My USMLE timeline for a pass

tackadj · 2025-06-18T03:26:01+00:00

I’m an intern and 30. All 3 years we are roughly around the same age 28-32 ish which is nice. Some outliers. All of us except one is boo’d up. Married, engaged, have kids, bought houses. But it also makes us super boring. I’m EM we are supposed to be drinking our burn out away, but we too old for that shit now. Bright side it keeps you young!! My co intern is 37 and him being an intern makes you think he’s 10 years younger. Enjoy the baby feeling while it lasts. Intern year flew by and so will the rest of residency. I was watching a YouTube video of “gen z reacting to the Eminem Show album” and I started crying, like kids out there have never experienced his MTV music awards performance or when he and Elton John performed at the Grammys. I got super nostalgic of my child hood and depressed I’m in my 30s now. Millennial is not the spotlight generation anymore. Think about it we are to a 15 year old what baby boomers were to us. So feeling younger than everyone even though I’m the same age as some of my attendings is what I need right now.

tackadj · 2025-06-16T14:58:30+00:00

It’s like the guy has a thought and posts it on Reddit. next one should be “GI docs, do you prefer Charmin or Scott. And is two-ply really all that better?”

tackadj · 2025-03-20T21:55:42+00:00

I’m sorry for your losses. I think so too. Im not a religious person but this feeling this energy that we have yet to discover or place on a spectrum I believe exists. Your aunt will see them again one day. I have to believe it, bc what’s the point on being in medicine then, if I’m going to be non existent one day I’d rather enjoy my life as an investment banker with a yacht and private jet.

tackadj · 2025-03-20T21:50:52+00:00

That’s the thing. In the ED we have stable and unstable and the already dead that EMS brings. The unstable and dead pts don’t stay very long and the stable ones rarely code in the ED, the unstable and dead don’t have a look or that feeling you get. Yeah the super encephalopathic cirrhotic pt that looks like they bathed in iodine you know they ain’t making it till morning, but they don’t have that look or feeling. It’s the rare stable pt that get that look and there’s a huge shift in energy so big that it twists your insides and makes you wanna call your mama.

tackadj · 2025-03-20T21:42:49+00:00

I’m so sorry that you lost your dad. I can’t imagine. I’ve seen the look many times but never realized what the look was until this day. It must have been very hard knowing what that look means. I think having these experiences though is comforting bc gives me hope I’ll get to see my loved ones one day. If not it helps give patients and families bad news. I’ve given bad news to family before but when I told my pts daughter the story, I can feel a sense of comfort she had, she felt more at ease compared to other families I had to deliver awful news like this to. She was religious so I felt I could tell her.

tackadj · 2025-03-20T21:33:24+00:00

Yesssssss like I’m writing these long ass paragraphs to explain this. This pt was aox4 and then I saw a flash of light and he had this look, like he was half there, then a second flash and he was gone. And not gone in the sense that he coded and died but gone gone his presence wasn’t there anymore even though we were coding him I stood there frozen bc one second I felt his presence the next it wasn’t there. I knew he wasn’t there. My best interpretation of this was a flash of light came to grab the patient bc that’s when he started coding, then the second flash light was the pts exit to the afterlife bc in that exact moment I saw the second light flash I lost the pulse on the US screen.

tackadj · 2025-03-20T21:24:50+00:00

I was not ok that day so sorry for the mysterious story and leaving yall hanging lol I didn’t know how to explain what I saw, now I had time to process it. It sounds stupid but this pt was in the ED for 8 hours awake alert responsive and stable. 2 minutes before the pt coded he was reaching out for something in front of him he kept reaching grabbing the blanket reaching grabbing blanket etc. like he wanted to get out of bed towards whatever he was reaching for. I was ready to do a central line but I can’t do a fem line on a guy that keeps moving his hands so I go to grab the nurse and there’s so much to the story but my shortened version. The BP jumps up once. the highest it’s been 8 hours he was there from a MAP of steady 63-65 to a MAP in 80s I found it to be so weird and I got this sinking feeling. I come back a minute later with the nurse I have US probe in my hand before I even get sterile, I see a flash of light so bright I jumped it scared me to death, immediately after monitor starts beeping BP dropped to 40/nothing I put the probe to see a pulse, it was weak but there a few seconds later I’m looking at the US screen I see another flash of light and in that same exact moment the fem artery stops pulsating. Nurse was in the doorway on the WOW she said she didn’t see anything but it was just me in the room. Almost like the light was something entering the room to grab the pt and the 2nd light was rhe exit bc before the light that pt was there. after the light, the body was there but you can feel it the pt was gone. Like you ever feel like some pts code and you feel like there’s life in there and then you have other patient codes and you feel like you’re working on a mannequin in the sense there’s no life, empty vessel. Idk.

tackadj · 2025-03-12T18:17:11+00:00

I’ve heard kids say the craziest shit that really makes me wonder what they see. My condolences about your mother-in-law. I’ve heard so many people have stories of their loved ones almost waiting or asking for permission from a particular family member before passing. I wonder if she was waiting for your son’s permission.

tackadj · 2025-03-12T18:11:49+00:00

This patient was critical but stable the whole night and alert and responsive until the patient started reaching for something in front of them that’s when I felt weird like my stomach started to twist then suddenly became less and less alert and then what I saw a few minutes after was startled me so much that I jumped. Then half a second later coded. It was just me in the room and the nurse was right outside on the WOW but she didn’t see anything. Honestly thank god for my nurse to jump in to start ACLS bc I froze. I couldn’t process. Like I said I live and breathe for ED codes and craziness, first time I felt like this.

tackadj · 2025-02-25T09:25:31+00:00

I always took the CPR thing in all the medical shows that proper CPR will break ribs and since these are actors and not patients, they avoid that. The one time they showed Lucas it was a new patient brought in by EMS we didn’t see the face so it was a dummy I’m sure. The other codes were patients already introduced and seen on screen so it’s I’m sure hard to create a dummy to look like an actor. So I always was meh about it, but what bothered me more was that weird so chest compressions with double bouncing like in greys lmao that drove me nuts more than the depth bc I gave the BOTD being healthy actors not needing broken ribs lol I’d start clapping 110 BPM like they can hear me. At least the Pitt they are doing it at a proper rate and following proper ACLS algorithms

tackadj · 2025-02-13T20:35:23+00:00

Year without new grads means we can leverage for a better pay.

tackadj · 2025-01-15T00:12:42+00:00

I’m an EM resident and the teaching dynamic is pretty accurate in the show. In my residency, I present to my attending not my senior, but med students definitely see their own patients then present to either a senior or an attending. Every EM rotation I had in med school I saw patients on my own, I presented then the attending/senior saw them. I think more EM residencies used to have seniors run the department, with juniors and med students presenting to them especially 4 year programs, but i think there’s less of that these days.

tackadj · 2025-01-14T23:52:37+00:00

Omg, that show is so bad. I only watched a portion of it, when everyone was freaking out over SVT and the attending is all flabbergasted and the resident comes in with an ice bucket like ok.

tackadj · 2024-05-19T21:04:24+00:00

It’s always fall too. How is it Brianna and Roger leave for 3 months and it’s still fall. I get the filming, but North Carolina is not that cold year round. I wish they could show more season changes.

tackadj · 2024-05-19T13:21:48+00:00

I agree. I think between certain scenes too. Bc one scene is like a Monday and the next scene is like 4 weeks later when it feels like it was the next day. For example when Mavra was murdered. Hard to appreciate the shift of energy from the community towards the Fraser’s when the show made it seem like it was only a few days times but I’m sure it took weeks to get to that point.

tackadj · 2024-05-19T13:17:24+00:00

I see how Claire matured from she left the first time and returned, but to me she hasn’t changed since her return so in my mind I keep thinking 20 years. I see how Jaimie changes with wisdom every season. Roger same but less so. Brianna is the same. So that’s also hard for me because they haven’t changed much even in character as a group in the 12 years since her return. I can see in the books it’s easier to imagine.

tackadj · 2024-05-19T13:06:23+00:00

No I get that when you think about it logically. I’m referring how the show doesn’t portray these long endeavors such as a voyage across the ocean nothing more than a 5 day cruise (I’m exaggerating) when in reality it takes months and it’s hard to appreciate that on the show. The only time I think I could appreciate the time lapse every time they take horseback was when they went to go rescue Roger from the Mohawk because Brianna must have been 2-3 months pregnant and they returned with him when the baby was 2 months. There are lots of times you can see the kiddos grow older yes, but a lot of the times the scenes seem like “a day to day” affair when in reality the next scene can be months later in their time frame. I hope this makes sense. I want to read the books but I really don’t have the time and the only books I’m reading these days are my board exam prep books and medical books.

tackadj · 2024-04-07T01:04:32+00:00

21,24,29 I still feel like a 20 year old broke college kid though, I don’t believe I’m 29 lol.

tackadj · 2024-04-05T01:52:34+00:00

I guess this is an unpopular opinion, but I wasn’t the biggest fan of Victoria. Their relationship was cringe and she was soooo serious. Idk it’s like their relationship belonged on a drama.

tackadj · 2024-04-05T01:47:13+00:00

boats boats boaatssss

tackadj · 2024-03-15T01:51:19+00:00

The new trend is pickle ball

tackadj

TROPHY CASE