IDCritMD

ID/CCM. 🇯🇲 ➡️ 🇨🇦 ➡️🩺🇩🇲➡️🇺🇸. Sun-kissed, sea dipped. Tweets 🟰opinions. #medtwitter #BlackMedTwitter #IDtwitter #WomenInMedicine #MinoritiesInMedicine

[IDCritMD @IDCritMD]

To the @blackishabc writer @MarqRobinson: thank you.
We aren’t heroes. We are the last line of defense, the last face many pts see, the last voice they hear.
We are tired. We are scared. We are exhausted.
#WearAMask over your nose AND mouth
#WashYourHands
#PhysicalDistancing

[IDCritMD @IDCritMD]

@JamesWilsonDO1 YES! This! 💯! I say if you’re playing double dutch w/ the idea of intubation (or whatever procedure or test it may be), just make the call & do it. I hate to call it a “gut feeling” (but sometimes art comes from the gut 😆). Gestalt might have been the word I needed all along.

[IDCritMD @IDCritMD]

@JamesWilsonDO1 @flatley_bill @IM_Crit_ @MBrigmon @raj_karnatak And that’s the important thing: we did the necessary calculations & did what was right for us & ours. That’s all we can do IMO.

[IDCritMD @IDCritMD]

@JamesWilsonDO1 @flatley_bill @IM_Crit_ @MBrigmon @raj_karnatak Yup! Chose 2 y because of ALL you mentioned: burnout, board prep, QOL. I figured the slower 2 y were gonna be good for me. Thankfully I had to foresight to think about these things. AND 2 y would allow me to work in Canada if/when the time comes.

[IDCritMD @IDCritMD]

@JamesWilsonDO1 @flatley_bill @IM_Crit_ @MBrigmon @raj_karnatak In order to be eligible to work in 🇨🇦 in CCM (which I wanted the option to do) I needed the 2 years.

[IDCritMD @IDCritMD]

@JamesWilsonDO1 @flatley_bill @IM_Crit_ @MBrigmon @raj_karnatak The table is correct:
Going into CCM (no Pulm or other IM related sub speciality) straight out of IM residency = 2 yr CCM training.
Going into CCM w/ another IM sub speciality your belt = 1 yr CCM training.
I did IM->ID->CCM (given the option of 1 vs 2 yrs & I chose 2)

[IDCritMD @IDCritMD]

@JamesWilsonDO1 @WakeForestCCM @RushPulmCC The other question I ask: If I feel I’ve corrected other factors as best as possible, is the #norepinephrine driving the tachyarrhythmia? If I suspect yes, then switch to #phenylephrine.

[IDCritMD @IDCritMD]

@JamesWilsonDO1 @WakeForestCCM @RushPulmCC Not sure there is any good lit. I look at it case by case. What is the physiology behind the RVR/tachyarrhythmia? Have we corrected what can be corrected (most often my first thought: is the “tank” full)? Usually I stick with #norepi

[IDCritMD @IDCritMD]

To my #IDTwitter fam - anyone know any highly recommended BC/BE ID docs on the job hunt?

[IDCritMD @IDCritMD]

@AlexLawandi @JamesWilsonDO1 @divya_kondapi @DrAndreKalil @KellyCawcuttMD @raj_karnatak @MBrigmon @ParagIDCC @IDDoc1978 @freeradhikal @TaisonBell I was able to do this as a J1 applicant. I’m by no means an expert, but I found a place that needed both, gave them my terms up front & got the breakdown I wanted. I believe the Big Man upstairs was looking out for me, but I still had to present myself as the asset & my terms.

[IDCritMD @IDCritMD]

@freeradhikal @JamesWilsonDO1 @AlexLawandi @divya_kondapi @DrAndreKalil @KellyCawcuttMD @raj_karnatak @MBrigmon @ParagIDCC @IDDoc1978 @TaisonBell @freeradhikal I was also a J1 fellow. Almost 3 years out of fellowship…I don’t think that is that far out. Feel free to DM me. Same goes for you @JamesWilsonDO1 feel free to DM. We’ll chat.

[IDCritMD @IDCritMD]

@JamesWilsonDO1 @divya_kondapi @AlexLawandi @DrAndreKalil @KellyCawcuttMD @raj_karnatak @MBrigmon @ParagIDCC @IDDoc1978 @freeradhikal @TaisonBell @JamesWilsonDO1 I do both. 0.7 CCM/0.3 ID. Attending land. Ask for what you want when job hunting.

[IDCritMD @IDCritMD]

@sonjashining This is a thing?!! Where??? I agree with you both… this is a lack of understanding the tools one is working with.

[IDCritMD @IDCritMD]

@DrHarryDOesHep @PaulNWilliamz It’s bonkers. I’ve been debating if I should pay it. If there is anyway around it? The pros and cons?

[IDCritMD @IDCritMD]

@DrHarryDOesHep @PaulNWilliamz Yes!! This is how I feel as well!!

[IDCritMD @IDCritMD]

@PaulNWilliamz I got this same email yesterday and I am debating paying. Where is the money going ABIM??

[IDCritMD @IDCritMD]

@sonjashining Not an uncommon feeling but please don’t quit.

[IDCritMD @IDCritMD]

@sonjashining It’s so disgusting. There are NO words.

[IDCritMD @IDCritMD]

Putting on compression socks should not be a whole ass #HIIT workout.

[IDCritMD @IDCritMD]

@AgnesSolberg 😂

[IDCritMD @IDCritMD]

@PhysicianDoodle Con-Freaking-Grats!!!!!