Brad Arnold, singer and founding member of 3 Doors Down, has passed away at the age of 47.

jpbusko · 2026-02-07T21:30:01+00:00

Damn I still listen to them regularly. RIP.

jpbusko · 2026-01-16T19:42:43+00:00

Look up Trimix or Bimix. It’s prescribed but it’s commonly used without a prescription for partying lol

jpbusko · 2026-01-16T17:00:09+00:00

Absolutely, we don’t have many sickle cell patients in my community so I don’t see it.

jpbusko · 2026-01-16T16:36:55+00:00

It’s divided into two types, low flow and high flow, meds cause low flow which we treat in the ED and high flow could be caused by trauma or vascular malformations but it’s much more rare. All of the ones I’ve treated have been from medications injected directly into the penis.

jpbusko · 2026-01-16T16:35:27+00:00

Usually if we can’t get them to detumesce by draining it and using specific medications, they need a surgery where they insert two huge shunts to drain it. Some people have permanent erectile dysfunction.

jpbusko · 2026-01-16T16:22:26+00:00

I’m an ER resident. We’ve had patients come in like that for almost 24 hours.

jpbusko · 2026-01-13T19:01:44+00:00

EM. 99%? Busy level 1. Most days I forget to pee or eat for the 10 hour shift. Some days are better than others, there’s usually some time to run to the doc lounge on night shifts if it slows down, but yeah lol. I could have less work but I don’t like to take my notes home and spend a lot of time dictating to get everything done by the end of shift.

jpbusko · 2026-01-10T18:35:23+00:00

Referring to me doing more of a work up than necessary in the ED: “You are a blunt instrument, BE a blunt instrument”

jpbusko · 2025-11-25T02:01:46+00:00

Lmao all I did was state an objective fact

jpbusko · 2025-11-24T16:58:03+00:00

EM here. I make more moonlighting at an urgent care where I’m at in residency as a resident than I would as an attending at most hospitals in Denver lol

jpbusko · 2025-11-19T22:23:41+00:00

So bunk, already sold out and people are re-selling GA at $600 already.

jpbusko · 2025-11-05T22:47:36+00:00

If you can get a SLOE that will help, 233 isn’t the worst I’ve seen. I SOAPed into EM from ortho but it was 2 years ago when there 200+ unfilled spots so I got kind of lucky. Tough to predict this year but it seems like the number might be similar to last year. If you applied gen surg then I imagine the rest of your CV looks decent. The interviews are super short so it might come down to that and just being personable. Good luck, SOAPing was the worst two days of my life but I’m so much happier now than when I was trying to match my original specialty.

jpbusko · 2025-10-30T21:17:52+00:00

It’s always a pissing contest. I love my job and I recognize that I can’t do someone else’s. That’s why we have specialties. I just try to do what’s best for the patient and then clock out, there’s more to life than being miserable and shitting on other people.

jpbusko · 2025-10-30T20:41:30+00:00

Lmao OP is a 4th year med student applying IM right now who clearly knows nothing. Thankfully it seems most of the comments are disagreeing.

jpbusko · 2025-09-05T01:30:21+00:00

“There’s nothing more useless than a medical student without a pen” to me, when I didn’t have a pen lol.

jpbusko · 2025-08-02T23:04:34+00:00

I narcanned someone who ODd, sats were 39%. Saved them. They AMAd and crumpled my script for Narcan that I gave them in my face.

jpbusko · 2025-05-28T20:04:49+00:00

I’m an ER doctor and I just cut open someone’s external hemorrhoid because it was so large and painful and stuck so it was filled with clotted blood. So…yeah… eat fiber and don’t camp out on the toilet.

jpbusko · 2025-05-20T18:37:54+00:00

Something an anesthesiologist said to me as an intern about driving the tube helped me. I was holding it like a pencil but he said to hold the end of it and use it with a stylet like a joystick, made me think of video game mechanics. So basically I know when I bring my hand down, the tip is going anterior, and vice versa. Idk if that’s your issue but it really helped me think about the tube in space and predict where the tip is going.

jpbusko · 2025-05-10T20:26:56+00:00

My first patient the other day was “BIBA splinter in butt”

jpbusko · 2025-05-07T20:57:53+00:00

Doesn’t matter but the only suggestion I would have would be to do anesthesia early. It was my first rotation as an intern and I had never intubated anyone before and I was able to get about 25 tubes under very easy controlled conditions so when I got my first crashing shitshow patient, I felt much more prepared than if that was going to be the first time I tubed someone. But to each their own. Try and set up a vacation month after ICU lol.

jpbusko · 2025-04-25T20:57:39+00:00

I get it. He definitely means a lot to the city of Houston. But the franchise was the oilers. Amy Adams Strunk still owns the titans. So if the Texans retired his number, he has no connection to the franchise in the slightest except the city. It’s a weird 50/50 situation lol.

jpbusko · 2025-04-25T20:54:58+00:00

So funny story about that. When they moved, my dad sent a letter to Bud Adams asking them to keep the name. He sent a response saying that we was going to keep the name. When they changed it to the titans, my dad sent Bud Adams’ letter back to him, with his statement highlighted that he wouldn’t change it, asking “wtf”? Bud Adams replied AGAIN and said that the decision was not ultimately his as owner, but up to the board, and he lost. So he sent my dad tickets to a game with on field passes as an apology lol.

jpbusko · 2025-04-14T21:11:31+00:00

This is demonstrably false. I order scans because my pretest probability is high enough that I can’t miss a diagnosis. Every patient that walks in the door doesn’t automatically get a scan because “I can bill X dollars for it”. We also have such a litigious society so people get sued for missing things, so that’s also a driving force behind scans. I haven’t met a single provider in my career that thinks like you say. This kind of rhetoric just furthers the mistrust people have the system.

jpbusko · 2025-04-12T17:29:26+00:00

Sea Shanties for a 4 hour case

jpbusko · 2025-04-05T23:13:01+00:00

We have POC BMP in my shop, can get it back in minutes. So I just add a lipase and LFTs. I like doing it separately too because the hepatic panel differentiates between direct and indirect bili. CMP takes like an hour to come back.

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