Weekly Wellness

Weekly Wellness 8/19/2017

You’re an extraordinary person. Maybe you’re thinking, “No I’m not. Today I froze when my attending asked me a question and I felt like a fool.” Or, “That’s not true. I fought with my girlfriend last night and feel terrible about it”.  Or, “She doesn’t even know me! How does she know I’m extraordinary?” I

HYFTF

High Yield For The Field: Jaw Reductions

Edited by: Jessica Zahn

Weekly Wellness

Weekly Wellness 8/14/2017

A recent study showed that, to an extent, people are less stressed when they pay others to do services they don’t want to do. Yet many of those same people, despite the perceived improvement in life satisfaction, don’t always pay for those services. Why? Because they don’t believe that’s what they “should’ be doing. We

Weekly Wellness

Weekly Wellness 8/4/2017

“Not everyone thinks the way you think, knows the things you know, believes the things you believe, nor acts the way you would act. Remember this, and you will go a long way in getting along with people” – Arthur Forman Sometimes it’s hard for us, both in our personal and work lives, to understand

EM/IM Sessions

EM/IM Sessions: Assessing Fluid Responsiveness

Bentzer P, Griesdale DE, Boyd J, MacLean K, Sirounis D, Ayas NT. Will This Hemodynamically Unstable Patient Respond to a Bolus of Intravenous Fluids?. JAMA. 2016;316(12):1298-1309. [paper] Why I chose this article We ask this question for every critically ill patient who remains hypotensive after what we believe is adequate fluid resuscitation. Knowing techniques to reassess these

Weekly Wellness

Weekly Wellness 7/24/2017

“One of my main regrets in life is giving considerable thought to inconsiderate people”. – Jarod Kintz What’s bothering you today? Early on we develop habits for how we deal with things that irritate us. Take a few minutes to think about the things that bothered you today. Was it somebody on their phone while

Weekly Wellness

Weekly Wellness 7/10/2017

“You are enough. You are so enough. It is unbelievable how enough you are.” – Sierra Boggess July is a month of transitions. Starting as an intern, transitioning to a senior or chief, beginning your life as an attending physician, teaching a new class of residents. And no matter how many years you have been

Critical Care

We Have No Beds: Ventilator Series

We Have No Beds: Ventilator Series Noninvasive Ventilation Part 2 Remember our 60 yo male with COPD who has been on NIV for about an hour, he was looking a little less sick, let’s check back in with him. (If you missed the last post click here) Our initial settings for the BiPAP: rate 8,

EM/IM Sessions

EM/IM Sessions: ED Management of Febrile Neutropenia

ED Management of Patients with Febrile Neutropenia: Guideline Concordant or Overly Aggressive? Baugh CW, Wang TJ, Caterino JM, et al.  Academic Emergency Medicine. 2017;24(1):83-91 [paper] Why I chose this article? It’s always interesting to find something that is practice changing, reasonable, and not commonly done. This fits the bill. I was always taught to admit febrile