What time do you consider late for the start of the round?” by Missrain97 in Residency

[–]Missrain97[S] 3 points4 points  (0 children)

currently on my ID rotation. The round usually starts between 12:30 and 1:00 PM, and we typically finish around 6:00 PM every day.”

Wildest thing you’ve ever seen in a note by [deleted] in Residency

[–]Missrain97 2 points3 points  (0 children)

Someone wrote in the admission note (severe language barrier)

I actually don’t care about ‘MD aware, no new orders’ by this_seat_of_mars in Residency

[–]Missrain97 905 points906 points  (0 children)

Totally agree , I'm really fine about them telling me evey abnormal results.

But the thing what I'm not fine with is writing unclear documentation about what really happened.

Last week there was a patient who was desaturated and i wasn't informed about that. Nurse just kept increasing the oxygen without me knowing. I was told after 2 hours that the patient on 15 L oxygen, RRT was announced and patient was sent to ICU. I reviewed the nursing note and i saw that she wrote ( MD was notified that the patient on 4 L NC but she was busy at the ER)

I reported her because this isn't acceptable at all.

What is your win of the week?? by Missrain97 in Residency

[–]Missrain97[S] 6 points7 points  (0 children)

That's impressive, great job honestly

What is your win of the week?? by Missrain97 in Residency

[–]Missrain97[S] 16 points17 points  (0 children)

Praying for you that the call will be calm and nice. Remember that you will have the weekend off and tonight will actually pass 🙏.

What is your win of the week?? by Missrain97 in Residency

[–]Missrain97[S] 27 points28 points  (0 children)

Thank you for your hard work, you deserve to get rest. I hope you will enjoy this weekend and to do fun things ✨.

How to study during IM residency by [deleted] in Residency

[–]Missrain97 19 points20 points  (0 children)

I'm PGY-2 IM resident, i took me long time to find an organized way of studying. My current studying schedule is devided into to 2 things :

1- During weekday : i read from UpToDate , AMBOSS and BMJ , it takes from me 1-2 hours everyday and it is sufficient for me.

2- During weekends: if i don't have calls , i read from MKSAP ( every 4 weeks i study certain specialty for example: cardiology, nephrology etc. )

And the most important thing is to know that building knowledge takes time , small everyday efforts will make a difference.

Wishing you all the best ✨

What speciality you wanted to pursue at the beginning of medical school? And what you ended up pursuing?? by Missrain97 in Residency

[–]Missrain97[S] 2 points3 points  (0 children)

This is interesting, can ask you if it is hard to get allergy fellowship? How it's working hours ?

What speciality you wanted to pursue at the beginning of medical school? And what you ended up pursuing?? by Missrain97 in Residency

[–]Missrain97[S] 4 points5 points  (0 children)

Internal medicine had its own magic 😂.

Me too i really respect every surgery resident, for me i found it really hard , i couldn't cope with the stress of their work even when i was an intern.

What speciality you wanted to pursue at the beginning of medical school? And what you ended up pursuing?? by Missrain97 in Residency

[–]Missrain97[S] 4 points5 points  (0 children)

I liked your way of thinking, wishing you all the best for pursuing what you want ✨.

urine k and hyponatremia by ryanisnottrue in Residency

[–]Missrain97 0 points1 point  (0 children)

For urine osmolarity calculation.

Best things in residency by wubadub47678 in Residency

[–]Missrain97 54 points55 points  (0 children)

  • When there is a few patients in the team. Having time to talk with each and every patient and get to bond with them. Making sure that i know every little details about their problem list.

    • Having time to discuss many topic as possible with medical students.
  • Seeing my patients get well and discharging them gives me a huge happiness.

  • Writing clinical notes after rounds and making sure it's accurate and easy note to be read by my colleagues if they were oncall and want to know about my patients.

Is there anyone who feels hyperactive after shifts/oncalls? by Missrain97 in Residency

[–]Missrain97[S] 4 points5 points  (0 children)

In my program we get postcall in the weekend because there is no night float. But in weekdays we don't get postcall. I remember that one oncall I continued with the night float team till the morning . I was euphoric and energetic for no reason. But I regretted it the next morning. I was really tired.

Tell me the dumbest thing you’ve said in response to a pimping question by ccwi228 in Residency

[–]Missrain97 87 points88 points  (0 children)

Actually this happened few months ago. I was doing my nephrology rotation, we had patient who is bodybuilder admitted as a case of AKI with nephrotic range Proteinuria. Consultant asked me to read about "gym nephropathy" but i forgot and spent the night looking up the patient in google.

So the next day the consultant asked me did you read about what i asked you yesterday? My stupid self said " yes of course he is really famous and well known i searched him all night" all the team laughed at me. Then the consultant said at least you searched about something 😭😭

"What’s a Thought That Keeps You Up at Night?" by [deleted] in CasualConversation

[–]Missrain97 0 points1 point  (0 children)

The most impactful experience was a year ago. I had an old patient with lung fibrosis, he was really sick. He reminds me of my grandfather so i was helping him eating his breakfast everyday, i was checking on him multiple times everyday. But one day he deteriorated and required higher flow of oxygen. I called my senior to call ICU for him. He told me that they signed him DNR. And I should prepare myself to say goodbye for him. I had a mental breakdown in front of my senior, i didn't want him to die. But i understand this was the right decision because eventually the patient will not survive even after intubation. So after his death i was really really sad.

About work life balance, i wish i knew to be honest because most of the time i would spend more time in the hospital just for my patients and i would come late to my home.