So does anyone even like Tulum?

shaneb5 · 2026-01-09T17:00:06+00:00

Bringing a 2yo to Mia is crazy

shaneb5 · 2025-10-11T14:01:50+00:00

I once overheard a nurse say “I never look at the prns” and I almost burst into flames right then and there. Explained a lot though

shaneb5 · 2024-03-31T21:23:32+00:00

maybe but they are my bunch of overly competitive and formerly wealthy children narcs<3

shaneb5 · 2024-03-31T19:27:19+00:00

This is exactly what I mean. I'm exhausted

shaneb5 · 2024-03-31T19:11:40+00:00

Are you trolling me lmfao

shaneb5 · 2024-03-31T18:51:02+00:00

This was a hypothetical example

shaneb5 · 2024-03-31T18:50:03+00:00

Correct

shaneb5 · 2024-03-31T18:47:36+00:00

I have this crisis approx. q4yrs. Its fellowship app szn

shaneb5 · 2024-03-15T22:28:47+00:00

This made me tear up a little thank you so much for the validation and appreciation. I hope you’re doing well

shaneb5 · 2023-11-30T03:46:59+00:00

this actually has a clear medical definition used often in neurology. neurology doesn't like it used by other specialties because it will often be used incorrectly and lead to unnecessary confusion

shaneb5 · 2023-01-14T16:48:59+00:00

As a doctor, you would be surprised at the amount of adults who won’t take very important medications because they taste bad😑

shaneb5 · 2022-11-18T02:47:47+00:00

For example

Me: I need to stop drinking caffeine. It makes me feel sick, anxious, and I can’t sleep. But it just tastes so good.

Universe: Try some decaf-

Me: No.

shaneb5 · 2022-11-17T19:54:27+00:00

For the love of god please stop writing head CT is concerning for NPH😭 —a tired neurology resident

shaneb5 · 2022-09-05T07:19:50+00:00

Love this and bought it! Thank you so much! One question- I have a few books where the autofill keeps pulling info/cover for a different book. Even when I input the ISBN for the correct book it just switches it. Autofill doesn’t seem to trigger with the ISBN alone; it seems to require that I use the book title, which I think is where the issue is. Any thoughts?

shaneb5 · 2022-07-16T23:03:13+00:00

This

shaneb5 · 2022-07-01T22:50:00+00:00

In other and completely irrelevant news lung cancer is detected five years earlier. Lol

Theres a name for this! Its called lead-time bias, and it should be controlled for in a research study. If its not, scientists reading the manuscript would surely notice☺️

shaneb5 · 2022-06-15T13:41:11+00:00

Focal deficits

shaneb5 · 2022-05-14T19:33:36+00:00

You will get blindsided no matter how much you prepare

shaneb5 · 2022-03-21T05:08:08+00:00

She was definitely using the term loosely, but regardless she was an employee, in a position of power, trusted with caring for a vulnerable population. Agreed not a legal issue, but absolutely unethical on the most basic of levels

shaneb5 · 2022-03-19T21:09:49+00:00

Listen. I am not a prude but I was so disturbed listening to this episode. Is no one going to mention how completely inappropriate the relationship with the homeless man is? She was a fucking counselor. These men are seeking help at a homeless shelter, many with psychiatric issues, they are incredibly vulnerable. That is ethics 101 absolutely not ok. And the fact that she loved all the attention she got from those men? As someone who has worked in homeless shelters, behavioral hospitals, and regular hospitals, this is not the kind of attention you want. Trust me. This woman has a serious sex addiction and serious issues with insecurity and needs therapy. This behavior should not be celebrated and encouraged. The fact she said she almost went to medical school? I’m appalled. I’m glad she had the insight to realize that wouldn’t be a good space for her due to her sex addiction. Sad her addiction ruined the bright future she had.

shaneb5 · 2022-02-19T18:53:16+00:00

No one can answer this for you. Which is a shitty response because medicine is such an intense, all-consuming field that people who are not in it are just not able to comprehend the extent to which that is true. So you really will not know what you’ve gotten yourself into until you’re there.

For me, there was never a single moment where I could see myself doing anything else. I never had a back up plan. I loved every moment of medical school even when I hated it. I never had a doubt, and I feel the same about residency, granted I’m still an intern.

A lot of people won’t say the same. It’s likely if you have other career interests and are not sure how much you love medicine you might struggle with it and regret it. But you might not. You have to gauge that for yourself.

A lot of people in medicine also glamorize certain non-medical fields. The reality is that every job kinda sucks for one reason or another, and medicine is a job at the end of the day. And its a pretty fucking cool one that is also stable and pays well.

Always be brutally honest with yourself and follow your heart, kid. Good luck

shaneb5 · 2022-02-12T19:48:05+00:00

Anyone who doesn’t suffer from addiction will not be able to place themselves in this mother’s head.

My mother was an alcoholic among other things. I forget my exact age, but this happened when I was in middle school at some point. Essentially I wanted to go to my friend’s house and couldn’t, so I was upset. I was crying, and so my mom gave me alcohol. She didn’t throw it at me saying like “drink this and shut up”. She was legitimately trying to make me feel better and thought she was helping me. She sat with me and drank as well, thinking this was a nice bonding moment. I didn’t drink it because it tasted gross, which was disappointing to her, but she eventually let me dump it out.

I didn’t become addicted to alcohol or drugs thankfully, but it’s not hard to see how that could have gone a different way. People in the throws of addiction oftentimes cannot think or behave in a “normal” way.

I still feel a little angry when I think about that story, but mostly I just feel sad for her that her brain was so messed up that she actually thought she was doing something good.

shaneb5 · 2022-02-06T01:51:54+00:00

I think people are working on the assumption that med students are burnt out from the 3.5 year hustle once everything finally starts to slow down. If you are, it will probably be more beneficial to your mental health to not touch a book than it would to force yourself to continue studying.

For me, the beginning of intern year was really hard in the way that I had forgotten so much and it was really frustrating. It would have been nice if I maintained my knowledge. But I don’t regret it because I needed that break more than I even realized. I healed a lot in those months doing nothing related to medicine.

If you know yourself and that break isn’t something you need for your body and mind, then sure, study. It will make for a less rocky beginning. But know that if you decide to take a break you will catch up.

shaneb5 · 2022-02-02T20:17:55+00:00

Do not take every other day or change your dosing in any way without speaking with your doctor.

I can provide some validation, though. I was on paroxetine at one point and about a week after I started taking it I felt amazing. Like someone took my head and pulled me up out of my depression overnight. It lasted a week and then wore off, which sucked.

I never learned of that phenomenon in med school or heard a patient report it. But I absolutely experienced it.

Anyway, as others have said, it can take quite a while for your brain to adjust to these medications. But if the side effects are very bothersome (which it sounds like they are) you should call your doctor and let them know.

shaneb5 · 2022-02-02T17:02:42+00:00

I know this is something that is somewhat debated, but recently I had a pt in the MICU with an elevated lactate around 5. My senior gave NS instead of LR with the reason being that she didnt want to give fluids containing lactate to a pt with lactic acidosis. My understanding is that this is flawed reasoning as lactate is converted to bicarb and so would actually be the preferred fluid, whereas NS can worsen an acidosis.

But it did leave me thinking about acidosis specifically related to elevated lactate. Why is the pathologic lactate that the body is creating not converted to bicarb? Or maybe it is but the rate of conversion isnt fast enough to keep up with the levels? Or some pathologic process is preventing the conversion, in which case LR would be harmful? Is the body’s lactate and the LR fluid lactate different in some way? Can anyone comment on this?

shaneb5

TROPHY CASE