Sean Dreyer MD 🎮🎹
@SeanDreyer
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Spinal Cord Injury & PM&R. @UCBerkeley » @dgsomUCLA » @NorthwesternPMR » @Stanford » @RanchoRehab . Farsi fluent. Smash Melee (Falco). Be kind to trainees!
Joined January 2011
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Pinned Tweet
Tired of your AirPods getting stolen at the hospital?
📟Introducing the PagerCase™️
Because nobody wants to carry another pager lol
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During med school OSCE exams, I found the camera in the room, and made intense eye contact in between cases.
I got permission to get that footage and was not disappointed.
#MedTwitter
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This was my shower 2 weeks before taking the Step 1 medical board exam.
Peak mental health lol
#Wellness
#MedTwitter
#MedStudentTwitter
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‼️CASE REPORT‼️
First case of autosomal dominant RED HAIR??
As my beautiful Hispanic-Lebanese wife says, “I carried him for 9 months… and I literally made a copy of you!”
🥹yep
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What medical word did you butcher until someone corrected you?
As an intern I pronounced Golytely "golly telly" and rounds halted for the team to laugh
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An unintended side effect of medical training is accumulating names like this in your phone contacts:
- Alex Surgery
- Pharmacy Joe
- Elise Resident
- Tall med student
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Applying for residency?
I've read tons of statements over the years, and while I don't claim to be an expert and am early career, there is ONE CONSISTENT AREA FOR IMPROVEMENT that I see time and time again.
🧵 A short thread of unsolicited advice...
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🧵Interview pearl thread🧵
How to handle ANY "Tell me about a time when" interview question.
🚨If you have med school/residency/fellowship interviews coming up... this is for you
#medtwitter
⤵️
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Remember Dr. Goljan, who did the Step board review & audio lectures we all used?
Apparently he's ripped and arm wrestles lol not at all what I pictured in my head 🤯
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Best Reddit post I’ve seen all week
I want to meet this Radiologist
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If you're a med student who somehow ended up on my page, please never hesitate to DM me about PM&R, residency applications, whatever. It never bugs me, and I was just you, not too long ago.
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My last day of fellowship.
Feel like I’ve been riding a bicycle with training wheels for 33 years and today they come off.
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>Placed Urology consult today.
>The nicest/bro-iest PGY3 resident calls me back.
>Uro Bro: Dude did you go to UCLA med btw?
>Me: Yeah why?
>Uro Bro: Aw man that block 5 review you led was solid, crushed that test because of it!
It’s all coming full circle now 😂
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Happy Valentine’s Day to everyone in a toxic relationship with this:
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Another gold moment from an old OSCE:
Looked up the Standardized Patient’s nose with my otoscope… but the speculum didn’t come out with it.
This is me going back to pull it out lmao.
DON’T LOSE HOPE FUTURE DOCTORS!
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I GOT A JOB!
I'll be an attending physician at
@RanchoRehab
✅ Academic hospital
✅ Inpatient Spinal Cord Injury
✅ Close to family
Thanks to my family and mentors who helped me all along the way. Light at the end of a 10-year training tunnel.
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How long after residency do you feel comfortable calling your prior attendings by their first name? I still can’t do it
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Look at the JOY on the face of this Vet with spinal cord injury – playing Mario Kart!
"I haven't driven in years!"
He's participating in my new study testing this ADAPTIVE CONTROLLER setup in SCI🕹
@StackUpDotOrg
&
@art_is_war
graciously donated everything, thank you❤️
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English:
Can I go home?
Spanish:
¿Puedo ir a casa?
Med student:
Anything else can I help with?
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Knew I wanted to be a Program Director since I was in med school.
It’ll take a while but when I get there, I’m quoting this tweet!
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#MedStudents
, if your step score isn’t what you hoped, it does NOT reflect on how intelligent, capable, or competent you’ll be as a physician.
At least in our specialty (but prob most others), we care about your whole story / big picture, so don’t get discouraged.
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If you need a Private Investigator, just ask an Infectious Disease doc to write an H&P
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🧑🦼Spinal Cord Injury tech feature:
THIS WHEELCHAIR STANDS UP AND GOES UP STAIRS! (wait until the end)
I got to test out the
#iBot
wheelchair today, which uses tech that later gave birth to the Segway. So cool.
#Physiatry
#SCI
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Today a patient with spinal cord injury showed me the coolest thing:
This huge modded truck (with a custom gull-wing door) FULLY LIFTS him in/out.
One of the best parts of spinal cord injury medicine is seeing people find ways to do (and drive) what they want.
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Made this. You’re welcome.
ᶜ⁵ ͟⸜ ͟ ͟ ͟ ͟ ͟ ͟ ͟ ͟ ͟ ͟ ͟ ͟ ͟ ͟ ͟ ͟ ͟ ͟ ͟ ͟ ͟ ͟ ͟ ͟ ͟ ͟ ͟ ₘc
ᶜ⁶ ͟ ͟ ͟ ͟ ͟ ͟╳__⸑৴ ᴬ ╲ ͟ ₘ
ᶜ⁷ ╱ ֨ᐠ ᴿ ╱
ᶜ⁸ ︦ᐟ ︦ ︦ ︦ ︦ ︦ ︦ ︦ ︦ ︦ ︦ ︦ ︦ ︦ ︦ ︦ ︦︦ ︦ ︦ ︦ ︦ ︦ ︦ ︦ ᵁ
ᵀ¹
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Also I swear to god if I hear another med student introduce themself as “JUST a med student” I will lose my mind🤯
You are a $&@! STUDENT OF MEDICINE, you’re important, the future, and it’s fun to meet you all because we’ll be seeing you in our field for years to come. 🎤⬇️
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Let me share my ✨highly advanced✨ secrets to remembering key dermatomes:
T4 – nipple level – "4-play"
T10 – umbilicus level – "belly but-TEN"
L3 – knee level – "knƐƐ"
Courtesy of your local Spinal Cord Injury fellow lol👍
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Can we all appreciate the bottom left expression please
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If you had this in your workroom would it make you feel any better?
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Being an Attending is cool, but there’s something about being a student and a resident that I miss.
Joking around in the resident room, focusing on learning, complaining about dumb stuff.
Felt like a fun (and sometimes exhausting) sitcom
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Pretty cool — this model shows you which muscle the needle is in.
Great for practicing botulinum injections into those deep leg muscles.
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For the record: I knew it was ridiculous, I slept plenty, worked out regularly, and took many study breaks. I am doing fine to this day lol.
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Going to
@Stanford
for fellowship in Spinal Cord Injury!! 😍 Of course, I will always be a
@UCBerkeley
guy at heart ;)
#Physiatry
#SpinalCordInjury
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The key🔑 — ask yourself: what did that experience evoke in me? How did it give me purpose? How did it change me?
If that's not there, it's lost opportunity.
» So: Focus less on describing your observations, and more on what YOU did and how it impacted YOU.
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Me on stage with 4 leaders in our field
vs
How it felt for me to be on stage with 4 leaders in our field
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Reflections upon finishing residency:
1) Wished I asked more questions. Still didn’t sometimes bc didn’t want to seem dumb.
2) Start using eye cream sooner lol
3) Getting a second monitor is OP
4) Choose a residency where everyone sorely misses the class that just graduated
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You know how when several nurses can't get a foley in, then Urology gets paged to help...
What does Urology do differently? Just want to know/learn the tricks.
#UrologyTwitter
#Urology
someone?
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WHAT IS THE PROTOCOL FOR POSTER PRESENTATIONS?
Do you stand by your poster the whole time…
Do you abandon your post to browse other posters…
Do you present to your neighbor who are also standing there…?
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My Program Director asked me for a list of everything I want to do/see in fellowship — and ONE-BY-ONE told me who he’s going to contact to arrange for every single item 🥹
This is something I won’t forget, and will try to carry forward myself, one day if (🤞when) I’m a PD.
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Metals that cause constipation?
Think "Fecal":
- Fe (iron)
- Ca (calcium)
- Al (aluminum)
#MedEd
at its finest lol
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No matter how many times I think, "This is the last time I have to know developmental milestones"...
It keeps coming back.
- Peds shelf exam
- Step 1
- Step 2
- Step 3
- PM&R written boards
- PM&R oral boards
- ...fatherhood?
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Why NRMP's match algorithm takes like 20 seconds to match applicants to programs, but results are released 2 weeks later
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📢If PM&R match didn't work out this round, YOUR STORY IS NOT OVER!
These kind/generous people offered help, and my DMs are open as well.
-
@tqswaid
-
@Renatomartinjr
-
@ZachGulergunMD
-
@DrNick_DO
Proud of you all, regardless of match❤️
#Physiatry
#Match2024
#SOAP2024
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Patients kept calling me “Dr. Geffen” because of my UCLA jacket (David Geffen School of Medicine).
So I got my name embroidered ⬇️
Now, patients still call me Dr. Geffen.
Cool👌
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Day 1 of Fellowship with
@MarlaPetriello
WE GET AN OFFICE (with a view), this is very exciting for me lol
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My last post before I'm an attending:
Don't forget what it felt like being a student and a resident. My goal is to never lose that perspective.
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Somehow even if a 4-day workweek became a thing, I don’t think it would reach Physicians…
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TL;DR — it’s a shame to read one page and feel like I didn’t learn about whoever wrote it, but rather had my field described to me. Never forget to integrate yourself into the statement, so I see how every experience shaped YOUR character and goals.
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It’s crazy how pregnant women work while nauseated, exhausted, and in pain…
but then still get pushback about taking time away from work??
Tbh I never fully appreciated how crazy/difficult this is until my wife went through this now.
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I want to showcase who we PM&R/Physiatrists are as doctors...and humans.
Introducing "Reflux & Reflexes," featuring research powerhouse
@PJayabalanMDPhD
for the first episode of SPICY wings & questions.
We have a lot of heart in PM&R. Enjoy, it's funny.
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“Hello there!”
My patients got Dr. Obi-Wan Kenobi today :D
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Reminding med students:
✅Rank where you WANT to go first
❌Not where you THINK you'll have the best shot
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*Ahem*
I've been retweeted by
@DGlaucomflecken
, and thus now elevating my brand.
Please refer to me as The Doctor Formerly Known As Sean Dreyer.
I will be taking no further questions at this time. Thank you.💅🏻
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@Kamran__Zahoor
I hope you know that this is Perceptor, the transformer. Perhaps you were asking them to transform lol
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Cool to see people getting residency interview invites, but don’t let Twitter cause stress if you’re not.
Remember, you’ll see a disproportionate amount of “positive news” posts here, but most who are waiting on interviews or getting rejections are prob not posting about that.
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THIS is why I'm doing Spinal Cord Injury
» Epidural electrical stimulator, using a new arrangement of electrodes...
...WITHIN A SINGLE DAY of the implant, patients with COMPLETE spinal cord injury were walking.
!!!!
Below: Michel Roccati💪
#Physiatry
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Anecdotes:
Meaningful anecdotes are great but don’t stop there — say how it IMPACTED you. Tie it together by explaining how it SHAPED what kind of physician you want to be, and how this field decisively delivers ✨that✨ quality that resonated with you from your experience.
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Another cool tech feature seen in Spinal Cord Injury
SmartDrive attaches to the back of the wheelchair and drives with a few taps of the wrist, using a special watch
2 taps: accelerate💨
1 tap: set cruise speed👨🦽
2 taps: stop🛑
Saves shoulders from getting worn out!
#physiatry
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Trying something new
Here's a 1-MIN summary of incredible data
👉This is how COVID pts (n=233!) do in rehab, compared to general rehab pts
👉Which socioeconomic factors impact their recovery
Presenting this week at
@AAPhysiatrists
#Physiatry
#Physiatry22
(PI:
@pjayabalanMDPhD
)
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And no I don’t just mean how it shaped your specialty choice — can say how it shaped your teaching style/goals👩🏫, how you connect with patients💕, research goals🔬, population you want to serve👥, advocacy goals🪧, etc.
^^ Lots of options to stand out!
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Took my last/final subspecialty board exam at the *same* testing center where I first took my MCAT… 12 years ago!
I have many more white hairs, but glad I did it all (also glad it’s done)
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Best part of
#Physiatry22
was meeting so many med students.
3x more med students this year!! Future is bright.
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A wonderful student just gave this to me on her last day.
A spine pun… I couldn’t be more proud 🥲
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Med students who I follow – I hope you continue to stay active on Twitter after Match.
I want to see where you go, what you end up accomplishing, and maybe work together down the line.
#match2022
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What’s something you’ll never do/try, as a result of your specialty or line of work?
I’ll never:
1) Ride ATVs
2) Ski
3) Dive without first scoping how deep it is underwater.
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#MedTwitter
If you discover a new pathology, please don't be like Sinding-Larson, Johansson, Osgood, or Schlatter.
Be like whoever mercifully named "patellar tendinopathy" — an anonymous hero of medicine making boards studying easier for us all 🍻
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I see a lot of good (but could be even better) statements that DESCRIBE a field, or what they OBSERVED a physician do. That’s great, but it missing YOU. Whoever is reading it probably already likes the field for similar reasons, but didn’t learn much about YOU by the end of it.
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HUGE thank you to this incredible (and resilient) panel at
#Physiatry23
.
@EricWisotzkyMD
@DrNikoDragoDO
@MVGutierrezMD
and
@dr_escalon
made it past 🌶️Da Bomb🔥 to share their secrets to success with the audience.
Video to come soon if you missed it :)
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"Hey it's PM&R"
"Oh I thought you guys were physical therapy"
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How to remember opioid receptors for
#MedTwitter
Mu1 (Mew) is nice — causes analgesia👍
Mu2 (Mewtwo) is mean — causes negative opioid effects (respiratory depression, sedation, dependence, etc), tries to destroy Ash & Pikachu.
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Best part of conferences is the reunion with the people you trained with
@NorthwesternPMR
@AbilityLab
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TODAY AT 3:30 PM
@AAPhysiatrists
— Pacific Ballroom C, on 2nd floor
I will douse this battery acid on chicken wings and eat them with leaders & program directors of
#Physiatry
— while asking them questions on how to kill interviews and rise to the top of the field.
DON’T MISS
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After MONTHS of revisions, just got a HUGE study accepted for publication.
It’s finally over 😭 thank you reviewer 2
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If Monday’s Match didn’t go the way you’d hoped, know that ultimately nobody will remember setbacks like this when they think of you.
Despite how it may feel… 5 years from now, when you come to someone’s mind, it’ll be about whatever great thing you’re doing at that time.
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Last month of fellowship
The fear of being an Attending and losing the training wheels is 📈📈📈
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✨Pro tip for STEP board exams✨
1) Eat Chipotle the night before
2) The salt bolus will make you basically anuric
3) Require no bathroom breaks ➡️ Win
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When I tweet useful medical info:
💬1 🔁0 ❤️18
When I tweet a stupid nonsense meme:
💬42 🔁69 ❤️4,029
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