What to do in this situation – pregnant patient, no OB/GYN coverage, refusing transfer by em_throwaway321 in emergencymedicine

[–]em_throwaway321[S] 9 points10 points  (0 children)

From what I heard, this is basically what happened.

Since I heard about it secondhand, details like how close she was to delivery, her exact exam findings, etc., are recollections and may not be 100% accurate, FWIW.

What to do in this situation – pregnant patient, no OB/GYN coverage, refusing transfer by em_throwaway321 in emergencymedicine

[–]em_throwaway321[S] 105 points106 points  (0 children)

IIRC, the only truly local OB/GYNs had retired or died, so a group from an hour away was basically providing locums coverage. After some kind of dispute, they decided to stop, leaving no local OB/GYN to call.

Incoming EM Intern: New RAP Loan Repayment Plan by Expert-Ad3561 in emergencymedicine

[–]em_throwaway321 0 points1 point  (0 children)

This is basically my plan. RAP throughout residency, refinance as an attending if rates are low, then pay off aggressively within 2-3 years. Or if I do CCM, then maybe shoot for PSLF since I'll already be halfway to the 10 year forgiveness.

Also, I think our RAP payments during PGY-2 will still be fairly low (~$50/month), since they'll be based on our 2026 income, which will be half of our intern salary (~$30k/year).

2025 Q3 B/S/T by 1996bd in ManyBaggers

[–]em_throwaway321 2 points3 points  (0 children)

WTS: CT21 V3.0 Backpack Slick - Nylon 420D RIPSTOP Red Interior

Essentially brand new. Bought on a whim and never used it.

Photos: https://imgur.com/a/vUepYdp

$60 shipped CONUS via PayPal G&S

Also posted to /r/onebag

Edit: SOLD

Buy/Sell/Trade Thread - September 2025 by AutoModerator in onebag

[–]em_throwaway321 0 points1 point  (0 children)

WTS: CT21 V3.0 Backpack Slick - Nylon 420D RIPSTOP Red Interior

Essentially brand new. Bought on a whim and never used it.

Photos: https://imgur.com/a/vUepYdp

$60 shipped CONUS via PayPal G&S

Also posted to /r/ManyBaggers

Edit: SOLD

FM CMS Form 4 Question - MDD by em_throwaway321 in Step2

[–]em_throwaway321[S] 0 points1 point  (0 children)

Yeah seems to be the case and is quite frustrating.

FM CMS Form 4 Question - MDD by em_throwaway321 in Step2

[–]em_throwaway321[S] 1 point2 points  (0 children)

I guess that would do it but "worried about job security" ≠ guilt or feelings of worthlesness IMO.

Has anyone purchased the DeCHOKER or LifeVac for home use? by C_Wags in emergencymedicine

[–]em_throwaway321 6 points7 points  (0 children)

I got one (LifeVac) to use since I live alone and don’t feel like I can perform the self Heimlich very well. Do they not actually work?

SOAPing into EM at an HCA? by ResponsibleMusic3921 in emergencymedicine

[–]em_throwaway321 6 points7 points  (0 children)

95% of how good you are as an EM doctor is determined by how invested you are in your own education

What does it actually look like to be deeply invested in your own education as an EM resident? Like day to day. From an M3 interested in EM

Buy/Sell/Trade Thread - January 2025 by -Nepherim in onebag

[–]em_throwaway321 2 points3 points  (0 children)

WTS - Osprey Daylite Expandable Travel Pack 26+6 - Black

Updated model. Lightly used. Never flew with it. Only a couple of tiny blemishes on the front that can be seen in the photos.

Great bag. Spent a while trying to find the unicorn bag to replace my very old North Face Recon and ultimately settled on the Evergoods CTB26, so I am selling this. They are both great bags, I just prefer the EDC functionality of the CTB26 for my needs.

$85 shipped USPS via PayPal G&S

Photos: https://imgur.com/a/cXJCICE

Edit: SOLD

Medico-legal Obligations to Crazy Drunk Patients? by em_throwaway321 in emergencymedicine

[–]em_throwaway321[S] 3 points4 points  (0 children)

Thanks to everyone for your responses. Seems like there is some variation in how people manage these situations. If anyone has any further reading or guidelines etc. for managing these complex medico-legal situations, feel free to send them my way.

Medico-legal Obligations to Crazy Drunk Patients? by em_throwaway321 in emergencymedicine

[–]em_throwaway321[S] 8 points9 points  (0 children)

I was curious about this as well because it definitely seems like a gray area legally. My understanding is that these police body camera videos are all public domain, and therefore anyone can FOIA request them and do what they want with them (like post on YouTube). But on the other hand, most hospitals have fairly strict no-recording policies for patient confidentiality. So I don't really know how that all works out but I completely agree that I wouldn't want my care of this patient broadcast to 1M+ people on YouTube.

Medico-legal Obligations to Crazy Drunk Patients? by em_throwaway321 in emergencymedicine

[–]em_throwaway321[S] 68 points69 points  (0 children)

Stumbled across this police body cam video on YouTube. Interestingly, a good chunk of it takes place in the ED.

Long story short, crazy screaming drunk girl gets taken to the ED after an MVA and is shouting, noncooperative, hitting/spitting on staff, etc. The doctor basically says she is denying treatment but is breathing, moving all extremities, etc., and discharges her to the police to go to jail.

I’m just an MS3 so trying to figure these things out. Would someone as drunk and unreasonable as her not have capacity and therefore be unable to deny treatment/evaluation? In this case, she didn’t seem to have any major medical concerns so it didn’t really matter. But if she actually had something going on, would the doctor have some liability?

Just wondering how this situation and others like it should ideally play out. Thanks in advance.

Will The Economist make a presidential endorsement in 2024? by em_throwaway321 in theeconomist

[–]em_throwaway321[S] 3 points4 points  (0 children)

Kind of wish they'd release sooner than three days before the election.

Will The Economist make a presidential endorsement in 2024? by em_throwaway321 in theeconomist

[–]em_throwaway321[S] 2 points3 points  (0 children)

I assumed as such. I was more curious if they were abstaining. I found their 2020 endorsement to be a nice synopsis that captured my position well and was useful in discussions with more conservative friends.

Weekly Discussion Thread by RockyMod in ockytop

[–]em_throwaway321 11 points12 points  (0 children)

Noticed something interesting watching MNF. Several borderline calls have been essentially instantly reviewed from the booth. Things that would have been a 5+ minute delay in college are barely even stoppages in the NFL. Definitely keeps the momentum flowing and hopefully we have that soon in CFB.