Misc. Med Thread Vol. 3: caribbean diabetus strikes back

[anonymous]

ERAS apps opened today. GL to everyone applying this cycle!

[bigmane123]

i got a chipped tooth should i go to dentist or leave it be

[Flapjacko]

No one tells you that it takes 1-2 weeks to process LoRs do they? Is this like another surprise f0ck you from the medical school system.

[efoi]

ERAS apps opened today. GL to everyone applying this cycle!

That feel when still sitting at one letter. Tours over boyos

[Flapjacko]

That feel when still sitting at one letter. Tours over boyos

I have 3 processing. No PS and eras photo.

Is it ok to do tie and shirt for eras or should i be in a suit?

[ViktorFrankl]

As long as all your crap's in for the 15th or whatever you're fine. Get on your letter writers though

I have 3 processing. No PS and eras photo.

Is it ok to do tie and shirt for eras or should i be in a suit?

If you don't have your suit sorted out, a professional photo with a dress shirt / tie is fine. If you have your suit sorted out, just take it with the suit imo

[MakeABanana]

I have 3 processing. No PS and eras photo.

Is it ok to do tie and shirt for eras or should i be in a suit?

Just send your avi in as your ERAS photo ayy lmao

[WeekndOrNah]

tfw when have first mock patient interview in small group and volunteer to go first bc low standards of first interview

did a decent job, got good feedback from small group and faculty preceptor (QT3.14 psych resident)

everyone after me does an exponentially better job though


SP says everyone did great except for me specifically and pointed at me
(but still said I did good tho)


lmao rekt

time to go Path i guess

[Flapjacko]

lol standard patients was always a bullsht scenario. Its such a fake environment, it never comes close to the wards.


Told my resident starting on a service today that I didn't want to go to didactics for the remainder of the rotation, he said that was fine. Then he let me go home today to do eras stuff. #workhardnotharder #4thyearlifes.

[incomingbrOMS]

^I too attempt to escape learning about things that could save my patient's lives one day.

[Shortofdaybreak]

No one tells you that it takes 1-2 weeks to process LoRs do they? Is this like another surprise f0ck you from the medical school system.

Huh?


My letter writers would say "I uploaded it today" and I would have an email saying that they did..

[Peyronie]

TFW that one batchit crazy splitter patient splits you into the "evils" category. One less person to round on ayyyyyyy

[zonee2k]

TFW that one batchit crazy splitter patient splits you into the "evils" category. One less person to round on ayyyyyyy

Tfw you dont want no bigpharma illuminatty doctor to touch your dik

[DcupBrah]

-Anesthesia in the USA is in a weird place given CRNA's. I wouldn't want to feel like a surgeon's employee either. Anesthesia in other parts of the world supposedly has retained its historical elements of working the ED, OR, and ICU but seems in the US the ED and ICU were traded for money in the OR but now that CRNA's are around things are a little iffy.

Any one in the know regarding anesthesia/EM combo residencies? The aba says both boards are in agreement but there are no programs listed yet. It sounds like it would be pretty cool, then you could follow with ccm fellowship and have em, gas, and ccm certs in 6 years. You'd be prepared for the apocalypse. Sounds like a good idea in getting anesthesia back to where it has stayed in other parts of the world as far as ED, OR, ICU goes. Also beats the perioperative home concept...

anesthesia in US does have a strong ICU presence (at least in my hospital and few others i've explored), and most surgeons would agree that ICUs run by anesthesia are ideal; even as a CA-1 we are generally more familiar with vent setting, pressors, and procedures than our more experienced surgery counterparts.

you may feel like a surgeon's employee. often times they forget we are CONSULTING PHYSICIANS and not just OR techs. but you can't have an ego and you have to let it slide. i didn't realize this before residency but we are the ultimate patient advocates. in the OR, during a patient's most vulnerable moments - paralyzed, asleep, unconscious - we are the only ones who are voicing concerns on the patient's behalf. one of my attendings told me that anyone can place lines and intubate - nursing can place lines and intubate - but where we differ is in patient safety and advocacy.

sure, the recovery room is only 2 minutes away and what can go wrong if we don't have an oxygen tank at the bottom of the transport bed in those 2 minutes? what's that? the patient can become apneic within minutes due to concentration effect after using nitrous? dead patient. so we may seem like OCD sticklers but i promise it's all for the patient.

also the perioperative home thing is just an intangible theoretical concept some docs are throwing around to differentiate themselves from CRNAs but trust me, our jobs are not being taken over by them. our fundamental training is so different than theirs that even the worst anesthesiologist is more prepared to deal with disasters and sick patients than a CRNA.

[DcupBrah]

lol standard patients was always a bullsht scenario. Its such a fake environment, it never comes close to the wards.

i don't know man, all of my fake patients would say "not that i know of" when i asked them questions; i thought it was such a scripted, contrived stupid statement.

but every.single.patient. i talk to says that phrase. it creeps me out.

[WeekndOrNah]

i don't know man, all of my fake patients would say "not that i know of" when i asked them questions; i thought it was such a scripted, contrived stupid statement.

but every.single.patient. i talk to says that phrase. it creeps me out.

The two SPs we had yesterday seemed like normal patients with reasonable scripts/presentations.

I got fukin screwed going first with the crabby old dude (in character) though. When I blanked on continuing the interview and said that I think I have enough information and will consult my attending, he gave me sh*t about kicking the can to the next doctor. Dude fukin rekt me

[Flapjacko]

Huh?


My letter writers would say "I uploaded it today" and I would have an email saying that they did..

the eras email says it takes 1-2 weeks for the lor to clear, mine were all sent last week and nothing in eras yet.

i don't know man, all of my fake patients would say "not that i know of" when i asked them questions; i thought it was such a scripted, contrived stupid statement.

but every.single.patient. i talk to says that phrase. it creeps me out.

I think when patients do that its because they don't understand the question (like what are palpitations, etc). But that's true there are infuriating patients that just dont get it.

[WeekndOrNah]

What's the deal with MBBS and MDs? I'm confused as fuk because at my school there's a lot of them from Pakistan/India. When I google their name, 2/3 of the time it says MD, 1/3 of the time it says MBBS

Is it the same thing?

They all graduated from medical schools in their home countries, but did a US residency.
Does completing a US residency entitle them to MD?


Also what's the future of radiology like? Is the field diminishing, getting outsourced, etc.?

[JCTWP46]

Huh?


My letter writers would say "I uploaded it today" and I would have an email saying that they did..

Yeah, all of mine have been uploaded same day as my writers tell me they uploaded them. (knock on wood)

[matw]

What's the deal with MBBS and MDs? I'm confused as fuk because at my school there's a lot of them from Pakistan/India. When I google their name, 2/3 of the time it says MD, 1/3 of the time it says MBBS

I'm pretty sure MBBS is sometimes used in commonwealth countries instead of MD, at the end of the day its the same thing afaik

[Dr. Horse]

we are the only ones who are voicing concerns on the patient's behalf.

trolllolololololol

Funny how when the pt gets a nerve palsy 2/2 poor padding, chipped tooth, laryngeal trauma, avulsed turbinate, (insert other non fatal anesthesia trauma here) that there is no anesthesia clinic for the pt to go follow up and be eval'd/tx'd by the anesthetist that caused said harm. Funny how they come back and see the surgeon who was doing something else at the time the anesthetist was busy advocating for the patient. Funny how the anesthetist doesn't go out and round on "their" patients postop. Funny how we're the ones who have to apologize. Funny how they never see the anesthetist again. Funny how there were actually 4 anesthetists that rotated in/out of the room during the case, and only one of them was actually present for the preop briefing and actually knows anything about the patient/case/plan, and no one takes ownership. Shall I continue...

[zonee2k]

trolllolololololol

Funny how when the pt gets a nerve palsy 2/2 poor padding, chipped tooth, laryngeal trauma, avulsed turbinate, (insert other non fatal anesthesia trauma here) that there is no anesthesia clinic for the pt to go follow up and be eval'd/tx'd by the anesthetist that caused said harm. Funny how they come back and see the surgeon who was doing something else at the time the anesthetist was busy advocating for the patient. Funny how the anesthetist doesn't go out and round on "their" patients postop. Funny how we're the ones who have to apologize. Funny how they never see the anesthetist again. Funny how there were actually 4 anesthetists that rotated in/out of the room during the case, and only one of them was actually present for the preop briefing and actually knows anything about the patient/case/plan, and no one takes ownership. Shall I continue...

You irate brah?

[zonee2k]

Whats your opinion on doing research during clinical years? Got the oppertunity through my university. It can be either scientific or clinical research on the same topic and I'm not sure what to do (ie. is it worth the time).

[SwiftRick]

What's the deal with MBBS and MDs? I'm confused as fuk because at my school there's a lot of them from Pakistan/India. When I google their name, 2/3 of the time it says MD, 1/3 of the time it says MBBS

Is it the same thing?

They all graduated from medical schools in their home countries, but did a US residency.
Does completing a US residency entitle them to MD?


Also what's the future of radiology like? Is the field diminishing, getting outsourced, etc.?

They have to pass the boards and do a residency to practice in the US IIRC

[efoi]

Two letters in now, narrowed my list to 25 schools and deciding on two more. One question about ERAS - if I can already certify my application today, how in the world could I add my NRMP ID, which I don't think I can sign up for until the 15th?


Edit: nvm, think I figured it out. Guess that personal information section can still be changed afterwards.

[Flapjacko]

Two letters in now, narrowed my list to 25 schools and deciding on two more. One question about ERAS - if I can already certify my application today, how in the world could I add my NRMP ID, which I don't think I can sign up for until the 15th?


Edit: nvm, think I figured it out. Guess that personal information section can still be changed afterwards.

ya its the only section that can be changed.

[WeekndOrNah]

Man I'm taking Ls like crazy in small group. I hold pretty strong opinions that favor utilitarianism and personal autonomy and common sense/logic/practicality, and that everyone should know English here in the US (I have immigrant parents who learned English, and English is my second language).

Am I the only one with these "harsh" opinions?

I feel like if I don't bite my tongue in discussions, I would get fukin eviscerated for being an *******

Discussed a pt from a documentary who had a testicular tumor, went to Kaiser even though he knowingly didn't have Kaiser health insurance. Somehow they didn't ask him for his insurance card / turn him away and instead ran him through all the tests and set up an OR date, only to give him the boot pre-op. Completely justified IMO because everyone knows healthcare isn't free... why the fuk wasn't he asking questions along the way about payment ESPECIALLY if he knows that he doesn't have Kaiser?
I was the only one to chime in and say that the patient is to blame for the predicament he's in.

Some people start nodding their head but then faculty preceptor ends up negging me with "well sometimes you're caught up in the moment and don't ask about payment" and everyone agrees

2 small group sessions in a row where I get rekt, FML

[dxw]

post

Rule #0 of life: always know your surroundings

[MakeABanana]

Rule #0 of life: always know your surroundings

This. Know your audience.

[JCTWP46]

Man I'm taking Ls like crazy in small group. I hold pretty strong opinions that favor utilitarianism and personal autonomy and common sense/logic/practicality, and that everyone should know English here in the US (I have immigrant parents who learned English, and English is my second language).

Am I the only one with these "harsh" opinions?

I feel like if I don't bite my tongue in discussions, I would get fukin eviscerated for being an *******

Discussed a pt from a documentary who had a testicular tumor, went to Kaiser even though he knowingly didn't have Kaiser health insurance. Somehow they didn't ask him for his insurance card / turn him away and instead ran him through all the tests and set up an OR date, only to give him the boot pre-op. Completely justified IMO because everyone knows healthcare isn't free... why the fuk wasn't he asking questions along the way about payment ESPECIALLY if he knows that he doesn't have Kaiser?
I was the only one to chime in and say that the patient is to blame for the predicament he's in.

Some people start nodding their head but then faculty preceptor ends up negging me with "well sometimes you're caught up in the moment and don't ask about payment" and everyone agrees

2 small group sessions in a row where I get rekt, FML

Get used to it. Most of my class is like this.