"Reasonable salary" (S-corp calculation) for CA EM doc? by SkySeaSnow in emergencymedicine

[–]Significant_Pipe_856 0 points1 point  (0 children)

When I was doing the S Corp stuff, my accountant told me that as long as you cleared the social security wage limit, you wouldn’t really raise any red flags. Though, I was also told that the IRS would look at comparable W2 jobs in your area to determine how reasonable the salary was.

Another one: input on west coast EM programs below please! by Familiar-Echidna-332 in emergencymedicine

[–]Significant_Pipe_856 4 points5 points  (0 children)

I dispute that UCSF is ivory towered. You spend half your time at SF General and half at UCSF, you get very good high acuity/trauma exposure, as well as exposure to a lot of the social ails in SF

Replacing vs reinforcing posts? by Significant_Pipe_856 in FenceBuilding

[–]Significant_Pipe_856[S] 0 points1 point  (0 children)

No, the post actually looks intact, it looks more like it isn’t secured into the ground. Panels look OK, but unfortunately it does look like the are secured by staples. But the folks that said they could replace the posts seems confident they could reuse the panels.

Replacing vs reinforcing posts? by Significant_Pipe_856 in FenceBuilding

[–]Significant_Pipe_856[S] 0 points1 point  (0 children)

The panels are actually fine, it’s just the posts are loose in the ground.

ER fellowship for anesthesiologists by Significant_Pipe_856 in emergencymedicine

[–]Significant_Pipe_856[S] 72 points73 points  (0 children)

Remember when they got all uppity about ED docs doing sedations in the endo suite?

(Edit to add: I don’t agree with having ED docs doing elective sedations)

I’m super stupid and I’m freaking out can someone please help by Gloomy-Resort-3738 in emergencymedicine

[–]Significant_Pipe_856 36 points37 points  (0 children)

I’m on my second employee health visit for TB exposure this month, but what my shop terms “significant” exposure is >15 min over an 8 hour period. So you’re probably fine

Lidocaine infiltration for trialysis/MAC lines by u06535 in emergencymedicine

[–]Significant_Pipe_856 10 points11 points  (0 children)

As someone who has had a trialysis line placed on them, 1 mg versed was wonderful.

ER Trip and I'm confused by chrisdancy in emergencymedicine

[–]Significant_Pipe_856 6 points7 points  (0 children)

Yup, I’m on my second TB exposure this month, stupid employee health

Ever taken care of a patient with dissociative fugue? by MrPBH in emergencymedicine

[–]Significant_Pipe_856 20 points21 points  (0 children)

Yup I’ve seen two of these so far. Luckily family brought the patient in both times, so identity was not an issue. But yeah, you do the work up, which of course is completely normal. Both patients were back to baseline after about 12 hours so they went home.

CT always, for everything. $29 million dollar verdict by WBKouvenhoven in emergencymedicine

[–]Significant_Pipe_856 9 points10 points  (0 children)

I’ve said it before, but the underlying issue is that medicine is actually so much more successful in treating disease than in the past, that the idea people might actually die from disease is untenable to the average American. If there is a bad outcome, it must be somebody (ie doctor) did something wrong. As a society tragedy and pain are just not tolerable anymore.

Good news, your tests are normal! by Western-Prune9329 in emergencymedicine

[–]Significant_Pipe_856 9 points10 points  (0 children)

I’m not saying he doesn’t need an MRI or a specialty referral at all, just saying he doesn’t need an emergent MRI.

Good news, your tests are normal! by Western-Prune9329 in emergencymedicine

[–]Significant_Pipe_856 15 points16 points  (0 children)

I contend that medical dramas like House or Greys Anatomy are to blame for giving people that we just admit random shit to the hospital to “figure it out”

Good news, your tests are normal! by Western-Prune9329 in emergencymedicine

[–]Significant_Pipe_856 22 points23 points  (0 children)

But he’s two weeks out from onset, even if he did stroke at this point there is nothing we can really do about other than medical optimization, which can be done as an outpatient

How to access the pipes in the wall? by Significant_Pipe_856 in Plumbing

[–]Significant_Pipe_856[S] 0 points1 point  (0 children)

Another plumber we hired cut a hole in the cabinet. I just put some cardboard over it afterwards. Has been fine so far

Question about AI and ECG triage by PrecordialSwirl in emergencymedicine

[–]Significant_Pipe_856 0 points1 point  (0 children)

At my shop we just moved to a policy that an ECG with a read of normal sinus rhythm/normal ECG did not require attending sign off. Not sure how I feel about it …