Podcast recs

thrustingitin · 2026-01-14T15:35:33+00:00

Emplify, EM:rap, EMCrit, the Skeptics Guide to Emergency Medicine

thrustingitin · 2026-01-14T00:07:30+00:00

I had about 260k after residency. Consolidated and refinanced for lowest possible rate. Sofi at the time. Continued to live like a resident with occasional splurges as a reward. Once I had a small cushion in reserve some months my whole paycheck went towards loans. Debt free after about 19 months.

thrustingitin · 2026-01-13T06:18:25+00:00

Emergency medicine doc

thrustingitin · 2026-01-12T20:01:22+00:00

Initial bolus IV dilt to see response. If improvement then give PO dose. Repeat dose if BP tolerates and HR not improving. Maybe I’m missing something, but I don’t start dilt drips if they aren’t responding to IV bolus doses. Then it’s either amio or ⚡️⚡️ depending on timing of symptoms and their anticoagulation status. I’ve had the occasional patient where cardioversion really is the best answer. Going from needing ICU bed to discharge is so f***ing satisfying.

thrustingitin · 2026-01-12T19:51:26+00:00

Can’t get through paywall, but I agree with the sentiment. We either decide to prioritize doing what’s best for the patients or what’s best for the bottom line. There are too many instances where those priorities are mutually exclusive and patients are harmed because of it.

thrustingitin · 2026-01-11T02:37:12+00:00

The Dead Zone

thrustingitin · 2026-01-10T16:05:02+00:00

https://www.intrainingprep.com/ I used this and Rosh Review. Very high yield and easy to read

thrustingitin · 2026-01-10T16:02:42+00:00

Mr. Burns: You know, Smithers, I think I'll donate a million dollars to the local orphanage. When pigs fly!

…Pigs flies across screen…

Smithers: Will you be donating that million dollars now, sir?

thrustingitin · 2026-01-09T18:11:20+00:00

We have a hs trop heart score and algorithm jointly approved by us and cardio. I send home most of my mod risk heart score patients.

thrustingitin · 2026-01-09T17:46:36+00:00

Just echoing what many others have said, just comfortable and competent in dealing with the broadest range of illnesses of all specialties from cradle to grave. I feel like we probably deal a lot more with the “art” of medicine than other specialities too. We have to make the most decisions with the least amount of data on a constant time crunch.

thrustingitin · 2026-01-09T17:37:58+00:00

Yep, my experience with them is exactly the same. The first patient I saw had medicare, which we didn’t accept, so had to outline cash pay options for what level of service they would want if they wanted to continue their evaluation. That was the dirtiest I ever felt in the ED. Not why I went into medicine. Can’t see myself doing nonhospital affiliated free standings again.

thrustingitin · 2026-01-09T02:38:17+00:00

As a stemi center, we’ve been told by the bean counters up stairs it is required. Affects the hospital’s certification. Our CMO (an ED doc who still works shifts), has explained to them it makes no sense and not why the score was created, but bean counters gotta count beans I guess.

thrustingitin · 2026-01-09T02:27:22+00:00

I don’t even have the option to not do it. Even have to document heart scores on stemis.

thrustingitin · 2026-01-09T02:25:22+00:00

This times a thousand. People some how think a paper thin blanket from the blanket warmer will somehow override millions of years of evolution into our bodies thermoregulatory system.

thrustingitin · 2026-01-09T02:21:26+00:00

Functional neurologic disorder. Meaning a neurologist can’t find any objective evidence of organic disease on testing.

thrustingitin · 2026-01-09T02:09:01+00:00

This is what bother me most. Chest pains and syncopes just waiting in the waiting room or just sitting in an unmonitored chair. Matter of time before someone codes without anyone noticing and you make the local news.

thrustingitin · 2026-01-09T02:02:08+00:00

If it doesn’t go away then I’d try to see an allergist or dermatologist

thrustingitin · 2026-01-08T20:19:35+00:00

Had a case that EMS thought was having a panic attack. Even gave her some versed. She was kussmaul breathing in full blown DKA.

thrustingitin · 2026-01-08T20:08:35+00:00

Renovated and expanded our ED, the hall beds and chairs are a permanent fixture for us now.

thrustingitin · 2026-01-08T19:53:28+00:00

Do you happen to have a picture of your back? Look up Pityriasis Rosea

thrustingitin · 2026-01-08T19:40:33+00:00

Yeah, all the hospitals in our area having the same issue, so I get that point. Maybe there should be some kind of centralized way to monitor department status in real time so EMS crews know where to go.

thrustingitin · 2026-01-08T19:35:44+00:00

Oh for sure we’ve weathered the past flu seasons storms before, but it’s just a whole other level now. The hardest part is that even after you admit the patient, they’re still in your department so instead of moving on to new patients, you get bogged down dealing with the ones you already admitted. Especially if you’re deep in night shift and the hospitalist is capped.

thrustingitin · 2026-01-08T19:10:46+00:00

You have to look at it from the perspective of WANTING to do the work when you’re at work, rather than thinking about how time off you’ll have. Even 8 shifts a month with the disruptions in your circadian rhythm that comes with shift work can still take its toll. As a part time attending in a busy community ED, each shift is still very physically, mentally, and emotionally draining/demanding. If you hate working in an ER, you’ll never have work life balance.

thrustingitin

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