drdessertfox

[drdessertfox]

I made sourdough star bread!

#I swear this is still a medicine blog #I just have been on maternity leave so I’ve been doing more baking than medicine #baking #bread #sourdough #desserts

[drdessertfox]

Today I made: Christmas wreath macarons

#baking #not medblr #hobbies #cookies #macarons

[drdessertfox]

After many tries I have finally figured out how to make perfect sour dough. Thanks to my starters Bread Zeppelin and Edgar Allen Dough who sacrificed themselves to several mediocre loaves before this moment.

#baking #not medblr #BREB #sourdough

[drdessertfox]

Recent adventures in baking

#not medblr #baking #hobbies #BREB

[drdessertfox]

I’ve seen a lot of Instagram reels as well as other posts (Twitter, tumblr, etc.) where people complain that a doctor got a pregnancy test on them even though they told the physician there is no way they could be pregnant.

Let me tell you why this happens- it’s not because we don’t trust you but it’s because we need to verify.

I recently took care of a teenager who told me she had never had sex and last period was 2 weeks ago. She came in with abdominal pain. It turns out she was in active labor with a full term baby. This was a sign out, by the way, so imagine my surprise when I check on her, do my own exam, and find a huge effing baby on bedside U/S with her 9 cm dilated.

It’s not that we think that you are lying. It’s just that some people do unfortunately lie (or stretch the truth) and the last thing we need to do is miss a pregnancy when it’s clinically relevant.

As Dr. House always said:

#medicine #medblr #emergency medicine

[drdessertfox]

The ACOG recommendations on this changed years ago. It pains me that some OBs are practicing so outdated. I’m also not certain they are actually getting reimbursed. Typically, if a patient is not up for a screening exam, insurance will not pay.

I find it very strange that Americans do pelvic exams so frequently (I've read yearly!?). In the UK, cervical screening takes place from the age of 25 (every 3 years) but otherwise pelvic exams would only take in reaction to reported symptoms, not as part of a normal health check. We have much higher rates of HPV vaccination than the US but this isn't a recent reduction. Do you know why the US has a different approach?

Paps used to be annual, but they’re every 3-5 years now based on age. The current recommendation for pelvic exams is to do them based on symptoms as well. That being said, a lot of US OBGYNs still do annual pelvic exams, if not annual paps because they get paid for them.

[drdessertfox]

Thank you for helping us patients. We don't always think to tell you thank you because we are too wrapped up in our own owes, so let me just tell you, on behalf of ALL your patients, THANK YOU FOR HELPING US.

Well thanks anon! I like being a help. You would not believe how happy it makes your physician to just hear a “thank you.” I know it always makes me smile :)

[drdessertfox]

I get it, y’all, constipation is uncomfortable. But can you just, idk, at least try ONE of the several over the counter options before coming to the emergency department!? Is that too much to ask? Bueller?

#medicine #emergency medicine

[drdessertfox]

This is your friendly reminder that the “E” in ER stands for “emergency” and not “expedited” 😊

[drdessertfox]

This is a PSA-

Just because one of your lab values is outside of a normal range does not actually indicate something is wrong. Nearly every human on the planet, including healthy ones, will have a couple of labs outside of “normal” limits. Just because your physician didn’t explain to you why your creatinine was low doesn’t mean they missed something.

#psa #medblr #emergency medicine

[drdessertfox]

PSA: please do not go to the emergency department requesting an MRI for your joint sprain or strain. MRI is reserved for emergency conditions such as stroke, spinal cord impingement, etc. You will not receive an MRI in the ED to see if you tore your ACL. It is an outpatient imaging test.

Thank you and have a nice day

#setting expectations #emergency medicine #medblr

[drdessertfox]

Thank goodness no Tupperware, but I did have a patient go take a dump in the bathroom then used the call light to have a nurse come look at it haha

I don’t know who needs to hear this, but I can 100% guarantee you that your doctor does not want to see a photo of your bloody shit floating in a toilet. I believe you. Please do not show me a photo. I don’t want a photo. Let me check for hemorrhoids and go on from there.

[drdessertfox]

What type of curtains should I get to finish my stand alone tub space? Lace? Beige? Halp.

#not medblr #personal #cozy spaces #home decor

[drdessertfox]

I don’t know who needs to hear this, but I can 100% guarantee you that your doctor does not want to see a photo of your bloody shit floating in a toilet. I believe you. Please do not show me a photo. I don’t want a photo. Let me check for hemorrhoids and go on from there.

#this is a psa #emergency medicine #medicine #medblr

[drdessertfox]

Me: “So where on your stomach are you having pain?”

Patient: “my stomach.”

Me: “I know your stomach, but where at? Can you point with one finger where it hurts the most?”

Patient: *gestures vaguely at their entire abdomen* “I told you, my STOMACH!”

Yes, thank you, very helpful, sir.

#god forbid I try to localize which quadrant it’s in #emergency medicine

[drdessertfox]

I wish ratings of medical visits could go both ways.

“Patient started screaming at me about not prescribing amoxicillin for her after explaining ad nauseam that antibiotics don’t work for influenza. 2/5.”

“Upon being told he would not be receiving a narcotic prescription for his chronic toe pain (he got a prescription for 30 Percocet just 3 days ago as well) patient proceeded to smear feces on the wall before storming out and screaming ‘fuck this place and fuck y’all.’ 1/5, hopefully he doesn’t return.”

“Brought entire up to date list of medications with her to the emergency department. Very pleasant. Knowledgeable about own health and eager in understanding her conditions. 5/5.”

#medblr #kelsey rants #medicine #emergency medicine

[drdessertfox]

My dad just texted me asking if methicillin is the antibiotic of choice for people who use methamphetamine

I

Just….

What???