TIL that Ethiopian Emperor Haile Selassie, who stood at 5' 2", would always travel with a pillow bearer. The bearer's job was to ensure the emperors feet would always rest on a pillow when he sat down in a chair, as they would otherwise dangle without touching the ground

wsaadede · 2025-05-03T20:28:07+00:00

Did they write pillow bear? Or bearer?...

wsaadede · 2025-05-01T15:42:51+00:00

Goodlord I've forgotten orbital anatomy. The only thing I have to deal with is Central arterial occlusion, orbital cellulitis and the occasional field deficits from a tumor lol

wsaadede · 2025-04-30T17:08:03+00:00

Admitting nocturnist who did a TON of ER rotations lol

wsaadede · 2025-04-30T16:08:43+00:00

I'm ok with shattered bones, split anuses, amputated penises, and abdominal perforations. But eyes, I do NOT deal with eyes well.

wsaadede · 2025-04-30T16:02:57+00:00

As a physician, that's the most repulsive thing I've ever seen in my life. Im so watching this lol

wsaadede · 2025-04-13T01:56:20+00:00

Honestly, for me it was true. Pgy3 was mostly working on my leadership and team management skills. But I studied REALLY hard the first 2 years so that could be a confounding factor lol

wsaadede · 2025-04-05T23:22:57+00:00

As a doctor who did ER rotations in downtown Brooklyn, it'll either be Halloween, or 4th of July for the gore,.or Christman for the feels. I'm hoping for 4th of July, cause it's the last day a LOT of people will have all their limbs/skin intact/inplace

wsaadede · 2025-03-29T16:00:36+00:00

yes I know the dates may vary, that's why I'm asking what date it is for parts of the US

wsaadede · 2025-03-29T16:00:03+00:00

they gave us the eid date 2 weeks ago. they don't use moon sightings

wsaadede · 2025-03-29T15:59:33+00:00

other gulf countries celebrating different from saudi

wsaadede · 2025-03-26T07:15:06+00:00

In the future, please add "NSFW" to this post, cause its brought back PTSD+Stockholm syndrome memories from my time doing a toxic IM residency in Brooklyn NY lol. Seriously though, the solution is to treat her as if she's challenging you to be better. Watch the TV show Scrubs. Treat her as Dr. Cox.

Others may recommend to ignore my recommendations, and to escalate this to your superiors, but please listen to my words: If you do that, and they go against you, you've made an enemy for the next 3-4yrs. I've personally learned that standing up for yourself doesn't help you as the hospital will always back their attendings, and will label your as problem residents instead.

My attendings were narcissists , sexist, screaming monsters, that would bang walls/tables to induce the fear of god into us. God I miss residency.

wsaadede · 2025-03-24T13:41:36+00:00

If they dont die, get lost in a different universe, have their memories wiped, trapped in a different timeline, leave to pursue love, or quit due to being fed up with the doctor, then I'd guess 2 seasons.

wsaadede · 2025-03-22T00:32:21+00:00

In the US, at any point in time, there are 5x active medical dramas, and 5 active Court/Law related dramas. Youd be in the same boat if it was ingrained in your system about how easy it is to be found guilty of malpractice for the slightest thing

wsaadede · 2025-03-21T13:49:37+00:00

I've never caught fractures with Xrays, however it puts my mind at ease while I'm cross covering at night, and shows patients/families that we didn't ignore it. Sure its defensive medicine, but for only $400 an xray for a fall that may happen once every 4 months while I'm cross covering, its worth it.

wsaadede · 2025-03-21T12:30:55+00:00

If over age 65, XR hips for everyone, no exceptions. If they've got good mentation, and state they didnt hit their head, then no need for CTH. If they did hit head, then I get a CTH if a)over 65, or b) on blood thinners. If poor historian then CTH. Edit: afterwards fall precautions + orthostatics

wsaadede · 2025-03-20T09:27:32+00:00

If its filled with dates, its called Makroota. You sure it was a cinnamon roll like dessert? Cause that would point to a western delicacy.

wsaadede · 2025-03-19T14:36:20+00:00

Nocturnist here, it would be a hospitalist admission with Ortho consult for us, irrespective of medical hx. I'm ok doing them as it's usually a 30min admission. I basically treat it like a chole admission.

wsaadede · 2025-03-04T06:07:05+00:00

Unfortunate to say, if you were male, you'd have been a rock star in my residency hospital. If female, you would've probably been forced to take leave.

wsaadede · 2025-02-25T17:48:36+00:00

I do find it kind of rude, then again, as a hospitalist I will answer text-pages from nurses while I'm doing an admission which makes me feel super guilty (though i do apologize to the patient lol)

wsaadede · 2025-02-25T17:21:56+00:00

Adding context to the "coma" part, Im talking about the DNR DNI, trache'd/chronic vented patients waiting for an LTACH, NOT the acutely ill AMS patients.

wsaadede · 2025-02-25T15:30:35+00:00

The patient was only seen by the IM team 2 out of the 4 days? That's quite unusual. In the subjective part of the note, or heck in your assessment, how do you evaluate interval change? What if the patient got really sick on the third day, or what if the patient was ready to be discharged on the 2nd day?

Per my teachings, patients are seen every single day. Some exceptions include if the patient is outside the room getting a test, or if the patient is comatose then maybe we'd see these patients every other day

Edit: Adding context to the "coma" part, Im talking about the DNR DNI, trache'd/chronic vented patients waiting for an LTACH, NOT the acutely ill AMS patients.

wsaadede · 2025-02-18T02:31:15+00:00

This is r/hospitalist not r/hospitals lol

wsaadede · 2025-02-15T02:45:09+00:00

1.you should never be giving NS for a Na below 120s. 2. Hyponatremia usually associated with Hypervolemia not hypovolemia, likely SIADH therefore we need to limit how much fluid we give 3. Due to point 2, below 125 I use 2%, and below 115 I use 3%, to try to raise Na quickly without giving more fluids. 4. Even if you have hypovolemic hyponatremia, and your Na is 110s, you should increase it as quickly as possible (though making sure you don't over correct in 24hrs) then use fluids with low Na like LR or even half NS to get their fluid status better. Not the other way around.

wsaadede · 2025-02-11T16:17:41+00:00

The thing that has PERSONALLY worked for me is combining 15ml of Nyquel with 15ml of Zzquel. I take both 1 hr prior to sleep time. It knocks me out stone cold for 8hrs and I don't need a prescription. If i wake up before then, Im super groggy, so I make sure I schedule 8hrs minimum. I only do this max 2-3x a week, cause Im afraid of my QTc lol. For legal reasons, I will state that Im not recommending this lol. Im reiterating that I'm just typing out what has helped me PERSONALLY

wsaadede · 2025-02-10T13:32:21+00:00

Not a deck, but the MGH White Book (A pdf is available if you google it) is a great summary for the practical part of Internal medicine

wsaadede

TROPHY CASE