@meineschwester - Tumblr Blog

New RN: Why don't you park in the doctor's parking spots?

Me: Because then I have to walk in through the ER, and when I'm the hospitalist, I don't want to remind the ER that I exist

meineschwester

The ER: 😒 OK, I know I have ADHD, but if I have a patient to admit, I’m not going to forget about an entire serv…

SQUIRREL!!

#story of my life #pgy2: feeling dumber every day 🤦🏼‍♀️#EM: the land of misfit toys #TBH this probably works

angstymilfy

Absolutely. Or it shouldn’t be called “heaven.”

meineschwester

“Let those winds of time blow over my head; I'd rather die while I'm living than live while I'm dead…”

#rip

kvetchlandia

Jack Robinson Tina Turner, New York City 1969

“My heartfelt wish is that you and I, and everyone around the world, will continue expanding our hearts and minds while celebrating our differences and ridding ourselves of any form of discrimination. This, I believe, is a basic requirement for peace, both within ourselves and in our societies.” Tina Turner

Tina Turner - 1939-2023 - Ave atque Vale

#rip #love is the bridge between you and everything

iamnotlanuk

My old person trait is that I think a website should work in a web browser and not try to open an app

mommy-mortis

My old person trait is I think video games should work without needing access to the Internet

thepariahcontinuum

My old person trait is that I think when I purchase a product, that it should be complete and functional and also that I should actually own it.

meineschwester

My old person trait is that when I’m searching for how to do something, I want written instructions, not a video.

#story of my life

70sscifiart

RIP Nichelle Nichols (1932-2022)

#rip

This was last Monday at 9am. I applied only to general surgery programs after choosing the specialty late, and with a passing but well below-average step 1 score. I only had three interviews (including my home program), so it wasn’t really unexpected that I didn’t match, but it was still a shock. My plan was to try to SOAP into a surgery prelim and reapply next year. My main advisor convinced me to put in some EM applications as well, and the EM faculty rallied to upload my SLOE and another recommendation within hours. My sister and two of my super-awesome classmates read my new personal statement, and I uploaded it and sent in my SOAP applications at 4am, then faceplanted into bed wondering how I was going to make the choice between EM and surgery for the second time in a year.

Turns out it was a non-issue. Out of 26 surgery programs I applied (or re-applied) to, I was called for ONE interview—my home program again. The other 19 applications were for EM programs; I had 10 EM interviews in two days (with another offered but we couldn’t resolve a time conflict). That was more interviews than some of my EM-matched classmates had in the main match. Most of them went well, a few went very well. There weren’t any I wouldn’t have ranked, although I had some clear favorites. Wednesday night when I went to bed, I was pretty confident that I would have a job next year, probably in EM. Then this happened:

I spent the next three hours frantically emailing programs to let them know I was still unmatched and interested. My advisor and some of the EM faculty made phone calls and sent emails. A few programs were nice enough to reply that they’d filled their spots, but I had no way of knowing if others were even getting my emails. I logged back in just after noon to find this:

I put my head down on the table and started crying for the first time all week. After I talked to my home EM PD about my options and crowd-sourced with EM-bound classmates (SERIOUSLY, my classmates are the absolute GOATS 💙), I made a choice with 20 minutes to spare.

I still don’t have much distance on this, but here are my take-home messages so far:

1. IT SHOULD NOT BE THIS DAMN DIFFICULT TO GET A RESIDENCY SPOT. I’m going to be a great physician. Everyone else I know that SOAPed this year is going to be a great physician. We should not have to beg for a job or game the system. It is ABSOLUTELY UNACCEPTABLE that this process lets so many good, strong future physicians (especially those who are URM) fall through the cracks because they’re less-connected to the network and don’t have anyone to make phone calls and send emails on their behalf. It should not come down to a game of who-you-know.

2. I used to say I didn’t want to be a surgeon because then I’d have to deal with surgeons all the time, and surgeons are assholes. I certainly don’t think that’s universally true, but the culture definitely discourages (or at least doesn’t encourage) supporting others. I knew that when I went all-in for general surgery in the main match, and was planning to do as much as possible to change it. But there is NO WAY the surgery department would do for me what the EM faculty did this week. In fact, they didn’t even offer, even when they knew I was in trouble. My surgery advisor was at our match day party on Friday and completely ignored me, even though I never contacted him with any updates. The EM advisor made it a point to come grab me for an EM group picture. It’s making it much easier to look forward and be optimistic.

3. I am shouting from the rooftops that I didn’t match and had to SOAP. I’ve been helping out with anatomy lab review sessions this year, so most of the MS1s know me, and I told a few of them what happened, then said, “This is ABSOLUTELY not a secret. Tell anyone you want, and tell them they can ask me about it. Maybe just warn them that I might cry a little if they do. But they still should.” No one ever talks about it, so everyone thinks they’re the only one, and that makes it feel even worse. I SOAPed. I survived. And maybe my career will be different than I envisioned, but it’s going to be spectacular.

#ms4: how did i get here?!#nontraditional med student #F the match

arsenicinshell

Celestial Ceilings

#love love love love LOVE #the house protects the dreamer

whitepeopletwitter

Toxic

#story of my life #it’s funny because it’s true #adhd

truestoriesaboutme

Being alive? Meh. Average at best. Could take it or leave it.

Being alive at night? Marvelous. Beautiful. Magical. Essential.

truestoriesaboutme

Being alive at night outside? Mystical. Reverent. Sacred. Transcendental.

thenordroom

Danish summerhouse | styling by Julie Løwenstein & photos by Anitta Behrendt

THENORDROOM.COM - INSTAGRAM - PINTEREST - FACEBOOK

#the house protects the dreamer #yes please

maculategiraffe

the doc just upped my daily adderall xr dosage from 10mg to 15 mg (which from what I understand is still a low dose) and I love it in the daytime but I've had very fucked up dreams and woken up with heart pounding and dry mouth for the two nights since I started taking the increased dose. but it should be out of my system by bedtime, right? I take it first thing in the morning when I get up

definitely could be unrelated/coincidental, am having moderate but noticeable amounts of holiday/family stress and the dreams could be about that. I mean they're about driving on cliff edges and being chased through department stores by cannibal serial killers but they could also be about that

dsudis

The XR is for extended release, so if it’s lingering too long you may want to try switching to the Not That version! When I tried XR I found myself just accidentally staying up until 4 or 5 in the morning because I Wasn’t Tired, but the all-at-once dose (I think I’m at 20mg, and have been for years now) works fine for me.

meineschwester

Check the manufacturer! Your pharmacy may get the higher dose from a different source, and it CAN make a difference.

This happened to me after I changed pharmacies last summer. I was taking the exact same dose of the XR formulation as before, but got all the side effects (insomnia, palpitations, more anxiety than usual) with none of the actual effects. It took me two weeks to notice because I thought it was stress from my upcoming Big Deal Exam, but I finally called my prescriber after three nights in a row with no sleep at all and trying and failing to study all day.

Just like you can be allergic to different generics and not others, the effect of the active ingredient can be different. I didn’t find any research papers about this, but there’s tons of anecdotal evidence, so it’s worth a try! Ask your pharmacy about the manufacturers you got in the past. If they’re different, ask if they can order your new dose from the manufacturer of the old dose (this may only work for independent pharmacies). Or if it’s a bigger chain pharmacy you may have to ask your prescriber if they can specify manufacturer in your prescription.