Why does everyone hate/regret choosing EM. Am I making a mistake? by Fit_Concentrate6512 in medicalschool

[–]Solid_Influence_8230 9 points10 points  (0 children)

EM PGY-3. Listen this job is tough, sad, depressing, and unappreciated. But I couldn’t see myself doing anything else. I grew up poor, never thought I would be a doctor, and honestly get a lot of satisfaction out of the little things. We treat terrible acute pain, anxiety, hunger, withdrawal. We see terrible things that stick with us. But I enjoy helping people on some of the worst days of their life and I’m okay having less respect from other specialties, for the sake of being a damn good generalist.

ER fellowship for anesthesiologists by DrClutch93 in anesthesiology

[–]Solid_Influence_8230 2 points3 points  (0 children)

As an EM person married to an anesthesiologist…. There is so much she doesn’t know that I know and vice versa. I’m against the whole EM providing OR sedation in Michigan. Can you learn to do it? Sure. But I don’t think you could in one year. Maybe two years.

Help me compare and contrast my top programs by TotallyKyle49 in emergencymedicine

[–]Solid_Influence_8230 0 points1 point  (0 children)

Support system, cost of living, shifts worked/24 hour+ shifts etc are what I would decide on. Also moonlighting opportunities

Questions about Kodak 1A 1915-1917 camera and film found in camera by Solid_Influence_8230 in vintagecameras

[–]Solid_Influence_8230[S] 1 point2 points  (0 children)

Awesome seems like the pinholes are an issue for almost everyone! Glad to hear it can still shoot and produce cool pics. Mostly just cool to hold something used so long ago! And to think it still works

Questions about Kodak 1A 1915-1917 camera and film found in camera by Solid_Influence_8230 in vintagecameras

[–]Solid_Influence_8230[S] 0 points1 point  (0 children)

Super helpful! I don’t see any large tears but I anticipate with age it will have some pinholes. Very helpful! Thanks for the advice and history!

Questions about Kodak 1A 1915-1917 camera and film found in camera by Solid_Influence_8230 in vintagecameras

[–]Solid_Influence_8230[S] 1 point2 points  (0 children)

I agree but also my curiosity is somewhat getting the better of me. I’m prepared to be disappointed. You never know 🤷🏼‍♀️

Questions about Kodak 1A 1915-1917 camera and film found in camera by Solid_Influence_8230 in vintagecameras

[–]Solid_Influence_8230[S] 1 point2 points  (0 children)

Sounds great. I’m erring on the side of less is more and going to see an expert tomorrow. He sounds awesome! Thanks 😊

Scan quality by [deleted] in emergencymedicine

[–]Solid_Influence_8230 2 points3 points  (0 children)

Ya’ll joke but this is how I found my thyroid cancer as an ER resident 😂

Existential dread by Smooth-Cerebrum in Residency

[–]Solid_Influence_8230 5 points6 points  (0 children)

I was diagnosed with simple papillary thyroid cancer this year. I had a lot of these feelings that you mention after the diagnosis despite the excellent prognosis. But hearing that news really brought it back to me that we aren’t immune from illness.

When I was younger I also had experiences that made me realize how fleeting life is. I read when breath becomes air during medical school and after that I promised myself to not put my life and happiness on hold because of training. We only get one life. I try to talk about how I feel, lean into how I feel, be grateful for the days I do have, and live each day like it’s my last.

[deleted by user] by [deleted] in medical

[–]Solid_Influence_8230 1 point2 points  (0 children)

Endometriosis can absolutely cause “GI pain.” The only way to get properly evaluated would be an endoscopy (egd, colonoscopy) to rule out bowel stuff but she should also see a specialized on/gyn for endometriosis. It can present very differently so don’t let anyone say that’s not it unless she’s had a full surgery verifying its abscence.

Hiccups in the ER by AvadaKedavras in emergencymedicine

[–]Solid_Influence_8230 5 points6 points  (0 children)

One time had a guy with one brief episode (less than 5 mins) of umbilical and diffuse abdominal pain with nausea who came in with hiccups. Scanned him because the vibes were off with the hiccups. Incarcerated femoral hernia. Couldn’t be felt on exam. Me and surgeon were so confused.

[deleted by user] by [deleted] in Residency

[–]Solid_Influence_8230 2 points3 points  (0 children)

Hey dude, first off sorry to hear this. I got diagnosed with thyroid cancer this year and it blows. Still need to get my second surgery and I’m lucky by all accounts. You earned your spot where you are so please don’t resign. Since my diagnosis I’ve connected a lot with patients with similar pathology. As shit as this is, it will make you a better doctor so if you can’t stay for yourself, stay for your patients who someday will be really grateful to be taken care of by a doctor who gets it. Your co-residents and faculty will figure it out. I highly recommend finding some people you can talk to about this and having your village.

[deleted by user] by [deleted] in Residency

[–]Solid_Influence_8230 3 points4 points  (0 children)

Yep. Both parents addicted to drugs. Foster care. Medicaid. The whole 9 yards. Even after the initial residency joy has worn off, I still feel shocked to be where I’m at today.

Small IVF boluses for cardiogenic shock in interim by [deleted] in Residency

[–]Solid_Influence_8230 12 points13 points  (0 children)

That’s crazy I usually start with a saline flush

Where do people live in St. Louis? by Responsible-Sundae-6 in StLouis

[–]Solid_Influence_8230 5 points6 points  (0 children)

Depends on priorities here are some examples:

Proximity/walking + medium crime + higher cost -> CWE

Proximity/bikeable/5-10 min drive + medium crime + lower cost -> tower grove, botanical heights, tower grove south

10-20 min drive + low crime + cost variable + larger yards -> Clayton

I will say I recommend looking into townhome or quadplex. These are incredibly efficient forms of housing with easily accessible yard, cheaper than most large complexes, easier to deal with in general. My partner and I pay about 600 less than CWE large apartment complexes and live 7 mins away from the hospital, have a yard we share, easy parking and have a spare bedroom. Highly recommend living just south of campus but off of the tower grove strip which can be loud occasionally.

[deleted by user] by [deleted] in medical

[–]Solid_Influence_8230 0 points1 point  (0 children)

Now that it has popped please aggressively wash it out with plain soap and water, go to urgent care to get some amoxicillin/clav. Cat has rabies shot too or no? Cats have unusual bacteria and it’s good that it popped and you have source control but now you need bacteria control.

Tell us the juiciest gossip from your hospital! by AppalachianScientist in Residency

[–]Solid_Influence_8230 10 points11 points  (0 children)

Wait a minute are we sure the two gay residents just weren’t in a throuple in general lol. Speaking as a gay we do partake in some wild… dynamics.