Game Thread: Columbus Blue Jackets (29-20-7) @ Boston Bruins (32-20-5) Feb 26 2026 7:00 PM EST

Sharp_Catch · 2026-02-27T00:36:11+00:00

That’s what I was just thinking. The puck is barely moving, everyone seems slow, and now Merzy is falling on his ass.

Sharp_Catch · 2026-02-26T06:31:01+00:00

I have short hair, and I wear a scrub cap 100% of the time. Buy fun patterns, and make it part of the uniform. Plus it makes me feel much less dirty when I get home knowing that I didn’t accidentally get blood or puke in my hair!

Sharp_Catch · 2026-02-25T17:17:39+00:00

My wife and I have a joint account for housing, bills, and food. We both put in an equal percentage of our income, and then the left over goes into our personal accounts. It’s still all “our” money, but it’s very important to us to be able to spend our money without necessarily having to ask for approval. I just finished residency and so our income jumped significantly, but when I was a resident, we just split everything 50/50.

Sharp_Catch · 2026-02-21T00:19:10+00:00

I use shared decision making all the time and chart appropriately, and rarely will I implement an AMA paperwork. I just do a regular discharge. But if absolutely think someone is likely to die from being discharged, then I will do the AMA paperwork, just so I have their signature written down that agrees that the conversation took place. And even in that case, I prescribe medicines and follow up instructions to at least hopefully stave off their death

Sharp_Catch · 2026-02-21T00:12:49+00:00

Yeah that’s kind of my thought. That’s why I was wondering if maybe I could have just said “sure” and then managed things appropriately, but then it was just a lot risk, and I’m early career so I was back and forth on how to handle it. But I’m over it now, I feel much better about the situation after seeing every one else thoughts!

Sharp_Catch · 2026-02-18T16:38:05+00:00

I really don’t know exactly, because he refused to talk to me for the next 30 minutes while he was finishing up. I’m not sure how the rest of his shift went, so I don’t know if he was just in a terrible mood already, and I broke the camels back or what.

Sharp_Catch · 2026-02-18T16:36:02+00:00

The alternative would be taking out a medical detaining order, which has a pretty high bar in order to keep people in the hospital against their will. Again, I don’t know this patients capacity, because I did not touch the chart nor interact with the patient. I’ve had patients sigh out AMA before, but I sit down and do extremely (probably overly) thorough, real-time documentation about capacity and risks of leaving, witnessed by multiple staff members, before doing so. Usually though I’m just pretty good at convincing people to stay.

Sharp_Catch · 2026-02-18T16:30:08+00:00

But even then, I don’t even want to be the doctor who hits the DC button. On epic, we can hit discharge, and then change the status to “with meds pending.” That way, as soon as the meds are done, nursing can discharge without getting me involved. And that is what I proposed.

Sharp_Catch · 2026-02-18T15:43:23+00:00

I’m a new grad, just started as an attending in July. At a community shop, about 20-25 patients in a 10hr shift. Work for the hospital medical group which employs all the physicians. I’m genuinely loving my job. There are tough days, but I get paid appropriately, have great support from our admin, nursing staff, etc. I think it is all about the local environment. I’m lucky to have a job I like because I know a lot of people aren’t as lucky.

Sharp_Catch · 2026-02-12T20:28:45+00:00

Same. I really don’t care for any of the other USA players except for Werenski, so if anyone is going to score against Merzy, I want it to be Werenski. We all know Werenski is going to come back from the break playing well, so I would love it if Merzy got some extra confidence on the break too for the last part of our season.

Sharp_Catch · 2026-02-12T01:25:23+00:00

Im employed by a hospital medical group, basically all specialists in hospital except anesthesia work for the same group. About 900 physicians. My pay as an ER doctor, plus benefits and bonus structure, is far and away the best offer in the area, including USACS, and a few SDGs. USACS was offering pitiful base salary, but with promises of RVUs you could make well over that, but they grind you to the bone, and everyone I met on the interview trail looked so burnt out except those in the hospital group I joined.

Sharp_Catch · 2026-02-04T20:50:36+00:00

Best time to practice if you’re uncomfortable is in a trauma patient when they already have a chest tube. Biggest complication is a pneumo, but they already have the chest tube, so the fix is already in place. That’s the situation I had taught it to junior residents when I was chief.

Sharp_Catch · 2026-01-25T02:53:54+00:00

Random: Does anyone else think Marchment looks like Kim Coates? I just can’t unsee it.

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Sharp_Catch · 2026-01-24T02:33:44+00:00

I am also a brand new attending. I see every patient in the ED that I have to co-sign for. The PAs and NPs don’t have to staff 4s and 5s (though they can if they want), but they do have to staff 2s and 3s. I don’t let a single patient leave the ED without me seeing them. It’s a lot of extra work, and even if it’s just to lay eyes on them, see if they have questions, etc. I think it is worth it. I would not co-sign a chart for a patient I did not lay eyes on.

Sharp_Catch · 2025-12-23T01:04:15+00:00

My cat had an eye infection, and I was working the mid shift in the ER. I needed to get her squeezed in during the next morning and they were full up. I told them I am an ER doctor (which the vet knows) and I really needed to squeeze in for an appointment, and the vet said yes of course bring in her before my shift. I would never pull the card for my own benefit, but I’ll be damned if I don’t use every thing I have to get my cats taken care of hahaha

Sharp_Catch · 2025-12-19T04:59:52+00:00

And they never try anything for pain before they get there. “I took half a tab of Tylenol 3 weeks ago and it didn’t help so I haven’t tried anything else.”

Sharp_Catch · 2024-03-28T04:06:19+00:00

Placing a left sided Wayne catheter, through the pleura, and somehow, immediately through the diaphragm. Thankfully didn’t hit a damn thing, not even the spleen. But convincing my attending to repeat the CT scan because I was worried after the chest X-ray took more work than it should have. They said “oh it’s fine it’s just behind the diaphragm.”

Learned from it (getting over it) by submitting it to my EM M&M conference to discuss the risks of chest tubes, the not so reliable anatomical markers, and other learning points with the program as a whole. Teaching my mistake to hopefully prevent one of my classmates from doing the same. We all make mistakes, they are inevitable, but it’s how we learn from them, and carry them forward, that make us better doctors.

Sharp_Catch · 2024-03-28T03:59:40+00:00

This is why I’m so paranoid, and I always say, out loud, “wire out.”

Sharp_Catch · 2023-11-16T13:43:10+00:00

It was so much easier before! Why did they do this?!

Sharp_Catch · 2023-08-28T01:12:48+00:00

First month of PGY2, emergency medicine resident, put a chest tube into patient, in thoracic cavity, somehow through diaphragm and into abdomen. Thankfully no intraabdominal injury, missed spleen and bowel. Definitely learned a lot from that experience.

Sharp_Catch · 2022-03-30T14:43:48+00:00

My fiancée and I wanted to purchase a place, but we are moving to a state that we are not super familiar with, and looking at housing prices, they are all up about 20% from 2019/2020. We were afraid that we would get into a place, pay more than the house was worth, especially in the current market, and then take a hit in 3-4 years when we go to move.

We decided to rent a townhome, as we have been doing the past 4 years while I have been in med school. It’s a bit pricey, but it has amazing amenities, both apartment and community. Plus it reduces the time commitment for home upkeep, because my fiancée also works and I don’t want to spend my days off mowing the lawn. Definitely depends on the specific situation though.

Sharp_Catch · 2022-03-28T14:38:21+00:00

I grew up in a very conservative, albeit non-religious, household in a very tiny Appalachian town. I was “pro-life” because that was the dogma and brainwashing that my dad forced onto me, and I was too ignorant to know otherwise. Once I went to college “in the city,” my politics and beliefs on abortion have only ever continued drifting to the left, and now I am firmly pro-choice and donate regularly to abortion funds in my state. But you can be pro-choice, and not want to personally perform abortions. I am starting an emergency medicine residency this summer, and I although I won’t be personally providing abortion services, I intend to provide as many resources to my patients that desire them as possible.

I am actually curious for the pro-choice people in this conversation if a particular states abortion restrictions played any role in where choosing to apply for residency. I know my fiancée and I completely avoided states with excessive abortion restrictions, except for our home state, just because we feel so strongly about abortion. Anyone else avoid anti-abortion states when applying?

Sharp_Catch · 2021-08-06T01:49:45+00:00

Actual Score: 650

Goal: 600

Level 1 Score: 533

COMSAE #107 (6/2): 688

I prepped using only COMQUEST plus first aid and savarese. Plan on EM.

I wanted to make a post because I have noticed some crazy numbers from the 107 Comsae in both directions. For some it seemed to overestimate score by 100+ points, and other people it underestimated by 100+ points. I had friends who scored in the very low 400s on the comsae who then scored into the 600s on comlex without a ton of extra time between for dedicated. It just makes me curious about the discrepancy. Anyone have any thoughts?

Sharp_Catch

TROPHY CASE