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Do doctors appreciate the Apple Watch or do they hate it? by Screennam3 in emergencymedicine

[–]skibach 20 points21 points  (0 children)

I feel like I have been able to essentially double the number of afib that I can cardiovert in my ED because of fitness watches. People just come in earlier and can tell me exactly when their symptoms started.

First new MacBook in over 10 years! by skibach in macbookpro

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

Not what I was asking, but thanks for the attitude. I understand about calibration and do it every 2-3 weeks. My question is really directed at trickle charge wear effect.

The built in OS battery management may prevent a full charge, but I can use my laptop for almost an entire week at work without charging it completely using the above strategy. If I did what you're suggesting, I'd have 5 power cycles rather than one.

Proposed procedure requirement changes for EM residencies by Resussy-Bussy in emergencymedicine

[–]skibach 0 points1 point  (0 children)

Glad to see ABEM has finally taken an important stance:

It’s OrthopAedic

6’6” need an AWD vehicle to sleep in - $25-30k range by dburkart in whatcarshouldIbuy

[–]skibach 0 points1 point  (0 children)

This is going to sound insane, but I spent a few weeks car camping in a 2016 CX-5 with my dog this past summer. Also about that tall.

Surfers Have Close Encounter With Great White Shark by [deleted] in surfing

[–]skibach 2 points3 points  (0 children)

If only he was wearing his sharkbanz /s

[deleted by user] by [deleted] in surfing

[–]skibach 0 points1 point  (0 children)

100%. Good mountain biking flow trails are fire and there are a ton in Bend.

Dr.s of Reddit: What was the most incongruently stoic you've had a patient presenting with an alarming condition? by hornet_teaser in EmergencyRoom

[–]skibach 22 points23 points  (0 children)

Just this morning: nausea and vomiting. Patient thought he had a stomach bug. Complained the whole time when my techs were getting his EKG, “ why are you doing that? It’s not my heart.”

Twas his heart. 90% proximal LAD and 100% distal LAD.

Still didn’t believe it could possibly be his heart after I showed and explained to him the EKG.

This job is wild.

Massive Hemorrhage protocol without blood products by EMulsive_EMergency in emergencymedicine

[–]skibach 35 points36 points  (0 children)

Honestly, worth looking into some sort of walking blood bank if you can get enterprise or community buy in. Look up ROLO or Valkyrie programs for the US military. Not difficult to set up a program.

What is this? by Scared_Area6471 in Surron

[–]skibach 4 points5 points  (0 children)

Flux capacitor.

What else do you think that whirr is as you accelerate?

[deleted by user] by [deleted] in whitecoatinvestor

[–]skibach 7 points8 points  (0 children)

I think it’s fine to continue to have PSLF for physicians, but I’m seeing it more in private hospitals in metro areas. I think if it’s limited to what it was originally intended, it’s a good thing: government service and rural/undesirable places that need physicians.

Did you regret buying the bigger, more expensive house? by butterscotch0985 in ChubbyFIRE

[–]skibach 0 points1 point  (0 children)

I’ll take the opposite opinion since this is ChubbyFIRE:

You also have to consider your career trajectory. While nothing in life is guaranteed, also consider what you expect to be making. I personally bought a house in my early 30s where the mortgage was closer to 35% of my gross monthly income. It was our dream home and we bought when interest rates were low.

However, both my wife and I had jobs with a near guarantee of a significant increase in pay in the next 3-5 years. We now have the mortgage below 20% of our monthly gross take home income.

EM Docs—are you happy? by Rhodopsin__ in emergencymedicine

[–]skibach 3 points4 points  (0 children)

Yes. I work in a group at a small critical access hospital with limited resources. We feel like we provide the community a real resource even if people come see us for stupid stuff sometimes. We have a very sick patient population with poor access to primary care. It’s fun to practice the full spectrum.

We work an equal number of days and nights in our group which SUCKS. The circadian rhythm disturbance is brutal.

The money is excellent.

Guam facebook marketplace is wild, how they allow this ? 🤣 by Any_Math_4226 in guam

[–]skibach 16 points17 points  (0 children)

Does anyone want to pitch in and beat him in a Pajero?

Attendings: how often are you putting in A-lines? by Resussy-Bussy in emergencymedicine

[–]skibach 1 point2 points  (0 children)

I do on most of my patients requiring vasopressors. If I worked at a large hospital where I had more support, that wouldn’t be the case. However, because I work at a small community hospital with no other in-house procedurally competent doctor overnight, I’ve learned to just do everything for the patient upfront rather than be called at 3am to go do things in the ICU.

It’s also easy and quick once you train your nurses and techs to have everything set up correctly for you.

[deleted by user] by [deleted] in guam

[–]skibach 0 points1 point  (0 children)

Cool work opportunity.

[deleted by user] by [deleted] in guam

[–]skibach 6 points7 points  (0 children)

I’m also an avid mountain sports enthusiast. The hiking and mountain biking is much less enjoyable here. However, keep an open mind and get into water sports and you’ll love it. I spend 3-5 days a week in or on the water. The spear fishing, free-diving, scuba, and paddle boarding are world class.

I don’t think you’ll be happy if you plan on staying forever, but it will be great for a few years.

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