My nice broke a bone around 3 months old. She kept on starting to roll over and got one arm caught. While trying to reposition her my BIL twisted her arm and it broke. It would never have event hurt a normal child, but it broke her arm.

He took her to the ER at the local children's hospital. They x-rayed her and immediately contacted CPS. While working her up the resident noticed she had grey sclera and diagnosed her with Osteogenesis Imperfecta (Brittle Bone Disease). Once she was diagnosed the investigation was dropped and my sister and BIL were allowed to take her home. They followed up with genetic testing and it was confirmed that she had type 1. There was no family history of OI, it was a spontaneous mutation.

If you don't know, Osteogenesis Imperfecta is a rather rare disease. It only effects around 1 in 20,000 people. Only a small portion of new diagnosed cases are caused by a spontaneous mutation.The patient will come in already knowing they have or might have OI. Sometimes people with type 1 are not diagnosed until they have children themselves.

IDK how often doctors see new cases of OI or if it is something doctors consider when an infant comes in with a fracture. I am not a medical professional.

I want to say thank you to the resident that had the knowledge and observational skills to diagnose her. This was the worst day in my BIL's life, but if the resident hadn't been there or hadn't diagnosed her correctly it could've been much much worse. I know it is extremely hard to make it through medical school and residency

My niece is doing very well now and has not had another fracture. Getting early intervention with medication can result in a better outcome in adulthood.

Edit: Thank you everyone for your suggestions. I have emailed the Residency Program Director. I asked for the, resident's name, wrote a description of what happened, thanked them, and provided an update of how she is doing. Hopefully it will get to the right person.

I love responding to novel-length texts from residents in the fewest characters possible. It always makes me chuckle when I answer a patient-care question that was preceded by a twenty sentence preamble with:

no

For a change of pace sometimes I hit 'em with:

👎

It gets better. I love you and hope you can laugh about this in a few years.

Had a nurse hammer paged me every hour for a patient’s 8/10 to uncontrollable pain with rib fractures. After I was done with a case, I went to see the patient. I asked him how his pain is. He said it’s fine if the nurse don’t touch his chest every hour.

I was like “wait what?”

He said that every hour for the last few hours, the nurse would come in and ask him how his pain is and he’d tell her it’s fine. Then she’d squeezes his chest which makes it 8/10 pain. Which then she’ll say “I’ll let the doctor know you’re in a lot of pain.”

Then the patient said to me “tell that fucking nurse to leave me the hell alone. I just want to sleep.”

I smiled and happily obliged.

So, I finished residency this year and just started working after an extended break and the job is great, I'm so glad.

It's a hospitalist position, 7on/7off, only day shifts, no night shifts, census 16-18 (so far), no admissions, no rapids, no codes, no procedures, closed ICU, no residency program for IM, has all the major* specialties available. Because of all this, it's a round and go place. Don't have to come in at 7, can come in whenever, and leave when your work is done. Usually, I come in at 8 and the only time I left after 5 was my first 2 days as I had to get used to the hospital.

Basically worked 8-5 this past week and now I have this entire week off. My base pay is 340k. No bonuses or RVUs required to reach that.

Just wanted to make a happy post for this sub haha.

Some of you may know I have been battling stage 4 classic Hodgkin's lymphoma. Today I went over my new scans with my oncologist and almost all the cancerous lymph nodes are gone!!!! I can still see a few but hopefully these last 5 sessions of chemo can get it all gone !!!!!

More for myself than anything. But damn, is it validating after all that education, training, and sacrifice. I thought I needed something to celebrate, but I did not. I realized that I didn't need to and that the actual ability to buy something was the gratifying part.

See you on the other side, brothers and sisters!

My TAX REFUND is a quarter of my intern salary. I definitely would have missed 3 months of my salary back then.

I remember how hard it was, it wasn't that long ago. Breaking down and crying when my engine light came on because I wasn't sure how I could afford the repairs. Rent jumping up $400 one year and being glad my pgy3 salary increase almost covered the difference and I could just not save that last year. Being dead tired after 80 weeks of inpatient medicine.

There is a light at the end of the tunnel. I believe in you. Residency will soon be a distant memory, I promise. It gets better. You're worth it.

Edit lmao at free interest loan for uncle Sam. The point of this post is that I make enough money that I didn't give a shit that I was missing over $10k and that this is no longer an amount of money that will change my life, the way it did in residency. And that it'll be the same for all you fuckers.

I did it! I got accepted! I know this is only the beginning and I'm going to have to roll up my sleeves and work my butt off, but I couldn't be any happier to be offered the chance to learn the beautiful art of medicine

Young attending in generalist specialty. Part of being a generalist is calling soft consults, either because your attending said so or you are a young attending terrified of harming a human being in your first years out.

This is probably obvious to more emotionally mature and less conflict averse people than me, but I would have been saved stress and time if I realized this algorithm sooner.

If your attending asks you to call a consult you don’t understand, ask why. ‘ oh I was planning on doing this because of this, would you mind explaining to me what you were thinking about’. Sometimes this is super educational, sometimes you know it’s BS.

But either way you have a polite conversation with the consultant and if they are rude and give you shit (like many in academia do) you explain your Attending’s thought process, if still getting shit it’s ’idk what to say my attending wants it, if you don’t think it’s an appropriate consult the next step is for your attending to call my attending their number is ***.

After I figured this out these negative interactions stopped raising my blood pressure and ruining my vibe.

Probs a stupid post but I’m super high rn and haven’t worked in over a week being an attending is awesome things get better I promise why is there no shitpost flair

$540k plus bonus, 4.5 days/week, 6.5 weeks vacay.

I don’t even know if I’ll take it but it’s crazy that people will actually pay me money for doing this.

There is some small light at the end of the tunnel

Hey! Congrats to all the new grads who are hopefully starting to enjoy the fruits of your labor. Thought it’d be fun if people shared their first indulgence as attendings! I’m not promoting financial irresponsibility, you’ve worked hard and, in my opinion, there’s nothing wrong with rewarding yourself! Also gives those of us still slogging away a reminder of what’s on the other end.

In anticipation of the negative responses, I know not everyone has the ability to indulge due to any number of circumstances, I’m not trying to shame that! I’m just hoping to capture a little of the early excitement for people to share and enjoy! Thanks!

Found out I passed my written boards today! Very relieved, I was incredibly stressed out about this test.

My SO is still at work and my co-residents haven’t texted me yet (and I don’t want to intrude on their privacy unless they want to share the info with me voluntarily) so I figured I would tell you folks!

😊😊

Edit: just wanted to say thank you everyone, we went out for a spontaneous dinner and had a great time! Residency can be dark sometimes but there are bright spots and even brighter people!

Was in the OR today doing a major liver/extended right which was one of the most challenging liver cases I've done to date. Chief anesthesia resident doing the case solo (her attending popped his head in and out). Patient lost a fair bit of blood (a unit or three) but straight up crumped at one point from us pulling too hard on the cava (she had a 20cm basketball that had replaced her right liver, we were REALLY struggling to get exposure). The chief resident had her stable again in maybe a minute before the attending could even get back in the room. When we were closing, the chief surgery resident across the table from me asked her if she could talk our medical student through what had happened and she rifled off like a ten minute dissertation on the differences between blood loss hypotension and mechanical loss, explained in depth the physiology of the pre-load loss and all of its downstream effects/physiology, and the pharmacology of all the drugs she used in detail to reverse it, all while titrating this lady down off the two pressors to extubate her by the time we were closed and checking blood. Multi-tasking was over 9000.

Short version - she was a badass and I felt like posting about it. We didn't have an anesthesia residency when I was a resident and she was awesome. Some real level ten necromancy shit she did and it was cool.

Anesthesia, ilu.

My proudest moment in residency, happened yesterday. A fellow colleague saw a dizziness patient in the emergency, diagnosed Vestibular neuropathy but wasn’t completely sure and called me for a second opinion. Patient has ptosis, diplopia, nystagmus and leg ataxia. No reflexes. MRI was normal. We started brainstorming with my attending. Wernicke Encephalopathy came up but he doesn’t drink. And then it comes to me…Miller Fisher. Patient receives immunoglobulines and get better. My proudest moment yet, I’ll never forget the high.

What are y’all proudest diagnoses in residency?

It's been a tough year. I hadn't cut my hair in about 3 months and it was a jungle. Anyway I go to my local haircut place in shorts and white tee looking tired af. Anyway, the lady cutting my hair is this kind lady who took pity on me. She asks me if I'm excited for college graduation and I was embarrassed at how ...bad I looked and I just ...went with it. I invented a college major, the link between my disheveled appearance and how I procrastinated so much in my life, how I hadn't learned enough to not procrastinate on my finals essay due next Monday, and how I would promise to be better. She gave me lots of tips on how to be organized and told me I reminded her of her kid. She told me that graduating is the easy part and the real work starts now. She told me to not wait so long to get a haircut next time too. I thanked her for her advice and tipped 30%.

FREAKING AWESOME !! Just coming off an anesthesia elective, not even going into anesthesia, and all of the folks were super nice! The fellows, the attendings…it just warms my heart.

They ACKNOWLEDGED me, said hi to me, introduced themselves to little ‘ol me…asked me questions about where I’m from and what specialty I want to go in to, held the door open for me, made sure I felt included in all the procedures we did…like they genuinely wanted to make the rotation applicable to the specialty I’m going in to. They took the time to teach and explain everything they do and their decision making thought process…And best of all, they let me go home early a few times 🥹🥹

We should all strive to be like all of these anesthesiologists!

So I had a bottle of Chianti and hate watched the worst medical show I have ever seen. It’s called the Resident. This first year suspects a PE in a patient and gets a CTPA, the patient arrests while he’s in the CT machine and the resident argues with the other resident about the use of thrombolytics after explicitly saying the blood pressure is 70/30 and the patients unconscious. Like ALS does not exist, only thrombolysis does. Also an internal med resident deals with neutropenic sepsis and assists a cardiac transplant and consults on appendicitis, all in one day.

I had the best night of my life hate watching the shit out if this show. If anyone else has any recommendations to hate watch other garbage please tell me, this is soothing in some sick way.

Just a different situation I have never been in before in my life. I’ve never been the tallest person in any group ever. The time of the average height 5’9 has come!!!

There has been a freak temporal event where the entire radiology department in a county hospital was displaced 1000 years into the future and I, along my department, was translocated 1000 years backward to old earth calendar 2024.

Ask me anything about radiology, medicine, residencies, or humanities in general in our universal calender year 347 or old earth calender 3024.

I’m a Derm, so when I examine people’s butt, I say “yep, looks like it hasn’t seen the light of day back here!” Or sometimes for follow up encounters, “Well, I can tell you still aren’t a nudist (or at least a practicing one)!” That usually gets a chuckle and lightens the mood despite the obvious discomfort of a stranger looking at your nethers. One time I hilariously had a >90 year old say that she actually was a nudist and used to live in a colony with her family years ago.

I’m curious what your reliable lines/jokes are to help lighten the mood!

Edit: I read every comment and loving it all! Thanks everyone for the light hearted conversation! Also thought of some more I use!

When doing a skin biopsy on a leg or foot, telling them their foot modeling career is over!

When cutting out a cyst or mass, once it comes out I like to “birth the baby” and say boy or girl. I usually announce the opposite gender of the patient and say for example “of course it’s a boy because of all the trouble he’s caused.”

If I have something on the skin I’m going to inject with medication of some sort, I talk about the plan and once they agree, I say “ok, good plan, let’s give it a shot! NO PUN INTENDED”

Today, my attending said I was doing a good job with my reports and she didn't have to change anything, Needless to say, I was over the moon. I think it ties with "Nice catch, I might have missed that!" This is in radiology. I've been having a rough time (not related to my residency) and hearing this really made my week.

​

What is your specialty's equivalent? What is the highest praise you could get from your attendings or seniors?

The "only attendings allowed" sign just watches, helpless. Impotent. I am the donut and bagel king. We don't get free cafeteria food here

Being in the MICU on nights as a new intern alone kinda sucks but great googly moogly do I love pharmacy. They are like a watchful specter, haunting my orders and letting me know when my shit is on sideways and how to fix it. So many things they correct and help me get right. Probably many of these things would be corrected if I had a senior present, but still. Pharmacy is the bomb. We stan pharmacy. I can’t wait to not be alone on nights.