Incoming residents looking to prepare for July, here’s my advice:
Don’t
Enjoy the last 3.5 months before residency starts
You’ve earned it
#MedTwitter
#MatchDay2021
@TheBlondeRN
I’ve never understood the white shoes for nursing thing. Walking around in poo, piss, blood, etc, but required to wear white. Make it make sense
I’ve seen multiple accounts drag this girl for a post the program made.
I’m 1st gen doc and understand med students with docs in fam have advantage.
Dragging med students through the mud is NOT how you fix this problem. Please stop.
#MedTwitter
If you’re so full of yourself as an applicant applying to
#neurosurgery
that you think you’re above having a PA interview you, do all of us in the field a favor and apply to another field. You’re not welcome here.
Yes to this. I dropped out of physics the first time through, scraped by in o-chem, did 2 years of research and a masters to compete for med school, and only got into 2 med schools. Now I’m a
#nsgy
resident
@WashUNeurosurg
. Don’t let early failures define you.
#MedTwitter
Unsolicited advice for away rotations (and incoming interns):
If you make a mistake, own it immediately, apologize, and discuss how to avoid repeating
Accountability is a MUST for trainees. It can turn a mistake into a positive encounter
#MedTwitter
#nsgy
This is a terrifying precedent.
She deserved to lose her license & be liable for civil lawsuits, but criminalizing medical errors is insane. More people will leave healthcare because of this.
#MedTwitter
#RaDondaVaught
Here’s the monitor of a patient who presented to the ER with an acute thalamic stroke.
Notice the irregular breathing pattern with periods of apnea, followed by increasingly deep breaths and hyperventilation. These are known as Cheyne-Stokes respirations.
#FOAMed
You can have parents in med and still work hard and be a great doc.
Imagine if your kid goes into medicine and people decide to drag them through the mud like this. Do better.
Well, it finally happened.
#medtwitter
world has now invaded my dreams. Dreamed I got admitted and
@TheBlondeRN
was my nurse. A+ care.
@DGlaucomflecken
was not my crit care doc (un)fortunately.
@DGlaucomflecken
Still remember intern year, ophtho resident and I were sitting in Geri unit when a code blue was called in room right next to us. We looked at each other, terrified, and were about to get up when an anesthesia resident came running by. Huge sigh of relief.
Congratulations to all of the incoming residents who matched today! I’m happy to finally be able to say I’ll be graduating before all of you
#Neurosurgery
#Match2021
Want to know what a busy weekend (Friday, Sunday) at a level 1 trauma center looks like
@NeurosurgerySlu
? Here's an example of some cases from a recent weekend.
#Neurosurgery
I know
#neurosurgery
tends to lean conservative, and I’ll probably lose a bunch of followers for this, but f$*& it. Trump is not joking, this isn’t funny, and we can’t be so numb that this is swept under the rug. Republicans need to grow a pair and speak up.
#BidenHarris2020
Fundamental to democracy is the peaceful transition of power; without that, there is Belarus. Any suggestion that a president might not respect this Constitutional guarantee is both unthinkable and unacceptable.
@TheBlondeRN
Training is different for each as well:
Nsgy: average 400-500 spine cases during residency (can be >1000), spine fellowship not required (often still done)
Ortho: average 70-80 spine cases during residency, spine fellowship essentially required
When you believe that you were born to do something no amount of failure can stop you.. applied to medical school 3 times.. took the MCAT 3 times.. rejected for 3 years.. accepted to 1 school.. 1 dream..
#nsgy
🧠
#BlackMeninMedicine
👨🏾⚕️
Recently saw a patient who I first saw months ago with severe TBI. Didn’t think he was going to make it initially. He’s now had cranioplasty, is Neuro intact, and home with fiancé and kids. The success stories make this job so rewarding.
#Neurosurgery
#MedTwitter
At most programs, you’ll spend much of early years working closely with the PAs and NPs on your team. After that, you’ll rely on them to help run the floor and clinic so you can focus on the OR. If you don’t think these people deserve a say in your application, you’re an idiot.
Recently received a transfer center call from ER looking for bed for very lethargic adult patient with acute shunt malfunction.
I’m on my peds
#nsgy
rotation. All adult hospitals in the area are full.
This is how
#COVID19
can break the healthcare system
#MedTwitter
@justarandomdani
Not sure who you’ve spoken to about medicine, but you might want to reach out to some different people. Most people I know, myself included, love medicine and can’t imagine doing anything else. Are there systemic problems that need fixing? Sure. But we’re not all miserable.
I’ve seen a lot of back injuries and a lot of head injuries. People with back injuries do NOT look like this. The NFL review is BS. NFL concussion protocol needs a massive overhaul.
#TuaTagovailoa
#concussion
@DrNadiaChaudhri
May you have peace Dr. Chaudhri. Your strength is inspirational. Here’s one of my favorite pictures of the coast of Capri, Italy for you.
@TheBlondeRN
Patient population is largely the same for both (trauma, degen, deformity). Anything intradural is nsgy only. Ortho has historically handled most peds scoli/spine, but this is slowly changing.
Referral patterns largely depend on region and hospital system
@atmghn
@DGlaucomflecken
4 years in, zero relationships ruined. Chiefs from my intern through 3rd year (plus myself) are all happily married with kids.
Things have improved
Any doctor who responds "yes" when a med student asks them if they always knew they wanted to go into their particular specialty is either a liar or a neurosurgeon.
Yesterday, vet told me my dog had melanoma. Today I found out it’s actually melanocytoma and resection (already done) is likely curative.
How to celebrate? Baby girl Keira’s getting all the toys
#DogsofTwittter
#MedTwitter
@ddonoho
I really appreciate that Dr. Donoho. The nsgy and medtwitter community has been a great resource, and the support during difficult times is invaluable.
Congratulations to
@WUSTLmed
student Sangami Pugazenthi (
@S__Pugazenthi
) for being awarded the
@NREFORG
2024 Medical Student Summer Research Fellowship Best Abstract. She received the award at
#AANS2024
annual meeting.
Not sure who needs to hear this but “I’m just covering” isn’t an excuse to not know your patient...
Especially when you’re calling another team for a consult.
Unless they’re dying, learn about your patient before you call another team.
#MedTwitter
@davidnnaumann
Least favorite excuse in medicine: “Sorry I don’t know that patient, I’m just cross covering”. If you’re covering them, you are responsible for knowing who they are. Period.
By no means endorsing it, but I now understand the appeal of co-sleeping.
Baby will not sleep for more than an hour unless she’s being held by me or mom.
I remember how little I appreciated complexity of positioning as a med student. 3 years in and I’m still learning.
Want to impress your seniors and attendings? Study up and nail the positioning.
#Neurosurgery
#MedTwitter
@AaronCohenGadol
Patient positioning matters! Here’s a great refresher for incoming
#NSGY
interns and current residents in this
#NeurosurgicalAtlas
Ground Rounds: Patient Positioning for Intracranial Surgery with Dr. William Couldwell:
@NSTumorSection
@cvsection
Just went to grocery store post-call after a long shift, and saw 3 old white guys not wearing masks.
I’m too tired to yell at them. This sh$t is exhausting
@Jabaluck
Did you just wake up & decide, “yeah, now definitely feels like the right time to go after doctors and their salaries,” while we’re out there literally dying during
#COVID19
? Tone deaf much?
Med students applying to
#neurosurgery
this year, now that interview dinners are gone, what kinds of things would you be interested in doing to replace them? We’re starting from scratch, so you have the chance to shape this.
#MedEd
#MedTwitter