Place I’m working at tonight had 2 docs on staff for the whole hospital, myself and a hospitalist.
Was walking to physician lounge when I heard some banging.
Open a random door to find the other doc whose been locked in the call room for the past hour with no cell service.
I will never understand the sense of urgency that a 1 day hx of runny nose can cause that would make someone decide to show up in the ED at 4am…
Like why?
They should include “How to drive a hospital bed” in residency training because the amount of times I’ve crashed trying to push a patient is embarrassing at this point…
So far my unsung heroes/heroines of residency in no order:
1. Nurses
2. Pharmacist
3. RTs
4. Cafeteria ladies who say “ok I see you doc” when my braids are fresh lol
I get it... No one wants to be called at midnight about a patient in the ED.
However...
1. This is part of your job as well as mine.
2. If you're going to be tough on the phone, at least be tough in person when you show in the ED.
Last shift in the books.
What’s crazy is I still remember the day I got into medical school.
And now, as I blink, I’m done with residency.
This is what the sum of 1000 prayers looks like.
People always seem so shocked when I tell them I love residency.
I’m sorry but it’s true… I love it
My programs great, my co-res even better, and houston is lit.
What’s not love?
Residency has been nothing short of a vibe for me, and I’m tired of pretending it’s not 🤷🏾♂️
I failed my 2nd test of medical school.
Last week I saved a mans life.
If I had been thrown out of med school then, someone’s husband/father/brother might not be here today.
Sometimes students fail test.
But test dont make doctors.
But what do I know, I’m just a DEI 🤷🏾♂️
SCOOP: Whistleblowers at UCLA medical school say it has dramatically lowered admissions standards for minority applicants.
As a result, they say, 50% of some cohorts now fail basic tests of medical competence.
We've obtained shocking internal data.🧵
One of my biggest pet peeves is MEN (for emphasis) not knowing any of their health issues.
“Just ask my wife/sister/gf/aunt.”
Like no, I will not.
Is it not YOUR body? So I’m asking YOU.
Tbh as an adult male, not knowing your health issues is irresponsible and immature af.
After, I got him out, we told maintenance who responded:
"Yeap, that'll happen sometimes..."
But, doc is locum hospitalist from Dallas and I'm here from Houston.
Was grateful and accepted all my admissions without question for the rest of the night.
Win-win lol
Do any other 4th years randomly panic at the thought that in a few months they’re going to be someone’s doctor?
Or is it just me?
Like actual doctor doctor...😖😖😖
To add context to this, at night, this hospital is virtually empty besides a skeleton crew of nurses, staff, and 2 docs.
Also, its old AF.
Which is the perfect recipe for a malfunctioning call room door to lead to the situation above.
IM Sub I med student: Is this the ED waiting room?
Me: yeah
Sub I: So do we like just see them right here or??
Me: yeah…
Sub I: In the waiting room?
Me: yeah… welcome to the ED baby 😎😎😎
Story time: Last time we saw eachother I was an intern doing a central line and he was a MS3.
Today, he was the intern, and I the senior, on a peds EM shift.
What was nerve wrecking moment for me turned out to be a moment where I “killed it” and helped reaffirm his path to EM.
My hill, hospital parking should be free for residents because this ridiculous.
Residency gotta be one of the only jobs that makes YOU pay to come to work… smh
Intern Tip:
Yes I know, your off service, tired, and w/e specialty your on isn’t your jam..
BUT, unpopular or popular opinion, you can learn something on EVERY service your on.
This is YOUR training.
You get exactly whatever it is you put in.
Why not put in your best?
Years ago, I’d wake up early, go to the temp agency, wait outside, and hope to get picked to work a 10hr shift on an assembly line.
Today, I was reading a contract where I’d make more in 1 shift than I would make in a whole month on that line.
Oh the places you’ll go…
Had a patient that left AMA yesterday after a serious injury with promises to be back the following day…
Legit have been worried since then (felt like a mom lol)
Well guess who just rolled through the front door 🙏🏾🙏🏾🙏🏾
To my fellow M4's this is the moment we have been working for. The summation of 1000s of hours spent on Anki, Sketchy, Pathoma, B&B, and First Aid. All for right now...
This is our moment. Best of luck!
TBH I could care less about your publications or class rank.
Show me you can get along with everyone from the CEO to the janitors and you know how to do a good lac repair. 😎
Bonus points if you have some good memes lol
I remember once I said,
« I would do anything to become a physician »
Had I know, that « anything » would require trading my health, relationships, and youth, I wonder…
Would I have still pursued medicine?
Senior residents (and attendings) of
#Medtwitter
what advice do you have for us new seniors leading fresh (Re: July) interns?
First shift tomorrow and I’m as anxious, as I am excited 😬
*Me introducing myself to student*
Me: My name is Mark, I’m one of the residents here.
Student: Nice meeting you Dr. McIntyre.
Me: …
So this is what feels like to be on the other side of the “just call me by my first name” convo lol
I never understood why some people choose medicine even though they hate it?
From the time I was a student, I’ve always come across people (students and docs alike) who literally loath coming into work.
Tip for the interns, if you are at a program where a large portion of your patients speak a different language, take the time to learn how to do your specialty specific exam in said language. 1/
So my last post unexpectedly brought a lot of new followers to my page. Just want to say welcome and give a little info about myself.
I'm a 4th year medical student at THE Ohio State University COM. I'm applying EM this cycle so hopefully I'll be coming to an ED near you soon!
Warning: Another Hot Take
I get that “social EM” is a sexy buzz word that people (particularly med stud applicants) thrown around as one of their interests within EM.
However, I don’t think that theres anything unique about social EM that is not intrinsic to EM itself. 1/
So who has 2 thumbs and just got their first central line tonight?
This guy 👍🏾👍🏾👍🏾
#shoutout
to my attending
@TheEMIMdoc
for walking me through it!
#BMIM
Fun fact, met these brothas on the (zoom) interview trail as a med student.
First time meeting up in person at
#SAEM23
Looking forward to what we’ll accomplish in the years to come. ✊🏽✊🏾✊🏿
#ironsharpensiron
#BMIM
Match Day Eve... make sure your TikTok/IG is updated, cameras cleaned, ring lights prepped, face beat, lined up, and yall got that ish on because tomorrow finna be movie.
I'm here for all of it and will be living off yall post on my timeline.
Best of luck!
#MatchDay2024
Every time I go into a patients room with the attending AFTER I’ve already collected the history I say a silent prayer that the pt dosen’t change or recant thier story
Today is the first day for a lot of new doctors. First and foremost, I'd like to say congratulations. Today is the sum of 1000s of hrs of studying, working, and praying.
You've earned every second of it.
Enjoy it.
Literally all my resident confidence evaporated as soon as I became an attending.
Feel like an intern all over again with the amount of second guessing I do 😑😑😑
With residency coming to a close I’ve been real reflective lately.
For a decade I’ve had to put my life on pause to get here.
I’d be lying if I didn’t say that some days I wish I could just wake up and have the house, car, yard, and dog already without any of this lol
Just want to say that I really appreciate all the residency programs that have been making their programs more accessible to students via Zoom, Webinars, etc...1/
I’d be lieing if I didn’t say that my anxiety has slowly been increasing at the thought of:
1. Completing my rank list
2. Submitting said list
3. Hoping I match where I would like
They say the match favors the applicant, but with so much uncertainty idk how 😓😓😓
Me to patients: And that’s why it’s important to watch what you eat as some conditions can be improved with diet change.
Me when patients see me in line at the hospital cafeteria ordering chicken tenders for the third time this week:
I learned that there are multiple paths towards reaching your goal and that every experience along the way is valuable... Heres to being almost a doctor.👨🏿⚕️👨🏿⚕️👨🏿⚕️
All jokes aside,
It’s a surreal experience to go from getting warm blankets to running the primary/secondary surveys during a trauma.
Thus, today’s lessons is a simple one.
If you don’t want to drown, keep swimming. - Dr. Mark E. McIntyre II