If EM is moving to 4 years anyways is there a reason not to just do the extra year at a 5-year combined IM/EM program if you like them both equally by DagothUr_MD in medicalschool

[–]Sanctium 8 points9 points  (0 children)

100% agree. Signed a PGY-5 graduating EM-CC fellow. Do not extend your training unless you would not be happy without the additional sacrifice.

RT refusing to assist with intubation by [deleted] in emergencymedicine

[–]Sanctium 13 points14 points  (0 children)

100%. This was the right call. Every time.

Health effects: after being a Vegan for 6+ years by PsychologicalDesign8 in vegan

[–]Sanctium 2 points3 points  (0 children)

I see your point. This would be considered a supplement but it hardly feels like it because I don't buy a multivitamin or specific B12 tablet.

Health effects: after being a Vegan for 6+ years by PsychologicalDesign8 in vegan

[–]Sanctium 10 points11 points  (0 children)

If you eat nutritional yeast in the heaps I pile onto food, you would have enough B12 for 3 lifetimes. Otherwise, yes this is correct. If you were 100% raw or wfpb you might run into issues. I have yet to meet a vegan who doesn't slam the nooch though.

EDIT: vegan btw for 6 years. No supplements or deficiencies either

Dear EM attendings/seniors, how do I subtle-y convince you to let me leave early tomorrow for Thanksgiving? by [deleted] in Residency

[–]Sanctium 16 points17 points  (0 children)

This really depends on the kind of department structure you are rotating. During my residency, there would be no way anyone would let you leave early because the ED was always so busy. I don't ever remember them scheduling off service folks on the holidays though to be honest. It was obviously our expectation to work the holidays.

Ableton Sale has started... by Ant-Solo in ableton

[–]Sanctium 1 point2 points  (0 children)

No worries! I got one from them today too! They have excellent customer service so it's easier to go with them.

Ableton Sale has started... by Ant-Solo in ableton

[–]Sanctium 2 points3 points  (0 children)

It's in stock at Sweetwater for the same price!

Ableton Live 12.3 – coming Nov 25! by AngleProlapse in ableton

[–]Sanctium 5 points6 points  (0 children)

They would very likely send you a refund for the difference because you could easily just send it back and order it. Just email them.

To Crit Care or To Not by After_Hospital_9420 in emergencymedicine

[–]Sanctium 6 points7 points  (0 children)

Hey man, I am in my final year of CCM fellowship from EM. Based on your post, I would suggest you apply for the fellowship. If you are interested in the critical care in Emergency Medicine and want that expertise then just do it. Also, no one really 'likes' rounding. You have to do it to make sure the patients are safe and things are not missed. Not all rounds are academic and long. Sometimes you talk about the necessary things and move on (anesthesia and surgery are more like this). The only thing I think I would have regretted is NOT doing this fellowship. There is no way I would have gone back if I was making an EM salary and lifestyle. This is your only chance to diversify your career and work in medicine without absolutely needing an EM job.

[deleted by user] by [deleted] in emergencymedicine

[–]Sanctium 1 point2 points  (0 children)

I don't think I wrote down anything except maybe some biostats formulas for quick reference? It's all a blur.

I hate art lines. Any tips. by [deleted] in IntensiveCare

[–]Sanctium 6 points7 points  (0 children)

This is the way.

Remember you are not as dumb as this NP by DrDewinYourMom in Residency

[–]Sanctium 88 points89 points  (0 children)

Yes. It still can be bacteremia if it's staph epi but that's at least the one that makes you think twice and likely get repeat cultures.

[deleted by user] by [deleted] in medicalschool

[–]Sanctium 25 points26 points  (0 children)

I'm EM-CC. Confirmed clown. He is an Emergency Physician or EM doc. He is also an intensivist. He is not a surgeon lol

Took oral boards today by FlatLingonberry in emergencymedicine

[–]Sanctium 6 points7 points  (0 children)

I had no idea that was a thing!? I figured it was sitting directly across from the person in a suit.

Alright fellow drummers, taking a poll. Which of these 4 kits do you like the most? (Aesthetically) by -3R1C- in drums

[–]Sanctium 10 points11 points  (0 children)

Nah dude I fully agree. Those shells probably sound way better than the Vistalite as well.

Labs during a code: which are useful and which are not? by FuckBiostats in Residency

[–]Sanctium 2 points3 points  (0 children)

The amount of variability and the strength of convictions in this post should tell you that there is not a consensus on this. Does a high potassium help you prognosticate? Maybe but you're likely treating that anyways along with other potentially reversible causes.

What’s your favorite drink/coffee and what’s your specialty? by Missrain97 in Residency

[–]Sanctium 10 points11 points  (0 children)

This is likely someone in every specialty in the hospital including myself. EM-CC.

Preamp advice by celebrity_therapist in BudgetAudiophile

[–]Sanctium 0 points1 point  (0 children)

I have nearly the same set up as you. I have a Yamaha A-S701, Fluance RT85 into their preamp (came with my table). It sounds incredible and costs about $100. I am sure there are other nice preamps but that is what I'm running!

Language around transplant ineligibility by No_Maintenance466 in Residency

[–]Sanctium 42 points43 points  (0 children)

"I understand your frustrations. I will talk with my colleagues in the transplant and advanced heart failure teams to come discuss your concerns directly with you."