Radiologist in the PNW 🩻
@UWMedicine
. Former Wall Street trader via
@NYUStern
. Brief stint in TV (Letterman). Dad x2. Tweets related to all of these topics.
My wife’s mom has Alzheimer’s disease. Earlier tonight, we left her parents alone at their Airbnb while we took the kids to urgent care for ear infections. Her dad fell asleep on the couch. Her mom wandered out the door… 🧵
They helped her shop for bread and cookies and then paid for them since she had no money or credit cards. They sat with her while the store employees scrambled to locate her caretaker. They were exactly the people you would hope to find in this situation.
I thanked them for treating her with such warmth and dignity. They wouldn’t let me pay them back for the groceries or tea. We don’t know their names or anything else about them, but we will always be thankful that they identified our problem and stopped to help.
I parked and ran into the store. I found them sipping tea and talking cheerfully. I told the woman who I was and thanked her for watching after my mother-in-law. The woman and her partner had noticed her in the parking lot looking confused, so they had guided her into the store.
I decided to check out a shopping center a few blocks away hoping that she had been drawn to the bright lights. I drove by the front entrance of the grocery store and, amazingly, saw her through the window sitting at a table in the coffee shop with a woman I didn’t know.
We rushed back as soon as we heard she was missing. It was dark and raining steadily. Her coat was still on the rack. Her wallet still on the table. I ran up and down the block asking neighbors if they had seen her. We got in our cars and combed the entire neighborhood. No luck.
You can imagine my child’s skepticism when his radiologist dad came at him with a dusty old stethoscope and dx’d him with “possible left lower lobe pneumonia” (super hedged). Subsequently confirmed by his pediatrician. She gave me a sticker too. Felt like an MS3 all over again.
@amandamen
It takes a lot of courage to make big changes, but the long term payoff will be worth it. I switched from general surgery to radiology, and it was one of the greatest (but also hardest) decisions I ever made. You will still do great things. Drop me a DM if you want to talk.
@justindubinmd
@IMDb
@BlueyCommunity
@OfficialBlueyTV
It’s a great show. Super entertaining but also full of educational pearls for kids. It’s also the only show that holds my wife’s mom’s attention now that she’s pretty far down the dementia continuum.
Watching virtual
@RSNA
2022 this week and am disappointed by how many lecturers use “resident read” as a buzz phrase to set up pitfalls and other diagnostic mistakes.
Trainees make great calls all the time.
Please stop casually shaming your learners.
Wow! Thank you for your heartwarming response. It’s been such a privilege to read through the kind words, personal stories, and helpful tips left by members of this community. Your positive energy made my week. ❤️
My wife’s mom has Alzheimer’s disease. Earlier tonight, we left her parents alone at their Airbnb while we took the kids to urgent care for ear infections. Her dad fell asleep on the couch. Her mom wandered out the door… 🧵
Recently noticed that a small skin lesion (4 mm) on my leg was getting progressively darker. Biopsy showed an early (thin) melanoma.
Take a minute right now and ask yourself if you’re due for a skin check. Preventative care can save your life.
Best wishes to everyone participating in
#match2024
! If you’re applying rads, allow me to shamelessly plug
@UWRadiology
(and Seattle) as a genuinely phenomenal place to train. I’d do it all over again.
@mhjrad
Academic productivity requirements for faculty are also, unfortunately, much more focused on volume than quality (and/or intellectual curiosity). The impact on residents and medical students might just be trickle-down effects of a much broader trend.
I strongly recommend
#DumbMoney
, which dropped on Netflix a few days ago. Even if you don’t read everything
@benmezrich
writes (like me 🙋♂️), it’s a wild tale of financial revolution in the digital age (with a star-studded cast).
UW Abdominal Radiology fellowship graduation dinner last night. Many faculty in this photo have been teaching me for almost five years. Grateful for their mentorship and friendship.
@UWRadiology
@BaharMansooriMD
@bhargp
@jason_ryanmd
This was not the case at my med school. Almost no one deferred the exam. And it sounds like there’s not reliable data suggesting it happens elsewhere. Do you really think the internet needs more speculation presented as if it weren’t just pure speculation?
Celebrating 40 trips around the Sun today! Seattle gifted me its first 70 degree day of the year. And my mom and sister surprised me from out of state. Couldn’t have asked for a better birthday.
Update: We finished safety proofing the house and strategically placing tracking devices in my MIL’s things. Everything we bought was recommended by people on this site who responded to the initial thread. Thankful for this digital community. I’ll be sure to pay it forward. ❤️
Sending positive vibes to everyone in the Match this week. Particular shoutout to the bold and talented group of specialty switching residents that I’ve gotten to know this year. So proud of you all. It’s never too late to stand up for your own happiness. ❤️
#Match2024
Found this relic buried in my desk. 21 year old me had way better work stories than present day me. Many fond and hilarious memories from my time at the greatest dog and pony show in the world.
@Letterman
@barbara_gaines1
My parents divorced when I was 10 years old, and it was the hardest thing I had ever experienced. Nirvana gave me a place to put those big feelings I didn’t yet understand. Sparked my lifelong love of music.
RIP Kurt Cobain. 30 years gone today. 🕯️
It’s been a great four years with the greatest people. Thanks to our faculty and program leadership who taught and supported us the entire way. And thanks to my co-residents who made this place home. I love you all and am so grateful to have had this opportunity.
📣 We need your help. This is the post we hoped to never write, but today marks a huge turning point in The Strand's history. Our revenue has dropped nearly 70% compared to last year, and the loans and cash reserves that have kept us afloat these past months are depleted.
One of the least satisfying things going from medical school to residency (and beyond) is realizing how not formulaic actual practice is compared to multiple choice questions. It was all so clean back then…
I reflexively bristle a bit every time I hear the words “grit” and “resilience” in healthcare because they’re casually weaponized so often. Asking individuals to just be better or do more distracts from the more complex systemic/cultural problems that are at the root of it all.
Much needed day off. Put in a full day of skiing AND made it back in time for Monday Night Football (incredible game,
@Seahawks
). Seattle winters are better than advertised.
To anyone who didn’t get what they hoped for in
#Match2023
, take heart in the wisdom of Steve Jobs’ 2005
@Stanford
commencement speech:
“You can’t connect the dots looking forward; you can only connect them looking backward.”
Everything will be okay.
In the last 24h I’ve heard from multiple residents who are trying to switch specialties. For me, it’s been totally worth it. Happy to be a resource and friend to anyone who wants to chat.
I used to tell post-op patients to stay ahead of their pain. Meds take time to work. You don’t want to find yourself digging out of an excruciating hole.
Same goes for dementia planning. Stay ahead of your loved one’s needs.
Great time at
@canlis
last night celebrating birthdays, anniversaries, and great friendships. 10/10 recommend the Caché private room dining/viewing experience.
@shailinthomas
When I was in med school, one of the transplant attendings had a tradition of taking the students to lunch to deliver his “Life Lessons” talk. The only part I remember is when he told us to never get married in California due to unfavorable treatment of prenuptial agreements. 🤔
Incoming radiology trainees: Don’t buy into the notion that meticulous descriptions of clinically unimportant findings = style points.
Remember your clinical training and use it to craft lean but appropriately focused reports.
@generalorthomd
Not all PDs are great. Particularly when it comes to parental obligations. Residency unionization is a hot topic right now, but it was an overwhelmingly positive upgrade in my experience. CBAs clearly spell out trainee rights and can’t be overridden by program leadership.
📢 Radiology, look out for this hard worker, team player, compassionate physician, dependable co-resident and all around amazing human being!!
We love him at
@UCSFUrology
and are sad to see him go, but fully support him and will be rooting for him all the way to the dark room!!
A tone deaf paper that overtly reduces
#radres
to cost-reduction tools. But this behavior is not uncommon: overloading resident call volumes under the banner of education to improve the bottom line is an admin head fake that should not be tolerated.
@JACRJournal
#medtwitter
Dear
@JACRJournal
: how did this get published? Comparing rad extenders to residents is like comparing apples and oranges or paralegals and law students. 🤦♀️
#meded
#radres
#medtwitter
@olsonplanner
Patients come in with pain or some other problem, and we look inside their bodies to figure out what’s wrong. Our diagnosis often puts the focused treatment cascade into motion. To help someone get better is a privilege like no other.
@cjcarrubbaMD
Agree, these tests have become outsized important in the application process. But taking even more time away from hands-on patient education to grind multiple choice q-banks is just feeding the beast. We need to de-escalate the multiple choice arms race (not lean into it).