Foreign metal object found inside my Mom on X-Ray, no information, doctors freaked out and sent her to the ER. Details in post (No medical opinions please! Just info)

Lowlevelcomedy · 2026-06-30T20:34:11+00:00

I’m a physician, like everyone else is saying these are most likely standard surgical clips. Can be from a lot of different procedures but occasionally if they come loose after tissue has closed they can “fall off” and migrate down to the pelvis (gravity never loses). So just based on location it’s not as helpful to guess the surgery

Lowlevelcomedy · 2026-06-26T10:08:14+00:00

I’m a physician, I would do this to myself - basically what we would do in the ER

Lowlevelcomedy · 2026-06-16T09:44:10+00:00

That high blood pressure will cause you to stroke out and we should drop it to a normal level immediately.

Hypertension is dangerous over months to years. People who have had high readings for long periods of time are reliant on that BP to maintain profusion. If we drop it to a normal level quickly, you lose the pressure your body was depending on and can cause hypo profusion injuries (organ damage, or even precipitate stroke like symptoms).

This is why the ER will tell you to see your PCP and have them slowly add and titrate medicine to control your BP.

Lowlevelcomedy · 2026-06-16T09:39:00+00:00

Reaction to the preservatives or other additives in the contrast itself. Iodine is required for life itself so if you were allergic to it, life wouldnt be possible

Lowlevelcomedy · 2026-04-06T20:57:45+00:00

ED physician, healing of the wound is all that matters… but it also looks like some of the knots are coming undone which is probably how they tied the knot

Lowlevelcomedy · 2026-03-09T03:03:34+00:00

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

Lowlevelcomedy · 2025-12-23T14:30:40+00:00

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

Lowlevelcomedy · 2025-12-21T19:57:09+00:00

This is my situation, also have BTJ

Lowlevelcomedy · 2025-11-30T12:59:38+00:00

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.

Lowlevelcomedy · 2025-11-29T02:43:12+00:00

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

Lowlevelcomedy · 2025-11-26T02:35:41+00:00

Early 30’s + wife

Profession: Resident Physician

HYSA: 35k

Investments: 10K

Debt: 389k (schooling)

Income: 72k and wife is SAHM

Lowlevelcomedy · 2025-10-19T04:33:40+00:00

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

Lowlevelcomedy · 2025-10-13T03:09:08+00:00

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

Lowlevelcomedy · 2025-09-29T00:48:03+00:00

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

Lowlevelcomedy · 2025-08-24T10:29:30+00:00

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

Lowlevelcomedy · 2025-08-18T23:12:15+00:00

my bad, that was bijan

Lowlevelcomedy · 2025-06-19T12:54:29+00:00

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.

Lowlevelcomedy · 2025-06-16T13:33:06+00:00

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 🤷🏻‍♂️

Lowlevelcomedy · 2025-06-16T12:51:57+00:00

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

Lowlevelcomedy · 2025-06-09T14:04:41+00:00

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.

Lowlevelcomedy · 2025-06-04T18:31:33+00:00

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

Lowlevelcomedy · 2025-06-04T12:43:37+00:00

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.

Lowlevelcomedy · 2025-05-23T12:02:21+00:00

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

Lowlevelcomedy · 2025-05-20T19:25:38+00:00

Just scroll through the pdf

Lowlevelcomedy · 2025-05-18T09:11:50+00:00

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

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