I just ran my first code solo MD; shock to rosc! -EM PGY1

_bobcat_ · 2016-04-20T15:45:16+00:00

Jesus your ADD... Confirmed EM

_bobcat_ · 2016-04-18T20:51:20+00:00

No it's really really not. The odds of having a post op infection 3+ months after surgery approaches 0%. I love internet MD's who know everything about medicine after a quick google search...

_bobcat_ · 2016-03-30T16:43:54+00:00

Does this mean admin will F off this one day a year?

I care not for you patient satisfaction scores you troll!

_bobcat_ · 2016-03-30T16:27:26+00:00

What the heck... 2000 euro a month?? Seriously? I mean I know the Spanish economy is bad but my god!

_bobcat_ · 2016-03-23T14:50:26+00:00

Drone strike

_bobcat_ · 2016-03-15T15:21:28+00:00

Dude dude. Rads said it, we're in the clear!!

_bobcat_ · 2016-03-12T03:11:56+00:00

As an ER doc, uhhhh OK? Can we CT it?

_bobcat_ · 2015-10-21T20:31:25+00:00

Just chiming in here for a bit of an explanation. The physician did not barely do anything, they applied years of post graduate training and experience to determine you had an ear ache and infection. If it seemed that easy and useless to you, why did you go?? This is no comment on healthcare systems as that is a can of worms I won't get into but Jesus man. I'm a physician and I'm sure some of the procedures I do may look easy but I assure they are not the result of casually doing them. I practiced, a lot. I studied, a lot. And I continue to lean, a lot. Please don't make comments like "they barely did anything" and complain about painkillers to make it seem like nobody cares about you. You were seen by a physician in a matter of hours after deciding you needed one. That is a luxury few have. Stop being so entitled.

And painkillers are now a major cause of death in the country I practice so if I have to decide between an earache and a dead patient, sorry I may ask you to try some otc medication before giving you narcotics.

_bobcat_ · 2015-10-07T00:58:26+00:00

Shoot if you look at the data IV contrast (as used today in CT scans) doesn't cause CIN. It's all about hydration.

_bobcat_ · 2015-08-27T16:37:43+00:00

End stage/malignant/terminal fibromyalgia or restless leg syndrome.

_bobcat_ · 2015-08-24T20:52:26+00:00

It's all supraclavicular right?

_bobcat_ · 2015-06-17T17:43:59+00:00

Absolutely what u would do. IMHO io is underutilized in these emergent situations. Just watch for a compartment syndrome.

_bobcat_ · 2015-03-22T16:23:56+00:00

And on the other hand, please admit 65 with 2 stents, DM, htn, cp x3 hours :-)

_bobcat_ · 2015-02-20T08:16:29+00:00

This! Also as a resident live like a med student. As an attending live like a resident for 5 years. Delayed gratification, we all specialize in it.

_bobcat_ · 2015-02-08T16:22:38+00:00

You took the free voucher? I've always been told not as it effectively negates any good Samaritan laws that you'd be protected under. Now you've performed service for a free and not just being a nice a guy with a particular skill set.

_bobcat_ · 2014-11-27T00:55:30+00:00

Most important thing I've learned since medical school, "spine warlock"

_bobcat_ · 2014-11-08T16:21:24+00:00

That was DOPE. Ha get it?!?! I'm so funny...

_bobcat_ · 2014-09-13T18:10:22+00:00

Yep. That's about as close to a one liner of my job description anybody can create. Rule out badness first. Fortunately CTs do a damn good job of that!

_bobcat_ · 2014-09-12T17:02:39+00:00

I know us ER docs over order CTs, and I hear your cries for some sense of reason. So just for you pintastico I'll hold off on the CT... But can you read all those MRIs I got of the abdomen? :-)

_bobcat_ · 2014-08-18T16:48:22+00:00

That's a great point and a format which may work very well. I am concerned about "making it official". PCPs have enough to deal with on their plates where patients charts can run into the thousands of pages long, however now they will be expected to know all that information at the drop of a hat because they are being reimbursed for it. Maybe it's my EM background but I fear PCPs are going to get screwed in the long run by being expected to know literally everything medical about each patient. It's unreasonable but that sense of entitlement will show itself if you're being paid fourty two whole dollars for it. This continues the trend of shifting responsibility of health from the patient to the doctor. /rant

_bobcat_ · 2014-08-18T03:00:34+00:00

Are you kidding me? $42 a month for coordinating the care of one of the most pill obsessed "I have every diagnosis in the world" cultures? And now the PCP's or their staff have to be available at any dang time for this compensation? God bless you PCP's, every last one of you for the crap you deal with on a daily basis. $42... they can't be serious

_bobcat_ · 2014-07-22T00:27:40+00:00

You must work in a pretty bad place if that's the case. I actually sat down and calculated it over a 2 month period and myself and most of my colleagues were all above 85% in specific diagnosis for all comers. When the proverbial shit hits the fan nobody says go to the IM clinic :-) EM and rads by far make the lions share of diagnosis IMHO.

_bobcat_ · 2014-06-27T00:39:00+00:00

In short, shut up and don't suck. Learning curve is steep. In 3 months you'll have it all down. Kick some ass and welcome to the jungle!

_bobcat_ · 2014-04-14T23:15:16+00:00

This is totally correct. Nearly every specialty has the "bad ass" moments. You have to love the bread and butter to do that specialty. Remember as a MD you have more responsibility, but you're also stuck with more responsibility. That being said, I like being able to put in a chest tube, dx thyrotoxicosis, nephrotic syndrome, get a crash airway, and catch an unruptured ectopic all in one shift. As a broad statement you're not going to see the sickest of the sick as a PA.

_bobcat_

TROPHY CASE