i’m so julia
@JuliaNEM33
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mifepristone+misoprostol stan account 🌈 ❣️ she/they
Brooklyn
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Pinned Tweet
Everyone else in America: how does anyone justify living in NYC it’s so expensive and crowded and disgusting
Me:
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More Americans died of COVID19 *yesterday* than died on 9/11/01.
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Any dudes out there got a hair transplant? Used viagra? Taken preworkout or protein shakes to improve effects of exercise? Gotten a haircut? Congratulations on your gender affirming care, did it make you feel more like yourself? How you want to feel and appear?
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Also before another person DMs me to tell me what a “dumb fucking tweet” this is - unless you’ve watched a member of your family burn to death in a building that just got hit by a plane AND watched someone die of hypoxic respiratory failure I do not care how you feel about either
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I lost someone I loved very much on 9/11. My family has never been the same and never will be.
Multiply that grief by 660,000 and counting.
Astounding.
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When I was pregnant during winter 2020, I’d go in the hospital rooms of my Covid patients and they’d all yell at me to get out and keep myself and my baby safe. Even the patients didn’t want me to make sacrifices medicine required. I think about this a lot.
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Any girls with breast augmentation? Botox, fillers? Wearing lipstick, contour, or makeup at all? Push up or padded bras? Changed your hair color? Gotten ivf? Hair removal of any kind? Are you glad that you’ve been given opportunities to help your body reflect who you are?
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Why would you want to stop someone else from enjoying the same privilege that you take for granted every single day?
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Final comments on this, particularly to the ❄️ in my DMs who can’t handle a statement of fact: if this upsets you ask yourselves why you have been brainwashed into fetishizing the deaths of 3,000 strangers 20 years ago but not the ongoing deaths of people in your communities, and
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The “people only die of covid because of comorbidities” argument is both incorrect and disgustingly cruel. If you think someone being overweight, old, pregnant, having asthma, diabetes, cancer, or whatever means their life isn’t worth anything then ? What is wrong with you ?
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This has happened many times since the start of the pandemic. I bring it up now because if we could go back 20 years to 9/10/01 and stop it from happening of course we would. Ground the planes... evacuate the buildings.
We have that option now, and we're choosing not to.
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My hospital asked me if they could post my photo on social media to encourage pregnant women to get vaccinated. The Facebook post has hundreds of comments, most of them “praying for that unborn child,” condemning my choice to get vaccinated, and calling me a nurse. 🤦🏻♀️
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One of many indicators that medicine is designed for people with generational wealth is the expectation that everyone can afford to pick up and move their entire lives on zero notice to any housing market when they haven’t had a paycheck in 4 years
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My son is sick for the first time in his life right now and what am I doing? Heading to work a 12 hour ER shift that I can’t call out from, to expose myself to an even worse illness he can’t get vaccinated against. I can not express the depth of my hatred for my job right now.
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Would clarify that obviously this is an incredibly normative/binary list and that’s kind of the point but none of these things are “owned” by any gender nor should they be and the gender binary is fake. The end
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Finally, 9/11 happened to me in ways that it almost certainly did not happen to 99% of the people who feel the need to defend its honor in my DMs or quote tweets so once again please examine why you feel such rage at my pointing out that anyone dying for no reason is fucking bad.
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If you got the Wordle on the first try today what is wrong with you
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I am 32 years old and have spent my entire life as a student or trainee or otherwise entry level entity and I am so TIRED of telling myself “if I can just get through this (time), my life will really begin.” I am exhausted by not having ownership over my life.
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Well, the side effects include sweating like crazy due to literally running from Brooklyn to get there, but me and my almost 33 week old fetus are officially vaccinated 💉🤰🏻
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The ophtho resident casually dropping this in at the end of her note. Queen
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@alex_coston
I love teenagers
I had a trans masc teen patient in med school who was telling me how he had exciting plans to go to the movies to make out with his new gf and he told me “based on your shoes I am sure you know all about making out with girls” and I was like welp
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Moonlighting makes residency feel like even more of a weird cheap scam. Like why is my labor worth 5.5x more today?????
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@Fabiola_Plaza1
Please send her to us at Institute for Family Health, we can get her set up for free RX medication etc!
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The thing about the match is no matter how happy/unhappy you end up, it’s still inherently ludicrous to let an algorithm scatter thousands of adults, with lives and families and debts and responsibilities, all over the country with zero ability to refuse or back out or negotiate
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A little over a year ago, at 32 weeks pregnant, I became one of the first pregnant people in the world to get a COVID vaccine. I made that choice based only on what I knew about COVID, w no data on the vaccine. Now I’m 3 doses in and anxiously awaiting my sons turn.
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4 years of medical school and I never learned if it’s good or bad to pop a blister
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I’m pro abortion the same way I’m pro insulin and pro antibiotics and pro vaccines and pro every other form of basic medical care that just exists to serve a purpose, because abortion is no different from any of these things.
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All the “sacrifices” everyone always insists people in medicine make … who benefits
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Ok medical experts please tell me what this blood test is testing for???
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Has Tribeca Pediatrics ever met a single two year old ???? I don’t even know what to do with this ??
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@callmeheadnurse
It’s happened many times since March 2020. Just bringing it up again now because I know so many of the people complicit in yesterday’s massacre are gonna be posting about what a tragedy 9/11 was; which of course it was! But so was yesterday…
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I lost my first pregnancy and am now 21 weeks pregnant with a baby that I love and want. I perform abortions and will continue to do so for the rest of my career. Miscarriage and abortion have no relationship to one another and to suggest that they do is disgusting and cruel.
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If you can a) prescribe medication and b) have two 10 minute phone conversations a week apart then you can provide abortion care. It does not matter what specialty you are in. Now is the time.
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It’s also funny to me that the “make sacrifices. Stay up for 27 hours” crowd is always people who consider themselves indispensable and not interchangeable. As if there isn’t a literal standard of care everyone trains towards. Nobody’s irreplaceable.
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If you have any inkling to practice trauma informed medicine (standard of care), I am begging you to tell your patients you are using gel and a table, not lube and a bed.
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Wondering if the anti mask crowd would like to have surgery performed by doctors who aren’t wearing masks, breathing all over their innards? No? So you recognize that masks stop spread of germs you just don’t care about other people’s lives over your own mild discomfort? Right
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Another day testing the absolute limits of what can be considered acceptable clinic pants
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My husband trying to enjoy last nights episode of The Last of Us while I insist on explaining the coverage spectrum of penicillin to him
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Board exam in med school: show up with a bag full of healthy protein rich snacks, well rested after 6 months of studying
Board exam PGY3: 6 hours of sleep, 18% of a question bank completed, with a bag of gummy bears and half a bottle of water
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We get a cafeteria stipend of like $730 a year so we are about to see what $730 of hospital chicken fingers can do to a person
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Now that I am a practicing physician I truly can not bear to contemplate that the MCAT still exists. The way 0 of that content has ever been relevant to me and I was once borderline suicidal over it. Why do we do this to people!!!
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My residency program
@SinaiFamilyMed
has been defunded by
@MountSinaiNYC
. This is clearly driven by profit as our patients are under and uninsured. This program is vital to the primary care landscape in NYC and must be saved. Please sign and share
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Here is a frickin dope neurology witchcraft pearl I learned today on L&D of all places!!! Fans of potions listen up!!!
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So disappointed by the
@aafp
chief resident retreat. Masks discouraged, openly sick presenters on stage maskless commenting about being sick! I felt unsafe the entire time and am now going home to an unvaccinated baby. What a shame for an event for “future leaders” in the field.
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At 13 weeks pregnant I am more pro-choice than ever. This was a desperately desired pregnancy, and it has still been one of the hardest physical experiences of my life. Knowing exactly what it is like, the fact that women are forced to do this is literally torture
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yall can disparage the DO degree all you want or refuse to apply DO because it isn't good enough for you but you may never know the joy of having your sinus pain relieved in seconds by someone who knows how to palpate your facial nerve foramina and for that i am sad for you
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I found a Black owned business selling Black Lives Matter pins to buy one for my residency white coat and I asked my co-interns if anyone wanted one too and every single one of them did 😭 I love to see it
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Today is my last day of inpatient pediatrics and 2 things happened. One is that I ate donuts, a bagel, pizza, and bubble tea. Another is that one of the interns told me “lunch isn’t for learning, lunch is for talking shit about the morning,” and now I have a new mantra for lunch.
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Twitter fam I’ve got some news to share - after over a year of trying and starting to think it wouldn’t happen, I’m having an intern year baby!!!! Because moving cross country and starting residency during a pandemic just wasn’t enough fun for me 😬
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My DO alma mater matched MULTIPLE people in dermatology and orthopedic surgery this year. Never want to hear it again that DO is inferior! I'm so proud!!!
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I had an exceptionally easy, uncomplicated pregnancy. I threw up for 18 weeks. I fainted. I had to move to a new apartment. They cut me in half to get him out. I had barely 10 weeks at home with my baby. The whole thing cost over $115,000. All of this happened to me BY CHOICE.
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@PixScienceCo
My roommates ate the wall and then started living inside my box spring and keeping me up at night
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I finally caved and bought the expensive prescription stoggles, all but guaranteeing the pandemic will be over in the next 4-5 weeks before they get here, you’re welcome
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Having to kiss my son goodnight through an N95 due to a significant workplace exposure is a new level of moral injury for me 😐
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i am CRYING. this is where I fell in love with family medicine. I am going home!!!
#matchday2020
#fmrevolution
#medtwittermatchday
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Pretty wild that we’ve completely normalized being not only willing but grateful for the opportunity to be ripped from our support systems and shipped off to any random place in the country to experience the hardest 3-8 years of our lives huh
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if the pandemic ever ends and we stop wearing masks, my face is going to have to unlearn a lot of very bizarre resting expressions
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at the chief resident retreat for my health system and we have an entire lecture on how to identify residents at risk of suicide and what to do. absolutely wild that we have all normalized a career where this is necessary.
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Every year as primary care matches dwindle people bemoan why doesnt anyone want to be a PCP and the answer is so obviously money like I literally cant afford to have a 2nd child because as a PCP i get paid too little for the COL in my area
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“I am a medical student.” “Oh cool to be a nurse?” “No, med school.” “Right a medical assistant?” “No, a doctor.” “Oh... wow!”
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May be a controversial opinion but med students, if your school has a rotations absences policy (ie up to 3 days per block).. on the days when you would rather die than get up.. if nobody else will be disproportionately inconvenienced by your absence; take your days off.
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Did I become a doctor because I like medicine or did I become a doctor because I’m incredibly nosy and want to know everyone’s business….
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Seeing a lot of “i got my goal score!!!” and otherwise step 1 success stories on the timeline today. To those of you happy today- congrats!!! And for those of you who are not so happy- this is NOT THE END OF YOUR DREAMS. You still got this
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There is no way to “borrow wisely” when you need to borrow >$300,000 at 5-8% interest. There is absolutely nothing you can do to be “financially smart” when you are forced to take on this level of loan burden.
We remain concerned about the high cost of medical education and the high debt load carried by most students. Our FIRST program provides unbiased, accurate info/resources to help med students understand financial aid, borrow wisely, and repay responsibly.
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More ERAS tips: Make a new gmail account JUST for ERAS. Forward the account to your texts. Having a designated inbox will help SO much. Your matched program will use this email so do NOT use your school email.
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PSA for all you M1-3s trying to decide between IM, peds, obgyn, surgery, psych, or ortho ..... don't let the gunners make you forget that family medicine exists... where you are all of the above
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The NRMP retweeting everyone’s match posts as if they aren’t the villain of the entire story
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This thread is exemplary of so much that is toxic about medicine. Weird hero complex for giving up your own life to do work. Normalizing giving up EVERYTHING and doing it for free (and having the means to do so). Belittling people who think it shouldn’t be that way. It’s a job.
I remember when I was a fellow. It was a Friday and I had a flight home that evening. As we were rounding it became apparent that this guy had vasculitis and I spent the rest of the day setting him up for and doing a kidney biopsy. I missed my flight. It was the right thing to do
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Well I graduated medical school!!! My husband Paul won the “Most Supportive Spouse” AOF award!!! I’m a doctor and he’s an award winning husband!!!👏🏻
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@MediClit
This is so gross of you. I look at vaginas all day at work and they come in all shapes and sizes. Nobody’s vagina - cis or trans - makes anyone else’s less valid. You’re undermining your own point completely by saying there’s a “right” kind. And you’re hideously transphobic.
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Every resident in our call room right now is pregnant. The vibes in here are fertile af
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There is no room in the medical community for transphobic takes from providers or the people they endorse. That’s it. Either you condemn that shit completely or you are not a safe person. The end.
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First day of residency and my program director spent a good chunk of orientation talking to us about how we have been active in the Black Lives Matter movement and how we would like to continue to be involved in residency 🔥
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Meropenem resistant pseudomonas… checking amion for the exorcist on call tonight
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“Is there space in medicine for doctors who refuse to practice medicine”
My first piece for
@NewYorker
: What the likely fall of Roe v. Wade will mean for the next generation of obstetricians.
The big question of the piece: Should there be space for pro-life medical students and residents in OBGYN?
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She could not taste it equally on both sides! The neuro resident literally said, yup, it’s Bells Palsy. And practically dropped the mic.
So dope! 🧂🧠
(Btw arm weakness was subjective, and resolved quickly)
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(I have no issue with being called a nurse + I have utmost respect for nurses. It’s the same as if I posted a photo eating an apple w caption “enjoying this apple” and ppl still commenting about oranges. They just blatantly didn’t actually engage with the info presented.)
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A lot of people dunking on this but there’s nothing worse than working a 12+ hour shift and your coresident shows up 15 min late to start signout. If 0700 means anything but exactly 0700 for you, tell yourself 0650 and make it on time so your coresidents don’t hate you
Dear Rising PGY1 (
#4
)
Be PUNCTUAL
Tardiness decays reliability & hints at inefficiency
Trick yourself: if conference or rounds start at 7 AM, plan to show at 6:50
Give yourself a Cushion!
I tell my trainees "if you're 4 min early, you're actually 6 min late
#MedTwitter
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I’ve been back on floors and half my patients are COVID and the other half are people with late diagnosis metastatic cancer who were all disconnected from care since about March. The COVID death toll is massive and will grow for decades, and include many who never had COVID.
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last night i ate 5 pieces of pizza and then slept for 11 hours
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Put a deposit on an apartment today 🙃😬😳🥴
Told the realtor lady that I’m an incoming new physician moving to NYC and she said “OMG PLEASE COME WE NEED YOU” and I 😭🥺
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Sorry my tweet about my very specific personal experience didn’t capture *your* unique circumstances, those of you who are ?mad about it. And idk why it’s relevant but I make 22 cents per $1 of debt I have if somehow my salary means it’s ok to miss my sons childhood.
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I need to get up at 4 every day to be at the hospital by 6 and I also need to eat in the AM or I collapse from babby induced hypoglycemia so can anyone help me figure out some stuff I can eat for breakfast that takes appx 1 minute to prepare? Breakfast is my nemesis
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And now there are 3.
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@emmaogreen
@NewYorker
“Should doctors be allowed to use their patients bodies for their own purposes and according to their personal desires” is your big question huh
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im so tired of seeing premeds, med students, and physicians on here low-key disparaging primary care. "i would EVEN do family medicine if i cant do ortho" "i respect PCPs wow hArDeSt JoB but it isn't good enough *for me*" "im trained in LIFE THREATENING CARE not PHYSICALS 🙄"
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Why is medical education just a series of honest mistakes that haunt you to your grave ensuring you’ll never do them again 😵💫 can’t I learn this stuff without also learning deep existential self loathing
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Best part about going to medical school isn’t getting to be a doctor it’s getting to have a whole collection of doctor friends to advise you on your various ailments
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Some of my med student friends are being so cavalier about this. One of them is not speaking to me right now over it. It really worries me that we are all going to be doctors soon and many don’t care. How can we expect the public to isolate when we aren’t even willing to?
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Please follow
@Merman_Melville
the genius composer of this tweet that I have now accidentally stolen by reposting the screenshot that I keep on my phone to constantly ruminate over at all times thank you
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