MD, 4mer chem/bio tchr. Story weaver, best bedside manner, traveler. Loves ideas and people. IM doctor/hospitalist, but appreciates all areas of medicine.
I have little choice but to bend to to your will because you have the power and I don't.
However...
You. Will. Never. Break. Me.
And I will never forget. It will come back to you at some point.
#dailymantra
Walking back into clinic. See young couple in mid 90s looking confused. Nursing home driver took them to the wrong facility. Worried they would be late for Dr appmt.
Got my car, drove them across town.
When your own life is kinda crappy, best thing is to make someone happy.
A nephrologist who had cared for a long-term pt came in late at night to have an end of life discussion with pt and family in that person's mother tongue.
Life not even shortened by any issue related to kidney.
Now that is class.
Yes, I just reported 81 people who are targeting a physician who is already depressed.
My hand is numb.
I was glad to hear that he reached out for support.
We all need help at times and it is not a weakness.
The hospital put me up at a loft they own across from the hospital. Definitely beats a hotel room. Grateful to get off the roads. It's starting to get nasty out there.
I think I have finally lost enough weight that I can get rid of the pants that I am wearing today. Looking forward to finding other pairs that should be donated as well.
Mounjaro. 27 lbs down.
It works.
Taking a moment to be grateful for losing 43 lbs so far.
Gave away 3 more pairs of pants today.
I have others that I am just wearing loose and will wait until I really look ridiculous in them.
35 lbs more to my goal. It’s slowly coming off.
#mounjaro
I hope that the longer brighter days make me feel more alive. This winter has been really tough. Slowly putting away things sitting out for weeks/months. Putting away bins with fewer things in them, but no better organized.
Here is the bright spot in the pile of mail.
If you didn't match, I am sorry, from personal experience with two unsuccessful attempts prior to this residency, I get it. If you want, you can DM me.
If you matched, great news, but please don't abandon your friend who didn't (saw this plenty, it's heartless).
End of ICU rotation.
I treated septic shock in my dreams.
I hear vent beeps when there are none and I am awake.
Worst of all, my bowels have reset to 4:30 AM and body thinks 4 hrs sleep is enough to exist on.
I need intensive R&R...
for 6 months.
#PGYend
I wish we could have a clinic where those who have lost hope could receive a shelter dog or cat, then return biweekly with their pet where they both get healthcare, medication and the human gets SW and psych connect then sent home with pet food and squeaky toy.
#Utopia
#Petopia
Sending strength to all the ER docs/Hospitalists/Clinic docs/Surgeons who have to suggest to someone that they need to be hospitalized over the holidays.
I know, it feels like you are the Grinch that Stole Christmas and it sucks.
Hang in there. You are doing right by people.
One of my rituals, when I am doing the intern’s role is to call at about 4pm to ask the nurses if they need anything and to give an update of any changes.
N1:?
N2: ??
N3: 🤗
N4: 😁
N5: 😇
N6: ✌️
N7: 👌🏾
N8: 👍
Etc.
It may take me an hour to get through 16, but worth it.
It felt a bit Christmas~y today being able to send some people home.
My dad called while on rounds and I asked if anyone would mind if I answered. I started to cry a bit in the hallway.
I miss my family so much. I have been away pretty much for 9 years.
A small amount of praise can go a long way.
When working with students or Residents, please remember this. People tend to want to work harder for those who treat them like they're valuable/capable/worthy.
Today is my last day at this hospital. The nurses bought me a cake. Very nice of them. Systems can treat a person like trash, don’t ever think for a minute that the system cares, but there are people that do.
Attending: I ordered NS, who dc'd it and ordered LR? 😠
me: ME!! 🖐👄
A: Why??😒
me: (insert scientific explanation here, AKI, acidosis, 1+1=2)
A: ok, that's fine.
PGY-3. Still a ton to learn, but I know some things & I am no longer sheepish about explaining & stand up.
Friend is experiencing other worker's racism. Makes me want to get on a plane and go verbally cut them down to size.
Ie. Handing out masks or gloves, then skip her and say your kind brought this here. You don't deserve these.
Please check in with your Asian friends.
I am sad tonight, so I will share a story.
There was a young policeman who lived in an isolated RCMP station in Northern Alberta where he was more likely to have an interaction with a grizzly bear than another human. 1day, a beautiful red head drove past & he was just curious.
This. Recently attending told me that my way to improve was to not voice any opinion b/c some people interpret that as being argumentative. I am a fairly reserved person, so it has taken me years to learn to step up and voice an opinion.
There is no winning in residency.
I couldn't do much for someone who is really angry about their severe health problems.
So, I just pulled up a chair and sat myself down to listen.
There is no magic wand. No magic cure.
@nilikm
@OttawaPolice
we want to know that you have
@nilikm
‘s 6. Do you have a plan? Are you sending officers to that meeting?
Threats should be taken seriously.
Residency:
Too slow, speed up- you're rushing too much
Not enough detail - be concise. You work harder - you don't do enough. You are not giving enough differential dx - you're too confident in your dx.
Residency- the game you can never win. You can only ever lose at.
I told a nervous nurse that she could contact me about anything throughout the night.
I am slightly regretting that statement now. 👀🤭🤫😵💫
📳📳📳📳📳📳📳📳📳 📳📳📳📳📳📳📳📳📳📳📳📳
So, I am alive today because a car got pulled over by a cop.
When Dad pulled over my Mom, it was definitely the best car he ever stopped.
For this I am grateful. I may never experience real love like that, but I know what it looks like.
I think that I have been paid the highest compliment a resident can get.
Nurses called me because they trusted my judgement and said “we appreciate you Dr. Crewson.”
So nice of them to say. There is not much praise along the way.
If you didn't
#Match2019
this is not even close to the end of your journey.
It took me 3 tries.
Life meanders, but with time you can arrive at your destination.
Those that
#Matched2019
don't forget your friends and colleagues that didn't. Stand by them.
Once Americans are vaccinated, could you please donate your unused vaccine to that third world country called 🇨🇦 Canada?
We can give you a pass to enter Banff in return. You can enjoy getting drunk on less beer.
I am disgusted at how slow the process is there. Really risky.
On my way into work today, I dropped my ID badge in the parking lot.
It was run over by several cars.
It still works. Looks like crap.
I think this is a rather metaphorical reflection.
#Residency
Prerenal AKI
Primary Insomnia
Deconditioned state
Weight gain due to increased calorie intake
Neck pain
Constipation
Adjustment disorder or depression
Anxiety
Migraine or stress headache
Upper respiratory infection
GERD
Laundry list of common probs amongst residents. Be kind.
How can you touch him with your bare hands? He had come in a most undesirable state of being.
Me: He is a human and I can wash my hands.
Remember that sometimes the only time people receive human touch/interaction is when they get admitted to the hospital.
I chose the wrong profession. I am much more suited for something that would allow me to work after I’m ready to get out of bed say like about 10 or 11 AM.
Not a morning person.
The real world sucks.
Coffee. Coffee. Coffee.
Coffee.
Anyone else here used to pour over the book order magazine leaflet that got sent home with you from school?
I used to save and roll my pennies, nickels and dimes to buy books.
I don’t imagine that my method of payment was all that appreciated by my teachers.
For many schoolchildren in the United States, Scholastic book fairs feel like holidays. As an adult,
@marinakoren
returned to a book fair in hopes of recapturing the magic.
I helped someone get assistance w/planning their own funeral b/c it was weighing on them feeling like this would burden family.
I told them I would help b/c if it was done they could get back to living each day.
Sometimes healing doesn't take the form of a pill or surgery.
There is a blizzard tonight. Is it ever hitting hard. I should have gone for groceries today.
The good news: I have a bottle of wine & a box of brownie mix.
The bad news: I will be stuck in my apartment with a Costco sized bottle of wine and an entire pan of brownies for one.
Someone ahead of me in line in Starbucks paid for my coffee this morning.
Thank you from a tired medical resident.
#Fargo
. People are just genuinely nice here.
#northofnormal
Lesson from living on the farm: If everywhere you go smells like poo, you should look under your own shoes.
(If you are constantly in conflict w/people, you might want to consider that you are the problem. If your life sucks all the time, it’s probably your attitude that sucks).
Due to circumstances that are beyond my control, I have had to set aside doing fellowship in July.
It stinks. I am stuck in limbo. For me, it is a personal purgatory/embarrassing. Not certain when will end, but trying to adjust & carry forward. Details I can't provide.
#sadness
Y'all said I needed to celebrate somehow, so I bought 3 mini bundt cakes. One for each year of suffering through residency. Right now, headed for a massage, Chinese food and Bundt cake later.
Something has changed.
Intern year: barely able to present & struggling to get details.
PGY-3: stuck at last min replacing intern d/t illness. Attends long code b4 rounds. Introduces all pts to new attending hardly looking at chart, analyzing labs on fly as well as plan.
Weird
It’s a good thing that I have no time to date.
I would have to admit in a dating profile that my current favorite hobby is sleeping and when I am not, I am thinking about having a nap on my day off.
#lifeinthefastlane
In bed while writing this tweet w/a dimmed night screen.
I went into Costco for 1 prescription and came out with over $100 of groceries...
And had to pay for my membership renewal.
Well played Costco, well played.
Arm teachers. Sure.
Arm them with class sizes under 30, with books and supplies, with support staff, aids and councillors, a living wage so they stay teachers, with your support as parents to help build character/desire to learn/resilience/social responsibility.
@olsonplanner
I started this late in life. It has cost me more than finances. Sometimes the grass looks greener on the other side of the fence because it's Astroturf.
Rest easy in your decision.
How is your morning going?
When your friend from high school is still clearly stupid. I used to take them as they are, but I think this is the final straw.
Please take care of yourself 1st.
If u died today, your job position wld b advertised b4 someone had a chance to write your obituary & there wld still b work sitting in your in-box.
You matter most to your family, friends - why can we not stand up for self care?
#HealthyinHC
Someone at work complained about 1 of the residents trying to use an area for pumping breast milk behind a closed door b/c the sound might disgust others.
It was a woman who complained. Just set us back 50 years.
I can't believe the struggles our mothers at work are having.
My mother w/brain cancer had to use hosp public washroom. Dad bein worried, asked a woman if could go check to make sure got in safely.
She informed that she was Dr., not a nurse.
Will never forget that as long as I live.
I will only hesitate if I need to get help to do task.
I was walking down the hallway, and overheard a MD in a patients room. The patient said "I'm cold could you pull up my blanket". The doctors response was "I can't help you with that but let me get your nurse" ..... 🤔🤔🤔🤔
74 lbs down. 4.5 lbs above original goal weight which is just above the range of normal for my height. I chose that because the last time I was less than that, I thought I looked skeleton-esque.