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NLengr last won the day on March 1 2020

NLengr had the most liked content!


About NLengr

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  1. I have told my fellow staff and co-workers: We are going to wartime footing. The country needs to react like this is a war. So far, we have been.
  2. Honestly, once/if the volume starts to increase it will be all hands on deck if needed. Both the resident and the staff will be seeing different COVID patients.
  3. That's what happened in 2009 with H1N1. The med students and residents just kept working. This has the potential to overwhelm the hospital system in Canada, so everybody will be needed to help, residents included.
  4. Just wanted to comment on lines since it got mentioned way up this thread. Femoral lines are a great back up for both central venous access and arterial lines. They are relatively easy, can be done blind and unlike subclavian and IJ lines, there isn't a mess of important stuff in the area to hit. And unlike a radial art line, a femoral art line is a nice big pulsing vessel, making it easy to get.
  5. You certainly don't have a criminal record if all you did was get sued and found liable. Just call CMPA. It's probably not a major issue. Lots of doctors get into financial difficulty and can still practice.
  6. My buddies in business have had all non essential travel cancelled. They work in Canada.
  7. I agree with the above. Bowel sounds are BS. The colon, small bowel and stomach all start moving at different times post ileus. Do the presence of bowel sounds means nothing about the lack of ileus.
  8. I don't think academic guys work more than community. Plus, they also have residents and fellows who do a ton of work for them and shield them on call. My buddy is an academic IM guy, and even covering general IM call in a tertiary center, he is in there was less than I am as a community surgeon in a rural center because he has residents protecting him. The way I look at academic vs community is you get paid less in the academic world for a trade off of less crap cases, residents/fellows to do all your scut/call work and a large community in which to live. ***just realized thi
  9. I would try to spend time with people who are gonna be on the selection committee. Also, would general peds give you a better idea of what the program is like overall vs. a subspecialty elective?
  10. Hang in there. It's an awful year and now complicated by an awful situation. You will get through it. Like my grandfather used to say to my dad, my dad to me and now me to my own kids when everything looks bleak: "This too shall pass".
  11. Cancel. Europe is going to shit and will get worse. Plus if you get sick at all within 14 days of your return, you'll have to self quarantine.
  12. The stability comes as a very high price of limited mobility. It is far, far easier to move jobs as a mid level than it is as a physician, especially if you are in a specialty with limited job opportunities. I frequently wonder if it is worth it. The autonomy is mostly for FFS physicians (I worked a salaried corporate non medicine job before I went to med school). Salaried physicians have much less autonomy than FFS.
  13. In my opinion, we have too many RNs working in the OR. LPNs could easily do the majority of the work. It's organization and planning work to a large degree (making sure proper equipment is avaliable, planning how to get the OR to run efficiently that day etc.). It's very important and doing it well is a skill but it isn't like you need core nursing skills to do it. Part of the overall "shortage" hype is political/union rhetoric. We could improve the shortage by more efficiently using the RNs we have (like using more LPNs in the OR and putting the RNs in other areas that need RN skills) bu
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