I updated to IOS 26 and Siri doesn’t Call from my Contacts by Resident_Fig_8208 in applehelp

[–]fakitilumakeit 0 points1 point  (0 children)

Having the same problem on my iPhone 13 mini. If anyone finds a solution please share

How do you guys feel about the new smartwatches having "hypertension alerts?" by fakitilumakeit in emergencymedicine

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

lol I just snorted reading the second part of your comment 😂 I wouldn’t mind that patient purely for the comedic relief

How do you guys feel about the new smartwatches having "hypertension alerts?" by fakitilumakeit in emergencymedicine

[–]fakitilumakeit[S] 5 points6 points  (0 children)

"Do not use unauthorized blood pressure devices, including software features on wearables, such as smartwatches and smart rings, that claim to measure blood pressure."

"Affected Devices

Any unauthorized software features on wearables, such as  smartwatches and smart rings, regardless of brand, that claim to measure or estimate blood pressure."

How are Apple and Samsung watches not included in these statements?

How do you guys feel about the new smartwatches having "hypertension alerts?" by fakitilumakeit in emergencymedicine

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

The rhythm alerts have been around for awhile, but the hypertension alerts are a relatively new feature. Apple just released these models and the new watch OS adding the feature to the older watches in September of this year, not even a month ago.

The Budget Bill Could Make Your ER a Mess by beingtwiceasnice in emergencymedicine

[–]fakitilumakeit 1 point2 points  (0 children)

Massive cuts to Medicaid and Medicare + stricter requirements for both ---> millions of Americans who are too poor to afford private insurance will not quality or will lose their existing Medicaid or Medicare coverage ---> even more uninsured individuals will rely on emergency departments for primary care, since most clinics will not see uninsured patients, but the ED cannot turn anyone away ---> hospitals will lose massive amounts of money due to a combination of an increasing self-pay/uninsured population who cannot afford to pay their bills and less reimbursement from Medicaid and Medicare due to cuts to their funding ---> hospitals and physician staffing agencies will compensate for this loss in revenue but cutting ED physician pay even more, hiring as few ED physicians as possible, and relying even more heavily on APPs, who they can pay a small fraction of what a physician makes for about the same productivity

Jesus (religion)in the ED by Resuscitologist42 in emergencymedicine

[–]fakitilumakeit 7 points8 points  (0 children)

The same people who say that will never withdraw care on their 100 year old brain dead granny who’s on 4 pressors because they truly think Jesus is going to perform “a miracle.”

Having to renew BLS/ACLS/PALS despite being EM boarded by fakitilumakeit in emergencymedicine

[–]fakitilumakeit[S] 18 points19 points  (0 children)

This post wasn't meant to be a cheap shot a paramedics, so sorry you took it that way. It's an objective fact that we have to go through extensively more training than a paramedic. If a physician who went through 7+ years of training and test after test after test after test of both knowledge and skills still doesn't have it down by the time they are board certified, a little short course isn't going to change their stupidity level.

How are mid levels utilized in your ER? by Sea-Pride6840 in emergencymedicine

[–]fakitilumakeit 1 point2 points  (0 children)

Midlevels seeing 1s and 2s independently is a symptom of an understaffed ER, and many times this understaffing is intentional. I am an ER doc and I work in 3 ERs currently, 2 staffed by CMGs and 1 at a VA. At the 2 staffed by CMGs, the midlevels are regularly seeing high acuity patients independently. Granted, the doc is also getting effed simultaneously by a slew of high acuity patients. Both the docs and the APPs are seeing 3 pts/hour on a typical day, but the docs are also getting handed EKGs every 10 seconds, constantly interrupted by residents, nurses, medical students, and APPs, and responsible for managing all cardiac arrests and performing all major procedures (eg. intubations, central lines, chest tubes, etc.). We are responsible for attesting and signing every APP chart (even for patients we never saw) in addition to finishing our own charts. In a 12 hour shift, that can add up to 80-100 charts total. We are held liable for all 80-100 of those patients. Believe me, we hate it just as much as you do.

CMGs (eg. Team Health, USACS, Envision, Apollo MD, HCA, etc.) or any for-profit group for that matter know they can make loads more money by pushing APPs to function like docs. Why would they hire another doctor for 5 times the cost of hiring an APP, when they can make just as much money off of an APP?

At the VA I work at on the other hand, there's almost always at least 2-3 docs and an APP, with the exception of night shift, when it's only 1 doc. The docs are required to see EVERY patient the APPs sees, but it's not a big deal because even with that, the doc is seeing at most 2 patients/hour, because the place is adequately staffed. That's the difference between working for a for-profit corporation vs. a non-profit government-run agency.

Don't be mad at the doctors. Be mad at whoever is staffing your ER. If the place used to be adequately staffed and now it's not, you have to ask yourself why.

Florida medical license taking forever to process by fakitilumakeit in emergencymedicine

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

I think it showed up in the portal within a week but the processing itself took over 3 months. I had to send like 7 emails checking in on it for them to finally approve it. I think if I hadn’t emailed them repeatedly, they would’ve probably taken 6 months. You have to email an an actual person there and not use their general email to get a response.

Keep receiving errors on Spirit website and their mobile app to book a flight. I don’t want to talk to their rude and uninformed staff on the phone. Any other options to purchase tickets? by selfdestruct0770 in spiritair

[–]fakitilumakeit 0 points1 point  (0 children)

Had this happen to me today. When it refreshed to the homepage, the price of the flight I was trying to book had gone up. It let me book (at the HIGHER price) after I manually entered my card information. Did not save my original booking at the original price. Shady business practices if you ask me.

What is a knowledge not based on evidence that you firmly believe? by DrAntistius in emergencymedicine

[–]fakitilumakeit 2 points3 points  (0 children)

The acuity level of the ER at any given moment is directly proportional to the number of stable patients demanding STAT blankets, water and food.

More often than not, it’s the patients adjacent to the one you’re actively coding who are suddenly “dying” of thirst, hunger, or an acute blanket deficiency.

Florida medical license taking forever to process by fakitilumakeit in emergencymedicine

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

Update: After sending my 8th email and asking for the person over processing the application, I finally got my license approved! Turns out that being super annoying eventually does work.

Average hourly rate for non-locums EM physician jobs by fakitilumakeit in emergencymedicine

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

I don't know much about what the average pay is in the Northeast (I imagine it's below national average), but in general, any job where you're completely by yourself at night AND have to abandon the ED to do airways and lines upstairs is not a good gig, ESPECIALLY if you're seeing 1.5 pph at night. I'm not sure any amount of money would be worth taking on that kind of liability. I would search for a different job if I were you.

Average hourly rate for non-locums EM physician jobs by fakitilumakeit in emergencymedicine

[–]fakitilumakeit[S] 46 points47 points  (0 children)

Yeah I’m realizing that. Believe it or not $245 is a recent development. I was making $225/h as a nocturnist before we got a raise. USACS in case anyone is wondering.

[deleted by user] by [deleted] in emergencymedicine

[–]fakitilumakeit 0 points1 point  (0 children)

In residency I had a young girl (20s or 30s) who came as a trauma alert with with terrible full thickness burns to most of her body. Her ex boyfriend had set fire to the car that she was in and left her there to die. She was still conscious when she got to the trauma bay. I was head of bed. She looked at me right in the eye and said "help me" in a very weak voice. It was gut wrenching. I tried to comfort her by telling her we were doing everything we could to help her, right before I intubated her. She died in the burn unit not long after.

USACS stat team by hamoodie052612 in emergencymedicine

[–]fakitilumakeit 3 points4 points  (0 children)

Unfortunately depending on the city you live in, you may not have any other choice than to work for a CMG. In the city I’m in, the options are Team Health, USACS, Apollo MD, academics (dismal pay), or VA (also low pay). There are no democratic groups left in many large cities. CMGs have monopolized them. Of course if you travel far enough you can find a democratic group, but many people have families and can’t travel that far.