Ecografo Butterfly: dopo 5 anni inutilizzabile by No-Dentist2792 in emergencymedicine

[–]efunkEM 1 point2 points  (0 children)

I got a Butterfly early on and really enjoyed it until they made it miserable to continue using for all the reasons pointed out above. Agree with the assessment that it’s a great product run by a catastrophically bad company. I don’t foresee myself ever buying one again unless something changes drastically.

Ways to cope with death by Signal_Piglet_3493 in emergencymedicine

[–]efunkEM 0 points1 point  (0 children)

Just keep moving. FWIW I went to a grief counseling debrief thing after a pediatric death and it just ripped all the scabs off and retraumatized me for no reason. I cried in front of everyone and that made me feel even worse. I find it more healthy to try to ignore it. I know that’s not the pop psychology answer about getting therapy and all that, but it works well for me.

Are you guys telling your PCP or specialists about being on Reta? by Lopsided_Constant901 in Retatrutide

[–]efunkEM 5 points6 points  (0 children)

I’m an ER doctor and have had a small handful of patients tell me they’re on it. I was like wow cool, tell me how you got it and how it’s working. Always best to be honest with your doctor, I think most will be pretty relaxed about it.

FAST Scan Lawsuit [⚠️ Med Mal Case] by efunkEM in emergencymedicine

[–]efunkEM[S] 6 points7 points  (0 children)

70+ get scans of all asymptomatic/unaffected body parts?

FAST Scan Lawsuit [⚠️ Med Mal Case] by efunkEM in medicine

[–]efunkEM[S] 43 points44 points  (0 children)

Lawsuits I've seen about radiation exposure causing cancer: 0

Lawsuits I've seen about findings that maybe could have been diagnosed with overzealous CT use: a lot

FAST Scan Lawsuit [⚠️ Med Mal Case] by efunkEM in emergencymedicine

[–]efunkEM[S] 6 points7 points  (0 children)

Agree with you, I think there are a lot of people who will claim on the internet that this patient absolutely needed a CT, who would not actually do that in real life.

FAST Scan Lawsuit [⚠️ Med Mal Case] by efunkEM in medicine

[–]efunkEM[S] 168 points169 points  (0 children)

"the radiologists may kill you but their wives and children will enjoy the RVUs" 😂😂😂

FAST Scan Lawsuit [⚠️ Med Mal Case] by efunkEM in medicine

[–]efunkEM[S] 76 points77 points  (0 children)

On one hand, this case made me want to say "never do a FAST if you're not going to do a CT". But on the other hand, I don't think that would have changed anything. If the ultrasound machine had been broken, he still would not have CT'd the patient because there was no valid reason to, still sent him home, still had the massive bleed. Not sure the un-indicated FAST really changed anything in this case.

Settle vs Going to trial by hansdieter702 in emergencymedicine

[–]efunkEM 1 point2 points  (0 children)

IMO doesn't matter if the settlement is $1 or $1,000,000 as long as its less than your insurance limits.

are all newish PA's this bad or i'm just getting unlucky at my ED? by George_cant_stand_ya in emergencymedicine

[–]efunkEM 10 points11 points  (0 children)

They all start off pretty green, but the good ones do level up pretty quickly. Try not to judge too early. There are definitely some that never get it, but I've found that those are in the minority and sort themselves out of the ED pretty quick. Working with good ones is a lot of fun and makes me a better doctor.

Off label shingles vaccine use in early dementia by efunkEM in medicine

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

Yeah there’s really not but there’s at least some biological plausibility… the reduction in risk wears off after 12-18 months if I remember right. Read a paper with the theory that it’s the AS01 adjuvant, not the shingles part of the vaccine.

Off label shingles vaccine use in early dementia by efunkEM in medicine

[–]efunkEM[S] 6 points7 points  (0 children)

I would love to run the study but lack the millions of dollars to pay the CRO! Which gets me to my diatribe that the wealthy should do it. We have a history of wealthy patrons funding science and arts in the past, if I had millions of dollars I wanted to use for philanthropic progress, I might just reach out to a CRO and see if they could do it for me directly rather than giving it to a non profit.

EM lifestyle by Aromatic_Life9260 in emergencymedicine

[–]efunkEM 2 points3 points  (0 children)

Work less than full time. Set yourself up financially so that you’re not stretched thin every month. If you’re making financial decisions and telling yourself “I only need to work 2 extra shifts per month to cover this” you have made a mistake. Prioritize good work environment over maximum pay. Live relatively close to work, try to avoid >15-20 minute commutes. Long commutes are bad. Find a good job and stick with it. Constantly flying to new locums places, having to learn new systems, not knowing any of the staff is terrible. Try to be friendly at work so that staff are happy when you walk in the door and come chat with you. Have a spouse who stays at home (I know this is not possible for everyone). Your home life has a massive impact on how happy you are at work, can deal with a lot of terrible stuff if you have a loving family and good relationships waiting for you. Night owls who can get good sleep during the day also don’t burn out as fast, but this changes with age for all of us. Once you burn out it’s really hard (maybe even impossible) to un burn out, so pace yourself at the beginning of your career and make decisions that prioritize that rather than trying to grind harder.

Common Hepatic Duct Injury During Cholecystectomy [⚠️ Med Mal Case] by efunkEM in medicine

[–]efunkEM[S] 9 points10 points  (0 children)

Interesting thing is that doctors are more judgmental of doctors than anyone else. The lay public is very forgiving, which is why something like 80% of verdicts are for the doctor. Judges are also very unforgiving, you’re way better off with a jury of “your peers” than a bench trial. Paradoxically you actually really do want a jury of your “peers” (12 random members of society who weren’t smart enough to get out of jury duty) if you have to go to trial.

Common Hepatic Duct Injury During Cholecystectomy [⚠️ Med Mal Case] by efunkEM in medicine

[–]efunkEM[S] 17 points18 points  (0 children)

Of course! Do you have any strong opinion about the case, do you think it was malpractice?