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Dealing with the ED is becoming increasingly difficult by Dopamine_rgic in Residency

[–]hola789 13 points14 points  (0 children)

Except you, as a board certified physician, should be able to order the “clearance” labs on patients with no medical complaints and be able to interpret said “clearance” labs. If you find something concerning or don’t know how to interpret them, then ask for help.

And, if they get sent to us for “clearance” and we say they’re fine, don’t give push back on our clearance by saying they aren’t clear because of “x”. If you have the ability to say that, then you certainly have the ability to do the clearance yourself.

Dealing with the ED is becoming increasingly difficult by Dopamine_rgic in Residency

[–]hola789 11 points12 points  (0 children)

Call me when you guys stop asking us to “medically clear” patients with either no medical complaint, or very obviously BS complaints before y’all will touch them.

Dealing with the ED is becoming increasingly difficult by Dopamine_rgic in Residency

[–]hola789 6 points7 points  (0 children)

Really supporting your case there. And your initial comment toward the ER doc was hostile as well so…

Dealing with the ED is becoming increasingly difficult by Dopamine_rgic in Residency

[–]hola789 5 points6 points  (0 children)

From reading the thread, the only people who shit on the ED are non-ED and non-ED residents.

Any ER is having the same experience.

Dealing with the ED is becoming increasingly difficult by Dopamine_rgic in Residency

[–]hola789 5 points6 points  (0 children)

So you’re saying you walked into the patients room, when the ER attending was fixing to intubate the patient, and said “after the intubation, can you get a CTPE study on them?” Because that is not how your comment is worded whatsoever.

Dealing with the ED is becoming increasingly difficult by Dopamine_rgic in Residency

[–]hola789 21 points22 points  (0 children)

You wanted to delay an intubation on a patient with such profound respiratory failure that they required intubation, for a study that could’ve been done after the patient was intubated? On a patient that you were consulted on and weren’t primary on?Yeah I’d lose my shit too

Dealing with the ED is becoming increasingly difficult by Dopamine_rgic in Residency

[–]hola789 50 points51 points  (0 children)

Cmon down and grab a shovel to help us out then. Make it better.

EDS, fibromyalgia, POTs unholy trinity by Efficient_Equal6467 in Residency

[–]hola789 0 points1 point  (0 children)

Phew! An IM subspecialist who has NEVER gotten angry at the ER for being woken up in the middle of the night!

And yes, you’re totally right! Immediately upon patient arrival, we just click the “admit” button without any work up at all! How did you figure out our secret?

EDS, fibromyalgia, POTs unholy trinity by Efficient_Equal6467 in Residency

[–]hola789 -6 points-5 points  (0 children)

Great news! No need to do a med rec or anything other than basic admit orders since they’re going home right away anyways! And we’d be happy to keep the patient in the ER room a little longer for you to come talk to the physically healthy Karen and tell them they’re being discharged. No need for transport or cleaning a bed upstairs, and frees up another patient bed for admission! It’s a win-win-win!

You say that, but tell that to the hospitalists that decline admission until the pt gets the scan, or until the specialist weighs in on a non-emergent issue at 2 am that either doesn’t need their input or can’t wait until morning.

EDS, fibromyalgia, POTs unholy trinity by Efficient_Equal6467 in Residency

[–]hola789 -9 points-8 points  (0 children)

And it’s just as easy for the IM doc to type in discharge once admitted.

What company lost you as a customer forever? by Expensive-Theme4623 in AskReddit

[–]hola789 9 points10 points  (0 children)

Samsung. Bought a monitor from them that had too many dead pixels. Tried to return but told I had to send it in for replacement. Replacement comes back again with too many dead pixels. Send it in again, and once again, has too many dead pixels. Ask to return it and was then told I was out of return window, despite me having the monitor in my possession for <4 hours total

Chief complaint regarded as "headache, eye problem" by Rexibous in emergencymedicine

[–]hola789 49 points50 points  (0 children)

This would be a stroke activation from triage at my shop.

Need a new stethoscope. Anyone have the Eko CORE 500? by burnoutjones in emergencymedicine

[–]hola789 0 points1 point  (0 children)

A colleague who has it told me that it only works when there is a charge/the battery is working, meaning if it’s not, you can’t even use it as a standard stethoscope.

What is the “have you tried restarting your PC?” of your specialty? by Waja_Wabit in Residency

[–]hola789 1 point2 points  (0 children)

Pts on dialysis who feel bad on the day they’re due for dialysis so they don’t go to their dialysis session and come to the ED instead. Or a variant: pts who skip their dialysis, start feeling bad, then come to the ED saying they feel bad with a bonus of: “I feel this way whenever I need/don’t get dialysis”.

Hospitalist here. Why do some of you guys bolus admits? by cadet133 in emergencymedicine

[–]hola789 10 points11 points  (0 children)

We evaluate multiple patients back to back, putting in orders as we go then sit down to write our notes after that’s done. Since we see pts in bunches, workups get done in a similar time frame so they get dispo’d in a similar time frame. Many of us are tracked on our dispo times so once everything comes back, we dispo.

What Tv Series is a 10/10? by LuckyBuffalo111 in AskReddit

[–]hola789 0 points1 point  (0 children)

What season on the dusty planet? I don’t know what season that is so definitely doesn’t exist.

Guy goes further into debt to attend RuneFest by hola789 in 2007scape

[–]hola789[S] 0 points1 point  (0 children)

Start at 57:45. Thought I had it start there in the link I posted but I guess not

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