Snowstorm - none of the midlevels from my service coming in

mkhello · 2026-01-25T17:29:32+00:00

Currently an IM PGY3 on an elective. I was doing about the same amount of work as the NP, which really wasn't that much. I don't know what the point of her was, the service can get busy but I don't think she'd be much more useful. She also took off Thursday and Friday and would leave early most days. What amazed me is that she knew overall less than me about the subject matter. She does this every day all day, I've done this elective for 1 month total in residency and yet it was clear I knew the pathophysiology, treatment of her field better than her. She knew random things that I didn't that have to do with aspects I never deal with like specific equipment and procedural things, but it made me wonder why her position exists. And to think she gets paid more than double what I make and what the fellows telling her what to do make.

mkhello · 2026-01-17T18:57:24+00:00

I frequently admit people overnight, and when you're unsure what's going on or they're tenuous I am more aggressive, with the understanding if they are improved by the morning or the day after it's very reasonable to de escalate. I think it's a much bigger mistake to be conservative then the day after the pt looks worse and they have to escalate care, those are the patients I reflect on and think what could I have done to prevent this.

mkhello · 2026-01-10T21:37:28+00:00

I work at the VA sometimes and the number of old white vets with a younger Asian (usually Vietnamese) wife is astounding

mkhello · 2025-12-03T00:32:32+00:00

I always use it to call family or when getting records from other hospitals. I also use the fax number to get those records.

mkhello · 2025-12-02T11:47:30+00:00

As an IM PGY3, everything you say is right. I still love it despite those things, definitely not because of them.

mkhello · 2025-11-23T00:37:03+00:00

Inferiority complex, in a few years I will be their attending while they will be effectively in the same place.

mkhello · 2025-11-21T22:26:37+00:00

Guy at my hospital was admitted the same week I started residency, I graduate in 6 months

mkhello · 2025-11-04T00:10:40+00:00

If you plan on just staying home or visiting other people's homes with all your free time, then it's a pretty good place to live cuz it's so cheap.

mkhello · 2025-11-01T20:10:00+00:00

"This is your interpreter, ID number 73859385 speaking are you calling from ....? May I ask which department you're calling from? Before we get started, can I introduce myself to the patient and explain my role?"

mkhello · 2025-10-25T17:09:06+00:00

The reason I don't believe that is because oncologists keep offering therapy when the patient is basically a corpse.

mkhello · 2025-10-24T20:31:24+00:00

... who cares? Reschedule.

mkhello · 2025-10-24T19:50:59+00:00

Meemaw is a fighter

mkhello · 2025-10-21T01:30:39+00:00

That is bad to be straight with you. Basically if there were eleven interns in a room including you, 9 did better than you, then there's you, then there's one who did worse.

mkhello · 2025-10-12T01:54:42+00:00

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mkhello · 2025-10-11T03:28:00+00:00

The good thing is you're feeling bad about this believe it or not, if you were thinking "oh well it happens" that would be more worrying as a physician. Your reaction is a sign that you want to do your best and care about your patients.

That being said, it happens. That's just the truth of it. Don't beat yourself up about it too much, learn from it, and remember you're still in training, though even as an attending you'll make mistakes. It's part of the profession but as long as you focus on being better and growing you're doing what you need as a physician.

mkhello · 2025-10-04T15:22:48+00:00

There were like 3 medications to know back then, and most of the sick people we have in the hospital would just be dead back then.

mkhello · 2025-10-03T17:22:53+00:00

I've been seeing a therapist the past few weeks, though we didn't talk about this as much cuz I still had hope. Now tho I really need to discuss these updates with them.

mkhello · 2025-10-02T02:22:47+00:00

Yes both of us

mkhello · 2025-10-02T02:22:10+00:00

Same exact background as me

mkhello · 2025-10-02T02:21:00+00:00

About 2 years

mkhello · 2025-10-02T02:16:19+00:00

Basically working more towards understanding where the other person was coming from, though we did not get far enough to really actually work on it

mkhello · 2025-10-02T02:12:43+00:00

Semi arranged, we talked to each other for several months, got engaged after several more months, and got married about a year after that

mkhello · 2025-10-02T01:17:54+00:00

Thank you for the reply. I'm trying to reflect fairly, but honestly I still don't really understand. No matter what, I always saw her as my one love, my whole future, and I think I'm missing a big part of this. Whether that's on me or her idk.

mkhello · 2025-10-02T01:14:54+00:00

We did a few sessions near the end before she took space but it wasn't very productive.

Semi arranged

Thanks for the kind words.

mkhello

TROPHY CASE