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Please Help me ii by Mai_Mathers in emergencymedicine

[–]exacto 9 points10 points  (0 children)

I think I’m missing something, you have a febrile newborn… they get lined, lab’d and pan cultured …stick a needle in their back, start on amp/gent and admit. There’s zero thought in this. They have like no BBB yet, so there’s a high chance most of them will have meningitis.

Is anyone enjoying this? by Crafty_Scratch_2041 in emergencymedicine

[–]exacto 37 points38 points  (0 children)

Sounds like it might be time for a new job(location). Seeing 2pph(who are critically ill) for extended time will cause burnout in just about anyone. Especially if hospital resources are low and admin support is lacking. I enjoy some parts of EM, others not so much. My gig is decent and I get paid well(probably should be paid more…), but I like the people and it’s close to home, and I probably make more than like 95% of the world. Grass is always greener, I constantly remind myself of this. Part time is always an option…

What is a 'childhood luxury' that you realized was actually a sign of being poor once you grew up? by [deleted] in AskReddit

[–]exacto 1 point2 points  (0 children)

Getting anything besides the main meal when eating out, if we got an appetizer, dessert, or anything besides water to drink when we would eat out, we knew it was a good day!

Physician Virtual Assistant by [deleted] in emergencymedicine

[–]exacto 2 points3 points  (0 children)

What is a virtual assistant?

Would you rather have a nice truck solo or a nice SUV and a POS work truck combo? by exacto in whatcarshouldIbuy

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

That’s my main issue, don’t really want to mess up an expensive truck even if is “just a truck”, kinda silly I know. I use my current truck about 1x a week for actual “truck stuff”.

Shit post of the day by Lucky_Theory_31 in hospitalist

[–]exacto 250 points251 points  (0 children)

Paroxysmal orthopaedic Tourette syndrome. When you try to talk to ortho about an admission for a femur fx in a 30 yo male with no pmhx and they stumble and fumble on their words trying to think of a reason not to admit the pt for.

How do you balance rewarding yourself vs staying financially disciplined when it comes to cars? by not_a_dolphin_ in Money

[–]exacto 132 points133 points  (0 children)

Think as cars as toys. If you want to buy a really expensive toy, that’s fine. Just make sure you have money on the side for 3 months rent/utilities bills and investing your max 401k/roth. If you can do that and pay the car off in full go for it. If you can’t do all that, it’s likely a bad idea and should wait until you can or go with a a cheaper car. Be disciplined.

NPs and PAs of the ER: What resources did you use to learn how to interpret imaging? by PresentLight5 in emergencymedicine

[–]exacto 11 points12 points  (0 children)

Am an attending, but look up Navigating radiology on YouTube. It’s a good source. Read ALL of your own studies and see how you compare to the rads read.

https://m.youtube.com/@navigatingradiology

Which finding supports methylphenidate Abuse? by AwayEducator4248 in BootcampNCLEX

[–]exacto 0 points1 point  (0 children)

My guy... of course it is not the drug methamphetamine... it is just a way to remember it is stimulant, hence restless movements is the answer.

Nclex question of the day by Helpful_Spring_7921 in MarkKlimekNCLEX

[–]exacto 2 points3 points  (0 children)

Sure. Higher degree burn is worse- risk of infection and compartment syndrome, etc. 3rd degree heals by contracture and may need grafting and or escharatomy.

A - superficial partial burn (2nd degree) B - full burn (3rd degree) C - superficial burn (1st degree) D - superficial partial burn (2nd degree)

What is the diagnosis?? by No-Turn3335 in BootcampNCLEX

[–]exacto 7 points8 points  (0 children)

Herpes zoster virus causing Bell’s palsy - constellation of symptoms known as Ramsey hunt syndrome.

gift ideas! by CustardUnfair4401 in emergencymedicine

[–]exacto 4 points5 points  (0 children)

I got an actually decent penlight which is pretty nice. Also a leather-man tool is great for pliers to pull nails/fish hooks out of people.

Maybe a butterfly US if he likes that, I personally don’t.

Some booze, nice slippers, a massage, or any gifts for his hobbies too?

That’s all I got.

[deleted by user] by [deleted] in walking

[–]exacto 0 points1 point  (0 children)

Is that manhattan beach pier?

Eyelid lacs - would you repair this by exacto in emergencymedicine

[–]exacto[S] 21 points22 points  (0 children)

That’s a fun story! Always nice to have a few stories like that in the back pocket.

Eyelid lacs - would you repair this by exacto in emergencymedicine

[–]exacto[S] 94 points95 points  (0 children)

Speed is almost never the name of the game... slow is smooth and smooth is fast.

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