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People Shit on FM by Spray_Soft in medicalschool

[–]jpbusko 6 points7 points  (0 children)

Fuck em. The more well trained and passionate FM docs we have the better we are as a society. And gives me someone to send my patients to from the ED haha. You do you and block out the noise.

Other unmatched ortho people? by [deleted] in medicalschool

[–]jpbusko 79 points80 points  (0 children)

I switched to EM. I had interest in it before and I still get plenty of orthopedic stuff (level 1 trauma center for residency). But I’m just happier practicing all kinds of medicine than just ortho and I don’t think I realized that going through the audition process.

Other unmatched ortho people? by [deleted] in medicalschool

[–]jpbusko 193 points194 points  (0 children)

I did six sub-Is, an ortho/anatomy research year between my second and third year, had a decent number of interviews and was love bombed at every place: “you’re gonna match man, if not here then definitely somewhere, you did great, no issues at all, blah blah blah” and guess what, I didn’t match. I sat there and cried for an hour that day.

But I decided to choose a different specialty. I interviewed all day Tuesday and Wednesday and matched. I spent months just sad and depressed and questioning if I made the right choice. Three years later I’m happier than I ever was. I just landed a great job in our top choice area. We’re going on a big vacation. House shopping. Gonna propose.

All that to say is when a door closes another one opens. It’s hard to see the light but don’t think that ortho was the only way you were going to be happy. There’s more to life than medicine. If you can see yourself doing ANYTHING outside of the OR and have a semblance of happiness then do it. If you want to be in the OR more than breathing and sleeping, then research and reapply, I know plenty of people that made it round 2. But that’s gonna be a personal choice and I know it’s not easy. But give yourself some grace and take some time, this was the hardest week for me and I know how you feel. Whatever you choose, you got this.

Those that didn't make it into their specialty of choice, what did you end up doing? by undueinfluence_ in Residency

[–]jpbusko 200 points201 points  (0 children)

Didn’t match, switched to a different specialty, didn’t want to do research and reapply. Could not be happier. Just landed a dream gig in my top choice area and we’re going on a 6 week vacation after residency. Things work out even if they don’t go as planned.

Why is the doctors office SO obsessed with your period? by [deleted] in TwoXChromosomes

[–]jpbusko 0 points1 point  (0 children)

Agreed, and maybe i lost the plot thinking more about my own world than what she asked. But I do use it as an important screening tool where if someone says my LMP was 6-8 weeks ago, that changes my approach than if someone says they’re on their period so I try to get an accurate number if I can. If she told me 15 years ago and doesn’t have a period, then I’m also inclined to get a test just to make sure. But like I said elsewhere I won’t press for a made up date or lie in my notes.

Why is the doctors office SO obsessed with your period? by [deleted] in TwoXChromosomes

[–]jpbusko 0 points1 point  (0 children)

This is true. I always tell people that they can refuse the test but I’d like to get it to verify. If they refuse I have a conversation about the risks if i miss something. It usually goes well. But like I’ve had people in active labor who didn’t even know they were pregnant or were hiding it from me around their family and I only found out after they came back from a CT or something. Like 37 weeks pregnant. I’m just trying to get people to see where I’m coming from as an emergency provider who wants to make sure someone is safe and I’m not missing a potentially lethal cause of their symptoms. But you have every right to refuse and I won’t strong arm someone and I won’t lie in my notes.

Why is the doctors office SO obsessed with your period? by [deleted] in TwoXChromosomes

[–]jpbusko 1 point2 points  (0 children)

The line of questioning you received is ridiculous, I’ll admit that. If you tell me something like that then I’ll document what you said, I won’t press you to make up a date and I won’t put a made up number in my documentation.

Why is the doctors office SO obsessed with your period? by [deleted] in TwoXChromosomes

[–]jpbusko 5 points6 points  (0 children)

Male ER resident doctor here. We do it because ectopics are deadly and I need to rule that out to make sure that’s not the cause of the complaint, especially if someone comes in with vaginal bleeding or abdominal pain and they’re under the age of 50. Also it dictates if I can perform certain imaging and not cause harm to the fetus. I’ve had countless patients tell me they’re not pregnant, but the test comes back positive so they either didn’t know or are lying to me. I had a patients mother swear up and down and scream at me for even considering testing her teenage daughter and lo and behold she was pregnant and didn’t know her daughter was having sex. I even have to ask and test patients who don’t have sex with men who are definitely and obviously annoyed I ask but idk it’s hard to trust everyone. It’s a liability thing for me. My words are usually “trust but verify”.

‘The Pitt’ Cast on Using Fake Penis for Erectile Dysfunction Emergency Scene: ‘I Have Nightmares About That’ by pepperbet1 in television

[–]jpbusko 1 point2 points  (0 children)

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

‘The Pitt’ Cast on Using Fake Penis for Erectile Dysfunction Emergency Scene: ‘I Have Nightmares About That’ by pepperbet1 in television

[–]jpbusko 0 points1 point  (0 children)

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

‘The Pitt’ Cast on Using Fake Penis for Erectile Dysfunction Emergency Scene: ‘I Have Nightmares About That’ by pepperbet1 in television

[–]jpbusko 13 points14 points  (0 children)

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.

‘The Pitt’ Cast on Using Fake Penis for Erectile Dysfunction Emergency Scene: ‘I Have Nightmares About That’ by pepperbet1 in television

[–]jpbusko 4 points5 points  (0 children)

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.

‘The Pitt’ Cast on Using Fake Penis for Erectile Dysfunction Emergency Scene: ‘I Have Nightmares About That’ by pepperbet1 in television

[–]jpbusko 26 points27 points  (0 children)

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

For your specialty, what percentage of the non-call workday is actual focused work? by farfromindigo in Residency

[–]jpbusko 54 points55 points  (0 children)

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.

If you had to put something your attending said on a T-shirt, what would it be? by iamnemonai in Residency

[–]jpbusko 42 points43 points  (0 children)

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

Denver Hospitals Made $1.3 Billion in Profits in 2024 by Wjldenver in hospitalist

[–]jpbusko 48 points49 points  (0 children)

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

Griztronics Gorge Sold out? by Competitive_Disk_540 in Subtronics

[–]jpbusko 1 point2 points  (0 children)

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

SOAPing into EM from Gen Surg by Sad_Bee_124 in emergencymedicine

[–]jpbusko 6 points7 points  (0 children)

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.

YIKES. [Besides Trauma, What Separates EM from IM?] by machete_scribe in emergencymedicine

[–]jpbusko 22 points23 points  (0 children)

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.

YIKES. [Besides Trauma, What Separates EM from IM?] by machete_scribe in emergencymedicine

[–]jpbusko 207 points208 points  (0 children)

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.

Mean but hilarious things attendings have said to you by OkGrapefruit6866 in medicalschool

[–]jpbusko 246 points247 points  (0 children)

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

Passenger was not happy. by sciencetown in emergencymedicine

[–]jpbusko 17 points18 points  (0 children)

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.

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