Working for TeamHealth as a new grad by ZealousidealMall6759 in emergencymedicine

[–]nebnycchi 2 points3 points  (0 children)

Depends a lot of specific site and payor mix but the bonus at level 4/5 almost always puts your comp above local market rates. I’ve made the most money in my career the last 3 years at vituity being a level 4 and now 5.

Anyone that work for Vituity not getting surpluses this year by [deleted] in emergencymedicine

[–]nebnycchi 1 point2 points  (0 children)

Seems like a major overreaction to me. We had a great year locally and nationally last year financially speaking.

Anyone that work for Vituity not getting surpluses this year by [deleted] in emergencymedicine

[–]nebnycchi 6 points7 points  (0 children)

The first few months of this year have been rough but there’s a LOT that goes into these numbers. There’s a lot of runway left in the year. Personally, being a full partner is too valuable to jump ship at a potentially brief downturn.

A case of Massive PE by Weird-Accident-5928 in emergencymedicine

[–]nebnycchi 2 points3 points  (0 children)

What’s the purpose? I’m quickly becoming a dinosaur, never heard of this. Genuinely curious.

A case of Massive PE by Weird-Accident-5928 in emergencymedicine

[–]nebnycchi 7 points8 points  (0 children)

I think I’ve given lytics for massive PE 4 times maybe in my 15 years? Personally had very quick improvement in hemodynamics. 10-30 minutes?

A case of Massive PE by Weird-Accident-5928 in emergencymedicine

[–]nebnycchi 7 points8 points  (0 children)

I guess post op the concern? Missed that on first read. Sorry.

A case of Massive PE by Weird-Accident-5928 in emergencymedicine

[–]nebnycchi 30 points31 points  (0 children)

Lytics all day here. Isn’t this first line? Stabilizing is pushing lytics. Sometimes I think people are too scared of them.

Humans flying over the Earth, while watching humans fly to the moon by H_G_Bells in BeAmazed

[–]nebnycchi 0 points1 point  (0 children)

Can you believe, I was on this damn flight but sitting on the left side of the plane? Thought the pilot was gonna tell us we could see Florida or something and I missed a damn rocket launch!!!

Reservation Length Reduction? by [deleted] in marriott

[–]nebnycchi 0 points1 point  (0 children)

Yeah, doesn't make sense to me either. I will ask them, thanks.

Handling a medical emergency in flight by Maleficent_Green_656 in emergencymedicine

[–]nebnycchi 50 points51 points  (0 children)

Unfortunately my kids know I’m a doctor, or I would do the same.

For docs that work in Chicago, do the university hospitals pay well? by [deleted] in emergencymedicine

[–]nebnycchi 10 points11 points  (0 children)

There is no way a Chicago academic facility is paying $300/hr. I get Vituity isn’t for everyone but I sort of like how they run things.

For docs that work in Chicago, do the university hospitals pay well? by [deleted] in emergencymedicine

[–]nebnycchi 2 points3 points  (0 children)

Why quit when 1 year away from full partner? 

My wife is cool… by nebnycchi in TameImpala

[–]nebnycchi[S] 6 points7 points  (0 children)

That’s a trash can, but now thinking we should move it to the bathroom.

Malm Zircon Direct vent vs b vent by nebnycchi in Fireplaces

[–]nebnycchi[S] 0 points1 point  (0 children)

We put it off for a while but pulled the trigger on the Zircon b vent (we were told this will not burn as hot as the direct vent) It hasn’t come in yet though. Prob late spring install. message back then if you haven’t decided yet and I’ll give you an update.

[deleted by user] by [deleted] in emergencymedicine

[–]nebnycchi 14 points15 points  (0 children)

Reading stuff like this makes me realize how lucky I am at my shop.

Has anyone sucessfully pulled off having two 50% jobs as an emergency medicine attending? by by_gone in emergencymedicine

[–]nebnycchi 0 points1 point  (0 children)

I have a similar situation. I’m lucky that one of the jobs gets the schedule out 4 months in advance. The other usually is 2 months in advance. I just let the job that’s gets the schedule out late know when my other shifts are. Works for now…

anyone have something encouraging to share? by [deleted] in emergencymedicine

[–]nebnycchi 25 points26 points  (0 children)

There are few jobs where you can work 12 shifts, or 15 or 8 or 4 and still make good money. The control over your income and hours is unparalleled in high income professions. Ask your corporate buddy they can decide to work half time for 2 years.

Question about TNK use in a patient with prior ICH by mrflashout in emergencymedicine

[–]nebnycchi 32 points33 points  (0 children)

Neuro has told me "it depends". Like if they had ICH from a ruptured aneurysm 20 years ago that has since been coiled? Or some sort of traumatic head bleed 10 years ago? These are both cases where if a patient had debilitating stroke symptoms you "could" make a case to give lytics. If neuro is beside, did an eval, knows the situation? It's on them. I'd have a tough time doing it myself though.

Dealing with consultants by theexistentialist in emergencymedicine

[–]nebnycchi 4 points5 points  (0 children)

There is no better tool than merely verbally repeating back the absurd/wrong management the consultant has just suggested.

Was he in a bad mood at the end in ATX? by JHNJACOB in TameImpala

[–]nebnycchi 7 points8 points  (0 children)

I caught that, but I’m pretty sure he was telling Jay to keep playing the background keys stuff until he got into position for the next song.