Ill get to you as I find time, have patience, yall

Ie Tootectomy: surgical Removal of a big ass fart

I honestly want to be a ghost. I am ok with them having a general “resident profile” without a picture, hometown, & all the other stuff that they list on there.

I’ve been trying to get pics of me deleted from the search but it’s not working. I even subscribed to those data removing sites to remove the websites that post home addresses.

My residency also made us sign this 5 yr media release or whatever so I don’t even have a solid ground to stand on there if I ask them to take down the picture or some aspects of the profile.

My family has also been going through a cyberattack/hacking into our credit cards, social security, phone sims, and more. I know we can get things taken down through lawyer requests but that costs a lot of money.

I reported to Google to remove personal info but it’s not in their policy to remove info just bc u want them to. I explained my case but idt it’ll work.

If any one has any advice pls lmk im kind of desperate.

My fiancé and I lived in the same town for the first 8 months we were together, and we’ve been long distance for about 3 years now while I’m in residency.

I recently got placed on a PIP at work, and that same day she told me that one of the main reasons she was willing to do long distance with me was because I’d eventually become an attending and there would be a payoff for all the sacrifice. She said she wouldn’t have done long distance otherwise and that basically any woman would feel the same way.

She also said she wished she had dated someone who was already more stable in their career and that she felt like she wasted her youth on me.

I get that career and financial stability matter in a relationship, especially when you’re sacrificing years to do long distance. But hearing that on the day I got put on a PIP felt pretty soul crushing.

Idk if any other residents have experienced this (doesn’t matter the gender). And I’m wondering how I should take it overall

IM PGY-3 doing my neurology rotation. I'm with general neurology. Man I've never felt so dumb. Do I even deserve to graduate and become an independent hospitalist. Segmental myoclonus, thalamic aphasia, cpt enzyme deficenies. Did I even go to medical school and do almost 3 years of IM residency?

Thru either true mistakes or through no fault of your own, patients can get hurt under your watch. How do you get over it? How do you stop it from eating away at you?

I’m trying to figure out which medical specialties give you the most free time / best lifestyle.
I genuinely don’t care much about salary, prestige, or competitiveness. My #1 priority is having as much free time as possible outside of work. I also don’t have a strong specialty preference, I find pretty much every field interesting (except obgyn/peds)
Which specialties would you recommend if free time and work-life balance are basically the only things I care about? And which ones tend to have the easiest lifestyle both during and after residency?

Signed already overbooked/overpaneled FM resident who just clicked some buttons in Epic to assign himself PCP and routed the chart to the schedulers for new patient plus ED follow up visit on patient’s who have never been seen by our clinic who is now asking for forgiveness and not permission.

Apparently this is unhinged behavior.

Hi I am in the last year in medical faculty in Cairo, I was thinking about having my internship in Sudan so I can go to Ireland with just the OET or in Saudi Arabia so I can work there and make good money then go to Ireland by PLAP and OET , what do you think is best choice having an internship in Sudan or in Saudi Arabia?

Do you feel intimidated by senior co-residents who constantly judge you?

Some are amazing, but some are just plain bossy.

How do you deal with it without letting it affect your confidence?

I’m an anesthesiology and critical care resident in Europe, and I’m almost at the end of my first year. I’m just wondering, does this ever get better?

Every time I feel like I’ve got things working well something happens and I’m back to feeling totally frustrated and pissed off.

My level of responsibility and authority fluctuates enormously every day. On Monday I’ll be doing ortho trauma with an attending who hands me the room, tells me I’m in charge, and tells me to call him if I really need help…and on Tuesday I’ll be in breast surgery with an attending who calls me an idiot in front of the entire room for aspirating fentanyl into a 5 ml syringe instead of a 3 ml syringe.

I’m getting paid about ten euros an hour, and it’s totally fair game to dump an extra case on me at the end of a twelve hour shift, deny me a lunch break, or ask me to deal with any number of organizational problems that are way beyond my pay grade.

I know I’m not bad clinically, I’m frequently called for tough cases that are not offered to other fist year residents, and I’ve consistently gotten good feedback on clinical decisions etc, but I still feel like I’m struggling with certain interpersonal interactions. I know a lot of old attendings like me, and I’m pretty sure several new ones really don’t.

Last week a new attending (about six months out of residency) screeched at me for moving the bed to a better position to ventilate during induction, and I was so upset by the humiliating way she acted in front of the room, and this week I just turned my brain off with her. I didn’t do anything I wasn’t explicitly asked to, didnt ask a question or point out any problems I saw because I was afraid to offend her again and get yelled at. Now she’s mad because I “wasn’t engaged enough”.

Im really not trying to have a bad attitude, I’m just trying to survive this without loosing my mind, but this residency is turning me angry.

I’m in my last year of FM residency but don’t have the will to carry on. The reward at the end of the tunnel seems like it’s more work that does not interest me. I am open to transferring residency into a PGY-2/3 spot in a different specialty or even starting over as as a PGY-1 if needed. I have a strong interest in a traditionally 4 year specialty (psych) but even with 2 years of residency under my belt, I’m tempted to open a solo practice focusing on one or two things and just seeing people for that. Reduced salary is ok as long as stress load is more manageable. I don’t mind hard work, but this is not the right field for me. 

I’m tired of the depth, breadth, and overwhelming number of things to coordinate in FM: e.g. octogenarian new patient who comes in with 10 issues who was recently hospitalized, has active acute severe hypertension, no idea what his/her meds are, and is roomed 10 minutes into the next patient’s visit so the clinic day is behind starting from the first patient. 

My PD seems to be supportive. I’m taking a break from residency due to stress overload, am in good standing otherwise, and just looking to see what my options are (and/or if I am crazy for even considering quitting with ~10 months left). After 2 years of seeing people across all ages of life and healthy/diseased states (young and old dying) I want to pursue a life where I think I can be happy. I fell into FM after med school and gave it my best shot. I’m at the point now where I want to jump ship to a different specialty and am willing to wait years if that’s what it takes to pursue a well lived life. I have skills, but the past two years has been a fish out of water situation. Any advice, encouragement, perspective…open pgy-2 psych spots?

New rule at my hospital. What’s even the point of a primary team? Just admit all chest pain to the cardiologists, all the abdominal pain to the GIs, all of the coughs to Pulm. What are we even doing here?

Early in residency I used to feel weirdly bad when I couldn't immediately place a patient I'd taken care of a few weeks earlier.

Someone would mention a name and I'd have this awful blank moment of: I spent hours thinking about this person's labs, meds, discharge plan, family situation... how do I not remember them?

At first I tried to compensate by mentally cataloging everyone.

That lasted about five minutes.

Now there are patients I remember in absurd detail years later, and others who basically dissolve into one giant stream of admissions, consults, discharges and sign-outs.

The strange part is that I don't think it means I cared less while they were actually in front of me. I can be completely focused on someone for 12 hours and then, once they're gone and ten new people replace them, my brain seems to aggressively clear storage.

I used to think good doctors remembered everybody.

Now I'm starting to think surviving training partly requires accepting that you won't.

When did that stop bothering you?

My residency hospital doesn’t offer it to us
I wonder if anyone can help in that

Graduated PCCM fellowship this year.

I enjoy my work (and the compensation). But have been seriously considering pursuing a graduate degree in anthropology.

Studied it during undergrad years ago. A lot of my research/writing during residency and fellowship was in it as well (even though I never considered formally pursuing it). Now have had a change in heart.

Goal would be to have a dual appointment in a university’s medical and social science dept as well as pursue grant funded research in medical anthropology.

This would necessitate a PhD (4-6 years including field work). Am I being impractical given the sunk cost of holding up my professional career in medicine.

Would appreciate any advice/input. Thanks!

Second-year IM resident here. One attending responds to nearly every plan with, “What made you choose that?” or “What else could you have done?”

I assumed this was just his teaching style. Then my mid-rotation evalution said I “need to demonstrate more confidence in independent decisions.” That caught me off guard becuase I usually explain my reasoning, answer his questions, and adjust only when he points toward something I missed.

On other rotations I can tell the difference between teaching questions and actual correction. With him every exchange feels like an oral exam where the result stays secret. I am considering asking him to label concerns more directly, especially when a plan is acceptable but could be improved. At the same time, I do not want that request interpreted as resistance to being questioned.

Has anyone found a tactful way to ask for clearer signals before the final evaluation?

My fiancé is in her first year of residency and things have been getting progressively and rapidly worse. The hours and workload are bad but not unexpected, but the work environment is incredibly toxic and reaching what I would consider to be emotional abuse.

The concentration of horrible people throughout the program is incredibly high - some residents and attendings are great, but a significant portion of them are truly awful people. Belittling residents (privately and publicly), racist to patients/residents/fellows, refusing care to patients who need it based on their biases (passing off to other attendings even when time sensitive), talking about/insulting other residents behind their backs, and, more generally, setting everyone up to fail and then tearing them down when things inevitably go wrong.

It's hard to go into specifics, but it's enough to make me sick/furious as a third-party just based on the messages I see, calls I hear, and stories from my fiance and other interns.

I work in private equity and previously investment banking so I know what intense work environments are like. This another level and unlike anything I've experienced in my professional career. We knew this would be hard work, but did not think it would take the mental/emotional toll that it has.

My question is when does it make sense to just call it a day and leave? Are there any other options? It's getting to the point that I'm getting worried about serious mental health consequences - I don't want to sit by and risk things going really wrong, but I'm also not really sure what to do.

She's also very determined/not someone who will give up easily. I'm just starting to worry about the possibility of things becoming too much to bear.

It seems like transferring is incredibly hard, though potentially possible, but not an option until at least after the first year. My fiance loves her specialty and does not want to change specialties. Is there anything else that's viable/doable?

Admittedly haven't done thorough research yet so I'm sure there's more I could be up to speed on - mostly hoping for advice/experience from others that found themselves in similar situations.

Anything a spouse/partner can do to help outside of the normal support? If things keep going downhill, how do I know when to step in before it's too late (while also not being overly alarmist)? And what should I do if it gets to that point?

Psychiatry fellow here.

Was covering our jail unit over the weekend (rounding plus consults) which is part of the main medical center. First shift at this facility so not a whole lot is set up for me yet. I got a consult in the ED towards the end of my shift, saw the patient, gave them a call to discuss plan, and gave them my number to call back since I don’t have a pager. They let me know on epic chat the patient is medically cleared for psych admission. I submit admission orders and note and leave for the day.

Next day comes around and I’m chart checking to see what happened with the patient after admission. I open the Ed note and glance through to see if they said anything interesting. Scrolling through and realize they have documented my full name “Dr Beanix755, Psychiatrist called and recommend admission, (XXX) XXX-XXXX.

Once I see my phone number, I flip out and message them to get the number removed and call HIM to inform them of the issue. An hour later I get a message that it’s been removed and I double check that it’s been removed.

Am I crazy for being super paranoid about this? I’m planning to let my PD know and wondering if I should be doing anything else

Drop your favorite epic dot phrase!!

Why or why not?

Could you please share your evaluations or experience so far as an intern ! I am feeling so dumb and sad looking at my evaluations

I asked in my hospital at NY , we don’t have access for trinetx ,, I need it urgently, how can I pay or what should I do to have access?

This is super broad, but I’m starting a 14 shift ED rotation (1 month) as a pgy-1 psychiatrist. It is at an away hospital, with no other psych residents on at the same time, and I’m the first one of my class to do this rotation this year. I haven’t had an ED shift in the years.

Obviously things depend on the hospital, culture, layout, etc, but what are some general things I can do to survive the month? I do not have an assigned attending, nor am I accustomed to picking up patients on the epic tracking board. For those who have spent time in the ED as a resident (either as an EM resident or otherwise), how can I best prepare for a rotation that feels so different than anything else I’ve done?

TIA