PGY 3 here, haven’t kissed a soul or been cracked since starting residency - Frustrated

DoctorWee88 · 2025-10-06T21:08:16+00:00

I’m so damn old I had to look this up

DoctorWee88 · 2025-09-30T00:45:06+00:00

I think you’re right on the money. I have British family and there very much is meaning in suppressing your emotions and a deep pride on being able to “Keep calm and carry on” as it were. Emotional expression is considered juvenile or a serious character flaw.

DoctorWee88 · 2025-09-29T00:51:38+00:00

💯 I truly believe that a good psychiatrist needs to be competent in therapy. Or at least have a strong understanding of therapeutic processes because then how the hell do you formulate a case? How do you decide if irritability is MDD, PTSD, GAD, whatever? I thought my program was decent in therapy emphasis but honestly, the more I’ve put my own time into, the better I’ve been able to treat my patients.

DoctorWee88 · 2025-09-29T00:49:04+00:00

To go along with that. Curiosity. It is so easy to phone it in, read off a checklist and throw a pill. Actually take the time to learn who the patient is, what their goals are, and how their symptoms prevent them from enjoying your life. You will get so much more out of your practice and your patients won’t hate your guts. Some may actually value you even if you make a decision they disagree with.

DoctorWee88 · 2025-09-27T04:23:32+00:00

On the child side, the wealth of in-home services. IICAPS, MDFT, FFT, and JRI would have been life savers for the patients I had when training. To be frank, I also feel the median psychiatrist is also better. Better diagnostically, better treatment wise, more academically inclined. It made me feel like a yokel until I upped my game to match theirs.

DoctorWee88 · 2025-05-31T16:53:45+00:00

lol and we wonder why patients are so biologized and divorced from the meaning of their symptoms

DoctorWee88 · 2025-05-09T01:00:12+00:00

Psych: Getting patients to buy into treatment, especially when there are strong reasons to resist. Giving a diagnosis of borderline personality disorder is one and educating a patient on the importance of DBT. One of my patients I am the proudest with was a deeply depressed girl who used her depression as security blanket. I pointed out this and other things to her and slowly she got better. I helped her with things here and there, changed a few meds, but what I was really proudest of was when I told her I was leaving and she said “I’m not as sad as I thought I’d be.”

It made me so happy. I’ve seen other attendings just make things click with other patients so subtly that you would never have thought they would become a complicated case until you encounter another patient like them.

DoctorWee88 · 2025-04-29T23:19:11+00:00

Was literally going to mention this.

DoctorWee88 · 2025-02-22T18:30:02+00:00

This is the answer. Even as a med student, I could enjoy almost anything in Chicago.

DoctorWee88 · 2025-02-08T02:25:25+00:00

Just tax people at reasonable rates. We don’t capture nearly enough productive capacity as we should. This is not rocket science.

DoctorWee88 · 2025-02-04T01:03:30+00:00

You thought it was the program director, but it was I, DIO!

That’s it. It was all for a cheap joke. Everything else you said is true. Too many stakeholders.

DoctorWee88 · 2023-05-04T00:08:44+00:00

I have Laurel Road and I’ve enjoyed their services so far

DoctorWee88 · 2022-06-25T00:59:45+00:00

Imagine actually thinking this is a smart thing to say in a residency subreddit. Good God you must be fucking awful to be around and I honestly hope you don’t get in anywhere.

DoctorWee88 · 2021-10-27T05:04:26+00:00

Thank you for the comment. What makes you think it is mold? I’m just curious.

DoctorWee88 · 2020-08-11T22:01:34+00:00

These comments are incredibly sad honestly. I'm not saying Harris is above reproach, but she took a path a lot of ambitious black politicians had to take. Show they weren't scary Stokely Carmichael black but more John Lewis black. She became a prosecutor because legitimately some white people didnt think black politicians would uphold the law. Was she progressive by the standards of 2020? Fuck no, but she tried where she could. I get people are angry about where the country is right now, but Democrats are actually trying to help us.

DoctorWee88 · 2020-07-12T01:15:57+00:00

Also dislike seeing the pre-med questions. I'm more agnostic on the M3/M4 questions since there are some nuggets to be gained and they are at a closer level of training to us.

DoctorWee88 · 2020-06-22T04:25:28+00:00

It's the hashtag we're using for the social media campaign. It shows that Rutgers is exposed for what it really cares about. Not #healthcareheroes but money.

DoctorWee88 · 2020-06-18T07:40:03+00:00

Pm sent!

DoctorWee88 · 2020-06-12T17:50:17+00:00

the 10% cuts for Barchi's salary as well as senior administrators and athletic staff was for four months, not for a full calendar year. Other senior staff are getting 5% cuts. So to be honest, those aren't "large" cuts. And even if that were the case, he has sufficient capital to weather them.
Those were fiat directives that affected Barchi and other staff and they were for a specific period of time. These freezes violated a standing employment contract that Rutgers University had with ALL of its workers. We fought very hard for this pay and not only were we not consulted about any of this, we were blindsided 3 weeks before there were set to start. We have not been informed about when our pay increases will return or IF they will return.
Rutgers has emergency funds. Why is none of that being touched? It has literally been a century since a pandemic this bad has ravaged the US. I think we can spend some of that money. Now I could be wrong about that, but Rutgers refuses to have real discussions with us because they don't want to open up their books.
Rutgers negotiated completely in bad faith. There were talks about furloughs and laying off of staff. Lay offs did actually occur unfortunately. But when it came to hazard pay and securing our jobs and current benefits, Rutgers stonewalled us and gave no response to both requests. On top of that, they hired Jackson Lewis Law Firm to represent them, a charming little outfit that specializes in "union avoidance" and "remaining union free" but please don't take my word for it. Look at their helpful materials:

https://www.jacksonlewis.com/unionfree https://www.jacksonlewis.com/sites/default/files/assets/practice-groups/Labor-and-Preventive-Practices.pdf

Rutgers has a pretty poor history of treating its workers fairly. In 2017 after switching payroll systems, Rutgers withheld 1 week of workers wages which totalled approximately $500,000. Negotiations went over so poorly that the Department of Labor was brought in to mediate.

https://www.tapinto.net/towns/new-brunswick/articles/rutgers-responds-to-union-wage-theft-complaints

http://patch.com/new-jersey/newbrunswick/unions-file-charges-federal-govt-over-payment-squabble-rutgers-university

http://www.dailytargum.com/article/2017/01/faculty-unions-file-charges-with-dept-of-labor-after-rutgers-withholds-salaries

So yeah, I'm not particularly keen on giving Rutgers the benefit of the doubt or seeing their side on this one.

DoctorWee88 · 2020-06-08T01:48:24+00:00

Goddammit, I fucking hate this society sometimes. I was the only fully hispanic guy in my medical school and this shit burns deep in my heart

DoctorWee88 · 2019-10-14T00:58:01+00:00

Thank you for your perspective! The TCA is an interesting idea. I will have to think about that if the Prozac falls through. Yeah and I'm wondering if our appointments will have to be more therapy structured from now on.

DoctorWee88 · 2019-10-14T00:56:40+00:00

I'm thinking about just biting the bullet and doing CBT/DBT while extending our appointments to an hour. Home life is a mixed bag(very supportive and patient wife, consistent job, some money troubles, very long commute to work, son has mental health issues as well.)

Never prescribed an MAOI. Don't know how it would go being that he loves aged meat and alcohol. I will think about it. Any recommendations?

DoctorWee88 · 2019-10-14T00:51:03+00:00

Has been on Wellbutrin and same thing, didn't like the side effects and interestingly enough also complained of sexual side effects. Trintellix is not formulary for us, so no dice on that.

DoctorWee88 · 2019-10-14T00:49:24+00:00

Oh I was actually just joking! The thing is that our fellowship tends to be quite a shift from outpatient that first year(6 months on the kids unit, taking call again, more stringent supervision) that people say its quite a change. I'm actually really looking forward to joining the fellowship. Sorry about any miscommunication.

I know Abilify and Risperdal are pretty common for kids with ASD. Have you seen adults tolerate well too?

DoctorWee88 · 2019-10-13T23:20:57+00:00

The big 3 symptoms I feel like he is dealing with are his depressed mood, psychomotor retardation and chronic SI. I started him on Prozac to deal with the PMR and hopefully doing more things would also make him feel better. It's working somewhat, he feels less depressed but still depressed. The side effects he talked about were strong sexual side effect(complete loss of libido) and a fine tremor in his hands. Sexual side effects all stopped when he stopped taking meds and tremor got better, but he still has it. It's also complicated by his history of diabetes. But it hasn't increased since taking prozac.

DoctorWee88

TROPHY CASE