#doctoring

[15-blade]

Wow I'm really hating my job lately. I genuinely never thought I would be that miserable attending. I loved medical school and had no issue with residency. But this is awful.

Most people don't have a problem I can help them with.

The people that do have problems I can help them with, the treatment is only successful a small percentage of time.

Or if there is a fantastic drug that will solve their problem, insurance is obstructionist and oh forget about it, you'll never be able to get the miracle drug that will fix you.

One thing that has been a big shock to me is that treatments that SHOULD work, don't! Like what the hell, I feel cheated. Even something like: there is an infection, treat it with the appropriate antibiotics and problems solved. LOL SYKE No. Infection's back! Like I have cultures and everything and treat with long courses of antibiotics. Why don't people get better? And patietns are upset about this too and I don't even have anything to say. They are like, ok what do we do now and I'm like shug emoji i don't know life sucks I guess?

And the sheer volume is relentless. I'm so busy seeing people I'm not helping that I have no time to see people maybe I could help.

Also I hate telling people what to do and lack confidence in telling people what to do and that is an essential part of the job.

I'm also super bummed about minor complications that are honestly normal risks of things. You really do need to have a certain degree callousness to be able to be functional that is not great, but totally essential.

What doesn't suck about it honestly?

[elaboratedexpression]

2 consecutive SEU (surgical emergency unit) shifts alhamdulillah survived! 💛

yesterday was quite a bit of anxiety but got through ok, it was just being in a different team and speciality AND hospital but alhamdulillah did ok

today was a lot better even tho it was the weekend and less staffed, I felt more confident but also had a good team including a nurse practictioner who I asked for help when I wasn’t sure 🫶🏽

Got some difficult bloods in like 10 seconds that two nurses failed which increased my self worth 🤣 love me some blood taking

[curator-on-ao3]

To be honest, I don't see the issue with Christine becoming a doctor.

The way Star Trek sidelined nurses (and Chapel in general) is definitely problematic, but SNW can treat Christine's current position as a nurse with respect without changing the canon.

SNW Christine seems to be more interested in research than face-to-face patient care and I can see her becoming Doctor of Medicine in the future.

I think a healthy fandom has a variety of opinions and I’m glad you’re expressing yours. 💪

To my mind (and I hope others will chime in, especially if I’ve got this wrong), the main concern about Christine becoming a doctor is that the change is seen as a “promotion,” as if nursing isn’t enough. Meanwhile, nursing is actually its own discipline that works with doctors — and nurses certainly can be researchers.

My guess is that, at the time of The Motion Picture (1979), Christine becoming a doctor was seen as female equality and empowerment. Women were no longer forced to become nurses (or teachers) and could be doctors. I looked it up and, the year after the film came out, only 13.3 percent of doctors in the US were female. By contrast, that same year, 95.9 percent of nurses in the US were female. (source: A Demographic Profile of Doctors and Nurses, and I thought US figures made sense given the US-centric production of the film).

So I think Chapel’s career change (as opposed to promotion) may well have been with good, feminist intentions. And, hopefully, if SNW or other Trek uses that canon, it will be done with respect for nursing as a profession and for Christine as a character. ❤️

[gisellelx]

Twilight Advent Calendar, Day 9

Dec. 9 - What is it like for Carlisle to work as a doctor now versus back when he was alone?

Masterpost/Prompts

I'm going to take a little different tack to this one, and focus a little bit on how medicine has changed, and how that has followed a bit of evolution in how Carlisle practices now that he has a family.

At the beginning of his career, when he was alone, doctors were jacks of all trades. He was the person who cured fevers, and attended births, and did surgeries. He was "on" nearly 100% of the time, and that suited him well--he needed the validation that came from people depending on him, and that need was nearly insatiable.

But then he turned Edward, and then Esme, and suddenly, that need was slaked in a different way. As a husband, and as a father, and as a patriarch, he was needed, but in a way that was less intense. He learned to slow down; to listen, to love differently, and to get his validation from other places in his life.

This change happened, coincidentally, contemporaneously with increasing specialization in the field of medicine. As the 1900s wore on, he was no longer a "doctor" but needed to be a "surgeon" and then a "trauma surgeon." He no longer needed to be all things to all people; he could focus a little more. (He doesn't, always--this is why he prefers practicing in places like Forks, where the size of the hospital still means that he is called on for a lot, but he's gotten better at it.)

He had already begun slowing down after Renesmee's birth, and for a short while, he sped up, to be of use during the depths of the COVID-19 outbreak. But as the emergent nature of the pandemic receded, he settled back into different rhythms. The newer specialty of hospital medicine has meant that he gets a lot of the same fulfillment of being a jack of all trades and focusing on patient care, but has merged it with the fast-paced, detailed knowledge he's so proud of. And, its schedules have given him freedom--either to work himself to the bone by taking on more than one job, or, as I HC he is doing now, to do work which leaves him a great deal of time for his family.

In late 2023, Carlisle's found a nice balance working as a notcturnist in a large medical system in the midwest. He works 84 hours over 7 days, then has 14 days to spend with his wife and his children, and the balance nourishes all the parts of his soul he needs it to.

[worstjourney]

There's a wonderful part of the Terra Nova's visit to South Trinidad where Atch takes a sick seaman (Brewster) on shore for some R&R. They're stranded by high surf and spend a long cold night being menaced by crabs and terns. I couldn't work it all into my retelling, but I managed at least to get this panel in.

[wondergirlcarpals]

Should I be proud? No. Am I proud? Also no.

[admiraltx]