Thanks to @dr.annie.purcell for inviting me to join this empowering conversation started by @drrupawong 💕 I've loved reading other female attending physicans' advice to trainees. Being late to join in means I've read the excellent advice they've already given, so I won't repeat that, but I did want to add my one additional pearl: take support from the people around you, and be their support when you can.🏋🏽♂️ This probably applies to people in any field, not just in medicine.
I have examples of this from every stage of my training and right up until my daily work now. Your network and your support system are important. Don't neglect them. Don't feel bad about choosing to do your training in an area where you have family or friends to help you through that challenging time. Share opportunities with your friends and colleagues. Celebrate their successes. Remember that medicine is a small community that becomes even smaller when you specialize and sub-specialize 👩🏻⚕️ Yes, I worked very hard to get to where I am, but it wouldn't have been as easy or a fraction as enjoyable without the people who helped me get here ❤️
24 year old F presented to the ED after an episode of fainting. This has never happened before and aside from occasional dysmenorrhea (painful menstrual cramps) her medical history is a blank slate. She was at work when she began feeling weak and dizzy. The next thing she remembers she awoke on the floor of her office with a headache and coworkers standing over her. The fall was witnessed and there were no abnormal body movements or change in mental status per coworkers
In and ED setting with a healthy young woman the primary thought is going to be vasovagal syncope but rule out cardiac, blood sugar, neurologic causes. Cardiac work up was negative, CBC, CMP and other labs were normal. Because of her fall, and a question of head strike while on NSAIDS for the cramps I imaged her brain first with CT, and then MRI due to questionable finding on the CT, but MRI was ultimately normal. At this point she has been in the ER for 3 hours and her work up being normal she was about to be discharged. An amazing lesson from and amazing mentor, ED doc, Dr. Turnbull played back in my memory. She had once said “Never discharge someone without a diagnosis on only one set of labs”. She meant it to apply to specific instances, not everyone, but this seemed like one of those instances. The patient and some staff really wanted her discharged but with some insistence she agreed to stay
Those repeat labs made all the difference. When we first got her CBC her hemoglobin was 12.6 (unremarkable) Three hours later it was now 9.5
She had been taking NSAIDS for her cramps! I went in and check her stool for blood and there it was! She was bleeding. She was then given Carafate, fluids, and observed for a while longer as I waited for her to be admitted. After the Carafate her numbers stayed put. The lesson I learned here was rushing people out isn’t always the best thing to do. Thanks Dr. Turnbull for the solid ED lesson
May only be Tuesday...but I’m definitely looking forward to the days coming. I’ve asked so many people what I should he doing before residency starts and so I’ve decided on the following things!
🔅Spend time with loved ones!. 🔅Workout as much as my body can handle because it feels good and I have the time!. 🔅Do things I love: pool parties bc it’s #wmc2019 and why not! Go dancing, eat great food, enjoy my City!.
🔅Sleep! Stay up late watching my favorite TV shows and Sleep in because right now I can!.
🔅Play a lot with my puppy @kobethecowdog because I’ll still play w him during residency, just not as much as I can now!.
🔅Study? Hmm NO. But I will review a few things because they’re common and important to be comfortable with. .
For now...I have this mixture of emotions every day: excitement, happiness, relief, sadness, nerves but not anxiety, fear but not in a negative paralyzing way... wonder... disbelief, awe. So many things!! .
So these next few months I’ll be focusing on ME way more than usual! Because once residency starts, PATIENTS will become my priority. .
Tag someone starting residency soon!!.
What did you do or will you do in the months before residency??
An estimated one-quarter of all individuals are either born with or will develop a ventral hernia in their lifetimes . In the United States, over $3.4 billion a year is spent on repairing ventral hernias . (Ref: https://www.uptodate.com/contents/management-of-ventral-hernias)
1 1127 minutes ago
Wczoraj dołączyło Was wielu do mojego medyczno-kolczastego zakątka. Wypada się więc przedstawić: 163 centymetrów miłości do jeży i medycyny z dodatkami w postaci fotografii, ceramiki i ilustracji. Jak jedzenie to tajskie🍲, jak muzyka to jazz🎷, jak mam się przyznać, gdzie czuję się jak w domu - to na bloku operacyjnym. W czepku w jeże.
A skoro klatka piersiowa w anatomicznym wydaniu, to i zespół uciskowy górnego otworu klatki piersiowej (ang. thoracic outlet syndrome – TOS). Tym mianem określamy grupę objawów neurologicznych i naczyniowych w zakresie kończyn górnych, które zależą od ucisku na splot ramienny, tętnicę i żyłę podobojczykową oraz t.pachową. Do powstania przyczyniają się uwarunkowania anatomiczne (wady i urazy), jak i zaburzenia wynikające z długotrwałej, nieprawidłowej postawy, przeciążeń zawodowych i tych w trakcie treningów.
Odmienności anatomiczne wywołujące TOS to na przykład dodatkowe żebro szyjne, szczątkowe/dwudzielne 1sze żebro, patologie włóknisto-mięśniowe w trójkącie mięśni pochyłych, przesunięcia przyczepów mm.pochyłych lub ich zrost.
Najpoważniejszą manifestacją żylną jest zespół Pageta-Schroettera - zakrzepica u osób młodych, związana z wysiłkiem kończyn górnych. Z kolei nawracające tarcie tętnic o części kostne prowadzi do ich włóknienia, miażdżycy oraz tętniakowatego poszerzenia. Małe zatory przyścienne uwalniając się mogą zamykać tętniczki zaopatrujące palce i dawać obraz ostrego niedokrwienia. Przewlekle - dominuje oziębienie dłoni, objaw Raynauda, chromanie przestankowe kończyny oraz jej zmiany troficzne.
Jednak to postać nerwowa jest najbardziej powszechną manifestacją TOS (95%). Ucisk na splot ramienny objawia się bólem odcinka szyjnego kręgosłupa, barku i całej kończyny, parestezjami w jej obrębie, a w skrajnej postaci - zanikami mięśni. •
• #womeninmedicine#femaledoctor#anatomia#wyzwaniekfs2#kobiecafotoszkola#medycyna#chirurgia#hedgehogmom#wroclawianka#instawtorek#thorax#radiologia#ratownikmedyczny#lekarski#pielegniarka#polskadziewczyna 🙋 #scrubstyle#premed#medicalstudentlife#dentysta#anesthesiology#surgical#futuredoctor#medicalschool#biolchem#matura2019#anatomyart#scrubselfie
Compassion is an integral part of everything we do because we strive to be the Hands and Feet of God. Jesus provided the perfect example of selfless love and compassion, and it is through this example we conduct our services.
I have set you an example that you should do as I have done for you. (John 13:15)
1 433 minutes ago
Emergency medicine 🚨
A very worthwhile, hands-on 'Road Traffic Collision' event run by the Pre-Hospital and Emergency Medicine Society (@swanseaPHEMS) at @swanseamedicine.
MDU was happy to support the event and encourage medics to read up on our advice on consent in emergency medicine which includes a traffic accident scenario.
Read it here https://www.themdu.com/guidance-and-advice/case-studies/consent-in-emergency-medicine
⭐️Living by the rules. I am loving connecting with folks on IG. It has pushed me to go outside of my comfort zone and let loose. Medical providers tend to be rule followers and I am certainly one of them. The training is incredibly structured and hierarchical in nature and rewards following the rules.
Since when has living safe been fulfilling?
Have a voice, have an opinion and most importantly have a VISION. The wisdom is knowing when, how and to whom you share your vision with. Surround yourself with those who think BIG like you and let go of those who are limited. I find that folks tend to project their insecurities on others and it takes someone with a singular vision (YOU) to ignore the naysayers. I truly believe the best infertility doctors know how to think outside of the box.
So in celebration of not following ALL the
rules, I decided to spend this random Tuesday in my favorite inaugural ball gown (I am a DC native so I have many) which has been in the back of my closet for-evah. Why?
It made me happy. Do I honestly care what anyone think?
Swapped out my weekend work sweats 💻 for my pen-stained whitecoat (lol if you know you know) for my third week of IM 💉💉
What an intense, crazy but totally awesome weekend! My heart is exploding with J O Y with my growing group of fierce + strong women! ⚡️⚡️I never thought I could step into this role as a health + fitness mentor, and I’m definitely still learning as I go, but it’s really freaking rewarding and awesome to use my love of preventative medicine + genuinely helping others on a totally different scale, outside the realm of hospital medicine & patients.
For now though, its back to helping my patients & it’s time to get my butt into gear and study up all things IM (aka everything)! Where do I even start?! 🙃
Happy Monday, friends!
22 1,41225 March, 2019
My Family Medicine rotation is over, and it’s actually been my favorite rotation yet! Definitely wasn’t expecting that, but I was pleasantly surprised. I got a mix of outpatient private practice and urgent care and enjoyed both experiences. New rotation begins tomorrow... closing out the year with 12 weeks of Internal Medicine! 😱
Scrubs: Arya Collection by @jaanuubydrneela
Someone told me the other day that one of the reasons they didn’t become a doctor is because they didn’t want to “waste their youth”...
I thought about this for a moment. Is that what I did...? The answer to that question, for me, is no. You know what I consider a waste? Not challenging myself, not seizing opportunities, & not using my skills to pursue a passion that could help other people.
Understandably, not everyone has the discipline, or wants, to dedicate years upon years preparing for a job that, at least initially, pays very little & requires going into so much debt...& thankfully, because what a boring place the world would be if we were all doctors! But for those of us who couldn’t ignore feeling that we weren’t meant to do anything else, that time was not a waste. It was an investment, and makes us who we are today. 🕑👩🏼⚕️