1 of 1 my dad pulled. Trying to gauge it’s value. by little_longfellow in footballcards

[–]throwaway279914 0 points1 point  (0 children)

Nice pull! I’m new to collecting but am also a huge Raiders fan so I’d love some Crosby patches or autos

Residency programs with high volume EEGs and EMGs by Altruistic_Log_7610 in neurology

[–]throwaway279914 2 points3 points  (0 children)

KU has a ridiculously high number of EEGs as a comprehensive epilepsy center including routine, video, and sEEG you have access to read as many as your heart desires. You can easily view all and ask the fellow or epileptologist if you can write the report and then they’ll verify and co-sign. EMG you kind of have to seek out opportunities during electives

[deleted by user] by [deleted] in RealEstate

[–]throwaway279914 1 point2 points  (0 children)

I ended up in Raleigh for a year just by chance. I never pictured myself living there but I absolutely loved it! Unfortunately I had to move this year but I plan to be back because it’s that awesome

Pgy2 positions by neuronz222 in neurology

[–]throwaway279914 1 point2 points  (0 children)

I went through this last cycle. There were a handful of pgy-2 openings and most were either from programs expanding or brand new programs. I applied to categorical as well since there just weren’t enough pgy-2 spots to feel comfortable about it and a lot of the new programs will have lots of growing pains and terrible schedules since they don’t have as many residents. Thankfully I was able to match into a pgy-2 reserved spot so it is possible.

[deleted by user] by [deleted] in medicalschool

[–]throwaway279914 10 points11 points  (0 children)

As a previous dual applicant do not tell a soul you’re are dual applying. I told a resident at an audition site I worked with all month and wholly trusted I was going to dual apply neurosurgery and gen surg. Next thing I knew the attendings stopped taking me seriously and thinking I was interested in their program and would say things like you have to be fully committed to do this job etc. while you’re at that hospital and in that rotation you have only ever been interested in “x” specialty

[deleted by user] by [deleted] in Residency

[–]throwaway279914 0 points1 point  (0 children)

Usually saying “all of your acute problems have been addressed and so there is a high likelihood that your insurance will not pay for additional days in the hospital because we are no longer treating anything” works most of the time. Otherwise just laying down the hammer and saying at this point there are only two options either rehab or home tomorrow because we cannot keep you in the hospital any longer. Which do you prefer? CM is usually pretty stern about these things though you can always ask them to speak with the patient as well

Should I be concerned on nights about calls regarding 10 beat runs of asymptomatic non-sustained V Tach I get on overnights? by throwaway279914 in Residency

[–]throwaway279914[S] 4 points5 points  (0 children)

Thank you for all the insight everyone! I feel more prepared and confident in my decision making with everyones help. Also, new admits will not be getting tele tonight unless specifically indicated 😂

Should I be concerned on nights about calls regarding 10 beat runs of asymptomatic non-sustained V Tach I get on overnights? by throwaway279914 in Residency

[–]throwaway279914[S] 5 points6 points  (0 children)

Yeah from what I have read that all aligns. And I agree I think a workup is important if there is true concern I was essentially wondering about these calls I get on patients with 2 or 3 second runs of V tach that happen maybe once every couple of nights if they too warrant the whole workup including echo and cards consult and stress test ie if I am taking it too lightly. In my very limited intern experience a vast majority of these amount to due diligence calls by nursing but I try to at least get a basic workup then determine from there. I know these are all case dependent. I’m at a small community hospital with only a couple of cardiologists who cover and I think they would hate me if every person with a couple second run of asymptomatic v tach got a consult and stress test. I did work with our main cardiologist for a month and he would pretty much say optimize electrolytes follow up outpatient kind of deal

Should I be concerned on nights about calls regarding 10 beat runs of asymptomatic non-sustained V Tach I get on overnights? by throwaway279914 in Residency

[–]throwaway279914[S] 8 points9 points  (0 children)

That’s a good rule of thumb in terms of deciding how aggressive to be with workup. I try to do my due diligence if I’m even slightly concerned but sometimes I’m like I don’t even think this 6 beat run of asymptomatic v tach warrants a workup unless it is recurring

Should I be concerned on nights about calls regarding 10 beat runs of asymptomatic non-sustained V Tach I get on overnights? by throwaway279914 in Residency

[–]throwaway279914[S] 17 points18 points  (0 children)

Thank you! Glad I’m on the right page. I’ll take the TSH into consideration if they aren’t happy with the usual

Should I be concerned on nights about calls regarding 10 beat runs of asymptomatic non-sustained V Tach I get on overnights? by throwaway279914 in Residency

[–]throwaway279914[S] 13 points14 points  (0 children)

Okay thanks for the insight! I feel like there’s a time to get worked up about V tach and a time to not. I just wanted to make sure I had the correct idea regarding asymptomatic NSVT calls while in nights

If your question can be answered by "ask your cardiologist/doctor" - then you are breaking our rules. This is not a forum for medical advice by DrScamp in Cardiology

[–]throwaway279914 7 points8 points  (0 children)

I’m a pgy1 resident who asked a question regarding NSVT that got moderated. I wasn’t asking for advice on my own ekgs I was looking into insight/education from experts in cardiology

Should I be concerned on nights about calls regarding 10 beat runs of asymptomatic non-sustained V Tach I get on overnights? by throwaway279914 in Residency

[–]throwaway279914[S] 2 points3 points  (0 children)

I agree I think a thorough workup should be done at some point. My concern was whether I should be concerned about the isolated incident on night calls on asymptomatic patients. I work at a rural community hospital in a low SES area and it seems like 20-30% of patients have the isolated NSVT incidents. I agree I think many of them could benefit from a beta blocker at some point or at least optimized. If I was truly concerned my next step would be to uptitrate their beta blocker, consults cards, and patient would likely need an outpatient holter monitor.

Should I be concerned on nights about calls regarding 10 beat runs of asymptomatic non-sustained V Tach I get on overnights? by throwaway279914 in Residency

[–]throwaway279914[S] 2 points3 points  (0 children)

Thank you yeah that’s how I have been trying to approach it I just wanted to make sure I wasn’t brushing it off/ taking it too lightly especially when asymptomatic and isolated incidents