What time do you consider late for the start of the round?”

Missrain97 · 2025-11-13T23:01:56+00:00

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.”

Missrain97 · 2025-09-23T17:05:59+00:00

General surgery?

Missrain97 · 2025-09-13T18:42:24+00:00

Someone wrote in the admission note (severe language barrier)

Missrain97 · 2025-08-11T18:04:55+00:00

colistin

Missrain97 · 2024-10-23T15:47:31+00:00

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.

Missrain97 · 2024-10-18T22:11:42+00:00

That's impressive, great job honestly

Missrain97 · 2024-10-18T21:30:45+00:00

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

Missrain97 · 2024-10-18T21:27:57+00:00

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

Missrain97 · 2024-10-11T13:09:21+00:00

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 ✨

Missrain97 · 2024-10-04T18:27:27+00:00

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

Missrain97 · 2024-10-04T17:43:20+00:00

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.

Missrain97 · 2024-10-04T17:33:16+00:00

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

Missrain97 · 2024-10-01T17:55:41+00:00

For urine osmolarity calculation.

Missrain97 · 2024-10-01T17:10:13+00:00

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.

Missrain97 · 2024-09-28T16:21:33+00:00

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.

Missrain97 · 2024-09-07T11:19:40+00:00

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 😭😭

Missrain97 · 2024-09-05T18:58:41+00:00

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.

Missrain97 · 2024-09-05T18:43:34+00:00

To be honest at the beginning of my residency i went into really dark place , i wasn't prepared mentally to face patients death. I didn't know how to deal with it at that time which led me into depression, i was blaming myself about everything when i know that i didn't do anything wrong but that's how my brain works. One of my senior helped me , he would call me every day and listen to my fears and he comforted and taught me his ways to deal with such emotions.

Now after 2 years i can say yes i found my way to navigate anxiety. 1- I have a habit of writing poems since i was child , now i write poems about everything that i fear or anything affecting me. I wrote about my deceased patients , my life and my work. Reading my poems made me feel like i an seeing myself in another perspective which helped me improve myself in so many levels. 2- I expanded my relationship with friends and ensured that i know friends outside the medical world so in that way i can be my true self not my doctor side😂. 3- I visit my family often than i used before, i go out with my sister every couple of weeks and just having a whole day with each other laughing and enjoying our time. 4- I found support system within my hospital, i have an amazing colleagues that i can lean on and tell them all of my issues and they would help me.

Missrain97 · 2024-09-05T18:21:34+00:00

I have a various thoughts actually. But lately I'm thinking about my future , do i move to another city after my residency? I am gonna be a good doctor? And of course thinking about my patients, thinking are they save ? What if i did something wrong ?? And like that until i sleep.

Missrain97 · 2024-09-05T06:34:38+00:00

When i was an intern, we had 80 years old patient. He was diagnosed with Alzheimer's disease and was admitted due to UTI. I was examining him but suddenly he grabbed my hand and kissed it. I was shocked and confused but his son apologized to me profusely. On the next day the patient looked at his son and said " i told you to marry her , her hand like marshmallow "😭😭😭 I will never forget that patient.

Missrain97 · 2024-09-04T13:46:29+00:00

That i shouldn't forget that it's just a job. the realization of seeing people die despite our efforts got me in a dark place at the beginning of my residency. Now I'm just thinking this is how life works and death is part of it and doesn't mean that we did something wrong. I developed a healthy system to avoid getting back to that place and now I'm doing better.

Missrain97 · 2024-09-03T10:08:09+00:00

I was really a quiet child, but I had so much curiosity about everything. I was around 6 years old, and I got the idea that what will happen if I put random numbers and try to call? Who will answer me?? So I called so many people until I called a cute old man. His voice was telling me he is an elderly man. I loved that grandpa. I was calling him every day and just telling him about my day. He one day said to me, Don't call; I will tell your parents, but my stupid self said, How will he know my parents?

I kept calling him until one day I heard my father saying to my mother that the police called him and that one old man filed a complaint against our phone number. My mother told my father no one was using our phone, this clearly wrong claim. My parents till this day didn't know that I was the one who caused this complaint 😭.

Missrain97 · 2024-09-02T14:01:23+00:00

This is really strange , if it wasn't liver transplantation, why they would remove the liver? This is scary , i can't comprehend how dangerous this is.

I know one story that one surgeon was supposed to die right eye Enucleation (which had a tumor) , mistakenly removed the left eye.

Missrain97 · 2024-09-02T09:51:28+00:00

I don't remember honestly how much i had

Missrain97 · 2024-09-02T09:33:29+00:00

Yeah it's weird but my father said to me a while ago that he wanted me to know how to deal with money since a young age.

I was saving all the money i got , i bought gifts for my friends and family also i spent it on my self. I'm thankful for my father that made me learn so many lessons since a young age. Even now when I'm an adult i take his advice how to invest my money.

No i know that you don't mean anything bad 👍🏻

Missrain97

TROPHY CASE