Recent content by allendo

Long time follower here and have a what I feel like is a strange situation at my workplace. I'm currently the director at my local EM shop. A new doc came in he is EM trained, and seems competent. This guy has been here a little over a month and has become involved in decision making that I...

OMG are you in Texas? I started telling my Fibro pts the stage of their illness a couple years back. Once they tell me they have fibro I pull up a chair and act very concerned and let them go through all their symptoms. When they finish I'll say hmmm that sounds like stage V Fibro, you better...

It just feels like a slap in the face. Especially since they have complemented us multiple times on fx reductions that followed up with them.

So I work in a small town of about 36k people at a level 3 trauma facility. I'm one of very few BE/EM docs in the region. The local Ortho group recently decided to open up a Ortho Urgent care. Thats fine and dandy but they have commercials on TV/Radio bashing the local ERs and the Docs. They...

Bingo!! I tell them everyday common sense has left the F***ng building.

In your shop are you currently being pressured to screen pts out? Do you personally do it? Whats the liability?

They are using the SIRS definition in triage to flag patients that could be septic. I tried to explain that I could run a lap around the parking lot and meet the SIRS criteria, you can imagine the blank stares I got. They are casting a wide net to not miss any septic patients, thus placing...

sounds sketchy

My facility is already doing this. Every time I order a blood culture on a kid they add a lactate. I recently had a nurse wanting to order labs and a lactate on someone who sprained their ankle b/c their vitals met SIRS criteria.

There seems to be this mad rush lately to build freestanding ERs. Does anyone have any first hand experience with these from an investment perspective? I'm conisdering cutting back on my regular shifts and buying into one of these.

If they quote a concerning number I work them up

At my hospital they are ordering lactates on any kid we culture? Anyone else experiencing this?

Why did the family keep a brain dead for 5 years? Was the family brain dead? Who did they think was going to pay for the cost? It's ridiculous that they could file a suit, they had a choice to pull the plug. Tort reform does work, but until the standard of care is practiced in every state...

Does anyone know how hard it would be to work locums in Canada? or to get a Canadian license?

When did Obama become a program director?