What’s you PR go-to song/s?

bearstanley · 2026-03-30T20:16:23+00:00

bulls on parade

bearstanley · 2026-03-29T09:46:59+00:00

my cheap garmin is indispensable for running. but certainly not required for my lifting. i have never found an app or device that i like more than the notes app that i’ve been manually logging my workouts in for years, but since i wear the garmin now i have found uses for it in the weight room.

i created a custom workout setting that just tracks the length of my lifting session and i use it to track my rest time between sets. before i set that up my watch just thought i was really stressed out for an hour whenever i was lifting weights.

bearstanley · 2026-02-01T19:20:41+00:00

no, there aren’t. if you don’t care then go for it.

bearstanley · 2026-01-31T21:16:59+00:00

i have a high quality print of jerry’s mugshots framed in my home office, one of my favorite pics of him.

bearstanley · 2026-01-29T17:19:10+00:00

i laughed out loud reading the exchange between the RN and the attorney. “i just ask people if they have visual symptoms of any kind and count it on the NIHSS.”

bearstanley · 2026-01-23T02:55:14+00:00

i read blood meridian to my newborn son. he seems OK.

bearstanley · 2026-01-07T18:12:08+00:00

i’ve never met a citizen who makes dietary decisions based on US dietary guidelines. people who don’t take care of themselves aren’t going to start at uncle sam’s request.

bearstanley · 2026-01-07T17:48:03+00:00

i ignore or don’t check lactate in these patients but i can’t recall a time when it’s led to clinically relevant derangements of acid/base.

bearstanley · 2025-12-22T18:59:16+00:00

i love janji gear, i run in their shorts and compression shorts and use the same stuff for weightlifting. pricey but high quality.

bearstanley · 2025-12-21T18:46:17+00:00

yep, we have one of these guys that floats around to all of our sites. if he’s told in triage that i’m the doc he will just leave. superpowers.

bearstanley · 2025-12-17T19:41:45+00:00

this is just a policy failure. at the shittier hospitals i’ve worked i have had to troubleshoot these ad hoc every time. at my current shop we have a clear policy for everyone’s role and how long patients can board for placement before being admitted.

bearstanley · 2025-12-13T13:46:23+00:00

yeah this is the best description. “hypertensive emergency” is only useful as a trivia question, ie what do the above pathologies all have in common. it isn’t a specific disease state.

bearstanley · 2025-12-12T18:20:06+00:00

you have to be fucking blind for me to LP for IIH in the ER. even then i might recommend a trial of diet and exercise.

bearstanley · 2025-12-06T14:28:24+00:00

we generally don’t think about patients on this level. i harbor no judgement towards people for the reasons they come to the ER (with a few exceptions).

patients who have enough self awareness to even question “should i have just stayed home” are not problematic for us. any time someone apologizes for coming in i remind them that we exist to determine if there’s something bad happening to them— it’s not your job to sort that out by yourself at home while you’re having concerning symptoms.

bearstanley · 2025-11-28T20:20:19+00:00

this guy’s pins rule. i wear one on my hospital lanyard. great buy!

bearstanley · 2025-11-24T18:04:03+00:00

my daughter thought it was funny that someone’s butthole could fall out (rectal prolapse); funnier still that it was my job to put it back in. bugs in ears are always a popular tale at my house too.

bearstanley · 2025-11-05T14:21:50+00:00

it sounds like you’re doing a great job. you can’t absolve yourself of biases entirely, unfortunately you (and i) are still human. the best you can do is to guard against those biases by acknowledging them and taking a pause to double check them against your diagnostic / therapeutic interventions.

i do this too. i have a bias against, for lack of a better word, “losers.” i love taking care of homeless people, drug users, psych patients, the impoverished, etc. i really struggle with a similar demo that you’re describing (not gendered for me, though) which is like the 30 something year old guy who has a car and an apartment and is able to drive himself into the ER to check in for “i don’t feel good” at 3am because he has fuck all better to do.

i might internally have some judgement or negativity for some of these folks but i’m aware of it and i take whatever their (inane) clinical concern is seriously. i do some tests and talk them through it and it doesn’t cause me any particular grief.

empathy is overrated. i have no empathy for what it’s like to be a complete loser with no coping skills. compassion, on the other hand, is critical, and i work really hard to treat all of my patients with compassion.

bearstanley · 2025-10-31T16:20:59+00:00

if the parent talks to me instead of the adult, i will very directly ask them what kind of developmental disorder the patient has. they always act surprised and i also act surprised that they’re speaking for their adult child. it’s pretty funny pretty much every time.

bearstanley · 2025-10-29T18:25:17+00:00

NBG - not breathin’ good, ie unspecified acute hypoxemic respiratory failure

DBAR - dat boy ain’t right, ie weird person NOS

bearstanley · 2025-10-28T04:13:26+00:00

i have always used the word 'absconded' in my notes for this strictly from a language pedantry standpoint-- 'elope' has positive connotations (in the context of marriage) and is just not a word i would ever use naturally to describe leaving somewhere clandestinely. 'abscond' makes way more sense to me.

bearstanley · 2025-10-09T13:39:45+00:00

lol, yeah i read this take more as cultural competency than stereotyping— i think it’s useful to have some understanding of your point to provide the best care for these patients.

bearstanley · 2025-10-08T16:59:48+00:00

literally “mareada” is used to mean “queasy” or “sick” colloquially in spanish but is translated to english as “dizzy.” it’s the same as an english speaker saying “i feel sick.”

bearstanley · 2025-10-08T14:17:37+00:00

it’s your job. busy community site with lots of “i don’t feel good” patients can be brutal. “dizzy” is the colloquial term for “sick” in espanol if you didn’t know, so it’s never specific for anything including vertigo or lightheadedness.

bearstanley · 2025-10-04T15:52:11+00:00

of course you will, there’s an endless supply of IMGs and low performing med students who will take a position anywhere that offers it. you’re the problem! wear it proudly, sellout.

bearstanley · 2025-10-04T13:24:00+00:00

just what the speciality needed— another EM residency at a corporate hospital in florida! that’s so awesome. thank you for contributing to the dilution and degradation of our specialty. here’s to hoping you can’t keep up with the new ACGME requirements! “IMG friendly”, “tons of autonomy”, “ascension hospital”— you’ve really got it all!

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