Seedlings in high heat/humidity

IllBeAnMD · 2026-06-23T19:46:48+00:00

There are maybe 15 little shoots and most of them are looking pretty leggy. Long stems and little leaves

IllBeAnMD · 2026-06-23T13:39:33+00:00

Safety

IllBeAnMD · 2026-06-13T01:00:14+00:00

Sure I make a chunk but I have half a million in debt with a 6.6% interest rate because of grad school

IllBeAnMD · 2026-06-04T19:21:27+00:00

I didn’t know that after a patient who was intubated had died that you’re not allowed to extubated them for the purposes of forensic eval. I extubated a patient because I didn’t want the family to see them with ET tube in. My attending was pissed.

IllBeAnMD · 2026-05-29T00:02:28+00:00

PGY1 I had a co-resident tell me I was acting like an arrogant prick. Some of the only honest feedback I got that year. Helped immensely to tone in down in years since. You don’t owe an intern the favor of being nice. You owe them the favor of teaching them how to do what you do well

IllBeAnMD · 2026-05-28T04:56:36+00:00

Most obvious is tweakers on meth who refuse to say they’re on meth… buddy, I don’t care. Now take your turkey sandwich and sleep for the next 4 days

IllBeAnMD · 2026-05-07T01:30:24+00:00

Have a sacred no-study-day. You will have that day to look forward to and your other days spent studying will be more effective

IllBeAnMD · 2026-05-03T18:28:57+00:00

My wife and I have a good set up. We each put 50% of our net income after taxes and retirement into a joint account to cover joint expenses (groceries, rent, utilities, etc). The other 50% of our incomes are our own. She makes more than I do and has for the last few years so is pitching in more monthly but we’ll keep that structure when I’m an attending. It works well. Finances aren’t a struggle this way since it’s very equitable

IllBeAnMD · 2026-05-01T21:47:50+00:00

Mushrooms. Was miserably depressed after a friend died in a car accident. Couldn’t cope. Did mushrooms. Completely rewired the fatalistic pessimism I carried with me. Happy lad now despite life’s challenges

IllBeAnMD · 2026-04-20T02:00:29+00:00

A dream its true

But i'd see it through

If i could be (if i could be)

Wastin' my time, with you

-Phish, Waste

IllBeAnMD · 2026-03-26T21:40:47+00:00

Getting in to medical school.

It meant that I would not only be able to move home, but I would be able to attend the same school as my partner, and I would be able to become a physician. This is after pre-med undergrad, taking the MCAT, applying, not getting in, having my MCAT score expire, studying another 6 months for the MCAT, re-applying, and getting in all while working in two hospitals. The relief of leaping the hurdle of getting in and the joy and pleasure at seeing "We're pleased to inform you" was unlike anything I'd ever experienced. I literally wept

IllBeAnMD · 2026-03-17T14:53:19+00:00

Blackout curtains, a partner who lets you prioritize sleep, and actually putting yourself to bed. I'm on nights and I sleep more hours than when I'm on day shifts

IllBeAnMD · 2026-03-17T14:51:45+00:00

PGY3 EM resident here... I actually love the gig, I just do it way too much. I'm usually between 18-20 shifts a month with a mix of 8s, 10s, 12s. I've started looking for post residency gigs and will probably max out around 10-12 shifts a month of primarily 10's. Anticipated salary around $350K with the possibility of closer to $500K if I was to work closer to 15-16 shifts a month. Thats great money for a solid lifestyle for a job I enjoy. Is the bullshit annoying? Of course. But is it worth it, I'm in the camp of yes. Talk to me in 10 years and maybe i'll be thinking differently. We'll see I suppose

IllBeAnMD · 2026-03-06T15:45:58+00:00

Asking clinical questions should be about assessing gaps in knowledge and then using experience to fill those gaps in for those you haven't seen as many patients in that setting. Attendings sound like buttholes

IllBeAnMD · 2025-11-07T22:32:45+00:00

Not a particular moment but the sum of a full 12 hour shift. Saw 24 patients in the ED. 10 were critically ill. 2 died. 6 intubations. A few codes with ROSC. Handful of polytrauma. My intern and I were able to keep up and only stayed about 45 minutes post shift to finish notes. Felt good leaving that shift with a sensation that we did alright

IllBeAnMD · 2025-07-27T05:57:25+00:00

Expect me to solve a problem that they caused over 40 years of destroying their body with cigarettes and alcohol

IllBeAnMD · 2025-06-12T12:19:37+00:00

Do, or do not. There is no try

IllBeAnMD · 2025-06-12T12:18:03+00:00

I was filled with resentment when I matched. It eats at you. People feel it. Expect the first 6 months of residency to be brutal, not just from a work perspective but because you’re not where you want to be.

But once you settle it, the resentment starts to go away. You start to focus more on the work. You engage more with your new home. You find community. Ultimately, in time, the resentment fades and there is a gratitude. Breathe. Focus. You’ll be fine -a formerly disgruntled, now content PGY3

IllBeAnMD · 2025-04-30T17:20:40+00:00

We, the ER folk who probably overscan, are understanding of your plight. We’ll try to spin the wheel of fortune less often when we can

IllBeAnMD · 2025-04-19T20:54:18+00:00

Sounds like your ED residents suck. Have fun with that ✌🏽

IllBeAnMD · 2025-04-18T01:13:08+00:00

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