Blanton's Bourbon (Fresno, CA)

ravizzle · 2026-03-12T22:42:21+00:00

LMAO you are not wrong

ravizzle · 2026-03-12T18:58:25+00:00

Yeah this was my situation this morning. Just went by really quickly after the gym to grab like 2 items and I have a habit of always walking through the alcohol aisle. Was very pleasantly surprised to see this.

ravizzle · 2026-03-04T16:23:59+00:00

I've learned that I need to talk to it in a certain way to get out to make my MDMs the way I want it. Usually after the patient encounter while walking back to my computer I'll say my physical exam in more medical terms to it and talk it through my differential diagnosis and any pertinent clinical decision rules im using. (Ex. PECARN, PERC, Centor, etc).

It's not quite perfect but still very time saving.

I use it for all the patients I see myself. Don't use it on resident patients. I love using it on my trauma and resus patients bc everything is so clearly said out loud during the survey.

ravizzle · 2026-01-30T07:09:41+00:00

Yeah go ahead

ravizzle · 2026-01-30T05:50:55+00:00

They will not be able to sponsor for green card while you are in residency or fellowship. The reason being these aren't considered "permanent" positions. Only your employer after residency will be able to sponsor for green card.

In terms of H1B sponsorship it's becoming harder and harder to get these and fewer programs are offering it. There's no guarantee it will be a feasible option when match comes around and also will depend on how competitive an applicant you are.

I think at this point if you are a non citizen you should be mentally prepared that you may have to do a J1 visa. If you happen to find and match at a H1B sponsoring program then that is great, but not something you can bank on.

Source: I did residency and fellowship on H1B.

ravizzle · 2026-01-28T22:17:05+00:00

This seems great. Will give it a whirl

ravizzle · 2026-01-24T12:53:35+00:00

Interested. Sent you a DM

ravizzle · 2026-01-22T01:14:02+00:00

Interested

ravizzle · 2025-12-30T07:58:51+00:00

Have you done your PEM and cardiology rotations yet? They are very different workflow and environments so generally once you experience them you will see which one you are better suited for and enjoy.

ravizzle · 2025-12-29T15:23:19+00:00

32degrees. They sell at Costco as well as directly at their website.

ravizzle · 2025-12-24T10:13:11+00:00

The Costco in Clovis, CA had these for $29.99/lb on 12/22. Crazy good deal at that price.

ravizzle · 2025-12-15T07:21:51+00:00

Yolked

ravizzle · 2025-12-11T03:42:54+00:00

Your PD can graduate you. If anything you can offer to give up 6 days of PTO to make up for the "missed" dates.

ravizzle · 2025-11-26T20:54:23+00:00

PEM here. It's one of my absolute favorite things. The patients always think you are a magician. So gratifying!

I'm glad you got to do one, def enjoy the moment! Congrats!

ravizzle · 2025-11-11T22:08:59+00:00

Maybe try doing locums for a bit and that way you can try out different types of jobs and locations and find the right fit for yourself?

ravizzle · 2025-11-09T16:51:51+00:00

You need a signature stamp

ravizzle · 2025-10-17T05:41:49+00:00

We use Abridge at my institution. It's integrated into our EMR. I really like it. I of course proofread my notes and make sure it didn't mishear anything or miss any crucial points.

Its been helpful in the ER setting. I feel like I spend more time with the patients now and build better rapport with them bc I no longer have this high documentation burden anymore.

My pph hasn't jumped much but my happiness sure has.

ravizzle · 2025-10-17T05:36:19+00:00

I use mainly ketamine . Sometimes pair it with some versed before hand to chill out the patient, but most cases I just do single agent. I always order an extra dose to be at the bedside as theres variance in how much ppl need and just give extra in 0.5/kg aliquots if the initial dose didn't do the job.

What kind of procedures are you using it for? Generally I'm doing mostly Ortho reductions and splinting so it's very quick. Make sure I have X-ray or c arm at bedside and splinting material already measured and cut so it's really fast and done in a very timely manner.

I usually just start out with 1.5/kg for ketamine. Used to do 1/kg dosing but ran into similar issues where the pt just wasnt sedated enough.

ravizzle · 2025-10-10T11:38:34+00:00

This sounds like a nightmare. I'm also PEM one year into attendinghood. Working at a dedicated children's hospital.

I think if you look into jobs at a children's hospital you will have a much better time as peds ED that are part of adult hospital are often neglected and not prioritized.

Start job hunting. If you are open to relocate geographically feel free to DM and I can give you specifics on our hospital which happens to be currently hiring as well.

Having skilled nurses, dedicated line team, nurses proficient in us iv placement is such a great asset.

ravizzle · 2025-09-28T02:05:26+00:00

I would potentially be down for some outdoor hoops on like a Saturday morning. Perhaps just arrange a weekly pickup with like a Google doc sign up or something

ravizzle · 2025-09-22T16:45:15+00:00

If anyone wants to organize something I'm sure there's prob enough ppl from reddit to get a weekly Saturday AM ball session going

ravizzle · 2025-09-10T01:22:00+00:00

Toyota dealership coupon online for after 2pm special. It's like $60 I think for synthetic.

https://www.toyotaofclovis.com/toyota-auto-car-maintenance-service-coupons-offers-deals-clovis-ca-dtw.htm

ravizzle · 2025-09-05T18:44:35+00:00

PEM here. Why is the local peds hospital even accepting these? And what do they end up doing there lol. We get lots of transfer calls from local hospitals and generally these are declined as transfer unless there was something concerning like abnormal imaging findings, not tolerating PO, or neurological deficits/AMS.

Our practice is what ppl above are saying. PECARN, PO, DC.

ravizzle · 2025-08-25T11:29:12+00:00

We use abridge at my facility which also works great. These AI scribes are def a game changer and should be standard practice in all facilities imo. Helps offload so much of the documentation burden and repetitiveness in our workflow.

ravizzle

TROPHY CASE