Pediatric emergency department first shift: appendicitis to intussessception to skull fracture to new diagnosis of nephrotic syndrome to broken wrist to...stubbed toe.

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@doctordeadlift
Pediatric emergency department first shift: appendicitis to intussessception to skull fracture to new diagnosis of nephrotic syndrome to broken wrist to...stubbed toe.
Brother deployed to Afghanistan last night. Burying myself in work and not coping with any emotions đĽ°
I admitted someone while on nights who came to ED with shortness of breath and orthopnea for the last month, BNP in the 1000s, pleural effusions...admitted to evaluate for new diagnosis of CHF. There was hilar/mediastinal lymphadenopathy on CT, patient was way too young with not many risk factors for heart failure....called my shot and suggested sarcoidosis in my note.
The echo came back with an EF of 10% (!!!!) and patient got transferred to a higher care center for further evaluation and they think it could be due to SARCOIDOSIS. All that learning for Boards back in med school actually helped me đ
Natasha Trethewey, from Waterborne.
please and thank uÂ
My pregnancy hormone finally went back to negative this week. Iâm glad that the weekly lab draws can stop and itâs finally âover.â But itâs also unbelievably painful.
Iâm so Not Okay that itâs a wonder the people around me have no idea.
Back to school, back to school...
I sit with my grief. I mother it. I hold its small, hot hand. I donât say, shhh. I donât say, it's okay. I wait until it is done having feelings. Then we stand and we go wash the dishes.
-- Callista Buchen, from Taking Care
âI took my grief down to the river to drown it there but it was the grief that carried me and it wonât be bringing me home.â
Chop it off, blonde it out, and move on.
Have you been working with any people who have had covid?
They try to keep the residents on the non-COVID team but Iâve definitely seen people who ended up testing positive. One example was I was doing labor and delivery and rounded on a mom who had first tested negative and then tested positive after I saw her.
How are you doing? Hope you are keeping well
Doing a little better these days! Crazy time in life but Iâm luckier than most.
me at 7pm: getting up at 5 isn't that bad, you kinda get used to it after a while
me at 5am: this is The Worst Possible Thing That Could Happen To A Human Being And I WILL Die
âWhy donât you have a baby yet?â
Comment from a colleague after I posted a picture of my dog.
This is one of the many reasons you donât make seemingly innocent comments like this to women. Because we donât say, âI was pregnant and lost it, had to get methotrexate for pregnancy of unknown location, and have been bleeding for almost 3 weeks now.â Even though thatâs the truth.
So shut up. Please. Just. Donât do this.