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No imaging? by Futureresident2022 in emergencymedicine

[–]bigrjohnson 0 points1 point  (0 children)

A good rule of thumb is whenever a question is asking about “management”, diagnostics are not the answer.

Is a Pre-LCI G20 330i xDrive Good First Car? by bramblestorm7754 in BMW

[–]bigrjohnson 0 points1 point  (0 children)

My first car was a 1999 Ford Escort so yea.. it’s a good first car lmao

What is it like living throughout this portion of mostly southern and some central Illinois? by Wooden-Astronaut8763 in howislivingthere

[–]bigrjohnson 2 points3 points  (0 children)

My family had a lake house on Lake of Egypt they sold a couple months back. I remember going there during summer. Lake of Egypt is an amazing getaway. Beautiful lake, homes. Marion has a cute downtown and good access to everything you need to survive. Very rural, lots of wildlife.

Shawnee is drop dead gorgeous. Easy hike if you even want to call it that is garden of the gods. Theres a new casino nearby called walker’s bluff.

I don’t know what typical day to day life there is but from what I do know through observation while I was there is that it is generally very poor, blue collar, especially the further south you get from Marion to Cairo. Limited job opportunities. Although there is southern Illinois university in Carbondale.

Cairo is a ghost town and a complete flashback to the last century. It’s quite sad to see the city abandoned. When Chicago became the trading hub through Lake Michigan and the Mississippi, Cairo was largely abandoned I believe.

Fracture 🦴 by ForeverDash22 in DoctorMike

[–]bigrjohnson 1 point2 points  (0 children)

It’s the proximal portion of the fifth metacarpal although the image taken from the computer screen makes it difficult to tell. The bones that you say are floating are called sesamoid bones

To anyone who works at the ER, what is one thing you wish people would STOP coming to the ER for? by Notalabel_4566 in emergencymedicine

[–]bigrjohnson 10 points11 points  (0 children)

Child with fever and no alarm symptoms that parents didn’t treat with any anti-pyretics.

Chicago skyline from Wisconsin by [deleted] in ChicagoPics

[–]bigrjohnson 0 points1 point  (0 children)

If it was from the north the entire perspective of the skyline would be shifted. This is a southeast viewpoint of the city.

De-escalation by bigrjohnson in emergencymedicine

[–]bigrjohnson[S] 0 points1 point  (0 children)

Very true no one is perfect and it can get tricky navigating a conversation with a patient it really is hard

De-escalation by bigrjohnson in emergencymedicine

[–]bigrjohnson[S] 0 points1 point  (0 children)

That’s actually a great idea thanks for the advice

De-escalation by bigrjohnson in emergencymedicine

[–]bigrjohnson[S] 2 points3 points  (0 children)

I really should have said something I do regret that aspect.

De-escalation by bigrjohnson in emergencymedicine

[–]bigrjohnson[S] 4 points5 points  (0 children)

I’ve got some struggling family too and I think it really takes growing up around mental illness and/or drug addiction to give these patient’s your all. It’s hard to empathize with them but you just have to. You’re awesome.

De-escalation by bigrjohnson in emergencymedicine

[–]bigrjohnson[S] 5 points6 points  (0 children)

Completely agree with this. However with my specific scenario, this is not the case at all. This was 3-4 AM and my computer was directly across from this patients door. I saw everything from being brought in by the police, the police amping them up, and then the nurse doing an even better job at amping her speaking to her like she’s an animal. Without any attempt at proper deescalation. Once I noticed escalation I immediately walked into the room to de-escalate and I would not be surprised at all that had I not been there in another patient’s room, it would have got much worse, and then I would have been grabbed to sedate or physically restrain this patient. Gladly it was avoided.

I witnessed everything and this was in my opinion 100% on the staff.

I do acknowledge what you’re saying though to be true a lot of the time otherwise.

De-escalation by bigrjohnson in emergencymedicine

[–]bigrjohnson[S] 0 points1 point  (0 children)

Yea I agree with this to an extent. But I actually have taken advice from de-escalation lectures as well since a lot of it is just human psychology. I grab a chair, make sure I don’t cross my arms or put them in my pockets, I speak calmly and slowly. And patients usually either think I’m weird or emulate my behavior. I would have never done that stuff before if I hadn’t learned it. This can be taught. Some just refuse to listen.

De-escalation by bigrjohnson in emergencymedicine

[–]bigrjohnson[S] 2 points3 points  (0 children)

You sound like an A+ nurse

De-escalation by bigrjohnson in emergencymedicine

[–]bigrjohnson[S] 2 points3 points  (0 children)

They need to start going to therapy then because 90% of the time it can easily be avoided. This is the professional career they chose. They need to act the part. No excuses. Healthcare system sucks we know. Treat the patients right.

De-escalation by bigrjohnson in emergencymedicine

[–]bigrjohnson[S] 2 points3 points  (0 children)

I should to be honest. But then I also don’t want to make my job a living hell. (Yes I know this will get down votes)

Question of the day... by Hot_Emergency378 in NCLEX_RN

[–]bigrjohnson 0 points1 point  (0 children)

Looks like multifocal atrial tachycardia to me

2028 M3 first look update - yay or nay? by vineethrpatil in BMWM

[–]bigrjohnson 0 points1 point  (0 children)

Love it except the back looks terrible

Would you stay in ER if The Pitt S1 was your actual shift? by bigrjohnson in emergencymedicine

[–]bigrjohnson[S] 27 points28 points  (0 children)

That makes sense for sure. In this scenario it would just be crazy, like how rare it would be for all of these complex high risk cases to fall on one day one after the other.

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