Nadija Rieser, MD
@NadijaRieser
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EM physician. Proud @ACMCEM alum. Northwestern wildcat forever, Chicago loyalist/sports enthusiast, dog mom. Opinions are my own.
Chicago, IL
Joined October 2018
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Pinned Tweet
Hey M4s, something that was helpful for me during interview season was to setup forwarding alerts from my email to phone for any interview-related emails. I had this alert able to go off even when my phone was on silent. This was helpful for signing up for interviews quickly. 1/4
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Just tried to get my IUD replaced. The got the old one out and could not get the new one in. When can we get sedation/better meds for IUDs? That was a very long and painful ~20 minutes with essentially no gain. 800 mg of ibuprofen doesn't cut it.
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After I certified my rank list for the millionth time, I wrote down a list of reasons I’d be thrilled to go for every program I ranked and put them in sealed envelopes. That way on match day, no matter where I matched, I had an envelope to open with reasons to feel excited.
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Our peds ER has shifted from all RSV to all influenza. I swear half the kids I saw either just had croup or RSV 2-3 weeks ago and everyone was flu+ today. I feel for these parents man, it must be brutal.
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I know I’m happy with my residency because today my PD included
@DGlaucomflecken
as one of two recommended Med twitters.
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I work with IM residents at one of my sites and they asked me what a normal patient cap is for an ER doctor and I laughed. I feel this is probably the most important thing they will learn from this rotation.
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Currently riding on the emotional rollercoaster where every day I feel either totally confident I will match at a place I rank highly or feel like I will scramble and never get a job. There is no in between.
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@HollyBiology
That sounds much better. I've now had 1 successful placement and 3 failed placements and have never had anything other than Advil. It's just never been discussed with me as options
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Anyway I have to try again next week with cytotec and appreciate any tips from anyone
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@A_Sapp12
Your attending and I feel very differently about the treatment of 4th year medical students at this point in the year
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@DGlaucomflecken
Also, who can pass up the chance to use the phrase "dicrotic notch"? It's a top tier medical phrase.
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Wrote this thanks to some encouragement from my friend
@garnethenderson
.
ER docs- we need to be paying attention and speaking out. This threat is very real.
I’m an ER Doctor. If the Supreme Court Upends EMTALA, Patients Will Die.
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@londyloo
@MelissaAReed
Wait same. I thought it was so strange. I knew I recognized the name but couldn't place it until you brought that up. Looked in my own messages and found the same.
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@galliummd
Honestly today I thought about making my husband come with when I try again next week just to be there and see that I'm not being a total baby
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If there was ever a day I wish scrub shorts existed or were practical, it’s today. 93 degrees out and very humid in our ER.
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1) Today marks the first death I've witnessed as a resident. Not my patient, I knew nothing about them. But they were living and now they are not. And that happened while I watched. This felt so notable for a few reasons.
Primarily, it is already a morbid anniversary for me...
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@Gabby_Brauner27
Getting asked if I went to medical school to become a nurse is the one that always confuses me the most. I thought “medical school” and “nursing school” would at least be understood as different things.
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Proud to have joined some fellow residents from
@ACMCEM
(and residents from basically every other program in the city) today to protest the murder of George Floyd, Breonna Taylor, and too many others. Thanks for organizing this
@CookCountyEM
.
#BlackLivesMatter
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@shailinthomas
I felt that way as an intern but now if someone is stable and I see blood/Melena from their butt without tenderness, I don’t always scan. They need the scope, not always the radiation.
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@BrooketheOstomy
He’s a graduating resident in my friends program. I think he took unpaid leave and has to stay a bit longer to graduate.
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Passed step 3 🙌🙌🙌. Very excited to be done with all of USMLE’s shenanigans.
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@VivianWungMD
We're requiring everyone to be vaccinated + just bought enough home tests for every guest so they can test prior to going to our ceremony.
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Hey
#MedTwitter
looking for help. Our hospital doesn’t offer abortions so I want to create a take-home resource guide for women looking for these services. I’m looking into local providers but need your help with verbiage that’s compassionate and appropriate. Any good examples?
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@DGlaucomflecken
Oh I'm the exact opposite. If I had to draw this sucker (poorly), I was going to keep it and remind myself of the pain.
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Last shift of residency finished. Overwhelmed with gratitude for my time and my team
@ACMCEM
.
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I did this by setting up filters in gmail.
I set up a filter for any emails from "noReply
@aamc
.org" and "interviews
@interviewbroker
.com".
After creating the filter, I set it up to forward to my phone number. 2/4
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@BaeBielle
Our hospital no longer allows us to wear the hospital scrubs in the ED and instead we get a stipend to buy scrubs. Why would I not maximize comfort and pockets with that?
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@sarahbellumPA
Yes. I was in the PICU for 3 days before I realized I didn’t know where the bathroom was on hour 18 of my first 24 hour shift
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Wow I went into work and this blew up a little bit. I’m happy to be nearing the end of my 2nd year in residency at a program I love (♥️
@ACMCEM
) . I’m lucky that it was my 1st choice, but there’s so many programs on my rank list I think about often!
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Very few things have a bigger turnaround in excitement than doing sutures in the ER as a med student to doing sutures in the ER as a resident. It used to be the highlight of my shift as a med student.
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Signed my first real contract 🎉😳. Excited and nervous!
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For AT&T numbers, you can do this by typing your phone number @ (for instance, 5558575309
@mms
.att.net). Verizon is @ . For other carriers just google "phone to email". 3/4
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From there, I set up that phone number as a contact that had emergency access and a special text tone so that it was distinguishable from all other alerts I get. 4/4
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@4Xfagnification
I remember being so thrilled to help take a section down to path during surgery bc I 1- hated surgery 2- got the chance to sit down while I was down in the lab and y’all were doing your thing. It was a 8 hour surgery, and it was the highlight of my day.
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@kathryniveyy
We were talking the other day about how we cannot imagine seeing patients without wearing masks, probably ever again. Why spread flu/germs from patient to patient (and to our families) if we don't have to?
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Unplanned perk of residency: become much better at dealing with jet lag. Do you need to travel/be awake for 24 straight hrs + now you’re in a 7 hr time change and need to 100% change your sleep schedule? No big deal. Become a resident and you’ll wake up ready to go.
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@studentdrdemon
Premed advisor told me I wouldn't get into med school (got in and class president), med school advisor told me I wouldn't match EM (matched my
#1
and became chief resident).
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Thanks to everyone in my life for this moment! (But also to
@zachbraff
,
@donald_faison
,
@VDOOZER
for providing the inspiration to the song I chose for my school to play as we became MDs!) Officially an emergency medicine doctor!!
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COVID vaccine scheduled and I'm a little overwhelmed with relief
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@blondemedSJW
I do a lot of pelvics and am not afraid of them , but I do feel like if I’m getting the vibe from an external vaginal exam that I’m going to need to call gyn, I save the patient from the extra speculum exam and let gyn do it. I call gyn sparingly though.
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@stuboo
Soundproofing the walls! At my last gyn appointment, I could hear everything in both exam rooms next to me while I was waiting. I had to listen to someone learn about and grieve a miscarriage, it was tough.
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Made it home after a very, very long week and a half. Missing my dad, and thankful for all he taught me.
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@CardiacDO
I am a loser who feels weak for asking. Like they would have brought up options if they typically offer them? I know that's foolish
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Survived my first ~real~ ED shift as a resident (though my attending was mercifully helping a lot) and was continually reminded that I really love this job.
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@DrBabyFaceDO
Ideally, if you have the time, you should do 4,5,6,1,2,3,solo, rogue one, (4,5,6 again), 7, 8
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Just got the cutest email from the med student rotation coordinator
@CookCountyEM
to make sure all her students are staying safe. Thanks for caring about your students, even after we are gone!
#medtwitter
#medstudenttwitter
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@Dallas_Holladay
I just had a deeply stupid PEER review question about this where giving antibiotics was not the right answer but giving a lot of benzos was. It’s not going against someone’s wishes to fight a simple infection imo , it’s about communication
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Feeling so happy and lucky and thankful to have received COVID shot
#1
today. Hoping everyone can join me sooner rather than later. Thanks
@ACMCEM
@AdvocateAurora
.
#igotmine
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I was supposed to get married today. Instead, we're taking the day (mostly) off from unpacking to drink some champagne on our new deck and eat our favorite romantic dinner (take-out).
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Thrilled to be offered a scholarship through
@ICEPemergency
to attend the
@ACEPAdvocacy
Leadership and Advocacy Conference next year. Can’t wait to go advocate for our patients in DC!
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Get yourself a APD that supports you on stressful days in front of your whole residency.
@ACMCEM
@mcironeMD
#GoCats
#Northwestern
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Found my old ERAS spreadsheet to look something up for
@olsonplanner
and found my rank list with my pros/cons comments and cackling at past Nadija for this (my last ranked program).
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Just finished my last shift of intern year!* Time flies when you’re tired but excited and stressed out but liking your job. Had a very fun last shift in the PED filled with fun bread and butter procedures. (*-I spend my last month of intern year off-service)
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Out here ultrasounding and registering patients to vote. Thanks to
@Vot_ER_org
and
@votesaveamerica
(via
@karifleischauer
) for the help they’ve provided.
#VOTE
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Working during COVID in the ED has been exhausting and unrelenting. But being up in the ICU during COVID has been a different level of soul-crushing. I don't know how the ICU nurses and attendings have been doing it.
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M4s- every specialty gives out interview invites on their own schedule. Don't let friends that you know getting invites already make you doubt yourself! I remember my FM classmates getting most of their interviews before I got any invites. It's ok!
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😊
Introducing our 2022-2023 Chief Residents 👏 📢
1. Nadija Rieser (
@NadijaRieser
) - Scheduling
@CNU_Med
2. Donna Okoli - Conference Chief
@TuftsMedSchool
3. Tyler Nichols - Scheduling Chief
@bcmhouston
4. Stephen Crabbe (
@sjcrabbe
) - Conference Chief
@uazmedtucson
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We bought a house today!
Sadly, the prior owners are doing a post-possession so we don’t get to move in for a month, but still yay!
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@doctorORbust
I’ve had several patients come in from chiropractors asking to get EMGs and other tests from the ER that are wildly off base. It’s hard not to express a lot of frustration.
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My aunt got extubated today! It's her 83rd birthday and she somehow made it over seemingly the worst of the COVID streak.
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Last year I dual applied bc my advisor told me I was “probably never going to match EM” bc low step 1, not stellar test scores in M1-2. I remember the wave of relief at matching on Monday, but the crazy anxiety of not knowing which field.
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@jmugele
We had someone come in last night demanding IV ivermectin Bc “my buddy got it infused here, why are you hiding it?” Then showed a pic his friend sent showing IV ivermectin in a dc summary. Ivermectin doesn’t come in Iv forms….
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@blondemedSJW
This happened so many times to me on MICU or the peds floors. They’d ask and every time Id say “I don’t know what means or how to do it” and then someone would just do it for me and I’d continue to not learn. It took a few months before someone showed me. Haven’t used it since
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@joshmcgoo
I have never been so passionate about a writing utensil as I am for this pen. Writes smoothly, completely erasable. Just the best. The only pen I’ve ever replaced an ink cartridge on bc I love it so much. Pilot Frixion Ball
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@blondemedSJW
I'm almost 33 and don't like coffee. My trick is aggressively sleeping during my time off
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I was nervous to have my first overnight shift tonight so my personal chef/partner made a big breakfast-for-dinner meal so it "felt like morning" before I head to work. Homemade biscuits, breakfast sausage, spicy mayo
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@RNSuperHero
In a lot of states, the AMA form does nothing to protect nurses and docs legally. It just makes us feel better. The form doesn't protect us and the data has shown that patients who were discharged when they asked are less likely to sue than those who were AMAd.
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It's been a year. I miss my dad a little bit extra today. This is a shot of him working at a medical tent in the Vietnam War.
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This is meant as a comment on the importance of off-service rotations in residency than it is a jab at inpatient. IM *should* have caps bc the breadth is different. But it’s also helpful for budding hospitalists to see the crazy we juggle too.We all have to understand each other.
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Started my
@toxikonchicago
rotation today and am very excited. One of the reasons is that I can finally fulfill my
@DGlaucomflecken
destiny and bike to work for the month.
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Not me ridiculously replying to every EM match post I see today 👀👏👏👏👏Congrats to all the new
#EMBound
friends today!
#match2023
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First day off and home since wedding day, which more realistically means my first day home without any to-do lists in ~3 weeks. I celebrated by sleeping for 14 hours.
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Today I am thankful for the OB attending who let me catch the only baby on the board and then, recognizing that we had no laborers and two off-service interns + her OB intern and OB senior, told us rotators to go home (very) early to enjoy the holiday. A Thanksgiving miracle! 🦃
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@GamerEMDoc
You say that but ~3 of my invites came at midnight PST in 2019, and one on a Sunday
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@medburnbook
This annoys me for many reasons, but one aspect is that it often meant I had to commute a long distance for nothing.
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Finally, true to my specialty, I appreciate any day that I get the chance to bike to work.
#WindyCityEM
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@mahad_minhas
A preceptor in the ED only asked Black patients extended questions about drug use, listing many possible drugs. If a white person said “no” to drug use he moved on.
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@SaltyEMNY
Had a coworker ask if we were fighting yet my first day back after my wedding. Like ?!? Same coworker has also stayed late saying “this way I don’t go home and fight with [spouse]”. Like, are you ok?
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Coming off of three weeks of brutal scheduling bad luck and taking step 3. I’m just so excited to be able to eat dinner, exercise, and sleep again. It’s the little things
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