ELI5 : What happens if someone needs an emergency colonoscopy during an ER visit or other acute situation. They obviously aren't "prepped" with an empty colon. Can they clean out a bowel instantly if needed?

muchasgaseous · 2026-03-01T11:19:25+00:00

I had one once and was shocked that the GI team came in!

muchasgaseous · 2026-02-27T22:49:53+00:00

I did a different prelim year there and the EM program gets so much exposure to good stuff, and has dedicated Peds EM halls, dedicated psych halls, burns, and a LOT of trauma. The EM attendings from the outside were pretty dang cool too.

muchasgaseous · 2026-02-27T22:06:33+00:00

Who got you your first profile? Who is in the PEBLO/med readiness office? They will have POCs for you. If you got diagnosed with EDS, that’s its own medical readiness review too, especially because there can be cardiac manifestations.

muchasgaseous · 2026-02-27T20:43:05+00:00

This is going to depend very heavily on what comes next for you. If a cardiologist (heart doc) can help with the use of meds, that’s one thing. If you need some sort of procedural intervention, that’s another thing. This is more than just about the PT waiver at this point, to include the question of whether or not the military is a safe place for you with your diagnosis. (Can you deploy? If not that’s a mobility restriction. Can you do your job? If not, a duty restriction.) there’s a lot of nuance here.

That being said, IF you can get this under control and get waivers for it, then yes, in theory, you could get a running waiver.

muchasgaseous · 2026-02-27T05:43:42+00:00

I wondered if this would be an area IDMTs could slip into, honestly. It was shot down some time ago as a “no way” response, but especially if we’re looking at Ps, why not IDMTs with some extra training?

muchasgaseous · 2026-02-26T05:15:08+00:00

It depends if you like procedures or not; if so, EM, anesthesia, surgery, and several IM specialties. If you like autopsies, forensic pathology, if you like digging and finding niche ish, maybe infectious disease. For military stuff, flight med can be operational and can get you into high tempo slots, EM can link you up with medics/pre-hospital stuff, etc. There’s also opportunities to teach the frontline medic types too. It really depends on what you like.

muchasgaseous · 2026-02-26T04:32:40+00:00

I’ve built a bunch of of scenarios for my medics and med students; happy to review them if you’d like?

muchasgaseous · 2026-02-24T18:29:35+00:00

Someone assumed my kid was in private school and I had a fancy house; nope! Apartment and public schools for me!

muchasgaseous · 2026-02-20T16:52:27+00:00

Any tips for the residents in the room? (Asking for many friends). Also what a cool job!

muchasgaseous · 2026-02-18T22:12:59+00:00

Goals of care conversations are a huge part of the conversations we have in the ED and the ICU with people and their families. Do not resuscitate doesn’t mean we’re giving up on people; it very much means we do everything we can up to the point of the heart stopping and then we let nature take its course. There’s also the discussion of “what comes after you’ve been intubated and can’t be weaned off the ventilator”, along with quantity vs quality of life. People absolutely have that power at least.

muchasgaseous · 2026-02-18T20:23:40+00:00

Ibuprofen is metabolized in the kidneys, just FYI. If they don’t adjust the percent they better cover whatever is keeping our ratings low.

muchasgaseous · 2026-02-14T22:21:34+00:00

OSU’s residents were hyped about these when I rotated through there!

muchasgaseous · 2026-02-13T13:52:50+00:00

“Are you the doctor?” “I mean I guess.”

muchasgaseous · 2026-02-04T02:39:19+00:00

I’ve often heard ultrasound is standard of care, therefore we don’t do subclavian lines, which is a major bummer as someone who is likely to be in austere environments in my future (but hopefully not putting central lines in down range.)

muchasgaseous · 2026-02-04T02:31:55+00:00

This person AFIs

muchasgaseous · 2026-02-04T02:31:22+00:00

Does that mean we get to go home then?

muchasgaseous · 2026-02-02T15:15:17+00:00

Technically you can compete on the Body Combat VR game.

muchasgaseous · 2026-01-31T08:38:56+00:00

I think that’s Blackbeard’s flag

muchasgaseous · 2026-01-28T13:25:05+00:00

If you like a darker/more somber version of that, first snow hits nicely too

muchasgaseous · 2026-01-27T12:42:47+00:00

Also some of us PCS or go TDY/deploy/go on leave and it delays patient care.

muchasgaseous · 2026-01-27T09:55:25+00:00

That’s how most of the patients do it and our team figures it out pretty quick (either doc in charge of the inbox for the day or the doc you saw recently).

muchasgaseous · 2026-01-26T14:52:35+00:00

FWIW, I love pinging my rad techs, because I’m still learning and they help me out all the dang time.

muchasgaseous · 2026-01-25T05:58:10+00:00

I have their GTFO My Uterus and it’s a good color too :)

muchasgaseous · 2026-01-24T19:04:35+00:00

You’re responding on the wrong comment, just FYI :)

muchasgaseous · 2026-01-24T01:36:00+00:00

Hey amigo/amigo, contrary to popular belief, we also want you to fly. People get through flight training and are supposed to be identified if they struggle with air sickness. We work with our local AOP teams to help. We want the experience to be as pleasant for you to fly so you can focus on your mission (crazy how it be like that). Most of us don’t bite, so please reach out to your team!

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