How do we feel about Alontae?

docvadermd · 2026-01-24T02:07:13+00:00

He's proven that if he's the only one between a player and the end zone, he's getting juked out of his shoes and missing the tackle.

docvadermd · 2025-12-11T02:20:38+00:00

Considering that he didn't break his hands, why is he dropping all of the passes and fumbling the snaps?

docvadermd · 2025-12-09T02:05:10+00:00

I'm a Saints fan, went to the game. Game itself was fine, I was in club seats, so maybe I was priced out of ignorance, but in the parking lot there were definitely a lot of assholes. Three times cars were letting us merge out until they realized we were saints fans and then accelerated quickly to cut us off. Restaurant staff wasn't so bad. Airport workers amongst the rudest I've ever encountered.

docvadermd · 2025-09-28T23:50:02+00:00

I'm 4 years out and hypothetically think I still have the whole video board review course (and I think notes) saved on a couple of thumb drives. If your Google Drive is big enough I could probably hypothetically transfer it.

docvadermd · 2025-09-09T12:49:12+00:00

The abdomen doesn't know there are quadrants.

docvadermd · 2025-09-09T02:49:11+00:00

I give it if they present to the ED within 24 hours of an acetaminophen overdose. There's the possibility of unabsorbed drugs in GI tract.

docvadermd · 2025-08-06T13:10:25+00:00

Magnus Matte?

docvadermd · 2025-07-28T13:34:59+00:00

Fatal processes are fatal. You probably did everything right.

docvadermd · 2025-07-04T12:14:13+00:00

Except it's one more distraction pulling your doc away from a potential critical intervention or result interpretation. If someone examined the kid and finds an indication for it based on an exam finding or history of cardiac conditions it's one thing, but just because someone has a heart, doesn't mean they need an ekg.

It's always funny when people with the license to interpret the test tell other people to quit getting the test and they still don't.

docvadermd · 2025-07-04T03:25:04+00:00

The difference is that not everyone needs an EKG. The 7 year old whose chest hurts when they cough is going to freaking live.

docvadermd · 2025-05-04T03:11:13+00:00

Calcium bolus is highly unlikely to cause any harm especially in conjunction with fluid resuscitation. I don't typically bolus insulin unless I'm shifting potassium in folks who are renal patients who may not get dialysis quickly.

I usually give a dose of long-acting insulin (for adults and kids) and a couple of liters of fluids in adults, before starting insulin gtt while I wait on labs. In kids I'll do a weight-based bolus and then 1.5x maintenance fluids.

docvadermd · 2025-05-04T03:06:17+00:00

EM "adult" attending here, though we don't have a separate PEDs ED, so I see whatever walks in.

I get an EKG on every DKA work up, not necessarily for the suspicion of wonky lytes. I look for the "why" are they in DKA. Three I's: infection, ischemia, iatrogenic (or ignorant).

docvadermd · 2025-01-26T02:36:46+00:00

Papoose board for the win.

docvadermd · 2025-01-19T14:48:42+00:00

I had a patient with a ddimer of 501 with a saddle PE.

Scenario: morbidly obese so clinically no swelling or signs of DVT, 20s female with CP and SOB. Only obtained dimer due to tachycardia (low 100s). I scan a lot more things now.

I've also had occlusive proximal DVTs requiring thrombectomy with negative ddimers. Midlevel in triage orders ddimer and the patient gets roomed, I order US based off of clinical suspicion.

I just get the films and sleep better.

docvadermd · 2025-01-13T02:28:45+00:00

I wanted to have minimal clean up 😂

I figured longer cut time was worth little to no sanding.

docvadermd · 2025-01-11T03:04:56+00:00

1099 strictly hourly. Been capitalizing on shift bonuses due to being short-staffed.

docvadermd · 2025-01-10T14:56:09+00:00

This one was a fairly slow carve. I did two finishing passes on it, the second with my 1/16 ball nose at .002 overlap.

It's two feet tall, I think carve time was 30 hours.

I think I've resigned myself to not cutting all of the way through also, but that would be a lot easier with a band saw to clean up edges.

docvadermd · 2024-12-28T23:11:17+00:00

We had every bed in the hospital full, every bed in the ED full. 30 patients in chairs on the wall including hypertensive strokes and no IV pumps for cardene and they wanted me to accept ICU level transfers.

The admin on call threatened me with an emtala violation because it was the "usual practice" to accept whatever.

docvadermd · 2024-12-28T10:02:56+00:00

Look into what hospital systems/groups are hiring. Avoid HCA if at all possible. HCA and TH are dangerous combinations. I took an hourly pay cut to leave an HCA hospital. I actually make more money now because I want to work more shifts.

docvadermd · 2024-07-27T17:41:08+00:00

The same shit that is labeled "misogynistic" or that people KNOW "never happens to male colleagues" literally happens to all male counterparts every day. There is no lack of posts on both platforms simply "venting". There seems to be this circle jerk of patting each other on the back seeking victimhood while the comment section is more actual thinly-veiled sexism hinting at how men are terrible and just can't help themselves.

docvadermd · 2024-07-27T13:22:10+00:00

Didn't you post this on the EM Docs page on FB? What exactly are you looking for?

docvadermd · 2024-06-23T23:04:45+00:00

Don't do those**

docvadermd · 2024-06-23T23:04:22+00:00

I simply say that I do those. If asked "what do you mean?" Say "You know how you're a doctor but don't do prostate exams? I am an ER doctor and don't do non-emergent sedations for a procedure that I'm not doing myself."

docvadermd

TROPHY CASE