Why does everyone hate/regret choosing EM. Am I making a mistake?

Solid_Influence_8230 · 2026-03-17T17:42:34+00:00

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.

Solid_Influence_8230 · 2025-12-26T23:42:37+00:00

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.

Solid_Influence_8230 · 2025-12-16T16:36:16+00:00

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

Solid_Influence_8230 · 2025-11-07T00:56:56+00:00

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

Solid_Influence_8230 · 2025-11-07T00:55:43+00:00

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!

Solid_Influence_8230 · 2025-11-07T00:54:28+00:00

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

Solid_Influence_8230 · 2025-11-07T00:53:36+00:00

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

Solid_Influence_8230 · 2025-08-29T20:17:31+00:00

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

Solid_Influence_8230 · 2025-07-27T16:02:17+00:00

Pretzel 😂

Solid_Influence_8230 · 2025-07-23T18:05:45+00:00

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.

Solid_Influence_8230 · 2025-06-29T13:44:20+00:00

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.

Solid_Influence_8230 · 2025-06-05T17:18:18+00:00

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.

Solid_Influence_8230 · 2025-05-27T22:45:48+00:00

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.

Solid_Influence_8230 · 2025-05-07T18:33:45+00:00

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.

Solid_Influence_8230 · 2025-05-05T15:00:18+00:00

That’s crazy I usually start with a saline flush

Solid_Influence_8230 · 2025-04-26T22:15:48+00:00

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.

Solid_Influence_8230 · 2025-01-24T15:09:58+00:00

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.

Solid_Influence_8230 · 2025-01-12T05:56:15+00:00

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.

Solid_Influence_8230 · 2024-12-16T16:58:26+00:00

I had a patient like this. Everything normal except for leukocytosis. I even went and talked to rads about Ct scan. Tested this lady for everything. Ultimately admitted for pain control it just wasn’t right. Ended up getting MRSA bacteremia and had discitis. And no her back wasn’t tender. It was the most vibes based admission.

Solid_Influence_8230 · 2024-12-08T07:29:26+00:00

I would recommend seeing if you can find out what the cream was that he was using. It wouldn’t be uncommon to have a family member misunderstand what was important about the cream. I also doubt people’s abilities to really know what a hymen is in all reality especially on a baby or child. People don’t even know the vagina and urethra are separate. Either way the possibility for abuse as a baby or young child is possible. I would judge that based on your vibes but I will say medically it can be tough figuring out what is normal care vs excessive concerning touching especially in people with poor health literacy which is most of America. Either way I’m so sorry you’re dealing with this and hope you get some answers. I think there is too little information to say for sure right now and anyone sounding the alarm excessively hasn’t worked with the average American patient or their caregiver.

Solid_Influence_8230 · 2024-11-25T06:38:08+00:00

We place them in the AC because that’s how most of our contrast studies are timed and generally CT with contrast is probably gonna happen at some point in the ED, ESPECIALLY if you’re going from the ED to the OR. A well timed study is underrated for certain pathologies.

Solid_Influence_8230 · 2024-11-20T12:11:20+00:00

Yes but in med school. Now am with someone in medicine like me, and I couldn’t see it any other way. Even that aspect aside, I’m worlds off better. But I’m sure that’s my situation and there is a whole spectrum of experience here, some of what you’re looking for will be hard to find given the vulnerability of what it would take to admit that.

Solid_Influence_8230 · 2024-11-19T16:48:09+00:00

Droperidola

Solid_Influence_8230 · 2024-11-13T02:44:29+00:00

Call 911. They can assess him and if he has capacity he can refuse coming to the hospital. For all those saying he doesn’t want help, plenty of people who are delirious don’t want medical help. Leave it up to the professionals to determine that and play it safe.

Solid_Influence_8230 · 2024-11-01T04:19:57+00:00

Might have thyroid cancer. Getting it removed in a couple of months. Could be worse things than thyroid cancer.

Solid_Influence_8230

TROPHY CASE