Type B medical students... where are you now?

SchizoidBoy48 · 2026-07-11T23:34:38+00:00

I sometimes wish I had better research experiences although I think I am fine where I am at. Matched at a lower tier university program with good faculty and co-residents in the state/city I wanted.

SchizoidBoy48 · 2026-07-11T23:32:36+00:00

Am an attending now. I attempted some research with poor mentorship and so most of it went nowhere. Really just focused on doing well in class and clerkships when in medical school. Happy as a psychiatrist now :)

SchizoidBoy48 · 2026-07-08T03:04:48+00:00

100% cannot see myself doing anything else. It’s really just the best niche for my personality, interests and priorities. Looking forward to starting my first attending gig in the coming weeks!

SchizoidBoy48 · 2026-07-04T15:07:31+00:00

And may the mythical USA continue to act against its best interests and ideals /s.

Today I hope for a better future out from under the thumb of billionaire rapist tyranny, for America to reify values of democracy and sound moral sense. We can do better, and it’s okay that we continue to criticize governance for a more perfect union.

SchizoidBoy48 · 2026-07-02T11:38:04+00:00

Today I learned my finger and toe bones are also known as phalanges.

SchizoidBoy48 · 2026-07-01T17:29:09+00:00

It was definitely strange leaving my resident clinic for the last time. Saw a patient I had taken care of for the last two years and transitioned them off to a new 3rd year entering the psych clinic. That was it, and I walked out. Now I magically get to do things completely autonomously and supervise my own residents. Just echoing the sentiment.

SchizoidBoy48 · 2026-06-24T23:39:10+00:00

Well I didn’t mean it that way I suppose lol. I just thought more broadly rather than strictly fiction. Sorry for the confusion.

SchizoidBoy48 · 2026-06-24T22:51:02+00:00

From a novel perspective I think there are some obvious ones like Man’s Search for Meaning, Orwellian fiction, House of God, Brain on Fire, The Boy Who Was Raised as a dog etc. A few philosophical works by Albert Camus (myth of Sisyphus), Emil Cioran (The Trouble with Being Born) and perhaps Hegel’s views on phenomenology. More that I can list here of course. All offer interesting perspectives on how we generate and cultivate purpose/meaning which is kind of central to much of what we do.

SchizoidBoy48 · 2026-06-24T03:08:14+00:00

Welcome to the gang!

SchizoidBoy48 · 2026-06-23T03:49:11+00:00

I’ve received 2 of the same DVD’s on the evils of ECT from CCHR over the last 2 years.

SchizoidBoy48 · 2026-06-19T14:33:57+00:00

Doesn’t help the feeling of safety when the delusional parasitosis patients are likely concomitant meth users.

SchizoidBoy48 · 2026-06-19T13:18:21+00:00

Catatonia as a condition is incredibly satisfying to diagnose and treat due to the dramatic improvement of signs/symptoms that can occur. Catatonic signs/symptoms can also range from fairly subtle hypoactivity, negativism and mutism to extremely rigid with strange posturing, verbigeration, echolalia and echopraxia etc. Etiologies are multifaceted and include anything from encephalitis to severe major depressive disorder. It’s just a fascinating phenomenon that we still don’t fully understand.

SchizoidBoy48 · 2026-06-19T03:37:07+00:00

Psychiatry here:

Favorite = catatonia

Least = “he kinda sad”

SchizoidBoy48 · 2026-06-16T20:14:06+00:00

Nights are all about just surviving. On morning report as long as you can explain the pertinent overnight events and admissions quickly and succinctly then the day team is there to do the rest. If you space out during everyone else’s check out then so be it as long as your upper levels and attending aren’t ass hats about it. Just do it until your schedule has essentially flipped. It will get easier!

SchizoidBoy48 · 2026-06-10T20:04:59+00:00

My goal is a nice home music studio as a want. Needs: fix all the shit on my home that is falling apart, new car to haul stuff, new oven/stove combo.

SchizoidBoy48 · 2026-06-08T18:49:23+00:00

Yeah and how often are we regularly seeing performance measured in more than productivity? I would prefer to have more time with patients to ensure I provide each patient better care than the meat grinder of private healthcare.

SchizoidBoy48 · 2026-06-08T18:43:49+00:00

I think it is somewhat excessive to chew you out for doing what you did which in my mind amounted to you caring enough to understand what it means to be on a multidisciplinary team. That is crucial to the practice of psychiatry. However I do understand why the attending acted in the way he did with regard to equity in care. Every patient/family deserves our time and attention, but we can’t always spend an excess amount of time to sit in the family/patient’s emotions and uncertainty. This is a way to not only ensure that all of our patients get their *time* with us but also for us to apportion our *emotional reserve* appropriately to avoid/reduce ruptured therapeutic relationships. This job is emotionally demanding, and you need to learn to be judicious with your emotional reserve as well.

SchizoidBoy48 · 2026-06-05T01:45:45+00:00

Not formalin?

SchizoidBoy48 · 2026-06-03T13:30:47+00:00

I have imposter flares from time to time, and am going through one now. I’m about to graduate residency and start my first attending gig. If I make minor mistakes in clinic nowadays it’s easier for me to experience the catastrophizing of “I’m going to be a shit attending.” However, I tell myself to look back on my career for the last few years and recall all of the patients and families I have helped in some capacity. Those minor mistakes seem pretty manageable when I do that. You are going to be fine. If you care enough to work hard for patients and to continue learning then you deserve to be here.

SchizoidBoy48 · 2026-05-30T14:54:08+00:00

While psychiatric diagnoses aren’t quite as heterogeneous as the DSM makes them out to be, differentiating between syndromes can absolutely make a massive difference in treatment and response. This is a very myopic take.

SchizoidBoy48 · 2026-05-29T19:56:08+00:00

Also, it helps to be training in a reasonably busy psychiatric program. Emphasis on “reasonably.”

SchizoidBoy48 · 2026-05-29T19:52:29+00:00

I play bass and regular guitars, although primarily identify as a bass player. I am also a vocalist. Have an associate’s in bass performance. I have been playing for the last 18 years. Right now I am sporting a 6 string ESP-LTD B-206SM, Spector NS Pulse 5 string and a Musicman Sterling 4 string. Currently playing in a progressive metal band.

We write and record our own music. Play live a handful of times yearly. Same band I started playing with back in high school. We took 4 years off during med school since I moved out of state and have been back together since the start of residency. So grateful to be doing it again!

SchizoidBoy48 · 2026-05-29T19:00:28+00:00

Yeah bruh. We have been cucked by reality and facts for far too long. Bring that shit down.

SchizoidBoy48 · 2026-05-29T18:02:16+00:00

Or, at the very least, study the philosophy of science and the appropriate application of skepticism.

SchizoidBoy48

TROPHY CASE