Kiwiology

Dude I'm not gay

Nope, Ramen has too much salt and cholesterol mind you Campbell's soup probably has too ... 2009? Bloody hell! my car is 1996! Did you get tired of taking the subway mate? or did you get busted for turnstyle jumping too many times? I got busted for slipping through the gate and tried to leg it, much to my dismay I had recently purchased a Sunday copy of the New York Times and was therefore unable to run very fast. You know Emergentologist I find it interesting that your residency spots are paid for by the Government off the back of Medicare and you only get a stipend not an actual salary as such; our Registrars are employed by the applicable District Health Board and are subject to the collective employment agreement for residential medical officers so they have a budget for X Reg posts and if you're a Consultant in one ology but want to move into another ology and you're happy to fill a vacant Registrar post at the start of the training year and take the drop in salary it's all yours Now as much as I absolutely despise Modernising Medical Careers in the UK they have done two good things (in theory): one is replace the titles of House Surgeon/Senior House Officer with Foundation Doctor and they have something called he ACCS or acute care core stream which is where where the first three years of residency (Specialist Training in the UK) is the same for all Emergency Medicine, Intensive Care Medicine and Anaesthesia trainees then you do your final three years in whichever of the three specialities you pick. In theory if you wish to change to another in the future and get dual-Fellowship you only need to do the "advanced" latter training. Yes, the UK has the crazy idea that all speciality training should be six years except GP training which is three on top of the Foundation Programme i.e. the House Surgeon and SHO years. I mean it's not tooo dissimilar from here but some of our vocational training is four years, some five and some six and GP is three. I also find it interesting the term Resident comes from old time Europe when this guy (I forget his name) had the idea to make Doctors live at the hospital; the term House Surgeon or House Officer comes from Europe as rich people had a Doctor (Chiurgeon) as part of the house staff while the term Residential Medical Officer (meaning everybody not a Consultant) here is sort of a combination You can also find that stuff I uploaded for you here http://www.aus-sim.com/FSX.rar gosh I am so good to you Emergentologist, and you don't even have any single bloody nieces to hook me up with ... for shame

Ah fahgetabudit lets go get a pepperoni pizza

Thanks Doc, I have two chances so it's not the end of the world and if not work til I'm eek, 30 and save up large and do a four year degree in Australia. So I am watching Something the Lord Made; the story of Al Blalock and Vivien Thomas and their surgical correction of Tautology of Fallot; it's also a PBS Documentary Partners of the Heart and it's very good http://www.youtube.com/watch?v=llpXsaUeJp0

Your fault Emergentologist ... So I just heard from Doctology school; 20 seats and 150 applicants, ... yes hello is teh Jeebus available at all?

You know I never thought of this but the ambulance service sends a bill for attending a cardiac arrest as medical calls are not covered under government subsidy We saved your life now you owe us $90 sort of thing lol

Hell no I'm a laid back good ole boy redneck on the inside, I'd have my ass a pick up truck And I have concluded iPhone inferior to Android

So I was crunching some numbers US Anesthesiologist Four years pre med + fours years medical school + one intern year + three - four residency = Attending Median debt of medical graduate: USD170,000 (NZD155,000) PGY1 Intern stipend: USD48,000 (NZD58,000) PGY4 resident income: USD58,000 (NZD68,000) Total amount repaid at minimum repayment obligation: USD302,000 (NZD365,000) or USD2,000 per month for 12 years! Average salary: USD300,000 (NZD360,000) Federal income tax on avg salary: USD80,000 (assuming no deductions) or ~26% of income Average house cost: USD272,000 Average mortgage interest rate: 4% for 30 year fixed Can be sued: You bet your ass this is America, it's what we do! Awesome-post nominals: MD, FABA NZ Anaesthetist One year pre med + five years medical school + two intern years + four - six years residency = Consultant Medical medical debt: NZD85,000 (USD72,000) PGY1 House Officer salary: NZD75,000 (USD62,000) PGY4 Senior Registrar salary: NZD85,000 (USD72,000) Total repaid at minimum obligation*: USD86,000 (NZD105,000) or NZD2,000 (USD1,600) per month for just under 5 years Average salary: NZD140,000 (USD115,000) Income tax: NZD37,000 or ~26% of income Average house cost: NZD300,000 (USD250,000) Average mortgage interest: 7% (assuming 5 year fixed rate for 30 years) Can be sued: No, private suits extremely difficult, almost impossible, rarely succeed Awesome-post nominals: MBChB, FANZCA Hmm ..... I think this means you bloke pay more out the ass initially but your overall earning potential is much higher than ours I think this means I come work in US for a few years and I could quite easily save a million dollars in 5 years at USD300k p/a and I'm a frugal bastard; Consultant Anaesthetist Anesthesiologist living on 99c Campbells soup and taking the bus to work * if we stay in NZ until paid off our loans are interest free, if go overseas 7% interest pa

The good ole ambo trick of "more is better" does not always work, and the evidence seems to point away from doing fancy things because we think it will help or it will make us feel better for doing them; lidocaine, bicarb, calcium, atropine, pacing asystole, on and on it goes The only things that have ever worked are CPR and defibrillation; the rest is just physiologically plausible theories wrapped up in voodoo psychological spin that makes the person administering them feel good "about doing everything I could!" but have never been subjected to any sort of rigorous scientific analysis or if they had been they'd be out of fashion years ago by now My limited resuscitation order is for no adrenaline, no intubation prior to ROSC, no ventilations for the first ten minutes of my arrest and for somebody chant black magic while dancing around; hey that might be biologically plausible too right?

Yeah it's all Ruff's fault

Um, no ... you're never going to be as cool now in my mind then if your name was bad ass like Sal Desouzza or Lenny Stanatnataso or something It'd be totally cooler if my name was Jack Slade or Max Power or James Smooth or something ... but it's not, it's Ben, it's very sad But um yeah, hey got any single cousins or nieces under thirty? And dude tell your porn shop to get with the times, I have a loyalty app on my smartypants phone I can swipe over their thing

Yes he an instructor but I think he is in the Navy full time now, are you looking for lessons? When I was involved with the FAA-CADP project back in 2006-2008 I became certified to work the CAMRN sector of the N90 TRACON - the New York Terminal Radar Approach Control facility located in Westbury, Lawn Guyland. This particular sector of the TMA took airplanes arriving from the south and east primarily as well as those who could come in from the west very high and get a very long path around if Kennedy was landing west or north; went something like this "morning New York it's november 123 alpha bravo approaching LENDY, level 190" "Yo cessna 3 alpha bravo New York approach good morning, depart LENDY heading one six zero, radar vectoring for VOR/DME 13L approach, information is .... lima" "Eh Matty I can't undawstand dis foo tawkin with da funny accenta like my cousin Vinnie froma de old country?" Bloody hell Ruff good going, you totally killed my bad ass mental image of Emergentologist; I am going to pretend that Emergentologist's name is Sal Desouzza or Lenny Stantanasto or something, sounds more bad ass New Yorker than bloody Wade, that's almost as bad as my name being Ben. No diss bro we still love you Reminds me of one of our nurses, here favourite line is "love you long time five dollar!" funny as shit ...

You raise a valid point sir, one I did not consider.

Actually he is an airline pilot I met while working for United and he is now a Naval aviator

Ha! Joke is on you, a guy I used to work with lives in GRR so I can stay at his house (well technically it's his mom's house and he's like 30 something ... awkward) Oh and Olive Garden is not bad I mean its not good but it's not bad either ...

A dermatologist is a good pick y'know mate, I hear dermo is the most competitive and one of the highest paid specialities in US So I filled in this University of Virginia medical specialist thing; I think that thing is on crack; it said I should be an oncologist, OB/Gynae or interventional radiologist; none of which I have even the slightest interest in, well OB/Gynae I probably wouldn't mind, except that's a surgical speciality, me being a surgeon is not a good idea ....

Dude I said redneck not hillbilly All the rednecks I know have professional educations, drive nice cars or pick up trucks, you know, live in houses with running water and whatnot Full set, blonde hair, red is ok, brown is better, nice boobs, intelligent, y'know, not a hillbilly I have a full set but the dentist wants to take a couple out before the orthodontist does his thing, I might ask him for some of nummy intranasal midazolam

Awesome, such places sound like idea locales to get my Redneck on After living in Texas and Indiana I have come to the conclusion I am secretly a pick up truck loving, gun touting, Obama hating redneck trapped in a pale white Kiwi's body Know any single chicks?

Youse gawt da connections yo? Let this funny tawkin foreign Dactwa with the lazy eye become a Resident up in the right here or Ima bust your freakin skull; something like that? Truth be told I do not know if the Australasian College for Emergency Medicine will accept a US residency because it is only 3 years and not 5 and if they don't then I can't practice here Did you want his brakes to fail? I mean it's not beyond the realm of possibility ... What's your Anaesthesia RD like?

Just become the Residency Director its much easier

I think you and I could get on well together; bloody shame it's nearly impossible for me to get a Residency spot in US .... sigh I read that there are those graduates who are "unmatched" and how some will never get a Residency spot and never practice medicine; I guess that is why grades and step scores and such are so important (I never really did understand why); here you pick what you want, sign up with the applicable College and that's pretty much it. Know any single chicks? Plan on becoming Residency Director any time soon?

That is if the patient even pays Poor Emergentologist, should have been an anaesthetist, you could be in private practice now doing simple elective procedures for a thousand bucks a pop somewhere nice like California or Las Vegas where winter is a foreign term

LOL funny ... what I said was it's not a good idea to knock crook people down a couple levels with some midazolam and try to tube them And yes you can aspirate without being ventilated I'm still not keen on intubating people in cardiac arrest and wouldn't consider it until well into the resuscitation attempt or ROSC has been achieved

$10,000 bill and the door

Good point, and you know if we don't ventilate the crap out of people we're going to lower the chance of distending the stomach and having lunch come back up at you