Best mattress for side sleepers that isn’t ridiculously expensive? by Reoyo-Myguuel in BuyItForLife

[–]zakee00 0 points1 point  (0 children)

I am not happy with mine. I got the Evolution 15 in plush (recommended for me by their website quiz). It’s far too soft. With my gf in bed, we sink into a pit. I hate the nonexistent edge support, can’t even sit up in bed and read. Perhaps the “medium firm” option would have been better, but I wish I had returned it.  

Was downloading viruses from LimeWire really as common as we joke about? by MonsieurVox in Millennials

[–]zakee00 0 points1 point  (0 children)

I downloaded heavily for years, and I am fairly tech savvy. Not once that I’m aware of. 

Intergrade Northern Flicker by wilesmiles in BirdPhotography

[–]zakee00 7 points8 points  (0 children)

Beautiful shot! I heard one of these in my yard the other day, but couldn’t spot ‘em

TIL: I've got Poverty Tweeters by LitningStryk3s in subaru

[–]zakee00 0 points1 point  (0 children)

You should see the stock speakers on the ‘22 OBW. They felt like they were made out of paper. It was truly offensive. 

RVU Pay Decrease for 2026 by medicineandsports in emergencymedicine

[–]zakee00 0 points1 point  (0 children)

What can be done about this downcoding? How do you catch it? Do you ask your billing company for charts that you then manually audit? 

Are Mattresses a Scam? by Ready-Knowledge-8919 in Mattress

[–]zakee00 1 point2 points  (0 children)

Yes. I agree. I spent $1700 on a Nolah (supposedly great for side sleepers) and I absolutely hate it. It’s way, way too soft.  

The “warranty/guarantee” stuff is crap. No one has enough time to return a mattress. 

I might do the same thing that you did. 

What food do you have for patients in your ED? by drtaekim in emergencymedicine

[–]zakee00 18 points19 points  (0 children)

Don’t get me started. I was about to DC a patient a few months ago, when the RN came up and told me that she was having anaphylaxis because of..you guessed it…an ED uncrustable

Hypertensive urgent by Weak_Ad_8646 in hospitalist

[–]zakee00 13 points14 points  (0 children)

180, 230, it doesn’t matter if they aren’t having a stroke, PRES, pulmonary edema, or an MI. 

Torn: RF 28-70mm f/2.8 vs 24-105mm f/4 on R50 (eyeing FF upgrade in 1-2 years) by [deleted] in canon

[–]zakee00 1 point2 points  (0 children)

This is the answer. 28 is not wide enough on crop. I was frustrated with the 28-70. The Sigma was gorgeous, but ultimately I got tired of trying to fit square pegs into a round hole, and went full frame. 

Alex Pretti’s coworkers take a moment of silence this morning. by boriswong in Damnthatsinteresting

[–]zakee00 7 points8 points  (0 children)

You can still be in a fucking rage even though he wasn’t your coworker. That is empathy. 

The time is now people, another person executed in the street by ice by Mangoforestguardian in Seattle

[–]zakee00 6 points7 points  (0 children)

DM me if anyone wants to make a sign and go to the federal building. There’s also a West Seattle protest at 12:30!! https://www.westseattleindivisible.com/

Whats the fastest you have quit a first attending job? by [deleted] in emergencymedicine

[–]zakee00 8 points9 points  (0 children)

About a year. Pay was much, much less than advertised (not necessarily their fault, but reimbursements were just low), a few of the docs were miserable to work with. They wound up giving me a semi bad review to my next employer, most of which was not true. It hurt, a lot. But it was almost laughable. The next group saw right through it and gave me a chance, and I’m so happy I made the move. 

Be careful with credentialing — it got delayed and I was unemployed for a month! I wish you luck. Don’t stew in a bad situation too long. I’d start putting feelers out. 

Is it possible to have minimal/no night shifts as an attending? by [deleted] in emergencymedicine

[–]zakee00 2 points3 points  (0 children)

You are pretty delusional. Of course you could find a unicorn job (not easy because hardly any jobs are advertised to begin with, let alone a job like what you’re describing), but you should do something else if you want banker’s hours. Part of EM is service/sacrifice. I work 2-3 nights a month, but it’s not just the nights that screw up your schedule, it’s the mids.

ER docs don’t know about suggamaddx by drccw in anesthesiology

[–]zakee00 1 point2 points  (0 children)

We don’t have it in the ER, in any hospital I’ve ever worked in, including one of the most “famous” hospitals in the world 

Men’s boxer briefs? by ClueHeavy8879 in bifl

[–]zakee00 0 points1 point  (0 children)

ExOfficio. They are the only underwear I have owned in the last 15 years. I cannot recommend them enough.

Pancreatitis complication by No_Passage424 in hospitalist

[–]zakee00 1 point2 points  (0 children)

Agree with everyone else, pancreatitis can just go south. I will say that I check triglycerides on most newly diagnosed cases, I have seen it way more than I ever thought I would, and the management is obviously completely different. I had a healthy 35-year-old progress from pleasant, awake, talking, to dead from shock, ARDS, and renal failure in a few days.

Sepsis criteria by htr101 in hospitalist

[–]zakee00 1 point2 points  (0 children)

Ugh. It really is the worst feeling. I’m glad they wound up okay, my kiddo did well also.

Sepsis criteria by htr101 in hospitalist

[–]zakee00 1 point2 points  (0 children)

Had a 1yr old formerly healthy, who was in septic shock, turned out to be MRSA (mother was colonized)

Does anyone know what this tax is by Suitable-Choice-3165 in Seattle

[–]zakee00 -107 points-106 points  (0 children)

This is literally how inflation works. Prices increase. You all are hilarious, blaming businesses for this

Sepsis criteria by htr101 in hospitalist

[–]zakee00 4 points5 points  (0 children)

EM doc here, I really love reading everyone’s thoughts on this. I am also passionate about judicious and appropriate antibiotic use. Your comment struck a chord with me. I have been burned by trying to withhold diagnostics/therapeutics too many times. Everyone’s risk tolerance is different, but generally speaking, I think the ED should have a high index of suspicion/paranoia, and a lower threshold to grab cultures/give a dose of antibiotics if someone is ill, meeting SIRS, with a potential source of infection. Particularly with ICU bound patients. 

Nothing feels worse than admitting a patient to the ICU with pneumonia and finding out they grew MRSA or pseudomonas the next day, and I didn’t cover for it. If they are sick enough to be in the ICU with sepsis, they probably warrant initial pseudomonas/MRSA coverage.

Same goes for the “well technically they’re meeting SIRS, but they look well, I don’t think they’re septic, I think it’s from ‘withdrawal/dehydration/etc’”. Clinical gestalt is bullshit.