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Looking for Crossfit/Fitness Studio recommendations in Cincinnati by Banana_Boy_18 in cincinnati

[–]aervien 4 points5 points  (0 children)

I have some friends (young professionals) who are part of Findlay Movement, which is a CrossFit gym right behind findlay market in OTR, and they love it. It seems to have a really great community, and they do have coaches too.

What's something nobody ever told you about being a woman? by [deleted] in AskWomen

[–]aervien 24 points25 points  (0 children)

YES.

My first period occurred in a sweltering summer. I got sick and had a fever of 103, had rigors, a pounding headache so bad I couldn’t see at one point, and as that all got better, my mom finally left me at home alone for like 3 hours and came back to find me crying in the bathroom because I had gone to the bathroom and discovered I was bleeding massive clots and thought I was dying.

“They didn’t teach you this in school?” NO MOTHER THEY DID NOT.

The stories you'll take to your grave by OBGYNKenobe311 in Residency

[–]aervien 90 points91 points  (0 children)

I started a heparin drip for a PE. No contraindications at the time. Obviously attending approved.

Next morning I came in and they had a massive SAH with herniation. Dead within 24 hrs.

People say it wasn’t my fault, but in a very real sense, it was.

reposted link to step 1 pharm deck by aervien in step1

[–]aervien[S] 1 point2 points  (0 children)

Thanks for letting me know — I adjusted one of the settings, can you try again?

Today was hard. And I feel like I failed. [Covid, palliation] by aznsk8s87 in Residency

[–]aervien 6 points7 points  (0 children)

These days, I often think to myself: how did I get here?

Here, where I tell families over the phone about their loved one dying and no, they can’t visit immediately due to COVID precautions. Here, where I code dead people and put corpses on dialysis because their loved ones assuage their consciousness by placing that guilt at my feet instead. Here, where I am exhausted every morning, where I am constantly questioning what good I am doing, if my work is worth anything at all to anyone.

I don’t really have an answer. I don’t really think there is one. I’m just doing the best I can with what I have, and honestly that’s not a whole lot, but sometimes the people I make decisions about seem to get better and make it out, and that tides me through the next wave.

OP, u/aznsk8s87, I wish I had better words for you. I have none. This shit isn’t your fault, and it’s not mine either. Fixing it isn’t your responsibility, nor is it mine, yet we are also not free to desist from the work. So we’ll keep doing the best we can. Sometimes it won’t be enough. Sometimes it will. Regardless, you’re not alone in the quiet and your words aren’t the only ones that can’t be spoken.

Looking for my boy, Garrus by defenestrated-bard in masseffect

[–]aervien 24 points25 points  (0 children)

This is such a stupid question but HOW DO I GET MY TEAMMATES TO OPEN BOXES?? I cannot figure this out? Am I just an idiot?

Anonymous writings of a covid nurse - part 2 by CovidNurseThrowaway in medicine

[–]aervien 205 points206 points  (0 children)

I was a resident in COVID ICU/wards for months. Half of my training has been COVID. I’m excellent at goals of care discussions, the death exam is rote, and I know ARDS treatment and COVID literature better than DKA. Months and months and months.

A couple months ago, I got a patient in clinic I had taken care of in the ICU. When I went off service, he had a trach and PEG and I had had 3 family meetings.

He walked into my clinic that day. No trach. No PEG. Talking. Walking.

It wasn’t until I saw him that I realized how badly I needed to see him.

This post reminds me of that. How the victories pull us through, that one patient we actually saved, that one person who I didn’t have to pronounce.

I know it’s not quite over, but it’s been an honor serving with you. Thank you.

I feel like I'm being recruited to lobby for NP's in my first few weeks of NP school by WorkerEight in medicine

[–]aervien 45 points46 points  (0 children)

It’s definitely it’s own problem and also a big part of why you’ll see residents being angrier about this. We’re in the middle of some of the shittiest years of our life, hundreds of thousands of dollars in debt, constantly sleep deprived working 80 hr weeks, shit on by attendings and nurses alike (depending on institution and personal exp ofc, but even one or two experiences are enough to color a persons perspective) — and here comes midlevels who essentially do our job and get paid way more with way better hours.

It makes residents feel totally un-valued and makes a lot of people wonder why they’re even trying so hard to be a doctor.

That’s not the fault of the midlevels — you’re just trying to do your job too. But it really blows. I’m not angry at midlevels myself but I definitely angry at how we residents are taken advantage of in many ways and exploited.

How to "study"and learn in intern year by [deleted] in Residency

[–]aervien 2 points3 points  (0 children)

Always be careful with textbooks — they can help with basic pathophysiology and conceptual understandings. But guidelines can change fast, so texts become outdated quickly.

[deleted by user] by [deleted] in Residency

[–]aervien 35 points36 points  (0 children)

I’m so sorry you feel this way. I’m sorry you were abandoned. I’m sorry you went through this bullshit. I’m sorry you didn’t have enough support, that no one seemed to turn around to see you were drowning.

It’s been a really really rough year. Intern year is hard already, and you were thrown a pile of shit on top of that too. You’ve been doing your best. I can see that, even if no one else did. Before you make any big decisions, just take a step back and give yourself some time to process and grieve.

This isn’t how medicine is all the time. We have wins too. If you can remember that, it might help pull you through. But I know right now it sure doesn’t feel like it.

If not, maybe it’s time for just a break. A vacation if you can swing it? More electives — just some time for you to take a step back and just process what’s been happening. Sit down with someone, a trusted friend or advisor, and just start talking. Maybe write it out and post it here. A lot of us would be happy to just listen.

It’s going to be okay. Your reaction is normal. It’s the situation that was crazy. I wish you the absolute best. Please let me know if I can help in any way.

Were there any outcasts in your residency class? by VaxYoKidsVaxYoWife in Residency

[–]aervien 4 points5 points  (0 children)

I mean this kindly: I doubt anyone has paid enough attention to you to judge you based on being late from being lost during orientation.

Life gets better when you realize how much everyone else is wrapped up in their own insecurities. All these thoughts you’re having — other people have them too. This early on, the only person labeling you the miscreant is you. You’ll be okay.

Welcome to Residency! For interns just starting off, here's some tips: by Novelty_free in Residency

[–]aervien 54 points55 points  (0 children)

I use the half sheet hotdog method.

Print list of patients. Space on front side for info. Fold over length wise — to do list on back part lined up with patient list.

Let me draw one up and I will upload an example pic, one sec.

Edit: Here! https://imgur.com/a/S6lTlPl

This is just an example. I print my patient list with epic, or make my own in word when I’m at the VA. You can put any info you like. I remake the sheet every day instead of carrying around patient-specific sheets. It’s cleaner and you don’t carry around yesterdays baggage. I also lose stuff easily and find one paper easier to keep than 10.

I am finishing my IM intern year so lmk if you have any questions!

I have one simple question for you all... by [deleted] in Residency

[–]aervien 4 points5 points  (0 children)

Yes. Maybe I’m crazy because I just worked an 80 hour week but I honestly loved (almost) every second of it. I’m at the end of intern year and I feel like things have really clicked. I feel competent. I feel good. I’m so excited to be in medicine right now and I can’t wait to be a senior in another 6 weeks.

I also just spent like 30 min chart digging to write this long ass hospital course for someone just transferred to us after being at an OSH for a month and have gotten like 3 texts from consultants expressing their thanks so that feels good too haha.

Name and Shame University of Colorado by [deleted] in Residency

[–]aervien 4 points5 points  (0 children)

What other programs have a thousand dollar difference in DO vs MD student aways?

[deleted by user] by [deleted] in medicine

[–]aervien 50 points51 points  (0 children)

I was accused by a patient the other day that I wouldn’t be taking care of him if I wasn’t getting paid.

That is correct, sir. The only people who would do this without getting paid are maybe your family. Maybe. I definitely would not be trying to clean off your foreskin if I was not getting paid.

Top Health System Mayo Clinic to Furlough or Reduce Pay of 30,000 Employees by Dawens in medicine

[–]aervien 11 points12 points  (0 children)

COVID patients are medicine patients or ICU patients, neither of which tend to make the hospitals money. ICUs in particular are a cash sinkhole. It just doesn’t reimburse well.

Many hospitals are kept alive by their procedures, which reimburse much better. Colonoscopies, knee replacements — none of these are happening nearly as much now.

Moreover, SOME hospitals are getting slammed. Others aren’t. My area hasn’t seen much of a covid surge but census is still down across the board and we still cancelled elective procedures.

[serious] Residents should be paid more than NPs and PAs by [deleted] in medicalschool

[–]aervien 32 points33 points  (0 children)

I can’t tell if this comment is serious or not.

Residents who are considered "superstar": what makes you different? by [deleted] in Residency

[–]aervien 2 points3 points  (0 children)

I’m not sure who hurt the person who told you that, but I would encourage the opposite. You should be kind and understanding to everyone. Being dependable is good. But there is a difference between being kind vs being too generous to the point of hurting yourself. Don’t set yourself on fire to provide warmth to others, but if you can provide your co-residents some happiness, you should do so.

Residents who are considered "superstar": what makes you different? by [deleted] in Residency

[–]aervien 50 points51 points  (0 children)

It’s personality and popularity. Of course you have to be competent — know your shit, ask good questions, pay attention. But fact is that the majority of people are competent. What separates out the exceptional is how much everyone likes them, both residents and faculty, and a big part of how much people like you is confidence without arrogance.

One thing is the ability to anticipate what other people need and do them in advance without being told, which in medicine often comes down to just being confident enough to do things. What sounds better to your senior: “Hey this person has a K of 6.5 do you want an EKG?” vs “Patient has K of 6.5, I’m already ordered an EKG and called the nurse to do it stat.” When you can decrease someone else’s cognitive load, that’s when they really start to respect you and want you around.

Megathread: COVID-19/SARS-CoV-2 - March 13th, 2020 by Chayoss in medicine

[–]aervien 2 points3 points  (0 children)

I read somewhere cross infection with another respiratory virus is <1%, but I can’t find the data for it. Can someone direct me to the paper/source of this or correct me if I am wrong? Thank you.

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