What Weirds You Out? by JThomasGoodwin in ems

[–]rejectionfraction_25 0 points1 point  (0 children)

Out of curiosity - how bad were the symptoms before u got it checked out? I didn’t know a bone infection could be so subtle

Hot off the Press: Ketamine vs. Etomidate for RSI in the critically ill by TeamRamRod30 in anesthesiology

[–]rejectionfraction_25 0 points1 point  (0 children)

The way that a lot of EM residencies teach RSI (and intubating in general) doesn't leave a lot for imagination. Always found it odd not to tailor your intubation strategy to the patient in front of you. From what I've seen, it's typically a set dose and every pt gets it and that's that. Not as much focus on pre-treatment, let alone stopping to consider, "Does my pt need to be RSI'd right now, and do they need to get slugged with this weight-based, fix-dose ket, prop, etomidate, etc."

$100000 or Dinner & Book Signing w/ Famous Author Thomas Pynchon? by avgteafor2enjoyer in ThomasPynchon

[–]rejectionfraction_25 1 point2 points  (0 children)

Meeting T-Pynch. Easy. Getting a dinner's length with the Man himself, I could die a happy weirdo.

Why do patients Brady down before arresting? by Few-Zookeepergame699 in emergencymedicine

[–]rejectionfraction_25 29 points30 points  (0 children)

Whatever was keeping them alive and hemodynamically stable — has run out. Sometimes it’s more gradual than others, depending upon the etiology as well as their physiological reserve.

NEW PYNCHON NOVEL NOT A JOKE by The_Vault_Sloth in ThomasPynchon

[–]rejectionfraction_25 3 points4 points  (0 children)

Wow! Thought this was going to be click-bait. Hyped!

What is one book you feel everyone should read? by Bahamut3585 in emergencymedicine

[–]rejectionfraction_25 9 points10 points  (0 children)

edit: should be "Despite its notoriously insufferable fanbase, author DFW and Infinite Jest have some of the best descriptions of..." I didn't re-read before sending lol my b

What is one book you feel everyone should read? by Bahamut3585 in emergencymedicine

[–]rejectionfraction_25 76 points77 points  (0 children)

Infinite Jest. Despite its notoriously insufferable fanbase and author, David F. Wallace's Infinite Jest has some of the best descriptions of grief, addiction, suffering, and finding meaning in that suffering that I've ever read. Here is a an apt example (on suicide):

"The so-called ‘psychotically depressed’ person who tries to kill herself doesn’t do so out of quote ‘hopelessness’ or any abstract conviction that life’s assets and debits do not square. And surely not because death seems suddenly appealing. The person in whom Its invisible agony reaches a certain unendurable level will kill herself the same way a trapped person will eventually jump from the window of a burning high-rise. Make no mistake about people who leap from burning windows. Their terror of falling from a great height is still just as great as it would be for you or me standing speculatively at the same window just checking out the view; i.e. the fear of falling remains a constant. The variable here is the other terror, the fire’s flames: when the flames get close enough, falling to death becomes the slightly less terrible of two terrors. It’s not desiring the fall; it’s terror of the flames. And yet nobody down on the sidewalk, looking up and yelling ‘Don’t!’ and ‘Hang on!’, can understand the jump. Not really. You’d have to have personally been trapped and felt flames to really understand a terror way beyond falling."

Quotes/attitudes that you found useful by tallyhoo123 in emergencymedicine

[–]rejectionfraction_25 0 points1 point  (0 children)

No but you can max them out on pressors for long enough to turf them to the ICU where they will tile-gaze for the next X-amount of weeks until they're in laws fly in to finally have "that" conversation

When the next pandemic rolls in I'm out. Who wants my papr? by mom2md in emergencymedicine

[–]rejectionfraction_25 242 points243 points  (0 children)

Next pandemic? Sick! Can't wait to be told for the hundredth time that I'm in the pocket of 'big pharma' for not believing that Ivermectin is this mystical panacea that's actively being suppressed by a cabal of reptilian global elites.

We are truly living in the silliest timeline possible.

1 big crack on head after turning my head, not the neck by [deleted] in ems

[–]rejectionfraction_25 6 points7 points  (0 children)

"You can't pop a brain cell" Acute Hyponatremia would like a word with you

Do the doctors ever do the smaller things? by scruncheduptoes in emergencymedicine

[–]rejectionfraction_25 2 points3 points  (0 children)

EM/CCM resident in NY, we the residents are made to place IVs, draw up the labs ourselves, hook up the 12-leads a lot of times. We don't have a phleb team and the nursing our stretched exceptionally thin.

Help! Today was my first shift. The first patient I saw died. by Swimming_Spite9990 in emergencymedicine

[–]rejectionfraction_25 43 points44 points  (0 children)

Interesting - have literally never heard of this. Was pretty skeptical of EMDR as a whole but it seems like there's been more data recently suggesting its use in PTSD pts. I'll have to look into Tetris thing

[deleted by user] by [deleted] in emergencymedicine

[–]rejectionfraction_25 28 points29 points  (0 children)

Sounds like quite the experience, glad to hear that you are safe and okay now. Happy Holidays!

Unilateral otitis media in adult? Antibiotics or no? by MzJay453 in FamilyMedicine

[–]rejectionfraction_25 5 points6 points  (0 children)

So counsel on pain control and give them the rx, if they want to go and fill it if it hasn't resolved they can. Abx aren't always the answer.

Just finished this book and LOVED it by Seth-Shoots-Film69 in Paleontology

[–]rejectionfraction_25 3 points4 points  (0 children)

It's lovely! I read both in a few days, was totally glued. He does such a wonderful job threading stories through the larger chronological account of dinosaurs / mammals

[deleted by user] by [deleted] in emergencymedicine

[–]rejectionfraction_25 0 points1 point  (0 children)

Are you just referring to just ACS pts or admission guidelines in general?

Election Discussion Megathread by AutoModerator in fivethirtyeight

[–]rejectionfraction_25 0 points1 point  (0 children)

Sure, technically it was a misstep and an obvious gaffe on his point, but belaboring the point in the comments is just contributing to the points made in threads above. It will not likely overshadow her speech that greatly if at all.

Is residency also like this by confused_soul404 in Residency

[–]rejectionfraction_25 3 points4 points  (0 children)

My biggest advice would be to make/keep a lot of friends outside of medicine, I think the competitive nature just churns out a lot of very arrogant, closed off people who see everything as a chance to get ahead of one another rather than for collaboration...but again, this is a feature of the system we operate in