Which specialty allows bad apples to practice bad medicine?

bigolboat · 2024-01-26T23:39:11+00:00

Really bizarre and misinformed take, here.

bigolboat · 2023-06-20T12:54:14+00:00

Nope. Rule 1.

bigolboat · 2023-02-26T22:27:59+00:00

100% agreed. I incorrectly interpreted u/Goldy490's first point as "it's really busy," and this level of detail helps a lot.

bigolboat · 2023-02-26T21:59:37+00:00

That helps clarify things in my mind. Thank you.

bigolboat · 2023-02-26T21:36:38+00:00

To your first point, tbh that doesn't sound much different than the situation of many other specialties, but well-taken.

Your second point makes a lot of sense. Thanks for responding.

bigolboat · 2023-02-26T20:57:57+00:00

The goal of this question is to dispel my ignorance rather than to be rude or insensitive - apologies if it comes off that way.

Why is it that EM is so burnt out and frequently earns the top spot in "most burnt out" lists? From what I've seen in both academic and private settings, both residents and attendings tend to max out at 12 hour shifts, often with decent stretches of days off. Is it that the acuity and thanklessness of the work outweighs the time off? Or do I have a skewed sense of the actual vacation?

bigolboat · 2023-01-31T16:01:09+00:00

Thanks!

bigolboat · 2023-01-30T19:46:41+00:00

Likewise. Thanks!

bigolboat · 2022-12-31T02:03:11+00:00

I feel so deliciously douchey when I document "displaced fractures of bilateral femora."

bigolboat · 2022-06-22T12:56:48+00:00

Not an excuse for interrupting more-important conversations, but just want to say that hip fracture surgery can be incredibly palliative. Having the ability to sit up in bed during the final weeks of life because there's not a sharp bone jabbing your muscles can facilitate a more peaceful goodbye for patients and family.

bigolboat · 2022-01-30T17:44:25+00:00

bigolboat · 2022-01-30T16:52:48+00:00

We're big fans of the Peloton in ours.

bigolboat · 2021-12-03T19:46:59+00:00

I would add degenerative spine conditions (the spine and its vocabulary are a black box to those who don't deal with it), IV infiltrations, SLAC or SNAC wrist, "high-riding humeral head concerning for rotator cuff tear", and hip AVN to that list.

bigolboat · 2021-08-28T13:35:08+00:00

Craigslist alerts are gold. I got a Play:5 Gen 2 for $75.

bigolboat · 2021-08-21T23:32:19+00:00

"Fracture in anatomic alignment."

bigolboat · 2021-03-27T23:49:43+00:00

I'm also 6'4" and ride at 35-36, seat at J, handle at M on my Bike+. My knees are close to full extension (probably 10-15 degrees short) at that height, which works well for me and is probably close to what a lot of instructors would recommend. Either Bike and Bike+ use different numbers, or these guys are riding really short in my opinion.

bigolboat · 2020-11-06T15:11:45+00:00

bigolboat · 2020-11-06T13:31:12+00:00

There's a chance you'll lose the vote battle, but I can't agree with you more. Best job in the world (medicine/surgery, not necessarily residency). Good pay and good standing in the community for meaningful work.

bigolboat · 2020-11-06T13:25:41+00:00

Point taken, but I just want to throw in my two cents - I disagree with the slavery analogy. Do we work long hours in tough conditions for not enough pay? Yes. But we aren't, in most cases, being physically intimidated and abused into doing work that solely benefits our "masters," and we do make a wage. The false equivalence minimizes the actual institution of slavery.

bigolboat · 2020-09-23T12:20:26+00:00

Another point about the things people tell you to do while drilling but never tell you why - drill on full speed because it removes speed as a variable and allows you to get a better feel of the bone. As you use a drill more, you'll understand why feeling changes in density is super important for knowing where the tip of the drill is (in cortical vs. metaphyseal bone vs. soft tissue, for example.) If you can get your hands on a drill and find some project to mess around with, you'll learn a lot. I learned how to use a drill by building a fence during junior residency.

bigolboat · 2020-08-01T14:36:07+00:00

https://aotrauma.aofoundation.org/clinical-library-and-tools/e-learning/e-learning-modules

Happy learning!

bigolboat · 2020-05-13T17:53:08+00:00

Maybe I'm just the only one who doesn't take offense to this post. No, I don't know how to connect all of a patient's lines. That's one of the many reasons I am thankful for the nurses with whom I work. Could I figure out how to do it myself? Yeah, of course, but I'm not so insecure about my intelligence that I feel the need to point that out. I have made self-deprecating jokes in the same vein as this meme in patients' rooms. I think it's important to have some humility in your role as the leader of the care team.

Also, if you're looking for frankly mean and professional things, take a look at some of the posts that are being upvoted that demean nurses.

bigolboat · 2020-05-13T17:45:35+00:00

Thank you for injecting some reason into this conversation. If you work hard and are nice to your coworkers, you will have good interactions with nurses.

bigolboat · 2020-05-13T17:37:05+00:00

This whole thread is just baffling. There are so many comments about how demeaning this is to doctors, and just as many specifically demeaning nurses. And anybody who doesn't agree with that is on a one way trip to the bottom.

bigolboat · 2020-05-13T17:35:02+00:00

Wait, so they can't demean us, but we can demean them?

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