12 reasons NOT to go into ER

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Jarabacoa said:
The man has a point. The self imposed "White Knights" title is far more than a bit impertinent and narcissistic. The rest of the army is rolling their eyes and giving us the bird. Now we've mooned them and we are all happy.

Why don't we call ourselves the Red-Headed Children of Medicine. Come on, we are everyone's favorite specialty to hate.

Lets perform the following thought experiment:

I'm going to describe our occupation, at least how it can feel about 1% of the time.

We work at night more than others because the demand for our services never goes away. We are forced by our bosses to see clients that are often crazy, demanding, and sometimes, simply dangerous. Our job is generally pleasurable, but on occasion, must be performed with such time constraints and on such nasty people that there is no pleasure derived on our part. The services we provide, and that are sometimes demanded by people are sometimes detrimental to the person involved. Why do we do the job in those times? Because the pay is good, and we'd be in REALLY big trouble if we didn't.

What other "occupation" fits that description?

What?
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Nursing :cool:
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I don't think any of us are heroes. A hero is someone who puts his or her life/safety on the line for the benefit of others with no expectation of compensation. I also don't think firefighters/police are heroes, but perhaps my expectations are too high.

The radiology guy slamming us is a *****, and he's doomed to be unhappy in his career, especially if he pisses off the ER docs he's going to have to work with.
 
So you agree with my point and then call me a *****... brilliant!
 
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Name calling on an internet forum... now that takes smarts. If only ER docs spent less time on the internet and more time actually doing physical exams on the patients in the ER, they would not have a 95% negative CT rate.

Nothing but overpaid triage nurses.
 
calespine said:
Based on his past posts in this and other threads, he's an obvious troll. Can't you ban him as a mod? Just wondering- either way, he's on my ignore list, but I hate to see him ruin a great thread.
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No one has done anything that warrants a ban or even an infraction yet. This tangent came up over the "Hero" thing. I sincerely hope everyone involved will just let it go and we can move on with the thread.
 
Jarabacoa said:
The nurse gets a little uppity and says, "A second liter? You must give your kids whatever they want too."
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It's the attitude that permeates throughout the hospital that drives me nuts. Sure, I advocate for nurses, in fact everyone, for standing up and vocalizing their opinions. However, there are definitely more professional ways of doing so than the way this particular nurse did. A simple, Hey Dr. what do you think about doing X for Y reasons? I had a similar experience a few days ago, and yes, it ruined my day.

Why is it that hospitals in general are meccas for a-holes? Is it that the bureaucracy can't weed it out? Maybe some egotisticals become too important that they cannot be fired & their attitudes trickle down? I always thought people in hospitals would be nice. Boy was I wrong.

Work environment is SO important in any job... kind of makes me want to quit.
 
Another thing I am starting to notice is that single coverage in a semi-busy ED is a bad thing. If you have one critical patient, you spend all your time with them and everybody else gets pushed back in time. If you get more than one critical patient at a time, bad things are bound to happen eventually. I'm sure this is occurring more frequently than where I am. Something to think about for those considering EM. (and for those searching for jobs)
 
BAM! said:
Why is it that hospitals in general are meccas for a-holes? Is it that the bureaucracy can't weed it out? Maybe some egotisticals become too important that they cannot be fired & their attitudes trickle down? I always thought people in hospitals would be nice. Boy was I wrong.

Work environment is SO important in any job... kind of makes me want to quit.
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Hospital bureaucracies select for passive-aggressive personality types. These people tend to not advocate for major change, they don't rock the boat, and don't cause trouble for the other bureaucrats. They typically will not address specific concerns or complaints with you, but will rather speak in "generalities". They are not interested in hearing your side, as you are clearly guilty and they just want you to acknowledge the complaint.

I deal with several of these people within my own ED group and within the hospital. They are incredibly annoying.
 
GeneralVeers said:
Hospital bureaucracies select for passive-aggressive personality types. These people tend to not advocate for major change, they don't rock the boat, and don't cause trouble for the other bureaucrats. They typically will not address specific concerns or complaints with you, but will rather speak in "generalities". They are not interested in hearing your side, as you are clearly guilty and they just want you to acknowledge the complaint.

I deal with several of these people within my own ED group and within the hospital. They are incredibly annoying.
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I agree.

It's this attitude in administration that results in an inability to understand systemic problems in institutions. We all know there are systems issues, disasters waiting to happen out there. But when they happen, as we knew they would, the result of the "sentinel event" investigations is always to affix blame to some scapegoat(s) rather than deal with the actual problem which is always more expensive.
 
I submit that reasons #10, 9. 8 and 1 apply to all specialitys with a signifant inpatient population.

I have said many times that I feel like my MD degree is only good for signing orders others want me to write. I get plenty of "you can't order this in this way" calls too. Anybody with inpt population does.

Nursing/tech issues aren't limited to ED. The vairation occurs on all floors.

Whiny, entitled pts wind up being admitted to all services. Even if they have a legit problem and need surgery, some are whiny and demanding, others are pleasant. The whiny ones really can wear you down. Some days it's all I can do to keep it together. When I leave the hosptial, I often need time away from all people just to regroup.

And I never heard the President of the United States of America claim that ED docs are perfoming unnecessary surgery in order to make $50,000!!!
 
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I did 2 1/2 yrs in the county ER in Vegas. It included:

a. cops brought pts they had billy clubbed, on their way to jail...handcuffed them to exam table so I could sew...had an HIV positive guy try to bite my hand as I sutured his eyelid
b. guys who rode the rails would hop off and show up in the ER...mostly what they needed were showers and clothes from our clothing closet (donations from community members), and a meal
c. nurses seemed to have about an 80% smoker rate...they went outside a lot to smoke, then would come inside and start throwing clipboards around to vent their anger
d. lotsa passive-aggressive nurses, and the docs' complaints to the nursing supervisor had little effect
e. exam rooms poorly stocked...wasted a lot of time tracking down what I needed
f. had 16 hr shifts for a while...then they went to 12's
g. got time-and-a-half on holidays, but it got old working Easter, Christmas, etc.
h. no local dental care for the poor...I had learned to pull teeth while working in Honduras, so pulled them if they had a lot of pain / abscesses / infection going on (if indicated), since I knew they were revolving door through the ER, just getting told, you need to see a dentist...also learned appropriate antibiotics for these dental cases
i. looked in a lady's ear, and saw a live roach crawling around (I used mineral oil to kill it, then irrigated it out)
j. seemed like babies and kids never stopped screaming...it was hour after hour of screaming kids some days
k. trauma team got ~1 drowning per week (lotsa pools in Vegas)...very sad seeing small kids who have drowned
l. no time to eat, or use the bathroom, some days
m. pts would wait for long hours to see me, then have no money for their scripts (so, revolving door back again, quite often)
n. "frequent fliers" notebook was kept in a certain drawer, to keep track of the drug seekers...Toradol helped pacify some of them, since they hadn't heard of it before back then
o. street value of blank script pads was $5/page, so we had to guard our Rx pads carefully
p. homeless...often crusted in dirt, etc. + lice + really bad foot troubles from walking the hot pavement shoeless
q. can't recall ever getting any good back-up from social work...hopefully it is better nowadays
r. BUT, I did learn a lot
s. got off on 2 potential traffic tickets with a warning, when the police saw my white coat (I'd be driving home really late, really tired, and roll through stop signs a little...fail to come to a complete stop) // they'd say "hey, if I get shot, I'll be coming to see YOU guys at UMC"

Don't miss it!
 
You didn't have Miles for Smiles yet? It's a mobile dental clinic (a converted bus) run by the county health department that goes into low income neighborhoods in the Vegas area and brings their services directly to those who need them.

The dentist who runs it was a classmate of mine in elementary school. :cool: His parents got divorced and they moved away; I don't know where to, but that's where he is now.
 
GeneralVeers said:
Hospital bureaucracies select for passive-aggressive personality types. These people tend to not advocate for major change, they don't rock the boat, and don't cause trouble for the other bureaucrats. They typically will not address specific concerns or complaints with you, but will rather speak in "generalities". They are not interested in hearing your side, as you are clearly guilty and they just want you to acknowledge the complaint.

I deal with several of these people within my own ED group and within the hospital. They are incredibly annoying.
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I also hold some anger inside about these kinds of things. I'm sure it is not evident in my recent posts. There is a huge amount of hypocrisy with these administrative types. When they arrived in medicine, it was a different world. I was talking to a couple of older nurses the other day, who worked in the ER in "the old days". 30 years ago, when a doctor walked in the room, the nurses all were expected to stand at attention, curtsy, and offer their chairs to the doctor. I'm serious, they did that!


The borderline chest-pain patient from above has been to the ER 5 times since, and has been admitted to the hospital twice (just because he insists) with several out-patient cardiology visits, with 2 different cardiologists. The time before, he came to the ER, they actually forced the psychiatrist come down and evaluate him. He recommended a firm, no nonsense approach, and to not put up with his inappropriate behavior in the least. He actually supported my approach and told administration that they were making the patient worse by continually meeting with him, and forcing doctors to admit him to the hospital.

The psychiatrist told me stories about the doctors who trained him taking patients who were borderline and frequented the psych ward to the top of the hospital and telling patients to jump as a therapeutic measure to force their hand and de-escalate their behavior. One of my attendings in residency related to me that he once did the same thing with a ER frequent flier "suicidal" patient...

Can you imagine the headlines if you did something like that today? It would be on the front page of every .com news outlet and search engine news-subsection that exists.

The nurses who have worked with my boss for 20 years, recall an instance where he told the above patient I got in trouble about to "leave the ER and don't come back for a month!" He was much more rude to patients than I have ever come close to being according to the nurses. In fact, one nurse says she initially didn't want to work in the ER, because he was so mean to nursing that he was universally feared.

I'm not advocating for a return to the assinine days of arrogant doctors storming around like God, meting out life and death. I'm pointing out the hypocrisy of a current administration who, coming out of training, never could have functioned in our documentation-heavy, patient satisfaction is god, medicolegal nightmarish conditions.

The worst ER doc to have is the one who has been transformed by the-patient-is-always-right culture created by endless, pointless administrative meetings. The nurses always hate it when those people work, because they have become so slow and bogged down with patient satisfaction, that they can't actually efficiently run an ER.
 
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This post cracks me up, but it's so true that it makes it almost not funny. I think every person who is going to go into medicine should work in the ER first. You see everything, learn a ton, but most of all see how it really is.

Half of the patients where I used to work we all knew by first and last name b/c they are there drug seeking so much. When they go to jail b/c for 10 years they haven't paid their medical bills for all of the dilaudid they've recieved (as a "take this pill and leave please"), everyone cheers they are gone for a while. And sadly, the comment about overdosing is true. I've literally seen mini-parties thrown for repeat offenders over the years who have met that end. It's truly sad and disgusting, but fact. It take away a little bit of what you are there trying to do in the first place.

Also, I have a pet peeve of seeing people in Wal-Mart wearing the hospital socks. ....Really? You are there so much that they become a part of your everyday wear? Come on...

That said, I can't imagine wanting to go into anything else - the few cases that are legit are completely worth it. More action, please.
 
I agree that these are spot on some of the 'negatives' for EM. However, I personally, even knowing them, would still make my choice. I went in with pretty wide open eyes and although I certainly didn't appreciate the subtleties of some of these points, I felt that overall, the negatives of EM were still far outweighed by all the positives.

I think an important thing to recognize is that there are goods and bads in every career. The question is: do the good outweight the bad and do the 'goods' have meaning to you. Personally, I can still recount all those patients that have reinforced why I love my job... I hold onto them and they counter the negatives by leaps and bounds, so it makes the negatives just triffle annoyances. Just part of the job and I let them go easily and hold on tightly to the things that make me love my field.
 
Jarabacoa said:
None of the consultants get paid at my hospital to be on call. The local group of orthopedic surgeons tried to band together and get paid for being on call. The hospital staff voted that if you belong to a group of 4 or more physicians, that you are required to (as a group) provide 24-7 call. Your consultants are lucky to get paid. Mine aren't and I'm a little more apologetic.
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Our hospital tries to pay groups to be on call - and they don't. They've offered up to $1K/call night (plus billing for whatever they get on-call). No dice. At the bigger, busier hospital, there are fewer services - like, hospitalist. That's it on some days - not even general surgery. GI? Neuro? As Sartre said, "Ha, that's a joke!" (and he was talking about Hell). Ortho is an old guy who is not per se on call, but will take simple things. One neurosurgeon told a colleague that his lawyer told him not to take any "complicated cases" (what the hell in NeuroSx is NOT "complicated"?).

At the smaller, but better-staffed hospital, there are 24/7 intensivists (and I was told that they are subsidized - they are heavily Pitt critical care trained), and I can get a lot of coverage by the "Asian mafia" - no one is on call, but I call and ask if they're available, and, if they are, they'll come in and do whatever it is (and we, thankfully, get a lot of spillover as to specialists from the nearby (3 blocks away) Japanese hospital (I kid you not - founded 1910 expressly for the Japanese - just like the Jewish hospitals in NYC in the mid 1800s)). I can get GI and neuro, and sometimes uro, and always general surgery and cardiothoracic, and I'm building up good capital with the Asian (Chinese, Japanese, Vietnamese, Thai, Korean and Filipino) doctors.
 
Jarabacoa said:
11. I got a call a few months back from a local paramedic, who I trust, who said a woman fell from a significant distance, lost consciousness, then seized. She was given some ativan on scene and she came around, was talking, and only complaining of headache. She was protecting her airway and her vitals were stable, with no abdominal trauma or chest trauma that was obvious on physical or history. He said he was calling the helicopter to meet them at our hospital for emergent transfer to a trauma center with a neurosurgery availability as he thought she was at high risk of head bleed. I said, "Sounds great, get her out of here." A few weeks later, I was informed this was an EMTALA violation and I should have admitted her to our ER, generated paper-work, and then sent her out, to fulfill our EMTALA obligation. If I had told them to avoid our premises, say in a field somewhere, that wouldn't have been an EMTALA violation as they didn't come near our property. The fact that a helicopter pad is the best place to land for a helicopter doesn't factor into the equation.

The fear of breaking federal law gets in the way of doing what is right for the patient.
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I have had to deal with this issue as an ED physician and EMS medical director. To the best of my understanding, if the hospitals helicopter is being utilized as a landing zone for a trauma, etc. then it is NOT an EMTALA violation. A hospital's landing pad may be utilized for a transfer of a patient from the care of the local EMS to the helicopter without the pt needing to be evaluated by the ED physician/hospital prior to the transport.
 
Would totally do EM again.
You have to have thick skin.
And an iron-clad bladder.
 
Thanks again for this informative post. I too have been looking for sometime for this type of info and I finally located it.
 
Jarabacoa said:
The worst ER doc to have is the one who has been transformed by the-patient-is-always-right culture created by endless, pointless administrative meetings. The nurses always hate it when those people work, because they have become so slow and bogged down with patient satisfaction, that they can't actually efficiently run an ER.
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I know this is an older post but I just saw this and wanted to give it :thumbup::thumbup::thumbup:

This is a real animal. It's the doc who will always give the zpak and talk to the chronic AP pt for an hour but usually can't make a decision on a critically ill patient. People with ET tubes don't fill out surveys after all!
 
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GoBuckeyes913 said:
Would totally do EM again.
You have to have thick skin.
And an iron-clad bladder.
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Best advice I've heard so far in the ED is to never start a code or a procedure with a full bladder, it always goes longer than you think. So when you hear the medics are 5 minutes out with CPR in progress, go pee right away.
 
jbar said:
Best advice I've heard so far in the ED is to never start a code or a procedure with a full bladder, it always goes longer than you think. So when you hear the medics are 5 minutes out with CPR in progress, go pee right away.
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Oh, boy howdy, young man, you do not know how on target you are with this post. That is EXACTLY what I do when I hear the 5 minute ETA.
 
Apollyon said:
Oh, boy howdy, young man, you do not know how on target you are with this post. That is EXACTLY what I do when I hear the 5 minute ETA.
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Sadly never thought about it that way...I always tried to figure out if there was anything I could do with the current patients before I get tied up. New things to try out!
 
I tell myself that I'm a lot more efficient and productive if I take 10 minutes to pee and wolf down a Cliff bar. I'm sure there are days where it isn't possible but worth trying.
 
EMDoc0411 said:
After doing EM for the last 6 years, my bladder is so large that I can go days without having to empty it.
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deuist said:
During a particularly busy shift I regularly go 12 hours without going to the bathroom. I wonder if I'm headed down the road of getting neurogenic bladder.
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I'm getting old enough to actually start getting worried about these things. About 5 years ago I started drinking water on my way into work and then I always bring a 1L+ bottle with me and drink it during the first 4 hours of my shift. That makes it so that I HAVE to go to the bathroom at some point during the first 6 hours.
 
EMDoc0411 said:
After doing EM for the last 6 years, my bladder is so large that I can go days without having to empty it.
Click to expand...

deuist said:
During a particularly busy shift I regularly go 12 hours without going to the bathroom. I wonder if I'm headed down the road of getting neurogenic bladder.
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docB said:
I'm getting old enough to actually start getting worried about these things. About 5 years ago I started drinking water on my way into work and then I always bring a 1L+ bottle with me and drink it during the first 4 hours of my shift. That makes it so that I HAVE to go to the bathroom at some point during the first 6 hours.
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Guys. Try some Lasix. It does wonders. Think of all the iPhone internetting time you'll get during your bathroom breaks. You'll love your jobs.
 
Jarabacoa said:
2. It is all about money. Many, if not most ERs in the country have become money generating boons to the hospital. The hospital administration, and the ER directors who generally work a lot less, if at all, want all the business through the ER that they can get. Where is the down-side from their perspective? The result is that most hospitals actually encourage BS complaints to come to their ERs. They WANT non-emergent patients. In fact, their bottom line depends on catering to people with non-emergent complaints, who use the ER out of convenience. Where I currently work, I have been told in no uncertain terms, that I will never, ever tell anyone that they are not welcome in the ER for any complaint day or night. That is a hard pill to swallow as I’m walking down the hall after the rare night-time nap, thinking, and “this darn well better be an emergency".
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I think you'll change your song on this if you become a partner (owner of that revenue stream.) There's nothing better than a well-insured patient who wants to pay me $300 to prescribe them bactrim for their UTI. Takes 10 minutes of my time, hardly any liability, usually nice people. If that's what they want to use their $100 co-pay for, more power to them. Now the medicaid/self-pay crowd, that's another story.
 
Jarabacoa said:
5. EMTALA has castrated our ability to put limits on patient behavior. Because we are legally obligated to see all comers and rule out emergencies, we have to put up with their poor behavior until we can do that. Private offices/physicians can just tell jerks to take a hike. They can screen up front with firm secretaries/nurses that don’t put up with guff, and will tell people “Pay the co-pay or get the heck out of this office. Behave yourself, or we will call the police.”
It is hard to not become jaded by the drunks, personality disorder etc. Sometimes, patients suck your compassion in a manner very akin to dementors straight out of Harry Potter. I don’t know about you guys, but a bad patient interaction can really turn me ornery for hours, or even days (a couple of times, a few weeks for me). You go into medical school with intentions of becoming a compassionate human being and after a really rough shift, you’d rather drop-kick the next patient that checks in for a BS complaint or behaves inappropriately. We are in a similar boat to police officers. We see the absolute worst of society- the rapes, the assault, the addiction, the stupidity, the slothfulness, the manipulative behavior, etc. It’s an environment that could turn Obama Republican. ...
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I know it's an old post, but agree with all 12 points, very well written!
Love the Harry Potter/Dementor analogy!
As far as the police officers... yes, I often think that, too. Sometimes the ER is like an episode of Criminal Minds without the ability to arrest and shoot.
 
Just an update to end the story.

I went to another job in another state. I work for a mega-group corporation. I have never heard about a patient complaint in the past 1.5 years (knock on wood). The administration stopped sending out patient satisfaction surveys to patients. The only patient satisfaction surveys that we send out are for admitted medicare patients as this is a requirement. My boss and our administration, including the nursing supervisor are all staunchly against providing chronic benzos or narcs out of the ER. If I look back and get the impression that somebody has chronic pain and I see no objective evidence of pain requiring narcotics, I don't give them narcotics, ever.

Moral of the story: Stay mobile. Don't be afraid to jump ship. Sometimes, the grass is truly greener. I couldn't be happier with my job. (Again, knock on wood).
 
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Jarabacoa said:
Just an update to end the story.

I went to another job in another state. I work for a mega-group corporation. I have never heard about a patient complaint in the past 1.5 years (knock on wood). The administration stopped sending out patient satisfaction surveys to patients. The only patient satisfaction surveys that we send out are for admitted medicare patients as this is a requirement. My boss and our administration, including the nursing supervisor are all staunchly against providing chronic benzos or narcs out of the ER. If I look back and get the impression that somebody has chronic pain and I see no objective evidence of pain requiring narcotics, I don't give them narcotics, ever.

Moral of the story: Stay mobile. Don't be afraid to jump ship. Sometimes, the grass is truly greener. I couldn't be happier with my job. (Again, knock on wood).
Click to expand...

:thumbup:
 
Jarabacoa said:
Just an update to end the story.

I went to another job in another state. I work for a mega-group corporation. I have never heard about a patient complaint in the past 1.5 years (knock on wood). The administration stopped sending out patient satisfaction surveys to patients. The only patient satisfaction surveys that we send out are for admitted medicare patients as this is a requirement. My boss and our administration, including the nursing supervisor are all staunchly against providing chronic benzos or narcs out of the ER. If I look back and get the impression that somebody has chronic pain and I see no objective evidence of pain requiring narcotics, I don't give them narcotics, ever.

Moral of the story: Stay mobile. Don't be afraid to jump ship. Sometimes, the grass is truly greener. I couldn't be happier with my job. (Again, knock on wood).
Click to expand...

Ditto on the thumbs up...I hope this is true ;)
 
Jarabacoa said:
Just an update to end the story.

I went to another job in another state. I work for a mega-group corporation. I have never heard about a patient complaint in the past 1.5 years (knock on wood). The administration stopped sending out patient satisfaction surveys to patients. The only patient satisfaction surveys that we send out are for admitted medicare patients as this is a requirement. My boss and our administration, including the nursing supervisor are all staunchly against providing chronic benzos or narcs out of the ER. If I look back and get the impression that somebody has chronic pain and I see no objective evidence of pain requiring narcotics, I don't give them narcotics, ever.

Moral of the story: Stay mobile. Don't be afraid to jump ship. Sometimes, the grass is truly greener. I couldn't be happier with my job. (Again, knock on wood).
Click to expand...

Yep, you have a valuable skill. Vote with your feet.
 
Jarabacoa said:
Just an update to end the story.

I went to another job in another state. I work for a mega-group corporation. I have never heard about a patient complaint in the past 1.5 years (knock on wood). The administration stopped sending out patient satisfaction surveys to patients. The only patient satisfaction surveys that we send out are for admitted medicare patients as this is a requirement. My boss and our administration, including the nursing supervisor are all staunchly against providing chronic benzos or narcs out of the ER. If I look back and get the impression that somebody has chronic pain and I see no objective evidence of pain requiring narcotics, I don't give them narcotics, ever.

Moral of the story: Stay mobile. Don't be afraid to jump ship. Sometimes, the grass is truly greener. I couldn't be happier with my job. (Again, knock on wood).
Click to expand...

:thumbup: Very happy for you. Thats the end goal! Happiness. If my job goes to crap, im mobile too (for now). Ill leave.
 
Rydney said:
Just stalking old threads, but seriously? No idea why the kids are estranged from the father the mother terrorizes them for even hinting at affection for? You think kids can just walk through that crap and end up with a normal relationship with their father? I went through this, my daughter didn't make it-too much mommy showering her with gifts if she hated me and showed it. My son and I are still tight, but he took so much abuse from his mother for refusing to give up time with me/get in line with his sister that he has emotional burdens for those reasons as well. And no, the courts never gave a ****, not even a little one. So next time you think no parent should have custody, get to know the other before you say that. My guess is the dad in your scenario went through so much he gave up, and yes, when your sanity is at stake it is easier to say you will just get to know your kids as adults.
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Wow. Way to focus on probably the most non-important piece of info in this thread.

Thanks for bumping it though, so I can read the beauty that is the first page of it.
 
Hey, if memory serves correctly - isn't there a sister-thread to this called '10 reasons TO go into ER"? - can a kindly mod please bump that one, or - educate me as to how I can access the older threads.

Don't say "Do a Search LOLZ!" - I put in "reasons to go into ER" and the results I got included:

"Class of 2016!!!!!!!!!!!!!!!!!!!!!!!!! !!!!!!!!!!!!!!!!"

"2014 APPIC internship Application Thread"

"Why Make 150k When 450k Is Out There?"

and:

"Pokemon!"

No joke; search function here is user-hostile.
 
RustedFox said:
Hey, if memory serves correctly - isn't there a sister-thread to this called '10 reasons TO go into ER"? - can a kindly mod please bump that one, or - educate me as to how I can access the older threads.

Don't say "Do a Search LOLZ!" - I put in "reasons to go into ER" and the results I got included:

"Class of 2016!!!!!!!!!!!!!!!!!!!!!!!!! !!!!!!!!!!!!!!!!"

"2014 APPIC internship Application Thread"

"Why Make 150k When 450k Is Out There?"

and:

"Pokemon!"

No joke; search function here is user-hostile.
Click to expand...

Do a search, NOOB!

Click on the "Search" tab, and the drop down window, well, drops down. There is a link for "Advanced Search". Go to that, and you can put in all of your modifiers.

If you can't do that, then you kinda fail at the internet.

If it's any consolation, though, I searched for "10 reasons", only in the EM forum, and from all time, and didn't find it (at least going by thread titles).
 
I saw "Advanced Search" and didn't realize it was a hyperlink. Its positioned right above that google search box, so I thought it was simply indicating that 'advanced search' would be a google search.

SMH.
 
RustedFox said:
Hey, if memory serves correctly - isn't there a sister-thread to this called '10 reasons TO go into ER"? - can a kindly mod please bump that one, or - educate me as to how I can access the older threads.


No joke; search function here is user-hostile.
Click to expand...


Soo...did you find it? Because I've tried a couple times to find this thread and I can't seem to get anything that jumps out at me at THE thread.
 
I did a cursory search; but did not find anything. (Sorry, NL Central race has 110% of my attention right now).

Wanna start a thread like that ?
 
RustedFox said:
I did a cursory search; but did not find anything. (Sorry, NL Central race has 110% of my attention right now).

Wanna start a thread like that ?
Click to expand...

I would like a thread like that! You should start it. I wouldn't mind hearing your perspective as an attending.
 
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