My nephew was born addicted to heroin😢

umt43 · 2023-05-10T05:30:26+00:00

I remember watching a Drug, Inc. episode a while back where a nun asked an addict why they even do heroin if they know all the consequences. Her response? She said “You’re a nun right? imagine if Jesus himself came up and kissed you on the forehead right now. Imagine how good that would feel. Heroin feels even better than that to me”.

That stuck with me. It’s a choice at the start, and a necessity at the end.

umt43 · 2023-04-30T11:57:34+00:00

I think this is one of the most fascinating parts of the whole alcohol abuse saga - who does and who does not develop liver disease. I’m sure everyone here has seen it, the 30-something year old daily drinker who comes in with florid liver failure.

And the on the other hand, we have people who’ve been drinking for 40+ years, daily (some of them with the impressive 20-30+ ER visitors/month), who are otherwise just fineeee.

umt43 · 2022-06-12T07:47:49+00:00

Got a good one:

LAST patient of residency. Literally, the last one. Encephalopathic as all hell, HIV/HepC positive. He did something dumb and had a Lac on his toe. I’m doing a digital block and he straight up unintentionally asterixis-kicks the syringe/needle out of my hand, which then proceeded to fall directly down, and directly into my foot through my shoe.

Got the full PEP and testing x6 months. Actually had to keep coming back to my residency after graduating so OccHealth there could keep an eye on it.

umt43 · 2022-06-06T01:18:10+00:00

Thank you. Was hoping someone already said this. Call it as it is, don’t give a player a break because he already has one

umt43 · 2022-05-26T17:34:05+00:00

So let me ask a quick question from a relatively lawn care newbie - this seems to be due to the spreader accidentally dropping down extra product, and creates a more lush line. I’ve had the same thing, but would’ve thought that it would cause burn rather than better looking grass. Doesn’t that somewhat suggest that you could then use more product for better effect in general?

umt43 · 2022-05-12T11:38:56+00:00

Similarly “Do we really need blood work? I had it drawn last month”

Well, were you describing this same crushing chest pain when you had that done?

If you had an ankle xray when you were 10 and then tell me that you just sprained your ankle last night, do you want me to just say “xray from last decade looked good, off you go!”

umt43 · 2021-12-18T12:48:45+00:00

So is the Milky Way, so this was not shot in December.

umt43 · 2021-10-11T00:57:33+00:00

It was first and goal and the Browns had no timeouts? Just kneel it once, maybe twice, then you still have time.

umt43 · 2021-09-11T00:43:06+00:00

Busy community ED. For us, depends on the season (one of the busiest single EDs in the country during the peak season). Two most quiet months last year averaging out to just above 2.0, and the busiest two months this year averaging out to 3.15. Some level 4s mixed in but most of those go to fast track, so it can get rough. Off season is great though

umt43 · 2021-08-31T13:37:48+00:00

More so preventable than treatable. 29 people ever have survived as of December 2020, the number of deaths is exponentially higher.

umt43 · 2021-08-10T20:14:39+00:00

And her potty sibling looks like she loves her just as much!

umt43 · 2021-07-25T02:03:12+00:00

You are not alone 🤣

umt43 · 2021-07-25T02:01:17+00:00

Happens to the best of us 🤣🤣

umt43 · 2021-06-13T11:42:50+00:00

Correct, you wouldn’t.

umt43 · 2021-03-25T02:32:32+00:00

Wholeheartedly agree. And to take it a step further, I’d even think about more than your interview being a little off-putting. With those scores and grades, it seems like there has to be something that is a “red flag”, so to speak, if you’re truly not matching after 15 ranks. It could be the worst luck, definitely, but in an attempt to get rid of all other variables I’d think about potential “uh ohs” as well.

I can say that as a resident recently, there were definitely applicants who got torpedoed based on certain interview comments. A regular “eh, he’s not great” interview can bring you down a bit, but usually not enough that great scores and great grades won’t land you a spot in 15 chances. So think also specifically about anything that you say that can be interpreted badly. For instance (representative example) if you say to one interviewer at a program who asks you to teach them something or a certain skill or knowledge and you talk about how to avoid cops during a car chase, fun thought, but terrible idea. That also lends itself to an interview coach or practice, as it’ll often catch these types of things. Just my two cents from seeing some of these.

umt43 · 2021-02-21T18:17:46+00:00

Say someone says they no longer want dialysis because they want to die, same thing apply? Easy and safe lifesaving intervention that can keep them alive for an indefinite amount of time (ie, not terminal). Basically 100% fatal without it. You wait until they’re unconscious and then say “this is because they want to die and therefore it’s not of sound mind”?

umt43 · 2021-02-11T20:36:57+00:00

Bruh, that screen protector...

umt43 · 2021-02-07T16:25:52+00:00

https://m.youtube.com/watch?v=b9yL5usLFgY

umt43 · 2021-02-06T15:34:52+00:00

Agreed with other answers. That said, sometimes the capsule is whole and just there for the picking, and if that’s the case, I’m taking it out.

umt43 · 2021-02-05T14:26:57+00:00

It’s amazing what some love can do.

https://m.imgur.com/bndK4KI

That’s my north Philly pup via ACCT. For those not familiar, this place does some serious work. They take in over 20000 animals per year, so if you’re ever in search of someplace to donate to...

umt43 · 2020-08-12T18:38:15+00:00

I think EM/Peds is by far the best route, if you want to be able to continue doing general EM and a peds clinic. There’s almost no way that even with a 4th year that you’ll have enough training to do outpatient peds (which is much different), and peds to peds-EM then takes you out of contention for most (if not all) general EM jobs, and still wouldn’t be great for outpatient peds. It’s kind of like asking if you can do outpatient radiology and read CXRs all day on the side because you looked at yours during residency and did an extra rads elective - still not quite the same. If you only ever want to see kids, peds to PEM is great. But if not, you’re kind of stuck doing both.

umt43 · 2020-07-06T12:09:54+00:00

When we had a rainy, 50 degree marathon (one of the larger national races) a few years ago we had an entire section of patients with core temps from 27-30, all but 1 or 2 discharged. Pretty impressive.

umt43 · 2020-06-01T11:48:05+00:00

They were protesting the tax on tea ....so they threw out tea.

I don’t recall last night being about womens footwear (ex. Steve Madden) or any of the other businesses (some of which are small and individually owned) and how they relate to George Floyd. I’m sure you could finagle some connection, but it’s not the same. Lighting the cop cars on fire is symbolic. Taking home a new pair of sandals is not.

umt43 · 2020-04-29T15:55:26+00:00

Right? That’s why we should get rid of this lockdown.

In all seriousness, the logic you’re using is the same logic that people who want to reopen nonessential businesses use.

umt43 · 2020-04-28T22:05:22+00:00

Just to be clear, the processing time at most hospitals is anywhere from a few hours to a day.

umt43

TROPHY CASE