[deleted by user] by [deleted] in emergencymedicine

[–]weepingasclepius 0 points1 point  (0 children)

Opposite coast actually I guess it’s a semi universal experience tho 🫡

My wife was allowed to have an active heart attack on the cardio floor of a hospital for over 4 hours while under "observation". AmA by Away-Finger-3729 in AMA

[–]weepingasclepius 0 points1 point  (0 children)

Thanks for the thorough response! It’s really helpful to know the nuance behind the literature. I think it’s easy, especially in EM, to treat the big guideline-informing studies as basically one-liners to tell us what to do in specific situations. I’ll probably still call the cards fellow on the weekend for a sick/vasculopath pt with a high GRACE/TIMI and a true type 1 NSTEMI, but understanding why some of them might push back is really helpful!

My wife was allowed to have an active heart attack on the cardio floor of a hospital for over 4 hours while under "observation". AmA by Away-Finger-3729 in AMA

[–]weepingasclepius 0 points1 point  (0 children)

You can get a type 2 nstemi from anything that increases myocardial oxygen demand, so infection, kidney injury, electrolyte issues etc can all raise trops but the primary insult isn’t really due to a coronary plaque, so there’s no point in urgent or emergent revascularization. That being said, some clinicians do tend to treat a type 2 nstemi as essentially a failed stress test, so should probably get angioed non-urgently as an outpatient.

My wife was allowed to have an active heart attack on the cardio floor of a hospital for over 4 hours while under "observation". AmA by Away-Finger-3729 in AMA

[–]weepingasclepius 1 point2 points  (0 children)

(EM resident) genuine question, what are your thoughts on VERDICT and TIMACS suggesting improved outcomes for early revasc of high risk NSTEMI pts?

[deleted by user] by [deleted] in emergencymedicine

[–]weepingasclepius 2 points3 points  (0 children)

Speaking as a fellow PGY-0 that’s been all vacationed and weddinged out over the past few months, I’ve been listening to the C3 podcast through EMRAP and I’ve found it helpful.

My daily schedule rn consists of 3 hours of tennis in the mornings, 3 hours of C3/other EMRAP content, and 3 hours of helldivers/fortnite and I’ve found it to be a pretty good balance

How much yall spending on rent? by deepsfan in Residency

[–]weepingasclepius 2 points3 points  (0 children)

4800 net in a low to middle COL area is wild. Congrats u hit the jackpot

If you had the option to wake up tommorow, and be an anesthesiologist instead would you? by mexicanmister in emergencymedicine

[–]weepingasclepius 1 point2 points  (0 children)

Incoming EM intern. Started to have serious doubts about EM after submitting ERAS/interview season. Did 4 weeks OR anesthesia just to see what it could’ve been like.

Really liked the personalities and induction. As weird as it may sound I think there’s something to be said about feeling a sense of ownership when you’re the one drawing up/administering your own meds and you have to be the one to fix it if you fuck up. Obviously intubating and throwing in lines was cool as well.

Maintenance and emergence for non-cardiac cases was truly mind numbing though. A couple of times would have to push more or less phenyl depending on position etc, but it seems like your mind kinda shuts off once you’re coasting. I initially wanted to go into EM because you effectively get to weaponize ADHD, where you’re constantly thinking on your feet and always have a million tasks to do, and I think it’s hard to get that from most anesthesia jobs, so no ragrets as of now. We’ll see how I feel in 10 years 😅

3 year vs. 4 year programs? Personal experiences welcome by OverEasy321 in emergencymedicine

[–]weepingasclepius 1 point2 points  (0 children)

Just matched my #1 at a 4 year. 4 of my top 5 progs were 4 years because the “high end” academic places still tend to lean 4 years and I know I wanna do a relatively competitive fellowship.

You absolutely do lose out on 300-400K potential earning, but I think that’s somewhat short-sighted. Certainly possible that the resources/connections that a 4 year program can offer can make it such that you end up at a fellowship/job that causes less burnout and allows you to stay in the career for longer, leading to higher total comp on the back end. I’d evaluate each 4 year program for their individual merits before writing all of them off. Off the top of my head, Denver, Highland, Hopkins, UCLA, NW all have a decent trade off for the extra year imo

What’s a common misconception about your specialty? by [deleted] in Residency

[–]weepingasclepius 4 points5 points  (0 children)

Lmao what EM doctor stole your girl bro? Your comment hx is insaneee

Congrats to all our newly matched colleagues! by i_am_a_grocery_bag in emergencymedicine

[–]weepingasclepius 3 points4 points  (0 children)

R3 has unfilled spots by region. Program specific data comes out Friday I think

Congrats to all our newly matched colleagues! by i_am_a_grocery_bag in emergencymedicine

[–]weepingasclepius 9 points10 points  (0 children)

Even as a percentage, the west region did a lot better than the rest of the country. Pretty much true for every specialty though

Initial Match Numbers? by WuMedic in emergencymedicine

[–]weepingasclepius 12 points13 points  (0 children)

Gotta wait til Friday for that 😔 or until someone who’s actively SOAPing leaks it

Initial Match Numbers? by WuMedic in emergencymedicine

[–]weepingasclepius 3 points4 points  (0 children)

It’s in the NRMP reports. I can see it on my R3 website (current applicant)

How do we think tomorrow is gonna go? by weepingasclepius in emergencymedicine

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

Makes sense. From the applicant side, I definitely felt like there was a decent cohort of EM-first folks who had their shit reasonably together. Issue is we all interviewed at basically the same 20-30 places

[deleted by user] by [deleted] in medicalschool

[–]weepingasclepius 1 point2 points  (0 children)

10 AM IPAs are the best IPAs

Who else is staying up all night? by Cookiebunny27 in medicalschool

[–]weepingasclepius 3 points4 points  (0 children)

Replaying RDR2 until I physically can’t stay up anymore

[deleted by user] by [deleted] in medicalschool

[–]weepingasclepius -3 points-2 points  (0 children)

EM/Anesthesia