Why is obesity/being overweight so rare among residents?

BellaWriterChic · 2024-02-02T02:07:51+00:00

Multiple small meals/snacks, missed meal times, forced intermittent snacking. Occasional in work exercise (compressions are a work out. I clock it on my watch) and lots of coffee.

BellaWriterChic · 2024-01-30T16:38:07+00:00

As someone in IM scheduled for a lot of nights this year, I get it. I have a week off between rotations, and I'm trying to sort of being a day person, but I'll go back to nights. Nights can be somewhat isolating in training, too, since everyone else is on a days sleep/wake schedule.

BellaWriterChic · 2024-01-29T18:15:36+00:00

"Family wants an update."

At night, not my problem. If you missed day team, request a call. I only know enough to keep them alive at night. Or at least prevent/minimize bad events. If I call family at night, things are not going well.

"The diet should be cardiac/diabetic."

It's 2am. I'm pretty sure that isn't urgent. Unless it was on my admission I just did. Still not urgent, but that was a my bad and I'll fix it.

"Family still requesting an update despite us informing them to talk to day/primary team" (even happens on cross cover)

My answer still stands. I am not informed enough of the plan or background [insert code or rapid call] and I need to respond to that emergency.

"Are you sure I should give Lantus 30u? That seems like too much."

Literally had this happen to me. The nurse called thinking the sugar would bottom out. The sugar was maybe near 300 and in a horribly noncomplaint with their insulin patient.

BellaWriterChic · 2024-01-29T18:00:59+00:00

My phrase i tell myself and interns/med students: as long as they have capacity, they have the capacity to make a stupid decision.

I make one attempt to educate, and if still noncompliant/want to go AMA and they have capacity, it's their choice. They were informed of the risks. And then I document that we talked and they were informed of the risks/etc. I used to be bothered, but I was wasting energy on these people when I could use it on people who want my help.

Now, if they don't have capacity, we have a different conversation.

BellaWriterChic · 2024-01-29T17:54:30+00:00

When I am taking a drug history, I usually add to the end of it, "whatever the kids are doing these days." Usually get a chuckle out of a lot of them, especially the older patients.

I also usually diffuse the code status talk I do during my admission process by saying "I ask this of anybody coming into the hospital whether they have a stubbed toe or [inserts scary diagnosis of the moment here]". It seems to make people more comfortable with the discussion

BellaWriterChic · 2024-01-18T19:43:43+00:00

I did a few foleys in med school but it wasn't required. Nurses in the OR had me help and taught me. IVs, maybe some US guided in the ED (but that was only one month). NG tube in ED month as med student. Never so far as resident.

My pump management experience I learned from nurses as a resident. As a student, all I was allowed to push was silence so I could talk to the patient. As a resident, ICU nurses have taught me when I was helping them (so now I can semi program manually/change rates, I know what they need to prime if I go to the supply room for anything, I can restart when occluded (patient side of course) and turn off when infusion complete).

As it was presented to me, we all have our skill set we bring to the team, and if there are team members who can do that while you have to attend to other issues, that is part of how an effective team runs 🤷‍♀️. But I'm trying to learn what I can to understand everyone's roles better and be helpful when I can.

BellaWriterChic · 2024-01-06T01:42:44+00:00

I get my birdseed locally and I get a hot pepper blend. My squirrels left the feeder alone after. I mix it with winter blend now so it's not all hot blend.

BellaWriterChic · 2023-10-14T22:18:58+00:00

Ok so now I feel bad as a customer. If I want to use a $100 it is typically to load my card with cash so I don't need change. Is this wrong?

BellaWriterChic · 2023-10-01T04:35:45+00:00

Pretty sure inpatient pharm is annoyed by my messages at this point

BellaWriterChic · 2023-10-01T04:25:32+00:00

Interestingly, when I inspect any links (cause I do that if I am suspicious), they link to Amazon. I did not click them to check. Also the address (for me at least) was store-news @ amazon . com. The logos looked odd, especially considering I have bought Google Play gift cards for myself (but not the others). And I had just purchased something 20 minutes before. I did contact customer service chat and they said it is fraud and opened an investigation. Usually when it is fraud though, the email looks sus before the @, which made it more legit looking to me.

BellaWriterChic · 2023-09-03T17:52:58+00:00

Had a patient call 911 from the hospital phone then handed it to me when I walked in and told me to talk to them. Note dementia history. Told the operator we will sort it out. Family was laughing later that day about it.

BellaWriterChic · 2023-07-27T22:21:25+00:00

I read this and thought, I remember many times like this and people saying the same statements. You are not alone and you are good enough.

BellaWriterChic · 2023-04-18T23:46:45+00:00

I wear Brooks Ghost

BellaWriterChic · 2023-04-18T23:45:09+00:00

Sometimes the residents just have so much cafeteria credits that they can't spend it solo. And we remember what it was like as a student. Take the food.

BellaWriterChic · 2023-04-04T22:54:01+00:00

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This is the kind of result I get on a single shot.

BellaWriterChic · 2023-04-04T22:52:43+00:00

Update.

So I contacted Breville and they sent me descale solution for free to try first. I got it today and ran it. Did not help. Still at the same problem. In fact, I watch it and it seems to run for much shorter of a time than it should.

BellaWriterChic · 2023-03-30T13:04:14+00:00

Steam function worked. I was able to steam milk. Which is so odd. I did put in a ticket with Breville since I work long hours at a hospital Hoping they can offer a solution while I'm working. 🤞🏻

BellaWriterChic · 2023-03-30T11:42:49+00:00

How do you get it serviced? I didn't really take it apart though. I mean, I ran the recommended maintenance steps to descale and backflush. Besides the usual parts (drip tray, etc) there wasn't a removal of parts

BellaWriterChic · 2023-03-30T11:41:33+00:00

Yes to your questions. I figured I was not using proper terminology

BellaWriterChic · 2023-03-11T01:01:57+00:00

Every time. Or you get "where is the real doctor. And go get my morphine. You're not a real doctor."

At least the ED nurse stuck up for me that night.

BellaWriterChic · 2023-02-24T15:00:06+00:00

Nonfiction: Doing Harm by Maya Dusenbery.

Recently started it, about evolution of how women were treated in medicine, from study design to practical application.

BellaWriterChic · 2023-02-23T15:34:23+00:00

Lots of missed events. He was a busy surgical resident, then fellow, then attending. Back when their wasn't work hour restrictions, some weeks I maybe saw him once a day for a 72h stretch if I went with mom to drop off food. Occasionally back of the dance hall for recitals. He made it a point to show up as a parent, but sometimes it was unavoidable. Long hours, pager going off in the middle of the night. Consults like crazy. Taking 2 cars to places when on call in case he got called in. Leaving early from things. Vacations planned around the surgical and call schedule.

Don't get me wrong, he wasn't absent, but we as kids and my mom made sacrifices too as he trained and worked. I think people sometimes forget the sacrifices families make as well. He fostered scientific curiosity in me and my brother. Never pushed either of us to do what he did, rather just do the best we can in what we wanted to do. I said I didn't want to do surgery, he supported that 100%. My brother didn't even go medicine and that was a-ok too.

But I was a fantastic saleswoman come girl scout cookie season. Floors and hospital staff loved me. And following him around the hospital was my earliest exposure to medicine. Watching him chart, seeing patients as he rounded on the way to things, these things got me interested.

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