Recent content by Ceez

  1. Ceez

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    Not every SDG group job is appealing. You can go to EM Doc Jobs facebook group to see all the low ball offers. I once worked for a SDG that had a 7 year partnership track while paying below market hourly rates. I left after a few months when I noticed they were giving all the new hires below FT...
  2. Ceez

    Democratic Groups or Non-CMG

    One of the worst groups I've ever worked for was "Democratic"....below market pay, 7 year partnership track with shift requirement difficult to meet, signing PA charts without seeing the patient, patients assigned to doc by a triage RN. Best group I worked for was a small contract mgmt group. So...
  3. Ceez

    How often do you encounter patients from other countries with no travel insurance...

    Out of all the numerous inappropriate uses of emergency care, immigrants coming in for care isn't top on my list of annoyances. You seem to have a problem with immigrants, or maybe you just need a vacation. I'll trade you 10 of my American born drug seekers for one of your Indian dialysis...
  4. Ceez

    CMG Employed and Enjoying It?

    I've worked for a few of the large CMGs and a small democratic group. They are all capable of taking advantage of you.
  5. Ceez

    Recruiting dinners

    don't work for free side note: i had an attending in residency who used to give these talks. he would walk in, order his food to go, give his talk, and then leave immediately afterwards with his steak dinner in a bag
  6. Ceez

    How many have given TPA for massive PE?

    I've done it once. Had 30 y.o. F h/o PE, no longer on coumadin. Came in respiratory distress. Hypoxic on bipap. EKG showed strain. I shot a quick CXR which was neg for edema, PTX, CHF. I called pulm on-call who cautioned me about giving TPA to a patient w/o a confirmed diagnosis of PE. Said I'd...
  7. Ceez

    New San Diego EM Residency!!

    Are you guying hiring attendings? ;)
  8. Ceez

    Excuses

    My |family member/friend/significant other| is a patient here so I figured I'd get checked out since I'm here too.
  9. Ceez

    What percentage of your patients express enthusiastic gratitude towards you

    surprisingly 90% ..however, I can't remember the last time I intervened on someone that would have died without immediate medical attention thanking me...no biggie...hard to say thanks with a tube in your trachea :D ...but interestingly the family never says thanks...oh well, off to buy...
  10. Ceez

    Tylenol and asthma

    Giving antipyretics won't prevent a febrile seizure
  11. Ceez

    Community Docs Can't Handle the Simplest Issues

    I guess my biggest complaint about these patients that get referred from clinic to the ED is that the patient's primary doesn't communicate with the hospitalist. So the patient comes in with the expectation of getting admitted for something semi-urgent, and of course the HMO hospitalist is gonna...
  12. Ceez

    what do you give for DUB?

    U/S doesn't rule out malignancy. and syncope and low crit gets admitted, transfused, and inpt gyn consultation which equals problem solved. i know most of our patients have poor follow up but it's also important that we recognize the limitations of our training
  13. Ceez

    Bye Bye Propoxyphene

    Can we ban dilaudid? It would make my job a lot easier.
  14. Ceez

    EM attendings--do your groups have call??

    no call here.
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