Because I'm a first year and don't really know a damn thing yet, I need to ask you guys an honest question. I have been told that after a splenectomy a major risk is death from infection by encapulated bacteria (mainly pneumococcus, H. influenza and meningococcus). I know from experience that as an EM physician, I can pretty much count on one of those getting coughed in my face each day. I've had the pneumococci and meningococci vaccines and get the flu shot asap each year. If the splenectomy did have to happen, would EM just not be a good choice? I know that every specialty will have contact with these things, but EM just seems like one of the worst. Thanks guys and gals.