Xuebing Du
Three Goblin Art

if i look back, i am lost
will byers stan first human second
sheepfilms
todays bird

PR's Tumblrdome

titsay
PUT YOUR BEARD IN MY MOUTH
Aqua Utopia|海の底で記憶を紡ぐ
Sade Olutola
ojovivo
Jules of Nature
Game of Thrones Daily
2025 on Tumblr: Trends That Defined the Year

Origami Around
One Nice Bug Per Day
he wasn't even looking at me and he found me
Today's Document

izzy's playlists!
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@jennydoesstuff
While doing practice questions...
Sees a photo of Ascaris lumbricoides in a vignette = immediately loses lunch.
Can't even bring myself to post a picture of it to go with this to illustrate my point.
"Stat"
We use it all the time.
"1-L NS IV bolus stat." "Stat CT brain without contrast." "I need a pizza--stat."
What does it mean?
It's short for the Latin word, "statim," which means, "immediately." Some people say that it's acronym for Sooner Than Already There.
Hello, there.
I just entered a new decade in my life.
I'll stay up late, drink some wine, and dance in my living room a little bit before falling asleep in the fetal position.
Take care.
With mixed emotions,
Jenny
It's a pager party!
After a long winter in a pediatric hospital....
I am no longer the person I used to be.
RSV... HMPV... H1N1... bacterial pneumonia... Pertussis... asthma....
O2... HTS nebs... CPT... MIVF... MONITOR STRICT INS AND OUTS! Keep parents updated....
The ER has been overfilled for months, with a chronic waiting list for a hospital bed.
Admit, treat, discharge. Admit, treat, discharge. Repeat times infinity.
Please wash your hands well, everyone.
Wards Christmas decoration. Can't decide if it's cute or creepy.
Residency is hard.
I don't even know what more to say about it.
From this WSJ article:
A guy buys a catastrophic health plan that pays up to a fixed amount for doctor and hospital bills based upon the diagnosis
He needs a hernia repair
He tries to use his insurance and they try to make him pay $20,000 up front for the procedure
He cancels the procedure and goes back to his doctor to regroup
And here’s the solution he and his doctor discovered:
Most people are unaware that if they don’t use insurance, they can negotiate upfront cash prices with hospitals and providers substantially below the “list” price. Doctors are happy to do this. We get paid promptly, without paying office staff to wade through the insurance-payment morass.
So we canceled the surgery and started the scheduling process all over again, this time classifying my patient as a “self-pay” (or uninsured) patient. I quoted him a reasonable upfront cash price, as did the anesthesiologist. We contacted a different hospital and they quoted him a reasonable upfront cash price for the outpatient surgical/nursing services. He underwent his operation the very next day, with a total bill of just a little over $3,000, including doctor and hospital fees. He ended up saving $17,000 by not using insurance.
This is exactly the kind of thing we do here at Sherpaa. Healthcare is so damn confusing and so stupid expensive. There are so many tricks and loopholes that the average person can’t understand nor be expected to know. Come to us first, and we, through our insider experience and knowledge of these tricks, will craft a plan that can save you the cost of my awesome 2010 Mini Cooper.
This also works wonders for not only individuals like this gentleman, but also for self-insured companies.
Love my co-intern in the NICU. Fun times.
necrotizing enterocolitis
it could kill so quickly, you won't know what hit you.
nicu can be one of the most depressing places on earth.
This post is awesome.
Cheers to all of you
"We who were always overachievers. Who missed the dusk of our adolescence solving multiple-choice questions.
We who began our adult lives spending alternate days with corpses. Who carry bones in our bags and books that break our backs. Who spend the prime of our youth in the grime of wards. Who have already witnessed a lifetime’s share of deaths. Who learn about depression but fail to recognise it in ourselves.
We who have no definite college hours. Who don white coats even in the heat of May. Who are accustomed to the deadweight of stethoscopes around our necks. Who will pursue likely teachers for a lesson even into the night.
We who also study law, sociology, psychology, entomology, nutrition, sanitation and statistics. Who are always between exams. Who neglect the pursuit of our other passions. Who sometimes cancel our own vacations. Who covet amphetamines.
We who touch people slathered with stools, slime and psoriasis. Who have been sprayed by every infective fluid. Who are protected from a life with HIV by the flimsy rubber of gloves. Who tempt its prolonged death every time we draw blood. Who laugh off our chances of contracting tuberculosis. Who know batchmates who have.
We who study for four-and-a-half years but intern as peons. Who graduate after our peers have finished postgraduation. Who are the last to earn first salaries. Whose parents must support us well into our twenties. Whose futures are thwarted by the government every step of the way.
We who sacrifice weekends to classes that propel us towards specialisation. Who must compete with each other for expertise you desperately need. Who will slog for years to earn the letters you look for suffixing our names.
We whose friends have designated us perpetually busy. Whose presence at family functions is always greeted with surprise. Who are sick of the question, ‘what are you going to specialise in?’
We who have befriended no non-medical person since our course began. Who are no longer with our loves from before it did. Who date each other and discuss medicine. Who will advise you to procreate before thirty but who marry after it.
We who trawl PlayStore for medical apps. Who have spent more on medical manuals than meals and movies combined. Who believe that the real problem is unregulated fertility. Who associate the first rains with malaria. Who are disillusioned by the fact that there is no health without wealth.
We who are hunted and haunted by questions that have no answers. Who feel guilty when we know less than we should. Who fear that we will never be good enough.
We who cannot round off numbers. Who are forbidden shortcuts. Who are not allowed to be judgemental. Who must help even the dregs of society.
We who cannot ever abandon logic. Who are rational but must allow for prejudices. Who have no choice but to listen.
We who will never tell you any of this.
We who really need to step back and appreciate ourselves."
Mostly, my thoughts through all of this were, “Hah! Yes, I have been there," and “if people only knew…." And even though I agree with all of this, I don’t quite appreciate myself.
Dx
Brevity of posts indirectly proportional to level of fatigue.
Cases of note thus far: Staphylococcus Scalded Skin Syndrome Kawasaki Disease Mononeuritis multiplex Hemolytic Uremic Syndrome Spontaneous Bacterial Peritonitis Non-Accidental Trauma
And possible leptospirosis.
Residency, Week 1
It’s been a crazy first week as a resident. I have today off. So I’m going to go play.
Hi Jen, Congrats on being done with the match process. I wanted to pass along a website that my fiancee and I created to help M3/M4 students through the residency application process. I thought that maybe some of your readers might benefit from the site and we hope to gain feedback to make the site better. I wish I could post a link in the "ask me anything" section but I can't. If you check out my tumblr, I just posted the site there. Thanks and goodluck on your intern year.
it's cool. kudos.
everyone go check it out.
http://theroadtoresidency.com/
Back home from Seattle, and already enjoying the treasures we found on the trip. Rach's recorded performances and a radio station copy of Shostakovich symphony no. 4.
If you tell me to calm down,
I will flip out and hang up on you.