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Hey friends, I’m gonna give you a piece of free advice that will keep you from getting run over, and then having to pay someone else’s medical bills! It’s a little complex, but I’m sure you can try.
When you see a wheelchair user about to go down a wet ramp, do not jump in front of them! :D
Side note: if you can’t follow the guidelines above, but they manage not to hit you—while dislocating a wrist and a fucking shoulder in the process—definitely don’t scream at them for not being careful. Their Uber driver, who just pulled up, will earn a $15 tip for threatening to beat your ass. And no, being a woman will not save you! They can just hold your ass still—the leg rests on most manual chairs are fucking removable.
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I posted a Craigslist ad for my consulting services if anyone wants to hire me for professional work. 25% discount on services if you contact me through tumblr.
Note: I don’t actually live in NYC or LA, that’s just where I posted it cause I figured there’s more creative people working on personal projects these days in those locations.
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I think I’m done.
I’ve written many posts about my experience as a doctor. Some of them are funny, some of them sad. Some of them poignant.
But I think I’m done being a doctor in the current public healthcare system where I live.
I’m a Family Medicine resident. I rotated through two and a half years of hosptial residencies, and I’m in my first year of clinic-only practice. It should sound good; no more 26-38 hour shifts on top of 12 hour workdays.
But I’m currently seeing 33-37 patients from 9-1 pm daily and 24 patients from 2-5 pm daily. I also sometimes work 6-10 pm. Each of these clinic sessions also includes a solid 1.5 inches of seperate lab results I’m expected to screen during consultation time. I work Monday through to half of Saturday. Im expected to also complete a dermatology university diploma on top of this. I have exams in family medicine this year, the year after that, and two years after. Three and a half years more at least until I’m a specialist.
I can’t do it. I can’t keep giving each patient only 5 minutes of time as I’m doing now. I didn’t become a doctor to have to balance whether I should see my patient’s third complaint or ask them to book another session so I can have time to pee and eat.
Peeing and eating is like…the lowest level of Maslow’s hierarchy of needs. I’ve spent all of my adult working years, from 23 years of age til now, chasing that. The right to pee and eat and drink.
The department head has his head so far up his ass with bootlicking the government that last quarter he pulled workforce away from chronic cases for half-full covid clinics and made us each therefore have to review 56 cases per four hour session. When we raised the issue of patient safety one of his associate consultants said, “I know it’s hard! Let’s get through this together!”
He is famed for picking on whether residents punctuate the numbering of their past medical history lists with brackets or periods.
Nope. Nope. Nope.
This afternoon between patients, I suddenly realised I had lost my voice. I’d been speaking too much. Moreover, I think my autistic brain had finally clicked over into the “dude you better go non verbal or you’ll die” function. Of course, I couldn’t actually afford to be non verbal. I plowed through the remaining cases so dissociated I nearly blacked out.
If I pass these next two years’ exams, I become senior resident. I will have the privilege of not being entrusted with 33 cases every four hours, but 40.
40 cases; all of them episodic patients, not chronic. This means all of them come in with new complaints, as in multiple. Time per patient gets knocked down to four minutes.
Respectfully, Fuck That.
I’m waiting until I get contract gratuity this summer, do the damn exam that everyone agrees is insane, and then I’ll apply to a plethora of private clinics in September and kiss this bloody department goodbye.
I want to be able to spend more than two minutes comforting a crying patient, dammit.
If I don’t leave soon I’ll break, and that’ll compromise patient safety over anything else.
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Hey I’d like to ask something! Could you guys do me a favour and suggest some cool animated movies or shows that are not American or Japanese? I’d like some recommendations, or just to hear about some cool shows or movies you like! Rambling about what you loved is appreciated and encouraged!!!
(Yes, I know about Link Click. Yes I’m going to get to it it looks fantastic and is absolutely right up my alley. Can’t wait to cry.)
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svsss hospital au (aka take your blorbo to work day). SQQ would’ve been an ID doc if the money for neurology wasn’t sooo good. and he does love all the accessories and fancy little accoutrements. LBH was his intern at a very toxic program when he was a neurology fellow and fell ass over teakettle in love with him for doing such things as Telling him he did a good neuro exam and Letting him go early that one time. LQG is the new star ortho attending who SQQ rags on for not knowing “body medicine” (LQG: I was in AOA with you, shidi!) SQH is either the palliative/pain attending or the long suffering charge nurse who couldn’t afford med school. the demons are surgeons (trying to think of a class of physicians who prompt such a strict and violent hierarchy). MBJ is the IR chair (both a proceduralist/workhorse of the hospital AND a lover of cold dark solitary radiology rooms) and SHL is the worlds first plastics doc who enjoys ED trauma surg consults because she loves seeing fucked up hands and faces
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