🧠 New study
In 72,042 propensity score–matched adults ≥50 with MASLD, nonobese MASLD was associated with a modestly higher risk of the incident composite cognitive outcome vs obese MASLD (2.9% vs 2.6%; HR 1.13), primarily driven by MCI (HR 1.22).
https://t.co/JFuQNVq4VU
Her INR was 4 and I was the intern tasked to place a femoral central line for pressers and antibiotics in this septic patient in the emergency department.
A mistake I made during this one procedure would become a pivotal life learning moment for me.
The procedure started out well… all the way up until I removed the guidewire, at which point I unintentionally withdrew everything, including the now dilated central line.
Holding everything in my hand, my upper level who was supervising me at the time said, “ well you’ll never do that again.” She then put on her gloves and completed the procedure on the opposite side after instructing me to hold pressure.
I was mortified.
I went home, but couldn’t sleep. I made this one mistake mean that I wasn’t a good resident, and I was doomed to become a bad anesthesiologist. I was an impostor who had finally been caught. I’d later learn this is called generalizing where we take a single mistake/incident and catastrophize that mistake to mean something about who we are as a person.
I share this because I didn’t have a good perspective at the time. Did I learn from it? Yes. Was it necessary do destroy myself while I did? No.
I share this because there’s a physician (in training or after) who right now needs to hear that they are greater than any single failure you’ve had. No single moment defines you or your worth. Or your value as a physician.
Remember that failure isn’t in the way of success. It is THE way to success.
Don’t let these moments to define you. Keep your head up. You are doing just fine.
#MedTwitter #MedX #meded
When I was an intern I botched a central line on a septic patient with an INR > 4
As the large hematoma started to form my upper level - while putting on a gown - said,
“Well, you’ll never do THAT again.”
That’s when the self-judgement started to eat me alive…
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Believe in Allah's plan for your life and have faith in His wisdom. Trust that everything happens for a reason and have the determination to make the best of every situation.