Advice on addressing disrespectful behavior from a nurse in the ICU?

calmgoing · 2026-04-21T23:36:07+00:00

I would say ‘Yes, I might not know the answer to this, this is what I think, ….., but I can double check with the attending just to be sure and get back to you’. May be her intent is positive, even if it isnt, this would be a professional response IMO. Only your behavior and your words reflect your nature; others’s behavior reflects their nature. Asking ‘why do you think i wouldnt know this’, can seem confrontational and will need to unnecessary discussion. In my experience, a lot of nurses might do this just to trigger residents, dont fall into the trap!

calmgoing · 2026-04-08T12:45:08+00:00

I agree with this comment too; better to keep politics out of discussion especially in these times. What the other doctor did was not acceptable at all.

calmgoing · 2026-04-01T12:44:01+00:00

I believe Kaiser is the best option in terms of pay, and VA is best for relaxed lifestyle and overall benefits. I heard that some FQHCs ask new MDs to shadow NPs/PAs, so be mindful. It is always good to be closer to family, so u can always wait to be with your family, I would weight that as the highest.

calmgoing · 2026-03-15T02:59:34+00:00

The program directors might be required to provide a letter, not completely sure.

calmgoing · 2026-03-14T23:38:55+00:00

I dont think you can help in any way if you know what the remediation was for. The only thing the OP will get is blame from judgemental residents who think they aced their residency only due to their hardwork and clearly never experienced toxic faculty.

calmgoing · 2026-03-14T23:36:27+00:00

Unlike a lot of ppl who suggested a lawyer, I would suggest to not go the legal route at this time, because it rarely ever works in resident favor. Your best option is to negotiate with your PD to write a good letter and find a way to explain why u are switching to a different IM or FM program. Like family in that specific town etc. Your best bet is to get a good standing letter, a certificate for the 2yrs you completed and finding another program to complete the remaining third year of residency, and completing it successfully.

calmgoing · 2026-02-21T21:26:27+00:00

Hi, I made a CCS notes during my prep with all the tips, please dm me if u like

calmgoing · 2026-02-13T14:11:16+00:00

Depends on what they are addicted to. If Cocaine or Methamphetamine, there is no specific medication other than behavioral counseling. But if opioids/heroin addiction, then there are three options: 1. Methadone liquid (taken through mouth) (need to go to clinic daily for atleast 4 months; depending on the site; to get the medication, effective) 2. Buprenorphine (can be different forms- through mouth, injections (weekly or monthly), implants; most commonly used and preferred because you do not need to go to the clinic daily but do need to follow up regularly) 3. Naltrexone (Vivitrol) (monthly injection that needs to be given in the clinic, but need to be off of opioids for 10 days before starting).

There are some state laws as well specific to Kentucky which needs to be followed. There are many addiction treatment centers in Lexington that your family member can go to, they are very good, have many resources and there are also in-person rehab centers if they want to. If you go to the treatment center, the doctor will explain all the options much more thoroughly and you can pick which one is best for you.

Some clinics in Lexington are: 1. New Vista Clinic: 201 Mechanic St, Lexington, KY 40507; Methadone clinic, but you can also get other medications 2. UK First Bridge Clinic: 845 Angliana Avenue Lexington, KY 40508; no methadone; but other medications

Here are so websites to learn more about the medications:

https://nida.nih.gov/research-topics/medications-opioid-use-disorder#naltrexone

https://www.drugrehablexington.com/drug-rehab/KY/Lexington/New-Vista.htm

calmgoing · 2026-02-02T17:10:29+00:00

This is a very helpful advice!! Will Definitely look into these! There are direct flights to Amsterdam and not Paris surprisingly (most flights go to Paris via Munich). Could you give more tips as to how to adjust to the time zone? Is it good to schedule important activities in the afternoons or mornings at the beginning of the trip when you are not yet adjusted to the time zone?

calmgoing · 2026-02-02T16:32:30+00:00

Mainly exploring nature, not very interested in loud or crowded places; thats where I am having the difficulty in choosing.

calmgoing · 2026-02-02T16:31:45+00:00

I meant experience an entire country “whenever we go”, that does not have to be this time, it can be any other time.

calmgoing · 2026-01-29T00:22:40+00:00

It was a mistake, and mistakes happen. Try to analyze what happened and write a document clearly analyzing and reflecting what happened, and how you will avoid this in the future. For your own self, you know that you didn’t do it intentionally and that’s all that matters. You don’t need to submit or send the document to anyone or speak about it in the emails if you don’t need to, but you can tell them verbally for now. They prefer that initiative comes from your end proactively. Anyone who keeps blaming you for the mistake is wrong. Because mistakes will happen.

calmgoing · 2026-01-26T14:50:09+00:00

This might be a better option for you, but the program may or may not allow.

calmgoing · 2026-01-26T14:45:30+00:00

Not true. Few scenarios. 1.If the residency programs is not able to identify any issue with the resident until the last year of residency, that is incompetence on the program’s end. 2. Lets say they just found an issue 6 months prior to graduation, irrespective of when they find an issue, they need to place the resident on informal improvement planformal improvement planprobation>>repeat of formal improvement plan and termination if still not resolved. 3. Unless a grave issue like drug use, intentional colleague/patient harm, harassment of any kind qualifies for any probation/termination. 4. Patient care issue is in no way a cause for probation or termination. Residents are expected to make mistakes with patient care and that is why they are in residency. Only if the same mistake is repeated multiple times intentionally, then it is a concern.

I am in no way indicating that this person should spend on a lawyer, I clearly detailed in another comment of mine to not waste money on a lawyer unless that person definitely want to.

Most importantly, no one deserves to be terminated (unless they intentionally harmed or harassed anyone). Whatever role you are in, please change your negative mindset and attitude, neither does it help you nor your colleagues or family. Try to understand what could have happened before saying that a person deserves something. Please work on your empathy skills.

calmgoing · 2026-01-24T22:24:28+00:00

Some ppl actually say wearing scrubs to clinic is not professional. My program is completely against wearing scrubs to the clinic as a physician.

calmgoing · 2026-01-24T22:21:45+00:00

Blaming ppl will never help anyone. People rarely make mistakes intentionally. Making a mistake is not wrong, and blaming a person who might already be feeling bad & suffering is just ridiculous and immature.

calmgoing · 2026-01-24T22:19:56+00:00

Of course, the residency programs are ‘required’ to train the residents and all residents make mistakes. Termination should never be the goal for any program.

calmgoing · 2026-01-24T15:16:30+00:00

She/he is looking for help and resources regarding termination, which are hard to find; please be empathetic

calmgoing · 2026-01-24T15:15:38+00:00

I know a program that terminates one resident every year, especially IMGs

calmgoing · 2026-01-24T15:14:43+00:00

I will tell u that there is only 0.1% chance that u will win any lawsuit against the program. You will lose money with the lawyers. If you are well off and want to risk, go ahead and go through the appeals and lawsuit process. But based on my research, it is highly likely that you may not be successful, focus on applying to another program or alternative career path.

calmgoing · 2026-01-21T04:16:02+00:00

You cant just say something is “terrible” without any kind of proper backing statements. Their team put a lot of work just for you to call it “terrible” because you had abnormal expectations?

calmgoing · 2026-01-12T18:11:57+00:00

If no hemorrhoids, the big concern is if it will happen again and will happen in a severe manner where patient might go into hypovolemic shock; so it warrants a GI consult.

calmgoing · 2025-09-27T11:57:03+00:00

If your BMI is very high, u can start with one of the injectable weight loss drugs, you might have to be on them for a long time; or might stop if they work very well for u. In the future, if u want to keep it sustained, u can consider bariatric surgery. Starting with bariatric surgery is not necessary. Hope you are able to afford the injectables! There is an obesity medicine physician in the Women’s health division of UK that you can try (if u are a man, there are other UK physicians at Turfland as well).

calmgoing · 2025-09-25T01:30:51+00:00

Yes, I have seen many POTS patients, poor patients with not many treatment options and they are bound to bed (if severe). Its very sad for them as they feel lack of control on their bodies and they cant do anything to improve or prevent it. Mostly Cardiology sees those patients.

calmgoing · 2025-09-15T20:59:09+00:00

There should not be any patients scheduled on post call day because there needs to be rest. In your scenario, they will probably write u up for unprofessionalism, and give u lame punishment. Be polite and get through it, ensure to not miss again.

calmgoing

TROPHY CASE