@LucidJay
@jodyavirgan
@Hipstercrite
I was a medicine resident when COVID started & worked overnight in a COVID ICU in Atlanta. Andre 3000 knew one of the ICU nurse’s brother, so he took her # & FaceTimed her in the middle of our overnight shift and thanked each of us. I thanked him for Speakerboxxx/The Love Below
(thread)
I just finished my 3rd critical care rotation since March and hit my 100th day working inpatient since COVID hit Georgia. 78 of them were in ICU settings. Sadly, my last 2 nights on call were my busiest nights for ICU admissions, not the direction I thought we’d trend.
@Toaster_Pastry
Reminds me of this from my intern year:
“A full trauma eval was done for asymmetric pupils, and then the patient was found to have prosthetic eye and no acute traumatic injuries”
Excited to announce that I’m joining the amazing field of gastroenterology AND that after 12 years on the east coast, I’m FINALLY heading back out west for GI fellowship at University of Nevada Las Vegas!
#GITwitter
Today, I started virtual tele-health clinic. A refreshing change of pace. But it still hurt to hear many of my patients say that I was the only person they spoke to this week because they’re still afraid to go out.
We need to do better. Wear masks. Trust scientists. Vote.
I celebrated my 30th birthday in the ICU. I canceled my wedding and got married over Zoom on an off day, because in a world of uncertainty, there were some things I was certain of.
They give us a socially distanced chair to sit in for 15 minutes after receiving the COVID-19
#vaccination
and boy, is this an amazing time to reflect on what this year has been.
For now, I feel humility, relief, and hope.
@DGlaucomflecken
I free-text ordered a can of Coke to unclog a G-tube this week and now I know what to order when I want to get in touch with the nurse ASAP
This year we are excited to have made a schedule that would give our residents a window of time to go out and vote. We want everyone’s voice to be heard.
#medtwitter
#vote
I’m grateful to all my colleagues and mentors who’ve been super supportive.
But I am downright exhausted and tired from trying to treat this pandemic, and it’s only been made worse by the absolutely terrible leadership at the federal and state level.
@Dr_Oubre
Had an attending who when consenting patients for colonoscopies told them “after the procedure, we’ll come tell you what we found, and if you’d like, I’d be happy to tell your spouse that we didn’t find your head up there”
Last year on my birthday, I was working in the COVID ICU as we were starting our first surge. Thankfully this year, I had a light clinic day and made it home in time to demolish my PR in a Cody Rigsby
@onepeloton
45 minute class
@PelotonMed
I made too many phone calls to people I would never get to meet to let them know their loved ones had passed. That their loved ones hearts stopped and there was nothing we could do.
Even when I wasn’t with COVID+ patients, I saw the effect this pandemic had. The late STEMIs in the CCU because they wanted to avoid the hospital. The DKAs because they couldn’t get to the pharmacy to get insulin. The pre-transplant patients who waited weeks alone by themselves.
What’s your favorite part of your hospital’s electronic medical records? Mine is how there is no simple, straightforward way to find out how much blood has been given to a patient.
I remember holding up a walkie-talkie to a patient who was just extubated so that they could talk to their spouse in the next room who was about to be intubated. Then I called their child, younger than myself, to let them know one parent was doing better but the other wasn’t.
I played videos sent from families to my phone to paralyzed & proned patients, hoping maybe hearing a loved ones voice would bring the PEEP and FiO2 down. Because nothing else was working.
I heard the rightful frustration in the voices of families. I heard family members whose loved ones were critically ill ask me if I was doing okay and urged me to take care of myself too.
I’ve heard multiple reports of patients getting extubated after multiple days and their first words were that they still had their contact lenses in so maybe we will need ophthalmologists in the ICUs
@DGlaucomflecken
@AlexiaMarkowski
Yeah not sure why the original tweet. I didn’t have a car in med school due to cost and so if I didn’t want to carry my white coat home in the bus or on my walk, I wore it, including if I needed to make a stop at the store to buy stuff for dinner.
Last day of first year of GI fellowship! Final numbers for this year:
702 EGDs
106 nights on call
60 colonoscopies
32 PEGs
♾️ times told to “stay in the middle” / “suction” / “clean your lens”
1 baby boy
I spent sleepless 30-hour shifts in the ICU, stabilizing admission after admission and trying to keep the sickest patients I’ve had as stable as possible.
@SheaSerrano
I worked in an ICU in ATL during the first few weeks of COVID and Andre 3000 FaceTimed us in the middle of the night to show his appreciation.
@HelenBurstin
As a resident, I’ve covered >100 patients at night. There is no way for me to know all the minutiae when I’m asked to “come speak to a patient’s family.” I can help with critical issues that need addressing at night, but I can’t repeat everything the day team said on rounds.
I started picking up hospitalist shifts at Grady after a 7-month absence. Did a procedure on a patient and walked the fluid to the lab where out of the blue I hear “Dr. K is that you???”
Laboratory Gina is just one of the people who makes working at Grady feel like coming home.
I considered it a sad win when families elected hospice for their critically ill loved ones and got to see their relatives last moment through a window spent in comfort rather than agony.
Memories of the past 4 months will stay with me forever.
I told my 1st ICU patient in March, “good news, your breathing trouble is from a treatable blood clot in your lungs, so it’s probably not Coronavirus!” And then the test returned positive and none of us could believe it.
@tripgabriel
@bethanyhallam
Not just a day off. 29k of 35k left can't be legally counted until Fri. due to court order. 29k are replacement ballots bc a contracted company delivered wrong ballots last month. Election return board HAS to legally meet tmrw before counting can resume
On a rotation in the field I want to go into and I forgot the word “polymicrobial” on rounds and so I called it a “multicultural infection” so excuse me while I go hide in a hole somewhere 🙃
My third straight July 1 at Grady, this time in the MICU. The best part was seeing an ICU nurse who I worked with when I was an intern greet me with a “you’re a senior resident already?!"
#GradyMade
#HurstLife
Found my residency rank list spreadsheet just now and remembered I had a “distance to Trader Joe’s” score for each hospital which in hindsight was a key factor in being happy where I matched.
Athens, GA, is Region E. Home of
@BrianKempGA
and no critical care beds according to the GEMA report today. Tens of thousands of young people from all over are on their way to in-person classes at UGA, starting August 20th.
Don’t know why I get exam anxiety before Peloton FTP tests, but the 5-week program increased my performance by 12%. I’m a PZ believer now!
@PelotonMed
@onepeloton
@MattWilpers
Chief resident / attending life on Thanksgiving morning means chart checking from your kitchen counter while sides and turkey heat up in your oven for resident lunch. Not a bad way to spend a morning 😋
Finished my first week of attending for a resident team. During feedback for them, i asked for feedback for me and the one that stuck out was “It was nice to see that you weren’t upset when we didn’t know something.”
Do some attendings forget what the word TRAINING means???
@worldsoccertalk
because he prefaced it with “to borrow a line from American sports history.” It’s a reference most recent to the 1-1 draw USA had vs England in 2010, when an underdog draws a match they should have lost handedly.
Today on rounds, we talked about the Berlin criteria for ARDS and the Rome IV criteria in IBS which really makes me hope 2021 leads to actual travel to places like those.
I missed being a resident at Grady this year so much that I started picking up hospital medicine shifts. But the time has come to focus on my upcoming move! Gonna greatly miss the people — both patients and employee.
Today, we welcome the Pitt Med
#ClassOf2024
to its first day of virtual orientation. Lots of deans and leaders will share e-introductions and advice, including Dean Anantha Shekhar. Welcome new students! (Photo is pre-COVID-19)
@ramonashelburne
@ATLHawks
@morethanavote
My normal polling location had a 3-hr wait on the first few days of early vote (when I had time to take off). I drove to State Farm and voted in under 20 minutes. Convenience factor was amazing.
Third year I’m having my Thanksgiving meal with residency colleagues in the hospital ... but the first year I brought Tupperware for leftovers 🤣
#ExperienceMatters
This year we are excited to have made a schedule that would give our residents a window of time to go out and vote. We want everyone’s voice to be heard.
#medtwitter
#vote