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@robinavitch-rx
Intro post 🩺
Hi there, my name is Dr. Michael Robinavitch, but everyone calls me Robby. Currently serving as the PTMC’s Chief of Emergency Medicine, and I can usually be found in the Pitt as one of the dayshift attending physicians.
My current therapist suggested this “blogging” thing as an outlet. Little did I know that all of my coworkers would be here, too.
// OOC info under the cut! Please read!!
*head pat* *head pat*
there there
Um… Thanks?
*bonk*
Ow
Notes – Dr. Michael Robinavitch, Chief of Emergency Medicine
Three Bs: burnout, boundaries, and benevolence.
BURNOUT
The mental and emotional cost of care weighs on veteran physicians. We discussed, briefly, the idea of vulnerability with one's peers. That's not as simple for an attending, let alone a chief attending—see notes on Dr. Park—who is not only educating medical residents and students, but looked to for answers from junior attendings.
The isolation of leadership is something to touch on in the finished article.
BOUNDARIES
Anonymous nonpatients approach Dr. Robinavitch via Tumblr while he's off the clock, thus eroding what was meant to be an outlet for him.
Furthermore, this Tumblr community includes "almost every single person [he] know[s]" and, thus, creates a sort of limbo between the identity of a leader and a person. Like Dr. Park, Dr. Robinavitch tends not to publish his personal life online without prompting (although, I suspect this is more about volume of questions he receives, rather than staunch privacy).
That said, his romantic relationship provides an outlet that he is understandably protective of. He cites achieving trust and vulnerability with his partners; love is a giving thing of a different kind, and in its most honest, definitional form, it's reciprocal. That can be healing. Explore the concept of "on" versus "off;" giving for work versus giving for the joy and fulfillment of attachment.
BENEVOLENCE
Dr. Robinavitch's is a story about empathy. Despite the burnout, despite the seemingly constant testing of his boundaries, this is a physician whose care for others is a natural, wordless guide to him.
The sword is double edged. As he wields it, it cuts back; as he gives, the less of him remains.
But it's not quite so tragic, this story. Dr. Robinavitch also comes across as a very healed man. He has explored therapy. He has found love. He maintains a sense of humor as well as personal passions. Finding and holding onto this balance, as shown by my below notes from Dr. Bueno, makes him a better educator and leader.
He's just a man. And isn't that the most humanizing thing of all?
Quotes:
"I found out that almost every single person I know is also on here, so that didn’t really work out because who wants to be vulnerable with their peers?"
"They [anonymous nonpatients] usually come through when I’m off the clock and frankly don’t want to work anymore."
"There are also a lot of things I hold back for the sake of my reputation and the position I hold among my peers that are on here."
"I don’t really let myself get vulnerable here because I don’t want that to be part of my peers’ perception of me, especially those that I’m directly in charge of. Maybe it feels like I’d be showing weakness. And I feel like that could potentially lead to a lapse in trust in me to lead my department, which can’t happen in a fast-paced environment like the ED that relies so much on teamwork and the leadership of me and the other attending physicians."
"Sometimes I think maybe it would be beneficial for me to be more vulnerable. Not just for myself, but for the people I know here."
"I do think it takes a certain strength to be vulnerable with others, and maybe there would be something to gain for those I serve as a mentor to."
"I’ve dedicated so much of my life to my work and to the people there (both patients and coworkers) that it all blends together now. My work is my life and my life is my work. There’s a little bit of separation, but not much. I’m not saying that’s healthy, but it’s just… the way it is."
From Dr. Lyla Bueno, junior emergency attending (directly reports to Dr. Robinavitch):
When Dr. Bueno responded to my request for a conversation with Dr. Robinavitch's juniors, we talked about the role of all attendings, not just seniors, in the education of new doctors.
"Sometimes we’re equals, on the same level, and other times I feel like I’m still a resident. I’ve got a lot to learn, and I actually quite like taking on that role sometimes because I know he’s the one who’s going to guide me."
"Having people look up to you as a example and pay close attention to everything you say and do isn’t easy. But you realise that you’re the one who’s going to guide those people to become better than you, so my role is crucial, for the future of healthcare and for forming better people."
"People often judge a doctor by their professionalism, but many have forgotten about empathy. I take that very seriously when it comes to passing on knowledge to them."
"No one will deny that you’re knowledgeable, that you’ve been properly qualified, but if you lack empathy, I’m not sure how much use your skills are. You have to remember that you’re working with people, not just another number... this is real life."
Follow ups:
Make time to speak with Dr. Abbot and Dr. Whitaker, if they're aggreeable.
@robinavitch-rx @personalowl
Thank you, Clark. It was great talking with you!
MICHAEL 😃⛑️🪖🚲
@chiefofpediatrics
Dr. Cohen! To what do I owe the pleasure?
I WANTED TO SEE WHAT MY RESIDENTS ARE DOING WHEN THEY SHOULD BE WORKING.
No offense, but I’m kinda surprised you managed to figure out what Tumblr is and how to work it. I struggled a little bit figuring it out, and I’m, what, 20 years younger than you?
i cornered dr. de rosa while she was in between cases and told her that she had to help me. she made my first post. the rest is the same as texting my children. 🧑🧑🧒🧒🍼
So is the giant text a stylistic choice or..? I won’t complain, I can read it without my glasses on.
MICHAEL 😃⛑️🪖🚲
@chiefofpediatrics
Dr. Cohen! To what do I owe the pleasure?
I WANTED TO SEE WHAT MY RESIDENTS ARE DOING WHEN THEY SHOULD BE WORKING.
No offense, but I’m kinda surprised you managed to figure out what Tumblr is and how to work it. I struggled a little bit figuring it out, and I’m, what, 20 years younger than you?
MICHAEL 😃⛑️🪖🚲
@chiefofpediatrics
Dr. Cohen! To what do I owe the pleasure?
You.
Tough shit. I’m spoken for.
Snap of sergeant sad eyes @robinavitch-rx , he fell down right after this was taken and I had to use dermabond on his head. Doctors, I swear man.
And I’ll probably do it again.
You're such a masochist Robinavitch.
I just like showing off that I can do a wheelie in a wheelchair. But sometimes it doesn’t work out quite how I planned. That’s what the Dermabond is for.
*narrows eyes*
What do you want? 🤨
Snap of sergeant sad eyes @robinavitch-rx , he fell down right after this was taken and I had to use dermabond on his head. Doctors, I swear man.
And I’ll probably do it again.
Are you a centipede?
Because it makes no cents how much I want to pede in your mouth
… Gross.
peanits
MUAHAHAHAHAH
What is happening..?
Nooo. Themself. A toxicology test
I see. I think usually only during the initial hiring process, but they may periodically have to do more tests if they have a past with substance use or if there is reasonable suspicion. Some places might do random drug screenings for all doctors regardless of past use or not, but I don’t think that’s really standard practice.
my grandma who raised me (same anon from a few days ago) is from czechoslovakia so her english is a bit iffy and despite the amount of times i tell her, she still tells all of her friends im a emergency medicine transportationist…she’s so close but at this point i feel bad correcting her (she used to tell people “licensed ambulance rider”)
Sometimes it gets to a point where you gotta let grandma think what she wants 🤷♂️
How often does a doctor or medo student perform a toxicology test?
Like on a patient? Whenever it’s warranted. Overdoses, poisoning, altered mental status, etc.
Okay I found these pictures…. @robinavitch-rx when have u had a piercing???
When I was young and dumb.
