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Everything posted by GetMeOuttaThisMess

  1. Gaps won’t keep you from being employed at this stage. You can use any rationale under the sun to explain time away, i.e.-caring for a sick family member like I needed to do for a year and a half. What you have to decide is which anxious state is worse; being unemployed with a mental break from work, or being employed with income with mental stress?
  2. Don’t know that they’ve had anyone qualified to apply. Thanks on the retirement. Changing my name to GOT MYSELF Outta This Mess.
  3. Rev, you're also in a unique situation, somewhat similar to where I'm at to where we aren't "moving the meat" like so many others. I'm glad that you, and some of us others, are allowed time to partake in these discussions.
  4. Well, egg on my face. I wonder if they closed the application window? I agree that I don't see it either and yet the link previously took one right to it. If one is interested I guess that they could call HR and inquire. One of the asst. superintendents is handling the matter from what I've been told.
  5. Not getting a lot of interest in this position from PA's from what I'm gathering. If one has a year's experience in primary care I'd at least drop my hat into the ring and I suspect that you'd get an interview, though I'm not involved in the process since I'm the one retiring. Five weeks to go so they're going to have to interview soon. Folks, it doesn't get any easier than this, and especially considering the hours, bennies, PENSION after five years, and low stress. No chronic condition care, no GYN/GU aside from UTI's, no worrying about narcs/psychotropics, call, patient phone calls or messages!
  6. I’m upset because my feelings weren’t taken into consideration by forcing me to look up what the heck “woke” even means. Now I know and I won’t ever get that time back. There’s enough stuff to learn in school without having to deal with the social issues of the day. Learn about that in pre-recs.
  7. The write-off was under the itemized deductions. Don’t remember the specific from since we’re talking early aughts. Sent from my iPad using Tapatalk
  8. Cid, don’t make me put you back in the corner again today. If I’m elected president, I promise all Americans access to a catastrophic health plan for costs above a set percentage of your AGI to prevent medical bankruptcy. Other than that, eat your veggies, exercise, and stay away from the evil Ron McDonald. I am your conservative->moderate voice of reason. Sent from my iPad using Tapatalk
  9. The reason why is because in most settings there isn’t an opportunity for one to do one. EM attendings-> anesth>EM residents->med students, etc. Sure, you can understand the concept and go through the motions of intubating a mannequin but nothing beats real life experience and in my training setting back in the stone age those opportunities didn’t present themselves because of the med school hierarchy. When it’s all said and done, admissions are determined based on GPA, sGPA, experience/shadowing, and personal interaction skills at the time of the interview. As I’ve previously noted in the past, I lived dangerously during my interview by telling the faculty that I clearly demonstrated that I would be a steady as she goes provider based on my schooling track record and prior EMS experience. I couldn’t promise them that I would be an all-star like maybe a 4.0 GPA brainiac applicant that couldn’t tie their shoes without experience would but at least they would know going in what they were going to get from me at a minimum. It must’ve worked and I would like to think that I’ve been better than average. Not an all-star, but better than average. BTW, those in EM, as well as other settings, never know it all. It’s always a learning process. Sent from my iPad using Tapatalk
  10. Went to CVS three weeks ago, got my flu vaccine, and paid nada.
  11. And I bet none of them had tubed a patient during training. Sent from my iPad using Tapatalk
  12. Cid, you go to the corner and put your face there until I tell you to come out. You do NOT get dessert tonight. I, your Boomer parent, have to show you tough love. Yes, I’m getting mine so best of luck to the rest. You put me in the nursing home and I’ll pinch every last one of you. Sent from my iPad using Tapatalk
  13. Co-worker has one here and uses it to show patients findings. He’s happy with it considering the cheap price.
  14. In EKG interpretation you don't specifically reference a vascular structure, only areas of ischemia/infarction. For example, if an EKG shows an inferior wall infarction is it from the RCA or posterior descending branch? Anterior wall MI? LAD or diagonal? Posterolateral? LCx or an obtuse marginal branch?
  15. We're talking a positive, or upright R wave, when assessing the axis as PickRick pointed out. You are taught the the correct way to determine the axis is to find the most equiphasic limb lead and then look at the lead 90 degrees to it and determine if it is positive or negative and that will give you the axis. This is just a quick shortcut.
  16. Those with universal healthcare have a smaller population base, and without knowing for certain, a younger population base to contribute to the overall costs. We're an older society here and those generations coming behind the boomers don't contribute enough to pay for us geezers, in addition to themselves. With regard to your military spending statement, consider Canada, Switzerland, England, etc. and look at their military spending as a percentage of their GDP. It's all about priorities. The only way I see the U.S. in it's current state providing any form of universal healthcare for the working population would be in a catastrophic setting where expenses exceed a predetermined amount/percentage of income (avoiding a medical bankruptcy). As far as preventive care and chronic management are concerned the private sector and the current welfare state programs would have to continue. Another option, such as in my current work situation, would be for the employer to provide/contract for direct patient care through their own provider(s)/clinic or contract out with a defined healthcare network. The original health insurance carrier, BCBS in Texas, was designed for catastrophic coverage and not what we see today when everyone seeks care for a cold 3-4 times/year where what we offer is no different than what they can obtain OTC. Everyone demands to be better yesterday.
  17. Our EP advised the group that as long as R>S (PRWP) by V4 then we were ok in the absence of pathologic findings otherwise and we weren't concerned about ischemia.
  18. This is what I meant as well. Last ECG compared to this one. Thanks Pickle (Dill, I hope).
  19. My point was the assumption is that it is a baseline study w/o comparison.
  20. Even though I've posted this before it might be new to someone else. If I and AVF are both positive you have a normal axis. If I is positive and AVL is negative you have a LAD. If lead II is then negative in this setting there is also a fascicular block. If I and AVF are both negative then you have a RAD. Don't forget to know what a normal QT interval is. I never looked at the machine interpretation until I had read it myself just because I didn't trust the machine.
  21. How do you know that there isn't an interval change w/o a prior ECG to review?
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