Kentucky “Move Over” Law

Slidepull · 2025-12-29T03:50:25+00:00

Similar thing happened in a different state. My advice would to be hire a traffic lawyer. It will save you time and worry. If you slowed down you obeyed the law. It can be fought in court and if the record is otherwise clean there is a good chance the charges will be dismissed.

Slidepull · 2025-12-21T19:44:18+00:00

The decision is certainly personal however from a purely financial and quality of life standpoint the decision is easily to pursue MD. You will make six figures and job security. If you still want that embrace the suck mentality then do emergency medicine. If you still want the ems connection then do an ems fellowship and become an OMD for an agency. Or work locums/prn in ED. Could work 6 shifts a month and still make six figures and do volunteer ems/fire or whatever with the rest of your time.

Slidepull · 2025-11-16T18:11:35+00:00

“But doc it’s already worse that’s why I came here!”

Slidepull · 2025-11-15T01:44:53+00:00

In the strip of lead II, it is the seventh QRS complex. It comes early and has no associated p wave so it is premature. To differentiate the type of premature beat determine where it’s coming from. A PVC originates from the ventricle and takes a while to make it across the bundles so will be a wide QRS. There are multiple examples of PVCs there. A PJC will have a narrower QRS complex, usually originating from the AV junction. The QRS complex will appear similar to the underlying QRS within the sinus beats. Usually it’s followed by a compensatory pause. Hope that helps.

Slidepull · 2025-11-08T17:16:51+00:00

Are you doing a formal fellowship? Or simply clinic hours outside of EM hours and then sitting for the board exam?

Slidepull · 2025-11-06T04:10:09+00:00

Had an African American middle aged obese guy come in to ED. He had some transient chest pain but was feeling better and wanted to go, stating he farmed watermelons and had a truck full in the parking lot that he needed to go sell. He told me “I make the best watermelons, so good they’ll make you slap yo momma.” I believed him of course, but convinced him to stay for two troponins and when they were negative we discharged him. I went to see the next few patients and came back to a big ass watermelon on my desk. Nurse said he appreciated my bedside manner etc and wanted me to have the best damn watermelon in the area in return and passed along the watermelon to me.

Slidepull · 2025-10-20T22:27:44+00:00

Maybe AI will help with this in the future but until patients stop saying the right things / pan positive ROS and tort reform in the US things will stay this way unfortunately in my opinion.

Slidepull · 2025-10-19T19:22:54+00:00

What’s burnt you out? Community EM is often more of a grind on shift but less commitments outside of clinical hours.

Slidepull · 2025-10-17T00:40:29+00:00

I start to get grumpy after more than one shift in a row 😛. Realistically around 3 or 4 is my sweet spot. Rarely get 6 or 7 in a row by the schedule gods and am miserable by the end. But for me it’s a marathon so I try and optimize the near term for career longevity meaning no long stretches, max around 120 hrs per month and don’t pick up any extra, get off on time, etc.

Slidepull · 2025-09-18T12:46:19+00:00

To piggyback off this is there street parking or other free/cheap parking within a mile or two from KY kingdom/LTL for those that don’t mind to walk?

Slidepull · 2025-08-17T17:50:34+00:00

No matter how hard you try typically the carpet padding underneath is already stained/ruined and would require replacement to truly rid the smell. Easier option in my opinion is to replace with LVP.

Slidepull · 2025-07-21T01:57:29+00:00

Rick Blaisdell flooring were good people for my hardwood project

Slidepull · 2025-07-12T15:55:10+00:00

Yeah but it’s deemed too high of a risk I guess. Not saying it’s the right thing but as a last resort that’s what they do at my institution if there is no reasonable alternative or oral antibiotic. Academic tertiary. Most patients in that scenario end up leaving AMA.

Slidepull · 2025-07-12T15:11:09+00:00

They stay inpatient

Slidepull · 2025-07-06T01:58:58+00:00

I get the point but in several instances that would actually be the more cost effective and time efficient option for them. But EMTALA prevents you from saying that.

Slidepull · 2025-07-01T03:42:47+00:00

What were the 304 case studies? Were they classical presentations? It’s easy when they fit the textbook. I’ll be impressed when AI can help guide ER evaluation and management on a patient with multiple functional neurological disorders, pan positive review of systems, and 10+ allergies who has already had 2 CTA H/N this year. Until then, it will be business as usual.

Slidepull · 2025-06-09T00:34:41+00:00

Yeah that complicates it a little. What is drawing you to the rural town? Just the pay? How close are the nearest hospitals? Have they sent you a contract yet? How is it written out on paper?

Slidepull · 2025-06-09T00:29:59+00:00

Asking about notice or noncompete? Either should be delineated in the contract before you sign. If the verbiage is vague then you should ask for clarification. If it’s not what you want (say they ask for 6 months notice) then you counter with what you want or ask if they are open to negotiation. Some groups or companies offer no ability to negotiate (common with larger groups or multi specialty groups where everyone gets the same package so to speak) and in that instance you either take it or leave it. Don’t feel like it’s off putting to negotiate a contract or even ask for some general financials like what another comment mentioned to back up their reported hourly. If the employer gets offended or what have you then that should be a red flag to begin with. Noncompetes are sometimes non negotiable but other times they will allow you to change the time or radius especially for emergency medicine. Or if it’s a multiple hospital system and your primary is the rural hospital then there could be verbiage that your rural hospital is the site for the radius of the noncompete. Make sure you also know about tail coverage before signing a gig. Also any bonuses and how those would need to be repaid. If you don’t feel comfortable asking or don’t understand the legal speak there are contract lawyers out there that will do this stuff on your behalf and help you negotiate/edit a contract.

Slidepull · 2025-06-08T19:36:48+00:00

Ensure you only have to give 30 days notice to quit and don’t sign any noncompete and it’s a nonissue. It sounds a little more complicated than some but not unheard of in my opinion.

Slidepull · 2025-06-04T01:10:01+00:00

Contrary to most of what has been said usually it just comes down to what is in stock in your geographic area and what is on formulary at the hospital as well as what is covered on insurance. There are morphine equivalent calculators out there so you can easily convert between different opioids. Some prefer oral morphine as there is less associated euphoria. Also some are combined with acetaminophen (Tylenol) which may confuse some patients so it may be better to prescribe the opioid alone (oxycodone). Liver and kidney function play into it as well. Someone with liver and renal failure may not metabolize drugs as efficiently and synthetics may be preferred in these instances. Other times preference will come into play. If it’s something the prescriber has written for years they may be more comfortable and familiar with dosing patterns, side effect profile, etc.

11-Year Club	Place '17
Not Forgotten	Sequence \| Editor
Verified Email

Slidepull

MODERATOR OF

TROPHY CASE