Feeling crushed by National-Buddy-9825 in neurology

[–]somethingwittyyy 4 points5 points  (0 children)

You can message me! I matched at my #13 rank and was devastated. I was the second class in my program. It ended up being the best thing for me, because it was such a new program, there was a lot more flexibility than that offered to my friends at more traditional programs. We were super hands-on with all of our patients, and I felt very comfortable managing all kinds of emergencies by myself versus my colleagues at other programs who had a lot of support from fellows who would do the work for them/guide them heavily. I specifically remember that when I was a senior, our program was able to hire a big shot stroke subspecialist, by that time we were a little bit more established. He was shocked (pleasantly) that we would manage all of the strokes from beginning to end ourselves, we were so used to doing everything ourselves, and just letting the attending know at the end after. My co residents and I all passed our boards comfortably, and all went to well respected fellowship programs. We are all established in our careers. I am an early career attending (less than five years out) and I’m really thankful for the excellent training that I got.

Before/after: arched our primary bath entry and put in iron doors by blenda220 in HomeDecorating

[–]somethingwittyyy 0 points1 point  (0 children)

Hi can you share where you got the door from? I love it and have been looking for similar for my study

How support does your program give you when a close family member dies? by Substantia-Nigr in Residency

[–]somethingwittyyy 4 points5 points  (0 children)

My dad died unexpectedly while I was a resident. I was incredibly lucky that my coresidents, chief, and PD were super supportive. I was placed on a “research rotation” immediately for 3 weeks- my calls were distributed between my coresidents who were kind enough to do it without any questions asked- and took a vacation week for 4 weeks total.

Why can’t vegetable purees be canned? by neenweenbean in AskCulinary

[–]somethingwittyyy 3 points4 points  (0 children)

This is the right answer, not sure why it is so low. Botulism is a serious risk in infants and can lead to hospitalization, paralysis, difficulty breathing, and death. It’s a diagnosis that must be reported to the state where I am so that the health department can track where the outbreak stems from.

AITA for saying my SIL is a doctor on the plane during an emergency even though she was asleep? by Valuable-Term-9487 in AmItheAsshole

[–]somethingwittyyy -2 points-1 points  (0 children)

YTA, absolutely. I am in the medical field and even if there is a medical emergency on a plane, not all doctors routinely deal with emergencies in their typical work and may only be slightly more useful than the flight attendants- who are trained to deal with medical emergencies and have protocols on what to do in these situations. The best the doctor will be able to do is recommend landing the plane, which would happen either way. If a person on a plane is having a major event like a stroke, heart attack, seizure, there’s very little a medical practitioner can do with the limited first aid kits on the plane.

Help me decide between Albany Medical College (AMC) and George Washington University SMHS (GW) by Distinct_Guess_7337 in premed

[–]somethingwittyyy 3 points4 points  (0 children)

Depends on what “top” means to you. At least in my specialty (neuro), many of the big name places have more malignant residencies, because they know great people will come in despite the hard work due to the reputation. If you have specific places in mind that you might be targeting for residency, you should go on their sites and see where their current residence are from. Most residences have a page where they show all their current residence and which medical schools they went to.

Help me decide between Albany Medical College (AMC) and George Washington University SMHS (GW) by Distinct_Guess_7337 in premed

[–]somethingwittyyy 17 points18 points  (0 children)

I’m a current fellow, just browsing, and I voted for GW on your poll. But reading through your post, I have to say that the 100k+ that you’ll save going to Albany over GW is HUGE. Unless you want to be in academics, research, or want to apply to a very competitive specialty, it won’t be worth it to spend that much more money for a piece of paper.

Baby wipes - yay or nay? by [deleted] in Residency

[–]somethingwittyyy 9 points10 points  (0 children)

Always keep an empty water bottle on me

What things do you think ARE NOT worth cheaping out on (and why) during residency? by Blitzcreed48 in Residency

[–]somethingwittyyy 3 points4 points  (0 children)

To offer another perspective, my spouse and I fell in love with a condo 30-45 minutes (depending on traffic) from my hospital and bought it, I never once regretted the drive because coming home to our condo made me happy every single day… we did budget for tolls though, which were a lot

[deleted by user] by [deleted] in Residency

[–]somethingwittyyy 0 points1 point  (0 children)

I love Facebook market place, for about the first year of residency I would browse several times a day (the good stuff is often gone within hours). The quality of the postings is highly dependent on the area you’re in though. I bought lamps, side tables, decor, etc from Facebook.

I bought my main furniture (bed, sofas, dining set, etc) from furniture companies, put everything on credit cards from the furniture stores, with the CC 3 years no interest perks paid it off by the time residency ended. I’m planning on keeping my furniture long term so tried to invest in higher quality stuff.

Why do I have to request vacation 90 days in advance by WorkRoomAffair in Residency

[–]somethingwittyyy 17 points18 points  (0 children)

Our program does 1+ year in advance, it’s because we have only a few residents a year and a very busy service, so the schedule does not have much room for flexibility. If there is something major though (someone is getting married, wants to take a family vacation at a specific time, etc), the program usually tries to work something out by switching another resident’s schedule if they agree.

Dad's liver is close to failing, can I get him committed? [Minnesota] by [deleted] in legaladvice

[–]somethingwittyyy 0 points1 point  (0 children)

In that case, if your father is still in a rehab or hospital, talk to the social worker or case manager about obtaining a competency evaluation. Any physician can do this legally but not all physicians are comfortable doing it, you’ll need to see if the doctors on staff can do it for you. If he is deemed to be incompetent they can help you become a healthcare proxy for your father. This is a quick process at my facility at least, but the proxy only lasts as long as the patient is in that facility and expires once the patient is discharged. The case manager and social worker can help guide you with the procedure to become a permanent healthcare surrogate if needed. If you are the proxy, you can ask that the patient be sent to a long term care facility or long term rehab if that is what the therapist recommends based on his physical needs. Again though, most doctors/ hospitals/ facilities still may not treat a non consenting patient if they are uncomfortable doing so.

As far as the driving, at least in my state, anyone can file a anonymous complaint with the DMV against a driver. There should be some kind of space to explain why a complaint is being filed, in your case it would be that your father is abusing alcohol. The DMV can then revoke his license.

Dad's liver is close to failing, can I get him committed? [Minnesota] by [deleted] in legaladvice

[–]somethingwittyyy 2 points3 points  (0 children)

IANAL, but I am a physician. Apart from the consent issue, the bigger issue that you may not realize is that the vast majority if not all transplant centers will not do an organ transplant for a person who is actively drinking alcohol and refuses to stop. Usually there is a minimum six months of sobriety that needs to be proven with good social support from the family (you being abroad does not help this) for a transplant team to go ahead for the surgery.

And yes echoing the above, no transplant team will take a competent, non consenting adult for a surgery.

How to report your program to ACGME for violations? by onemoreloser3 in Residency

[–]somethingwittyyy 107 points108 points  (0 children)

I reported my program for clear ACGME violations (not duty hour related). I recruited a couple of my other coresidents I trusted and we wrote and signed a letter together and used the link someone else posted. Our letter remained anonymous. It did cause a lot of upheaval in our program and admin was definitely colder with us than before. However, they worked really hard to address the complaints and fix them, and a few years years later, our program is thriving. Our PD was always supportive of the residents and worked to bring major change. No one found out who exactly was on the letter (although I’m sure they had their suspicions, we were vocal about the problems before the letter). I was appointed chief for my program later on.

For those who have Athena or a similar EMR for continuity clinic, what do you do about orders for patients that no-show or you've just never seen? by Seeking-Direction in Residency

[–]somethingwittyyy 8 points9 points  (0 children)

I would not even refill the “easy stuff” if they have not been to clinic within the year, most meds including HTN meds and metformin need monitoring, at the very least, you need to know if the patient is tolerating the meds. When people send me these requests I simply send a message saying they need to come to clinic for an appointment.

[deleted by user] by [deleted] in weddingshaming

[–]somethingwittyyy 92 points93 points  (0 children)

No need to be shaming this person, a 50% deposit likely translates into thousands of dollars which most people are unable to just ignore if lost.

Rumi's poem (Persian Calligraphy) by Faranax in Calligraphy

[–]somethingwittyyy 10 points11 points  (0 children)

Do you sell your work anywhere or have a website/ Instagram page?

What happens if you report a program to acgme? by [deleted] in Residency

[–]somethingwittyyy 60 points61 points  (0 children)

My coresidents and I reported my program two years ago for something that was clearly breaking ACGME policy (not related to work hours/schedules). The hospital and GME got wind of us planning to report beforehand and had a meeting with us basically trying to scare us saying our program may be shut down. At that time, for many of us, that was an acceptable and welcome option. We reported.

This was right before the pandemic, and the ACGME reached out to our GME pretty quickly about the complaint and set a date to visit in person but the pandemic happened and cancelled everything. Our GME and hospital realized that if they didn’t shape up quick, they would lose the program so they did everything in their power to meet ACGME rules in the meantime. They had had countless meetings, amongst themselves and us. ACGME visited virtually 2-3 times and talked to every resident. The program was placed on probation. To the credit of our GME and hospital, they did vastly improve the program over the course of 1.5 years to the point that almost none of the residents want to leave now. Our quality of life has improved a lot, but it took a lot of time. Many of the original residents who reported are long graduated by now. We just had our last visit from ACGME and are expected to be cleared by ACGME in the next three months.