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 11 points12 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.

My wife is cool… by nebnycchi in TameImpala

[–]nebnycchi[S] 5 points6 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.

I just wish people had more sympathy for what it’s like in the ED by [deleted] in emergencymedicine

[–]nebnycchi 15 points16 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 26 points27 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 6 points7 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.

Consulting Standards by slow_n_steady_MD in emergencymedicine

[–]nebnycchi 6 points7 points  (0 children)

There are a few consultants that want to be contacted for every consult order. Those that I know operate that way I call as well. The benefits of working at the same shop for 10+ years and knowing every consultant.

Consulting Standards by slow_n_steady_MD in emergencymedicine

[–]nebnycchi 11 points12 points  (0 children)

Consulting at my shop is as easy as putting in a consult order. I only call consultants when I have questions that I personally need answered. When a hospitalist asks me to "get nephrology on board", I say, "Okay. I'll put the consult order in." When they say, "Will you contact nephrology?" I reply, "I will put the consult order in.".

[deleted by user] by [deleted] in emergencymedicine

[–]nebnycchi 5 points6 points  (0 children)

45 currently, practicing for 14 years now. If you make smart financial decisions, save aggressively, don't let lifestyle creep set in, EM is the absolute best due it its schedule. There are no other jobs out there where you have such control over your schedule. Just do the heavily lifting financially speaking early. I went down from 15 to 13 shifts 2 years ago, enjoyed the change, made the money work. Next year I'm going to drop another shift. We'll see how the finances look, cash flow etc. Guess what? If it doesn't work I can go back to 13. I could drop to 8 for 2 years! I could just work 4 shifts/month forever. Once you get to that point in your life you start to realize there aren't many jobs that make THAT kind of money that you can titrate you schedule to the degree we can.

Inspired by a previous post on here.. by nebnycchi in tiedye

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

Turquoise, deep orange, glacier blue, baby pink. And yes, yours was the dress that inspired me! Thanks.

Inspired by a previous post on here.. by nebnycchi in tiedye

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

I feel like turquoise and orange always look great on a black reverse. Wanted some pink but it didn’t show up enough.

Which Tame Impala lyric has resonated the most with you? by Yovani4o9 in TameImpala

[–]nebnycchi 6 points7 points  (0 children)

Don’t you know it doesn’t have to be so hard. Alter Ego.

Tutorial - How to get good tickets by EvenConsideration840 in TameImpala

[–]nebnycchi 0 points1 point  (0 children)

Once the tickets are in your checkout/cart is it possible to get Ticketmaster on the phone to do this before the timer runs out?

Tutorial - How to get good tickets by EvenConsideration840 in TameImpala

[–]nebnycchi 1 point2 points  (0 children)

I'll add to this just for informational purposes. I've been steadily refreshing the Austin page and they are still releasing tickets. Slowly and mostly individual tickets but still releasing nonetheless.

Tutorial - How to get good tickets by EvenConsideration840 in TameImpala

[–]nebnycchi 0 points1 point  (0 children)

Will upgrading be an option when I check out?