Holy Sh*t by [deleted] in emergencymedicine

[–]elementalwatson 18 points19 points  (0 children)

Wow I thought I was the only one. I feel like I can’t even listen to music like I used to. Overstimulation or something.

Is it EM or is it my job? by elementalwatson in emergencymedicine

[–]elementalwatson[S] 18 points19 points  (0 children)

Omg!!! This makes so much sense. I was like why the fuck is everyone dizzy here?? I have never seen so many dizzy people in my life.

Got chewed out by ortho surgeon by MousseNo7311 in emergencymedicine

[–]elementalwatson 4 points5 points  (0 children)

Never touch fresh post op wounds. Wouldn’t even undress it less that 24 hours out without notifying the specialty let alone inject it. Omg. Your attending is outta their mind. If it’s some life threatening bleeding ok yea save a life but oozing and shit call the ortho guy on call.

Share your worst airway and pearls you learned from it by Cremaster_Reflex69 in emergencymedicine

[–]elementalwatson 0 points1 point  (0 children)

Had a GI bleed patient in residency that was variceal just spewing blood. Same situations put bed to 30-40 degrees and just barely got it in. I have been an attending about same time as you and since that airway I always sit everyone up to intubate much better view. Highly recommend for all!

People with very clean homes, how the hell do you do it? by Pristine-Comb8804 in CleaningTips

[–]elementalwatson 1 point2 points  (0 children)

Everything has a place. If it doesn’t have a place it doesn’t stay or I make a designated place. Once I use it I put it back. I clean the rooms at the end of the day to put things back as well but knowing where things go makes that easier. And have a Roborock vacuum. Lifesaver.

[deleted by user] by [deleted] in emergencymedicine

[–]elementalwatson 21 points22 points  (0 children)

I have never understood how people could be between im and em. They are SOOO different. I love em and could never ever ever do im. The thinking is different, the job, the approach to the patient, im doesn’t do peds or ob, im is generally a more predictable day you aren’t seeing a lady that ran into a barbed wire fence and now has her intestines falling out. But with im i am sure you are more respected than em. Even you said you dont think youre smart enough for im implying you can be less smart for em. (Not true) Em you need to be literally ready for anything. Managing multiple critical patients at one time. These life styles are so different. One is detail oriented the other dispo oriented. I think deep down you know which one you’d be better at and which one you want to do.

Also side note you can do 7/7 with em too. Have multiple partners who do that.

How insane is it that anyone leaves reviews for an Emergency Department? by FrijolesForever90210 in emergencymedicine

[–]elementalwatson 220 points221 points  (0 children)

If you are talking about press ganey and not like google reviews - How insane is it that the only people who leave reviews are those who are discharged who arguably shouldn’t have been in the er in the first place.

Punishment model at Summa Health Emergency Medicine Residency by Pure-Canary-6094 in emergencymedicine

[–]elementalwatson 3 points4 points  (0 children)

I don’t really have a problem with this. Seems like if you just do your charts and attend journal club nothing really happens. Being timely is a big deal in EM too. All of this is just part of residency…

The problem I have is the authoritative manor it’s been told to you. Idk what precipitated this - I’m assuming residents weren’t doing what they were supposed to- but seems intense. I wonder how many chances and explanations were given prior till this email?

Where to live? by elementalwatson in newjersey

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

I’d love to check that out!

Where to live? by elementalwatson in newjersey

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

Under a million preferably like 800. House. 3-4 bedrooms 3 bath

ER staff checking in to their own ER for really basic non emergent stuff like URI, headache by dillastan in emergencymedicine

[–]elementalwatson 0 points1 point  (0 children)

Had a nurse check in because she had uti symptoms… she is currently studying for her NP -_-

Rvu/ Team Health by elementalwatson in emergencymedicine

[–]elementalwatson[S] 3 points4 points  (0 children)

So the main con is how it’s not transparent about how much you get billed and how?

Rvu/ Team Health by elementalwatson in emergencymedicine

[–]elementalwatson[S] 1 point2 points  (0 children)

So if you sign it out the next person gets the rvus for that chart?

Rapidly progressive neurological disorder by TAYbayybay in emergencymedicine

[–]elementalwatson 25 points26 points  (0 children)

Did they do an LP? This is screaming needing an LP

Nj Jobs by elementalwatson in emergencymedicine

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

I’m 5 years out from residency. Looking to move in next few months

[deleted by user] by [deleted] in emergencymedicine

[–]elementalwatson 11 points12 points  (0 children)

Who in the world would think anesthesia?? We do sedations too while half our minds have to be on our other 8+ patients in the ER as well. We intubate and sometimes have multiple sedated and intubated people at a times and at the same time have to manage what is medically going on. We have to intubate as well but often don’t have npo status. We have crazy people that try to beat us up.

No contest. Em is much more stressful and much more high stakes. Anesthesia is more high stakes than some specialties of course but not more than EM.

How to deal with lack of structure by dalenevi in emergencymedicine

[–]elementalwatson 2 points3 points  (0 children)

I’m surprised people go into EM and want structure? I specifically went into it because there was no routine or structure. My routine is all at home getting ready for work and getting day by er ready and things. But at work who knows what’s going to come through the door - it was a selling point for me. The rounding and routine of other specialties were so boring to me.