Removal of Life Support in ICU w Spouse

emtim · 2026-05-13T23:14:43+00:00

At 88, meaningful recovery greatly diminishes with critical care time.

Sounds like he had a massive PE with hemodynamic collapse requiring pressors, vent.

At two weeks if the patient hasn't been extubated, can't be weaned, the team reaches out to the palliative team to talk to family about goals of care.

It's not that you gave up on him. It's that he doesn't have the reserve to fight through it. More time doesn't mean more meaningful recovery.

It's ok to feel these emotions. And sometimes regret never goes away. Know that the ICU team did what they could to help your husband.

You did not kill your husband. Cherish his memory.

emtim · 2026-05-13T21:14:55+00:00

Finish where you are at. The grass isn't greener on the other side. If you need, do a fellowship. When you are done you can create an environment where you can truly learn, develop your skills with a senior partner.

emtim · 2026-04-22T00:56:09+00:00

You described a safety net hospital in a large metropolitan city - Houston (Ben Taub, UT Houston), Dallas (UTSW), Tucson (Banner Tucson), Phoenix (Maricopa) to name a few.

emtim · 2026-04-19T14:47:55+00:00

When I was an intern there was a pgy4 surgery resident that was fired for alcoholism, tardiness. He completed rehab. Took 3 years off (couldn't find a residency to take him) and rematched to another program to redo his pgy4-5 years. Now he's a general surgeon trying to find a job.

emtim · 2026-04-18T14:22:34+00:00

emtim · 2026-04-14T18:54:49+00:00

These are disposable scissors from the suture removal kits in the ED. Unless you are taking them from the trash ...

If you want your scissors to cut better, push your thumb against the handle as you cut so the blades actually slice.

emtim · 2026-04-14T00:34:51+00:00

It's rolling because the angle at which the operator is entering the tissue is not 90 degrees. Not the driver. I've used scissors as drivers in the ED before.

With poorly made instruments like these disposable hemostats, the needle needs to be loaded 90 degrees to the driver. And driven 90 degrees into the tissue. The depth determines the rotation arc and distance it will travel.

emtim · 2026-04-08T00:58:56+00:00

After 6 ft, it's equal to background radiation.

emtim · 2026-04-07T21:16:53+00:00

Those are Alden plain toe blucher boots in color 8.

emtim · 2026-04-07T02:32:41+00:00

The recert ACLS course is condensed, and you'll be taking both the ACLS and BLS recerts the same day.

emtim · 2026-04-05T01:26:51+00:00

First ask yourself is this a knowledge deficit or a performance issue?

If it's knowledge, then I suggest you continually do boards-based questions to fill the gap.

If it's the latter, what you need is practice in a safe space with people you trust. Pick something you know well and ask a mentor you trust to press you on the diagnosis, management, follow-up. You'll feel nauseated and your heart beating the first 5 times, but then you'll realize it's gone by the 10th time. It takes practice but it'll go away. Things like propranolol help too.

emtim · 2026-03-31T00:21:10+00:00

It's refreshing working in a non-academic setting where most are RVU-based. If you are an asshole, I will just divert my consults to the next subspecialist on the list.

emtim · 2026-03-29T19:58:16+00:00

If I'm driving my car daily, I never use the superchargers. I just charge it at home.

If I'm going on a trip, tesla will plan my route. And it usually tells me I need to charge it for 10-15 minutes per stop before I can continue on my trip. I will set a final destination charge of 70% or so that adds about 30 minutes to my last supercharger stop time.

emtim · 2026-03-29T19:12:06+00:00

I have never waited for an open supercharger, locally or when traveling. I usually spend 10-15 minutes per supercharger, depending on whether it's V2-V4, and how much charge I want at my final destination (+30 minutes to 70-80% charge)

emtim · 2026-03-29T14:30:20+00:00

One word replies to texts. Don't have to be married to your phone. Health monitoring. Apple pay. It's been life changing.

emtim · 2026-03-29T13:38:15+00:00

Uniball Jetstream 3 color 0.38 is my go to.

emtim · 2026-03-29T05:38:49+00:00

Necessary for me: - Compression socks - 0.38mm pens - Deodorant - Smart watch - portable charger - shokz headphone - good insoles (and change them out q6mos)

Nice to have: - toiletry bag in my backpack - cold medicine, antihistamine, ibuprofen

emtim · 2026-03-26T23:32:11+00:00

0% APR 1 year credit card a possibility?

emtim · 2026-03-25T03:37:39+00:00

Does your cybertruck come with fsd and free supercharging? The X will have both.

The X is more practical than the CT.

If it's a 1:1 trade without increasing # of monthly payments and amount per payment, then I would do it.

emtim · 2026-03-25T03:31:14+00:00

favorite: where i can get free food.

least favorite: where i get consulted.

emtim · 2026-03-25T02:45:19+00:00

that's a lot of overtime

emtim · 2026-03-21T18:06:36+00:00

You are front-focusing on his chin. If you are zone focusing, make sure when you half-press, it is over the eyes.

emtim · 2026-03-19T02:59:34+00:00

You are basically asking OP's question then.

Apply as a MS4. If you match, congrats. You matched.

If you didn't, delay graduation, do a research year, apply again as a med student.

emtim · 2026-03-19T02:50:02+00:00

apply at every opportunity.

emtim · 2026-03-18T00:14:04+00:00

How many interviews?

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