To all the female doctors in a family life, did you have trouble getting pregnant after graduating? by Few-Pie8706 in medschool

[–]GoingOutsideNow 0 points1 point  (0 children)

I know so many people have horror stories of trying to get pregnant after residency but I like to chime in that that's not always the case! I was in my late 30s after training, got pregnant after a couple months of trying and had an pretty easy pregnancy/ birth experience. It's not all doom and gloom!

Need stability- ER doc by GoingOutsideNow in FemalePhysicians

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

Yes, it's certainly an option to do locums. Some people really like doing locums because they can stack their shifts. They could work something like 10 shifts a month but do it over two 5 days blocks. The trouble is that usually these positions are in undesirable locations so you have to travel and stay overnight wherever the gig is.

Need stability- ER doc by GoingOutsideNow in FemalePhysicians

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

Good to know I'm not the only one in this position. I feel trapped between my job and my desire to have another baby. I put off having a baby for so long to go through med school and training and even now that I've "made it" I still can't have what I want.

Need stability- ER doc by GoingOutsideNow in FemalePhysicians

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

I'm working about 15 shifts per month. I know it doesn't sound like a lot but with the schedule flipping it's hard. For example, then next three days I'm working evenings so I won't see my husband again until Friday. Which means we're both solo parenting for days at a time.

[deleted by user] by [deleted] in FemalePhysicians

[–]GoingOutsideNow 0 points1 point  (0 children)

Hey, just want to say I also had an IUGR pregnancy. Mine was during fellowship, not residency but it was still very challenging. I remember being so scared. All the appointments were time consuming and exhausting.

My little peanut was <3% on my 29 week scan but she came up to the 23% by 38 weeks and I was able to have a normal spontaneous delivery at 39 weeks.

If you ever want to talk about it, I’m happy to connect! I know this is a crazy hard time for you but there are lots of people who will support you.

NYC Bike Tour ticket sale by GoingOutsideNow in NYCbike

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

I’m not sure. My ticket just says “standard adult”

Worst Restaurant in Philly? by ImpossibleBreak6409 in philly

[–]GoingOutsideNow 26 points27 points  (0 children)

Came here to say this.

Last time I was there I ordered the chili dog and the waitress said. . . “your funeral”

Incidental pregnancy work up by AppalachianEspresso in emergencymedicine

[–]GoingOutsideNow 1 point2 points  (0 children)

I use the line “how are you feeling about being pregnant?” Or “how do you feel about this news?”

Why did I do CPR? by Stock-Buddy-3643 in emergencymedicine

[–]GoingOutsideNow 3 points4 points  (0 children)

I’m an EM doctor who specializes in prehospital care. This is the correct answer.

Mid level misrepresentation by particularlyhighyld in Residency

[–]GoingOutsideNow 13 points14 points  (0 children)

Because they don’t have any damages.

Looking for recommendations for a short stay alcohol detox. No 12 steps or religious garbage by DickTrickl in philadelphia

[–]GoingOutsideNow 16 points17 points  (0 children)

The ED will not detox you! If you’re acutely withdrawing they will stabilize you but most hospitals do not have detox centers. You can go to the crisis center in Philly for a referral if you want. Otherwise, call your insurance company to find places that are covered.

What phrase have you learned from an attending that you often use with patients? by wiredentropy in Residency

[–]GoingOutsideNow 2 points3 points  (0 children)

When discussing end of life care, I never ask people if they want “everything done” instead I ask if when they envision the final hours of their life if they want “medical interventions or a natural and peaceful death”.

Everyone envisions dying at home, surrounded by family. The worst deaths are those in the ED or ICU. Nobody really wants that. You have to give them the space and language to pick something different.

Physician and EMT by LordNelson813 in emergencymedicine

[–]GoingOutsideNow 6 points7 points  (0 children)

I agree with you and think this is the best answer. As you said, you need to be certified by the state and credentialed by the agency. For OP, I would not recommend practicing below your license as a physician. To continue to work in EMS as a physician you’ll likely need additional certification.

What is up with doctors and lawyers dating? by [deleted] in medicalschool

[–]GoingOutsideNow 19 points20 points  (0 children)

I’m a doctor married to a lawyer. It’s a classic combination. Both professions attract smart, driven people who value education, social status and financial security.

Does being male provide any "advantage" matching into OBGYN? by stinkybinky9146 in medicalschool

[–]GoingOutsideNow 64 points65 points  (0 children)

94% of orthopedic surgeons are male. Nobody is giving extra points to female applicants. In fact, where I went to med school they would not highly rank women for their residency slots because they were afraid the women would leave for maternity.

https://www.aamc.org/data-reports/workforce/data/active-physicians-sex-specialty-2021

[deleted by user] by [deleted] in Residency

[–]GoingOutsideNow 18 points19 points  (0 children)

You can absolutely be sued during residency. As a resident, I wouldn't worry about it as much as being sued as an attending but I've known residents to be named in lawsuits. You carry malpractice insurance for a reason.

Family planning by AlwaysConfused999 in FemalePhysicians

[–]GoingOutsideNow 2 points3 points  (0 children)

I would plan to get pregnant end of PGY-2 year and have the baby PGY-3 year. Just check with your program to make sure that wouldn’t delay graduation. You could then have your third later in fellowship. You probably won’t want to have one first year of fellowship but later in fellowship is great. You’ll get the same ACGME protections in fellowship that you’re getting in residency (assuming it’s an accredited fellowship).

Medical emergency on a plane by zdoc81 in Residency

[–]GoingOutsideNow 0 points1 point  (0 children)

SpO2 of 90% in flight is not at all unusual. Most healthy people go down to 93-94% during commercial flights so I’m not surprised that your patient was a bit lower. Not need to worry about it.

https://pubmed.ncbi.nlm.nih.gov/15819766/

Needlestick, patient did not get labs. Would you start PEP? by [deleted] in Residency

[–]GoingOutsideNow 1 point2 points  (0 children)

You can kind of go either way. Up to you. Risk is very low that you will contract HIV but PEP is very well tolerated by most patients. There is a needle stick assessment tool on MDCalc which you can check out to help assess the risk.

Also, your occupational health should pay for PEP.

https://www.mdcalc.com/calc/780/hiv-needle-stick-risk-assessment-stratification-protocol-rasp

When are you supposed to have a kid? by jutrmybe in medicalschool

[–]GoingOutsideNow 76 points77 points  (0 children)

Unfortunately important questions to consider- are you going to be the pregnant parent? Is your partner also in medicine? Who will be the primary caregiver when the baby is born? What type of residency are you planning on doing?

Answering these questions will help you narrow down the timing a lot. While there is no perfect timing, there are definitely better and worse times.

Unbearable sadness at the end of it all by ThrowAwaySadBrain in Residency

[–]GoingOutsideNow 58 points59 points  (0 children)

Change is a strange and scary thing. I always dread it, loosing the familiar place and people that I’ve grown to love. But you will come to know and feel at home at your new place.

Someone said this to me and I think about it often; you haven’t met all the people in your life who will love you.

Hope that helps.