a-young-doctors-journey - Tumblr blog

[a-young-doctors-journey]

The professor said to write what you know, looking backwards might be the only way to move forwards. Then the actors were hitting their marks, and the slow dance was a light within the sparks. And the tears fell in synchronicity with the score, and at least she knew what the agony had been for. THE TORTURED POETS DEPARTMENT

[a-young-doctors-journey]

The way you keep us on our toes, I'm amazed.

Truly a mastermind.

Thanks for making my last night shift in the PICU a blast. Just the sad breakup vibes I've been needing.

It’s a 2am surprise: The Tortured Poets Department is a secret DOUBLE album. ✌️ I’d written so much tortured poetry in the past 2 years and wanted to share it all with you, so here’s the second installment of TTPD: The Anthology. 15 extra songs. And now the story isn’t mine anymore… it’s all yours. 🤍 https://taylor.lnk.to/ttpd-theanthology

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PICU Thoughts

My brain is not wired for this.

Inpatient medicine?

A totally different world.

I'm trying, I really am. But things slip through the cracks. I almost put a patient in benzo withdrawal because my default midazolam order is set to "one time ED" and I signed the order without a second thought.

Luckily my attending noticed that the q6 midazolam order was missing, and caught the mistake in time. But seriously, it's scary.

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Starting in the PICU Monday...

and I'm getting nervous! I looked for "pediatric ICU"-style vlogs on YouTube but there are none... how can that be?! How am I to prepare?

The hours are terrible, that much I know. Not looking forward to that, but my co-residents all really liked the four week rotation because apparently you learn a lot and become rather autonomous. So here's hoping that that'll be true for me too.

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Working in the emergency department is just:

- Seeing 5 people with colds who shouldn’t be here

- Someone with diabetes who just chugged a Big Gulp Soda

- Mystery Abdominal Pain

- An old person who fell and somehow broke every bone in their body

- Seeing the happiest healthiest baby ever with parents who look like they haven’t slept in 3 days because the baby sneezed (I don’t mind these patients - cute baby, knowing the cute baby is cared for, and easing people’s worry? Great time)

- Someone who got in a car accident 2 days ago and just now decided to get checked out and is about to learn about whiplash

- Someone who didn’t try any OTC medication for their symptoms before coming and is about to get the most expensive Acetaminophen & Ibuprofen of their lives

- An interaction that changes your life; that leaves you with a deep sadness but also hope and a certainty that despite everything, in their hearts people are good and want to love one another

- A 3ppd smoker with diagnosed COPD who decided today is the day to figure out that cough they’ve had for 5 years

- Homeless people who just want to get out of the elements and have a snack you want to help but can’t

- Someone who will scream at you for not prescribing antibiotics for a viral infection

- Someone with 13 heart stents who vehemently denies any heart problems because “they fixed it!”

- Someone who just invented a new way to take medication wrong

[a-young-doctors-journey]

hahahaha so accurate, it hurts

is it just me or does the way people treat like "dopamine" and "serotonin" in modern pop psych context read exactly like balancing the humors

[a-young-doctors-journey]

Oof. The challenges and hurdles that patients who are inmates have to overcome to get proper healthcare makes me shudder. I would love to hear more about your jobs, @medicalgal!

I see so many inmates in the ED, and especially on trauma; the abuse they suffer at each others' (and likely the guards?) hands is horrific.

The treatment they get is also subpar; I feel awful for them. I once told a patient who was an inmate that he was going to be discharged today, because that felt like a normal, humane thing to do... only to get told the next day that that was apparently not allowed?!

Me: i am calling for prof.awesomesauce

Prof.awesomesauce: yes hi its me. What is this about?

Me: its about your patient mr.badluck who has agamaglobulinemia

Prof.awesomesauce: yes. What is this about.

Me: he is in prison.

Prof.awesomesauce:....excuse me?

Me: your patient mr.badluck is in prison. He is gonna be here at least for one year.

Prof. Awesomesauce: well..thats a problem. He suppose to get immunoglobulines every month so he doesnt die.

Me: yeah i know. Thats why I am calling so we can come up with a plan.

Prof.awesomesauce: ok! Good. He will have to come here on this date every month.

Me: yeah thats a problem. The inmates cannot know the dates when they leave the prison for any reason.

Prof.awesomesauce: ....u kiddin me.

Me: i wish.

Anyway we did come up with a solution. I was kinda afraid bc my experience with professors is usually not good but this guy was so nice and accomodating.

Anyway

I have a small gig in a local prison hospital.so far its interesting and way less stressfull than hospital work.thats saying something about hospital work i'd think.

[a-young-doctors-journey]

[a-young-doctors-journey]

Sharing a scary vulnerable post on Instagram, eep.

When I post to my page, I always wonder: how many of my co-workers follow my page? How many of my "enemies" know about this? Do my patients ever find me and recognize me as their treating physician?

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awwwwwwwww this warmed my stone-cold ED heart

TFW one of the babies you delivered is now a toddler and actually has a conversation with you

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Trauma senior (to our first year): your job as the intern is to not have the attending need your phone number.

Context: he made a mistake and admitted a patient to the wrong service, resulting in 3 hours of administrative chaos.

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Between the OR and the ICU always finding some time for coffee 🤍

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Studying would help if you did it.

source: pinterest: @ciel, @ibiostudy

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Living room

[a-young-doctors-journey]

An important safety reminder to all my fellow medicine colleagues.

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When it's hour 22/26 and the early AM giggles hit...

and your trauma surgery team turn out to be the funniest people you've ever met. :D