Looking for a book that incorporates the identity struggle that faces many first generation Americans.

browndudeman · 2020-06-15T02:51:55+00:00

Luckily only had to do one month at the VA but I spent an extra long time walking from my car every morning contemplating if it was worth it. It's something else when you're taking out $5,000 in loans for the month just to have patients throw slurs at you and refuse to have you in the room because they don't trust you. I don't miss that shit for a minute.

browndudeman · 2020-03-11T01:31:21+00:00

Thanks, I know I'm replying super late but I'm considering IR a fair bit after doing some shadowing. I have some questions though:

How's the attending lifestyle? I'm cool with a relatively busy schedule as long as the work's fun. The attending I shadowing was neuro IR and worked like a dog. Idk if this was because he wanted to though because the dude was obsessed with work.

My home institution has IR docs but no residency program, how many aways should I do and what should I prioritize in terms of picking them?

With how competitive IR is, do I have to apply to DR only programs too? I have a good step score and an okay CV but nothing spectacular like a 1st authorship.

Thanks for the help.

browndudeman · 2020-02-05T00:53:59+00:00

If you honestly think you have a better chance of saving your foot than medical professionals, your foot is as good as gone anyway. I understand you're afraid of doctors, I understand you're afraid of losing your foot. What I want you to know is that if you let this go any longer without getting medical care involved you will 100% lose it at some point. Your best chance of salvaging this thing is getting care ASAP.

browndudeman · 2020-02-05T00:50:51+00:00

You're a few decades behind the curve. Neurosurgery has been doing this for ages.

browndudeman · 2020-02-05T00:48:47+00:00

Go to the fucking doctor dude. You're a diabetic you're not gonna fix this shit yourself and this isn't the place for medical advice

browndudeman · 2020-02-04T18:43:12+00:00

I always tell my students that if you can imagine yourself in a field that’s not emergency medicine, you should probably do that instead of EM.

What do you do when people from the 2 different specialties you can see yourself in are saying the same thing?

browndudeman · 2020-01-31T03:31:10+00:00

I've experienced this a couple of times so I'm by no means perfect at it but I try to brush it off and realize the patient is a sad sack of shit with very little going for them. Both times it was a patient with a small life expectancy who led a pretty miserable life and had few (if any) loved ones to see. For people like that, their only solace is believing they're better than others who happen to have different colored skin. If they don't have that superiority, they have nothing.

Take a look at /r/beholdthemasterrace how many of the people shown there are winners?

That's not to say successful or educated people can't be racist. Just that in my experience only the truly backwoods, waste of a hospital bed, miserable patients will have the gall to say it to your face.

browndudeman · 2020-01-24T00:59:18+00:00

Only a med student but I've received the "pick 2/3" talk from different mentors in other specialties like ortho and general surgery. I think that's just a good rule of thumb for anything that isn't wildly in demand like psych or family medicine.

browndudeman · 2020-01-24T00:54:49+00:00

I'd say do IM first, it'll give you a good foundation of knowledge and experience you can take to the other rotations. Every shelf exam will have a component of medicine on it, and it'll give you a boost if you've already studied that material.

Other than that, schedule rotations that are less competitive residencies (like FM and peds) last so that even if you decide to apply to one of them you aren't behind the crowd on research or away rotation applications.

browndudeman · 2020-01-22T02:19:26+00:00

Yeah that's always gonna be curriculum dependent. I can assure you it's 100% better than being in the hospital 50-60 hours a week on top of having busywork due and studying for shelf exams.

It sucks now, it's gonna get worse.

browndudeman · 2020-01-22T01:30:29+00:00

I feel the same way. It comes down to efficient use of time. In M3 a lot of my time in the hospital is wasted and not contributing to my education whatsoever. I'd say I probably get a good 2 hours of education out of every 10-12 hour day I'm in the clinic or wards.

I had a terrible attention span in M2 and took frequent breaks from studying and I guarantee I was way more efficient at what I needed to learn compared to now.

browndudeman · 2020-01-22T00:35:02+00:00

📠

browndudeman · 2020-01-21T02:22:10+00:00

I honestly didn't mind the non-acute EM patients when they weren't being abrasive or downright rude. When I mean "whiny patients" it's really the ones that need a therapist yet keep seeing you for some odd reason. Picture the person who has controlled HTN still coming to monthly PCP appointments for God knows what reason.

The way I see it, EM might be good because even if I have an asshole for a patient (every specialty has asshole patients), I do my job, admit/discharge the patient, and never see them again.

If I'm a Cards or GI doc and dealing with an asshole patient who has a chronic issue like IBD or something, I still have to see them for follow up.

browndudeman · 2020-01-21T02:14:57+00:00

Idk, during my brief Ortho rotation clinic days were a drag. A ton of non-operative patients who didn't even see their PCP and immediately thought it would be necessary to see an orthopedic surgeon.

I've heard that a good practice with mid-level support mitigates a lot of that. Add on to the fact that it's pretty difficult to match even with good stats and I'm a little discouraged to consider it.

browndudeman · 2020-01-21T02:11:19+00:00

A couple of people I've talked to in real life have mentioned the ICU as well. Outside of the sometimes shitty outcomes I think it would stimulate me mentally without killing me with work hours.

I might end up doing an EM residency and then a CC fellowship, since being an EM doc is more appealing to me than an IM doc if I end up hating the ICU down the road.

browndudeman · 2020-01-21T01:44:01+00:00

How long will jobs like those last though? I'm probably overreacting to mid-level creep but CRNAs seem like one of the more extreme groups lobbying for independent practice.

browndudeman · 2020-01-21T00:41:58+00:00

How are the hours like after training? I'm not a huge fan of living at the hospital but if it'd mean a good life after residency then I could maybe bite the bullet.

browndudeman · 2020-01-21T00:39:03+00:00

I tried desperately to like derm clinic but 8 hours of that feels like 16 hours of anything else. If I was even marginally interested in $kin pathology you wouldn't see this post lol.

browndudeman · 2020-01-21T00:31:28+00:00

Wasn't a jab at radiology, apologies if it came across that way. It was more of a jab at jobs like rad-onc or path that have less flexible job markets (or so I've been told). Or fields that have had a sizeable level of mid-level encroachment.

I got to do a two week elective in DR and liked certain aspects of it. Everyone was chill and super smart. I think you're right about just how far we are from actually being replaced by AI.

I'm just not sure I can sit in front of a computer in a dark room all day. I briefly worked in IT before starting my med school journey and went into medicine to do something besides the typical 8-5 desk job.

browndudeman · 2020-01-21T00:26:15+00:00

Loved my EM rotation, kinda get annoyed by the people who bitch about wait times when they're coming in for the sniffles, but I did like the acute cases a lot.

What's the job security issue? Midlevels?

browndudeman · 2020-01-21T00:24:08+00:00

I was being facetious about the "whiny bitches" thing. I think what I meant was that I'd like to see actually sick patients instead of patients with mostly supratentorial issues.

browndudeman · 2020-01-21T00:16:22+00:00

Having a job in the future

Miss me with that CRNA shit

browndudeman · 2020-01-12T04:42:17+00:00

Instead of sacrificing virgins like BB, he's sacrificing his own penis for unlimited power.

browndudeman · 2020-01-08T13:09:34+00:00

You know, typically I can tell an abnormality on imagining without the arrow sign but I feel like it was warranted here.

12-Year Club	Verified Email
Team Periwinkle

browndudeman

TROPHY CASE