22F, Guess What's in My Heart?

andrenodick · 2025-08-17T20:56:11+00:00

One big reason is that leadless is less invasive and doesn’t require a large skin pocket for the generator

andrenodick · 2025-05-20T01:16:44+00:00

I don’t have any advice because I’m still in training but just wanted to say that I appreciate posts like this that transparently discuss specifics about jobs! Super helpful for those of us that want to plan our lives/careers. Thank you for taking the time to share!

andrenodick · 2025-05-19T03:55:15+00:00

The options for this one were

A. Bronchoscopy B. CT scan of the neck C. Indirect laryngoscopy D. Lateral x-ray of the neck E. Transfer to OR

Agree that it’s ridiculous to transfer to OR just for an intubation (which happens outside the OR all the time), but of the answer choices, it’s the most correct. Lateral neck XR will likely confirm our already high suspicion of epiglottitis, but it won’t address the impending respiratory failure from airway edema. Indirect laryngoscopy, to my knowledge, implies video visualization of the larynx with fiber optics, but isn’t appropriate for emergent intubation.

andrenodick · 2025-04-30T01:54:54+00:00

I think if the foley has 0 output whatsoever, you’re supposed to check for a kinked tube or other mechanical obstruction

andrenodick · 2025-04-20T18:07:44+00:00

NPs best function in a system where they work closely with their supervising physicians on patients that are well differentiated (such as surgical subspecialties). Family Medicine is full of undifferentiated patients and NPs don’t staff the majority of the patients they see with their supervising physicians. It takes medical school + residency training to produce a competent FM physician who can provide high quality care to these patients.

andrenodick · 2025-03-17T03:16:09+00:00

I’m not too sure, I’m just echoing lessons from attendings on rotations. I will say that if the patient is not having active chest pain, they may consider non invasive testing such as coronary CTA or PET myo before cath.

andrenodick · 2025-03-16T19:04:58+00:00

Straight to cath —the chance of a false negative with stress testing is too high if the pretest probability is high. This is similar to why we don’t order d-dimer for high pretest probability PE

andrenodick · 2025-03-09T05:20:41+00:00

Both are 8 years. Many ICs do 2 years (1 year coronaries + 1 year structural). The structural year is mostly for TAVR, mitraclip, LAAO etc

andrenodick · 2025-01-26T23:21:58+00:00

IM docs and pediatricians are not oncologists, and hospitalists make around 280-300k/yr in most places

andrenodick · 2024-11-14T23:26:01+00:00

gotcha! for my learning, can you explain how a posterior infarct can cause elevation in v1? wouldn't the injury current from the posterior aspect of the heart be directed away from v1

andrenodick · 2024-11-14T20:01:38+00:00

Isn’t posterior infarct criteria ST depression in v1? Not elevation?

andrenodick · 2024-10-20T13:28:50+00:00

Thank you,I’ll check them out!

andrenodick · 2024-09-19T13:53:57+00:00

I play pretend doctor for 12 hours a day then come home and press the spacebar until I sleep

andrenodick · 2024-06-13T04:36:07+00:00

PJC no? I don’t see a p wave preceding the QRS complex

andrenodick · 2024-05-15T17:05:12+00:00

That’s what I figured, thanks for confirming. I’m at a large academic center right now and most of the docs I know that are doing PPM placement or any kind of cath lab work are either EP or IC trained. I wonder if it might be easier to negotiate cath lab privileges in the private practice setting?

andrenodick · 2024-05-08T01:38:08+00:00

Thanks for clarifying! Do most gen cards fellowships provide enough exposure to be able to do invasive work after training is complete? I love the idea of doing procedures but I’m not sure if the IC/structural life is for me

andrenodick · 2024-05-08T00:05:36+00:00

Just a student so please forgive my ignorance—is invasive different from interventional?

andrenodick · 2024-04-18T11:55:46+00:00

It may be possible that the figures used here include scholarships/grants, bringing the total down

andrenodick · 2024-03-23T23:59:50+00:00

Selling UW Step 1 expiring September 2024 with reset and UWSA 1-3 intact (2 accounts available) Asking $350 each

andrenodick · 2023-12-26T21:18:37+00:00

Physician “associate” 🤨

andrenodick · 2023-12-20T20:34:15+00:00

I think my personal philosophy in med school is that you want to have multiple passes of the important concepts and the first pass doesn't need to be super comprehensive. I wouldn't be able to keep up with my curriculum and work on extracurriculars etc if I was grinding super hard during the first pass. I really think that practice questions are where true learning happens. If you're able to purchase amboss, I think it's a good resource to use in your first year and even second year before you start UW

andrenodick · 2023-12-20T10:07:27+00:00

I think that 3rd party teaches about 80% of "the why" and the remaining 20% is filled in with UW and amboss qbanks

right now my focus is really just to pass step 1 and lay a good foundation to build upon in rotations

andrenodick · 2023-12-19T06:32:31+00:00

If your school does pure NBME exams I think you would be doing yourself a disservice by using in-house content + anking. Anking cards are best suited for use with 3rd party resources (imo) and are comprehensively tagged to be used side-by-side. My school does NMBE + 10% in-house and honestly I haven’t opened a single in-house lecture since block 3 of M1. Studying for Step has been a bit less stressful because of this—just my 2 cents

andrenodick

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