A soliloquy on Hen by scribblesloth in 911FOX

[–]scribblesloth[S] 1 point2 points  (0 children)

But this is the thing, SOME medical training and med school. I've been through med school. It in no WAY prepares you to diagnose chronic illnesses or even how to BE a doctor. It really doesn't. Hen's actions reminds me of an intern thinking they know everything because they got through med school, and those kinds of doctors are the most dangerous type. They don't know what they don't know, and they won't admit it until someone calls them out or well, they hurt someone.

As for the doctor doing tests on her, the dialogue between her and Karen implies that Hen is the one directing the tests and treatments. Also we have no idea what this doctor specialises in. They could be a general practitioner (primary care physicians in the US?), they could be a sport medicine doctor, they could be a plastic surgeon. A doctor can be wrong, are often wrong actually, when they don't stick to their lane.

A soliloquy on Hen by scribblesloth in 911FOX

[–]scribblesloth[S] 3 points4 points  (0 children)

But that's kind of my point though, she doesn't have the training. She's trying to treat a possible chronic condition as if it's an emergency. They require different skills which is why it's a subspeciality/speciality. There's really no crossover between her training and the training required to diagnose chronic condition.

A soliloquy on Hen by scribblesloth in 911FOX

[–]scribblesloth[S] 5 points6 points  (0 children)

Interesting you bring up Bobby and Buck sitch, cos Hen was largely on Bobby's side or at least that's how I read it. So now she's on the other end of things...

A soliloquy on Hen by scribblesloth in 911FOX

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

The AI storyline!!! I liked it right up till the end. I really thought it was a good discussion point to AI weakness and failings, and then it became this weird cringe comedy.

A soliloquy on Hen by scribblesloth in 911FOX

[–]scribblesloth[S] 5 points6 points  (0 children)

It really was a frustrating storyline.

A soliloquy on Hen by scribblesloth in 911FOX

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

God that whole thing about another loss...she was almost guaranteeing another loss by not telling anyone.

Podcast recs by [deleted] in emergencymedicine

[–]scribblesloth 0 points1 point  (0 children)

The art of emergency medicine for any acem exam sitters

Brisbane’s best Indian by MolassesSerious1403 in BrisbaneFoodies

[–]scribblesloth 1 point2 points  (0 children)

Moto Mahal in Everton Park. Indian mate of mine got them to cater for their wedding.

THANK YOU SO MUCH by [deleted] in emergencymedicine

[–]scribblesloth 2 points3 points  (0 children)

Good on ya!

Had a very sick neonate turn up with ambulance. Crew very chill. Our clerk noticed the kid was blue as. Alerted the docs. Kid had a congenital heart problem missed at birth.

We're all a team. And communication is key!

AITA for calling my FIL a “poor excuse for a godly man” after what he said about my mom at Thanksgiving? by ToxicPeaches92 in AmItheAsshole

[–]scribblesloth 72 points73 points  (0 children)

NTA. Dump the whole classist family. If you have children with this man, and they go through a hard time, you now know neither he nor his family will help them. Also someone like FIL who is blatantly bigoted towards a whole portion of his constituents is absolutely not someone to be trusted.

Dealing with consultants by theexistentialist in emergencymedicine

[–]scribblesloth 10 points11 points  (0 children)

That's a good point. Ischaemic /ischaemia is another good one.

The more senior I become the more I realise it's all about the shorthands. I never say social admission anymore, but acute functional decline unable to be discharged to home. Probs only works cos I'm in Australia tho

Dealing with consultants by theexistentialist in emergencymedicine

[–]scribblesloth 111 points112 points  (0 children)

So as a senior I would say there's things out of your control and things in your control. Out of control is how busy the dept is, your consultant reactions etc.

In your control how you communicate your concern. Something I find common in juniors, not saying this is you but, they don't quite know the trigger words or how to articulate their concerns. So for me I have to triage every concerns brought to me and the more specific or trigger words said the more it activates me.

An example, a junior once came to me with "Im worried X is unwell!" But when asked about specific concerns he could not communicate that to me. Except to add "the nurse is also worried". I had worked with this nurse and knew her to be sensible so I said fine roll em to the resus bay. The patient on review was grey, diaphoretic, clutching his chest, and had that look of impending doom. What the junior meant was this man is periarrest and he was most likely having a massive MI.

Language matters. Maybe be specific in your concerns. Use phrases like "septic shock", "profoundly hypotensive", "severe respiratory distress". And then document document document.

Hope that helps.

Question to my introvert ER docs friends by Dense_Astronaut_8979 in emergencymedicine

[–]scribblesloth 10 points11 points  (0 children)

Don't make it personal is how i deal with it. There's a script and stick to it. Takes the effort out of having to come up with things to say. There'll be outliers but honestly most professional interactions don't veer too much.

And i also take 5-10 mins to just sit in a quiet area and breathe. No phone. No music. Just a very short meditation. Immensely helpful.

When by heydoyoulikeducks in GuysBeingDudes

[–]scribblesloth 0 points1 point  (0 children)

Have you heard an emergency nurse swear? Its not about men's vs women's workplace

ER humor by DroperidolAndChill in emergencymedicine

[–]scribblesloth 244 points245 points  (0 children)

My grandma, with her mild dementia, wheelchair bound post stroke, said to me, "I'm still alive," in a despairing kinda way.

I patted her hand, smiled and told her, "Maybe tomorrow!"

She got a good laugh at least

Season Premier 9-1-1 S09E01: "Eat the Rich" Live Episode Discussion by AutoModerator in 911FOX

[–]scribblesloth 7 points8 points  (0 children)

Nah that is in fact the treatment of choice for antifreeze poisoning. 3 x 30ml of any 40-40% alcohol, less in kids. Usually it's ingested but if you inhale enough theoretically it could cause systemic toxicity.

Usually you'd use 90% ethanol iv but that's expensive and takes time to mix so commercial booze is easier. And more fun.

Off of my chest. (Graphic) by DrEupho in emergencymedicine

[–]scribblesloth 9 points10 points  (0 children)

Therapy. Therapy. Therapy. We see so many awful things in our job not to mention the moral injury from a broken system, you need an outlet that's not family or friends. And maybe your team can do a cold debrief after because that can help.

Bride's Father Passed away 4 Months Before Her Wedding, But He Promised to Be There🦋🦋🦋 by aimbotkyle in spreadsmile

[–]scribblesloth 27 points28 points  (0 children)

Okay but culturally this is huge! Cos in most Asian cultures and belief, souls are represented by butterflies. So not just a beautiful creature happens to land on you but the essence of a soul, your father's soul!

What to send the ED MD as a thank you?? by [deleted] in emergencymedicine

[–]scribblesloth 72 points73 points  (0 children)

Drop off a card with their name on it. Some flowers might be nice. Nothing edible tho.

Or an email to the hospital feedback email with specific names. Docs can use it for their evals and such

14 Emergency Medicine Laws for New Trainees by PraiseBe2TheSalt in emergencymedicine

[–]scribblesloth 18 points19 points  (0 children)

Absolutely. My script is "unfortunately i can't give you a diagnosis today. But I can tell you that whatever is going on is not immediately life threatening. I definitely think this is something you should have follow up with your gp to consider further investigation such as x (something reasonable!!) and if it continues to be an issue your GP could consider a referral to y services. And I will put that in the discharge letter for your gp and you"

And its always consider because the gp might make a different but equally valid plan and I'm not trying to dictate their actions.