Dr. Efthemia
@Miazolam
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thriller-consuming, world-wandering, coffee-chugging, pink-wearing, chronically ill EM resident 🍉🌈🩰🎤 #DisabledDocs views mine, not medical advice
NYC
Joined October 2020
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Pinned Tweet
Hi, your favorite future emergency doc here to remind you to NEVER PUT YOUR FEET UP ON THE CAR DASHBOARD. EVER. Should you get into an accident, the results are truly catastrophic. Please just don’t.
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Hi, ER doc here — once symptoms develop, rabies is 100% FATAL. Please come to us immediately after any bite from an unfamiliar or untraceable animal. You’ll have to return 3 more times to receive the full series, and I know how difficult that can be, but you DO NOT WANT RABIES!!!
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Ok but can we talk about how preposterous it is that there's a legitimate chance you could GRADUATE FROM MEDICAL SCHOOL and not get a residency spot??? A whole MD/DO??? And during a pandemic??? Expanding residency slots WHEN??????????
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@saharbjones
@AmericanAir
(Also—I have never received anything for helping 3 in flight emergencies—is that supposed to happen? 🫠)
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My senior resident pulled me aside at the end of our shift to tell me that she’s never seen a med student provide the level of care that I do for my patients so if u need me I’ll be crying for the next 3-5 business days
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Caught a patient’s imminently life-threatening pathology despite THREE neg imaging studies bc I believed how much pain she was in BECAUSE I am a chronic pain patient and I feel it in my SOUL when someone is miserable. She went home to her kids!!!!!
WE NEED MORE DISABLED DOCTORS
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Depression is weird. I’m crushing it at the hospital; possibly the best I’ve ever performed. You’d never know that I usually don’t eat dinner bc I can’t get up, or that I haven’t worn socks in 3 weeks bc I can’t muster the energy to do laundry, or that I cry myself to sleep, or
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Hot take: please be nice to medical students bc we are trying really, really hard
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MY DAD BROUGHT HIS A1C DOWN FROM NEARLY 10 TO 6.6!!!!!!!!!!! IM SO SO SO SO PROUD IVE BEEN SOBBING SINCE HE TOLD ME THIS IS THE BEST DAY EVER!!!!
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I’M GOING TO BE AN EMERGENCY PHYSICIAN!!!!!!!! With every obstacle I’ve faced in the past ~3 yrs, I was fully convinced that this would never happen to me. Grateful is an understatement. Stay tuned to find out where I get to call home on Friday! 😭😭😭🥰🥰🚑🎉
#Match2023
#EMbound
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Nothing irks me at work more than hearing “Dr. FirstName” over the ED loud speaker because someone doesn’t want to say Dr. Tsaousis. That’s my professional NAME and it’s important!!!!!!! My family and I deserve the same degree of respect as those called Smith and Jones. Period.
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“I’ll wait for the doctor and see what he thinks”
Me, the doctor:
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MY RESIDENCY PROGRAM DOES NOT HAVE 24-HOUR SHIFTS!!!!!!!!! OH MY GOD
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No but imagine you’re a brand new intern and it’s your first week as a doctor and you start in the ICU and your patient is MADONNA
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To everyone who has responded with something along the lines of “thank you, I’m never doing this again” — you have no idea how elated I am to read every single tweet!!! Stay safe and out of our ERs y’all 💜
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@theeunknownzo
@oddeomontle
I would just like to gently point out that there are many people who cannot walk for up to their entire lives for a variety of reasons yet live very fulfilling lives. But yes, a devastating injury for a child
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@spkrofthehaus
Honestly, I’m not sure. You can die by bleeding out from this degree of severity alone, let alone possible later complications. A very long recovery, to be sure. Perhaps her young age (child) improved the prognosis. If this were an elderly individual, no way
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I feel like I need to add “because of the airbag deployment.” So yes—any accident can become devastating
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I’ll say it. We need doctors in Congress. Specifically, doctors who will fight for poor and marginalized people.
This has always been a (very) late career goal of mine, and I’m more emboldened than ever now.
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Until you’ve coded someone for 2 hours and done a cric and managed a hypotensive arterial bleed only for 3 level 1 GSWs to then show up simultaneously I don’t want to hear your “opinion” about emergency medicine
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After my worst shift of residency to date, when I had to sleep in the resident room bc I couldn’t calm down enough to trust myself to drive home….I finally left to find a $115 ticket on my car. I’m speechless. Thanks nyc
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Emergency medicine is the best specialty. That’s it. That’s the tweet.
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I can't believe I just paid $200 to extend my uworld by 5 weeks. Medicine is literally a scam
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BECAUSE I DIDN’T MATCH AT MY
#1
:
• I get to live with my mama
• I get to live 5 mins from my dad & sister
• I get to see my niece grow up
• I get to work in the greatest city in the world
• I get to train at a program I ADORE and is truly the perfect fit for me
#Match2024
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Naming my firstborn after my patient’s wife, who swiftly corrected her husband in an increasingly annoyed tone after all 6 times that he called me his nurse
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“I was at my PCP office and my BP was 180/100, so they sent me here immediately for you to lower it”
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It is unsafe and unfair for the ED to be MICU overflow, CCU overflow, SICU overflow, burn overflow, telemetry overflow, stepdown overflow, floors overflow, quasi-primary care clinic, still see every patient who walks in the door, see level 1 & 2 emergencies, ALL AT THE SAME TIME
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This cannot be the same body that went out 6 nights a week in college, had a 4.0, & never missed an 8am class
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Who’s gonna tell her
I just learned that the average American woman weighs 170 pounds.
That is insane.
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Having an attending who actually enjoys teaching students and doesn’t mind having them there should not be the total game changer it feels like it is
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Excuse me, I was under the impression that the surgery shelf would be about surgery
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Applying for URiM (LGBTQ+) scholarships for my away rotations, and I’m disappointed to have not seen a single institution list disability as being underrepresented in medicine. About 20% of the US population has a disability, but only 1-3% of practicing physicians do. A 🧵: (1/5)
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I have now lost enough weight (unintentionally, due to residency stress and I don’t eat enough) that people are regularly making comments, and I just want to remind people once again that it is never appropriate to make unsolicited comments about someone else’s body.
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I’ve never cried as much in my entire life as after having a full conversation with someone I’d previously coded for 45 minutes. My job is such an immense privilege— I *still* cannot believe I get to do what I do, and I don’t take it for granted for even a second 🥺😭❤️🩹
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Everyone: “ha ha all the ED does is order CTs”
Also everyone: “HOW did the ED miss THAT?!?!???!?!?!! They should’ve gotten xyz”
🙄
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@gracebiggsmd
Respectfully, the “time of day” is not the problem. All 24+ shifts do is increase medical errors & burnout, + make medicine even more impossible for those w disabilities/chronic illnesses. I learn more in the ICU w REASONABLE hrs than on q3 24s & my patients receive better care.
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so how far in medicine do we think I need to get before nobody thinks twice about me getting a lil nose stud
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@DarleneDempsey6
This!! Ditto for tussles between dogs when you don’t think you see any bites — it can be hard to tell sometimes under fur etc
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Having an especially tough day. Got on the train and heard the little girl behind me say to her mom, “I wanna be a doctor like her.” ❤️
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The 5 sickest patients I’ve ever had *and* the 2 sickest patients I’ve ever seen all walked into the ED by themselves in case you’re wondering whether emergency medicine is hard
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“Asymptomatic hypertension without evidence of end-organ damage does not require emergent intervention and doing so could actually cause harm”
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Wow—this blew up! I was able to do THREE today! Thank you all for the support! And I’m happy to share that all intubations were for scheduled surgeries, so everyone is doing just fine 😊
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Now that I’ve safely matched EM, there’s something I need to get off my chest…..I’m afraid of bikes 🫣
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My attending wore pink for me again!!!! Is she not the cutest person you’ve ever seen 👯♀️
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A non-exhaustive list of accommodations that have nothing to do with “lower standards”
• being allowed to sit during rounds
• access to medication at certain times of the day/night
• taking the elevator instead of stairs
• dictation software that EVERYONE USES
• hearing aids
@Miazolam
Tell me some that aren’t. More time on tests. Not working nights, not working long shifts. Lighter schedule.
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By far my favorite way to start the day is overhearing “disgusting ass med students” after getting up at 0445 to be here 🥰🥰🥰🥰🥰
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@Ramses_Med
Something similar happened to me! I prefer to say “chief concern” vs “chief complaint” — and my interviewer first clarified whether I meant “complaint,” & then said that complaint sounds paternalistic & concern is better 😍
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Just want to clarify a couple things, as I see that this has reached many lovely people not in medicine:
1) an attending anesthesiologist and a CRNA were right next to me the entire time
2) if you need an EMERGENT intubation, a student is NOT doing that!!! Don’t worry!!!
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@DougRussell
@offbeatorbit
This is extra hilarious bc a photo in Times Square proves my point 🤣 jk
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@teampeteforjoe
Correct. What you’re thinking of is a pre-bite prophylactic vaccine, which exists and is usually reserved for those who work closely with animals.
The series you’d get in an ER (what I’m referring to) is post-bite prophylaxis, which consists of an antibody that binds the 1/2
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Never been more certain that I’m EM than after we rounded for 5 hours today
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Someone explain why and how a CT AP w/ contrast in the ED costs $7800 in this country. That’s nearly EIGHT THOUSAND DOLLARS for a 90-second imaging study. Explain it to me like I’m 5 because I’m legitimately about to lose my mind
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I don’t think we talk enough about how hard medical training is when you’re single.
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I can’t believe I even have to clarify this, but she is NOT *my* patient—I was just remarking about how crazy this would be if it happened. Her manager put out a statement yesterday that was all over the news and her tour has been postponed. I would never violate HIPAA like this.
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While
#Match2023
interviews are coming to a close,
#Match2024
will be here sooner than y’all think!
Here’s a lil 🧵 on some of the more challenging residency interview questions for which you MUST have a thoughtful answer in order to crush em! 👇🏼
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@lilchem24
@annie_parker
@StuffedwAloha
@bxttxr
@AmyClukey
@teresamarkos
@csm231_
I adore this thread of dad tattoos. Here’s mine. It means “patience” in Greek and has been a special phrase btwn us for my entire life. I got it after the worst year of my life to remind me of my strength, to always keep going, & that he’s with me. ❤️
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One thing about me is I’m gonna save your life AND I’m gonna do it dressed like this 💅🏼🎀👩🏼⚕️🚑
#ilooklikeadoctor
no shade i’d be so irritated if my nurse walked in wearing anything other than blue scrubs 😂
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Having an existential crisis…do I apply gen surg to do trauma???? Wtf is happening to me?? I LOVE TRAUMA…SOMEONE TELL ME NO
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@disabilityharpy
Definitely a challenging situation and many factors to consider, and I’m so sorry to hear about your friend. But not offering someone who sustained these injuries the best pain control we have (at least in the short term) is just inhumane. Tough all around 😔
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Home for dedicated 💙🤍 Turns out sunshine and gyros pair well with uworld. Sea y’all in a month 🙏🏼
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@jacasiegel
My dad’s favorite animal is the bald eagle, so I “adopted” one in his name from WWF :)
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I can't explain this, but I'm calling it ahead of time in case it ends up happening: I feel like I'm going to become a neurologist 🧠
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By far my most effective learning in residency is done by reviewing my patients later that week to see what happened after my sign out, whether my diagnosis and dispo were correct, and what I could’ve done differently
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So far in residency I’ve worked up arm pain that turned out to be stroke, diarrhea that turned out to be STEMI, and burning with urination that turned out to be appendicitis. You cannot tell me emergency medicine is not the hardest fucking specialty
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@GalbinusCaeli
@DoctorColon1
This is a deliberately obtuse response to what I said and you know it.
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A tip for
#Match2024
from an overwhelmed new intern: DO NOT underestimate the immense power of living with and/or near family during residency
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@RNickGorton
It is just vexing to no end that our system BOTH 1) requires a residency to practice medicine (i.e. be employed...with your medical degree) AND 2) has fewer residency spots available than graduating seniors/people applying. One or the other. Not both. Too much is sacrificed as is
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PSA not treating someone’s pain because they happen to also use drugs is unethical and disgusting and I will unapologetically be calling you out for it
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Has anyone ever tried putting an AirTag in their car so they can find it after one of ~those~ kinds of shifts? …asking for a friend
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@DocLibertarian
Then smear some chocolate on me and call me a s’more. My patients deserve better
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PSA to patients: if you don’t see a single staff member in the ED for an hour…something really, REALLY bad has happened. We are not ignoring you on purpose.
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@awesomebrandi
We ALSO need to make medical school more accessible for those w/ disabilities, though. I feel like I'm dying all the fucking time and it's so unfair
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Much of what I do as a PGY-1 is not *acutely* life-saving, but last night I truly saved someone from coding with my own two hands. Still on a high. Deeply grateful for my patients and supportive seniors/attendings who constantly push me to be the best doctor I can be 🫶🏼
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@Gabby_Brauner27
Frankly a program that doesn’t acknowledge the serious structural inequities that run rampant in our healthcare system is not somewhere I want to be. Big yikes.
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@saharbjones
@AmericanAir
I have literally answered an overhead page to Dr. Tsaousis and got asked if I was the nurse when they heard my voice…..like…………..
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@Smark_phd
@AmandaButler__
@SonjaCowling
No. Depression is a medical condition. Full stop. Our lives are difficult enough without judgment from people like you
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This is what a disabled person looks like!!!
#DisabilityPride
#DisabledDocs
🫶🏼
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Residency is………..many orders of magnitude better than medical school
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Hey M1-M3s, I’ve been doing a ton of reflecting lately, and here’s a question I wish I’d been told to ponder earlier while choosing a specialty:
Do you want to treat HEALTHY patients as part of your career?
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As a disabled ER doctor: people with chronic pain conditions who seek emergency care for ANY reason need to be treated much better. If you disagree, you either don’t have chronic pain and/or are personally perpetuating this abuse.
I want to read your HOTTEST medical takes. Whether you're a fellow medical professional or a patient, I want to hear your most controversial opinions on medicine. Please like the ones you agree with, and I'll respond in a video!
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To all the rising M4s currently thinking “I can’t choose a specialty—I like everything!”
WELCOME TO EMERGENCY MEDICINE 🥳🥳
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