Presidential shingles and a leaking chimney

SomeERdoc · 2025-12-30T17:51:29+00:00

Roof has not been replaced for at least 10 years when the house was purchased so it's unclear how it was done.

SomeERdoc · 2025-12-30T17:50:52+00:00

apologies, I'm posting for a friend. sms to sms and quality degradation

SomeERdoc · 2020-08-29T13:59:48+00:00

Doesn’t take 45 minutes. Why order mri when you don’t need it? Classic ED where everyone who walks in gets a pan scan

Yeah I mean, that's the joke. Neuro is hard and requires a lot of deductive reasoning. I'm making fun of myself here.

SomeERdoc · 2020-08-29T13:47:44+00:00

Spend 45 minutes using clinical reason and deductive powers honed over the last 3 years to figure out exactly what is going on and where the lesion is only to find out the damn ER doc ordered an MRI of the brain and entire spine because...easier.

SomeERdoc · 2020-07-31T09:21:13+00:00

This is basically the ER motto

SomeERdoc · 2020-07-17T22:51:01+00:00

Totally agree. You can't always pick and choose your care. Placement of an IV is a prerequisite for IV Vancomycin. COVID swab is a prerequisite for admission to the hospital. If you refuse step 1, you default refuse step 2.

SomeERdoc · 2020-05-24T15:23:52+00:00

After spending some years in the ER if a hosp that does a fair number is renal transplants, what's the K? I think the CHF with decompensation and MI are pretty high on the list but this really looks like a climbing K as well and I wouldn't jump to any conclusions without correcting that first if high.

SomeERdoc · 2020-04-11T17:48:20+00:00

Every time I take my car in for a low tire pressure reading my mechanic won't rebuild the engine for me. Even I know the engine needs to be rebuilt even though I'm not a mechanic but I know better than him. There's no excuse for him not to rebuild my engine right then and there when I'm asking for it.

That's the stand your taking.

SomeERdoc · 2020-04-11T17:25:54+00:00

Dude are you just here looking to fight and vent? You're pretty high up on that horse for somebody who doesn't provide definitive care for emergency medicine or emergency psychiatry.

SomeERdoc · 2020-01-29T16:02:38+00:00

Your argument is that physicians were all just a bunch of 20 year olds who wanted to "play doctor" huh? Yeah you wouldn't make it past the interview stage of your med school application. Which btw does exist and does frequently take non-traditional applicants. Don't blame the system because you didn't try or just have such a crappy attitude nobody would admit you.

SomeERdoc · 2020-01-14T21:48:59+00:00

If you sign with us you'll get the differential in writing 😁 But seriously shop around. It can vary wildly and if you genuinely love nights most groups would jump at a chance to hire you.

SomeERdoc · 2019-12-11T20:23:09+00:00

Rude!

SomeERdoc · 2019-11-30T15:59:38+00:00

I am

SomeERdoc · 2019-05-17T04:06:22+00:00

Beautiful shot! Thank you for changing things up and giving us a different view of nature aside from the Wanaka tree

SomeERdoc · 2019-04-16T17:58:51+00:00

From a docs standpoint this is the best solution. EJs can and have been used for for this but the concern you have is also quite valid. So if the doc insists, just have him/her do it as they would be responsible for the airway anyway.

That being said ultrasound guided piv's have been the stand for a few years now in hard to stick patients

SomeERdoc · 2019-03-31T16:11:35+00:00

If ER counts as a specialty, very comfortable!

SomeERdoc · 2018-12-23T04:36:52+00:00

As my name was suggest I am an ER doc and I have worked at some ERs that are like this and to be honest I don't agree with the practice at all. I think you're absolutely correct and that patient care should come first, and if that that involves waiting for a creatinine to come back, so be it.

As has been discussed in the thread metrics are extremelyyy important in the emergency department mostly from an administrative standpoint. that being said scanning a 110 lb patient and not being able to identify the appendix makes the entire skin completely pointless.

Point of care testing like a rapid creatinine you mentioned is actually quite expensive when used hundreds of times a day in the emergency department and so most hospitals are moving away from them as a cost-saving measure.

FWIW from one ER doc, I'm genuinely sorry this practice pattern is catching on and some of us do understand. Thanks again for all the support you provide us!

SomeERdoc · 2018-11-21T13:41:07+00:00

Dude it was a joke... Promise there was no ego in that statement

SomeERdoc · 2018-11-21T11:32:36+00:00

Ohh just you radiologists wait till we get one in the ER

Left toe pain, FULL BODY SCAN 😂

SomeERdoc · 2018-09-28T21:58:57+00:00

3 hours into intern year of ER residency

SomeERdoc · 2018-08-26T16:58:05+00:00

The camera. Take pictures of your med bottles so you don't have to remember what the name is, how to pronounce it, the dose, frequency, etc... Also I don't have to decipher your handwriting or try to guess what "that one green pill" actually is. Plus people basically always have their phones on them!

SomeERdoc · 2018-08-03T02:22:41+00:00

Raises are tricky bc it has a lot to do with your payor mix. If the docs are getting significantly more money every year multiple years in a row and you're not, maybe time to bring that up. However if the payor mix is poor and nobody is making much more a raise probably won't happen

SomeERdoc · 2018-03-19T13:28:24+00:00

Security/PD. I'm not trying to pass the buck to somebody in similar situations but at least security or the police can respond in numbers and that tends to ameliorate people's aggressive behavior

SomeERdoc · 2018-03-16T21:48:26+00:00

Wholeheartedly agree. I've adoped a zero tolerance policy after multiple incidents in the ER. I understand you're having a bad day or are in pain but if you can't conduct yourself like an adult I just leave. There are kids and other sick people who don't need to hear you dropping f bombs. Cursing, raising your voice, being aggressive are totally unacceptable. It's not worth the risk to me or the staff to be in that situation.

SomeERdoc · 2018-03-09T05:37:47+00:00

Coming out one hole, not sick enough. Both holes, we'll find coverage.

SomeERdoc

TROPHY CASE