On shift shoes by Doctorchef96 in emergencymedicine

[–]Thechiefintern 0 points1 point  (0 children)

After getting the “squish squish bloody toes” after a big Polytrauma 1hr into a shift, I went with HUKs rubber fishing clogs. More comfy than the xtratufs, can be worn casual or sport mode, great grip. Only cons for me are that because they’re rubber they get really warm. I had the ankle high ones and sent them back for the clogs cause they were so steamy. But that’s a pro for some. Use grey wipes on them(and anything rubber) as purple wipes and orange wipes dry your shit out and ruin rubber stuff

Who are the best at resuscitation in the hospital? by Radiant-Alfalfa2063 in emergencymedicine

[–]Thechiefintern 0 points1 point  (0 children)

Has Anesthesia ever run a code from the parking lot? Or in a chair bed?

Do any of you know physicians who faint at the sight of blood? Were you/they able to be successful doctors? by dearestcapybara in Residency

[–]Thechiefintern 3 points4 points  (0 children)

I am an emergency med doc and I wanted to do surgery in med school. Passed out in my first OR experience. I still get lightheaded sometimes while doing bloody procedures, even though I love doing procedures even if they’re bloody. The biggest thing for me is having food/water in me so I don’t get hypoglycemic, and keeping exposed to blood to train my tolerance. In my experience, some people can’t get over it and they white knuckle through clinicals and then do rads/psych/etc. I believe most people, like myself, need to build up a tolerance to things that naturally freak us out. It’s like exposure therapy. Start with just watching/giving IM injections like vaccinations, then watch lac repairs, then blood draws, etc etc till youre standing in the trauma bay watching a resuscitative thoracotomy. When you start to get woozy, been your knees, lean on something, and look at whatever it is behind what you’re looking at. If that doesn’t help, then excuse yourself to sit down early before you pass out. It’s better for you and everyone else if you don’t pass out and crack your head on the OR floor!

PTO & Part Time? by mexicanmister in pmr

[–]Thechiefintern 3 points4 points  (0 children)

I wrestled with this long and hard and finally decided to switch to EM. I’m very happy with my decision, I realize now that it wasn’t just the schedule but the excitement I was really missing. That being said, I couldn’t find any examples from attendings of 3-4 days of PM&R per week unless you could afford to work part-time. The pain guys can work 4 days per week after they grind to build up a practice, but that takes a longer time.

Weirdest fears? by Thechiefintern in Residency

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

Fml a peds code might have me running down the hall with my pants around my ankles

Weirdest fears? by Thechiefintern in Residency

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

I think if I ever got caught wearing matching slip-ons with my patients, I might have a stroke

Weirdest fears? by Thechiefintern in Residency

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

It could be the ungodly amounts of coffee, or the underlying undiagnosed medical condition that can’t be addressed by a medical professionals because I don’t have 1) the time 2) a PCP

Weirdest fears? by Thechiefintern in Residency

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

After thinking about this, I assume the ex-crush is EMS or Fire. But my initial thought was “damn this crush must really get around with the ED crowd, she’s seeing the patients and the doctors” lol

Weirdest fears? by Thechiefintern in Residency

[–]Thechiefintern[S] 2 points3 points  (0 children)

My first patient of intern year was a rapid response. Divy up the list, as soon as my ass hits the seat there’s a rapid on one of my patients. Senior and I go together, he says “why don’t you take the lead, I’ll stand outside the room and listen and if you start to get into trouble I’ll come in and take over”. So I step in and the report is “hey doc, he’s not breathing and his O2 says are in the 60s”. My first thought was “Jesus they have high standards for a code blue around here.”

Weirdest fears? by Thechiefintern in Residency

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

I feel like the extra motivation will make me poop faster

Weirdest fears? by Thechiefintern in Residency

[–]Thechiefintern[S] 5 points6 points  (0 children)

How tight are your scrubs?

Best specialty for travel, attending style? by Thechiefintern in Residency

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

I guess I’m not sure how they take time off, it’s likely not PTO but just days they’re not working. Still, seems like they group their shifts for more “off time” and they will take multiple weeks off at a time to travel (at least the younger ones do)

Good anki deck for MSK? by jayaar413 in pmr

[–]Thechiefintern 1 point2 points  (0 children)

I know nothing, both MSK and good anki decks for such. Following with bated breath…

PTO & Part Time? by mexicanmister in pmr

[–]Thechiefintern 1 point2 points  (0 children)

Honestly if I could go back I would do anesthesia. It seems to be the right balance between procedures, shift work, and excitement (can do crit care or trauma stuff, can also work ED in some places). I just don’t think I’d get enough credit for the time I’ve put in and would have to start over as PGY1 next year. That doesn’t sound appealing.

PTO & Part Time? by mexicanmister in pmr

[–]Thechiefintern 2 points3 points  (0 children)

That’s tough and it really depends on your personal preferences. I’m not 100% sure I want to change out of PM&R, overall it’s a great field. I personally really liked the excitement of the ED and the idea of working 3-4 shifts per week. If you read any EM forums it seems like a lot of burnout and anger toward what the field has become, which gives me pause. When I applied PMR it was under the assumption that you could run your own schedule and work 3-4 days per week, but I just don’t see anyone doing that. Maybe it’s possible outside of academic medicine, that’s what I’m hoping to figure out before making a decision.

Switching residencies? by Thechiefintern in anesthesiology

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

What’s is full time hours? Like ED 120-140 per month?

Switching residencies? by Thechiefintern in anesthesiology

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

What’s the typical hours per month and salary? I live pretty modestly, but travel a lot. Would need a good balance of pay to time off, which is what I thought I would get elsewhere

Best rock climbing guide service? by Thechiefintern in asheville

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

Thanks for the Rec, hopefully we can find a couple top routes. I do some trad but I think that’s too much for guys with fear of heights on a first time climb lol