- Joined
- Mar 24, 2009
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So, this is gonna be part catharsis (had the worst run of shifts EVER last week), part griping, with a helping of legitimate curiosity if I'm really the black cloud/dumpster fire I seem to be. This doesn't even account for my 1st residency program closing 45 days into my intern year, or doing residency at the height of COVID.
So, here goes...
Job #1 ends before I ever start. CMG 1099 paid me a stipend through residency and moving allowance. Call me 4 months before graduation to tell me COVID cut the visits down and they didn't have a job for me after all. Laughed all the way to the bank with their money, even the recruitment bonus I got when the co-intern that I recruited somehow kept their job and made 60 days
Job #2, started out as an employed SDG with a potential partner track in a community shop with an EM residency. Sold to CMG and converted to 1099 4 months in. Wound up core faculty. But, I was assaulted no less than 6 times by violent psych patients, and completely thrown under the bus by admin when I defended myself. Boarding issues out the wazoo, working with the IM residents and hospitalists to keep boarded ICU patients alive, while trying to run the ED. I've talked about the hypothermic arrest in another thread here. Pushed Dantrolene on a boarded ICU patient. 3 Level 1 traumas 3 nights in a row and closest anyone has come to doing an ED thoracotomy there.
Job #3, across the river from #2, Employed CMG. Community shop, busy as hell. I've seen at least 3 necrotizing fasciitis patients there. A legit status epilepticus, True myxedema coma, aortic dissection. 2 shifts ago, I used 3 crash carts and flew 2 patients out. Crazy census and acuity. The worst part was the 6 weeks my wife spent in the LTAC on the 9th floor there before she died. Took the month off and came back. Made it 7 months before the PTSD, and constantly running into people that cared for her became too much and went full time at Job #4
Job #4, Small community hospital down the road about 30 mins. It was attached to my hospital that closed intern year. Was bought by a psychiatrist and reopened as a pet project. I took over as ER director and things went downhill a couple of months after. Missed paychecks, no supplies, constantly broken CT, mutlple state complaints-enough they set up shop in the conference room. Got a phone call at 5:30 on a day off, telling me to get there, they were locking the doors as soon as the last patient was D/C'd. Multiple lawsuits from creditors, Power cut off for non-payment, ambulances repossessed, owner in hiding. Won't see my last paycheck and I'm having to find my own tail coverage. The last week we were open, had an overdose dumped off that got tubed, lined, and flown out. Then a chainsaw accident with arterial bleed that wound up an NSTEMI and flown out. Then a stroke that got TPA'd and shipped out.
I'm back at Job #3 and #3.5 (affiliated critical access) part-time until my new job starts June 2nd. Hospital employed, independent system, multiple opportunities for advancement. Already scheduled to give an EMS/Disaster Med lecture to the residents. Looking forward to stability and teaching again.
So, here goes...
Job #1 ends before I ever start. CMG 1099 paid me a stipend through residency and moving allowance. Call me 4 months before graduation to tell me COVID cut the visits down and they didn't have a job for me after all. Laughed all the way to the bank with their money, even the recruitment bonus I got when the co-intern that I recruited somehow kept their job and made 60 days
Job #2, started out as an employed SDG with a potential partner track in a community shop with an EM residency. Sold to CMG and converted to 1099 4 months in. Wound up core faculty. But, I was assaulted no less than 6 times by violent psych patients, and completely thrown under the bus by admin when I defended myself. Boarding issues out the wazoo, working with the IM residents and hospitalists to keep boarded ICU patients alive, while trying to run the ED. I've talked about the hypothermic arrest in another thread here. Pushed Dantrolene on a boarded ICU patient. 3 Level 1 traumas 3 nights in a row and closest anyone has come to doing an ED thoracotomy there.
Job #3, across the river from #2, Employed CMG. Community shop, busy as hell. I've seen at least 3 necrotizing fasciitis patients there. A legit status epilepticus, True myxedema coma, aortic dissection. 2 shifts ago, I used 3 crash carts and flew 2 patients out. Crazy census and acuity. The worst part was the 6 weeks my wife spent in the LTAC on the 9th floor there before she died. Took the month off and came back. Made it 7 months before the PTSD, and constantly running into people that cared for her became too much and went full time at Job #4
Job #4, Small community hospital down the road about 30 mins. It was attached to my hospital that closed intern year. Was bought by a psychiatrist and reopened as a pet project. I took over as ER director and things went downhill a couple of months after. Missed paychecks, no supplies, constantly broken CT, mutlple state complaints-enough they set up shop in the conference room. Got a phone call at 5:30 on a day off, telling me to get there, they were locking the doors as soon as the last patient was D/C'd. Multiple lawsuits from creditors, Power cut off for non-payment, ambulances repossessed, owner in hiding. Won't see my last paycheck and I'm having to find my own tail coverage. The last week we were open, had an overdose dumped off that got tubed, lined, and flown out. Then a chainsaw accident with arterial bleed that wound up an NSTEMI and flown out. Then a stroke that got TPA'd and shipped out.
I'm back at Job #3 and #3.5 (affiliated critical access) part-time until my new job starts June 2nd. Hospital employed, independent system, multiple opportunities for advancement. Already scheduled to give an EMS/Disaster Med lecture to the residents. Looking forward to stability and teaching again.
