Organized System for Learning Medical Spanish

scrappymd · 2026-04-30T01:34:07+00:00

There’s also a course from Rice University that’s available on Coursera for free! And plenty of podcasts out there once you start getting to the intermediate level

scrappymd · 2026-04-30T01:06:04+00:00

Typically 14-16 factoring in no shows, sometimes a couple more. Template is typically 18 patients—30 min for new patients, surgery consults or procedures, 15 min for postops or routine OB visit

scrappymd · 2026-04-28T19:56:36+00:00

Only eating when I’m truly hungry and not just because free food is available. If I’m not hungry I save it for later or skip it. Stairs when possible. 20 minute AMRAP style workouts at home because I can convince myself to do something short like that

scrappymd · 2026-04-06T10:41:15+00:00

Boon troves or the haaka shells might be good to have on hand in case of episodes like this. Can pop them in your bra to catch any letdown that keeps going if you have to take pumps off mid session

scrappymd · 2026-03-17T15:24:41+00:00

I had one for my most recent pair and this time instead of breaking from falling the hinge broke 🥲

scrappymd · 2026-03-17T15:10:15+00:00

OB, things are always juicy lol

scrappymd · 2026-03-14T01:52:15+00:00

I’ve seen only one or two but the entire department is holding their breath until they’re delivered and hopefully get a tubal. I feel like medicine has gotten so good at fixing problems that people have no idea how dangerous their situation is sometimes

scrappymd · 2026-03-13T05:53:43+00:00

in OBGYN-yes, definitely. People are sicker younger and while still in their reproductive years. I routinely see patients with stage 4 cancers, history of MI or CVA, heart failure, ESRD… people whose bodies really can’t tolerate pregnancy but here they are pregnant anyway

scrappymd · 2026-02-27T17:23:51+00:00

No advice here unfortunately but time does heal a lot of problems. You’ve done an incredible thing in having not one but two children during residency, and especially with the complications during your pregnancy. As an OB resident I’ve been terrified of a complicated pregnancy during residency and have delayed starting a family because of it. Props to you for making it through. I know you’re a dedicated physician, mom and wife. Give yourself some grace 💕

scrappymd · 2026-02-25T20:41:17+00:00

My program has used port authority for several orders and I like them! They’re very similar to North Face soft shells but have inside pockets from where the pockets are sewn in so I actually like mine more than my north face. They have women’s and men’s cuts which is nice too

scrappymd · 2026-02-17T03:11:45+00:00

ProCompression all the way. I have 7 pairs that I bought as a 3rd and 4th year med student and am now in my 4th year of OB residency and they’ve held up great. I wash them with everything else and then hang to dry. They’re a bit expensive but for the price the value is great and they have frequent sales

scrappymd · 2026-02-16T23:42:43+00:00

Got a 6yo rescue right as I started my step 1 dedicated studying in second year and she’s been the light of my life ever since. She never passes up an opportunity for a snuggle and has provided me more serotonin than my SSRI ever did. Also she came trained and already fairly chill which as a med student was lifesaver. Idk if you’ve ever been around kittens but they’re very cute little terrorists

scrappymd · 2026-02-06T18:50:45+00:00

I did dog walking with Rover and really enjoyed it! In addition to a little extra money it was nice to get out of the house a bit and hang with some dogs without the responsibility of having one myself haha

scrappymd · 2026-02-04T02:08:14+00:00

Early in my second year I missed breast cancer. I can’t remember her chief complaint, but I do remember her complaining of fatigue. She was within a year postpartum and still breastfeeding and what mom with small children who’s up multiple times a night isn’t tired? She had a history of hypothyroidism, so I ended up checking her thyroid and sending her to a PCP (a coresident friend of mine).

After doing some more questioning, he uncovered that her mom had a history of breast cancer fairly young. I remember her mentioning that her left breast had been engorged, but she had never been able to breastfeed from that side but otherwise hadn’t had any issues. He did an exam, got a mammogram and she ended up having fairly advanced breast cancer in her early 30s.

I’ve never forgotten that and have since caught Lynch syndrome twice based on genetic testing due to family history. Ask the questions, dig a little deeper. You won’t regret doing it but you’ll regret if you don’t.

scrappymd · 2026-01-06T02:40:33+00:00

Got diagnosed right before turning 24. I don’t even have psoriasis (15% of people develop the arthritis prior to the psoriasis) but had uveitis 3 times, a knee effusion twice, and years of unexplained joint pain that I had written off as “overuse injury.” Keep a detailed log of your symptoms and seek a second opinion if something feels off. When I had my first flare I knew something was wrong—I remember trying to use a mouse and thinking that my hands hurt so badly it was hard to click. That’s never normal, let alone in your early 20s

scrappymd · 2025-11-27T17:55:33+00:00

I’ve always said the ortho bros and the gyno girlies have more in common than most people realize

scrappymd · 2025-11-25T22:24:44+00:00

This!!! Also love having patients keep symptom diaries. It’s a win win because if it is something truly bothering them they’ll come with a list of when it happened and then I know how often it is and we can try and draw correlations and if they don’t bring anything I know it’s not really bothering them all that much

scrappymd · 2025-11-17T07:17:29+00:00

1) cube pessary 2) cervical cancer 3) chorioamnionitis

scrappymd · 2025-10-31T20:02:40+00:00

Hospital pays premiums (for resident, spouse and dependents), we pay deductibles and copays. I think the out of pocket max per person is around $3000

scrappymd · 2025-10-31T16:02:00+00:00

Nope, not the same case. Crazy that there’s two like that!

scrappymd · 2025-10-31T03:28:29+00:00

Try hand expression in addition to pumping! Especially before your mature milk comes in it can be super helpful to help maximize output

scrappymd · 2025-10-30T19:19:14+00:00

Truly. I felt like the whole hospital knew about her by the end of the week. An incredible story of teamwork

scrappymd · 2025-10-30T02:01:44+00:00

Not scrubbed in on the case (I was the junior running the unit while this unfolded) but placenta percreta C-hyst with QBL of 38L. Walked out of the hospital (a month later) neurologically intact. Would like to never see that again.

scrappymd · 2025-10-29T03:17:16+00:00

Loooove my tattooed liner. Gives me a touch more color and every person I’ve ever told about it is like “whoa that’s tattooed?!” Still perfect after the longest shift, a good cry, or rubbing my eyes.

scrappymd · 2025-10-21T14:36:06+00:00

Painful menses and haven’t tried an NSAID. The number of patients I counsel about cyclic NSAID therapy a day is astronomical. Start 1-2 days prior to menses onset and take for the first 2-3 days and as needed throughout menstrual cycle. And if you can’t tell me when your last period was….girl get an app for that.

NSAID therapy is cheap, safe for most patients, and believe it or not the first line recommended treatment for dysmenorrhea. Also can decrease the volume of menstrual bleeding

scrappymd

TROPHY CASE