Kathleen Ackert, DO
@AckertKathleen
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MIGS fellow @mountsinainyc , s/p OB/GYN residency @mystlukes , alumna of @pcomeducation & @sienacollege . Amateur narrative medicine writer. Tweets mine.
Manhattan, NY
Joined April 2019
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Did a C-section last night and I usually ask anesthesia to drop the drapes so I can show mom the baby while we are doing delayed cord clamping. The mom screamed, “THIS IS THE BEST DAY OF MY LIFE”. And that’s why I love my job
#obgyn
#residentphysician
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I mailed a picture of me delivering twins to the OBGYN who delivered me 26 years ago and said hey, a baby you delivered is now delivering babies! He googled me, called my residency program coordinator, and then we talked on the phone as colleagues for almost 40 min.
#obgyntwitter
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Delivered my 400th baby of residency yesterday! Two years ago when I was a med student, I delivered a baby here hands over hands w/the attending. Last night, I delivered this peanut with a student, hands over hands. What a wild and wonderful ride it has been.
#obgynresidentlife
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Oh, and apparently he’s on Twitter too! Welcome to the chat,
@jdhermanmd
Recognize anyone in this picture? It was circa 1994 in Queens, NY. A future OBGYN is born!
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One time my attending couldn’t find the cesarean section scar that I had done the incision closure for and I’d never been more honored in my life. Love, your friendly OBGYN resident who likes pretending she’s a plastic surgeon sometimes
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Casually broke in our new scrub tech with an unplanned c-hyst. Obstetrics is crazy town sometimes. People go from being low risk and routine to all of a sudden emergent. It truly makes me wonder why people would ever want to have a baby at home
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Most days I love being an OBGYN because surgery + babies, but when you're out to lunch and the waitress asks you if you're new to the area and my mom goes "YES SHE'S A NEW GYNECOLOGIST CALL HER IF YOU NEED A PAP SMEAR" it's a wee bit mortifying 🤪😬
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Residency is one of the most physically and mentally taxing things I’ve ever done. Here is a phenomenal narrative medicine perspective by one of my very own attendings
@journeycancer
about protecting our own. Thank you for sharing your story, Drs. Boulay
@NEJM
#narrativemedicine
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Finished logging my cases from this week and I've officially delivered 52 babies vaginally and 9 as the primary surgeon via cesarean delivery since starting residency a month and a half ago. No wonder I'm so tired! Only a lifetime to go :)
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@MrsPA_C
Awwww 🥰. He told me he sent the picture in his family group chat and also hung it up in his office!
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ER: "are you OB/GYN? Come quick, someone is about to deliver in the trauma bay...she's crowning!!!!"
Me: She's 4 cm
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What would you call the opposite of an M&M? Like, a meeting where there was a tough clinical situation but outcome was good and we talked about thought process/steps to get there and highlighted successes and good outcomes? S&S? Steps & Success?
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Cannot believe we are still denying women tubals based on age and parity. I love performing laparoscopic salpingectomies! If you're over the age of 21, want to be sterilized or
#childfree
, and have been appropriately counseled, happy to be your surgeon
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Want to know why residents are fatigued? It’s not because of the patient care. It’s because of the constant interruption. I got 762 notifications on tiger connect on my night shift last night. How am I supposed to focus if I keep getting non-urgent questions?
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If you had followed
@AshleyGWinter
on Twitter for maybe even a month this year, you would have gotten at least question right on the OBGYN inservice exam this week. at least, that’s what I’ll tell my PD I did for studying this year
#obgynresidentlife
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I tried to draw a pic of a Heaney stitch in the OR for our med student today but then accidentally drew multiple penises. Turning into
@AshleyGWinter
and that’s just fine with me 😎
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Passed my COMLEX Level 3! So excited to never take a general medicine board exam again. Buh-bye random cardiology facts, helllllo gynecologic surgery ✨🥳
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I showed my 4 y/o cousin a photo where I was wearing this scrub cap. Her response: “I like your strawberry hat!”
Me: 😂 thank you, me too.
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Let me tell you how great my residency program is. Last night when I couldn’t get my shoe covers on time and got completely soaked in blood during a delivery one of our incredible housekeepers pulled me aside and helped me scrub everything off my shoes and socks. Love this place.
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@ClementLeeMD
If you enjoyed watching this video, OBGYN might be the specialty for you. We have this, and more!
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Like and subscribe to my soapbox on why OBGYN is the best specialty
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I love being single and not having to worry about anything but me in this crazy time we call residency, but if the person behind
@SAGES_Updates
Twitter account happens to be a young gentleman in his late 20s/early 30s I could be swayed. Best account on
#MedTwitter
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I’m attempting to convince my mom to get me a uterus shaped piñata for my ~socially distant~ graduation party. It is not going well.
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My medical school graduation is officially canceled, and I am beyond heartbroken. I have worked so hard for the last four years to be able to walk across the stage. My dad, an anesthesiologist, was going to hood me to welcome me into the profession.
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My program director just added me on Facebook and when I accepted it the first thing I saw was pics of her and her kids supporting
#BLM
by peacefully protesting together and I am so grateful to have such awesome leadership 😍
#OBGYNMatch
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I have some exciting news to share! I matched into my top choice for MIGS fellowship and will be heading to NY to train with
@SKhalilMD
at
@MountSinaiNYC
for the next 2 years! I am so excited to live in the Big 🍎 and further my complex GYN surgical skills as a fellow!
#migsmatch
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Can I just say, I love operating so much. Did some fun laparoscopic cases this week!! Future OBGYN residents— go to a residency where you get to operate as an intern. Initially terrifying but you won’t regret it.
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Vaginal estrogen eluting pessaries. Why are these not a thing? Would be so convenient if I could fit someone for a ring or cube and have it slowly elute vaginal estrogen. Someone educate me!
#urogyntwitter
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Thinking about the time I took a group trip for young adults to Ireland as a PGY2 on my vacation week and the tour guide remarked how impressed he was that anytime we sat down on the bus I instantly fell asleep.
#residentlife
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@cubsfanwhit
I WOULD LOVE THIS. - the intern who just did her first c section and SVD this week
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Sometimes after my 6th delivery and 4th admission of the night I think to myself, why did I pick OBGYN? But then other days when a patient’s entire family is waiting outside for you to hold the baby up to the window like the lion king bc they can’t come in I’m like...worth it.
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Sept 2018, M3. First delivery I closed my eyes and looked away when the baby came out because I was so horrified. March 2022, PGY2. I delivered my 500th baby. I still feel like I have so much to learn! “The harder you work, the luckier you get”
#obgyntwitter
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@RichLesperance
@rjheusner
You need 200 vaginal deliveries, 145 cesarean, 85 hysterectomies of which 15 must be vaginal, lap, and open respectively. 40 hysteroscopy, 60 laparoscopy, 20 abortions, 25 pelvic floor…and so on. I easily have double everything except my hysts and I’m a new PGY3
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Saw an excellent thread from some cool
#gynfluencers
on tips for tx acute-on-chronic pelvic pain in the ED. Often these patients end up with narcs, and since the 🧵 , I’ve done toradol, flexeril, gabapentin with fabulous success! Thank you to
@jfitzgeraldMD
for starting the convo
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@melina_manolas
This is both hilariously cute and also terrifying. Sidenote: how do you bill for an x-ray of a Teletubby?
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Hey Gary, I graduated with honors from college, was named Most Promising Medical Student in Philly, published research, passed all my boards, named president of my chapter of GHHS, honored w/ Soul of Medicine award, and named top med student on graduation.
#ProudDO
@AOAforDOs
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Match day is cancelled. Match day bowling cancelled. Creativity in Med conf cancelled. ACOOG cancelled. CrossFit MDL1 is cancelled. Thailand trip will likely be cancelled. I know we have bigger problems with
#COVID19
, I'm so sad about how my Med school journey will end.
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Peace and quiet sounds nice, but have you tried absolute chaos? I both delivered my 800th baby this week and as well as finished my last month as OB Chief. It’s been a ride spending the last four years learning and serving on L&D. Now onto MIGS fellowship!
#residentlife
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I went to the derm today and the resident I saw had an MA that went over my ROS, typed his note, and placed orders for him. He actually spent the full visit looking at my moles. How do we get this model in OBGYN!? Sincerely, a doc who w spends too much time charting
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@shazm0
In my experience more doctors, I had never heard of midwives until I went to med school, but I also grew up in NY where I think they’re less common! I’ve never worked with them but some of my friends at other programs do. They’re CNMs here— kind of like nurse practitioner for OB
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Here's another reason OBGYN is the best: In one night, I got to take care of patients in our L&D triage (a mini ER), went to the OR for a CS (aka a laparotomy w/ a prize at the end), delivered 4 babies, and counseled my clinic patients over the phone when their labs resulted.
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My last 24 hour shift of residency was at the end of May. It’s amazing to see the physical manifestation of the stress of long shifts slowly melt away. My skin is clearer. My face is slimmer. I’ve had time to sleep a proper amount and worked out almost every day in the last month
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Fifteen weeks into residency and today I delivered my 100th baby! I can still remember how I felt on my first day, so utterly overwhelmed with the labor floor and feeling like I wasn’t cut out for OB.
1/
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It’s so sunny and beautiful out which is such a juxtaposition to how I feel after one of the worst calls of my residency. Obstetrics is wonderful and beautiful but also some of the most hardcore sh*t I’ve ever seen
#residentlife
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Last night a bunch of my co rezzies, attendings, and I had a party where we had 🍷&🧀, and collectively did the
@nytimes
crossword puzzle on the TV together and I have never had so much good-natured and nerdy fun in my life
#obgynlife
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I survived a whole month of holding the trauma pager. Yes, me. The OBGYN intern. One time we had a pregnant patient in the trauma bay and I’ve never seen a group of people look so relieved I was there. The rest of the time I was moderately useful at best
#residencylife
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I pair my backup resident home call with blood donations because I can’t have my usual weekend glass of Prosecco for either one. Multitasking at its finest. Also, get out and donate blood! Love, an OBGYN who ordered several transfusions this week. PPH galore 😷
#DonateLife
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Officially submitted my application to
@FMIGS1
this weekend! I am so excited to (hopefully 🤞🏼) join the ranks of complex benign GYN surgeons that I have been fangirling over for the last 2.5 years.
#gynsurgery
#migslife
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Officially signed up as a junior fellow of
@acog
and was surprised with my very first copy of the
@greenjrnl
in my mailbox this week! I’m so excited to start my residency and become part of the OBGYN family 💚
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I think surgeons and anesthesiologists can all agree on one thing- we need a foot pedal controlled OR table movement button
#moretrendelenbergplease
#tableup
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One of my interns recently gave me one of the best compliments I’ve ever gotten. She told me she feels very safe when we’re on L&D together. It got me thinking about the kind of doc I want to be one day. I’m curious,
#MedTwitter
what’s the best compliment you’ve gotten? ⤵️⤵️⤵️
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Scenes from my very last OB/GYN residency call shift. Step 1 - find a lap needle driver in the GYN ED cart 😂. Step 2- deliver a baby. Step 3 - receive flowers from one of your beloved patients.
Only 16 hours left to go!
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My 29th birthday was spent doing a lot of things I love: robotic hysterectomies, delivering a whole bunch of birthday babies, and eating nearly an entire Wegmans fruit tart on my 24 hr shift. Here’s to the last year of my twenties! 🎉😱
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Had the pleasure of taking my little intern (and my little I mean 8 inches taller than I am) through her first laparoscopic case today and she did amazing. The future is bright for this GYN surgeon!
#obgyntwitter
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Wishing all the OBGYN residency match candidates best of luck tomorrow ❤️ I remember the chronic low level of stress from Oct-March 15, but it’ll all work out and you’ll end up exactly where you’re supposed to be. Welcome to the best specialty in medicine!
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Our labor & delivery elf had a great rotation with us. He got to cut the cord, get an epidural, have his baby monitored, and ended his rotation with a C-Section!
#elfonashelf
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Had the pleasure of using the LigaSure for the first time yesterday! I’ve only ever used the EnSeal before. I really liked it, much better hemostasis, but I felt like my hand was too small to efficiently use the device. Glove size 6.5x2. Any other small handed surgeons w/advice?
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Can I just say how much I love taking care of the little old ladies on the gyn onc service. It brings me so much joy! Every convo is the same: “OH HONEY I HAVE SUCH YOUNG DOCTAHS THEY MAKE THEM SO YOUNG THESE DAYS GOD BLESS YA HONEY THANK YOU FOR TAKING SUCH GOOD CARE OF ME”
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Had such a fun month for my last time being an intern on the GYN surgical service! Time in the operating room flies by. Did a ton of laparoscopy this week, tubal ligations are such a fun surgery!
#ILookLikeASurgeon
#GynecologyisSurgery
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@DrSarahAxelrath
Mine is .SELFCAREAFTERDELIVERY
A multi page document on attempting to be kind to yourself after giving birth, whether it’s via vaginal or cesarean delivery. I will die on the hill that the fourth trimester is the hardest one ❤️
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I absolutely cannot believe I only have 2 days of residency left. I’m ready, but I’m also not ready.
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Little bit of robot action plus my fave scrub cap to finish off a great week of gyn onc!
#obgynresidentlife
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@AmyLaskyMD
Also here to help! Bethlehem, PA. We have a resident REI clinic with a special interest in gender affirming hysterectomies and we also prescribe testosterone! 🌈🌈🌈
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Honored to be the recipient of the
@doximity
Pathos Award, for my narrative medicine essay, “How to Tell a Mother Her Baby is Dead” on the physician perspective on perinatal loss. I’d love to hear your feedback and stories.
#narrativemedicine
#opmed
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Another block of residency down, this time with my GYN chief who patiently took me through many two port salpingectomies, my first straight stick TLH, and more this month. Love this girl, and she is so ready to be an attending!
#residentlife
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I didn’t get honors on my cardiology rotation because I respectfully disagreed with my attending’s conservative, sexist, and racist opinions on my last day. I was annoyed with myself for a long time. Should have stayed quiet. Now, I’m so happy I spoke up. We all need to speak up!
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I scrubbed a c section with one of our visiting family med interns when I was on call this weekend and as I was closing skin she told me she’s calling me if she needs a facial lac repaired and I’ve never been so complimented in my entire life 😍
#ILookLikeASurgeon
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@Modwickey
Hah! The CRNA looked at me like I was a nut job...we did this all the time in med school as well as had the clear peekabo drapes but I guess it isn't so common here. If I was the patient on the table I'd want to see the baby as soon as I possibly could, so I always try to do it!
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Another year of residency in the books! Loved seeing my chiefs graduate, and I was honored with awards in MIGS, REI, and family planning as well! Chief year, I’m coming for you 💞🤪✨
#residentlife
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My GPA upon graduating from college was 3.65, I scored in the 76th percentile on MCAT. I was a college athlete. I studied abroad in the Galápagos Islands. I was the president of a bunch of clubs. I was thrilled to be accepted to PCOM, a DO school founded in 1899.
#ProudDO
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2020 was the year of a lot of losses, but I also matched into my top residency choice, graduated from medical school, delivered 166 babies, finished my ACGME case numbers for all GYN minor surgical cases, and got my covid vaccine! It’s been a weird one, folks.
#2020inReview
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The best part of dating a radiology resident is when I drop earrings on the floor he can always find them.
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So I live practically the same life as my co-residents. Triple vax. Same masking. Some even wear better masks than I do! Same patients. Yet some of my co-rezzies have gotten Covid (multiple times) and I haven’t yet. In fact, I’ve never been sick other than a cold in my life. Why?
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@DGlaucomflecken
humor is such a great coping method. For you but mostly for us here on Med Twitter
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@caitjw
B/c of the CARES act, patients now have access to every note & lab value in their chart even without us looking over it 1st. It didn’t hit me until I was sewing a lac after a vaginal delivery when the pt’s phone buzzed and she said hey Doc, “what does a base excess of -3 mean?”
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I’ve seen a lot of hate on twitter and the news on DOs lately. Politics side, I am proud to be an osteopathic resident physician in obstetrics and gynecologic surgery, and would not change anything about my medical education.
#ILookLikeASurgeon
@AOAforDOs
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“I hope you don't mind that I put down in words, how wonderful life is while you're in the world” 🤍 I am so excited to spend my life with you,
@DavidKauffmanMD
- now I get STAT reads on my scans forever!!!
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*in OB Trauma Simulation*
Me: does pretend resuscitative hysterotomy and brings fake baby to warmer to finish with mom
Trauma Surgeon: “You OBs know about prenatal care…can you go help take care of the baby?”
Me: sir, that is no longer prenatal care 😂
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When I drove home post call this morning, I had been awake for 27 hours. The moment I stepped out of the hospital my brain switched from “on” to “off”. I felt like I was going to fall asleep at the wheel on my 15 min drive home. I can’t wait until we can beam ourselves places.
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I am so excited to be starting my OBGYN residency at my top choice this July, St. Luke’s University Hospital!
@mystlukes
#obgyn
#obgynresident
#imatched
#MatchDay2020
@PCOMeducation
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So excited to have you join us!
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Good luck to all MS4s this week! Some of you may be thrilled, some sad. Take some time to grieve or celebrate. Residency is hard wherever you go, and you will bloom where you are planted. I am excited to welcome all our new OBGYN residents to the most fun specialty in medicine!
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Residency has been challenging and being the primary surgeon in c-sections is still a little nerve wracking but last night our badass scrub tech pulled me aside and and told me she thought I was a great surgeon and my heart is so full ❤️
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💛Golden weekend💛: morning
@onepeloton
yoga class, getting my apartment in order while listening to Unscrubbed podcast with
@drcaraking
and
@MigsRunner
, and prepping for a great week of GYN cases!
#obgynresidency
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“I would like to be remembered as someone who used whatever talent she had to do her work to the very best of her ability”. - Ruth Bader
Ginsburg. Residency is one of the hardest but most rewarding things I’ve ever done. Officially an OBGYN! Next stop, fellowship!
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This little gynecologic surgery intern got to sit on the robot this week while her seniors were in a different case and boy oh boy was it exciting!!! Can I just say for the millionth time how much I love gyn surgery and gyn onc?
#ILookLikeASurgeon
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I'm almost done with intern year and I've made it through with only 2 more gray hairs to add to my collection, so I would say this year has been a wild success
#obgynresidency
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No better way to celebrate your birthday by bringing new lives into the world. April 28th is a great birthday— hope our full L&D board thinks so too! Many thanks to our awesome resident team for this fun surprise at 5:30 AM!
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Cheers to another month down of being the daytime L&D intern. Since starting, 154 vaginal deliveries, 19 cesarean sections, and a lifetime to keep learning! 🥂next up, night float!
#obgynresidency
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In my experience most resident physicians go by their first names with OR staff, so I’m used to being Kathleen the resident in the OR. One scrub tech insists on calling me Dr. Kathleen (she says we’ve earned the dr!) and I think it’s kind of the sweetest thing ever
#residentlife
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Cleaning out my desk: Five years ago, I was disappointed to receive this letter from a med school I had fallen in love with during my interview day. I put down a deposit at a different school. I was accepted shortly after, and later graduated as most outstanding med student.
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@nicunurselifee
@AmyLaskyMD
I very purposefully use the words “spontaneous labor” and “vaginal vs. cesarean delivery” for these reasons! Same reason why I say “arrest of dilation/descent” instead of “failure to progress” or “failed IOL”. Words matter.
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@KBrookeGolisch
👏🏼yes👏🏼. And thank you for your support as a general surgeon-love an OBGYN who was once told by a gen surg intern “you guys aren’t real surgeons”.
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You'd think we're well on our way to assuming women are doctors since 1/2 my med school was female, but yesterday at the REI clinic one of the staff asked me if I was a NP or PA student. In a totally nice, non-malicious way. When I said I'm a resident doc, she said "oh wow!"
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