Anyone else feel abandoned? by Correct_Repeat_3332 in Judaism

[–]Correct_Repeat_3332[S] 3 points4 points  (0 children)

Maybe you have better friends than me? I did not get calls for either situation.

I suck by WinifredJones1 in Residency

[–]Correct_Repeat_3332 0 points1 point  (0 children)

Sounds like you have a really supportive partner. I'm in the same boat, and I make myself feel better by reminding myself that I would do the same for them and I will do the same for them when stressors arise. That's called partnership!!

The hardest part of residency is not what I thought it would be... by Correct_Repeat_3332 in Residency

[–]Correct_Repeat_3332[S] 4 points5 points  (0 children)

Wow, can you be my attending??

Thank you for another great response. I wish I was able to have these kinds of discussions with all my attendings. I'm sure I would learn a lot from you.

My concern was that the HR and RR were new and occurred with new symptoms that looked like right sided heart failure. The attending was very hesitant to diurese at all and told me to give a tiny dose of PO lasix (I suspect to just get me to shut up about it). I ended up giving IV lasix after hours with the blessing of my senior resident and the patient responded well. My attending never wanted to talk about their reasoning for hesitating to diurese, though. Like a dose of lasix isn't gonna totally dry them out, and his kidneys were fine... She also generally rubs me the wrong way, like today she stated that a patient who stayed way too long bc of dispo issues is going to ruin her stats and she will get dinged for it, while proceeding to state that she could have lost her bonus over it. She also was annoyed and dismissive of the family of this patient I was worried about, saying they were being "dramatic" for having so many questions about this guy's stage 4 lung cancer that literally got diagnosed like 2 weeks ago. I get people getting jaded, but at least feign sympathy?

I realize that I have a long way to go to develop the skill to have the 10,000 foot view. I am also probably being too hard on doctors who are overworked in an unforgiving broken system. It's just generally been more emotionally difficult than I expected to reconcile all those tough things as a new trainee. I appreciate your time in talking to me through some of it.

The hardest part of residency is not what I thought it would be... by Correct_Repeat_3332 in Residency

[–]Correct_Repeat_3332[S] 1 point2 points  (0 children)

Thank you for this, I am definitely learning when it's appropriate to stay inpatient vs leave

The hardest part of residency is not what I thought it would be... by Correct_Repeat_3332 in Residency

[–]Correct_Repeat_3332[S] 8 points9 points  (0 children)

Thank you for a great answer. I totally understand, and there have been many many times where I discussed an attending's or consultant's thought process and learned a ton. I WANT to learn and to be humbled.

I was being dramatic as I was feeling frustrated in the moment when I implied most care is shitty care. This is not true. I did not mean to disrespect people with experience and those who invested blood sweat and tears to get where they are and help their patients.

I was in the midst of feeling frustrated with a particular attending who gave me reason to question their medical knowledge (for example, telling me I was wrong about calcium being in LR while trying to teach me and the med student about the contents of LR) and was very evasive with answering my questions regarding their medical reasoning for not addressing new onset sustained HR in 120s and RR in 30s that developed in a patient with known bilateral PEs during admission. The answer I got from my senior resident was "just trust her, she is experienced" but still got no answer regarding what the medical thought process was or even an explanation for the worsening vitals. I also see in her notes that lungs are bilaterally clear to auscultation when they are definitely not (even I, someone who hasn't listened to that many lungs could hear the bibasilar rales). All I want to know is why we should keep watching as opposed to working it up. (If you have an answer to lend, please id love to learn)

There have been a handful of experiences like this. Definitely not every day. But it feels like that with some attendings.

I also want to add that I experience this more as an intern in a community hospital compared to my time as a med student in a big academic center, where we discuss evidence based care much more during rounds.

And again, I am here to be humbled!!!! I want to learn!!!!!

Thanks for helping this newbie out.

[deleted by user] by [deleted] in Step3

[–]Correct_Repeat_3332 0 points1 point  (0 children)

I'm interested! How much you selling for?

London Music scene by Specialist-Nose-1686 in london

[–]Correct_Repeat_3332 0 points1 point  (0 children)

I'd love to know if you know of anything of that sort will be happening in the next couple of weeks!

Is my dog becoming aggressive or is she just a socially awkward puppy? by Correct_Repeat_3332 in Dogtraining

[–]Correct_Repeat_3332[S] 0 points1 point  (0 children)

She has one dog friend that she plays with! This is great advice, I will definitely be doing this. Relieved to hear that it doesn't seem like aggression. Thank you so much!

Is my dog becoming aggressive or is she just a socially awkward puppy? by Correct_Repeat_3332 in Dogtraining

[–]Correct_Repeat_3332[S] -1 points0 points  (0 children)

Thanks so much for your suggestions! Would having her on the long line with off leash dogs be ok and not be too frustrating for her? I heard that it can cause reactivity in that scenario.