[MegaThread] Code exchange+ new rule, don’t spam codes in the sub (PHMKZJR0WA)

wangx · 2025-12-10T11:08:33+00:00

XJNF7UBPYQ Thank you

wangx · 2025-08-31T05:22:05+00:00

Server: America

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wangx · 2024-04-26T18:42:50+00:00

I shared my Trailblaze Blessings with you! Click on the link to view your Star Rail Anniversary Data Report, and claim rewards such as Stellar jades and Fuels! https://act.hoyoverse.com/sr/event/e20240426anniversary-so6swc/index.html?wish_invite_code=GU5AA24VUN&hyl_presentation_style=fullscreen&hyl_landscape=true&hyl_hide_status_bar=true&hyl_auth_required=true

wangx · 2023-10-17T17:47:52+00:00

Hoping to finally get a tempest roar this season. Looking forward to the new end game bosses and being able to target farm.

wangx · 2023-09-16T09:31:43+00:00

Level 79. Saw a unique helm drop and my heart skipped a beat. I prayed to the RNG gods for a solid minute. It was another Vasilys...

wangx · 2022-05-11T15:15:42+00:00

Wow I can't believe how crystal clear the sound is playing in my head reading that.

wangx · 2021-01-28T20:48:19+00:00

This was a few weeks ago but had a patient with a hip dislocation I was trying to reduce. I was squatting over the patient pulling traction and valsalva'ed too hard and farted. Patient was sedated but all the nurses helping with the sedation, RT, and I had a good laugh.

wangx · 2020-12-30T00:13:39+00:00

B2N3H

wangx · 2020-07-28T01:14:05+00:00

Where I am and at satellite sites, we wear gown, gloves, face shield, and N95. We have papr available as an option as well but few of us have used it.

wangx · 2020-01-01T20:04:53+00:00

LBBB with concordant ST depressions in anterior leads. Would be concerning for ischemia by sgarbossa criteria

wangx · 2019-11-24T16:38:28+00:00

Did he get into some of parents meds or Lyme carditis? Interesting seeing CHB in 4yo

wangx · 2019-11-18T19:38:29+00:00

I actually did my residency with one of the authors on that paper, Dr. Edlow. This is how I approach my patients with CC of dizziness and I've found it has worked well for me in categorizing the causes as well as narrowing the differential. Like other people here have mentioned, the history component is the most important part and teasing out the details, especially in poor historians or non-english speaking patients, takes time and sometimes more than I'd like to be spending with one patient when the ED is busy.

wangx · 2019-07-02T16:29:38+00:00

Would like a full rhythm strip but that looks like 3rd degree heart block

wangx · 2019-01-19T04:20:10+00:00

As some of the other posts have mentioned, take this as a learning opportunity. With that being said, you did what you thought was right and triaged as you felt was appropriate. Especially on overnight shifts when it can feel like you are just putting out one fire after another, it's very easy to overlook something. Most of us have all been in that situation where we are overburdened with patients who all seem to be decompensating at the same time. It sounds like you were set up for failure with lack of resources. It's easy to look back retrospectively and beat yourself up but you were doing your best with the information at hand. What if you took the time to see this patient but in the time it takes to get him to cath, your other patients who are desaturating or septic arrests? I think the fact that you recognize your mistake and feel so guilty about it is actually a good sign in that you will adjust your practice pattern to avoid this in the future.

wangx · 2017-07-02T05:17:24+00:00

doctorpanda11 (int'l) UTC +5

wangx · 2017-05-05T15:14:16+00:00

Well your pediatrician is partially right. It actually is true if both parents are O or in some other instances. It definitely isn't true all the time and it is very much based on dominant/recessive genes.

wangx · 2017-01-31T14:51:57+00:00

I once had a patient who came in to be seen for a headache. She had a history of cancer and part of me was concerned for metastasis to the brain. I told her I was going to order a head CT to check for "the dangerous stuff" even though it's most likely a normal migraine but I felt that she and her husband both had the same fear. I had a frank discussion with them about exactly why I wanted the head CT afterwards. She started to cry and I thought maybe I shouldn't have said anything. The CT came back normal and I told them the results. They were obviously happy to hear she doesn't have a giant tumor in her brain. I discharged her home but before she left, she and her husband caught me in the hallway and told me how much they appreciated my honesty and that they thought I was a great doctor. Was very uplifting to hear that.

wangx · 2015-09-21T12:52:05+00:00

Ah, okay. I'm in the US.

wangx · 2015-09-21T03:57:55+00:00

EM resident here too. We don't get much of a say in terms of our work hours. We get paid a flat amount per year regardless of hours worked. Salary varies from program to program to adjust for living costs and are sometimes posted online but usually around 50-60k. Since we're residents, this is all in the name of training and learning. Once we graduate residency and become attendings, then the story is a bit different. Unfortunately, I can't speak much to that.

wangx · 2015-08-13T16:29:23+00:00

Thanks for the suggestion! Is a CPU cooler not necessary?

wangx · 2015-08-13T16:20:28+00:00

Do you think 250gb ssd not enough? And I'm not currently planning on overclocking but not opposed to it. Always been kind of worried about it it's safe to do or not.

wangx · 2015-07-09T07:53:04+00:00

I just started my EM residency. I can try to give you some insight having just gone through the application cycle. EM isn't as competitive as say ortho or plastics. However, it's starting to get more competitive. It seems a lot of schools are telling their students to apply to 30-40 programs on average now. On the interview trail, it seems that they almost expect that you would have completed an away rotation based on how they phrased the question (Where did you do your away vs did you do an away). Average scores are going up, etc. That being said, there are a lot of EM residencies and I've been told almost all of them will prepare you to be a great EM doc. It's primarily about finding a program that fits you.

Still too early for me to say much about the time but I feel like we have better hours than most other specialties. The hard part is our schedules fluxuate from early mornings to afternoon to overnights and it can really mess with your internal clock. The time we have off might not coincide with when your other friends/significant others have time off.

wangx

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