rho does residency

| South Africa

[rhokotela]

[rhokotela]

[rhokotela]

Wait, I have to do another match???

Here’s some data I saw recently 🤠

[rhokotela]

Having an absolute jaunt of a time.

[rhokotela]

disseminated tuberculosis | candida endocarditis | streptococcal toxic shock | endophthalmitis with Roth spots iso coagNS bacteremia | staphylococcus aureus | nocardia africana | disseminated histoplasmosis | disseminated aspergillosis | coniochaeta species | kratom pneumonitis masquerading as pneumocystis | acute hepatic failure unknown cause | acute influenza b related respiratory failure requiring ecmo and lung transplant | pan resistant pseudomonas

[rhokotela]

Transplant medicine is really waking up every day and fighting god.

[rhokotela]

Spent the last month here and I’m exhausted but glad I did it.

neurosarcoid cns lymphoma cns hlh cidp miller fischer Lennox gasteau dravet tuberous sclerosis NF1 aspergilloma non traumatic clivus fracture with bilateral hypoglossal nerve paralysis misdiagnosed as myasthenia gravis and every version of stroke and epilepsy you can imagine

[rhokotela]

Had such a good fucking day at work

[rhokotela]

Yesterday I had a lady with a sister Mary Joseph nodule and now today a dude with alien hand syndrome.

[dogpuppy]

[petiplacha]

Kyiv, 09.01.2026

[cranquis]

Collective terms for doctors

As proposed by Dr. Sanjay Pai in an editorial for the British Medical Journal, 2002

A pride of surgeons

A gaggle of gynaecologists

A culture of microbiologists

A rouleau of haematologists

A synapse of neurologists

A howl of paediatricians

A consolidation of pulmonologists

A rash of dermatologists

A stream of urologists

A Gray of anatomists

A flap of plastic surgeons

A joint of orthopaedic surgeons

A g(l)ut of gastroenterologists

An orbit of ophthalmologists

A parliament of pathologists

He omitted Family Physicians/General Practitioners – so I propose “A Tree of Family Physicians”. Any other specialties we should specify?

[morebaffledlessbrooklyn]

A stretch of physiatrists?

[modernathenamd]

Currently a member of a howl. Aptly named. My floor is never quiet.

[wheresonichedgehogwnt]

Fun fact: It is so rare to see groups of rural physicians, particularly of the full-spectrum family physician subspecies, that there is no official name for a group of them - we’re too busy covering the clinic, the hospital, L&D, the ER, and the nursing home to congregate in groups of more than two, and even then, it happens just long enough to deal with a life-threatening emergency

The only possible exception occurs every 2-3 years, where we all meet for five minutes so everyone can try to avoid being made Chief of Staff and the successful docs immediately flee the meeting, leaving the new Chief to the cruel fate of having to do extra administrative work

[verityontheothersites]

An excitement of emergency medicine docs?

[rhokotela]

Wait what about ID docs? A MIC of them? no that’s the ID pharmacists. A stewardship? no no that’s the IPC people, I think.

No no no obviously it’s a staph of infectious disease physicians 😎

Someone do the intensivists.

[rhokotela]

This number called me asking how I felt about vaccination for respiratory illnesses and said they were from the cdc, but my phone initially silenced the call as junk. Yeah I’m standing in an icu I’m the doctor obviously I fucking love vaccinations for everything because they decrease the number of dying people I have to try and keep from dying. Fucking obviously.

I had to hang up early because one of my seven flu admissions was trying to die.

Why is the CDC doing this? Why is it screened as junk? Why are they calling me, of all fucking people?

[rhokotela]

Extubated a woman just to have her immediately a fib rvr to 190s and flash and require immediate re intubation.

[rhokotela]

This guy just died aspirating multiple pickles.

[rhokotela]

There are so many cases I could talk about - great learning cases - but it’s been nonstop and I’ve been so swamped, so here’s some highlights:

Necrotising pseudomonal pneumonia (the big the bad the panresistant)

SVC syndrome getting spicy

Syphilitic cirrhosis

Caudate mass with neuromuscular weakness and renal failure unknown cause and it improved without steroids

Wounds wounds wounds; the exposed skull conundrum (and several cases of what I now call “flap hat”)

Post extubation stridor; ut oh spaghettio where the fuck are the racemic nebs

[rhokotela]

I’m applying to work with another ID dept of another big academic hospital and I told them I’m quantiferon positive and they…. Asked for a third repeat quantiferon from this year?

I’ve been positive for years guys why? This is a lifelong positive, not a fluke. It’s because … South Africa. I worked in TB hospitals. This is real. My immune system has known mycobacteria. Stop making me repeat this expensive annoying blood test that will never change result. You’re the ID dept, you know this. Just accept my normal chest x ray and move on.