servingtheLord

@armyemdoc An ER doc would not look at a coding patient next to them if he is "admitted"... sad truth

There's a reason why hospitalists exist, and there's a reason why intensivists exist. After the emergency screening and stabilization are performed (or at least started), this demonstrates why handing the patient off into the next step in the chain of care is important. ED overcrowding is a real thing.

@Suburbanbella Some specialties are easier than others...

Yo, Allergists/Immunologists, the 13 years it takes you to learn your craft is apparently "easy to master" because it's the same thing "over and over" according to the NP who was a new grad when she began working in your specialty.

@RSoistmann52 @residencyreview Been hearing that for 10+ years... Probably will keep hearing it for another 10 years without anything changing. Good luck to you.

@docforChrist @residencyreview Wow what an entirely unhelpful comment. By their tone, it’s very clear that they’re trying to make sure others don’t feel alone. Solidarity is often the first step in pushing back.

THERE IS A MENTAL HEALTH CRISIS GOING ON IN RESIDENCY AND ITS BEING MASKED OVER BY “HISTORICAL NORMS” BUT I CHALLENGE YOU TO FIND A RESIDENT WHO HAS NOT STRUGGLED WITH THIS OR PERSONALLY KNOWS SOMEONE WHO HAS.

@emily_fri This came from the airplane manufacturing when boeing and lockeed where fighting for engineers... Who was the first doctor desperate (coward?) enough to sign a non compete is the more interesting question.

Who was the first person evil, bold, and petty enough to be like "you know what, I should be able to control where this person works for a full year after they no longer work for me," and then able enough to convince everyone else to get on board with it?

@CoffeeBlackMD Best way to red pill a democrat: give them what they want

It’s almost like uncontrolled immigration into any place is a bad idea? Who could have possibly predicted this would be the outcome?

@TheNotoriousHPB A surgeon will be involved ? Or his poor intern ?

Repeat after me: 1. Jaundice is a surgical disease until proven otherwise. 2. Surgical disease does not mean surgery is necessary or sufficient, it means a surgeon should be involved in the decision making early to help guide workup and management.

@Suburbanbella You don't see the problem ?

@docforChrist So?

Sigh...I'm going to keep posting this s**t until something changes to stop this insanity. This is someone who thinks medicine is an algorithm. "What type or length of cough...?" THERE IS NO ALGORITHM PEOPLE!! But there is such a thing as history taking, a review of systems(ROS),

@CoffeeBlackMD Then they would ask you to leave a note

Sometimes I wonder if some of my colleagues would like to consult me to hold their dicks while they pee. Look shit up. Think. Order additional testing. I’m not the only guy in the hospital who can do this.

@_margopolo aren't you guys vaccinated ?

A coworker of mine tested positive, felt sick, came to work and sat at the nurses’ station unmasked last night. Guess she got us all a Christmas gift?

@bassoonapillar Be careful with post like that... They will find a way to reduce his salary to make you both equal.

@pppforpatients Stop shitting on the mid levels... If it was an ER doc, it would just be another day, another consult for surgery. Seen many misplaced chest tubes by ED docs.

Chest tubes don’t belong in the Aorta.

@drbrianwilliams Maybe Texas is not the best place for you

I understand the most critical crises facing Texans because I’ve faced them firsthand - operating on victims of gun violence, helping families navigate the healthcare system, and caring for women facing death due to reproductive emergencies. essence.com/news/brian-wil…

@bfhermann @jzaraterod Comparing residency then and now is fruitless... Like comparing Marciano to Ali. None of my attendings would last a day in my shoes, they would be reported to HR after 2hrs if they had to deal with the ER consults I see.

@jzaraterod Well, work hour restrictions haven’t made residents happier, but without question it has decreased their experience. If you’re OK with a lesser experience than your predecessors, good for you I guess. pubmed.ncbi.nlm.nih.gov/23325404/

@melina_manolas To have holiday bonus you need to have holiday...

A holiday bonus would be so nice right about now But wait… those don’t exist for us

@armyemdoc Does that prevent you from calling surgery ?

Are you a big believer in evidence-based medicine but also engage in superstitious behavior? My superstitious behavior is keeping a #10 blade in my pocket during every emergency intubation. It wards off the difficult airway spirits. #emergency #emergencymedicine #foam #foamed #foamcc #army #armymedicine #armyemdoc #meded #trauma #icu #criticalcare #meded #airway #medx #medtwitter

@mymomthesurgeon Eradicate the term won't eradicate the concept and reality of it...

When patients get described as “VIP”s it insinuates that other patients are not very important people. Since we try to give our very best to everyone I suggest we eradicate term “VIP” from the healthcare dictionary.

@sloaneguy They don't care... It's like visiting the mine for them.

This is a good thing. Over the years have tried many times to get non-clinician hospital CEO’s into the OR and ICU but few have actually come. I honestly think it’s scary for them outside the C-Suite. But it’s essential if they want to really lead us (clinicians). beckershospitalreview.com/hospital-manag…

@olsonplanner Surgery: Pro: you become the best doctor in the hospital Con: you work too much

Doctors - A number of med students have asked this question about a variety of specialties so I would love to hear your feedback: What’s the biggest challenge about your specialty? But what’s the best part of it?