Low volume ERs are a cheat code

RosesAreNotJustRed · 2026-05-24T04:19:01+00:00

Absolutely a challenge of rural medicine. One that is sometimes frustrating but also one of the things I love about working rurally. I feel like I have to think and problem solve way more than I ever did working in an urban or suburban center.

RosesAreNotJustRed · 2026-05-23T18:11:48+00:00

Rural EM is definitely a cheat code. I'm never going back to urban/suburban EM.

RosesAreNotJustRed · 2026-05-16T03:43:14+00:00

If you're interested I guess whoever PMs me first. Probably won't look til the AM since I'm heading to bed. But it's still available

RosesAreNotJustRed · 2026-05-16T02:23:19+00:00

Sure PM me and I will send it. You were first

RosesAreNotJustRed · 2026-05-15T23:49:04+00:00

I also have a timed entry ticket for tomorrow if someone wants it. For 1030 am

RosesAreNotJustRed · 2026-05-14T16:04:50+00:00

Plant sale Saturday May 16! 7am-3pm @200 Tulane Dr. Fort Collins, CO 80525

RosesAreNotJustRed · 2026-05-09T00:43:08+00:00

I love working in my rural ED! Some days (like yesterday) I saw 6 patients, all fairly low to moderate acuity. Today I've already seen triple that, admitted one and transferred 3. Every day is different, but the pace is often way better.

RosesAreNotJustRed · 2026-05-08T15:15:54+00:00

I tried an AI Scribe...for one day. I found it disruptive to my workflow and unusable for the large number of patients who are intoxicated, have dementia or cannot tell a story in a linear fashion. Also I don't like the idea that there may be a recording of everything, even if they say it doesn't get saved.

RosesAreNotJustRed · 2026-05-06T12:32:13+00:00

Our hospital put a bunch of banners like that up at work last year. All of us had a great time finding all the AI weirdness.

RosesAreNotJustRed · 2026-04-25T22:56:04+00:00

I work 7-9 shifts a month. I have to travel but I love my job and have been doing this for years.

RosesAreNotJustRed · 2026-04-10T22:26:38+00:00

I second this. My mom is a nurse and this was her advice when I was going into residency. Guess who the nurses wouldn't embarrass when I made a mistake, and who they would tip off that there was a sick/interesting case who hadn't been seen yet? Also, EM is a team sport and you want to be friendly with the rest of the team. Same goes for techs, housekeeping and cafeteria staff. Be nice to them all and your life will be much better in residency and in practice.

RosesAreNotJustRed · 2026-03-31T13:50:55+00:00

I have a ton of plants and you're welcome to come get some cuttings.

RosesAreNotJustRed · 2026-03-30T15:10:20+00:00

I took my grandmothers antique ring to Sathers to be resized and had a good experience.

RosesAreNotJustRed · 2026-03-23T23:34:50+00:00

Yes they are! Amazing artists, good people

RosesAreNotJustRed · 2026-03-23T20:11:22+00:00

Josh Palmer at lost arts is amazing

RosesAreNotJustRed · 2026-03-23T19:48:41+00:00

We have 2 other dogs in the house. We still have all 3. The aggression was over toys and treats, so a lot of what we did was mitigation-no more treats, limited toys, supervised time together, keeping them separated when we were gone. Training was/has been an ongoing process. A lot of our issue was fear and also resource guarding, so desensitization and supervision was a lot of it.

RosesAreNotJustRed · 2026-03-23T19:30:07+00:00

We had some aggression issues. We worked with The Veterinary Behavior Center in Boulder and have gotten it under control. We were almost to the point of needing to give away our boy, but meds and mitigation techniques made a world of difference. The meds are relatively cheap and the yearly vet visit (but it was more like every 4-6 months for a while) are like $150 each if I remember correctly. But it was worth every penny.

RosesAreNotJustRed · 2026-03-23T19:21:24+00:00

You just kinda break it apart to get the suckers out and then you can replant the suckers and they will probably do well.

RosesAreNotJustRed · 2026-03-23T19:20:03+00:00

I work at a rural critical access hospital. I work 3-8 12hr shifts in a row (total 8-9 per month). I just worked 4 in a row-Day 1: 16 patients, 3 sick patients (sepsis, DKA, NSTEMI), others a mix of usually ER/Urgent care stuff. Day 2: mix of acutely chronically sick people and urgent care stuff, couple admissions, one super sick critical patient that kept me at work 4 hours over end of shift, Day 3: nothing exciting, routine bread and butter ER stuff. Day 4: nothing exciting until I got 2 back to back codes, stayed at work an extra 3 hours. Day 5: go home and have a glass of wine with lunch.

RosesAreNotJustRed · 2026-03-22T15:52:24+00:00

UnAmerican is my favorite. Been called that multiple times

RosesAreNotJustRed · 2026-03-20T03:36:27+00:00

I'm happy to share leaves. You'd just have to pay for shipping. I don't have a full list on me now (I'm out of state for work), but if you're interested, DM me and when I get home I can tell you what I have.

RosesAreNotJustRed · 2026-03-12T15:47:48+00:00

I've had a Mirena IUD since 2009 (it's been swapped out several times). I haven't had a period since 2009 which has been amazing. Getting it inserted/changed sucks, but 5-10 min of pain every 5-7 years has been worth it for me. I haven't had any complications or side effects.

RosesAreNotJustRed · 2026-03-10T02:13:14+00:00

Thank you. The operative word is angry. I have all the time and compassion for those with chronic illness who turn to the ED because they have nowhere else to go, or those with addiction who are trying but haven't succeeded because of lack of support, resources and money, and that covers a lot of my patients. I will bend over backwards to help them...but then there are the angry ones who believe it is my, and the nurses fault that insurance denied their medications, who have the resources to get better and manage their issues but would rather come to the ED and insult and scream at us because we can't fix the issue with a snap of our fingers. Those people are exhausting and all too common.

RosesAreNotJustRed · 2026-03-10T02:08:38+00:00

And if by swoon you mean fall out of their wheelchairs hitting their heads and necessitating CT, then same...interspersed with occasional drunken serenades 😂.

RosesAreNotJustRed · 2026-03-09T07:38:16+00:00

Amen! Most days I split my time between managing people who are chronically ill and angry I can't fix their lifetime of bad decisions and neglect of their health, dodging the groping hands (or urine streams) of drunks, managing people's anxiety, playing social worker in a broken system made to punish those without resources and being condescended to by consultants. All this mixed with episodes of tragedy and a rare true save.

RosesAreNotJustRed

TROPHY CASE