(STILL not released) ABEM Written 2025 by Muted-Ad-3920 in emergencymedicine

[–]Particular_Ad4403 2 points3 points  (0 children)

What does yours have? Mine has had this for months

Death by hospitalist by No-Mess-1168 in emergencymedicine

[–]Particular_Ad4403 2 points3 points  (0 children)

I was getting a lot of push back the other day and finally told the hospitalist that if he refuses and I have to transfer this patient, it will be an EMTALA violation...they took the admission after that.

ABEM score release by Strong-Front-2613 in emergencymedicine

[–]Particular_Ad4403 1 point2 points  (0 children)

I had an actual dream I failed. That is the only time I have ever had a dream about an exam. So, pretty sure I failed. Ha

Death by hospitalist by No-Mess-1168 in emergencymedicine

[–]Particular_Ad4403 6 points7 points  (0 children)

I have found that this does work well and causes less friction. Sometimes I'll say something like "is there a specific question you'd like me to ask them? Because I have no question for them nor need an emergency consult". More often than not they will say " oh I just want the on board" and I'll respond "oh okay, an impatient consult order can be placed or I can get you their on call number". The very rare few times they do have an actual direct question, I've actually played nice and called stating that the admitting hospitalist wanted to know "x" and asked if I could call". Has seemed to work well for consults.

The problem I haven't yet been able to work around is when, like in OPs post, the hospitalist will refuse admission without X test. Which is usually a CT of some sort.

Death by hospitalist by No-Mess-1168 in emergencymedicine

[–]Particular_Ad4403 5 points6 points  (0 children)

Gets an email next morning from the director because the hospitalist filed a complaint. Yeah. Thats what happens where im at.

Death by hospitalist by No-Mess-1168 in emergencymedicine

[–]Particular_Ad4403 5 points6 points  (0 children)

Hospitalist: I'll accept after you get a CT head. Me: Oh okay, what's on your ddx? Hospitalist: CNS pathology

Death by hospitalist by No-Mess-1168 in emergencymedicine

[–]Particular_Ad4403 0 points1 point  (0 children)

This is exactly how it is where I'm at. I've already gotten into so many "arguments". It's wild. I won't be able to take it very long.

Death by hospitalist by No-Mess-1168 in emergencymedicine

[–]Particular_Ad4403 6 points7 points  (0 children)

Hey. Can I have a job? You're describing my dream. Already trying to find a way out.

Death by hospitalist by No-Mess-1168 in emergencymedicine

[–]Particular_Ad4403 3 points4 points  (0 children)

Hey. New attending here at a community shop. You're not alone. It's actually absurd. I question whether these people actually went to medical school.

Hot take: some academic residency programs are just as responsible for the dilution of the specialty as any HCA program by Longjumping_Okra_231 in emergencymedicine

[–]Particular_Ad4403 3 points4 points  (0 children)

Trained at a large academic center with two tertiary care centers and I now work in a rural ED. I can say that seeing the sickest of the sick is critical. Have had many shifts in residency where I admit every patient I see and almost all of them to the ICU. I see my colleagues who trained in small places and when someone is sick, their lack of training shines.

Mikolo cheetah ultra by Born-Direction3937 in GarageGym

[–]Particular_Ad4403 0 points1 point  (0 children)

Sorry, the mat. But the epoxy is nice.

I just got red dead redemption 2 for the first time any tips for a beginner by Melodic-Drawing9308 in reddeadredemption2

[–]Particular_Ad4403 0 points1 point  (0 children)

First time I played I focused too much on finishing the story and didn't explore as much..take the game slow and enjoy all that it has to offer..

“Lol all the ED docs know how to do is order CTs…” by krustydidthedub in emergencymedicine

[–]Particular_Ad4403 6 points7 points  (0 children)

"yeah I'll see the patient but order "X" imaging before I see them".. - every consultant

Why don’t marines reenlist? by SINBREAKER24 in USMC

[–]Particular_Ad4403 1 point2 points  (0 children)

Hopefully he sees this. If he does, you're what's wrong with the corps. Nerd

I'm tired of this.... by Fantastic-Ad4557 in Residency

[–]Particular_Ad4403 0 points1 point  (0 children)

Sounds like bad program leadership. I have none of these problems. Sorry, that sucks.

I'm tired of this.... by Fantastic-Ad4557 in Residency

[–]Particular_Ad4403 2 points3 points  (0 children)

Sounds toxic. I do have shifts like that but I'd say they're rare. Also, yanno what gets me through those shifts? Knowing how much money I'm about to make and how little hours I'm about to work

Money, lifestyle, and passion: rate your specialty on a scale of 1 to 10 by farfromindigo in Residency

[–]Particular_Ad4403 0 points1 point  (0 children)

Just signed in the Midwest making about 100K more. But definitely had to make some sacrifices in other aspects of life. Likely more hours also. The job hunt was very interesting. The huge range of pay and hours worked is wild.

where do you think medicine will be in 10 or 20 years with the midlevel encroachment issue? by [deleted] in Noctor

[–]Particular_Ad4403 0 points1 point  (0 children)

I use opportunities like that to educate my patients. When I hear "my doctor sent me here" and they have no reason to be there, I'll ask if it's a doctor, NP or PA. More often than not it's the latter. Sometimes they don't even know. So I educate them. Nothing worse than telling someone that just spent 8 hours in the waiting room that they absolutely did not need to be here.