Don’t just ask whether you’re proud of what you’ve achieved.
Ask whether you’re proud of how you’ve achieved it.
The ends don't justify the means. The means are the measure of your character. You reveal your values in the way you pursue your goals.
#WednesdayWisdom
This person is EM boarded.
Yes, tell me when you are talking to a patient about nutrition in EM. Is it during a code? Before or after intubating the patient? While the patient strokes?? While you're placing a chest tube in??? As they are being rushed in for a GSW???????
Some doctors publish level 3-4 evidence, and the other doctors in their specialty celebrate it.
Radiation oncologists publish level 1-2 evidence, and other radiation oncologists criticize it.
Young people are entering a world with almost no aura left anywhere
There used to be aura everywhere: the New York Times, Harvard University, the Catholic Church, the Hollywood studio lot, Goldman Sachs, billionaires, the Pentagon, the United States Senate, the Peace Corps, the British Royal family, the trading floor. Places where you were a "made man" if you were on the inside and even on the outside made you feel a little special just to be in proximity to...
And even ignoring these big institutions, aura didn't need Latin mottos and mahogany desks and cufflinks, you could build aura by doing very normal things like being a teacher or accountant or a restaurant owner and living respectably in your neighborhood for 50 years and raising a family. You could have a local mythology. "She taught half this town how to read."
Now everybody's seen too much, nobody admires anyone anything, everything is "cringe," and the only way to have aura is to be hot on Instagram or become an astronaut
I feel bad for the youth
My mom passed away from lung cancer one month ago.
Balancing being a caregiver, family member and oncologist was the hardest thing I’ve ever done.
I wanted to share some reflections on the experience. Thank you ASCO for giving me a platform to do so.
https://t.co/9We5ssnQeB
The smarter women are, the more hostility they face.
In the U.S. & China, the higher women’s IQs, the less they're liked—and the more they’re undermined by coworkers. Men pay no price for being bright.
It's long past time to recognize female intellect as an asset, not a threat.
@justinskycak Yes, when it’s organic. Unfortunately, the test/competitions appear to be rife with cheating (eg, AMC 10, AMC 12), based on what I read. Lots of unscrupulous mathmaxxers out there.
@TheFl62165@NickAdamsinUSA 💯 This is my take, too. I cannot believe people are so gullible. She’s parroting exactly what we want to hear, while laughing all the way to the bank. People really need to start using their brains.
Imagine if every passenger on an airplane had a direct line to the pilot.
That’s what medicine has become.
We have embraced frictionless communication and that not a good thing.
With things like Epic Chat, every member of the healthcare team has immediate access to the physician.
Now there’s a constant stream of minor questions. It’s discouraged people from thinking critically. “Just ask the doctor,” has replaced any sort of clinical reasoning.
When I was a resident, we had an answering service. Anyone who wanted to reach the doctor needed to go through a third party. This provided triage and accountability. If we were getting called in the middle of the night for stool softener orders, there was a record of that.
A little friction in communication is a good thing.
Your calendar was full at 21 and empty at 26 for a reason MIT discovered in 1950.
Researchers studied a housing complex called Westgate and found friendship was predicted by one variable above everything else: physical distance between front doors. Students living near stairwells and mailboxes made the most friends. Shared interests, values, personality? All downstream of foot traffic. They named it the propinquity effect.
Researcher Rebecca Adams later distilled friendship formation into three conditions: proximity, repeated unplanned interactions, and settings where people let their guard down. A college campus delivers all three automatically, dozens of hours a week of engineered collisions. Adult life delivers zero by default.
That's the entire mechanism behind days blending together. Your brain registers novelty from unplanned human contact. Remove the collisions and time loses its texture.
The fix is repetition. One dinner party changes nothing. The same gym class, same coffee shop, same pickup game at the same time every week rebuilds the structure school gave you for free. Friendship grows from accumulated accidental contact, so frequency wins.
College handed you a collision machine. Adults who stay social just rebuilt one.
Y-90 utilization increased more than four-fold over the past decade despite no observed improvement in overall survival, highlighting potential overuse and the need for evidence-based patient selection @JCOOA_ASCO
https://t.co/kjnfjbdFED
People wonder why doctors are burning out and nobody can find a primary care doctor.
Look at the sentiment below. The public thinks we are just being spoiled brats.
Yet your typical primary care doctor enters the workforce in their mid 30s and has a net worth of negative $200,000. Then they find that they get paid as much as a manager at Bucc-Ees for a job that’s more data entry than patient care.
And people still sneer at us with those replies.
The demographic cliff is here.
Syracuse offered students significant discounts to attend but still ended up under-enrolled.
The university has already offered buyouts to 175 professors and closed 93 majors.
And the pop. of 18-year-olds “will decline for the next 15 years.”