Not A Clever Turnip, DO

Family medicine R2. Toddler mom, lazy hippie. Ask box is always open!

[notacleverturnip]

[academedic]

Once you get this, you have to say five things you like about yourself, publicly. Then you have to send this to ten of your favorite followers (non-negotiable, positivity is cool~) 🌻💖

Aww ty for this cute ask!!

My hair

My eyes

My sense of humor

My passions for really random things 

My uhhh my jawline lol

I’ll just tag some mutuals that I love! 

@ahsteria @stethostudy @stressedoutmedico @perks-of-being-a-violinist @studyfeather @allydsgn @kuroristudies just from off the top of my head :)

[talmidit]

omg im HONORED. anyway errrrr

- my pens

- my aesthetic

- my friends

- my work ethic

- errr my ability to do a really nice interlocking suture

u all have to do this too now

@pinkandblueplease @clcairns @gia1113 @sedonastudies @studyingmalfoy @growing-languages @polyglottingmywaythrough @gloomstudy @md-admissions @fleurestudies

[md-admissions]

Ahhhhh so honored!!!

I guess I’d have to say:

-my wit (when it’s available)

-my tenacity

-my loyalty

-my hair

-my empathy

As for tagging, @homoglobinopathy , @descantforhope @bleufeenix @modernathenamd @wayfaringmd @ermedicine @populationpensive @randommomentsdevida @cranquis @morebaffledlessbrooklyn

[modernathenamd]

- my hair, when it’s cooperating

- my tenacity. Which is really just stubbornness. It’s a survival strategy.

- my eyes. I genuinely like my eyes. They’re pretty.

- my ability to remember random shit. It’s occasionally very amusing.

- my work ethic. I get shit done.

@cranquis @pleasedotheneedful @randommomentsdevida @ohheytherehi @kyidyl @medicallybrunette @eclipperton @ermedicine @slytherinmd

[medicallybrunette]

<3 @modernathenamd and love this post bc I had an epic episode of self doubt/loathing last night

-my hair bc I can curl it or straighten it and it stays

-my humor. Sometimes I am genuinely hilarious. 

-my voice. Secretly a Disney princess. Or not so secretly bc I’m always singing Disney songs.

-my family. They are the best and since we’re related it means I must have inherited some of the things I love about them

-my handwriting. Medicine hasn’t taken it from me yet. 

@stethostudy @ashleymd7​ @themedschooldiaries @damnedifyoudeeohh @thelostmedstudent @meowedschool @whatshouldwecallbeingamedstudent @dogemd @dxmedstudent @borborygmus21

[dogemd]

This is incredibly difficult for me - especially after my counseling session yesterday where big sad breakthroughs happened.

- my determination

- my sense of humor

- my hands, because I have long fingers that are great at typing and playing piano

- my creativity/ingenuity 

- my random trivia

 @medical-mommy @dxmedstudent @pleasedotheneedful @mudphudkangaroo @theusuallygoodstudent @iknowthisisnowhere @almostalyssamd @notacleverturnip @shouldbestudyingmd @descantforhope

[notacleverturnip]

I’m honored and intimidated! This is actually very well-timed because saying anything nice about myself is traditionally very difficult but I’ve been intentionally working on this lately. So!

- My integrity

- My easy laugh

- My sense of wonder and excitement at the world around me

- The thing about me that makes me trustworthy and non-intimidating to other people. I don’t know what this thing is called but I’m happy that I have it.

- The way I explain things to patients in a way that they can understand

Ta-da! 

Just filling in the first 10 people that come up when I hit @. If you get tagged again, optionally say more nice things about yourself

@heartbeatsandrainstorms​ @aspiringdoctors​ @adenosinetriesphosphate​ @ramblings-of-a-resident​ @wheresonichedgehogwnt​ @captainmdphd​ @hownottoloseyourmind​ @lifealamed​ @descantforhope​ @plannedparenthood​

[themidwifeisin]

I’ve had this since I became a midwife, when it was given to me by family who probably owned it since the year I was born. It’s my favorite birth art.

[notacleverturnip]

@descantforhope did you see this? This seems right up your alley.

[mymedlife]

Residency tricks you into thinking that working more than 12 hours a day seven days a week is normal.

Attending randomly during round  (via verymedical)

Truth. I’ve been working 11-12 hrs/day x 5 days per week and it’s felt like a fucking vacation. That’s real fucked up.

(via captainmdphd)

I've been on inpatient for 17 weeks now without actual weekends. I have my first outpatient block coming up in a week and I feel like I've completely lost the concept of weekends. Two days in a row every weekend ? What will I do with all that time??

[captainmdphd-blog]

To everyone who just started intern year...

YOU’RE DOING GREAT! Trust me, everyone feels shitty. It’s the very unfortunate nature of intern year. There is no learning curve; it’s a fucking straight vertical line. Things will get easier with time. You will relax with experience. It will be okay.

How to be a good intern? Show up on time. Work your ass off. Get shit done. Have a moderately good attitude. Recognize and learn from your mistakes. That’s it, y’all. The rest will come with time and experience. Open invitation to ANYONE who wants to vent or ask questions. If I can survive intern year, so can you. It’s going to be okay.

[notacleverturnip]

The captain said it all. You're rocking it. If you have questions or need to vent, I'm here! I don't write a lot because my thoughts don't always translate well into writing but I'm pretty much always checking up on Tumblr.

[captainmdphd-blog]

This is not meant to be taken as strict fact. It’s simply one method to stay organized. And, when you’re charged with providing care for a lot of people, organization is key to making sure nothing falls through the gaps.

First off, I put very specific columns on my cross cover or night float patient lists. Room#, patient name (MRN), code status (way important), active problems, abx and drip coverage, plan, and a blank heading. Most of these are self explanatory. I keep the last section blank so I can jot down whatever important events happened today as reported by the primary team. You never know when you’ll need some of this info to put out fires overnight. I add new admissions to the bottom of the list in the same style as the printed list. I then use the flipped corner to write down the basic story and what my immediate plan it. This makes it easy to present new patients to the day team the next morning.

By folding your patient list you can make additional space for notes. On one side, I jot down all the stuff I’m supposed to follow-up on check box style. On the other side, I write down any significant overnight events, meds given, results, etc.

I also tend to throw in some highlighter color coding as well. Green for my f/u tasks and pink to highlight my watcher/unstable patients.

[aspiringdoctors-blog]

This is pretty much how I do my list on inpatient too.

[notacleverturnip]

Reblogging so I can find this later. My organizational skills are severely lacking and my notes usually look like a page from House of Leaves.

[generalistherbalist]

It’s @notacleverturnip‘s BIRTHDAY

She’s not actually 101 but this gif will make her laugh. 

She’s been having a shitty time in intern year like everyone else and is stuck on inpatient forever, so activate your love buttons and go give her: -a legit funny knock knock joke -coffee -chocolate -vegan pizza  -a funny gif -books  Because my present to her will be late like everything else I mail. 

[notacleverturnip]

Omg descant. You know me so well. I snorted in the middle of didactics. Then I read @wayfaringmd's joke and snorted again. Oops. Thank you for the birthday wishes!

[mj-md]

Lady Medblrs: Last Names

So I’ve got a question for all you ladydocs out there: if under the circumstances you were to be married, which last name would you prefer to be professionally known as?

This question might depend on a number of factors: timing of marriage, stage of career, traditional vs non-traditional, ease of name changing, one’s own personal beliefs.

I always felt that no matter when I got married, whether it’d be before I graduated medical school or after, I would keep my maiden name professionally and go by Dr. MJ. I went through medical school as an MJ, I earned my medical degree as an MJ, and so I want to be Dr. MJ. 

But, I would also like to take my husband’s last name socially… but I’m not sure how all that works in the “real world”  with licensing and such. Is there a checkbox you mark that says, “Hi yes I want to be Dr. MJ at the hospital but everywhere else I’m gonna go by Mrs. X”?

Thoughts and opinions?

[mymedlife]

I got married before medical school but didn’t change my name. So I’m Dr. [my last name], but in social situations I’ll introduce myself as Liz [husband’s last name] and all my family addresses me as such. 

[aspiringdoctors-blog]

I got married during third year of med school and changed my name to the Cabbage’s because I liked it. We are not traditional people. We only got married because I am in the military, and the Cabbage didn’t care what I did with my last name.

I know a lot of women who do the two name thing, keeping their maiden name professionally and legally, and socially going by their married name. Forms only care about your legal name so I don’t think you need to worry about what you go by socially.

[telep0rt]

Since Sweetheart and I are getting married in just a few weeks (woohoo!) this is a super timely question for me. 

Obviously, I am now post-medical-school and full into the actual MD phase of my training. I also have research publications under my maiden name. 

So I’m KEEPING my name professionally and legally and will socially go by Sweetheart’s name for functions/kids schools/random strangers/phone calls/etc– but I’ll always keep my maiden name officially and professionally. Growing up, my mom had kept her maiden name and went by it professionally, but then went by my dad’s last name socially. So the non-matched last name is super normalized for me.

I’m doing this for a lot of reasons: -It’s annoying to change your name – lots of forms, etc etc -It’s SUPER annoying to change your name AFTER you have a medical license. I looked into it. It’s a headache and I hate paperwork.  -It’s SUPER SUPER annoying to get the publications you published UNDER YOUR MAIDEN NAME “counted” toward your publishing record (dumb, antiquated rules).  -I’m not traditional. I’m just not.  -I’ve always had this name. It’s my name. It would be weird to me to wake up and suddenly have a different name. -It wasn’t important to Sweetheart for me to take his name (and it wasn’t important to me that he took mine). We’re not traditional.  -I like my name. I’ve had it for a quarter of a century. I’m used to it. 

Long story short: I think names are a very intimate thing. They are a special part of who you are. You are the person who gets to decide what to do with your name - change, don’t change. 

Whatever works for you!! And you should always feel free to have a conversation with your partner about your choices. 

So change your name, or don’t change your name, hyphenate, come up with a whole new name for both of you. 

There’s no right answer - except what’s right for you. 

[hownottoloseyourmind]

Another married lady doc checking in that kept her maiden name, generally for the same reasons @ladykaymd did. I go by either name socially. I’m attached to my last name and really glad I have it – plus it’s unusual and Lumberjack’s isn’t, meaning I’m not the millionth Dr. LH’s Last Name that exists.

Now for a very tricky question – when we have kids, what name do they get?? Still trying to figure that out.

[notacleverturnip]

Sputnik and I got married before med school (we were young-uns) and I still struggle with this actually.

I really wanted to share a name with Sputnik. Like we share a life and share a name and that's cool? I like the idea of being the [SameLastNames]. But we couldn't decide. I love my last name and think his is boring. He's used to his and thinks mine is too long.

We thought about combining our names to make a new one (my favorite idea) but he felt like the best combination sounded like a made up cartoon name (it's actually awesome and everyone calls us that anyway so obviously I was right but he can't admit it).

We thought about keeping our own names and doing ....? With kids. I want to share a name with my kids but felt bad for potentially hyphenating their future names (my last name is long. What if kids want to hyphenate their hyphenated names some day?)

So in the end I stacked his name onto mine. Professionally I introduce myself as Dr. [Myname] for brevity but officially I'm Myname Hisname on everything. Socially I use both names or just his. But mostly both - I really like my last name.

The Critter has Sputnik's last name because that's the name we all share. Sometimes I wish Critter had my last name because my name will probably go away with my generation and that makes me sad.

[wheresonichedgehogwnt]

I precepted a patient with adult ADHD today, and the second time my preceptor said, “Well, of course he’s had a good response to Adderall in the past. If we got Adderall, we’d respond well, too,” I almost replied “Actually, I’m on Vyvanse because unlike this patient, I didn’t respond well to Adderall, so that’s factually incorrect and I’d appreciate it if you took a long, hard look at your assumptions about adult patients with ADHD.”

I need to start being scheduled with my favorite faculty again, because the group I’ve been working with lately are getting on my very last nerve.

[notacleverturnip]

Ugh, how annoying. And so frustrating to feel like your faculty is against you.

Only tangentially related but I just recently remembered I have pretty intense ADHD (how I forgot, I'll never know). Did some research on stimulants and breastfeeding (it's ok. Thanks, LactMed!). Brought research to appointment with a provider and was immediately shamed for wanting medication (requesting less than half the dose I was on previously) and told I was going to harm the Critter despite bringing research and talking her through my plan to make sure he wasn't having any adverse effects.

I left with a prescription and an admonition that I was still probably-almost-certainly going to harm my baby. Feeling like a drug-seeker and wanting to cry. Now I'm trying to make my tiny tiny supply last as long as I can by skipping as much as I can and under-dosing when I can't because I don't want to face that shit again.

[drdessertfox]

Question for the 3rd/4th Years

So I’ve been doing UWorld for the past couple of months (just sets of 10-40 questions) and right now I’m averaging 60% and am in the 60th percentile after 300 questions.

Is that normal for starting out? I was told by my preceptor that I should be hitting 90% but I’m going to assume she meant the few weeks before the exam and not 3 months out of dedicated. I don’t take my exam until mid June and don’t start dedicated until mid April. I constantly feel like I don’t know anything, though. 

HELP!?

[eclipperton]

Woah 90 is pretty high! I did well on step (I guess that means something different for everyone but if you want to know message me I guess) and in the weeks before the test was getting like 80s maybe. I definitely started in the 60s or maybe even lower! You’re on track no worries!!

[pleasedotheneedful]

Lol I got my fucking ass handed to me by UWorld.

[notacleverturnip]

rofl what. I never got 90%. Pretty sure not even once. Still passed boards. Still a doctor.

[quixoticandabsurd]

Book recommendations

Send them my way!

I like fantasy and sci fi. I like lighthearted and fun novels, or novels that poke fun at genres. I like female authors. I also like female protagonists (even those written by men), but not the helpless kind. I like a lot of sass. And books that pass the Bechdel test. I’ll tolerate romance if it contributes to the plot or develops organically along the way, but not as a stand alone drama or rom com. I like lgbtq romance, but again- I don’t want a stand alone romance novel. I don’t care if it’s a YA or adult novel.

I’ve recently finished all the Fairyland books by Catherynne Valente, nearly everything by T Kingfisher, and all of the Land of Dis books by Robert Kroese… so if you’ve got something in a similar style to any of those, hit me up!

[notacleverturnip]

NK Jemisin - anything. Our favorite was the Inheritance trilogy and then the Broken Earth series won some awards for general amazingness. But really. I love all of her books so much. Her characters are almost all poc and her main characters are (all?) women. The god love triad in Inheritance is a m+f+gender-non-conformist. Some romance elements in all the stories but they really are part of the plot and almost all LGBTQ. She deals with some interesting social themes. Awesome characters but the plots actually move. Actually this sort of just checks all of the things you listed. Seriously I love her.

Pat Rothfuss - Kingkiller chronicles. The first chapter or two were a bit slow but oh my god. So much snark. I am hooked and desperate for him to release book three. I don’t know if it passes the Bechdel test though in all honesty :(

Neal Stephenson - Seveneves. The moon explodes and the people have to figure out how to get off the earth and survive in space. Mainly female main characters and also a side-note super cute lgbtq romance.

Jodie Taylor - Just One Damned Thing After Another. Time travel story with female lead and basically all snark. British snark. Significant love story but it just added more snark opportunities.

Brandon Sanderson - Mistborn. I liked the first book best but the next two were still good, just moved from a smaller story to a taking up the whole world story. More young-adultey.

Pierce Brown - Red Rising Trilogy - Trilogy about breaking out of a caste-based society of the future. Plot-driven. Main character is a snarky hothead. Lots of cleverness and outsmarting people. Really plot-driven, somewhat shallow characters. 

Terry Pratchett - I’m particularly fond of the Tiffany Aching series (Wee Free Men!). Girl wants to be a witch, saves the world. I think really all the characters are women. Young adult, lots of British snark. Fun to read. 

[gogomrbrown]

The founder of Chobani yogurt has helped employ more than 300 resettled refugees. Now racists are calling to boycott the company.

Racism and xenophobia is on the rise and people like Mr. Ulukaya are unfairly being demonized. This man made his own fortune and employs thousands of Americans. He also gave many of his employees shares in the company making them instant millionaires.

“The minute a refugee has a job, that’s the minute they stop being a refugee” Mr. Ulukaya said in a talk he gave this year. 

This is exactly the kind of migrant anyone’s country would want. 

[andimedicine]

Okay, I’m going to buy chobani.

[notacleverturnip]

Brb buying all the Chobani at the grocery store.

[notacleverturnip]

Patient admitted for abdominal pain. - Convinced surgery to do a cholecystectomy without evidence of pathology. - asked for her IV dilaudid to be given with IV morphine and directed the nurse to "push it as fast as you can" - when we told her there's no medical reason to keep you anymore she stared at us and said "well make something up!"

[notacleverturnip]

Black weekend

Discharged the whole family medicine panel but for two patients. Switched rotations. Two days later the new FM team has already got the panel up to 12 patients.

[notacleverturnip]

Alcoholic patient 2.0 Has stage 4 COPD. Came in for COPD exacerbation. Enraged that I wouldn't send him out with Ativan.

[notacleverturnip]

I'm PCP for a guy who was also admitted to my hospital for GI bleed - On admit he told us he drank a pint of whiskey a day. - On hospital day 4 he got 33mg Ativan, phenobarbital, and clonidine. And still needed restraints. - he informed us he really drinks 3/4 gallon of whiskey a day - on hospital day 5 he couldn't tell me why he was in the hospital, what day it was, or what the risks of going home were. He was furious we wouldn't let him leave. His wife checked him out AMA anyway - the next day I noticed someone had cancelled all his future appointments with me

[notacleverturnip]

Still alive!

- Day 9/12. I think? Days have lost meaning. - Currently stuck under sleeping Critter because he hit the 4 month sleep regression and I'm weak so I nursed him down and am letting him sleep on me. - Finished my first full rotation back from leave and now I'm on baby-catching duty. I hate getting my bearings again but I hope eventually I'll start to like being on the labor deck - fun fact: I'm almost positive that new baby smell everyone loves so much is old breastmilk