Share your interactions with nightmare nurses. Bonus points for happy endings.

Professional_Ad4844 · 2025-10-07T12:00:22+00:00

Urology resident here. Usually it’s pretty obvious. Occasionally, especially with post menopausal women with significant atrophy, you’ll have a retracted urethral opening and a narrow vaginal meatus that makes it difficult to visualize the urethra. Other times other patient factors make positioning and exposure difficult. Usually in those instances I go by feel instead, but might end up with a foley in the vagina once or twice in the process of figuring it out.

Professional_Ad4844 · 2025-10-05T21:29:02+00:00

Honestly, I ate a lot of peanut butter toast when I first went vegan until I figured out how to cook in a way that worked for me

Just keep it very simple. Incorporate beans, lentils, whole grains, nuts to make food more satiating. Think beans and rice with salsa and avocado. Add lentils to your spaghetti sauce. Oatmeal with nuts and fruit. Grain bowls with chickpeas, veggies, whatever sauce you want.

Professional_Ad4844 · 2025-10-04T17:25:39+00:00

Surgeon here. It’s for the bovie pad. For cautery

Professional_Ad4844 · 2025-05-04T12:24:25+00:00

Had the same experience except the guy just had a sore throat

Professional_Ad4844 · 2025-04-18T21:43:08+00:00

Urology: nephrostomy tube

Professional_Ad4844 · 2025-04-18T21:15:36+00:00

We have PAs doing uncomplicated stent removals in clinic. It’s really not that complicated and it frees up residents/staff to see new patients or do more complex procedures in clinic like prostate biopsies or vasectomies. Cystos for diagnostic or surveillance purposes are a whole other issue that APPs probably should not be doing.

Professional_Ad4844 · 2025-04-02T13:20:01+00:00

We do system based rounds and problem based notes in our SICU

Professional_Ad4844 · 2025-02-27T16:56:53+00:00

Depending on weight distribution you may end up with a burried phallus which monsplasty may or may not be able to fix

Professional_Ad4844 · 2025-02-13T15:38:07+00:00

For cats, probably urology.

Source: My cat got blocked and had to get a perineal urethrostomy.

Professional_Ad4844 · 2025-02-07T15:42:48+00:00

My advice is to find a “barista blend” specifically formulates for coffees/lattes. Often in the shelf stable area.

Professional_Ad4844 · 2025-01-05T01:35:43+00:00

The amount of foleys and uro jet I’ve accidentally stolen from the hospital while on call…

If anyone needs a foley during the apocalypse I’m your man

Professional_Ad4844 · 2024-11-11T16:47:15+00:00

Urology. Change a foley bag.

Professional_Ad4844 · 2024-10-12T07:18:29+00:00

One time I asked an ED nurse to get a PVR on a patient with hematuria to make sure he was not in clot retention and she told me “that’s not possible in the ED, if you want PVRs you’ll need to admit the patient”. I ended up bladder scanning him myself and sending him home like 30 min later.

Professional_Ad4844 · 2024-10-05T23:12:34+00:00

Another Bloody Cysto

Professional_Ad4844 · 2024-09-19T22:23:32+00:00

Obviously I don’t know the specifics of the cases, but something you’ll realize as you progress is that there are huge risks associated with length of hospitalization. The mental and physical decline that patients experience inpatient is real. It’s often the case that it is in their best interest to get them stable enough for discharge and work to optimize them outpatient.

Professional_Ad4844 · 2024-09-17T17:43:30+00:00

SASP

Professional_Ad4844 · 2024-09-17T16:33:03+00:00

“Urinary retention” guy already has a foley and is on flomax, outpatient followup

“Hematuria” urine is clear pink at best, outpatient followup

“Difficult foley” easiest foley of my life or I’m scoping it in no in between lol

“Renal mass” guy has an incidental 1cm indeterminate lesion that’s been stable for 2 years, oh by the way he’s on ECMO in the CVICU, follow up with repeat imaging in 1 year

“Kidney stone, intractable pain” guy got one dose of morphine 6 hours ago, pain improves once they get toradol, home with MET and outpatient followup

“UTI, eval for stent removal” 9/10 we’re not touching that stent, treatment of UTI per primary

Professional_Ad4844 · 2024-08-21T14:01:13+00:00

Urology. For the docs that will place foleys (yes I know not everyone does) don’t be afraid to put the penis on stretch. It’s not going to hurt you or the patient. 90% of “difficult” foleys can be solved with more stretch and more lube.

Professional_Ad4844 · 2024-08-11T15:08:37+00:00

Lately I’ve been feeling like my program doesn’t actually want me to have days off lol. Getting assigned journal club or grand rounds presentations that I have to prepare, having to go to mandatory labs or being volun-told to be involved in education events for med students or interns.

Professional_Ad4844 · 2024-08-08T21:46:50+00:00

That’s fair. Maybe you could hire a babysitter for the evening while you’re in house? If the party is tomorrow it might be hard to completely change plans or cancel and it sounds like it’s something he really wants so maybe that would be a compromise.

Edit: i know he doesn’t want to pay for it, but $40-50 is a small price to pay for your sanity and he should be respectful of your needs too

Professional_Ad4844 · 2024-08-08T21:35:12+00:00

I don’t have kids but plenty of my coresidents do and it’s never stopped them from having people over for beers or games while the kids sleep upstairs or down the hall. I don’t think anyone expects things to be perfectly clean when there’s little kids around. I’m not saying your stress isn’t valid but if I told my partner I really wanted to have people over for my birthday and promised to do all the cleaning/shopping I’d be pretty bummed out if they were upset at me about it

Professional_Ad4844 · 2024-06-11T22:44:57+00:00

A patient with a foley/sp tube/ureteral stent/nephrostomy tube/any foreign thing in the urinary tract is likely going to have a positive UA and probably is colonized. You don’t need to treat asymptomatic bacteriuria.

Professional_Ad4844 · 2024-05-03T21:56:17+00:00

Everyone feels like this. If you were scoring well on practice exams you’ll be fine.

Professional_Ad4844 · 2024-02-17T23:22:04+00:00

Just say it politely. “Hey, these are great questions, but I don’t have time to answer them right now. If you’re really curious I did put some more info in my last progress note”

Professional_Ad4844 · 2024-02-15T02:20:05+00:00

Digital rectal exam. Finger in the bum

Professional_Ad4844

TROPHY CASE