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Gavin Preston, M.D. Jul 17
1. Be humble. (Ask all the time). 2. Be honest. (If you lie to anyone, there's no surer way to harm patients). 3. Be compassionate. (No one cares how much you know, until they know how much you care). 4. Maintain your sports and exercise. 5. Keep up friendships.
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doc with attitude | los angeles Jul 13
disimpacting 2 weeks of stale shit from a patients asshole? nebulize some coffee. you’re welcome.
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Michelle Kittleson MD PhD Jul 15
Share your go-to explanations for pts- phrases that make it all clear! 2 of mine: "Vitamins just make expensive urine." Explaining confounders: "Having gray hair increases your risk of heart disease, but coloring it doesn't reduce the risk."
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Michelle Kittleson MD PhD Jul 13
Don’t expect a patient to volunteer everything. Ask: What have you tried to fix the problem? What testing have you already? The feeling when you make the diagnosis from the H&P and save the pt from useless repetitive tests: priceless.
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Lizzie Romer 6h
For any new FY1s starting in August, check out the FY1 Buddy Network
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Gareth Wynn #NoReformat Jul 18
The adjective pertaining to "pus" is purulent.
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Julian Botta 6h
Replying to @reverendofdoubt
Another bit of advice: people rarely remember to point out what you did well, so do it for yourself. Every shift, pick at least 1 thing to be quietly proud of, no matter how the shift went.
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Pete Jul 17
Found this. Name a chapter that didn’t make it into the final text but should have.
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Bryan Boling Jul 16
Just brought this up in another thread and it bears repeating under , don’t yell at an RN for a “dumb” page bc the next time, they won’t page (fear) and just DO the “dumb” thing instead. Take a minute to teach them.
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Zackary Berger, MD, PhD Jul 18
What was the one thing someone said that made the greatest impression on you in residency? Mine was: "Taking care of patients is easy." I found this -- and still find it -- obscenely false and callous.
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Mo Imam Jul 16
1. Patients come first; if it’s a family member, will you do the same, if yes- do it! 2. Share everything with your patients; believe it or not, it works. If they have realistic expectations, they do better. We have published our results! 3. Enjoy it!
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UF Urology Jul 21
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Michelle Kittleson MD PhD Jul 21
A couple in their 70s told me they’d been married 5y. I was curious, asked how they met —> 2 widows + a matchmaking coffee shop waitress. Not every question in the history has to lead to a diagnosis- the details that make a pt a person: gold.
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Gavin Preston, M.D. Jul 20
You are now a member of an ancient and honorable profession. You will never be a "provider"-- That was a term promoted by greed-driven insurance corps. to harm your relationship with your patients. Accept no denigration of yourself or your chosen profession.
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Alexander Light 文奇 7h
how to feel about my last week of freedom? Other than scared
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LJ Carter Jul 19
Little ones who are vomiting. Think to exclude tonsillitis, UTI, otitis media. And think their blood sugar might have got pretty low too, so do a BM.
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Dorian L. Beasley MD, FACC 5h
Acute rest chest discomfort with no prodrome is either a NSTEMI, STEMI, or non-ischemic. This should not be conflated with & used interchangeably with UA. The first two are excluded in the ED with an ECG & labs. The last one is evaluated with a good H&P.
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efunkem Jul 13
Free tip: aortas are like spinal cords. If you’re worried about it, image the length of the ENTIRE thing.
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Simon Ashworth Jul 21
When someone might have sepsis go and get the antibiotics and give them yourself… When you give the right antibiotics before people are in shock they go home alive… delay and maybe half of them die.
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Jocelyn J. Fitzgerald, MD Jul 20
Replying to @jfitzgeraldMD
if you prevent sun damage by spending your twenties indoors you’ll be rewarded with getting to defend the fact that you’re old enough to operate on someone 💁🏼‍♀️
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