A physician who cares about their wellbeing is not 'uncommitted' to medicine.

They've seen doctors leave the field (and sadly, die by suicide). What you see is not disinterest, but survival. An attempt to protect their longevity in this field & the care they give to patients.

After spending close to an hour explaining a complicated cancer diagnosis, treatment, and expectations.

Patient 'can I call my son on phone so he can hear what you just said to me?'

yessss for this new Epic hard stop for blood culture orders! with supportive literature! 🤗

#diagnosticstewardship

Clarity isn't about knowing what you want to do with your life, it's about knowing what you want to do this week.

You don't need to have it all figured out. You just need to know your next step.

Take comfort: no one actually knows what the hell they're doing. Everyone is just working off their current best guess.

MRI Basics

For those like me who always struggle to remember T1 vs T2 vs FLAIR this article is useful.

It also explains the physics of MRI which is cool.

case.edu/med/neurology/…

My heart is broken💔: As friends & family know, my wife was pregnant with our 2nd child, & about to begin her 2nd trimester. A few days ago she had severe pains, & bleeding, and had to go to the emergency room. There, it was discovered that our baby no longer had a heartbeat.

FIRST TIME SEIZURE

Anyone who spends time on an inpatient neurology service knows this is one of our top 5 consults/admits. This thread will break down the workup and the decision of who needs to be on antiseizure medication (ASM).

#neurology #FOAMed #neurotwitter

Some people will love you for who you used to be. Others will love you for who they wish you to be. Few will love you for who you are.

Learn to see the difference.

Middle admin over the hospital wide loudspeaker: “📢 HEY HEY HEY healthcare heroes happy hospital week! Come to the cafeteria between 2 and 3pm dressed up as your favorite superhero and win a prize!” 🧵 1/4

Today marks 70 years since the Supreme Court handed down its landmark decision in Brown v. Board of Education, outlawing racial segregation in America’s schools. 

Let’s honor the memory of the civil rights leaders, families, and children who took extraordinary risks in order to

I’ve come to realize that clinic days can be draining because of: 1) volume/general busyness, 2) intellectually complex w/ many decisions, or 3) emotionally devastating

And if you’re facing all three, expect to be particularly exhausted. Give yourself space to process & recover

They say breaking up is hard to do but there’s no smile quite like that of a patient cured of cancer who doesn’t need their oncologist any more

Don’t ever give out your email or patients will bug you years later

Perfectionists fall for the All-or-nothing trap.

Either you do sth perfectly or it is an utter failure.

They ignore the range of possibilities between the two extremes.

Letting go of perfectionism does not make you complacent.

It is an invitation to pursue a healthier, more

Medicine is hard. Be kind. Be supportive.

#MedTwitter

A lot of people are dragging this person. The knee jerk reaction of “92% coverage?! That’s amazing! Why are you complaining. Leave the country.” This shows how low the bar has been set for health insurance coverage in the US. Let’s put on our empathy hats for a moment.

Imagine

I love this. As an attending, I teach my trainees to not shy away from the word 'dying', because it provides more clarity about prognosis than any other word. And most importantly, it is possible to be direct AND kind.

Breathe. Practice breathing exercises if needed, remind yourself that not all of your thoughts are true. Just like emotions, they come and go. Ground yourself, relax your mind. You are okay. 🤍