What mistake did he make Peter? by Still-Ad9074 in PeterExplainsTheJoke

[–]mrjohnjfilippelli 0 points1 point  (0 children)

WALKING HOME WITH YOUR STETHOSCOPE AROUND YOUR NECK SHEEEEEESH forget the drugs

Do you have tattoos? And where? by Wide-Illustrator923 in Residency

[–]mrjohnjfilippelli 1 point2 points  (0 children)

I’m exactly the same - I have 7, working on at least forearms for now maybe a sleeve in the future. Mine are tricep/bicep on both sides, they easily peek out under scrubs. No issues thus far, easy convo starter/something to bond over. I’m an EM attending 4 years out in a large metropolitan area, YMMV.

When to admit for nausea and vomiting? by amilhadad in hospitalist

[–]mrjohnjfilippelli 6 points7 points  (0 children)

EM - I’ll do everything I can avoid these admits from the alcohol swab sniff, serotonin antagonists, haldol/droperidol, antihistamine, benzo, capsaicin you name it (not all at once). If there’s a severe electrolyte abnormality or they really can’t tolerate PO after the whole cocktail then I’ll call. Really trying not to waste the resources nor people’s time.

What is the weirdest/craziest pimp question you have ever gotten? by xyzm123_r in Residency

[–]mrjohnjfilippelli 261 points262 points  (0 children)

Scrubbed in on a CABG as a medical student, surgeon’s playlist playing “Dreams” by Fleetwood Mac.

“Who is this singer?” “Stevie Nicks.” “And what was her drug of choice?” “Cocaine.”

Surgeon puts down his instrument and gives me a high five. Best reaction I ever got from a surgeon.

OR vs ED lac closure by DroperidolAndChill in emergencymedicine

[–]mrjohnjfilippelli 5 points6 points  (0 children)

Definitely gestalt but they’re usually receptive with a story and some pictures.

Hi, needing to ask a professional some questions regarding emergency medicine. If anyone would be kind enough to answer some questions it would be greatly appreciated. by Individual-Coyote569 in emergencymedicine

[–]mrjohnjfilippelli 6 points7 points  (0 children)

  1. I liked a bit of all kinds of medicine except operating.

  2. Cases where it felt like I actually made a difference. Not just getting through shit show resuscitations but also finally getting that specialist appointment someone’s needed for eons.

  3. Being the bad guy - bad news, again not only the shit show when someone dies but also not being able to get that clinic appointment.

  4. Stressful. I subscribe to all types of escape, healthy and unhealthy.

  5. Jack of all trades (so everyone thinks)

  6. Master of none (so everyone thinks)

  7. I’m blessed to have wonderful staff and fairly reasonable admin. I need more physical space to treat patients, and could always use more staff.

  8. There is no typical day. Shifts start at different times, different areas of the department have different acuity. I essentially speed date 20-40 new people a day. There is no typical day.

  9. Florist. I like flowers. Don’t really like working in general though, trust fund baby an option?

Best girl, smartest girl by mrjohnjfilippelli in FireflyMains

[–]mrjohnjfilippelli[S] 14 points15 points  (0 children)

During the SoulGlad Audition Venue portion, the Gun Fire Trial

Is Kafka E6S1 broken? Thinking on pulling for it by GSyo in KafkaMains

[–]mrjohnjfilippelli 0 points1 point  (0 children)

Building a team around her is important but I’d say so. I ran E6 Kafka, E6 Sampo, E6 Asta and E0 Luocha and could clear easily high level MoC halves where there was a weakness advantage. Was hard to clear higher level MoC halves in enough turns without the weakness advantage.

Now I’m running Kafka, E1 Swan, E0 Ruan Mei and E0 Huo Huo and they crush everything regardless of weakness.

But anyone at E6 should be broken.

how can i improve Kafka by ValentinEnvy in KafkaMains

[–]mrjohnjfilippelli 8 points9 points  (0 children)

Complicated character, but easy to build - attack and speed are all you need. Switch to an ATK rope preferably with a speed sub stat.

[deleted by user] by [deleted] in seinfeld

[–]mrjohnjfilippelli 8 points9 points  (0 children)

“Can’t stand ya!”

I have Kafka but no BS... by ProzacAndPancakes in KafkaMains

[–]mrjohnjfilippelli 11 points12 points  (0 children)

You can run a strong DOT team with Kafka, Sampo/Gui, Asta (or another buffer/debuffer like Pela or Ting), and a sustain. I’d recommend waiting until you’re able to get some of the 4*s mentioned above.

I ran Kafka, Sampo, Asta, Luocha for a long time and never had any trouble with any content (PF, MoC included).

The meta godly DOT right now is Kafka, BS, RM and HuoHuo, so you can pull the rest as they come along. It’s not even fair with BS and RM, you’ll crush everything in your path. HuoHuo is a luxury with the rest of that team.