One thing I wish I had done throughout med school/residency is keep a running list of all the awesome things I’ve done: difficult diagnoses I’ve made, patients I’ve helped, kudos from attendings, etc.
Because my dumbass brain only wants to remember all the times I’ve fucked up
Doctor! There’s an emergency!
And immediately your brain has to switch from sleep mode to permutations. You immediately feel the adrenaline rush. Your heart beats faster, your palms sweaty. In that brief journey to the emergency room you’ve made a million calculations and
He is 68 (I know), and she is 62 (looks like). They came together mostly. Once or twice, he mentioned that she had gone to her hometown. He once said, “we are free of kid worries”. I assumed that they had no kids. (1/n)
An elderly father broke down after I told him his son has high risk AML. The problem isn't the high risk AML, the problem is the 💰💰, rather the lack of it. He doesn't have time to wait for the government support to arrive 😭😭
I don't wanna do this each day 😭
#MedTwitter
Internists like to own an expensive stethoscope even if they rarely use it --> its usually a gift, a family heirloom or even a personal memento.
What would be an equivalent item for people from other fields/subspecialties of medicine?
Eg. Pulse ox for chest med/pulm docs?
"Let your plans be as dark as the storm clouds. But when you move, strike like a lightning bolt."
--- Sun Tzu, Military Tactician & Political Strategist
Keeping things simple and not forgetting your basics gives you >99% of the diagnosis 👍🏻
A tip for new #resident doctors, don't complicate things and always remember, "rare manifestations of common diseases are commoner than common manifestations of rare diseases" !!
#MedTwitter
There are four degrees of intra-operative haemorrhage: 1. "Why did I get involved in this operation?" 2. "Why did I become a surgeon?" 3. "Why did I study to become a doctor?" 4. "Why was I born?".
Alexander A. Artemiev
Since I’ve been asked a lot:
Buy stock in several companies that make products & services that *you* believe in.
Only sell if you think their products & services are trending worse. Don’t panic when the market does.
This will serve you well in the long-term.
Vitiligo is an autoimmune condition which results in the loss of melanocytes
Associated conditions
type 1 diabetes
Addison's disease
autoimmune thyroid disorders
pernicious anaemia
alopecia areata
Management
topical corticosteroids
topical tacrolimus and
phototherapy