Blonde Emergency MD ๐ต๐ธ๐ต๐ธ๐ต๐ธ
@blondemedSJW
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EM PGY3. Intersectional feminist, self proclaimed "SJW." She/her pronouns. Opinions are my own. #medtwitter
Joined March 2013
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This headline is truly sick.
I read the documents. She was raped by her superiors. She then checked into a mental hospital after trying to kill herself.
Her superiors reported her cause they were afraid she had told the psychiatrists about the rapes.
Tennessee sex cop Maegan Hall claims she was โsexually groomedโ in new lawsuit
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If you and your partner do not agree about Roe v. Wade itโs time to break up.
Have multiple acquaintances going through this right now.
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My boyfriend asked me how often I see dead bodies and Iโm like every couple of days and heโs like Iโve never seen a dead body.
I sometimes forget there are people whoโve never seen death.
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I know with Covid I shouldnโt, but I hugged a patient today. She was alone and miscarrying. I couldnโt not hug her.
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Iโm going to keep speaking out about sexual harassment at work because itโs not talked about enough.
Yesterday I backed up agains the wall and one of those hand sanitizer machines went off. And I got a small bit of hand sanitizer in my hair.
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@fd640jason
I did. They blamed her cause they were afraid she had spilled the beans to her medical team when she was hospitalized.
Did you read any of her 51 page document?
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The most ironic part of my dadโs story is he was a Neurologist and was forced out of the field because he developed a NEUROLOGICAL disorder (narcolepsy).
They took care of patients with his same disability! But when it was him, they did not afford him the same compassion.
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People in EM: Why do people use the ED like primary care?
*Me trying to schedule a PCP appointment* Next available time slot April 22nd
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And the entire medical community rejoiced at Dr. Ozโs defeat.
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My favorite night is when the whole team is women and a patient is like โI havenโt seen a doctor yetโ and Iโm like youโve seen two doctorsโฆ.
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The comments on the article are not any better. All calling her a whore.
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I know the CDC says 5 days but I wrote a patient a work note for 10 days when tested positive for Covid.
I for one will try to promote public health.
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This is also why so many people are afraid to seek help for their mental illness.
Iโm sure her bipolar disorder will be used against her. Say she was โmentally unstableโ and asking for it.
Tale as old as time sadly.
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Nothing says โHealthcare Heroesโ by asking us to go to work sick.
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Iโm saying it once again for the people in the back: a patient cursing at you is not abuse!!!
Abuse = physical harm, racial slurs, other threats of violence, sexual assault/harassment
Someone saying โf**k youโ when they are having the worst day of their life is not abuse!
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My attending just called a 9 year old a โpoor historianโ
SHEโS NINE
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My patient with sickle cell: what are you going to give me for pain?
Me: what do you want for pain? What works for you?
Patient: people donโt usually ask me that.
This is what saddens me about the medical community
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Honestly how is a Covid vaccine mandate different than requiring MMR and Hep B for kids to go to school? Like how is it any different?
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Iโm literally at a level one trauma center transporting someone with a huge brain bleed hanging on to life and yโall are sexualizing me? Itโs just so fucking crazy to me.
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I havenโt felt that humiliated in awhile. Just a reminder that you can be a full on doctor and people are still just really shitty.
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Last few paragraphs most relevant.
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Friendly reminder that those with mental illness are more likely to be the victim of violent crime than the perpetrator.
This should give more credit to her story but sadly it wonโt.
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My BF: job offer at Google with a 25% raise that is 100% remote that he can do in his PJs every day.
The Medical Field: Intensivists are working without pay
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At the end of the day no matter than Iโm a doctor, no matter how much I prove myself, no matter how many accolades I get Iโm still just a woman. And most people will never see more than a sexual object.
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@fd640jason
You can choose to not to believe her. You can say she made up all 51 pages to โsave herselfโ (although tell me one time a victim coming forward has ever actually helped them). But the memes are too much.
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Here are the actual court documents. NYP calling them โsteamy sexcapadesโ makes me wanna puke.
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What these men did is right out of the abuser playbook. When they are afraid of getting caught, they try to turn the tables and get the victim in trouble.
I hope Meagan gets the justice she deserves, but Iโm not too optimistic.
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Hot take: med school doesnโt prepare us for procedures.
I supposedly went to a top 10 med school and I never placed one IV in med school. Not a single one.
And I know Iโm not alone here.
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This month is workplace violence awareness month and everyone is talking about this in EM.
Just a reminder that sexual harassment definitely is workplace violence.
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To all the other women who have to go through this almost daily, you arenโt alone. I hear you and I see you.
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One of the techs (male) who was transporting a patient with me said โyouโd better clean that up, you donโt want people to get the wrong idea.โ Then him and all his friends laughed.
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To the Vanderbilt EM residents, the peds residents, the surgery residents, all other medical staff, we are with you today.
Nobody should have to treat peds GSW. This should not be a thing that happens.
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Do not give CPR to a conscious patient with a pulse Jesus Christ.
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Boomer docs: 28 hour shifts are better for learning!
Okโฆ. But are those 28 hour shifts actually better for patient safety? Itโs not all about our โlearning.โ Itโs about whatโs best for the patients. Sleep deprived docs are unsafe.
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Iโve been seeing LOTS of otherwise young healthy men coming in with severe heart failure like EF of 10%. Is anyone else seeing this? Does this have to do with COVID? Like people in their 20-30s.
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Guess I gotta say this. NYC requiring you to have a vaccine card to go to a restaurant is not violating your first amendment rights.
Being able to eat at a restaurant is not a constitutional right.
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And I have to remind myself Iโm not the majority, that itโs not normal to see deaths as much as we do. And sometimes forget the toll it takes.
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Maeganโs entire 51 page lawsuit.
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Honestly some of the best patient education is how to stop a nose bleed at home.
Direct pressure, lean FORWARD! Not back.
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His main partnerโs wife delivered me as a baby! And they just likeโฆ stopped talking to us when my father became disabled.
So honestly, the cruelty docs have been displaying towards disabled people really isnโt shocking.
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Doctors on twitter will say they hate disabled people with their full name and institution in their bio.
Maybe med twitter was a mistake.
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If dentists arenโt going to be open on weekends and likeโฆ reject everyone who canโt pay up front out of pocket EM docs should learn how to pull teeth.
I said what I said ๐คทโโ๏ธ
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We make fun of โDr. Googleโ a lot but honestly if a patient finds a disease and they are like โhey I fit every single one of those symptomsโ at least consider it.
Dismissing their concerns is a good way to make that patient never trust doctors ever again.
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When someone else dies of COVID, can we stop saying โwell what comorbidities did they have?โ
Stop. Just stop. People with comorbidities matter. Disabled people matter.
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Called a vascular surgeon who wasnโt on call, cause he had operated on this patient before. I was nervous he would be mad. But he likeโฆ. immediately drove in to see the patient and gave recs. Taking him to OR tomorrow.
When surgeons are nice itโs so helpful ๐ญ๐ญ
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Iโve been calm in tons of codes by now. But what scares the heck out of me is a kid so lethargic he doesnโt flinch when I put an IV in.
Major palpitationsโฆ.
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His main partner he built the practice with, who threw him out like garbage, he died of pancreatic cancer earlier this year.
His wife actually called my mom to see if they could โmake amends.โ My mom went to the funereal, my dad said too little too late.
Good for him tbh.
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Also hot take: residents should not be asked to go in and perform โnursing tasksโ during a nursing strike.
This is crossing the picket line. The whole point of a strike is for the hospital to feel it. This is undermining their efforts.
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Ok ranking worst places for code blue:
1. CT scanner
2. Bathroom
3. Gift shop
4. Lobby
5. ER waiting room
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Really awful sad day in Peds ED. Could use hugs or cute animal pictures.
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Honestly the worst part was these were people he thought were friends. They built a practice together!
But he soon realize their friendship only lasted as long as his productivity.
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Me (to attending): he doesnโt have diabetes but he has that DKA lookโฆ you know what I mean? That look? Like heโs really going through it
Attending: yep know exactly what you mean!
VBG 7.18, gap 24, glucose 1085โฆ. sometimes EM docs know our s**t
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When Iโm treating a patient and introduce myself, only for them to say โI know you, you saved my husbandโs life a month ago.โ Then she gave me an update on a patient I was sure wasnโt going to make it.
Fam let me tell you I almost cried.
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Nursing home: โOh the facial droop, we noticed it at 2pm.โ
Me: โNo, I mean when was his last known well. When did you last see him without the droop.โ
NH: โOh well, everyone from that shift went home, I donโt see any notes, I can try to transfer youโฆโ
Me: โFoeget it.โ
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@hasanthehun
Someone got shot at a Milo event on my campus, and people were like โprice of free speech what can you do?โ
The irony is amazing.
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Dear premeds, Iโll tell you what med school is really like.
Itโs feeling dumb every single day and wondering โam I really smart enough to be a doctor???โ
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Men will stay home when they are having a STEMI but if their testicle itches for like ten minutes they rush in to the ED.
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So I just saw someone say that having end of life discussions, ie DNR/DNI, comfort care, is ableist?
This country as a whole does not understand what cardiac arrest means, what CPR entails. We need more education about this.
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Some of my patients cannot afford insulin and Iโm supposed to NOT be a political advocate?????
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Coding COVID patients is honestly the worst. It feels futile from the start. Itโs just really traumatizing.
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Crowdsourcing on Twitter to get a neuro ICU bed for a patient with a brain bleed. I wish I was joking.
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I did very well on Step 1. But Iโm also very open about the fact I contemplated suicide after finishing the exam, and even wrote a note. I was at rock bottom. The lowest low Iโve ever felt.
Iโm so glad future students donโt have to experience that pain.
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So vaccine hesitant nurse gave two of my inpatient psych kids Covid... and potential 2-3 more.
Iโm.... pissed
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PSA: if you test positive to COVID, donโt get on a plane. I donโt care how much you paid for the ticket.
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Starting to see people hypoxic and requiring admission for Flu Aโฆ.. anyone else seeing this???
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@enchantedjess13
Imagining Blake Lively and Ryan Reynolds sitting in the queue with us has me cackling
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USMLE: โ28 year old female presents with recurrent miscarriages....โ
Me: Antiphospholipid Ab Syndrome on to the next question
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Humiliating obese patients does not make them lose weight. Why do healthcare workers not get this???
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One thing about dating someone whoโs not in med school or a doctor, is itโs so hard to describe the degree of trauma we experience during our training. He canโt fathom it.
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Really though we use propofol sedation for outpatient cardioversion. Why canโt we do it for IUDs??? It would really just take a few extra rooms and some CRNAs.
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In the ED we hate using the c word (cancer). Itโs easier to dance around it. โWe donโt know what this might be you need to follow up.โ
I tell the patient multiple times we are concerned for cancer. Please follow up. Write โcancerโ multiple times in the DC instructions.
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Patient: my stomach is hurting. Probably from the Chinese food!
EKG: STEMI
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The public: No socialized medicine! Do you want wait times like in the UK?
Me: Umโฆโฆ. do any of yโall have any idea how long wait times are now???
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Hereโs the big thing. Other docs refusing to see Covid positive patients and sending them to the ER, I get their logic, I do.
I have PPE, Iโm vaccinated. But it just stings a little. Like do our lives just not matter as much as yours do? Thatโs the gut feeling.
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My attending: what I remember about myasthenia gravis is there are lots of drugs I canโt useโฆ and I look then up every time
PEAK EM doc
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@PopBase
@itsmetheHBIC
Nani is such an underrated character and like the first indigenous woman to not throw herself at the first white man she meets
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How do residents in their 30s do it? Iโm in my late 20s and Iโm just tired 24/7, surviving on energy drinks.
I have so much appreciation for non-trad residents cause ooof this is not easy on the body.
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Pregnancy can kill previously healthy people with no medical problems. Iโve seen it happen.
Anyone who claims otherwise has no idea what they are talking about.
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Nursing homes will literally dump patients in the ER with cheif complaint โgets too violent at night.โ
My dude they have dementia and are sundowning. How can a nursing home not know how to manage a sundowning patient???
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I cursed and cried and screamed in the hospital after my bladder stone surgery cause it was painful. I was a teenager and my mom had to beg them to give me more pain meds cause I was suffering.
I was cursing cause nobody was listening. That is why patients swear.
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Refusing to wear a mask in the ER waiting room during a time like this is the most selfish things I can think of.
And these people expect to be seen and treated like VIP guests. Itโs honestly mind boggling.
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โYou donโt see high acuity pathology at a community hospitalโโsays someone whoโs never worked at a community hospital.
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We need a universal EMR if only to compare old and new CTs and EKGs
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@joshmcgoo
โNurse is concernedโ honestly makes me come running faster than any vital sign tbh. If and ER nurse says they have a bad feeling, the patient is likely gonna code in the next 10 minutes.
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Me: Hey Dr. Cardiologist, our call book says you are on call today, I have a consult.
Cards: The patient saw Dr. X two years ago! How dare you call me! The ED is so bad with continuity of care this is absurd!
Me: Umโฆ itโs after 8pm and youโre on callโฆ.
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Fam stop coming to the ED for monoclonal antibodies we are out.
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One of my coworkers lost 50lbs on ozempic and feels amazing, self esteem has improved so much.
But these warriors out here being like โonly diabetics should use ozempic you are a monster.โ
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Did the ED โmissโ something? Or are we being unfairly expected to fill gaps in primary and specialty care? And social work?
I cannot diagnose PUD in the ED I cannot do an endoscopy. I cannot diagnose cancer in the ED I cannot do a biopsy.
Is it an ED โmissโ or system failure?
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I love people on this website realizing that many of the younger generation of doctors are socialist, believe in workers rights, and prioritize family above work.
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GI: I want this patient admitted for an inpatient colonoscopy.
Me: The patient is stable, why is this an inpatient matter?
GI: Cause I have no appointments until July just admit them.
This is what healthcare has come to.
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Entire cardiology note:
โPatient has stent. I donโt care how much he is bleeding please donโt stop DAPT.โ
That is the whole note.
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Please get your colonoscopies fam.
I really donโt want to diagnose your metastatic cancer in the ER. Always makes me sad.
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I wonder if AHA knows the success rate of COVID codes.
Iโve done many codes now. Many of which Iโve gotten ROSC. Have not gotten ROSC on one COVID patient.
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PSA: the switch between night and day is not a โday off.โ You sleep all day.
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Yโall said โhealthcare heroesโ then decided to not get vaccinated. ๐๐๐๐
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Read the responses to this tweet. Healthcare workers calling me unreasonable, but patients thanking me for being understanding. Thanking me for listening to them and understanding their pain.
Let that sink in.
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How many people are seeing Covid+ babies with bad croup? ๐โโ๏ธ๐โโ๏ธ๐โโ๏ธ
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