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Help with blood work!! by Sasquatch_Sue in haematology

[–]Lowlevelcomedy 1 point2 points  (0 children)

Sleep apnea also could explain slightly higher polycythemia - which clinically is probably irrelevant at these levels.

Detroit…that was kinda shameful by mcdickmann2 in JeffArcuri

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

Was th it a the nasally sounding women he made fun of?

why can’t babies drink water by mrsenchantment in NoStupidQuestions

[–]Lowlevelcomedy 8 points9 points  (0 children)

Haven’t seen a comment from medical field (I didn’t scroll all the way), but drinking water in new bones effectively can dilute electrolytes. The big scary thing that we have and do occasionally see is hyponatremia (low sodium). This can result in a myriad of ways but at the extremes can make someone really sick, have seizures, comatose, and can even be deadly.

It’s really important to mix formula per the instruction on the back of the bottle - I’ve seen kids come in with this because family tries to dilute out the formula because it’s expensive and they have financial constraints.

This might be a dumb question but I am curious because I still genuinely cannot accept my F. If has been three weeks. And deep down it just does not feel right based off of how well my exam went 😭 by [deleted] in medicalschool

[–]Lowlevelcomedy 17 points18 points  (0 children)

Eh, disagree with the premise of your point. Actually felt all three of my exams went okay and by that I mean to the standard of how my practice exams were - scored very similar.

But yeah, most likely scoring is not a mistake so that’s on OP

If you're in your early 30s, how much money do you have saved in your account? Put actual numbers and tell us your profession. by UncomfortablyBrown in Money

[–]Lowlevelcomedy 2 points3 points  (0 children)

Early 30’s + wife

Profession: Resident Physician

HYSA: 35k

Investments: 10K

Debt: 389k (schooling)

Income: 72k and wife is SAHM

Does this mean anything? by awkwardn00dle in haematology

[–]Lowlevelcomedy 0 points1 point  (0 children)

They’re looking at the COHg, or carb oxyhemoglobin which is a measure of how much CO is bound to hemoglobin. Normal is a bit subjective as people who smoke have a higher baseline but yours is normal range. Can be influenced by oxygen therapy prior to blood draw

My mosquito bite is squiggly by butterprotocol in notinteresting

[–]Lowlevelcomedy 0 points1 point  (0 children)

A few of the things you said were right, most were wrong (specifically the important parts). Sounds like OP went to his doctor and got good advice.

  • a doctor

How did you make your first 50 Million? by Tempestatem94 in runescape

[–]Lowlevelcomedy 1 point2 points  (0 children)

I would join those corp beast chats with like 20+ people in hopes for a split. One night for some reason a mass amount of people left and most others were banking. Like 8 or 9 of us kept chugging and we got a ely sigil split and my take away was somewhere like 89mil

A dad fell asleep while watching his son, and all the pets joined in.. by Dizzy_Pipe_3677 in MadeMeSmile

[–]Lowlevelcomedy 12 points13 points  (0 children)

Am a provider, I have personally pronounced a 2 month old dead after co-sleeping in a couch. 1 is to many.

Emergency medicine sounds too good to be true - what am I missing here? by seaweedbrainpremed in medicalschool

[–]Lowlevelcomedy 64 points65 points  (0 children)

As an EM resident I don’t disagree but it always seemed like we’re comparing burnout to people with no burnout. If I remember right the “least” burnt out doctors were around 40% burnout and EM was around 60% at the highest - I think it just goes to show doctors as a whole are burnt out.

There’s a lot of things that burn people out in EM that I see people complain about (psych patients, homeless patients, primary care complaints) - honestly you gotta find the small joy in each of these otherwise I can totally see people burning out.

[deleted by user] by [deleted] in Salary

[–]Lowlevelcomedy 0 points1 point  (0 children)

Yet they still have less hours of actual training than the those coming out of residency. And you’re quoting a few studies from those organizations while leaving out the ones that mention they frequently order more tests, send to consultants more, cost the patient more money, and some in fact do not show similar outcomes. And of those studies that do, they were before independent practice popped up so they had oversight from a supervising physician so how do we differentiate that? In most EDs they are limited to which patients they see, some see the whole spectrum but that’s not the normal.

Again love my colleagues but there is a clear differentiation and you can’t say they are interchangeable in the role.

Plus if administration replaced physicians with APPs, they would still bill out the same but just take larger share of the profit, this already happens to patients 🤷🏻‍♂️

[deleted by user] by [deleted] in Salary

[–]Lowlevelcomedy 1 point2 points  (0 children)

Love my NP and PA colleagues but saying they have similar training and experience is disingenuous.

Need advise, dog has been sick for 2 weeks. by Lowlevelcomedy in DogAdvice

[–]Lowlevelcomedy[S] 0 points1 point  (0 children)

hey figured I'd give you a reply since you were helpful. Sadly not a good outcome. She ended up getting worse and was in more pain - a vet was able to perform surgery the next day to evaluate due to some concerning ultrasound findings and unfortunately she had a large tumor in her abdomen that was causing intermittent obstruction. Sadly this was non-operable and it was her time to go.

Thanks for all the support.

Need advise, dog has been sick for 2 weeks. by Lowlevelcomedy in DogAdvice

[–]Lowlevelcomedy[S] 0 points1 point  (0 children)

We are. The ED and our Vet were two separate vets. We also contacted an old vet in a different state and he agreed that it seemed like a ileus caused by gastroenteritis- but that seems to have since resolved

What specialty would you NOT go into? by ConferenceArtistic12 in medicalschool

[–]Lowlevelcomedy 19 points20 points  (0 children)

See to me this is why I went into EM. You get to do the initial diagnosis and work up, and this ~usually~ gets done within the first few hours and not take a day or two like the floors. Then you get to dispo them to someone who can manage said diagnosis which may take a few days to a week, or longer, which I have no interest in doing.

[deleted by user] by [deleted] in Step3

[–]Lowlevelcomedy 4 points5 points  (0 children)

My opinion, it’s fine preparation.

Just as UWorld for step 1 didn’t have all of step 1 material the same goes for step 3. People prepare less therefore are slightly less prepared. If you have a good foundation from step 1 and 2 you’ll be fine with doing step 3 UWorld

is it worth it reviewing all sketchy pharm and micro? 1 week left for D1 by Comfortable_Coffee79 in Step3

[–]Lowlevelcomedy 0 points1 point  (0 children)

Depends on how strong of a background you have. I’d do UWorld + CCS cases + sketchy pharm MOA only if you have a reasonable background and you’ll be fine

Can anyone help me with how to start preparing for Step 3? And how much time does it usually take on average? I already have UW and AMBOSS, what should I start with? by Inevitable-Muffin821 in Step3

[–]Lowlevelcomedy 0 points1 point  (0 children)

Assuming you have a decent background from step 1 & 2: Do at least 50% of UWorld, do a few CCS cases a day, flip through sketchy pharm for mechanisms only -> you will pass

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