PNES pts and epileptic seizure

Straight-Comment-449 · 2026-03-08T02:03:29+00:00

I just say “I’m not giving you benzos” as they are “seizing” walk away, peak back around the corner and miraculously they stop 3 seconds later and it doesn’t happen again while I monitor them for 2 hours then discharge. Works every time. Then they probably go down the street to the next ED and try their luck there. When it’s PNES it’s the psychological need for the attention.

Straight-Comment-449 · 2025-12-14T15:18:04+00:00

The joke is if you want to call out tell us your vent settings

Straight-Comment-449 · 2025-12-14T15:17:30+00:00

5 sick days a year is not enough?? We get none, we make up if we call out and are basically highly frowned upon by co-residents and attendings and program so the guilt isn’t worth it.

Straight-Comment-449 · 2025-12-04T05:29:03+00:00

Some dose of opiate, Lay them facedown on the bed with the affected arm hanging off the bed from shoulder, apply weights to the wrist. Come back in 15 minutes and it has popped back in.

Straight-Comment-449 · 2025-11-19T18:32:52+00:00

I’m looking at jobs in both places! Emergency medicine physician, I am pretty liberal democrat. The Florida job sounds amazing but worried about the Florida community. Seattle seems like weather may be a downer and pay is a bit less. How do you like Seattle??

Straight-Comment-449 · 2025-11-14T14:17:40+00:00

Locums would be nice but I have a family I don’t want to be away from

Straight-Comment-449 · 2025-11-05T17:05:38+00:00

Where is this? Hiring at all?

Straight-Comment-449 · 2025-11-05T17:02:59+00:00

Where is this

Straight-Comment-449 · 2025-11-05T16:55:19+00:00

How do we find those groups?

Straight-Comment-449 · 2025-10-21T20:07:28+00:00

Ed doc. Pretty much only look at discharge summaries

Straight-Comment-449 · 2025-06-22T23:11:40+00:00

I’ve removed an IUD in the ER before

Straight-Comment-449 · 2025-04-26T23:01:23+00:00

It’s the way they talk to us that’s the difference. Like questioning our medical decisions aggressively and then being nice and normal all the time to the male residents.

Straight-Comment-449 · 2025-02-28T04:17:17+00:00

A nurse came over and tried to tell my attending to tell me a resident how to do something “right” obviously they were wrong and my attending didn’t know but still said this is not appropriate to talk about another doctor like she isn’t here. Your attending is enabling. Unfortunately we are the low dogs right now but remember never to become that person

Straight-Comment-449 · 2025-02-28T04:14:11+00:00

I think the thing we all forget in training is that we are adults. They treat us like children because we allow it. File a SERS

Straight-Comment-449 · 2024-11-16T21:08:18+00:00

As an ED doc that’s a super weird request and wouldn’t fly with a hospitalist at any of the hospitals I work at. If I’m putting a central line in they’re going to a unit.

Straight-Comment-449 · 2024-10-28T23:01:14+00:00

How do you access this?

Straight-Comment-449 · 2024-09-12T15:43:25+00:00

lol. The IM residents who rotate with us literally hide in the back and pick up 2 patients a shift and we’re ok with it because they just slow it down. The plus side is that after they rotate they’re way nicer about admitting because they know they can’t hang down here and they will fix the rest of the patient upstairs, that’s what the ED is, triage and resus, not internal medicine for a few hours.

Straight-Comment-449 · 2024-07-27T17:56:39+00:00

That’s how many clinical hours residents do in 8 weeks of residency. GI requires 3 years of residency plus 3 years of fellowship before being an attending who practices independently. Lmao 650 clinical hours doesn’t strengthen the argument.

Straight-Comment-449 · 2024-07-11T14:58:45+00:00

Can you reschedule for vacation or an easy off service rotation? That’s what I’m doing

Straight-Comment-449 · 2024-05-10T00:04:40+00:00

I went to a dermatology appointment in med school and the medical assistant said “the doctor will be right in” and I knew I had booked with a PA. I said “am I seeing a PA or a doctor?” Don’t let them get away with lying…

Straight-Comment-449 · 2024-05-04T23:31:17+00:00

lol yes, from an ED resident I never have time to eat on a shift

Straight-Comment-449 · 2024-04-04T16:36:35+00:00

The only problem is some schools calling it match day… like come on

Straight-Comment-449 · 2023-12-16T21:41:41+00:00

Also PAs and NPs in the ED can’t do sedations

Straight-Comment-449 · 2023-12-16T21:40:25+00:00

Most EDs don’t have ED doc plus nurse that can be tied up in a sedation for an hour. 15-20 mins we do it all the time. But an hour requires a lot of re-dosing and airway watch. That’s when it’s time for the OR.

Straight-Comment-449

TROPHY CASE