Tissue Planes

Progress notes from the adventures of a General Surgery #PGY1. AKA: Venting PRN. #surgtwitter #ilooklikeasurgeon #internyear #surgeryintern #internprogressnotes

[Relatable Resident @relatableafmd]

Residency is a gameshow where there are 100 ways to win but you’re judged by whichever one you’re the worst at

[Tissue Planes @TissuePlanes]

Hey I don't have to "round down*" to be under 80 this week! 🏆 #medtwitter #surgtwitter #pgy1 #internyear #surgery

*By 25.8 hours like I did last week.

[Tissue Planes @TissuePlanes]

Getting real tired of people taking one look at me and assuming I'm post-call. TIRED IS MY NEW NORMAL, THIS IS ME NOW OKAY. #ILookLikeASurgeon #jkilooklikeanintern #medtwitter #surgtwitter

[Tissue Planes @TissuePlanes]

@tachymedstudent I don't have a cool sciencey reason, but seeing happy healthy small bowel makes me so happy. When it's unhappy I get so so sad. :/ A visceral connection, I guess. 🤷

[ScratchpadMD @scratchpadMD]

Surgery patient rounds:

27 people walk in.
“Patient is pooping, peeing, ambulating, eating, incisions are clean and dry, and pain is under control.”
“Sir, you are going home today.”
27 people walk out.

[Tissue Planes @TissuePlanes]

I love what I'm doing and I am trying my best. I don't know what else I have left to give.

[Tissue Planes @TissuePlanes]

Just saw an anon eval, idk from which rotation, that basically I was an average intern. Intellectually I know I should be fine with that but tbh I'm absolutely gutted right now. I'm trying so hard, guys, every day. I am so so tired. #medtwitter

[J. Aaron Barnes @jaaronb_md]

3yo: *pretending to operate on doll* "Alright I have to open up your belly, sorry baby!"

Me: "Come eat dinner"

3yo: "I can't, I am operating"

Me: "Well you don't want to get hungry while you are operating"

3yo: "It's fine, I will just keep operating"

Me: "Good answer" 😂

[Patricia Martinez Quiñones, MD PhD @PMartinezMD]

@margaretsaira @minervies @LatinoSurgery @WomenSurgeons @AmCollSurgeons Why #ILoveSurgery:

🔸 Offer definitive treatment to patients
🔹 Surgery is a lifelong journey: for learning, teaching, researching
🔸 Even on the worst of days I don’t see myself doing anything else

What about you @RASACS @WomenSurgeons @LatinoSurgery?

[ScratchpadMD @scratchpadMD]

When there’s food at the nurses station, but you have to wait for the coast to clear before sneaking a piece.

[Disgruntled Doctor @disgruntled_med]

On ward round.

Consultant: “Back in my day, the med students arrived early and clerked every patient before the ward round.”

Me: “...”

Fearless reg: “Ok boomer”

[Doc Around the Clock @DocAroundThClok]

[1st day in eye clinic]

me: the patient says he’s seeing floaters

ophthalmologist: what did you tell him?

me: that it’s probably from a high fat diet

ophtho: what?

me: or a malabsorption problem

ophtho: umm...not that type of floa-

me: oh, and it’s best if he flushes twice

[Millennial MD @Millennial__MD]

"Surgeons have a God complex!"

Surgeon: Hey there, I am going to take out your gallbladder

Anesthesiologist: Hey there, I am going to seize control over every physiologic process necessary for your continued existence

[Dr. Shadowgazer @DShadowgazer]

Me: this x ray is normal

My anxiety: right but we are at least gonna think about it forever, right? Just to be sure 😅

My imposter syndrome: I agree with anxiety. Plus, are you sure that’s even an x-ray you’re looking at?

My insomnia: don’t worry we have all night

[Jamie Coleman, MD FACS @JJcolemanMD]

She woke up one morning and asked the Mirror, “What does a surgeon look like?”.

But the Mirror did not answer.

She looked to the World and asked, “What does a surgeon look like?”.

And the World did answer.

[Barak Raguan @BarakRaguan]

@surgicalminion Where I work, the morning staff meeting is considered the cornerstone of resident education. And I've often mentioned it's the worst possible time to teach me anything, when I'm at the end of a 26 hour shift.

[GomerBlog @GomerBlog]

Cannot find the ICD10 code for admission diagnosis: "We just don't feel comfortable sending them home, moderate severity."

#FOAMed #meded

[Relatable Resident @relatableafmd]

Today was a good day. I wrote no notes, got into the OR/got to cut and sew, completely the Sisyphean task of pushing a rock uphill to discharge, laughed hard with my team, and ended the day doing some teaching to med students on one of my favorite topics. Best job in the world.