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During my medical school journey at the University of Maryland, I created this photography series as an introspective representation of my e
New on in-House, a brilliant & personal photo essay about the various phases of #Medstudent life. Captured by resident physician Ankur Vaidya, MD while he was a medical student.
https://in-housestaff.org/the-life-of-a-medical-student-a-photo-essay-1983
Toxic Alcohol Metabolites
Can treat toxicity with Fomepizole
Headache in Children
Whereas the classic migraine headache in adults is unilateral, temporal, and throbbing, in children and young adolescents it is often bilateral and either frontal or temporal. Pro-Tip: Up to 1/4 of adolescents have experienced migraine.
Source: Drs. Jessive Klein and Thomas Koch, "Headache in Children," Peds in Review (2020)
That amazing moment when you achieve the med peds clinic dream
.... and get to schedule a twofer well child check for a baby and a diabetes follow up for her mom
What made you choose med/peds? I just found out about the combined residency this year and it really intrigues me!
I chose it because I wanted to see the full spectrum of ages and also maximize my inpatient opportunities both during training and after. The options are nearly boundless.
At this point people usually ask me why not FM. FM is awesome, but to my knowledge the hospitalist/inpatient jobs just aren’t as plentiful and I have no idea where my life is going to take me after residency. I’m also not super interested in OB, which is a part of the FM picture. I think FM also gets more surgical experience.
I also really enjoy the idea of switching between IM and Peds as part of my post-residency job, as I’ve enjoyed doing it during residency. What I learn in one gets reinforced as I learn it again on the other side. My attention span is all over the place and this is really conducive to it.
There’s a trope that Med/Peds grads tend to pick one in the end. I haven’t found this to be true and the statistics don’t support this either. But even if it were true, the dual training gives you a solid base to work in your chosen field. In Peds, for example, you see a lot of congenital diseases that you’ll need to see in your patients that survive to adulthood.
Anyway, my answers tend to be long-winded and aimless so I’ll stop here. But if you have more questions let me know!
That incredible moment when you get home from a crazy 28 hour call
And you get to take off the bra that you’ve been wearing for 29 hours
Somehow, it feels even better than getting to pass the pager off and peace out of the hospital.
When a preschool aged patient with history of Kawasaki gets transferred to you from an adult ER for chest pain
... and after you talk to the parents, they’re really confused because he’s never actually complained of chest pain
... and then you read the notes and realize the other ER felt like he was clutching his chest a lot but wouldn’t tell them what was wrong
... and then you examine him and realize that he’s “clutching” his chest because the breast pocket of his shirt is LITERALLY FULL OF BALLOONS and he’s protecting them because he doesn’t want anyone to take them
His chest pain workup was, unsurprisingly, negative.
When you’re in the ED helping the (male) fellow bronch a patient
... and the respiratory therapist looks at you (a female resident, clearly wearing your doctor color-coded scrubs and your fleece that says Dr. InternallyPediatric) and asks you to go get some equipment for them
... and you’re a little taken aback, because a) you’re helping do a procedure and otherwise occupied b) you have no idea what he’s asking for and c) no idea how to get it in the ED
... so you mumble out, “Uhhh sorry, I don’t work down here, I don’t know where that is.”
... and the fellow catches on and says, “Uhhh... she’s the resident, he’s the nurse” and gestures to the male nurse (who’s clearly wearing the nurse color-coded scrubs, and is clearly in the helping-provide-stuff role, not the helping-with-procedure role)
... and the RT goes, “Oops, sorry, I thought she was the nurse”
... and you say, “It’s fine, no worries”, because if you got upset about this kind of thing anymore, you’d lose your mind at least 2-3 times a week (and probably also get a reputation for being a stuck up bitch who’s “difficult to work with”)
... and then, while everyone else is busy and the suction is loud, just loud enough that only you can hear, the fellow says:
“It’s not fine. That shouldn’t happen and I’m sorry it does.”
And your heart literally bursts with gratitude to have someone (but especially a man who has no obligation to) acknowledge the shitty reality that when you’re the only woman in a room full of male health care providers, the assumption is ALWAYS that you’re the nurse... and that it sucks.
