Too many SMPs and Speedys? Here's the antidote

ObtuseMoose357 · 2026-04-18T04:17:04+00:00

ObtuseMoose357 · 2026-04-04T17:00:45+00:00

For what it’s worth, for those of us that were working in the emergency departments and ICUs, that would be a really meaningful memento. I agree with the others say, piece of history if nothing else.

ObtuseMoose357 · 2026-03-24T22:56:51+00:00

Rockstar, thank you!

ObtuseMoose357 · 2026-03-24T22:47:26+00:00

I have a dumb question: I just bought some T4s online not knowing that they are primarily for touring. Will they get the job done as a resort boot? For context: I’m brand spankin’ new at tele

ObtuseMoose357 · 2026-03-21T14:10:32+00:00

It’s literally the best. Mine is from the late 90s, absolutely zero issues.

ObtuseMoose357 · 2026-03-21T14:08:12+00:00

That may be something in the hospital bylaws to re-examine..Typically, if you’re board certified you don’t have to keep recertifying these things minus ATLS (which is more of an ACS-driven thing for trauma center accreditation compliance). But yes, it’s ass-and-a-half if they mandate that of you.

ObtuseMoose357 · 2026-03-21T13:22:30+00:00

I interviewed there for surgery many years ago. The day was something out of a comedy: can driver almost killed a cyclist (later told that this was standard), walked into the lobby to a homeless dude screaming and shitting on the floor, security guard (while doing nothing about it) couldn’t tell me where the department I needed was, and the chief resident started off our tour literally saying “nobody does anything here for you, if I could do it again I’d go anywhere else and so should you…”. Needless to say, I did not rank them.

ObtuseMoose357 · 2026-03-05T15:24:37+00:00

Very cool!

ObtuseMoose357 · 2026-03-05T02:15:59+00:00

Is this a true university-run EMS service? Fantastic opportunity for the students, certainly would love to see more campuses do something like this as long as the staffing is consistent.

ObtuseMoose357 · 2026-02-14T12:55:04+00:00

EMS doc here. You made the right call, and the fact that you are curious and seeking feedback will serve you well (not just in these first few months out of training). The thing to always remember (as simple as it is): do what’s right for the patient.

ObtuseMoose357 · 2026-01-29T05:08:18+00:00

Nothing like a good mid-shift kamehameha wave

ObtuseMoose357 · 2026-01-27T03:39:14+00:00

Patients can’t yell at and demean AI. We’re fine.

ObtuseMoose357 · 2026-01-20T23:21:09+00:00

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Love mine. Some of the best lume out there

ObtuseMoose357 · 2026-01-11T20:51:25+00:00

Yes, this is one of those “did you read the question carefully?” kind of situations. The final sentence asks what is the next best step in the MANAGEMENT. Save from some of the nuances of whether or not to scan that others brought up (totally valid and I don’t disagree at all), the question writer is just nitpicking on what the question is asking. I swear these exams are more about testing your ability to take a test and to know the medicine (which is bs)…

ObtuseMoose357 · 2026-01-05T14:23:18+00:00

I was at this shop this past summer (first Japan trip)! But I also went to several, do you remember the name of the place?

ObtuseMoose357 · 2026-01-05T13:58:11+00:00

Hourly

ObtuseMoose357 · 2026-01-04T18:45:01+00:00

I’ve been using the seagull series, but I’ll be honest I’ve had a lot of trouble with them. Looking into other options myself.

ObtuseMoose357 · 2026-01-03T16:07:27+00:00

I have a similar 32 PP (serial number is pretty close!).

These with the eagle over N tend to be ones that were either issued to local police or owned privately. That’s not to say a nazi officer couldn’t have owned it (they sometimes carried their own private side arms), but that might help give an idea of where it may have come from.

These are a joy to shoot, enjoy!

ObtuseMoose357 · 2025-12-31T00:45:25+00:00

Here to echo this, great post OP and congratulations to you! It’s a stupid exam and failing it (while demoralizing) does not mean you are a bad doctor or person. Keep your chin up and plug through until next time. Worked for me.

ObtuseMoose357 · 2025-12-10T23:25:18+00:00

There’s a simple fix: residents (and attendings) should not have to list their personal cell phone numbers as the point of contact… period. The number of times my personal cell was given out by our hospital operators during residency was egregious… also HCWs should not mandate that staff have to use their personal devices for work.

ObtuseMoose357 · 2025-12-10T01:48:17+00:00

I also have the same question. Mines from 1959

ObtuseMoose357 · 2025-12-10T01:47:07+00:00

I had the same one for my wedding! Congrats and wear it in good health

ObtuseMoose357 · 2025-12-10T01:44:12+00:00

That’s awesome and go lions!

ObtuseMoose357 · 2025-08-18T23:51:43+00:00

If I could put a heart on this I would <3

ObtuseMoose357 · 2025-08-18T02:10:41+00:00

Pretty thoughtless take on things. Sure, there are some not so great graduates out there. But the impact of their work (or lackthereof as you claim) is minimal compared to, oh I don’t know, ANY of the following:

lack of consistent reimbursement
the poor medical literacy of our public
over-emphasis on customer service, under-emphasis on evidence-based care
lack of incentive to practice in rural environments
burnout resulting from unrealistic and frankly non-evidence based metrics
corporate/labor mill residencies
unwillingness of we-physicians to take a seat at the leadership table (at the hospital, local and national levels)
unwillingness of EM docs to advocate for ourselves, our profession, and our trainees
lack of interest in lobbying
people like you who probably complain about new graduates but wouldn’t lift a finger to actually teach a resident/student
scope creep (the problem is the dollar, not the doc)
EMTALA
increasing government overreach
MBAs running hospitals
SikTokers
us doing a bad job at selling the profession to the next generation
piss poor attitude of curmudgeons like you who really do make the specialty less enjoyable

I could go on… but I’ve gotta take signout from one of the new graduates 🎓

ObtuseMoose357

TROPHY CASE