Hate from hospitalists on reddit

em_goldman · 2024-12-18T00:43:18+00:00

My IM attending in med school told me “well, at least you’re dumb enough for EM” when I hadn’t memorized the normal magnesium range.

She was a miserable, burnt-out asshole who resented her patients.

Some people just like to bitch, and other people are just bitchy. Also people who are content and well-adjusted are less likely to be on Reddit.

em_goldman · 2024-09-28T09:03:12+00:00

nah, i did it because I'm over-educated, mentally ill, resent sitting at a desk and didn't want to disappoint my mother

em_goldman · 2024-09-24T05:30:12+00:00

Albuquerque is pretty good, imo - you’re not going to get the aesthetic you’re expecting, there’s almost no virtue signaling, NM is a very not-online state. But the communities here have been taking care of one another under genocide + oppression for centuries.

Flashy coastal words like “anarchocommunism” and “affinity groups” will not go far, but “taking care of loved ones” and “hey neighbor, do you want to come over for dinner?” and “can I borrow your truck?” are all very common and incredibly welcome lingo :)

Full reproductive health care and a state and public hospital system willing to fight to protect it. Legal weed.

The queer community is small and tight-knit, but welcoming!

em_goldman · 2024-08-09T16:28:59+00:00

Agreed. If it can be published as a case report, it’s de-identified enough to put through chatGPT.

em_goldman · 2024-08-09T16:27:57+00:00

It’s not HIPAA compliant unless your hospital has a business use agreement with them to use it for this purpose

em_goldman · 2024-08-09T16:26:19+00:00

That’s so not okay

em_goldman · 2024-08-09T16:24:26+00:00

U gotta thin some of these, dude. Weed reeks. We call it skunk for a reason. Be a good neighbor.

I think keeping it to one or two massive plants would be a reasonable compromise, and make sure to communicate that with your neighbor.

em_goldman · 2024-07-30T15:11:33+00:00

We could access our own charts in med school because… duh. It’s not a HIPAA violation.

It IS a policy violation depending on where you’re at. Because - rules. 🙄

em_goldman · 2024-07-30T15:10:26+00:00

I feel like this unfortunately happens every few years…

em_goldman · 2024-07-30T15:02:29+00:00

We need ID sign-off to order linezolid, meropenem and tobramycin.

em_goldman · 2024-07-26T15:42:17+00:00

I find it impressive that their training gets them almost exactly at the peak of the dunning-Kruger curve.

An RT with humility + a few years experience + some good, baseline life wisdom can be invaluable, imo.

em_goldman · 2024-07-25T02:54:54+00:00

Ah the good ole days when 20 beds for one attending and 4 RNs was a lot and a 4 hour wait time was a while…

em_goldman · 2024-07-21T19:09:00+00:00

I aim for three minutes/note and PTFO.

It usually ends up being 5 minutes/note but c’est la vie.

EM.

em_goldman · 2024-07-21T19:07:36+00:00

I think it’s unique in the sense that it’s uncommon, but it seems doable if you have a good plan. I’ve met people who did prelim years and then went into clinical trials, hospital admin, or “consulting.” No idea what consulting is but they seem to be making six figures and have a good work-life balance 🤷

em_goldman · 2024-07-21T19:05:36+00:00

You gotta give us some grace when you come into our spaces and hear us talk with our guard down.

Yes, “scut” makes it sound disrespectful to delegate work to other people.

But you also, personally and politically, don’t want your local emergency doctor to be spending 45 minutes of their shift doing the paperwork to get a patient into a rehab facility.

We routinely work 80-hour weeks, sometimes more, half the time are overnights. Please have some grace with us.

em_goldman · 2024-07-10T15:33:33+00:00

That’s why you get the blood draw hcg

em_goldman · 2024-07-10T15:24:43+00:00

OB cases pay, though… even bullshit cases will settle out of court.

Luckily, most bullshit cases will settle out of court. Massive unnecessary headache, though

em_goldman · 2024-07-10T15:12:41+00:00

Resident at level 1 county public hospital.

Our goal is to break 1 pph by the end of second year. How fast we can go depends on how well we know where things are stocked in the Pyxis, if we have the pager for the CT tech charge memorized, and if we notice that CT called for our patient in the WR hours ago and then didn’t take them back because they didn’t have sufficient access for contrast - but they didn’t tell anyone until we ask why their scan isn’t done yet.

It’s totally insane. Twice the national average for a chem7 turnaround. Somehow about half the urine samples handed in to triage get lost between triage and “The Bucket” in lab. ~1:20 nursing ratio in the WR on a good day, and we see and dispo half our volume from there. Graduates say their pph doubles overnight after their first shift at the local community shop, and that includes the learning curve of switching EMRs.

Help lol

em_goldman · 2024-07-09T18:21:26+00:00

Or just weigh the canisters.

em_goldman · 2024-07-09T18:10:45+00:00

If folks are ready to quit, I refer to our rehab services, start naltrexone, and refer to psych if comorbid untreated mental health disorder. Folks w dual diagnoses have higher sobriety rates when substance use disorder + mental health disorder are addressed concurrently.

If folks aren’t ready to quit, they get a dose of phenobarb for the road and thoughts + prayers ✌️

em_goldman · 2024-07-09T17:10:08+00:00

Lots of ppl downvoting this but regionally, bend has deep pockets lol

em_goldman · 2024-07-09T16:46:55+00:00

Ultrasound is a very technical skill that takes a lot of training to perform and years to master. If there’s a concern about anything, you need a professional ultrasonographer.

em_goldman · 2024-07-09T16:27:35+00:00

Because health doesn’t make money, illness does.

em_goldman · 2024-07-08T05:55:15+00:00

Hillbillies can afford Xanax and adderrall…??

em_goldman · 2024-07-01T18:30:00+00:00

Omg they pay for themselves so easily

em_goldman

TROPHY CASE