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

[MakeABanana]

must be a generational thing...

Back in my day... the disappearing med student was the WORST thing to be. If a resident or staff ever asked or thought to himself "where's the med student?", that is the absolute kiss of death. You will get a chit eval, guaranteed.

Likely a generational thing.

We radiologists understand how boring radiology can be if you're not the one in the driver's seat or are not actively engaged in the task of interpreting images. So we're more than fine letting the med student go do his or her thing. It doesn't hurt our egos one bit because it's honestly easier to get through imaging without having to explain everything to the med student. Thus, it's kind of a win-win situation (although I do like teaching).

IR, on the other hand, yeah, kiss of death if you disappear.

They schedule so much mandatory didactics or meetings for us that attendings don't even bat an eye if we tell them that we have something, somewhere else, in the afternoon as well. Definitely used "have an end-of-rotation meeting with clerkship director this afternoon" excuse more than once this year

If you're a 4th year especially, most attendings know what's really up. But it depending upon the attending how much they really care. If you're post-match, some of them will be like "Why are you still here? Go home and live life before residency."

[Dr. Horse]

That's because your generation got off on eating chit for a living LOL

Well, as a physician you eat chit constantly so it's good practice...

[Tabris]

Well, as a physician you eat chit constantly so it's good practice...

Lick my fingers after a PR crew.

[WeekndOrNah]

Brahs should I shoot my shot and apply PRS and do a PRS away? I'm only planning on doing two aways.

Anyone heard anything about Georgetown MedStar and Baylor in Dallas or UTSW-Dallas?

[santal0l]

Brahs should I shoot my shot and apply PRS and do a PRS away? I'm only planning on doing two aways.

Anyone heard anything about Georgetown MedStar and Baylor in Dallas or UTSW-Dallas?

All solid programs. UTSW is arguably the #1 program in the country for plastics. Baylor is a good and busy place. Shoot your shot but don't shoot yourself in the foot and end up matching in a low tier gen surg program because you half assed your gen surg application. Also realize that many programs auto screen out step scores <240, or maybe 235.

[WeekndOrNah]

All solid programs. UTSW is arguably the #1 program in the country for plastics. Baylor is a good and busy place. Shoot your shot but don't shoot yourself in the foot and end up matching in a low tier gen surg program because you half assed your gen surg application. Also realize that many programs auto screen out step scores <240, or maybe 235.

Yea I'm aware that UTSW is the GOAT Plastics. Their gen surg program looks like it's top tier as well, and would be a nice in to their fellowship.

Fuk idk what to do. I already feel like I'm aiming too high by going for solid gen surg programs, let alone attempting PRS, and only doing 2 away rotations total. I'm doing surgery at home program in July to get a letter and prepare myself for aways, aways in Aug/Sept, Pulmonary, and Plastics at my home program in Oct/Nov. They won't let me do 4 surgery electives unless the 3rd externship (4th cumulative) was a Plastics away.

EDIT: Bought Hot Lights, Cold Steel. My body is ready, time to get my mind right

[muscle beast]

www.whitecoatcoaching.com is good too learning how to read xrays and knowing some of the classifications (ie Schatzker, Salter-Harris, and different DRFs)

Just lmfaooooooooooooooooooooo

[Glutamine1]

Just lmfaooooooooooooooooooooo

????

Edit: Just realized i quoted "potato beast". anybody want to take any bets on what he says? i've got my money on:

- caribbean med school
- pre-fellowship comment
- chip on my shoulder --> my favorite comment btw

[WeekndOrNah]

Do residencies affiliated with state schools e.g. Banner (Arizona) or Texas give preference to in-state residents or those who grew up in their state?

[WeekndOrNah]

Damn the VA sucks.


brb go to 3 different floors to find a working restroom
brb thermostat don't work
brb computers and CPRS are ass

brb TUG robots taking over the hallways and commandeering elevators tho

[WeekndOrNah]

3rd post in a row

Would anyone be so kind as to hook me up with a preformatted CV that I can use?

[dxw]

Brahs should I shoot my shot and apply PRS and do a PRS away? I'm only planning on doing two aways.

Anyone heard anything about Georgetown MedStar and Baylor in Dallas or UTSW-Dallas?

I know I am late, but I think you'd be wasting your time at those places. Those are prime landing spots for PRS and unless you have some aces up your sleeve, you'd be better served at setting your aim lower if you're still thinking about taking your chances on PRS.

[WeekndOrNah]

I know I am late, but I think you'd be wasting your time at those places. Those are prime landing spots for PRS and unless you have some aces up your sleeve, you'd be better served at setting your aim lower if you're still thinking about taking your chances on PRS.

All good homie. Those thoughts have left my mind. Gen Surg monkey all the way

[RobParks2M]

Brahs who deal with opioids/pain stuff what is the highest you've prescribed for people in morphine equivs that are just living at home? Someone came in today with an insane # and I turned them away and they were so furious. It was one of those cases where the diagnosis from the doc was chronic back pain type stuff too. I gotta see what ya'll say before I tell you what it was.

[WeekndOrNah]

Brahs who deal with opioids/pain stuff what is the highest you've prescribed for people in morphine equivs that are just living at home? Someone came in today with an insane # and I turned them away and they were so furious. It was one of those cases where the diagnosis from the doc was chronic back pain type stuff too. I gotta see what ya'll say before I tell you what it was.

Just sent a dude with a Rt AKA home on Dilaudid+******** bc his kidneys were shot (ESRD dialysis dependent). Didn't know you could do that. Didn't give him a high dose though

[Dr. Horse]

Brahs who deal with opioids/pain stuff what is the highest you've prescribed for people in morphine equivs that are just living at home? Someone came in today with an insane # and I turned them away and they were so furious. It was one of those cases where the diagnosis from the doc was chronic back pain type stuff too. I gotta see what ya'll say before I tell you what it was.

I admitted a guy not long ago that had well over 3000mg morphine equivalents per day. I did the math but I wasn't comfortable writing someone for a fatal dose of opiates so I called pain service to help manage.

[MakeABanana]

I admitted a guy not long ago that had well over 3000mg morphine equivalents per day. I did the math but I wasn't comfortable writing someone for a fatal dose of opiates so I called pain service to help manage.

Yeah fuk that. Consult pain service STAT.

Same thing with patients admitted on hundreds of units of insulin per day.

[RobParks2M]

I admitted a guy not long ago that had well over 3000mg morphine equivalents per day. I did the math but I wasn't comfortable writing someone for a fatal dose of opiates so I called pain service to help manage.

K that is nuts. Person I had was closer to 700. No cancer/end of life shyt either though. I ain't about that life though

[kovalchuk71]

Are “jogger” scrubs becoming a thing in actual hospitals? I keep seeing ads for them on social media and cringe at the thought of a physician actually wearing them.

[incomingbrOMS]

Are “jogger” scrubs becoming a thing in actual hospitals? I keep seeing ads for them on social media and cringe at the thought of a physician actually wearing them.

Chicks wear em brah.

[WeekndOrNah]

Are “jogger” scrubs becoming a thing in actual hospitals? I keep seeing ads for them on social media and cringe at the thought of a physician actually wearing them.

Never seen a physician wear them but the nurses at the Children's Hospital wear them and they are hnnnnghhhh. Doesn't hurt that all the Children's Hospital nurses are young fit blondes in their 20s

[kovalchuk71]

Never seen a physician wear them but the nurses at the Children's Hospital wear them and they are hnnnnghhhh. Doesn't hurt that all the Children's Hospital nurses are young fit blondes in their 20s

This I can live with.

[WeekndOrNah]

This I can live with.

I went from doing Peds Inpatient @ Children's last month to Internal Med @ the VA this month. God damn what a fukking day/night slap in the face in terms of nursing quality and aesthetics

CPRS is the biggest pile of dogchit ever



also VSAS/externships/preparing for ERAS is stressful as fuk holy chit

[MakeABanana]

I went from doing Peds Inpatient @ Children's last month to Internal Med @ the VA this month. God damn what a fukking day/night slap in the face in terms of nursing quality and aesthetics

CPRS is the biggest pile of dogchit ever



also VSAS/externships/preparing for ERAS is stressful as fuk holy chit

I actually like CPRS. It doesn't have all that extra bull****.

[WeekndOrNah]

I actually like CPRS. It doesn't have all that extra bull****.

I agree once I got used to it, but its just a pain in the ass to find some chit and everything looks the god damn same bc you can't do any extra formatting. Going from EPIC to CPRS makes it seem like a piece of dogchit relatively.

[jayhow92]

Misc I am absolutely stunned today. I didn't match into anesthesia with 250 and 251 step scores. I thought my interviews went well, have some research and multiple poster presentations under my belt. Not even into my home program that I really wanted to return to. I thought the faculty and residents liked me (I play bball with the residents when I can). SOAPing wasn't even a thought that crossed my mind at any point with 10 ranked programs. Did everything my advisors told me to do and still got fuked. This one hurts badly.

[MakeABanana]

Misc I am absolutely stunned today. I didn't match into anesthesia with 250 and 251 step scores. I thought my interviews went well, have some research and multiple poster presentations under my belt. Not even into my home program that I really wanted to return to. I thought the faculty and residents liked me (I play bball with the residents when I can). SOAPing wasn't even a thought that crossed my mind at any point with 10 ranked programs. Did everything my advisors told me to do and still got fuked. This one hurts badly.

With those scores, as long as you applied broadly, you should have matched somewhere.

How'd you think your interviews went? The fact that you got at least 10 places ranked means those programs were considering you.

[chestenvy]

Damn man sorry to hear. Those are good scores for anesthesia maybe you only ranked top programs and didn't have any safeties? Statistically you should have matched. There were always open soap spots for anesthesia around when I applied, and at good places too (I think Emory had 6 unfilled spots that year). At the least you'll be a desirable soap candidate and will likely end up somewhere solid. It's one small bump in your career in anesthesia.

[jayhow92]

With those scores, as long as you applied broadly, you should have matched somewhere.

How'd you think your interviews went? The fact that you got at least 10 places ranked means those programs were considering you.

I applied pretty broadly. I thought my interviews were overall good. There were some tough ones, but most just felt like a normal conversation. Unless the program was stupidly hard this year, I can't figure out what went wrong.

[jayhow92]

Damn man sorry to hear. Those are good scores for anesthesia maybe you only ranked top programs and didn't have any safeties? Statistically you should have matched. There were always open soap spots for anesthesia around when I applied, and at good places too (I think Emory had 6 unfilled spots that year). At the least you'll be a desirable soap candidate and will likely end up somewhere solid. It's one small bump in your career in anesthesia.

There were some high tier programs but most were middle level programs (including my home school). All of the residents I talk to expected me to at least match at my home school with my stats, but apparently not. But thanks for the advice. I'll get through this.