Dr Imogen Patterson

Urological surgeon | Mother to a superfun kid | Shoes, champagne, shopping, flying | Opinions my own

[Dr Imogen Patterson @dr_imogen]

I will never tire of this view!

[Dr Imogen Patterson @dr_imogen]

@MCCCANM Could it be that you are a chef whose side hustle is aviation and not the other way around?

[Dr Imogen Patterson @dr_imogen]

@taipan168 @MarekBage You know that Qantas owns Tripadeal.

[Dr Imogen Patterson @dr_imogen]

@charlesdavis75 I'm so glad you remember her too.

[Dr Imogen Patterson @dr_imogen]

@Keg767 @taipan168 @ThomasThorbur11 That'd be because NSWHealth pays everyone woefully.

Salaries much better in QLD.

[Reid Wiseman @astro_reid]

Only one chance in this lifetime…

Like watching sunset at the beach from the most foreign seat in the cosmos, I couldn’t resist a cell phone video of Earthset. You can hear the shutter on the Nikon as @Astro_Christina is hammering away on 3-shot brackets and capturing those exceptional Earthset photos through the 400mm lens. @AstroVicGlover was in window 3 watching with @Astro_Jeremy next to him.

I could barely see the Moon through the docking hatch window but the iPhone was the perfect size to catch the view…this is uncropped, uncut with 8x zoom which is quite comparable to the view of the human eye. Enjoy.

[Kevin Pho, M.D. @kevinmd]

Female doctors get their patients better outcomes. Female doctors do not outlive their male colleagues. The trade is not an accident.

Dr. Noemi Adame, board-certified pediatrician and founder of Culver Pediatric Center, sat with this on The Podcast by KevinMD.

The data she walks through:

Female physicians demonstrate better patient outcomes across multiple fields of medicine.

Portal data shows patients and staff make 25% more requests of female primary care doctors than male. Same panel. Same hours on the schedule. 25% more inbox work. Unpaid. Unrewarded.

A JAMA article found that while women generally outlive men, female physicians do not get that longevity benefit. The added stress of being a female doctor may be why.

When Adame was a hospitalist, she noticed staff and patients interacted differently with her than with her male colleagues. When she was in corporate medicine clinic, she was the last one out the door, often by hours. She blamed herself. She asked her employer for a time flow study, certain it would prove she was inefficient. The EHR super-user who shadowed her found the opposite. She was faster than average. Her notes were so thorough a scribe would have been a downgrade. The system was the variable.

Her playbook for holding a boundary in medicine, worth bookmarking:

Ask if the request is fair to both parties or only to one.
Replace "I'm sorry" with "Thank you for waiting."
Do not bend a rule once, because the negotiation never ends.
Tell the patient exactly what you are giving up so the trade is visible.

The structural problem she names is sharper than the burnout conversation usually allows. Female physicians are not burning out because they cannot keep up. They are burning out because the system asks them to do more for the same pay and rewards them with shorter lives.

Listen to the full conversation on The Podcast by KevinMD. Link in the replies.

For female physicians: at what point in your career did you realize the workload was unequal, not your time management?

#ThePodcastbyKevinMD #PhysicianBurnout

[NASA Artemis @NASAArtemis]

"Planet Earth: You. Are. A. Crew."

Artemis II mission specialist Christina Koch reflects on what it means to be a "crew."

[Dr Imogen Patterson @dr_imogen]

@CanesDavid PSA kinetics.

One of my labs in one state draws a beautiful graph of historic PSAs, but doesn't in another state.

[NASA Artemis @NASAArtemis]

"We will always choose each other."

Mission control has reacquired signal with the Artemis II crew after the mission’s planned loss of signal. Our astronauts are once again using the Deep Space Network to keep conversation and science data flowing between space and Earth.

[Physics & Astronomy Zone @zone_astronomy]

The highest quality video of the moon was just released… this is so beautiful.

[Dr Imogen Patterson @dr_imogen]

@taipan168 To be fair, I've been grilled at Norfolk Island on an out-and-back when accompanying the pilot husband on his work trip!

[Dr Imogen Patterson @dr_imogen]

@charlesdavis75 @MediocreJoker85 I LOVE a good dad joke!

[Dr Imogen Patterson @dr_imogen]

@mrnextmusic @EM_RESUS Well pretty much every animal in Australia is trying to kill you. But thankfully, they don't form a Govt.

But yeah, I can definitely say what I want online about my Govt without the fear of being arrested or shot.

Also we have free healthcare. Just in case of the animals!

[Dr Imogen Patterson @dr_imogen]

@EM_RESUS I've honestly treated more injuries from kangaroos and sharks than guns.

[Dr Imogen Patterson @dr_imogen]

@LachlanB_ Get better soon!

[Dr Imogen Patterson @dr_imogen]

@DrAndrewLoblaw @urogeek Then the MDT has failed.

I don't think Biden would have been offered a RARP in my hospital MDT setting. But a different octogenarian with less morbidity, yes.

[Dr Imogen Patterson @dr_imogen]

@MCCCANM Can I dm you to ask a few questions please?

[Dr Imogen Patterson @dr_imogen]

@tuShoh0ee @Video_Forensics A Robinson R22

[Dr Imogen Patterson @dr_imogen]

@taipan168 Bingo!

I love a laundry adventure!

And in some countries there are services that will pick up and deliver from your hotel - loved that in Istanbul!

[Dr Imogen Patterson @dr_imogen]

@taipan168 @sendboots Eat at Alma. The tomato cocktail is amazing!