Lexie Mannix, MD
@ALMannixMD
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EM Doctor👩🏼⚕️. Florida 🐊. 🐶🐶Mom. @SheMDTweets Editor-In-Chief and COO 💁🏼♀️. Views are my own. #sheMD she/her
Downtown Jacksonville, FL
Joined October 2015
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My personal story of the systematic limiting of low SES applicants in medical education
A thread. 🧵
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Flight attendant: Is there a doctor on board?
Me: ::rings bell::
Flight attendant: Ma’am, whatever you need will have to wait. We are having a medical emergency.
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Seeing how much the world accepts that it’s impossible to move on after watching CPR really makes me think about how we (medical professionals, especially those who work in Emergency departments) are expected to just move on immediately after a code.
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My friends story:
She met a guy at a bar. Told him she is an EM Doc (he asked). He didn’t believe her, so asked for Tx for MRSA.
She offered oral abx based on resistance in her area. He told her she was wrong, bc Vanc is the only option.
He’s an MS 1
She’s an EM attending
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For all whom this tweet resonated with, remember those who cared for
#DamarHamlin
last night and today.
Shout out to the team of first responders who were on the field performing a resuscitation in front of millions.
And shout out to the crew at
@TamingtheSRU
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Thinking of the staff at Uvalde Memorial Hospital tonight.
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@BryanAu14394656
My brother in law was a navy corpsman, as were two of my colleagues before medical school.
Forever grateful and impressed by our military.
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There are hard shifts.
And then there are shifts in the middle of the huge
#COVID
surge when your entire hospital finds out your CEO/Dean has suddenly died in a tragic accident.
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Its like oral board, at the bar.
“Can you describe to me the operative approach to an open humerus fracture. Please. Thanks”
I know nothing about this, but would like a very accurate description based on my limited understanding
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@umangmehta24
It can impact you differently if you know them personally, but
1. That does not invalidate my statement or feeling
2. It implies I’ve never coded someone I know personally
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@RealGatorHours
She didn’t know he was a med student or was quizzing her when he asked.
She thought maybe he was a patient/person with that condition.
Once he informed her who he was and that she was wrong, she walked away.
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When you go out of your way to email an applicant they are a missing a vital component in their ERAS application, and they reply with “ Thank you Ms. Mannix” 😬🤦🏼♀️
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Y'ALL!
I'm officially a Board Certified Emergency Medicine Physician!
#EmergencyMedicine
#sheMD
#FeminEM
#WomenInMedicine
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Real talk.
What’s going to happen when physicians start getting sued due to bad patient outcomes secondary to nursing shortages.
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To those students out there who come from underserved backgrounds, who are first generation college grads, who work full-time to cover the costs of Med school applications- I SEE YOU.
I AM YOU.
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I’d like to cancel my membership to 2021.
The seven day free trial hasn’t convinced me to subscribe.
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She was 7 years older than me. She walked into the hospital. We did everything we could, but she died of the flu. Her teenage was daughter at bedside. We all cried. I still cry. Please get your flu shot.
#ShareAStoryInOneTweet
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I want to thank those medical students who have withdrawn their application from our program (I assume after receiving enough interviews).
This means we can invite other students off our waitlist sooner, allowing them to have access to lots of days to choose from.
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@SSpadaforeMD
She thought maybe he was a patient.
“Oh. You’re an er doc. What’s the treatment for XYZ”.
She didn’t know it was a quiz until after when he shared he was a first year med student and that she was wrong.
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Y’all, I cannot stop purchasing things off the
#MedGradWishlist
I remember how financially stressful this time during 4th year was for me.
I’m so grateful for my privilege as an attending physician to be able to make a difference in the lives of URM Med students.
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I am forever grateful to BOTH schools.
One gave me a reasons to fight for those students behind me.
The other gave me the opportunity to have a voice in the fight.
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I have debated telling my story for a long time because it made me feel like a failure.
Now as medical school faculty, I know that this school actually failed me.
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In 2009, I reapplied. I received one interview and one acceptance from
@FSUCoM
.
Not only did they understand my personal experience but they celebrated me for my achievements in the face of adversity.
They even offered me a scholarship to help offset the cost of tuition
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I am not alone in my story.
The majority of medical students come from high SES backgrounds.
Medical education is structured in a way to systematically limit access to students like myself.
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We should stop calling people who experience impostor syndrome “people who experience impostor syndrome” and start calling people who don’t experience impostor syndrome “overconfident weirdos.”
#CORDAA18
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After working my whole life and spending thousands of dollars, my acceptance to medical school was withdrawn because I could not come up with a large sum of money within 7 days.
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The ED. Also know as the super ICU. And an urgent care, a homeless shelter, a drunk tank, a psych facility, a trauma center, a primary care office, and the safety net for everyone.
While we may not do it perfectly or get it all right, there’s nowhere else I’d rather work.
ICU: “is the patient even stable enough for ICU?”
ER: “omg you’re so right let me call the mega ICU right away 🥺”
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There was just a multi-car accident outside of my house.
Grabbed my badge, trauma shears, and stethoscope and ran out of the house.
I introduced myself as an ER Doc at our trauma center. Even in my Tshirt and jeans, I was well received by the drivers, bystanders, and EMS.
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@avengingmomgel
@cieraaab1
@Divveyfallfan
@TheMedicalShots
Agreed. Using the word “murse” is like using the phrase “lady doctor”. It implies that nurse isn’t a gender neutral word.
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BIG SHOUT OUT to the significant others of us
#HealthcareWorkers
, especially mine.
Not only have you been physically at risk for the past 18+ months, you continue to provide us with emotional, mental, and physical support during this unprecidented time.
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I wasn’t AOA or GHHS.
I wasn’t the top of my class.
I wasn’t class President.
I didn’t win an award at graduation.
But I’m now the youngest member of the
@FSUCoM
Hall of Fame.
I cried during my acceptance speech and I wouldn’t change a thing that brought me here.
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Non-EM docs: “You’re working overnight? Oh gosh! Please don’t come to that meeting”
EM Docs: “You’re working overnight? Would you rather an 8am meeting or a 3pm meeting?”
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Annual reminder to residency applicants.
When emailing residency faculty, please use “Dr” rather than “Ms”, “Mrs”, or “Mr”.
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@choo_ek
As an Academic
#EemrgencyMedicine
doctor at the ONLY level 1 trauma center in
#Jacksonville
:
This is not the first time we have had 11 GSWs in one day.
This is just the first time the national news has paid attention.
#NeverAgain
#JacksonvilleStrong
#JacksonvilleShooting
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You know what doesn’t make us more resilient?
People telling us “be more resilient.”
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Left for North Carolina with a 36 year old boyfriend, returning with a 37 year old fiancé.
@DRHegedus
I can’t wait to spend my life with you.
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I have NEVER dreaded going to work before. Not even during Q3 24 hour shifts in residency.
This completely preventable wave of
#COVID19
is quickly burning out your resilient healthcare workers.
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The last thing Dr. Leon Haley (
@UFJaxDeanHaley
) did within our hospital was walk the floors and personally vaccinate staff.
In memory of him, please get vaccinated against
#COVID19
.
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Absolute highlight of
#FIX18
so far:
@choo_ek
knew who I was AND asked how my orals boards went.
Best. Day. Ever.
#WomenInMedicine
#sheMD
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I end most of my patient encounters with “is there anything else I can do for you today”.
Recently, a patient asked “is it ok if you give me a hug.”
We hugged while she cried and thanked me for treating her.
THIS IS WHY WE DO THIS.
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This was my first “Medical Emergency” as a physician.
I established scene safety.
Had someone 911 while I was able to evaluate and stabilize both drivers.
Everyone is OK.
Just a reminder that being an
#EmergencyMedicine
doctor is such huge privilege.
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I called and begged them to reconsider. My dad drove there and begged them to reconsider. They would not.
I did not attend medical school that year.
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How does everyone feel about people describing the speciality of “Emergency Medicine” as “ER”.
Eg. “I want to go into ER.” “What made you go into ER?” “I don’t like ER”
It always bothers me, but I wonder if I’m just sensitive.
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“It's not easy to be a pioneer — but oh, is it fascinating!”
- Dr. Elizabeth Blackwell
Happy National Women Physicians Day to all the brilliant and talented female physicians!
#IAmBlackwell
#NWPD
#nationalwomenphysiciansday
#FemInEM
#sheMD
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“To achieve great things, two things are needed; a plan, and not quite enough time.”
- Leonard Bernstein
If this doesn’t describe my career in academic Emergency Medicine, I don’t know what does.
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Real talk- How have programs already offered interviews?
I’m actually spending time learning about our applicants. Thru their ERAS application. That they spent months completing.
Do programs just pick a step cut off, send out interviews to everyone above XXX score?
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@teachmykidtore1
@CatDocMD
During pregnancy and post-childbirth is a totally different ball game.
Your BP was concerning for eclampsia, which can be deadly for pregnant and postpartum women.
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@olsonplanner
Had to do the math myself.
The current intern stipend at my hospital is $55,474.00
When I was a resident, it was $50,267.00
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As soon as I was paid, I got the money order and mailed it to the school.
Two days later I received an email rescinding my acceptance due to my lack of payment to secure my spot.
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@thatsdrstimpy2u
@ALefthandedLady
@CatDocMD
Great question.
If the patient is asymptomatic, there is nothing the ER should do, other than refer to the PCP for more aggressive BP control.
Drastic lowering of BP in patients without symptoms has been shown to be MORE dangerous and lead to strokes immediately.
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I called and explained I wouldn’t get paid until Friday, and would send the money as soon as possible.
I, unlike others, did not have that kind of money in my bank account nor did I have someone else who could pay it for me.
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In 2008, I was a bright eyed full-time senior in college at
@UF
applying for medical school while working 40+ hours a week in a research lab.
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@JennSedlerMD
1. Tell them in person.
2. Put it in their evaluation
3. Let your supervisor know via email, so it can be passed on to their boss.
4. Nominate them for an award.
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JaxEM is mourning the loss of one of the greatest today.
My heart is breaking for the family and loved ones of our resident who tragically passed away yesterday.
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@AshleyGWinter
It feels like my entire feed is full of WOMEN and POC marching into ortho 🍾🍾🍾 and Emergency Medicine.
I’m legit loving today.
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I finally received acceptance from a program close to where I grew up in NYC.
I was ecstatic- not only for the acceptance but to return home.
I grew up in those hospitals, I couldn’t wait to learn from and serve my community.
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After spending thousands of dollars in testing, applications, and months of interviews, I was placed on 3 waitlists.
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Received this email from a colleague, who was my attending during residency.
I could not be more grateful for the supportive, gracious, and beautiful humans I work with on a daily basis.
I needed this.
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This school required a deposit to secure my spot. It had to be a money order and must be received by the school within 7 days of acceptance.
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My sister just got a 5 million dollar grant for her work, specifically in DEI. Which is the largest grant her institution has received in 24 yeats.
And this absolutely needs to be celebrated! Send her love and congratulations!
@BrianaSalasPhD
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*** Thoughts from ERAS review***
I do not like when students are marked down/up on their SLOE ranking for "step score".
I feel like their board scores are already a factor, they should not be rewarded or punished for their score TWICE.
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*** Thoughts from ERAS review***
I get sad when I see awesome applicants on twitter who didn't apply to my program.
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Incredibly excited to share my first
@AnnalsofEM
publication!
Hot off the press: Sex Distribution of Editorial Board Members Among Emergency Medicine Journals
@MGottliebMD
@SMKrzyz
@ALMannixMD
@MEParsonsMD
,
@akkalantari
@ShivaniMody
@TChanMD
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Just submitted my first first-author paper...
I’m excited but absolutely terrified.
#EmergencyMedicine
#MedEd
@ALiEMFac
@MGottliebMD
@MEParsonsMD
@SMKrzyz
@alvarezzzy
@ShivaniMody
@LPBMD
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My grandma graduated 8th grade.
My mom graduated high school.
(My dad didn’t)
But, of my 5 female cousins we attained the following degrees:
2 MDs
1 PhD
1 BSN
1 MHA
1 MS
And 5 bachelor degrees.
We supported one another.
We ARE the change.
#FIX18
#FemInEM
#SheForShe
I get it
@ReginaRoyan
. I too am an exception...first M.D. in my family.
#FIX18
thanks for shedding light on the importance of socioeconomic diversity in the house of medicine
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Mantoring: The act of being a man and only mentoring men.
Nomenclature and infographic created by
@DGlaucomflecken
@choo_ek
#sheMD
#GirlMedTwitter
#FemInEm
#WomenPhysicians
#WomeninMedicine
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I worked my first shift since losing Brad last night.
When things got hard, when I was tired, frustrated, overwhelmed-I had a little voice in my head saying “Be like Brad.”
His legacy and his heart are in all of us. We just have to go out there and make him proud.
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“It’s Not You, it’s Me: The Implicit Bias in Resident Selection and Education” at
#CORDAA19
43% of LGBTQ medical students do not disclose sexual orientation during medical school.
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The emotions from ERAS review
“I’m so excited for so many of these applicants! And then I get so sad because I may never know them”
- text from a another APD.
Does anyone else feel this, or is it just us?
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I’m so happy to see
#MedgradWishlist
back on my feed!
Where are my
#EmergencyMedicine
bound MS4s?!?!?
Please tag them in this tweet so I (and others) can support them!
#MedgradWishlist2022
#MGWL22
#MGWL
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@choo_ek
@womeninmedchat
@feminemtweets
I just got home from working my second 16 hour day in the past 40 hours.
I am exhausted and I cannot even find the words to describe how disgusted I am that a journal would publish this sexist content.
#WomenInMedicine
#SheMD
#FemInEM
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I feel personally attacked by this line in “The Productivity Project”
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This is my 12th publication of 2020.
In a year with so many struggles, I will take this as a huge win.
Final Publication of 2020!
Grateful to work with Dr. Jaclyn Jansen (
@JaclynHJansenMD
) and Dr. Ryan McKenna
(
@McKennaRy
) on this project.
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Had an intern from another service tell me today “that’s not how things are done here”.
I’ve never been so proud of myself for staying cool and NOT saying “I’ve been HERE since before you even started medical school”
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@Carpeshannon01
I completely agree.
I think about the students who never found their FSU College of Medicine. We, as a medical education community, have failed them.
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@klusardi41
My email signature, on this email.
I addressed the applicant as “Dr. Last Name.” As they had already graduated medical school.
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Thank you
@UFMedicineJax
and
@EmergencyDocs
In addition, Dr. Alexandra Mannix, an assistant professor and assistant program director, received the 2022 ACEP National Emergency Medicine Junior Faculty Teaching Award. Congrats!
#Gatorproud
@EmergencyDocs
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@ur_defense_mech
@DaShaunRagland
Everyone lives different lives.
I’m glad you hear you have a different experience during your training, but that doesn’t undermine Student Doctor Ragland’s experience
Please try to support those who share they are struggling, whether it be financial, physically, mentally, etc
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@HelenBurstin
@CityCollegeNY
@SUNY
I will forever be grateful for
@FSUCoM
.
They took a chance on a girl no one else would.
They gave me a platform and a voice.
They laid the foundation for my career, and most importantly, they love me for who I am.
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@the_lolaverse
It was certainly a mistake, and I totally agree that mistakes happen.
But it’s still an example of implicit bias and lack of attention to detail, by a student who already showed lack of attention to detail by not submitting all parts of an residency application.
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I worked in an
#EmergencyDepartment
during the Pulse, Vegas, and the MSD shootings.
Today, my city had a mass shooting.
As an
#EmergencyMedicine
doc, I know one day I will be taking care of a mass shooting unless we change our laws
#NeverAgain
#JacksonvilleStrong
#GunControl
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Should we not be using "Fit" when discussing residency applicants.
"Anti-Racist Resident Recruitment Innovations"
@mikepaddock
#CORDAA21
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The email began "Dr. Barr, Dr. Javed, and Lexie."
Check out my newest blog post about what its like to be a woman in medicine.
#EmergencyMedicine
#Blog
#FemInEM
#ILookLikeAnEMDoc
#ILookLikeAnERDoc
#WomenInMedicine
#WomenPhysicians
#EmpoweringWomen
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When interviewing for residents, I place much higher value on having a real job prior to med school.
Medical volunteerism (& shadowing) suggests that you had connections that other applicants did not.
Holding down a job, suggests to me that you know what hardwork looks like.
Normalize pre-meds NOT doing "medical" volunteering in Africa.
Most have no qualifications or skills. Do something good in your own community instead.
Medical school admission is hypercompetive but this is not the way to stand out IMO. Med schools are complicit as well.
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Do any other
#MedEd
faculty feel like today is Christmas morning?
I honestly can’t wait to review all of the amazing applications! I can’t believe our next 15 family members are in that list. 🤯
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Not to brag, but I just put clothes in my car to donate, and immediately dropped them off.
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The 12 people you need in your life according to Dr. Tracy Sanson
@TracySansonMD
First 3- The people you look up to
Next 3- The people who would die for you
Next 3- Your tribe
The last 3- The people you are mentoring.
#ThisWomanRocks
#FemInEM
#FIX18
#sheMD
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A friend of mine and I were talking about which alcoholic beverage matches which medical speciality.
I’ll go first:
Emergency Medicine: a PBR Tallboy and a shot of whiskey.
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