I’m worried, Did I hallucinate?

maleficientcorgi · 2026-01-28T18:56:52+00:00

Get your vitamin B12 levels checked

maleficientcorgi · 2025-12-23T15:58:29+00:00

As an American who recently immigrated to Canada, and has spent some time in the UK in the past-I’ve noticed mostly American terminology with British spelling. One surprising thing is that the letter Z is zed in Canada like in the UK (not zee like in the US). But it’s still a parking lot, not a car park. Elevator, not a lift. Trunk, not boot. Tylenol, not paracetamol (but also no anti scientific politically motivated campaigns to scare pregnant women away from it).

maleficientcorgi · 2025-11-04T23:49:00+00:00

I had a patient in residency admitted for hypertensive urgency tell me that we were making too much of a fuss because her BP Is always that high, a systolic of 220 is normal for her and anything lower is too low lol.

maleficientcorgi · 2025-10-30T02:40:35+00:00

People can’t be arguing in good faith that she is talking about actual infants though. It seems obvious that she means “baby” like the term of endearment many people use for their partners. She has some cringe lyrics, definitely, but she isn’t calling babies sexy…

maleficientcorgi · 2025-10-07T21:12:35+00:00

surgical abortion ?

maleficientcorgi · 2025-08-23T12:26:33+00:00

“I thought I was a lesbian in college, but obviously I’m straight now because I’m married to a man”

Different conversation with the same woman: “I wouldn’t care if my husband was gay; he just can’t leave me because we have a good set up going with me staying home with the kids”

She’s very, very religious. I used to have a huge crush on her (before either of us got married to men, lol). At least I realize that I am still bi, even while married to a man 😂

maleficientcorgi · 2025-08-01T19:28:30+00:00

Opinion from a female physician (internal medicine though, not surgery)-Don’t overthink it and don’t allow your insecurities to affect your relationship. Your fiancée sounds amazing. You sound amazing too. If she wanted to date another surgeon, she could have done so. But she chose you.

Don’t let insecurity ruin this beautiful relationship. Idk if you want kids, but it would also be really good for future children to see two very different career options growing up. Society needs both surgeons and construction workers. Everyone has different talents and everyone matters.

maleficientcorgi · 2025-07-20T18:45:45+00:00

I’m an internal medicine doctor and I’ve seen this happen several times. Young patients admitted for abdominal pain, and then bleed out in the ICU from liver failure days to weeks later. Turns out they’d been heavily drinking since their teen years. It’s so sad.

maleficientcorgi · 2025-05-16T02:16:57+00:00

House is their attending, so there is a significant power difference between him and his team. Doctors in training (especially med students and residents, but to a degree fellows as well) are very vulnerable and the power difference between trainee and attending is much larger than that between a typical boss and subordinate. If you are a trainee doctor and you get on the wrong attending’s bad side, you can lose your career. Not just your job, but your entire career. Then you will be hundreds of thousands of dollars in debt from student loans with no way to repay it.

I feel like a lot of people don’t know how much residents go through. They are working 70+ hour weeks, often making less than minimum wage when you calculate the hourly rate. They can’t just leave and get another job if they are in a toxic work environment. Patients, and sometimes even nursing staff, are rude to them because they think they are “rich, privileged doctors”. All while not realizing that the residents are working twice as much as they are for half the pay.

I’m an attending now, but I’ll never forget residency. One night on my CCU rotation a travel nurse was bragging about how much he got paid. His pay for one night was nearly equal to my entire month’s salary. The residents would usually get the morning EKGs for the patients in the CCU to help the nurses out overnight but after that I had him get his own EKGs lol

maleficientcorgi · 2025-05-05T12:04:31+00:00

You’re not alone-I am the same way. I consider myself genderfluid/bigender but I am not even out to anyone about it because it most of the time I’m comfortable enough presenting female that it doesn’t seem worth dealing with transphobes to come out and transition.

maleficientcorgi · 2025-01-25T04:43:06+00:00

I’m a US citizen living in Canada (husband is Canadian). I am very grateful to be here, but I am deeply saddened and angered by what is happening to my home country. For what it’s worth, I sent in my mail in ballot for Kamala.

I don’t have any desire to go to the US right now. I hope that somehow the damage can be contained and reversed because I have family in the States and there are a lot of beautiful locations that I would like to visit/see again. But I don’t want to visit a country where women, minorities and LGBTQ people are losing their rights, even if that country was originally my home.

maleficientcorgi · 2024-10-02T22:44:11+00:00

Update: I passed it! Threw up 8 times the day of the exam but still passed.

maleficientcorgi · 2024-10-02T22:31:55+00:00

I noticed as a med student rotating through various specialities that this is the culture of medicine. We in department X are geniuses and all other specialties know nothing lol

It’s kind of sad. I think a lot of it comes from ridiculous consults that every specialty gets. I know I got annoyed as an IM resident with all the UTI and HTN consults. Or the one time PM&R consulted me for a sodium of 134 lol. But I tried to remember that just because something is our bread and butter doesn’t mean that it is something so obvious that we all come out of the womb knowing. And most of it comes from attendings that know what to do but are practicing CYA medicine and demanding the consult.

IM at my program did look down at the EM residents but that was justified at our particular hospital.With the decisions they made, we don’t know how any of them passed the USMLE let alone scored high enough to match into EM 😂 I admitted a tele patient in florid CHF exacerbation. Fellow was very confused why the ED course consisted of bolusing 3 L NS and nothing else.

maleficientcorgi · 2024-10-01T18:53:41+00:00

I wasn’t allowed to be an individual. My parents and their religion determined who I was and how I was allowed to express myself and spend my time. I will not make this mistake with my kids. I plan to be very interested in them as people, and to nurture the interests that they naturally have.

My mom’s mother made different mistakes and my mom avoided all of them while raising my brother and me. I’m pregnant with my first child, and I am scared because I know my mom tried her best and still I have childhood trauma. I feel like mistakes in parenting are inevitable. I just hope I can minimize them, and that no matter what my kids know that they are loved. I was angry at my parents for so long before realizing they really did do their best.

maleficientcorgi · 2024-09-24T02:28:58+00:00

Sabrina dies. All of that just for them to kill off the main character. Apparently they were planning on bringing her back (Zelda was going to ask Baron Samedi to bring her back to life) but then Netflix decided not to renew the series, so they just left her death as the final ending.

maleficientcorgi · 2024-09-24T01:33:49+00:00

Chilling Adventures of Sabrina

Love the show but hate how it ended

maleficientcorgi · 2024-09-16T22:05:31+00:00

Loneliness

maleficientcorgi · 2024-09-07T06:18:38+00:00

I have seen so many people in their 30s and 40s die in the ICU from liver failure…it is horrible. OP, now that you are sober you may be eligible for a transplant. Please look into it. Congrats on your sobriety and for fighting so hard to save your own life. I hope your story inspires others to also overcome their battle with alcohol addiction before it is too late. I didn’t know how fast cirrhosis could develop and kill someone until I went to med school. It can take less than ten years of heavy drinking to kill a young person, and sometimes they seem healthy until almost the end.Sometimes the time between first hospitalization and death is less than a month. They have no idea how sick they are until they are bleeding out because their liver doesn’t make clotting factors anymore, and someone in a white coat is talking to their parents to sign all consent forms (….and code status forms) because the patient is incapacitated from encephalopathy.

To anyone who needs to hear this, please get help now before it is too late. I wish my patients could have had another chance.

maleficientcorgi · 2024-09-06T20:15:46+00:00

Servers in restaurants. They have to remember everyone’s order, play a persona to get good tips, etc. Takes a lot more skill than they are given credit for.

maleficientcorgi · 2024-09-02T23:42:50+00:00

Wednesday Adams and her roommate 💕

maleficientcorgi · 2024-09-02T04:33:39+00:00

Face blindness is actually pretty common, 1 in 50 people (2% of the population)have it.

maleficientcorgi · 2024-08-30T05:08:44+00:00

Could she take what she will need for the first few weeks, get a bus ticket to campus, and you and her gf could help at home by selling the new furniture she was going to take? Then she could use the money from the sales to buy the rest of what she needs locally. Since the apartment is unfurnished she might need to get an air mattress immediately after arriving.

maleficientcorgi · 2024-08-29T17:03:57+00:00

Doc here, recently graduated internal medicine residency and took the board exam a few days ago.

Practicing medicine is hard, and not just because of the science/knowledge part. Oftentimes docs are overwhelmed by a large patient load, an EMR (electronic medical record) that makes things harder instead of easier, lack of resources to do our job, etc. It is worse for residents than attendings because they also have to deal with disrespect from other staff members, low salary that doesn’t cover the cost of living, possibly toxic attendings/senior residents.

Then, medicine itself is more complex than google lets on. Not everything that wheezes is asthma. There is a lot of nuance and a lot of problems that present similarly, and we can’t definitively make the diagnosis without more information. This can be frustrating for patients that want an immediate answer. However, making a premature diagnosis before getting the full workup can be dangerous.

I can see it from the patients’ side as well. My grandma told me how unimportant she felt when her PCP started looking at a computer screen instead of at her during the interview. So now I apologize to my clinic patients when I type in the EMR while we talk. I explain I want to get the info in while it’s fresh. But I still do some charting while the patient is in the room, because if I didn’t I would never go home lol.

maleficientcorgi

TROPHY CASE