milk tea, md @milktea-md - Tumblr Blog

oh fuck life is worth living isnt it. shit

turns out theres actually beauty everywhere and we have to keep living because theres little bits of joy in every day. who let this happen

markscherz

This is an emergent property of a universe that has come to be able to perceive itself. You are also part of that beauty and joy, every day.

galileosballs

"Why is it a problem if students use AI to get through college"

Because if you demonstrate to me that you're willing to set aside concern for truth, evidence, and verifying things with your own eyes whenever it happens to be inconvenient for you, I have a solemn responsibility to make sure you don't get into medical school.

galileosballs

"oh, but this course is just a distribution requirement, it's not for my major"

Does saying things that are true and that you know are true only matter when someone is giving you a little prize for it?

galileosballs

Tumblr doesn't like to do this kind of ethics, so I have to phrase this carefully, but it's a question of character. And a person's character is clearest when they're being asked to do the right thing even when it doesn't matter to them.

I don't want to live in a world in which doctors and lawyers and politicians just ignore the responsibility to research and verify when it's inconvenient for them. When they're busy. When they have something they'd rather be doing. The world I live in is already too full of those people in positions of power. I'll be damned if I let there be more of them.

milktea-md

UGH cannot stop thinking about this patient who keeps calling our pharmacy and threatened to show up to our clinic to record us on his phone (??? doing what?? who knows) because i have wanted him to be seen in clinic first before i restart him on a third antihypertensive medication like sir i just want to make sure i don't tank you because the last time i saw your blood pressure you were on cocaine!!!

milktea-md

also he has a follow up appointment with me on monday and he better not show up. you already threatened to fire me let's just call it quits and make a clean break

#medblr #medicine

UGH cannot stop thinking about this patient who keeps calling our pharmacy and threatened to show up to our clinic to record us on his phone (??? doing what?? who knows) because i have wanted him to be seen in clinic first before i restart him on a third antihypertensive medication like sir i just want to make sure i don't tank you because the last time i saw your blood pressure you were on cocaine!!!

#medicine #medblr #being in this field directly challenges my innate desperation to be liked #i know it's impossible slash unreasonable!!!#that doesn't mean i don't question myself every fucking second of every fucking day

only-tiktoks

aqueerkettleofish

Also, anyone who is actually a licensed doctor or nurse spreading misinformation should be charged with fraud.

If you are contradicting your medical training, but using your medical credentials as support of your position, then you are committing fraud.

cranquis

blaruu

I got somethins to say

i already fED you

IRRELEVANT

i also want to talk about how dysphoria can fuel eating disorders to the point that thinness maintained by a restrictive eating disorder can feel like an integral part of gender expression for trans people & how the demonization of fatness in our culture can hugely hinder the recovery even of people whose eating disorders always revolved more around dysphoria than the fear of being fat

i want to talk about how the culturally enforced ideas of thinness as the epitome of androgyny, thinness as the epitome of femininity, & “maybe not thinness but definitely a lack of curves that can sometimes only be obtained by thinness” as the epitome of masculinity poison our thinking as trans people & contribute to an overwhelming epidemic of eating disorders in our community disproportionate to even the epidemic in wider sociey

i want to talk about how controlling our food to control our bodies & to control our minds & to feel like we have some control over circumstances that are wildly out of our control is horrifyingly commonplace in the trans community & no one is talking about it

escuerzoresucitado

andhumanslovedstories

I think the difficulty with talking about nursing sometimes is that it's like an even mix of sacred vocation, literally just a job, and customer service. I have a duty of care to my patients that is so important. I am tending to people in their most vulnerable moments and I must be cognizant of the power I have over them. I should give the same level of care no matter what. I'm also on the clock and want to go home at 7:30 and take my lunch break and go get coffee during down times. It's a twelve and a half hour shift, and I must be allowed time to dick around. And also patients are sometimes like customers, and customers can fucking suck. Management also thinks patients are customers and they want the customers to leave good yelp reviews that don't say things like "nurses REFUSED to get me water in a timely manner" regardless of what is going on with our other three to five patients. All of these things are true at once.

#SO TRUE

my chief question so far after 2 months of intern year: how do I carry my patients' pain and suffering without rendering myself ineffective and unable to care for them? I'm sure this isn't the first time this question has been asked. What we witness is such a privilege and a responsibility and I want to give it the weight it deserves, but not so heavy I can't move forward.

#medblr #medicine #residency

andhumanslovedstories

some nurses I work with and get patients from give me the impression that they think a patient is opioid addicted and they need to be weaned off, and like even if that is the case 1) I'm not a addiction specialist, I'm their night nurse and their doctors have prescribed pain medication to be available to them, 2) day nurses I think can be more flippant about pain at times because during the day you have things that can distract you while at night, all you get to do is lie in bed and think about how much pain you're in, 3) I don't think a hospital stay for like heart failure is the best time to detox someone, 4) pain is incredibly subjective and I trust patients who've been living in their body for their whole lives more than I trust myself who has been talking to them about their body for five minutes, and 5) some nurses will be like "I don't offer pain medication unless the patient asks for it" and then the patient will ask for it and then it's all "this patient requested pain meds..... drug seeking behavior" like okay wtf are they supposed to do then? Stoically cry one tear down their cheek when I come to check on them so I can benevolently grant them 5 mg of oxy? 6) enduring pain doesn't make people better people, it actually makes people angry and tired and sad, so good luck building your therapeutic rapport while you make them beg for pain medication, maybe all your patients wouldn't be so mean to you if they weren't all suffering the entire time you're responsible for them, 7) if you aren't gonna give opioids and you're also not gonna page the doc for other meds and you're not gonna get ice packs and you're not gonna reposition your patient and you're not gonna ambulate them when they say that helps their hips and you're not gonna talk to them for a while to distract them and you're not gonna get them a jello cup to eat if they want, then literally how are you better than a little roomba with a med cup full of Lipitor scooting into their room?

I'm aware of the risks of opioids, I don't give them when it isn't safe or indicated, and I'm also aware that opioids aren't even good for all types of pain, but they can be an absolute gift to patients who need them. They aren't inherently evil. We don't have to make people suffer to improve their character. Even if suffering did that (it doesn't), improving character is outside my scope of practice. Here's some morphine.

geiser

the way monkeypox is being branded as not really an issue and only affecting men who have sex with other men, is honestly so heartbreaking. did we not learn anything from the 80s AIDS crisis?

mienar

some animation works i made recently! :D

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intrainingdoc

The First Physical

A wonderful poem over at in-Training about how it really feels being a medical student doing your first real physical exam in the COVID era.

Read the rest at the link below.

General: / Patient is in NAD, / except for being awoken at 7 a.m. by someone he has never met

#i really enjoyed this lmao accurate #medblr #medical tumblr #medicine

aridante

“After learning my flight was detained 4 hours, I heard the announcement: if anyone in the vicinity of gate 4-A understands any Arabic, please come to the gate immediately. Well—one pauses these days. Gate 4-A was my own gate. I went there. An older woman in full traditional Palestinian dress, just like my grandma wore, was crumpled to the floor, wailing loudly. Help, said the flight service person. Talk to her. What is her problem? We told her the flight was going to be four hours late and she did this. I put my arm around her and spoke to her haltingly. Shu dow-a, shu-biduck habibti, stani stani schway, min fadlick, sho bit se-wee? The minute she heard any words she knew—however poorly used—she stopped crying. She thought our flight had been canceled entirely. She needed to be in El Paso for some major medical treatment the following day. I said no, no, we’re fine, you’ll get there, just late. Who is picking you up? Let’s call him and tell him. We called her son and I spoke with him in English. I told him I would stay with his mother until we got on the plane and would ride next to her—Southwest. She talked to him. Then we called her other sons just for the fun of it. Then we called my dad and he and she spoke for a while in Arabic and found out, of course, they had ten shared friends. Then I thought just for the heck of it why not call some Palestinian poets I know and let them chat with her. This all took up about 2 hours. She was laughing a lot by then. Telling about her life. Answering questions. She had pulled a sack of homemade mamool cookies—little powdered sugar crumbly mounds stuffed with dates and nuts—out of her bag—and was offering them to all the women at the gate. To my amazement, not a single woman declined one. It was like a sacrament. The traveler from Argentina, the traveler from California, the lovely woman from Laredo—we were all covered with the same powdered sugar. And smiling. There are no better cookies. And then the airline broke out the free beverages from huge coolers—non-alcoholic—and the two little girls from our flight, one African American, one Mexican American—ran around serving us all apple juice and lemonade, and they were covered with powdered sugar, too. And I noticed my new best friend—by now we were holding hands—had a potted plant poking out of her bag, some medicinal thing with green furry leaves. Such an old country traveling tradition. Always carry a plant. Always stay rooted to somewhere. And I looked around that gate of late and weary ones and thought, this is the world I want to live in. The shared world. Not a single person in this gate—once the crying of confusion stopped—has seemed apprehensive about any other person. They took the cookies. I wanted to hug all those other women, too. This can still happen anywhere. Not everything is lost.”

— Naomi Shihab Nye (b. 1952), “Wandering Around an Albuquerque Airport Terminal.”