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“Don’t meet strangers from the internet in person.”
Yeah, but if I had listened to that advice I wouldn’t have actually hung out with people (@dogemd) while pulling an IM wards-esque week at random fire houses complete with walks and snuggles and beer tasting and the best Japanese I’ve had in my entire life.
@dogemd replied to your post: The hospital I’m currently at is getting $12...
They changed isolation precautions in my state for MRSA and VRE infections because there isn’t enough PPE to go around. Our hospital system cannot get anymore in until April.
What were you doing before & what are you doing now?
Ours haven’t changed for MDR infections - it was always contact precautions & still is. Guess we have enough gowns for now? The hospital I’m currently rotating at has been extremely opaque with what they do/don’t have and when they expect to get more. The fact that it’s this bad with 0 confirmed cases in this hospital is worrisome. In fairness, some of that is because we can’t test almost anyone, so we have to treat everyone as potentially infected with gown/gloves/mask, so then we’re running out of those things, and still no testing on the horizon...
@ramblingandpie replied to your post “Coming full circle”
Sending love your way. I am not in medicine (I am in disability law) and stumbled into that once when a claimant's doctors had not even mentioned the *possibility* of cancer (I asked her to call me if the bronchoscopy came back that the mass was cancerous.) We got through it but now I am so, so, SO grateful when doctors are frank with their patients. So. Thank you.
@simplysupergirl replied to your post “Coming full circle”
*hugs* <3 you
@dogemd replied to your post “Coming full circle”
Beautifully done. I’m proud of you for doing these hard conversations, and helping this man have a clear idea about what is being done and why. Sending love to you and him.
@doctor-doomz replied to your post “Coming full circle”
This is one of the more frustrating parts of medicine. I wish my own sub specialty would do a better job of being more transparent with patients. I’ve already encountered way too many people getting palliative-intent chemo who seem to have no idea they are not curative. It’s disheartening.
@pharmdup replied to your post “Coming full circle”
Sometimes our patients heal us, too. Well done.
Love to all of you as well <3
@doctor-doomz - 1000% agree. That’s my biggest beef with many of our oncologists. I don’t think I’ve had a single patient on palliative chemo who understood that. But I also do think this is very important for primary care & hospitalists & ED docs to do as well - they/we are often the ones seeing patients first, and at least making the presumptive diagnosis, if not the definitive one. And if we’re pretty sure it’s cancer, it’s our job to communicate that. I really don’t think anyone should ever undergo an oncology workup without being aware that’s what they’re being tested for.
lichtsucherin replied to your post “I’m having a lot of very disordered thoughts. Very very disordered....”
I'm sending a ton of good thoughts to you - it can be horrible when people diet-talk and don't notice how uncomfortable it makes you. Maybe you can actually tell them how you can't deal with that so well - I feel like people I've told have tried to lessen that around me. But it's definitely difficult - but I'm also very sure that you're not the only person who struggles with that. Sorry, this is very rambly, but I hope you'll feel better soon!
dogemd replied to your post “I’m having a lot of very disordered thoughts. Very very disordered....”
Have you tried talking to them about it? I don’t always know when I use triggering language for someone else, but I’ve started letting other people know when they say something that doesn’t sit right with me. Usually a little “hey, I’m not comfortable with this line of conversation” and redirect. Sometimes I explain, but not always. Lots of love from Hawai’i.
wheresonichedgehogwnt replied to your post “I’m having a lot of very disordered thoughts. Very very disordered....”
I hope your colleagues gain some insight into their unhealthy behaviors and choose to change. I'm so sorry they're making it hard for you in the meantime, and I wish I were there to help make things even a little bit easier for you.
❤️❤️❤️ I’m feeling the love, thank you all so much. Yesterday at the rescue squad I tried explaining why keto wouldn’t be good for me without explicitly saying that I have a restrictive eating disorder. I described it as “I have a history of taking diets too far” which is totally true, if a little bit of an understatement. My colleague tried to argue that keto wasn’t even a restrictive diet because he could eat whatever he wanted...and then immediately turned down pretzels dipped in nutella because he “can’t eat that” So, so much for not being a restrictive diet.
Actions speak louder than words (at least for me)--it is so so so important to prioritize feeding yourself and your team in the hospital and at work and school and just in life in general. Diet talk doesn’t bother me much because I know that most people don’t stick to diets, so I’ll hear someone talk about skipping meals or following a trendy diet and then watch them eat XXX food that is clearly not a part of any diet. I’m way more in tune to other people’s eating behaviors than normal, in part because I have to eat so often and feel somewhat self conscious about it, so if you don’t eat all day in the team room, I will notice, as I angerly eat my meals and snacks, and that’s what really starts my brain on the unproductive -- “why can’t I eat like that that?” track.
dogemd replied to your post “I’m supposed to lead group on the inpatient ward tomorrow while I’m on…”
When I was a psych patient, one of the groups I went to was on coping skills. It was meant to be introspective to see how we manage coping with things, both good and bad techniques. Talking about it in a group helped us understand that we were going through similar things and that managing our reactions was a big part of coping. Maybe start with something like that? Not huge things, but at least to start a conversation on what patterns people consistently do. Or even just discussing emotions and how to identify what you are feeling. A lot of people struggle with labeling what their emotions are and that can be a good starting point. I ended up being mandated to do DBT and it has a huge focus on managing emotions.
I think that’s a really good idea for a group. I think I’d probably benefit from being a participant in that group (😂). My therapist is super big on DBT and I’m really bad at labeling my own emotions and describing what I’m feeling so that’s something that she makes me do a lot. Like, I’m not allowed to leave an appointment until I list three actual feelings or something similar.
I’m going to see if I can find some sort of guide/template for a group about coping skills (which, hello eating disorder, I clearly also need to work on) or emotions and then we’ll see how tomorrow goes 😬
dogemd replied to your link “The American Academy of Psychoanalysis and Dynamic Psychiatry”
This was beautifully written and a huge thing to share. I'm so proud of you. Your continuing journey reminds me that I'm not alone in my own struggles. :)
Awww thank you. It means a lot. I was very torn about writing and then sharing this--I couldn’t tell if it was being self promoting or something. But so many people in medicine have these struggles and we don’t talk about it ever so we all feel like we’re alone, and that’s terrible. So maybe this will help :)
dogemd replied to your post “I ate bread and cookies tonight on top of dinner at the squad tonight...”
I am also on nights and would be happy to chat as well. Sending lots of love your way ❤️☀️��������
wheresonichedgehogwnt replied to your post “I ate bread and cookies tonight on top of dinner at the squad tonight...”
You rock, and I'm so glad you're in a place where you can recognize those thoughts and impulses for what they are. Know I'm still thinking about you and rooting for you, and I'm happy to chat if you'd like to chat <3
Thank you ladies ❤️ I feel bad always dumping all the messy messy head feelings on heartbeats so I may take you up on the offers. I fell asleep twitching and fidgeting and was antsy all morning because I still felt guilty and bad and disgusting for eating carb-y carbs last night. I finally got myself to eat a meal plan approved lunch so I’m somewhat back on track for now
dogemd replied to your post “1/13”
@mashupofmylife You are not the same person you were last time you did inpatient medicine. You have faced dark days and survived. I believe you will survive this without having to sacrifice your own health. Good luck and keep moving forward!
Girl, you are one of the kindest and most supportive people I’ve gotten to know on this website and I am always so impressed by your ability to lift other people up no matter what is going on in your life. I love that you have faith in me, even if I don’t really have faith in me. Here’s to the next 28 days! 😬
