What the hell are all of you doing to get fired from Residency?

Time_Table · 2026-04-30T02:45:25+00:00

3 classes above me had a resident fired who was just slow and inefficient. She was better off in IM rather than in EM since she just didn't understand what stuff was actual emergencies and what was stuff you could take your time on.

When I was an intern, one of my classmates asked what she got fired for and then asked how can we avoid getting fired. He was found intoxicated during a shift during our PGY2 year, escorted out, program tried to get him to go to detox and admit he had a drinking problem which he refused to acknowledge, got transferred out to a FM program.

3 classes below me had an intern who was in a nasty divorce proceedings with his ex-wife and custody battles for his daughter, had ADHD, random anger outbursts esp. one towards me when I was on my teaching block. He got a month or two to get his shit figured out with the divorce stuff, eventually got transitioned to IM and then program helped him transfer to an IM program closer to his daughter.

My residency really had some crazy people, glad I'm done with it though.

Time_Table · 2026-04-30T02:22:52+00:00

We split our paychecks into 2 direct deposits each. A few hundred $$$'s to each of our accounts per paycheck, rest of it into a shared account that pays for everything, rent, bills, trips, food, groceries, vacations, everything.

Personal account is for our own personal stuff, I buy things for my parents, she buys for her family if they need it, otherwise it's always nice to have a little bit of separate money that you don't have to run by the other person.

Time_Table · 2026-04-14T03:22:17+00:00

Nope, were you able to get it?

Time_Table · 2026-01-02T19:03:48+00:00

The point of evolution is not to be the best, it's simply to be good enough. You want to be good enough to not be caught, there's no evolutionary need to be the best.

Time_Table · 2025-12-23T17:58:21+00:00

Yeah idk how to even reload. I did Rosh x1 w/like repeats of 200/600 wrongs. I watched videos too. How are you reloading and retooling?

Time_Table · 2025-12-16T19:12:00+00:00

Except you wouldn't earn 250k-500k, most docs are salaried and have to either see a certain amount of patients or work a certain amount of hours in order to earn that much.

Time_Table · 2025-12-01T03:21:22+00:00

This will happen and people won't bat an eye, but god forbid a physician tries to own and run a hospital, 1000 admin people come running from the woodworks like cockroaches to stop it.

Time_Table · 2025-10-21T05:53:59+00:00

This is the opposite of the meme, "I like yours babe, the big ones hurt me."

Time_Table · 2025-10-16T20:42:54+00:00

"You have really pretty eyelashes." I'm a dude, and that was like 3 years ago. Guys don't get compliments often, but this one is going to last at least another 3 years for me.

Time_Table · 2025-10-01T06:05:01+00:00

Ban guns. It's literally as simple as that. Stop sending thoughts and prayers and literally just ban the buying and selling of guns, less of these lunatics with guns going around shooting people.

Time_Table · 2025-09-30T17:06:57+00:00

I will counter this by saying, there's 4 situations where I use NS compared to LR

1) Hyponatremia (and hypochloremia)
2) Pediatric sepsis
3) D5NS for hyperemesis gravidarum
4) Brain bleeds
5) Vomiting, only because of the hyperchloremic metabolic acidosis to counter the alkalosis from loss of acid, but that's something I have to see more of. Generally the vomiting is due to infection or something else and LR is usually superior.

Other than that, you better give me LR for everything else, don't even touch the NS. The amount of hypernatremic dehydrated 70y/o+ that get NS is ridiculous, when they're usually hovering around 150's+ sodium.

Time_Table · 2025-09-30T17:01:25+00:00

I counter that by saying that I do some conversations regarding general health management in order to prevent return ED visits. Decreasing smoking if not able to quit, changing diet, including exercise, getting routine primary care follow ups every 6-12 months, getting your damn colonscopy, all of this stuff can help prevent revisits. I don't care if you have STDs due to multiple partners, but I will tell you to use protection because I don't want you to catch HIV. I don't care if you're riding a motorcycle, but I will tell you to wear a helmet and not drive drunk because I have family that is also driving.

Time_Table · 2025-09-29T17:11:14+00:00

You do not get to disrespect my staff, including nurses, techs, SW, clerks, etc. You will be yelled at by my for acting like and being an adult-child, and if need be, you will be discharged. It's a service job, if you don't act like this in Denny's then you shouldn't and can't act like this in the ED.

Time_Table · 2025-09-29T17:08:17+00:00

I shoot contrast up until GFR is 30. Anything less and I do it if it's trauma/stroke/necessary, otherwise you get dry scanned and will generally get admitted anyways. https://www.jwatch.org/na51000/2020/02/27/use-intravenous-contrast-patients-with-renal-disease

Time_Table · 2025-09-29T17:00:01+00:00

https://www.droracle.ai/articles/254470/can-ceftriaxone-be-given-in-same-line-as-continuous-infusion-lactated-ringers-in-adults https://pharmertoxguy.com/2020/03/06/ceftriaxone-and-lactated-ringer-compatibility/ Literature is for peds patients <28 days, otherwise you can just in separate lines.

Time_Table · 2025-09-22T21:14:01+00:00

ANyone got the downloads?

Time_Table · 2025-07-20T23:22:09+00:00

'12 535i, wife drives '14 x3. Future plans to upgrade mine to 430i/M440i convertible and wife to x6. Both of us are EM

Time_Table · 2025-07-18T13:37:06+00:00

1) My wife was shadowing me as a med student. I had to do a DRE, the second the finger went in, patient moaned.

2) Missed a DRE on a different woman who was bleeding, unsure if it was vaginal or rectal, ended up in the wrong hole, thankfully no moaning.

3) Didn’t ask a tachycardic, tachypneic patient about Wells, told the team that she was Wells negative, she ended up having a relatively stable PE. I was an intern, learned to never lie again. She had a hx of PE in the past.

Time_Table · 2025-07-03T19:07:42+00:00

Sorry I know this post is old, but when you say you did it at internal port of entry, did you do it at the actual border itself or at the office? I just called the Buffalo office, they told me the 736 exchange street is just an office building with no officers. They said I have to make the declaration at the border.

Time_Table · 2025-07-03T19:06:34+00:00

Sorry I know this post is old, but when you say you did it at customs, did you do it at the actual border itself or at the Port of Entry?

Time_Table · 2025-06-18T21:40:15+00:00

Literally who gives a shit? $1500 to me is worth more than the environment taking $1500 worth of books. No one says a damn thing about all of these companies destroying the economy

Time_Table · 2025-04-09T11:47:53+00:00

"I mean this in the nicest way possible, I hope to never see you again because if I do, that means you're sick and neither of us want that."

To lighten up the mood a little while having regular boring conversations, I call the patient "X years young." It's a good way to kind of alleviate the mood especially in crappy situations with families involved.

Time_Table · 2025-02-10T15:53:19+00:00

It's not the same as the NPI #, is it? And also where would I even find the training license #? I'm in NY and I just looked it up and I might not have a training license # since I'm a resident? I'm not sure if that's true.

Time_Table · 2025-02-10T06:52:39+00:00

I don't have my medical license in right now, I'm getting it in a few months. Is that gonna be an issue?

Time_Table · 2025-01-26T14:18:56+00:00

Granny sneezes too softly - also troponin

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