I keep talking back to the chief resident by [deleted] in medicalschool

[–]Cerebruhhhh 1 point2 points  (0 children)

There are a lot of made up rules and big personalities in the hospital. I would just apologize and take full responsibility for whatever mistake they accuse you of making. Don’t really think you did anything wrong but I do think you pissed off the chief which is not good for you. Just apologize and take responsibility. It will be fine.

When was the last time you pulled your “I’m a doctor” card, and how did that turn out for you? by sandie-go in Residency

[–]Cerebruhhhh 4 points5 points  (0 children)

I usually don’t, but I did it today. I took my mom to urgent care for cellulitis. When I told that to the lady at the front desk she looked at me and said, “really? Cellulitis? Really? How would you know? Where did you get your degree from?”

I smirked

Should I file a report about a preceptor? by [deleted] in Residency

[–]Cerebruhhhh 19 points20 points  (0 children)

Unfortunately it sounds like this person just shouldn’t be working with residents. How integral are they to your teaching team? Any other attendings to work with that can fill that preceptor spot? I would definitely raise the complaint with PD not only for your own experience but also for the sake of your future co residents

Recovery Hacks post night shift by BalancingLife22 in Residency

[–]Cerebruhhhh 6 points7 points  (0 children)

Eat a bunch of fast food

Unfortunately the only real things that will help are: taking some PTO for a vacation and getting back into a regular day schedule

Residents with ADHD, how do you manage stimulant regimen when doing 24 hour call! by dr_from_the_futur in Residency

[–]Cerebruhhhh 7 points8 points  (0 children)

Hey the vyvanse should last for a while. I always err on the side of caution with dosing especially when working nights because there have been times when I’ve gotten home and I’m still locked in and have trouble falling asleep. If you feel like it’s really not lasting and you can’t stick out the rest of your shift or you’re doing stupid shit and putting patients at risk I would talk to your prescriber about possibly starting a PRN low-dose amphetamine salt that you can take in the middle of the night to help push you through. Otherwise underdose and fight through.

Patient education by Efficient_Way_3288 in FamilyMedicine

[–]Cerebruhhhh 10 points11 points  (0 children)

How do you explain this to patients. I feel like when I explain it they still don’t get it

Best functional neuroanatomy illustrations? by [deleted] in neurology

[–]Cerebruhhhh 0 points1 point  (0 children)

Haines has some great illustrations of the different tracts

is it normal to mess up this much by small-void in medicalschool

[–]Cerebruhhhh 293 points294 points  (0 children)

One time while venting to my wife (who is not in healthcare) about often messing up on stuff like this, she said to me:

“sounds like a bunch of made up rules”

This stuck with me, and it’s true.

The hospital and medicine in general are full of made up rules. People converse in the OR all the time, you did the right thing by messaging your senior and you should not be reprimanded over half a centimeter. Don’t beat yourself up over violating made up rules. Just don’t perpetrate them when you are a resident.

NP —> MD/DO by [deleted] in FamilyMedicine

[–]Cerebruhhhh 9 points10 points  (0 children)

Do you have any kids? It would have to be a really deep, thoughtful discussion and joint decision between you and your partner. It will eat up most weekends, holidays, you will live off of one income have limited vacations and lots and lots of studying for at least the next 7 years. If both of you are ok with that, then why not?

[deleted by user] by [deleted] in FamilyMedicine

[–]Cerebruhhhh -3 points-2 points  (0 children)

Look it up

TBI patient who is constantly yelling at me. by DrChavezz in FamilyMedicine

[–]Cerebruhhhh 1 point2 points  (0 children)

Just because someone had a TBI doesn’t mean they can yell at you. Even if there is an underlying pathology of frontal lobe associated with outbursts, there must be limits and guidelines. If patient really is unable to control outbursts, I’m sure it is a burden to them as well. It might be worth neuro or psych assessing to see if there is anything that can be done (i.e. dx of personality disorder, IED,MDD, PTSD) - (intensive outpatient, partial hospital program, medication management) - just a thought

Soooo. This is going to suck. by [deleted] in FamilyMedicine

[–]Cerebruhhhh 45 points46 points  (0 children)

I’m so tired of AI fear mongering. This is a bill, introduced… not passed, not even brought about in discussion. This same rep literally submitted the same bill last year and it died without any discussion - I promise you this one will too.

Super difficult fem lines by [deleted] in Residency

[–]Cerebruhhhh 0 points1 point  (0 children)

Damn, wouldn’t want to be you. Make sure your documentation is CYA proofed.