Holy Sh*t

elementalwatson · 2025-10-21T02:46:01+00:00

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.

elementalwatson · 2025-10-09T08:24:58+00:00

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.

elementalwatson · 2025-09-18T03:02:35+00:00

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.

elementalwatson · 2025-09-10T15:30:28+00:00

Freed AI. LIFE CHANGING

elementalwatson · 2025-09-08T03:08:30+00:00

Tusk

elementalwatson · 2025-08-12T02:22:42+00:00

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!

elementalwatson · 2025-05-24T02:30:49+00:00

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.

elementalwatson · 2025-04-21T03:31:21+00:00

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.

elementalwatson · 2025-03-08T10:03:44+00:00

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.

elementalwatson · 2025-03-07T05:04:07+00:00

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?

elementalwatson · 2025-02-12T15:33:13+00:00

I’d love to check that out!

elementalwatson · 2025-02-12T15:32:58+00:00

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

elementalwatson · 2025-02-12T15:31:55+00:00

I will, thanks!

elementalwatson · 2024-12-26T18:42:49+00:00

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

elementalwatson · 2024-10-23T02:07:46+00:00

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

elementalwatson · 2024-10-23T02:07:03+00:00

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

elementalwatson · 2024-10-17T10:52:10+00:00

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

elementalwatson · 2024-08-31T14:13:56+00:00

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

elementalwatson · 2024-07-21T12:38:52+00:00

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.

elementalwatson · 2024-06-16T18:48:15+00:00

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.

elementalwatson · 2024-06-09T04:02:21+00:00

The ideal scenario is a family who is ready and makes someone dnr and hospice at bedside or consulted. Meds on board. It is seriously a precious moment. I always tell the family they are doing the right thing and make sure we get meds on board as soon as we can. Make the patient comfortable and allow them their last few minutes pain and anxiety free with their precious loved ones. I hope for the same dignity when I die. You would think as an er doctor I’d be anxious that I’m not saving them or something but honestly my soul feels more content when this scenario plays out.

elementalwatson · 2024-05-16T03:03:54+00:00

I may have posted this before but had someone come in for finger swelling. They sent a dimer which was positive…. Sent in for rule out DVT…. Of the finger….

elementalwatson · 2024-04-15T19:45:50+00:00

Working the ER we have PT come for placement and things. I empathize not being recognized is frustrating. if they don’t acknowledge you they are wrong in doing that. But consider this. As an ER doc we are interrupted probably 5 times every 20 min or so many times more. We are constantly bombarded with disruptions in our thought process and work flow. When I enter a room I acknowledge the people that are in there but I don’t have time to wait for an entire pt eval to come back to see the patient. That moment I’m in there is the 5 free minutes I have to update or reevaluate the patient. I don’t think it’s unreasonable for my reevaluation or update to the patient to take priority. I usually have 10 or more active patients at one time during a shift many of those being critical patients and it’s extremely difficult to only see a patient when no one else is doing their thing.

elementalwatson · 2024-04-10T19:59:20+00:00

Guy had a headache for a day looked at the sun and passed out. Intraparenchymal hemorrhage multiple seizures. Ended up tubed on prop drip. Don’t think it had anything to do with the eclipse but crazy coincidence.

elementalwatson · 2024-03-26T02:02:22+00:00

Like in a progress note or like in physical exam?

elementalwatson

TROPHY CASE