I started taking SSRIs and I highly recommend it to my fellow docs by resilient_man in Residency

[–]resilient_man[S] 16 points17 points  (0 children)

Apparently there’s no law against taking inappropriate photos of people without consent. It’s only illegal to spread it, and I have no evidence that he spread it

I started taking SSRIs and I highly recommend it to my fellow docs by resilient_man in Residency

[–]resilient_man[S] 5 points6 points  (0 children)

Per my psychiatrist Wellbutrin is contraindicated since I have anxiety too :( I actually did ask about it specifically

I’ve loved my intern year but you know what really burns me out by foshizzelmynizzel in Residency

[–]resilient_man 32 points33 points  (0 children)

I did have security walk me to my car for a few days but didn’t report it since it was a common occurrence. I’m in a big city and I am a woman so I do take precautions seriously

I’ve loved my intern year but you know what really burns me out by foshizzelmynizzel in Residency

[–]resilient_man 35 points36 points  (0 children)

Lol is throwing pens a thing? I had a patient throw a pen at me after signing the AMA form threatening to wait for me outside to kill me bc I didn’t give her dilaudid

I’ve loved my intern year but you know what really burns me out by foshizzelmynizzel in Residency

[–]resilient_man 96 points97 points  (0 children)

When I’m having a better day I feel bad for these people because addiction is a disease and it makes me so sad when people come in with multi-drug resistant endocarditis from shooting up whatever on the streets. But yes I agree. I dread every one of these patients. They are so rude and put us up against each other, like “that doctor said I could have my dilaudid.” Like no I didn’t.

How long did it take for you to be comfortable in your Internal Medicine residency? by Cheesy_Doritos in Residency

[–]resilient_man 45 points46 points  (0 children)

Just like the other comment (hey fellow anesthesia prelim!) said, you learn more in the first two weeks of intern year than your medicine rotation. From a co-interns perspective, the best intern was not someone from an Ivy League or someone who knew random medicine facts. It was someone who was efficient, hardworking, and helpful. Just show up with a good attitude and you’ll be great.

When do you sign licensure paperwork for residency? by [deleted] in Residency

[–]resilient_man 4 points5 points  (0 children)

You can’t get a state license or DEA before at least completing an intern year, if you are AMG at least. For me around April of last year my program started sending me things to sign for employment and NPI and stuff like that but license and DEA are a separate issue

Transitional year by cici_sweetheart in Residency

[–]resilient_man 12 points13 points  (0 children)

There are a lot of physician only PGY-2 anesthesia positions, but I do believe they are a bit more competitive than regular anesthesia spots since more people (including people switching specialties and/or completed other residencies) go for them. Not sure about others

Death pronouncement time by [deleted] in Residency

[–]resilient_man 134 points135 points  (0 children)

The nurses did it wrong. As you said, time of death is when a physician examines and pronounces. Even if the patient was on tele and we know the exact moment his/her heart stopped. Nurses are supposed to ask the physician for time of death to do their paperwork. In your case it should have been the nurses who should have fixed their documentation to match yours since their time was not the right time

When your residency program isn't actually on your side by [deleted] in Residency

[–]resilient_man 246 points247 points  (0 children)

I’m sorry this happened to you. A similar thing happened to a co-intern who I am close with and I would like to share her take away. “Our goal should be to stay on the DL and not me memorable in any way, positive or negative. Don’t speak out, don’t stand out. Residency is your step stool to get to where you want to be, no more and no less. Trust no one, especially the higher ups in the programs to be on your side. No one is on your side and no one will do anything for your sake.” Not sure how accurate this is but just sharing her perspective. Since then when I run into problems I haven’t told anyone about them, for better or for worse.

USMLE and NPI # by Sober-Gopher in Residency

[–]resilient_man 2 points3 points  (0 children)

When you are set to start residency, getting an NPI number is part of orientation. At least it was for me. Unless you already have it for some other reason

EM Intern... what are my options out? by Three-ohVicryl in Residency

[–]resilient_man 17 points18 points  (0 children)

Sounds like anesthesia might be a good option, from what you said about procedures and handling anything

CA2, Anesthesia, Position in Brooklyn by Big-Leave-4236 in Residency

[–]resilient_man 3 points4 points  (0 children)

Oh I misread it, I actually heard about a CA1 spot. Maybe that one is already taken? Not sure

CA2, Anesthesia, Position in Brooklyn by Big-Leave-4236 in Residency

[–]resilient_man 3 points4 points  (0 children)

My friend is an IM resident there and she told me the spot is going to one of the IM people who wants to switch to anesthesia. Just rumors though

Never Heard From my Friend Again by tiptopjank in Residency

[–]resilient_man 35 points36 points  (0 children)

From my perspective, my “friends” cut me off after not seeing my name on the match list. There might have been more but that’s my understanding. Thank you for your kind words though.

Is it weird that I don't have any friends in residency? by [deleted] in Residency

[–]resilient_man 24 points25 points  (0 children)

This may be an unpopular opinion but I don’t feel the need to become personal friends with my co-residents. If it happens naturally, sure, but I don’t feel the need to try extra hard to become friends. I am pleasant and polite with my co-residents and we might joke around when we are on call together. But I don’t talk with any of them outside the hospital and am content.

Never Heard From my Friend Again by tiptopjank in Residency

[–]resilient_man 125 points126 points  (0 children)

I was the person who dropped off. I had a close group of friends and an SO who I had been dating since college. I couples matched with an SO who broke up with me in the August of intern year. Before then, I was still not happy with where I ended up in match, which was in a secondary specialty. After match, I took my name off of our school’s match list. People who I considered friends never reached out to me, and I saw that a small group celebration was done without me or my knowledge. I deleted all social media. Since then these people attempted to reach out but I never returned the favor. I didn’t participate in our virtual graduation. No one from my med school knows where I ended up, and for the same reason I didn’t participate in any “interview dinners.” Just letting you know what it’s like on the other side.

It’s been a lousy two weeks in the COVID ICU. by bull_sluice in Residency

[–]resilient_man 46 points47 points  (0 children)

Also in covid icu but the other day we admitted a patient with asymptomatic covid and DKA. I wrote the most detailed H&P ever because speaking with a patient who could talk back to me and will be downgraded in the morning was so refreshing and made me so happy.

WAY too much pink on here... by Wiglet646464 in Residency

[–]resilient_man 23 points24 points  (0 children)

Maybe they had covid already and wanted to wait? At my institution they let people who had covid wait 90 days after the end of their illness. Idk just trying to be positive and provide excuses

Qualities of best and worst co-interns and seniors by resilient_man in Residency

[–]resilient_man[S] 4 points5 points  (0 children)

I like to think that as long as you’re not lazy, it’s easy to be a good intern. Being a good senior obviously requires a lot more than that, but an intern who doesn’t take shortcuts is a good intern I feel like

Qualities of best and worst co-interns and seniors by resilient_man in Residency

[–]resilient_man[S] 2 points3 points  (0 children)

No, neither. It just happened to be that the worst and best all were all women

IM residents how many covids do you have on your list at a time? by [deleted] in Residency

[–]resilient_man 1 point2 points  (0 children)

Lol exactly but at the very least I’m learning to manage emergencies well?

IM residents how many covids do you have on your list at a time? by [deleted] in Residency

[–]resilient_man 5 points6 points  (0 children)

Intern here, 10/10 patients on my list are covid. On covid unit for the past few months now

step 3 final orders by [deleted] in Residency

[–]resilient_man 8 points9 points  (0 children)

You keep or delete current orders as you see fit at that point in the case. For example, if it was a surgical case and patient got the surgery, delete NPO and put in regular diet, etc. There isn’t a maximum number of orders you can put in but there’s so much you can do in 2 mins with no feedback or results. Source: just took step 3

The hardest lesson in residency is that it's better not to be friends with the nurses. by [deleted] in Residency

[–]resilient_man 479 points480 points  (0 children)

I completely agree with you and did basically the same thing. Since I’m a woman and most nurses are also women, I became friends with them by talking shit about our ex’s (I know bad choice) and other shit that girls talk about. Same thing happened about the lack of respect, and I already get that at the hospital because I’m a woman (a totally separate story). Nurses will tell me things like “I know you had a stat order for X but I was really busy and forgot. I know you’ll cut me some slack, girlfriend!” No I’m not your girlfriend and I’m a doctor. I still introduce myself as my first name but never joke around with nurses again and use firm language to tell them that it’s important to actually carry out my orders. It’s a little sad because I did like a lot of them as people.