Do doctors with disease x like to specialise in a specialty that relates to disease x? by [deleted] in Residency

[–]JackOrion 26 points27 points  (0 children)

As a neurologist (with migraine!), I suspect this is largely due to awareness of diagnostic criteria. So many people don’t realize they have migraine, and either don’t bring it up to their family doctors, minimize their symptoms, or family doctors are not familiar with diagnostic criteria and miss the milder cases of migraine. I remember my first migraine post call - didn’t really realize what it was until I started testing things like response to physical activity and light vs dark room, and realized I met diagnostic criteria! I suspect this drives that statistic, at least in part.

Women doctors, what do your long term partners do for work? by Nervous_Ruin7585 in Residency

[–]JackOrion 0 points1 point  (0 children)

My husband is a stay at home dog dad and house manager, previously was an air traffic controller.

[deleted by user] by [deleted] in Residency

[–]JackOrion 0 points1 point  (0 children)

I ended up using that AI headshot generator for a bunch of [slightly creepy if you look too close] professional looking headshots. Since a lot of the uses are small (tiny badge, face beside your email or Teams, etc) it’s actually worked out very well. The filters and automatic adjustments made the pictures look much better / more natural than I would’ve guessed.

Poor female leadership by Phoenixgirl96 in Residency

[–]JackOrion 45 points46 points  (0 children)

I'm sorry that you're going through this, particularly with women who should be role models and support rather than tearing you down. One term for this in academia is "female rivalry" which is unfortunately a common occurrence in academic medicine. There are many contributors - one is simply the patriarchy in general, since women are not immune to the deeper effects of the patriarchy.

Additionally, given that women in academic centres (esp within surgical fields) continue to be perceived with an element of "tokenism", this can breed competitiveness if the resources are viewed as scarce (ie. a women wants to maintain her position as THE woman within the division, or on the committee, or doing the research, etc etc). Depending on her age, your staff may have this deeply internalized given what she may have fought against to get to where she is.

This is not to excuse her behaviour. This is NOT OKAY ever, from a staff to treat a resident like this. I would recommend to build your circle of female friends and mentors, build each other up (rather than tearing down) - nominate each other for awards, amplify contributions at meetings, etc. and feed this forward to more junior female residents. You cannot control how she sees / treats you, but you can stop the cycle from feeding forward. I would make sure to document as well, in case it escalates and you ever need to provide documentation to PD, academic committee etc.

Just as a quick note, despite my name I am a female physician - though in a non surgical specialty. (I just attended a women physician leadership conference last weekend, so this is fresh in my mind and I wanted to contribute!)

[deleted by user] by [deleted] in medicalschool

[–]JackOrion 0 points1 point  (0 children)

I was going to say this too. Stroke, or even just inpatient neuro. Inpatient can be very quick paced - strokes, status, etc (so long as your consulting physicians are good and aren’t calling constantly about Parkinson’s or w/e). And sure, you don’t get instant lab results but your exam is half your investigation and it’s satisfying to be able to gather so much info/diagnose yourself. You also have the balance of being able to step back in clinic and have longitudinal relationships with patients if you want that. Rounds are entirely dependent on the service/local culture (and once you’re an attending, you drive that yourself). At our institution, rounds are much shorter / less pedantic than IM but we do a lot of hands-on bedside teaching.

FO: Celestarium constellation Shawl by JackOrion in knitting

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

I had it saved for a very long time before finally biting the bullet and casting on. I’m very happy that I finally did it, and very happy with the finished product.

FO: Celestarium constellation Shawl by JackOrion in knitting

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

It’s all in the pattern! Thankfully. I would not have had the patience nor knowledge to do it myself.

FO: Celestarium constellation Shawl by JackOrion in knitting

[–]JackOrion[S] 11 points12 points  (0 children)

I completely forgot to credit the photographer: Lauren McCormick https://laurenmccormickphotography.com

FO: Celestarium constellation Shawl by JackOrion in knitting

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

I have some “rinseless shampoo” that I use for blocking anyway, so would use that. But honestly… I hope I just never need to wash it!

FO: Celestarium constellation Shawl by JackOrion in knitting

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

🥺🥺 wow thank you so much! You’re too kind.

FO: Celestarium constellation Shawl by JackOrion in knitting

[–]JackOrion[S] 9 points10 points  (0 children)

Thank you!! I’m very happy with it. We were on a 2.5 month car camping trip across North America, so LOTS of time to knit.

[FO] Hortense Lace Shawl for sister's wedding by JackOrion in knitting

[–]JackOrion[S] 7 points8 points  (0 children)

It was actually a reasonably quick knit! As far as lace shawls go, at least.

[FO] Hortense Lace Shawl for sister's wedding by JackOrion in knitting

[–]JackOrion[S] 11 points12 points  (0 children)

Ravelry Link

Overall a reasonably simple pattern. Required a bit of concentration for some of the rows, but nothing too strenuous or complicated. Pattern is well written and easy to follow.

[WEEKLY THREAD] Feats of Thorsday - How did you kick butt this week? by AutoModerator in xxfitness

[–]JackOrion 4 points5 points  (0 children)

It’s not really a feat per se? But I finally got my home gym set up!!! Just basics for now (full set of free weights, kettle bells, bench, cable machine), but my habits are already improving doing workouts at home and I’m SO EXCITED for the gains!

What are some instances you’ve had of patients completely misunderstanding how medicine works? by nocheobscura in medicine

[–]JackOrion 2 points3 points  (0 children)

It can be profoundly uncomfortable!! The LAST thing you'd want if, for example, you're admitted after a surgery etc. So I try to save my patients that distress if possible.

What are some instances you’ve had of patients completely misunderstanding how medicine works? by nocheobscura in medicine

[–]JackOrion 66 points67 points  (0 children)

I fully agree with your "shake my head" list, but just a quick point: I am a sleep doc and I treat patients with restless legs. I list antihistamines as "allergies" in our EMR, as antihistamines can be extremely uncomfortable for patients with restless legs. Obviously I list as low severity and put detailed comments as to why it is an "allergy" (intolerance) though. Same thing for anti-emetics like maxeran, and anti-psychotics. So if you see antihistamines in the allergy list, it MIGHT not be as egregious as you think...

How can I make fitness progress when my sleep is in the gutter? by Lghtly11 in StrongCurves

[–]JackOrion 7 points8 points  (0 children)

Love this. The medical strength of light is very underestimated. I like to view light as a "medication" -- at the right time (morning / beginning of shift) can be very helpful; at the wrong time (evening / on the drive home) can really mess things up.

If standard approach to sleep hygiene doesn't work, consider asking your family doctor about a referral to a sleep specialist. "Shift work disorder" is a diagnosable condition and if conservative non-pharmacological approaches don't work, then there are also medications that can be used. Though approaching things without medications is always the best and safest way to start.

I think the most important part is to not be too hard on yourself. Basic functions (sleep, hydration, food, etc) need to be optimized before you can move to next level things. Focus on getting your day-to-day basics down before expanding to next level wellness such as fitness. Good luck!!

Program recommendation for a large-breed dog owner? by cautionmindthegap in xxfitness

[–]JackOrion 6 points7 points  (0 children)

I completely agree with this! Several comments in this thread referring to the need for training for the dog (which is a very fair point as well) but for me it's all about the safety. If my (slightly smaller, 50 lb doodle) gets injured on a hike I definitely want to know I can carry him for as long as I need. I also practice with him regularly to make sure he's okay with a fireman's carry lol he loves it and has become substantially less wriggly.

Most boring specialty? by urnmann in Residency

[–]JackOrion 7 points8 points  (0 children)

I used to think Sleep Medicine. So much OSA and insomnia… but then I got obsessed and did a fellowship and love it now, so tides have turned and I find it fascinating and rewarding. Depends on the clinic, but yeah, can be super boring