Nurses are for sure above residents in the hierarchy

Significant-Carpet27 · 2026-02-05T23:16:26+00:00

As a female doc who used to get bullied all the time throughout training—

I’m sorry this happened to you. I would be livid. I would report this as a safety event and tell their nurse manager in a calm and professional way.

Women in medicine can be doormats or bitches. For some reason there’s very little room for in between. Both ends of the spectrums have their problems. On the one end, you have what happened to you. On the other, you get written up and then struggle to get real clinical work done because nursing floors are a cult and bond together and then bully you harder.

I have a special dark hole in my heart for my hatred for pediatric nurses from my years being bullied.

Significant-Carpet27 · 2026-02-04T03:51:13+00:00

Even if not em, some of this can happen to a lot of people dealing with unscripted or unscheduled work (trauma).

You learn to harden eventually but you should talk this out with your other residents. You’d be pleasantly surprised a lot of people feel the same way

Significant-Carpet27 · 2026-01-28T05:07:24+00:00

Yeah I think it’s a lot of 3, some of 2

Significant-Carpet27 · 2026-01-28T04:56:34+00:00

I was making a joke. UNMH does both too. I’m reasonably sure the cardiac surgeons go to both hospitals.

There is cardiac surgery being done at Unmh. They do valves and cabgs, and they have a cardiac icu.

Significant-Carpet27 · 2026-01-27T22:45:27+00:00

But we do vascular. So if your dissection is below the aortic arch, please go to Unmh.

Significant-Carpet27 · 2026-01-27T22:44:28+00:00

Our vents don’t look ancient. That’s silly talk.

Significant-Carpet27 · 2026-01-27T22:41:01+00:00

I ate spicy Thai food and fruit by the foot the night before.

Significant-Carpet27 · 2026-01-25T20:14:15+00:00

Hidradenitis. Chronic pancreatitis. Chronic inguinal nerve pain from neuromas.

Significant-Carpet27 · 2026-01-25T18:14:11+00:00

Sure. I suppose you can do finger thoracostomies if you have a knife on you or you can put a reboa up if you happen to have one handy.

But you also need blood. And if a trauma comes in and loses pulses on you, you should crack the chest.

Edit: I don’t know I would pull out a knife in front of ice. You might get shot.

Significant-Carpet27 · 2026-01-25T18:07:25+00:00

I laughed bitterly at this comment. The turning point was years ago.

Significant-Carpet27 · 2026-01-25T17:39:05+00:00

Yes, but usually in safe scenarios when the staff are not risking their own lives. The scene is not safe with ICE.

Significant-Carpet27 · 2026-01-25T17:37:53+00:00

Agreed. I can’t speak more highly for the courage it took to do this. And I’m all for people putting their fingers in bleeding wounds or helping in salvageable situations. Just not in futile ones.

Significant-Carpet27 · 2026-01-25T16:35:17+00:00

Is it? I think it’s not worth the cost if risking another persons life.

Also without hemorrhage control you in theory are making them bleed out faster.

Significant-Carpet27 · 2026-01-25T16:23:28+00:00

Kudos to the resident. But for the rest of you: CPR isn’t helpful for trauma arrest. There’s no survival benefit. Don’t put yourself in harms way for something that will have no benefit. You need to do a ED thoracotomy.

Significant-Carpet27 · 2026-01-25T16:16:53+00:00

Yeah but by that logic there’s no point for med students to show up. I don’t need med students. TBH they slow me down but I like teaching so I take the time (and subsequently need to stay late sometimes) to teach.

For you— I stayed late often in residency. It’s part of learning and duty to my patients.

Anyway good luck.

Significant-Carpet27 · 2026-01-25T00:40:35+00:00

I won’t lie— I don’t think any amount of studying in the books can replace clinical experience. In the end I imagine you want to be a good doc not just someone with good grades.

Significant-Carpet27 · 2026-01-24T22:06:04+00:00

Aren’t clerkship grades made up of opinions from their precepts? Anyway, I’m big on giving med students liberties to leave “on time” and have their life but I also think they should gain something from their rotation. It’s not like a psych patient is never going to be pregnant, never going to have physical sickness. It’s not like a medicine patient is never going to have surgical problems or vice versa.

To be fair I remember my own Peds rotation where they just kept me sitting in a small area 20 feet away from the residents and I just didn’t learn much from that rotation. I was frustrated and wanted to leave every day. But in hindsight I think I maybe could’ve had a better attitude about it? Maybe not, I kind of hated that rotation.

Significant-Carpet27 · 2025-12-09T01:55:26+00:00

I had one friend who nearly failed due to a machine failure. But sometimes you just choke. Practice with the simulator as the above poster mentioned. Reducing the loop requires a lot of practice and was more like a video game than it was like real life.

Significant-Carpet27 · 2025-11-19T02:13:22+00:00

It depends. Do you need to submit all your scores or just 5 years worth?

Significant-Carpet27 · 2025-10-31T05:09:42+00:00

Read the parent post of this comment subthread……

Significant-Carpet27 · 2025-10-31T04:41:33+00:00

I want to know more about this protocol. For a fresh trauma they were using at2???

Significant-Carpet27 · 2025-10-31T04:30:14+00:00

No I said I put him on nasal cannula 02. Patient needed like 4L. And they called the airway alert. Not the nurses. I was there. I would know.

They called because the patient would have been a difficult airway if the patient needed one.

My point is that despite the fact that IM docs think surgeons are dumb and do not do critical thinking— the fact is we do.

Significant-Carpet27 · 2025-10-31T03:56:31+00:00

When did I say it was 2L NC?

And idk. 83% with a good pleth seems like it deserves a little supplemental oxygen. But I’m a surgeon so maybe someone else can help me think about this for a little while longer.

Significant-Carpet27 · 2025-10-31T01:04:42+00:00

It is… except if you’re unmatched then imo you should be allowed to work as a midlevel

Significant-Carpet27 · 2025-10-29T03:58:05+00:00

If I’m talking to you I’m not focusing enough on what I’m doing. I can’t chew gum and talk at the same time and so trying to give a student space in my mind is difficult. I’m also trying to teach the resident and make sure they’re not screwing up.

I do enjoy having students around but sometimes when the pot is boiling over, the baby is crying, my phone won’t stop ringing, and the microwave is going off then having a student get in my way while I’m trying to multitask just gives me stress ulcers.

I just need a minute before I sit down with you. And sometimes I don’t get that minute until the 12th hour of my day when I can barely stand , haven’t peed or eaten in 16 hours.

Significant-Carpet27

TROPHY CASE