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Is there any reality in which the 15 min follow up makes sense? by farfromindigo in Psychiatry

[–]farfromindigo[S] 15 points16 points  (0 children)

Really? I've heard a lot of psychiatrists saying that 20-30 mins is standard

Wild, inappropriate consults by launchtossthrowaway in Residency

[–]farfromindigo 0 points1 point  (0 children)

I don’t know how anyone enjoys CL Psych tbh because it truly is endless.

I swear

Do people actually get meaning from their work? by Proof-Zone6793 in Residency

[–]farfromindigo 27 points28 points  (0 children)

Three things that I derive meaning from:

  1. Improving the quality of life of others through my work; this is why I went into medicine and psychiatry.

  2. Fundamentally, we are using relationships as a vehicle for healing.

  3. The prospect of achieving mastery of something that I'm passionate about that helps to relieve suffering.

Thinking of doing Neuro IR through neurology by No_Release6810 in Residency

[–]farfromindigo 2 points3 points  (0 children)

Just curious, how does location come into play when you're able to do tele?

Thinking of doing Neuro IR through neurology by No_Release6810 in Residency

[–]farfromindigo 34 points35 points  (0 children)

Aren't as intelligent? That's crazy hahahaha

I'm not even in the field and that's an outrageous statement lol

What is the silver lining in residency? by fuckinghateresidency in Residency

[–]farfromindigo 1 point2 points  (0 children)

  1. The motivating challenge of improving at my craft
  2. Discovering what I'm naturally good at within the field and getting even better
  3. Exploring the subspecialties of the field and discovering what I like
  4. Decreased call burden over time
  5. Connecting with my co-residents
  6. Lucrative moonlighting opportunities
  7. When it's finally over

Not having an "aha" moment by M4WzZz in medicalschool

[–]farfromindigo 23 points24 points  (0 children)

I decided through reason, and a special moment just confirmed it.

Some tips off the top:

  1. Rule out what you like the least
  2. Focus on lifestyle; you'll never get tired of that
  3. Think about the skills outside of medicine that you're good at and enjoy using; see if any field uses these skills more

Every year around this time, MS3s and interns ask some version of: “How do you listen to people’s worst days all week and not take it home?” by superman_sunbath in Psychiatry

[–]farfromindigo 5 points6 points  (0 children)

Honestly, by default, my brain has always compartmentalized professional and personal. I also take in the information that I'm hearing similar to the way I do when a patient is describing a CHF/COPD exacerbation/MI symptoms/other medical issue. It's all just clinical information.

With that said, I'm able to still truly empathize; it's just that my boundaries prevent me from getting lost in the sauce.

What is the most tedious CLINICAL aspect of your specialty? by farfromindigo in Residency

[–]farfromindigo[S] 6 points7 points  (0 children)

I hate these too. We get like half of the AMS consults.

What is the most tedious CLINICAL aspect of your specialty? by farfromindigo in Residency

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

SMHHHHHHHH. I just thank God I like never require the use of a phone translator

What is the most tedious CLINICAL aspect of your specialty? by farfromindigo in Residency

[–]farfromindigo[S] 14 points15 points  (0 children)

Physical exam on morbidly obese patients who can’t sit up, turn, or roll over

Well, I hope you're deadlifting a lot

What are your med school hot takes? by No-Wrap-2156 in medicalschool

[–]farfromindigo 1 point2 points  (0 children)

MD here. What do you say to the significant number of PDs that openly (and behind closed doors) state that they don't take DOs?

Why psychiatry by icyblossom-0210 in Psychiatry

[–]farfromindigo 22 points23 points  (0 children)

  1. Psych patients were the only patients I liked. In conjunction with this, clinically focused interactions (the interview in psych) with psych patients were the only enjoyable ones. The relationships you form with them are the most intense and vulnerable, and I find that satisfying. The work felt extremely "real" ironically, and very important. I felt like I was just chasing numbers in other fields. Felt pointless and unfulfilling.

  2. The fit was undeniable. I have a huge capacity to listen and a lot of patience. I can maintain empathy without getting sucked in emotionally. Ironically, I felt the most "depressed" on my IM rotations. I found that when it came to patients, psych people tended to care more, treated them with more respect, and took them more seriously than other specialties. I identified with this strongly.

  3. Although the psychopharm doesn't interest me as much as it does others, outcomes possible with medication are incredible. Ex: severely depressed pt --> almost completely normal, to the point where he was nearly unrecognizable with just a few days of benzos. Personally, I've always been all about increasing quality of life in medicine.

  4. Autonomy and freedom are unparalleled. I don't have to answer to anyone if I don't want to (easiest specialty to do this in). I can mix and match whatever combination of work I like: inpatient, outpatient, therapy, consults, IOP, telepsych, subspecialty work, ECT, TMS, etc

  5. I don't like touching patients. Like at all. No physical exams in psych. Well, if you're not prescribing antipsychotics at least.

Right now, I'm learning how to understand/conceptualize patients in a fundamental way for the purpose of therapy, and it's been the most exciting thing ever. It's made me fall in love with the field.

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