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Interview Vampire Daily
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YOU ARE THE REASON
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@a-young-doctors-journey
coming to you tonight as a
BOARD CERTIFIED EMERGENCY MEDICINE DOCTOR!?
That's right.
It's finally DONE. I started this blog in medical school, first to motivate me to study, and then to quietly and angsty-ly deal with all the trauma we face in med school, residency and everything in between.
And now I can finally say that I'M DONE!!!!
I’ve been trying to substitute at least one grocery store trip with a trip to the market and it’s been life changing. I never realized how overstimulated I am after the super market. Also the older I get the more I want to be outdoors as often as possible, so that’s a double win right there. They also have really cool food trucks there, like last time they had an Onigiri truck? They had matcha cheesecake and everything? Can’t believe I’ve lived this long without realizing how great it is and it’s been there for ages!
I adore this. Small, actionable goals -- no big sweeping changes. This feels sustainable. I will try to implement something similar after my exam!
Well put. (Source: Writing About Writing Facebook page)
as a lawyer who’s been practicing for six years now I can say with certainty that this 100% applies to lawyers
Me: My writing is so bad. :(
Meanwhile at Disney: Somehow, Palpatine has returned.
I haven't studied properly in years...
and the transition back into focus-mode is rough.
How can you tell?
Cause I'm on Tumblr again.
T-22 days til my board exam for emergency medicine. Last hurdle before I become an ABEM-certified EM doc. (Well, first step of a two-part gargantuan exam.)
Wish me luck!
𝔤𝔢𝔱 𝔩𝔬𝔰𝔱 𝔬𝔫 𝔭𝔲𝔯𝔭𝔬𝔰𝔢
Missing these Autumn vibes.
Medblrs, who's still around?
I'm aware that it's been some years since my previous medblr list and previous medblr roll call posts. Over the years we've built a thriving and supportive medblr community, which we've been really lucky to have. I'm using medblr in the widest sense, here - nurses, PAs, pharmacists abd all sorts of other professions are welcome.
Years have passed. Many of us have continued to live offline lives or post less frequently because work, kids, other interests and just life got in the way. Some have changed specialties. I know that there have been years I've been fairly quiet because life was busy! But even if you post infrequently, youre still a valued part of the community. Please feel free to reblog and add yourself to the list.
Some left the sphere of medicine, that's cool too - if you ever identified as a medblr, there's still a place for you here.
New medblr friends have joined - why not introduce yourselves? It would be great to make some new connections in this sphere.
I'm also curious about non medblrs who lurk here for fun.
I'll start first. I'm @dxmedstudent (she/her, late 30s), I also go by Tink (that predates my blog here and is somewhat unrelated). I started my blog here over 10 years ago when I was a UK med student writing med student comics which can still be found over at @dxmedicalstudent .
I spent some years in hospital medicine before becoming a GP this past summer. I haven't changed my name or icons in that time so if you think you remember me, you're probably right.
Lovely to meet you all, and to say hi to old friends.
Ooh I apparently missed this the first time it was posted!
I have had this blog a while, since I was a 2nd year med student, and now I've graduated, done a masters and been a doctor 5 years and I'm training in the specialty I love
I havent changed my url but now help im an anaesthetist would be more accurate! I am still moderately active and post about random things that happen at work and I am happy to answer any asks about medicine as best I can
Still here -- done with EM residency and starting my first attending job as a travel/locums doc. Super nervous.
I miss this community a lot actually and sometimes scroll idly through, wishing it was more active in the medblr sphere. Thank you for restarting this.
You know you put your partner-in-medicine through hell when he dreams about YOUR hospital/residency training program.
T-16 days until my last shift of residency.
I am SO CLOSE to the end that I have this overwhelming feeling that something terrible is going to happen.
Anatomical study of a skull and the jaw
Artist: Pieter van Gunst
Type: Etching Print
Date: 1685
Artwork in the public domain
I wish it was easier to talk about mobile phone addiction without sounding like a boomer
Phone addiction (specifically social media addiction) is real and it's not a joke and it is everywhere. Phone addiction literally reduces the grey matter of your brain. It's no secret young adults are more anxious and depressed than ever; more lonely than ever; more aimless than ever. Do you remember being a hugely creative kid, and feel like that spark is gone now? Can't sleep at night? Yeah, your GABA receptors are probably fucked from getting hits every 60 seconds from checking your phone. What's your daily screen time like? 6 hours? 12? These are common numbers. It's insane! It's insane and it's deliberate. Companies make more money from you when you're brain is fried from scrolling 10 hours a day through meaningless content.
But it can be reversed. Start small. If you hit this post then take 5 minutes to put your phone down in another room and do something. Do a crossword. Go for a walk. Be present! CBT is a hugely successful therapy for phone addiction and can even reverse the damage done to your brain.
I get it. I have dozens of beloved friends online, and I'm more informed now than I would ever have been without access to the Internet, but wouldn't it be nice to wonder sometimes? Wouldn't it be nice to be able to go outside and not itch for your phone screen? To have that creativity and confidence back? Start small. Start now.
There is a woman on Instagram with a whole series of videos about how much she has realized that residency makes you lower your standards and accept things that are just shitty in your own life, and what it feels like to be able tolerate normal things again and honestly it is absolutely what I need to get through this 9 week ICU stretch
You said, "normal girls were boring," But you were gone by the morning.
If you're Type A like me, you probably relate to this line.
Has anyone in the ER ever discussed a near-death experience with you?
Hmm, actually, no, never. Have you had one?
Rough week last week.
One of the worst parts of EM is when you have to sign out a patient that was poorly managed/things aren't done/you forgot to order tests or do something, and as you're signing it out, the full extent of your own stupidity hits you and then you feel extra dumb because you have to verbalize these shortcomings to your teammate, who is likely low-key judging you but trying to be nice.
If you've ever worked an ED shift, you'll most likely know this feeling.
Ugh. Last week my attending and I, through a series of distractions and little mistakes, somewhat mismanaged a patient. No bad outcomes, thankfully, but when sign-out rolled around and the day attending signed out to the night one, well, it looked really bad. I ended up staying almost 3 hours after my shift to try to rectify what we hadn't achieved during the day, and the night attending had to take over and help me do the things that should've been done hours ago.
It's fine. It happens. But what truly sucks is that night attending is one of my FAVORITE attendings. I respect his knowledge and his clinical judgment most out of any other doctor on our team... and now, every time I see him, I feel ashamed. All I can think is: "he's probably remembering what a bad doctor I am," and I feel extra sad.
I don't know if he ever thought of me as someone who will become a great doctor, but I feel like that's flown out the window now.
Are you going to be working in Australia?
Most likely not; that's not in the books right now. But who knows what the future holds!
starting PGY-3 and...
I know I have to change something.
I've become so bitter over the past two years of residency. Bitter about the training, the abuse of residents, the low pay and the crazy hours.
But... bitterness doesn't serve me. It just makes me angry and unable to relate to anyone outside of medicine, and it's making me miserable.
So something's gotta give. How I change this, I'm not quite sure. But today, July 1st, a Monday, is the start of a new era. I'm now the senior-most resident (which is terrifying), and in 12 short months I'll be on my own.
I've always believed that if you can't change your situation, change your attitude. But for the past six months I've been so wrapped up in my resentment and misery, even that became impossible.
Stay tuned for how I'll achieve this mindset shift.
I have so many more thoughts on this; just need to organize them in my head.
I got a consult today that consisted of the absolute worst gaslighting of a female patient in pain that I’ve ever seen. Multiple ED visits over the course of at least six months. Lots of thinly veiled skepticism of this lady’s pain. Silly diagnoses thrown out in a haphazard manner to basically just get her to shut up. This happened repeatedly. At my institution as well as others.
Turns out she has antiphospholipid syndrome. The pain? Ischemia related to multiple arterial clots.
Then it got worse. Went to see her today, to check in, and she was in tears. Postop pain. Understandable since she’s POD #1 from bowel resection. Then, I’ll be damned if her own fucking nurse didn’t pull me aside and continue to gaslight her. Told me she was fine. Only started crying when I came in the room.
What. The. Fuck.
It took every once of restraint not to start yelling. After all this woman has been through. All the pain and being told her pain was imaginary. Finally getting a diagnosis, and STILL being gaslit by the very person who is supposed to be her biggest advocate.
It’s heartbreaking.
We've become so stingy with pain medication, it's frustrating.
I've seen other doctors give baby-doses of opiates, severely undertreating based on the weight-based requirements for pain management, and haphazardly label people as "seekers."
