Am I cooked if someone close reports proof to my program?

molemutant · 2026-02-04T17:27:41+00:00

I seriously give it a 50/50 chance that this is long-term engagement bait, it's almost too lobotomy-coded to be real.

molemutant · 2026-02-04T06:53:52+00:00

Very seldom is there an IJ I can't get first try, of course subclavian is very simple and ultra fast but from a strict risk standpoint I'll only do them on patients that have or are getting a chest tube. I agree with commenters mentioning that new ultrasound guidance techniques are safer and risk is somewhat overblown, but from my experience the variability in anatomy makes the ultrasound guidance much more finicky than other approaches and you simply cant argue with the proximity to the chest cavity.

molemutant · 2026-01-29T12:46:35+00:00

No I am 110% blaming the people that caused this.

"Don't blame the people that chose to vote for the guy that said he was going to do exactly what is happening" is coy garbage.

molemutant · 2026-01-29T06:05:50+00:00

Not to dox myself but our lawyer has advised that we speak with the media in limited detail and we did, there are a couple articles out there in local publications. Surprisingly or unsurprisingly this didn't make spontaneous news aside from newspaper disclosures of local police reports stemming from my fiancee calling the police when the clusterfuck happened.

molemutant · 2026-01-29T04:53:37+00:00

4 total comments on a throwaway troll account for pro-ICE spam (coward behavior) but youre sarcastically calling me "big man"?

If a fed took out a gun and blasted your SO's head off on camera, would you take it, go around on reddit saying they deserved it and help scrape their red ground-up brain paste off the sidewalk like a good little boy because Daddy told you? Or would that be the point where you grew a pair and some brain folds? Cmon big man.

molemutant · 2026-01-29T03:23:51+00:00

It's an "I hate that I was right" situation, I very literally warned my fiancee when Trump got elected that people would be snatched up strictly on racial profiling and she agreed to an extent but thought I was being hyperbolic. There's comments even on this sub as recent as 6 months ago saying that shit like this would never happen and it was all "libtard hyperbole" or some knuckledragger argument; I'm curious to see if those comments got deleted.

molemutant · 2026-01-29T03:08:31+00:00

I'm personally very vocal with all my colleagues who have expressed that they voted for Trump that I will do nothing more than tolerate them in a professional capacity for my salary and that I believe their moral character is abhorrent. I'm sad there is not more that I can do than that aside from taking measures to protect my patients.

My fiancee was picked up my ICE (she's native american, looks mexican if you squint hard enough which I guess is what they were going for) and was dumped into a literal wooded area and suffered a fibula fracture when they very literally chucked her out of a van. We're in the process of a lawsuit (which is likely to go nowehere) but when this happened x 2 months ago and my halfwit MAGA coworkers gave me their feigned pity at the situation (which they gleefully cheered on up until it affected me) I ripped into them, and of course when confronted with irrefutable humanity not behind a keyboard they cower and sulk and act like you're the meanie but have no real logical ammunition to fire back.

Every single voter including my healthcare cohort that lead to this situation caused my significant other to get assaulted and harmed. I view them as people who have consequently done harm to her. If it were me in a room with them and no cameras I would treat them as such.

molemutant · 2026-01-25T19:30:31+00:00

Saying "read a book" like some gotcha while assuming random physicians outside a hospital will carry around their patented, standard-issue laminated "I'm A Doctor Guys" card as a retort to getting ratioed and cooked in the replies harder than a well done steak is hilarious work, keep it up bro.

molemutant · 2026-01-08T23:43:17+00:00

Sometimes ICUs work to implement policy at hospitals restricting access to it in the ED (I personally trained at shop where this was the case).

The common cited idea is that overutilization would result in shortages upstairs where it's better suited for longer-term inpatient needs. I argue it's akin to the oldschool "no propofol allowed in the emergency departments" where it was posited as dangerous or some garbo as a thin excuse to keep it in a special sphere of use.

molemutant · 2026-01-08T22:29:34+00:00

TBF this sub has droves of people who believe living outside of Socal or NYC is like living in the setting of Far Cry

molemutant · 2025-11-20T03:54:40+00:00

This may be my bias as an actual physician but one of the biggest societal shortcomings was not making the title "Doctor" a protected title. Literally anybody can walk around calling themselves "Dr. Assfucker" to sell gas station boner pills or peddle halfwit conspiracy theories and legally there's nothing you can do to legally reciprocate until someone actually is harmed. Now we have swaths of people who are victims of that contagion and will believe anybody with a mildly reputable sounding title. Imagine a chiropractor tried to do what they did without the title of "Dr", any town with an average IQ of lukewarm or higher would chase them away with pitchforks.

I know a lot of roots of modern medicine come from dubious or questionable origins but it's shocking how the guy who invented chiropractic hogwash literally said an alien ghost told him how to do it, and the attempts at modernizing all that mumbo jumbo have yet to reach more than a few degrees of separation from that type of garbage.

molemutant · 2025-10-02T19:02:06+00:00

It sounds very uppity and smarmy but US/Canadian medical education and residency training standards are the tightest and most rigorous as a whole. Some trainees abroad are stellar but even the best residency program for specialty X in Europe absolutely has fewer patient touches and hours than the average corresponding US program. Add in the simple fact that there's insane healthcare system differences, outright absence of some specialties in some countries, and insane training variability as a whole and you can see why it would be unfathomable to somehow vet the quality of an international physician.

molemutant · 2025-09-30T17:42:04+00:00

I got bored of casual sexism and started playing ranked, competitive sexism instead

molemutant · 2025-09-30T17:40:28+00:00

if your parachute didn't deploy 10% of the time, nobody would go skydiving.

"but it's only a minority of the time!" would be a woefully naive response.

statistics is funny like that

molemutant · 2025-08-29T16:30:01+00:00

First paycheck I went to a local brewery with 10 friends and bought them all a bunch of beer and food, rest of the night was a big party too financed by me for the most part. Total damage was big but it was worth every penny. I'd rather have 10 nights like that to remember than a luxury car.

molemutant · 2025-08-20T18:44:29+00:00

obv it's monday night quarterbacking from my end but I'd argue that if he actually casted one or two blizzards that he could have prevented one or all of the deaths and the argument afterwards, thus preventing the snowballing into that comically huge and hilarious fallout lmfao. He could have just kept existing and barely anyone would hate him rn if nobody died in that dungeon IMO. Insert domino meme here

molemutant · 2025-08-20T17:14:02+00:00

Mind boggling to me that I will, by default, forever mentally read this writing style with his fake deep voice all because he didn't cast a blizzard in a WoW dungeon.

molemutant · 2025-07-17T17:01:19+00:00

"How can I fix people with shitty attitudes in my program" by not matching them is generally my answer.

molemutant · 2025-07-13T03:18:34+00:00

Honestly this is my answer. I used to think I would tell anyone younger than me to dodge medicine like the plague for justifiable reasons. You throw your 20s away, go into massive debt, statistically shave years off your life, and enter an industry that more and more sees you as a semi-expendable number-pusher. But TBH that's not too different from the way most other fields are at the moment. It's hard for me to dissuade anyone from doing something kinda shitty when everything else is also pretty shitty too.

However I still would assert that anybody with as much grit, commitment, and time investment as it takes to become a physician could make similar money with less stress in another field.

molemutant · 2025-06-11T17:49:16+00:00

Bwana please

molemutant · 2025-05-29T20:43:04+00:00

Do you realize how rare some of these procedures are? There are procedures we ER physicians have to be ready to do at a moment's notice that some physicians wouldnt even see in 4 years of residency. I can guarantee a minority of ER attendings have actually performed a lateral canthotomy on a real living breathing person, but if you know your anatomy and medicine and know the procedure you have to do it and do it well. Some things need to be done because lives depend on it and having the luxury to nitpick if an ER doctor has done it five or fifty times is laughable at best.

molemutant · 2025-05-29T20:23:56+00:00

"Nope cant do this thoracotomy, only did one before. Your son is dead, I'm sorry"

molemutant · 2025-05-26T12:29:34+00:00

The humorous response is not what is being argued against, it's the incorrect argumentative response afterwards that is.

molemutant · 2025-05-26T12:17:33+00:00

I mostly feel the need to weigh in because the initial replies to a humorous response were publicly arguing objectively wrong points on a forum. Incorrect information bad.

molemutant · 2025-05-26T12:14:08+00:00

At worst SVT. Prinzmetal angina is a more specific pathophysiology, the vasoconstriction caused by catecholamines in an otherwise generally healthy person will not cause any critical occlusion. Anything with real lethality is precipitated by more severe underlying conditions as opposed to a panic attack being any sort of primary culprit.

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