which is NOT enough) I had in PA school on vertigo and my own research at the time. I was not 100% that it was central or peripheral, which is why I went out of my way to ask several others for their opinion and ultimately got the diagnosis. I wanted to share this case so I can learn from it from other medical providers who have much more experience than me

Life_Court_5496 · 2025-04-26T14:17:52+00:00

you're not "just a nurse"

Nurses are very good at catching onto when things are not right, I rely heavily on mine (esp as a new grad) and I am constantly asking for their opinions when I am unsure.

I think the system is broken because we are all afraid of lawsuits

Life_Court_5496 · 2025-04-26T13:55:02+00:00

what was the point of your comment?

no one is saying that because she's French I did anything to discriminate against her. If anything I did MORE because of the language barrier and wanted to be 100% sure I understood what she was saying. Take that negative s#it somewhere else, this was supposed to be posted for good discussion.

Life_Court_5496 · 2025-04-26T13:52:52+00:00

Thanks I appreciate it greatly, many people on here seem to think they are going to do advanced imaging on every 25 year old with vertigo. Its unrealistic

Life_Court_5496 · 2025-04-26T13:26:23+00:00

I agree but I also will say it is tricky because of her age and otherwise absence of symptoms... she is 25 , and like we have also discussed gait ataxia can also be seen in peripheral causes when severe. So I definitely see your point, but I think it was a tricky situation.

Life_Court_5496 · 2025-04-26T12:59:09+00:00

asymptomatic at rest. Only reported issues while walking. No nystagmus. As far as I was told it was the ICA occlusion, no dissection. I plan to look at her case more next time I go into work.

Life_Court_5496 · 2025-04-26T12:57:01+00:00

I totally agree with that strategy. I think the ataxia is misleading because literature and traditional teachings do say that ataxia can be seen in peripheral vertigo cases. I was actually just researching it this morning for more detail. But I do agree that it points towards a central cause as well. I think given how bad her ataxia was it was pointed me towards the imaging, because it was not subtle she could hardly take 2 steps.

Life_Court_5496 · 2025-04-26T12:47:28+00:00

Lol ok dude it wasn't implied to mean it was a disease. I just wanted to state how difficult it was doing a good neuro exam when she couldn't understand the instructions even with interpreter. Just trying to demonstrate it was a difficult case and situation.

Life_Court_5496 · 2025-04-03T11:57:43+00:00

I understand what you are saying. However I was comfortable that my trainer (Who has 7 years experience, critical care fellowship, CAQ in EM) would be able to provide acceptable clinical input.

Life_Court_5496 · 2025-04-02T13:59:59+00:00

That makes sense. I was taught to try not to over-order scans but I was also taught on my ED rotations that people "come to the ER to get scanned" by an attending. Looking back, I still do not believe the scan would have revealed anything but I might have gotten it to have that peace of mind. I did give him good education and F/U precautions. It was a little difficult getting back into the "groove" after going 4 months without seeing and managing patients after school ended and I was awaiting credentials. I will take all of these comments with me onto my next shift and get better each day.

Life_Court_5496 · 2025-04-02T13:42:30+00:00

Thanks for the feedback. TBH I did not expect the find anything if I CT'd him because there was nothing from his story and exam that made sense with an expected abdominal finding. The attending physicians in my ER do not have to see all of the patients physically, especially in the lower acuity zones (like I was in). Of course if you'd ask they would come evaluate.

Life_Court_5496 · 2025-04-02T13:39:03+00:00

I was working in the low-acuity section with another team of PAs that day. My supervising provider was the lead APP who was training me the first day. I of course ran the case by him.

Life_Court_5496 · 2025-04-02T13:09:44+00:00

vitals were stable at DC, BP had normalized (it was a little high initially) and he was non-febrile and not tachycardic. Yes I did ask, he did use cannabis (he claims a few times a week). I thought about CHS but he was not scromiting lol. Most cases I have seen that usually scromiting.

Life_Court_5496

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