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Reached the phase of my shift when "propofol till morning" is my standard reaction to patients being uncooperative.

Go to sleep. We'll talk when you're properly awake.

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We sharing anaesthetic stories?? I had to have dental surgery when i was in middle school.

According to my mom and sister the very first thing i did upon waking up was BOLT upright and proceed to try and shove my ENTIRE fist in my mouth as fast as possible.

I had to be physically stopped, and i proceeded to sob my eyes out for the next 20 minutes. Somehow, i didnt damage anything 🤣

sorry that imagery is so vivid i just..

?????LOL

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life update: I’m exhausted

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The stress when the patient asks how long you've been training for after it's just taken you three attempts to get a spinal in

Luckily he said "wow that's really impressive that you can do that after a few months" and not "why the hell were you allowed near my back"

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While I might complain here and there, secretly I love that as intensivists, we are everyone's to-go guys when things get rough, or sometimes even when other doctors just feel out of their depth treating their patients.

That being said, dear traumatologists: correcting a diabetic patient's moderately high blood glucose (days after their surgery) is not 👏 something 👏 you need 👏 an intensivist 👏 for.

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MASH s03e16 - Bulletin Board

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I wish everything was quieter and softer and less often. 

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Me, a 3rd year anaesthesia resident: *explaning anaesthesia to an 80-something year old patient*

The patient after 5 minutes: So... you're a medical student, right?

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... the choice to protect one’s privacy in the U.S. is, theoretically, up to the individual. However, given the complexities of user agreements, many individuals are unaware of how their data are being shared. For others, a loss of privacy doesn’t seem like that big of a deal. Their data are the price they are willing to pay for free services, cool apps, or lower-cost goods. Individuals who don’t want to make that trade are told to just not use the product. But such a simple solution doesn’t address the realities of navigating a health issue in the 21st century. The U.S. Health Insurance Portability and Accountability Act (HIPAA) only protects information within the health-care system. Nowadays, however, we constantly obtain and share medical information outside the clinic. Risking privacy loss may be the sole way to seek answers to important questions, find a community of support, or even make a doctor appointment. And you can’t avoid purchasing medicine and food.

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Are dentists the only doctors who cause you immense pain (even with anaesthesia, root canal issues) and afterwards you go "omg thank you SO much", give them an insane amount of money and then leave?

When I do anaesthesia for surgery and the patients can feel something with a peripheral block (usually cervical, bleh) I'm always the bad guy 😩

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see the THING IS I don't feel like I ever worked hard enough to have "earned" the burnout, which is. probably how we got here.

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Well put. (Source: Writing About Writing Facebook page)

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(Hi. I saw that your answers to anons are so kind-hearted and sensible !)

I´m just curious if someone has (or had) feelings like me- I´m graduating in july and I´m absolutely sad and terrified by the thought I´ll be graduating medical university.I cannot accept the fact that I´m quitting one huge period in my life and now I should move into another country with another language, ( a foreign student ) work shifts and the thing that terrifies me the most is -zero skills and zero knowledge for practising... The closer I am to july, the worse feelings I have and when my classmates talk about graduation party I´ll become 100% anxious.. Am I even qualified enough to choose the field I want to? What if I fail? I´m still not sure about my direction in professional field, I can´t imagine myself anywhere in 10 years.. (feeling like a thrashbag :(( ) I haven´t started looking for a job yet).

Do you guys (if some of your other followers see this post) know some "prodigy" who is emotional and anxious about graduating university?( Bc I think it´s an occasion associated with pride, happiness and satisfaction .. :) ))

Have a nice day, I hope I didn´t make a negative impression on students here who are still studying but so can be the reality and life sometimes ..

Hi!

I think it's perfectly valid to feel like this and to answer shortly - no, you're not qualified for any of this, but none of us were. When I started, I barely remembered anything and all things practical were an absolute disaster. But you learn every single day and while it can be very hard at the beginning (trust me, I went home from work every day crying, thinking I must be the dumbest creature on earth, thankfully it didn't last long), it will 100% get better. You won't even notice that transition. But the next year when your new coworkers fresh from school start coming, you'll notice how much you already know.

I don't know how it is in your country, but here you can actually change specialty if you feel like it and I have friends who have done it. Sometimes choosing is hard, what can I say.

Also, no one, absolutely no one will treat you like you know anything after school. Yeah, they might expect some general theoretical knowledge, but that's it. Unless you find an exceptionally bad team of people, I don't think your senior coworkers would be mean to you. We all know what it was like to start at zero.

Anyway, I'm sure others will have more to say! :) My advice would be to try and focus on the present. I suspect in few months time you will actually celebrate the end of school and exams and the new, practical medicine will feel exciting :)

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Hey! Hey! Stop that! Feeling guilty for taking time off is the first sign that you should be taking much more time off. You aren't helping anyone burning yourself out, and as important our job is, it is just a job. You come first, your job comes only after you. And I know it's hard, especially when you are already in a not great mental space, and especially if your attending is pushing this on you, but you aren't alone in this, your time off is someone else's time in. If we all do just our part, it should be balanced. Plus you know our job is 80% boring and 20% oh god, it's fine if you don't do anything in that 80%, because you are saving your strength and getting mentally ready for those oh god moments.

I know it's hard, letting yourself rest freely, but you deserve it! You are an amazing human being and an amazing doctor, please take care of yourself ❤️ Sending you warm internet hugs, and I hope you find your peace!

I hope it's okay that I post this, I suspect there are other people that could use such nice message as well.

Thank you for the kind words ♥ Hopefully I will shoo this entire state of being away somehow.

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In the past few months I started feeling very guilty every time I leave work, especially after a shift. I never really struggled with thoughts like that, but lately I've caught myself thinking "should I even be going home? Do I deserve to go home? I didn't really do anything all shift... Do I deserve this??" and it's been awful. I can't really enjoy the time off afterwards.

Work has been pretty tough lately, I have the absolute best coworkers, but the relationships between wards have been abysmal. I'd say I'm not in the best mental shape and the feelings of guilt might stem from that. (Also from my head consultant always making me feel guilty for taking absolutely ANY time off.)

I don't have any positive updates, I'm afraid. Just that I started playing The Sims 2 again after they re-released it recently so that's how I keep reality away, lol. Also planning my next UK trip. I was dreading a London transfer, but then I found out that I can avoid London altogether and make things faster and cheaper and that made me even more excited hah.