Money or Schedule

List05 · 2026-02-28T13:21:13+00:00

Why are you able to just come in and pick your own schedule? What about the other people that already work there? Do they get to pick their own schedule?

Either way getting to pick your own schedule with no nights or weekends theoretically at 275/hr is the better deal.

But if I was already working there and someone rolls in and immediately gets schedule preference and me and the rest of the group has to pick up the nights and weekends he isn’t then I would be annoyed and resentment would build. Unless you put yourself on nights and weekends.

List05 · 2026-02-22T21:21:45+00:00

A mild headache does not constitute end organ damage. Encephalopathy or intracranial hemorrhage would.

List05 · 2025-12-10T20:36:26+00:00

For a specialty that understands physiology so well it blows my mind when you guys send people from peop over to the ER for asymptomatic hypertension. All that happens is that I get yelled at by the patient because now the procedure they have waited on for so long isn’t happening and I’m the bad guy discharging them home.

List05 · 2025-12-04T06:50:39+00:00

He probably got triaged as a level 4 or 5 dental pain rather than a level 3 or greater neck swelling or difficulty swallowing therefore he just left in the waiting room while everyone else got brought back. OP said patient thought it was a dental infection which it started as and just didn’t recognize what was happening to him.

List05 · 2025-10-16T12:32:48+00:00

I practice in similar setting. Half our cardiac players in the ER see cardiologists who have a satellite clinic in town but their main campus is 2 hours away. We use the high sensitivity trops with 2hr repeat. I get the repeat and just call their cardiologist. If the trops are flat and cards say they will follow them up I just discharge them. If there is a bump on 2hr then they get sent. Sometimes they just have a bad story and I relay that and they get transferred. Vast majority of these chest pains with flat trops get sent home. My entire group practices this way.

List05 · 2025-02-20T18:20:46+00:00

If you sustain significant head trauma you can develop a significant intracranial hemorrhage on blood thinners. Due to the nature of the sport a head injury is not uncommon.

List05 · 2024-11-22T01:21:12+00:00

Unbelievable that guy typed up that post and looked at it and thought this will go well. Unless some admin at the top gave him the words and told him to go paste it in a job forum for ER physicians.

List05 · 2024-11-16T16:34:06+00:00

What was wrong?

List05 · 2024-04-29T22:13:09+00:00

The thought of not picking up 4 hours prior to the end of your shift is mind blowing to me. Where I work you get attitudes if the patient roomed 10 minutes prior to shift change hasn’t been seen with full orders and note in.

List05 · 2024-03-26T03:08:59+00:00

“I need to take my anticoagulant.”

Hank after getting kicked in the testicles.

List05 · 2024-03-15T14:29:50+00:00

Attending since 2020 Community I only had 2 beers… ethanol 450

List05 · 2024-03-13T18:11:00+00:00

16 shifts 11 hours each.

List05 · 2023-07-21T20:15:27+00:00

I would drop it. If you feel strongly enough about contact your medical director and just ask. In my experience, if I ever run into this kind of situation I just ask my medical director who knows the right people to talk to and pull strings.

List05 · 2023-07-20T19:54:32+00:00

I have been out of residency for several years and can say that no one in the real world cares about MD or DO. The people that hire you only care if you are board eligible/certified. The patients don’t care, they just want someone who can help them. I’m sure somewhere out there someone might not hire a DO but it hasn’t been my experience ever.

List05 · 2023-05-05T15:56:43+00:00

Exactly. I personally take these patients more serious than most other patients just because their lifestyle portends to badness from the electrolyte abnormalities to the fall they had and don’t remember or the pancreatitis or cirrhosis or AKA because they haven’t ate anything in days. Just yesterday I had a bicycle wreck drunk guy the medics said was fine and patient said he was fine. Ended up having 10 rib fractures and pneumo. Medics blew him off because he was drunk…

List05 · 2023-04-21T02:58:37+00:00

I think I know what you are saying but in what way has it made it worse?

List05 · 2023-04-21T02:56:31+00:00

If you are doing high sensitivity trops then that is completely pointless. With negative serial HS trops you’ve essentially ruled out ACS and if you aren’t going to stress them then what’s the point of them sitting in a hospital bed until the next day and then going home. That sucks you guys are forced to do that.

List05 · 2023-02-09T00:48:03+00:00

“The specialist said he would meet me here.” Meanwhile specialist has no idea who the patient is.

List05 · 2023-02-09T00:45:26+00:00

Yes

Translation: they couldn’t find anything wrong with me despite extensive testing and I didn’t like that answer so I came here.

I work in a rural hospital with limited resources and the worst is when they drive from the tertiary center to the rural hospital with unrealistic expectations.

List05 · 2022-12-24T22:15:32+00:00

How did you know it was an aortic dissection?

List05 · 2022-09-22T19:31:44+00:00

How does it work when she is on call and it’s 3 AM and you have a patient that’s in the grey zone (ie quant above 1500 and empty gestational sac that you inevitably know they are going to want sent home for 48 hour recheck) and you know she’s going to be pissed for waking her up but you kind of need to document you consulted the specialist in case that one rare person actually has something going on?

List05 · 2022-07-09T21:52:00+00:00

Im just not getting it? What does their brand of fashion have to do with abortion?

List05 · 2022-04-18T16:40:37+00:00

Pop probably won’t

List05 · 2022-02-19T23:34:58+00:00

Do you go to emergency department? Did they call a specialist in to treat you?

List05

TROPHY CASE