Hanging out at the office. Another new London York Tie. 👔🏥
Sometimes it’s ok to look back, especially if you are thinking of positive memories as this can put you back in that positive state 🌈 When we are depressed we tend to remember fewer happier things. Savouring happy memories could be good for our wellbeing (Speer et al, 2014) 😊 #summertimefun
This is on my mind. A few days ago I gave someone a hemothorax. For those that don’t know, it is blood in the chest area between the lung and the chest wall. I did a routine procedure (thoracentesis) and had a complication. The patient’s heart stopped and during chest compressions, I placed a chest tube. I put a tube into the cavity where he was bleeding to drain the blood and reinflate the lung. The patient stabilized and was extubated earlier this morning and is doing well. Why am I telling you this? Every one of my residents, medical students, PAs, NPs etc are excited to perform procedures. And it is exciting but it isn’t where the buck stops. Performing these procedures is a big deal but even bigger than that is dealing with the complications - you have to have a clear understanding and be able to act quickly. Life and medicine are not perfect and we must learn to deal with the imperfections. I shake my head a little when I see these kids running around the hospital trying not to make mistakes, trying to be perfect, looking defeated when they aren’t. At times, you will mess up. Medicine will be imperfect. And when that happens, clean up. Learn. Deal with your complication. Perfection is in your reaction to imperfection. - drjrutland
#imperfect #motivation #monday #shiggy #chesttube #hemothorax #medicine #criticalcare #ICU #doctoring #intensivist #MD #pulmonary #lung #pleuralspace #pleuraleffusion #cookcatheter #pneumothorax #drjamierutland #medicinedeconstructed #iowa #kansas #hawkeyes #jayhawks #wearfigs #scrublife #complications #imnotperfect #california #lagunabeach
Getting used to life as an SHO; Derm Clinic, Resp Clinic, Sleep Clinic (I need this one), Clinic Clinic. Asked by patient today to marry her daughter, all I could do was laugh; life is going great. PS don't wear nice trousers as a doctor, pens are lethal. #doctoring #hse #providingservice
‘Mindfulness’ doesn’t have to mean sitting still 🧘🏻♀️If you are trying to include it in your day but finding it hard, try ‘mindful walking’. It uses walking as a mindfulness practice as a way to become more aware of bodily sensations. It can help us to feel more “grounded” in the present moment (Segal, Williams, and Teasdale 2002). When our minds are stressed or busy, paying attention to our physical movements can be an easy way to become more mindful (gotink et al, 2016) #sttropez #walkingorshimmying
#medicine #inspiration #medicalschool #studyblr #washitape #studygram #acgme #match #residency #premed #doctoring #teacups #glitter #timetoshine
#❓❤️❓👈 Do you have any questions about fourth year or board prep or residency or the match? Leave them below I’m happy to answer them 😃
#🔸 sometimes you don’t realize what you have until it’s gone - as hard as med school was I miss it! So much more time to study! I miss my school a lot - the support I received there was very genuine.
#🔸 Residency has its own challenges - still clueless about what to wear to work (one inch CK closed toed heels were killer to round in 🙂👡) — have to keep moving forward and going up and up. today I registered for national ACR conference which made me happy - always do something once a day that makes you happy - can’t wait to take care of arthritic bones one day #goals
— it will be a true pleasure 🌝🙋🏾♀️ in the mean time have to become a well rounded internist! 🌺
Why do so many of us find being on the ocean calming? 🧘🏻♀️ There are many reasons, including that it gives us a break from the ‘sensory overload’ that we often have in daily life, where we are constantly seeing, hearing & doing new things 📲🖥💻⌨️. It can be relaxing as there are fewer bits of new information coming in. 🌞 #sttropez
When you pretend like you know healthcare 🤔In all seriousness though, I'm so happy to have been leading the Referrals department in HAVEN (our free clinic) this past year and to have the chance to share our progress with the rest of the squad. HAVEN's emphasis on providing free care to uninsured and undocumented immigrants truly impresses me. Every week, we see 50+ patients and work to address their needs (via 10+ departments including Reproductive Health, Social Services, and Labs (and Referrals too, of course 😉)). It's honestly inspiring to see how high functioning this clinic is and even more inspiring to know that it is run entirely by STUDENTS. Grateful to be a part of this ❤️
Don't look for me in the crowd, come find me in solitude. I never fit in, was never supposed to
Shout out to all those who helped/ supported/put up with me over the past 6 years, even those who thought it would be funny to wear shorts to graduation. #doctoring #graduation #ethics #nebuchmydad
of riding with the cowboying pros and doctoring yearlings
When you decide to get to work “early” at 7:30 but still have to park up in the clouds because (newsflash) everyone else is also #doctoring
Sporting my new London York tie! 👔
en·ti·tle·ment: the belief that one is inherently deserving of privileges or special treatment.
As many as 15% of patient-physician encounters are rated as “difficult” by the physicians involved (although not all difficult encounters can be blamed on the patient side of the interaction). I suspect that the rates are higher in cosmetic medicine.
We can all agree that the doctor-patient relationship has changed over the past decades. In 2013 @drheidiwaldorf
wrote an article discussing how the terms “healthcare providers” and “consumers/clients” have replaced “physician” and “patient”. I believe that with such change in the dynamic of relationship there is a sense of entitlement and expectations, higher among cosmetic patients.
Cosmetic medicine is still medicine. The economics of the encounter may differ from medical visits, but the relationship still needs to adhere to the regulations governing any other medical practice.
Today I had a patient whose sense of entitlement led to an unpleasant encounter. I had to stand up for myself, and my staff. Like any other difficult encounter these helpful tips came in handy:
1- Remain Calm.
2- Engage in Conversation.
3- Be Empathetic ( This is the quickest ways to calm an angry person but I have no empathy for a cosmetic appointment being delayed 20 minutes). 4- Avoid Arguing.
5- Set Boundaries.
6- Shake it Off
How do you view the changes in culture of medicine as a service-oriented field? How do you deal with difficult encounters in medicine or in life in general?
#patientdoctor #patientdoctorrelationship #difficultpatient #doctor #doctoring #physician #realationship #womenphysicians #cosmetic #cosmetics #dermatologist #dermatology
Had an absolute blast playing cowgirl today in Colorado....5 hours of riding through sagebrush in search of cows and having good talks with good folks. I can't rope but it was fun to watch the pros.
It was too hot for this today and it was only 10 a.m. Last calf that I had to check and she had one ear down, glad I saw her, she will feel better by tomorrow ☺️ #cowboy #roping #doctoring #Montana #gopro
Throwback to the first time that I wore scrubs, when I had the opportunity to be in the OR for a day and observe two really cool pediatric surgeries @nyphospital
four years ago. I don’t think I would have realized how crazy the next four years would have been, or even just how hard the medical school application process is. Well T-13 days till my medical school orientation 👨⚕️ it’s crazy that this process is actually starting and that I am actually going to be a doctor.
Hi, my name is Edith Bracho-Sanchez, Im a pediatrician working as a freelancer for ABC news. Today was my first day in my new job...and I put my skills to work to clarify all the breastfeeding confusion from the recently leaked conversations at the WHO meeting. The link to my article is in my profile ☝🏽@abcnews
#breastfeeding #WHO #abcnews #pediatrician #doctoring #doctorlife #physician