Path's lead is shrinking..

[docB]

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The local news came and interviewed me about the heat. It was 117 today in Vegas. They asked me about heat stroke. I said I was against it.

 

[docB]

I haven't gotten home to see it yet. My wife told me that the sight of my face on the TV scared my daughter senseless for some reason.

 

[trkd]

Friend sent me this. Classic smoking mom.

 

[Jeff698]

I haven't gotten home to see it yet. My wife told me that the sight of my face on the TV scared my daughter senseless for some reason.

I have a friend who does PR stuff for his police department. After an interview with local TV, his chief came in and talked with him about it.

"You have a face built for radio".

Ouch.

Take care,
Jeff

 

[SoCuteMD]

Well, now, you *do* have a baby face

Um, thanks, I think?

😛

 

[roja]

Um, thanks, I think?

😛

Well of course... and well, you know, you are *so cute*, your name is to a T. 😛

 

[EctopicFetus]

pad baby pad

 

[SoCuteMD]

Well of course... and well, you know, you are *so cute*, your name is to a T. 😛

Awwww...thanks.

I think you might need to work on your name. You aren't very red 😛.

 

[EctopicFetus]

very early am

 

[trkd]

very early am

Morning sir fetus.

 

[trkd]

 

[DropkickMurphy]

DropkickMurphy's lesson for today:
Do not volunteer to be the guinea pig for your sister (an apprentice tattoo artist) when it comes to piercings.

 

[DropkickMurphy]

 

[roja]

Awwww...thanks.

I think you might need to work on your name. You aren't very red 😛.

Its for the hair... 🙂

 

[SoCuteMD]

Awww 🙂

 

[EctopicFetus]

New paddage... i havent had much time to be on here.. Lots to learn during orientation.

 

[MirrorTodd]

DropkickMurphy's lesson for today:
Do not volunteer to be the guinea pig for your sister (an apprentice tattoo artist) when it comes to piercings.

The things people do for family eh?

 

[DropkickMurphy]

Yeah, I told my mother she is never allowed to tell me I don't do anything for my siblings ever again. She agreed.

 

[irrka]

is this year over yet?

i'm sleepy all the time, i'm all call before i'm ever rested from the previous call, i have an hour or two max after i get home before falling asleep, i have no life because i'm never awake when life happens and i'm miserable because i hardly see anything or anyone except for work and cat 😡

 

[leviathan]

Anyone trying to come to my ED this weekend gets to wait for hours on an ambulance gurney.

All right, I can live with that, as long as I can get some much-needed IV rehydration therapy from some moderately attractive nurses while I'm waiting. I'm guessing 115 degree temperatures + EtOH consumption will not be a good combination in myself or any of the other thousands of tourists stopping by Sin City this weekend.

 

[EctopicFetus]

is this year over yet?

i'm sleepy all the time, i'm all call before i'm ever rested from the previous call, i have an hour or two max after i get home before falling asleep, i have no life because i'm never awake when life happens and i'm miserable because i hardly see anything or anyone except for work and cat 😡

See the above for why 2-4 programs are rough...

 

[deuist]

See the above for why 2-4 programs are rough...

I take it that you're in a 1-3 program?

 

[EctopicFetus]

I take it that you're in a 1-3 program?

You take it correctly.. FWIW I prefer either the 1-4 or 1-3 programs just for continuity's sake and as a way to do even less floor months. IMO rounding on some pt for the 10th day isnt of much value for those of us who will be spending the rest of our lives in the ED.

 

[deuist]

You take it correctly.. FWIW I prefer either the 1-4 or 1-3 programs just for continuity's sake and as a way to do even less floor months. IMO rounding on some pt for the 10th day isnt of much value for those of us who will be spending the rest of our lives in the ED.

Good point. Why is it that some programs want us to do FP for a year before focusing on EM?

 

[DropkickMurphy]

Maybe they think we'll by some miracle have a change of heart and become FP docs instead

 

[docB]

All right, I can live with that, as long as I can get some much-needed IV rehydration therapy from some moderately attractive nurses while I'm waiting. I'm guessing 115 degree temperatures + EtOH consumption will not be a good combination in myself or any of the other thousands of tourists stopping by Sin City this weekend.

It may not be a good combination but it certainly is popular.

 

[SoCuteMD]

Good point. Why is it that some programs want us to do FP for a year before focusing on EM?

I think it's not FP, it's IM.

And I dunno.

 

[docB]

Crazy lady: I've been her three times for this already and three times you people told me it's all in my head.
Me: Correction: four times including today.

 

[DropkickMurphy]

I just saw a new record tonight for most recreational pharmaceuticals by one patient by history (pt's friends....he had the GCS of a lampshade), rapid screen and being independently verified by the lab.....the ED doc's words: "I'll pay for the damn tests to prove him wrong." How many drugs you ask?

 

[DropkickMurphy]

11 by history......9 verified by the rapid drug screen
1- LSD
2- PCP
3- Opiates
4- Amphetamines
5- Ecstasy (pending verification)
6- Benzodiazepines
7- Mushrooms (when they lavaged him, there were fragments of what looked like mushroom in the vomit)
8- Marijauna
9- Acetaminophen (I know.....not a recreational pharmaceutical but it came up on the drug screen)
10- Alcohol (0.21 BAC)
11- Barbiturates

 

[DropkickMurphy]

Oh, and apparently the amphetamines weren't doing it so the patient allegedly also took an "entire box" of caffeine pills. How this guy wasn't dead I have no idea....he was close though.....SBP of 75 and HR of 150 after a couple of liters of fluid courtesy of the medics (they weren't about to give him pressors because of the polypharm).

 

[leviathan]

Crazy lady: I've been her three times for this already and three times you people told me it's all in my head.
Me: Correction: four times including today.

Angry impatient man: I've been waiting here since 12:30pm and I want to see a doctor now!
Me: [checks triage notes] Correction: You've been here since 3:00pm, and it's now 3:45pm.

Off to the airport, have a good weekend y'all.

 

[MirrorTodd]

Bumping. No new posts in 5 hrs. What's wrong with you people?

 

[EctopicFetus]

Man anyone else feel ******ed everyday they show up at work? I show up.. fell ******ed for a few hours.. go home with my tail tucked between my legs.. I guess thats why it is called education.

 

[DropkickMurphy]

I felt kind of ******ed yesterday until I stopped an FP resident from killing an asthmatic patient. Then I didn't feel so bad in comparison. I also got to use the analogy of a dog humping someone's leg in clinical practice...... 👍 It was a good day.

See the "Great Quotes from the ED" thread for an explanation

 

[deuist]

******s are the only ones tat can be taught. The instant geniuses are dangerous to patients and need to be shown otherwise. Fetus, I notice that even thought you're in your internship year, you're still able to post regularly on SDN. Will we have free time in residency?

 

[irrka]

I think it's not FP, it's IM.

And I dunno.

and either IM or surg or transitional. but seeing as there's only one transitional program in nyc....

 

[EctopicFetus]

bump

 

[irrka]

fetus, i think i actually feel my brain cells dying every day. in fact i think the only thing that's growing in number are the papercuts from all the stupid paperwork.

 

[irrka]

and a bump to you too

 

[DropkickMurphy]

and either IM or surg or transitional. but seeing as there's only one transitional program in nyc....

I'd rather do a year of surgery than a year of FP or IM. But that's just me.....

 

[Apollyon]

I'd rather do a year of surgery than a year of FP or IM. But that's just me.....

I think you don't know what you are talking about. I DID a year of IM, thought it sucked, and STILL would do it again before doing 6 MONTHS of surgery.

FM has some variety, and there's only a month of surgery in the intern year, instead of 12 months of dressing changes, abuse, and no time in the OR.

 

[tkim]

I'd rather do a year of surgery than a year of FP or IM. But that's just me.....

Wait until you do a surgery rotation. You'll change your mind.

 

[docB]

It's Sunday morning and in Vegas that means it's time for The World Series of Dug Seeking!

 

[docB]

We've got the player in Bed 6 vying for morphine. Bed 12 wants Demerol which we don't use in the ER and since we're overloaded there's a pt in a chair in the hallway who wants phenobarb.

 

[docB]

Honorable mention to the drunk with the BAC of 380 who periodically wakes up and moans in his slurred way for pain med'cin.

 

[docB]

I just used a 50 cc syringe and a 16 g needle to shoot 250 mg of morphine directly into my brain. It didn't help. It's Sunday morning and nothing can save me.

 

[BKN]

I just used a 50 cc syringe and a 16 g needle to shoot 250 mg of morphine directly into my brain. It didn't help. It's Sunday morning and nothing can save me.

Hate to say this, but you don't have to work in addiction city.

 

[irrka]

12 months of dressing changes, abuse, and no time in the OR.

yup. that pretty much is summing up my intern year thus far. 3 weeks down. oh, and the sleep deprivation with a cherry on top.

 

[ERMudPhud]

It's Sunday morning and in Vegas that means it's time for The World Series of Dug Seeking!

Last night was a new one. I actually had a seeker asking for lactulose. He said, "I can feel my ammonia rising" To which I said how can you tell over the BAL of 380?