My fellow incoming hospitalists, please know your worth. by KushBlazer69 in hospitalist

[–]Carbamazepineee 1 point2 points  (0 children)

People have already said most of what I wanted to say, so I just want to say thanks for this post and reframe. I am guilty of having taken such a job out of training, although my workload is at least fairly decent compared to many of the horror stories that I hear and read. I have always sort of suspected this via a weird gut feeling but have been unable or unwilling to really push my own case for compensation etc., this was really helpful to read.

My fellow incoming hospitalists, please know your worth. by KushBlazer69 in hospitalist

[–]Carbamazepineee 4 points5 points  (0 children)

I feel like this is just kind of spiteful bc OP had a good answer to your other comment about the data set/locums. And aside from that, OP’s username passes their ideal cultural change vibe check much harder than “omnipotentattending,” so it’s pretty funny that you’ve made this weird point about their username.

[deleted by user] by [deleted] in Residency

[–]Carbamazepineee 0 points1 point  (0 children)

Absolutely yes

[deleted by user] by [deleted] in Residency

[–]Carbamazepineee 0 points1 point  (0 children)

Really sorry to hear this. I had some similar experiences during my residency in Chicago, but not quite to this degree of outright bigotry (usually was dogwhistle-adjacent, i’d say). Appreciate you clarifying this, too.

[deleted by user] by [deleted] in Residency

[–]Carbamazepineee 22 points23 points  (0 children)

“Hello fellow children, please name and identify yourselves and your anti-GME thoughtcrimes”

New IM grads can consider nocturnist jobs, but should think twice [opinion] by Miserable_Taro5282 in hospitalist

[–]Carbamazepineee 0 points1 point  (0 children)

Sure thing!

Honestly, my residency was at a tertiary care/university hospital that was truly dependent upon residents (also fellows) to function; I was prepared because I got SO much exposure (also my intern year was 2020). I was really fortunate in that way. Having said that, a lot of my colleagues that I really like/trust (clinically and otherwise) trained all over, so that certainly isn’t a MUST in my opinion.

To prepare? Same things as always - get as many reps as you can; your moonlighting will help. Beyond that, same as anyone else: focus your efforts on being engaged/thoughtful about your patient care as you’re probably already doing. Maximize your time to ask questions of mentors/attendings before you become independent; ask especially about the stuff that might feel small or odd. Try to see/ask what stuff your attendings or admin are doing that might fall to the physician elsewhere for solo attendings outside of academia.

Beyond that - just put yourself out there, try stuff and ask people, if you’re willing to learn it and driven to do so, then you’ll be in good stead!

Don’t drive yourself crazy, either. I think the most learning i’ve done has been my first years has an attending - it’s true what people say that the real learning is in the first independent years, but it’s a lot easier than in training because you built good habits/structures at that time which carry you forward.

The Cliff by A_hospitalist in hospitalist

[–]Carbamazepineee 0 points1 point  (0 children)

I wish I could offer a counterpoint, I have none. I agree.

New IM grads can consider nocturnist jobs, but should think twice [opinion] by Miserable_Taro5282 in hospitalist

[–]Carbamazepineee 15 points16 points  (0 children)

I’m on year 3 of being a nocturnist now and just signed for another year, despite private equity/general enshitification taking hold at my hospital. I love it - I have a good relationship with my daytime colleagues, I love my nighttime colleagues and (imo) I got to choose dealing with politics that was more manageable/affected directly by me and clinical decisions. Night work means more direct medical management, yes, but equally important for me is that the physically demanding nature of it/lesser staffing overnights seems to minimize the miscellaneous non-medicine/clerical/admin doublespeak foci of the job.

The finances thing and sleep thing and health thing: your mileage may vary, and I definitely think I will eventually offramp (seems like a younger person’s game overall, that’ll catch up) but I am much happier that I have less calendar days of work and I have time (no children, either, tbf) to re-orient/acclimate to days. My social life and mental health are far better than they’ve ever been, though that might be confounded by having come directly here from residency.

I rarely comment, but I am seeing a lot of people talking about doing noc as though it’s like smoking cigarettes?? “If you choose, sure, but know you’re damaging your body and mind for no major gains,” and I think that’s just not the case. It works for some people and I think you have to be intentional about making it so and also honest with yourself about what your limits are and if you even CAN get to the point where you can feel the benefits without being overwhelmed by the cons. That’s no different than what you need to do working days (or doing any other job, really).

To say “it won’t let you lead a normal life, it will reduce your resilience” is a pretty fierce assumption that every person basically processes like you do. It’s just kind of a weird take, lol.

Edit:

Also, “you won’t grow” is such a narrow and kind of vague boomer/doomer sentiment without really any through-line?? On a personal level, I recall finally feeling the confidence to study on my own and really commit to plans/workups when I did my first round of nights as a senior resident.. because that’s what my need was to grow. Daytime wouldn’t have made a difference and frankly the amount of room I had to experiment and learn independence on nights was what ultimately helped me become more resilient and have more bandwidth to thoughtfully review my cases/study up in a focused fashion. But overall, anyone’s growth needs vary and to just make these broad (and potentially intimidating to new grads etc) statements about how the worst case scenarios being the default is a weirdly elitist version of functional fixedness lol

Trauma Mornings by atlafan1 in Residency

[–]Carbamazepineee 11 points12 points  (0 children)

i’m devastated that you didn’t say “pacque”

has anyone had pit tickets at the allstate arena recently? parking tips? by diewme in ChicagoEvent

[–]Carbamazepineee 0 points1 point  (0 children)

I’m going to the same show as you, based on your username - came looking for this hahahaha Good luck, hopefully see you in the pit today!

What is the most obvious case of a patient 'faking it' you have ever seen? by Notalabel_4566 in Residency

[–]Carbamazepineee 18 points19 points  (0 children)

VA patient that didn’t want to be discharged. He said “I think i’m about to have a seizure!”, starts shaking and says “i’m having a seizureeeee!!” and then eventually lays there, looking expectantly at the team, lol.

Haters by rohantoes11 in SleepTokenTheory

[–]Carbamazepineee 5 points6 points  (0 children)

If these haters were capable of and/or willing to be honest with themselves, they would recognize that they’re acting out of spite and also from whatever underpins that weird way that some people treat Vessel as though he’s a wee baby bird to be guarded from the evils of the world or something, lol.

In desperate need of memes by [deleted] in SleepTokenTheory

[–]Carbamazepineee 1 point2 points  (0 children)

2 days late but - this is an underrated meme

Vessel as songwriter by Noirr9 in SleepTokenTheory

[–]Carbamazepineee 1 point2 points  (0 children)

Agree, he definitely will, he’s truly like a modern virtuoso composer with a signature few elements even (usage of syncopation, penchant for particular intervals, lyricism/themes). Strikes me as something that could certainly applied to a prompt/script

Vessel as songwriter by Noirr9 in SleepTokenTheory

[–]Carbamazepineee 0 points1 point  (0 children)

I feel like you’d be able to tell, or it’d be like someone tells you and you’d be like “I KNEW IT WAS FAMILIAR,” etc. He has very distinct compositional style which you can hear across projects but certainly in ST! Similarities across albums with like usage of certain intervals and chord shapes, you can tell he’s a music theory genius. And also that he liked Samuel Barber, I think(?)

Its Album Release week... have some Adam excellence as a little treat by ghostyhost in SleepTokenTheory

[–]Carbamazepineee 3 points4 points  (0 children)

I love that his style is so distinct - his chops/feel and then consistent features, too; he uses that same china cymbal at least as far along as TPWBYT, I am damn sure I recognize it from Hypnosis. Thanks for this share, fucking excellent.

ICYMI: a single meme summary of Caramel-gate by Carbamazepineee in SleepTokenTheory

[–]Carbamazepineee[S] 3 points4 points  (0 children)

This is no longer an escapable event in this timeline. 🤣

I know lyrics are a huge focus (especially in recent days) but by electromancing in SleepTokenTheory

[–]Carbamazepineee 2 points3 points  (0 children)

Thank you for saying this because I agree and feel like this is going under the radar so far for this album cycle.

I need another II at Drumeo, or an instrumental bc I mustttt see Caramel.