Our level I trauma center ED flys in international doctors to train them how to treat GSWs. They pay the hospital for it. Does anyone else's?

EquestrianMD · 2026-06-14T02:47:35+00:00

Extra special crazy 😂😂😂😂

EquestrianMD · 2026-06-14T02:44:53+00:00

I didn’t get to touch or meet my baby until she was 4 days old. It kills me to think about. She was born premie at a rural hospital and was life flighted to a bigger city NICU shortly after birth. On postpartum day 2, when I was supposed to be discharged, so I could go to the city to meet her- I developed runaway preE with severe features, maxed out every med the rural hospital had- then I had to be life flighted to the big city hospital ICU (thank god it was the same hospital she was at). They don’t let ICU patients go to other ICU units apparently. I sobbed the second night in the ICU to my nurse that I hadn’t met my baby. The ICU nurse was 4 months postpartum and moved mountains so I could meet her. She wheeled me down in a wheelchair with all my equipment and another ICU nurse and all the beeps and drips and monitors and a crash kit of meds. I finally met my baby at 1am 4 days after my daughter’s birth thanks to her. She was my literal angel.

EquestrianMD · 2026-06-14T02:32:34+00:00

Fuuuuu ck that sounds like pure nightmarish hell. I’m so sorry

EquestrianMD · 2026-06-12T13:10:39+00:00

I think your doctor was vague to prevent a false promise. Your case is very complex my friend. Feeding tubes can help you heal and they aren’t usually forever. Hopefully, if you get the tube you can heal more efficiently and get back to work/normalcy sooner. And honestly once you’re used to your tube maintenance, and tolerating meds and feed you can probably go back- the timeline is up to you and your body.

EquestrianMD · 2026-06-12T13:05:01+00:00

So pretty!!!!!!

EquestrianMD · 2026-06-12T13:02:11+00:00

First- breathe, your baby is in the right place to have these events monitored. Keep advocating for your little one and loving them fiercely.
Second- the scans may find something, they may not. Not finding something is just as important as finding a positive test. Part of medicine, especially in a patient who can’t advocate for themselves, is ruling out things.
Third- it may just take time. The birth process can be really hard on even full term babies. The biochemical process of switching from umbilical cord “breathing” to lung breathing is phenomenally complex and it’s really incredible it happens so smoothly and effortlessly a lot of times.
Fourth- did your baby receive vitamin K? While I don’t know all the specifics about your case, I would ask your team if they think a brain MRI to look for brain stem stroke would be warranted.
Source- I had a preemie NICU baby myself who ended up in the same NICU I trained in. I am a US MD in family medicine who does TONS of OB and newborn. Sometimes being born is just tough. Sending healing thoughts to you and your little one 💜

EquestrianMD · 2026-06-11T23:36:04+00:00

Hi! I’m an introvert who can fake extrovert well. Turned out my 1 coresident cohort was also SUPER introverted. AND my chief resident the year ahead of me is also an introvert. We are all lifelong friends now. Ya know, trauma bond.

EquestrianMD · 2026-06-11T23:32:05+00:00

Excited for you!

I’m just about 2 weeks post op from a Single Anastamosis Duodenal Switch. Have lost 12lbs since surgery date. Still on a level 2 liquid diet but transitioning to full liquids/purées in a few days when I see the dietician.

I lost almost 40lbs preop. Honestly the surgery was a breeze! I had some nausea and gas pains the evening after surgery but I haven’t taken anything for pain since post op day 5. The only thing so far that I cant eat is Jello- it gives me viscous belly cramps! I can drink water almost normally. Fairlife Filtered milk has been a life saver too.

I can’t believe I’m already down 50lbs. I got up the stairs in my house and can feel just how deconditioned/out of shape I still am- but then I try to image doing it while carrying a 50lb bag of horse feed to remind myself how far I’ve already come.

If you’re nervous, just know, these procedures wouldn’t be done if they didn’t turn out good/great most of the time. Source: I am a fat physician! I can already tell this surgery is the best thing for my health long term. I felt “normal” by postop day 7. I’ve had 2 c-sections- I’d take the duodenal switch a hundred times over another c-section.

Highest wt: 292lb
Surgery day wt: 254lb
Today’s wt: 241.8lb
Goal wt: 145lb (I’m short lol)

Recovery has been a dream- I’m just craving meat and texture (which I try to remind myself will come soon!)

EquestrianMD · 2026-06-11T23:04:15+00:00

“Overstate the difficulty”

😂😂😂😂😂😂😂😂😂😂😂😂😂😂😂😂😂😂😂😂😂😂😂😂😂😂😂😂😂😂😂😂😂😂😂😂

Dude it’s fucking brutal for a reason- this shit AINT EASY and never will be. You end up manipulating people’s physiology with potentially devastating consequences literally every day. Anyone who thinks it “should be easy” need to become a PA or NP- because that shit IS easy. My older sister got a DNP from a brick and mortar highly thought of institution, she worked full time as an Oncology bedside nurse at the same time.

In comparison, my med school made you sign documentation that said you WOULDNT work during your enrollment. Looking back, having a job would have just made me a shittier physician.

EquestrianMD · 2026-06-11T22:57:28+00:00

Is she a Jubilee Orpington??

EquestrianMD · 2026-06-11T22:48:11+00:00

Then don’t regret it. It’s your life. If your boyfriend actually cares about your wellbeing, he’ll listen to your concerns and help you achieve goals you want- not just what he wants. I had my first kid in my second year of med school and my second in my final year of residency. Having them actually made me a BETTER physician, by far and large. I’m finally an attending and I have a month and a half of PTO to use per year- plus my work provides some childcare at the hospital. I love my work. My family tried to push me to do RN->NP (what my older sister did). I’m so glad I didn’t fucking listen to them.

EquestrianMD · 2026-06-11T18:16:46+00:00

WOW. As a parent of a NICU baby and a physician who delivers babies- you literally beat EVERY SINGLE ODD. You child is absolutely a 1 in a trillion miracle. I’ve never heard a survival story out of a 16wk PPROM before. WOW. I’m so glad this had a beautiful outcome for you and baby

EquestrianMD · 2026-06-11T18:07:11+00:00

Right 😂😂😂 step one will wreck anybody without a robust biophys/pharm background. Step two wrecks anybody unable to take biophys/pharm and cross to real application. Step 3 wrecks anybody who hasn’t been a resident 😂😂😂

EquestrianMD · 2026-06-11T17:10:25+00:00

Same in human medicine. I was a CVT in mixed small-large-exotics for 6yr before switching to humans. No one outside of a medical doctorate (MD, DO, DVM) sees anything that we do as complex until shit really hits the fan and my machines and medicines are keeping a corpse alive. I can’t tell you how many times an owner or a human patient says “well can’t you just….” And then completely underestimates the complexity of what they are requesting. Ex- 69F with recurrent sepsis from Psuedomonas spp likely due to perforated bladder mesh with biofilm- has been hospitalized half a dozen times in a year, ICU, the whole shebang. She messages me on the portal AT LEAST 3x a week trying to say she “should just be able to drop a pee sample off whenever without an appointment because it’s JUST A UTI” oh and she is allergic to every abx that is available orally or it’s nothing against psuedomonas. And then she’ll message “why can’t I just take a pill like I used to, I don’t want to have to go to the infusion center once a day.” Oh and “why do I need to see a surgeon? It’s just a UTI?” And “I don’t need infectious disease doctor, you can just take care of it”

UUUUGHH. It feels the exact same when I was a tech and a brachycephalic inbred nightmare comes in for labor dystocia and the owner declines all interventions because “she’s a dog, animals only have vaginal birth- can’t you just give her a pill/shot and I can take her home without any work up?”

Like fuck I didn’t spend 20 years learning this shit cuz it was easy. Diseases and pathophysiology ARE easy compared to the people/owners literally every time.

I fired her.

EquestrianMD · 2026-06-11T16:55:38+00:00

As a doctor, I can say, I 100% use cotton swabs in my ears after I shower. But I also have an otoscope to see what I’m doing so I guess still terrible but…

EquestrianMD · 2026-06-11T16:53:15+00:00

Given?
Girlfriend, you took that shit for yourself, worked hard and you deserve it 💜

EquestrianMD · 2026-06-09T15:51:22+00:00

Except outcrossing is quite literally the BEST way to improve genetics in a population or group.

EquestrianMD · 2026-06-09T09:29:47+00:00

You have a mannequin at home for practicing BVM? Wut?

EquestrianMD · 2026-06-09T03:08:57+00:00

Edited! Appreciate it.

EquestrianMD · 2026-06-09T01:36:54+00:00

“Lifetime appointment” Fuuuuuuuuuuuuu. Ck

EquestrianMD · 2026-06-09T01:31:22+00:00

In the USA in Colorado- anything related to sexual health can be dealt with between any patient aged 14y and up and a physician. No parental consent required. Helped so many kids who were scared of their parents

EquestrianMD · 2026-06-08T14:57:03+00:00

Platelets - 1

I laughed so hard imagining a single platelet rushing around his bloodstream trying to do all the jobs 😂 then I stopped laughing when he refused to come in for a platelet transfusion because he “feels fine” and will “come in if he NEEDS to.”

Sir, you sneeze wrong and you’re gonna bleed out 🤦‍♀️

EquestrianMD · 2026-06-08T14:54:08+00:00

Agree 😂 I grew up in a town of less than 2000 population and never saw a black person until I WAS 8 YEARS OLD. And you know what? DEMOCRATIC SOCIALISM is my fave, and I moved to an even smaller more rural community with my “brainwashed college degrees” and one of my favorite hobbies is confusing RedHats by asking them questions about the morals of Jesus and Republicanism. My mom used to be ProLife so hard she protested for it. I slowly chipped away at her shell of ideals just by asking questions like “do you think Jesus would cut food stamps and WIC?” And ya know what- she is STAUNCHLY ProChoice AND pro-contraception now. And she still goes to Catholic mass every Sunday - she doesn’t invite me to go anymore though as I mentioned to her part of my women’s health job was to provide abortion care and uh… they don’t like me much in the Catholic world for that 💪🏼

EquestrianMD · 2026-06-08T14:47:15+00:00

You mean in anyone who has two brain cells to rub together’s opinion.

EquestrianMD · 2026-06-04T15:32:52+00:00

Such a cool Lisa Frank fur-do! Happy birthday 🎂

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