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Tomorrow is my first real clinical day of fellowship. A lot of change in a mere 2 weeks. New city New apartment New car New hospitals New clinic New EMR New colleagues Oh, and, 2 new specialties to learn Equal parts exciting and terrifying. Nevertheless, going all in tomorrow.

Went into the resident workroom to find an open computer and started charting in the corner, minding my own business. Heard an intern ask another intern, "Am I supposed to order 2 grams or 2 milligrams of Dilaudid?"

For someone who hates confrontation, I've made an interesting career choice

Feels pretty cruel for ABIM to email that board results are available while their website is down

Candid intubation shot

New pub

[Updating a family member who has a medical background] Family: What is the lactate? Me: 17 Family: That is too high... Me: ...I agree

Robotic bronchs are cool

I often wonder how I'd be described in a one-liner if I were a patient

The heart was seen to be flabby and not beating at all

If you’re ever wondering why the next 40 years are sucking, remember a former game show host indicted for felony espionage appointed one third of the Supreme Court

It just keeps getting worse

Now that I’m at a place that uses procalcitonin regularly after not having it during residency, I am convinced it is one of the most useless lab tests out there.

Only adds value if it aligns with your current thought process for confirmation bias. Otherwise... Low, but you think they have PNA? Ignore it High, but you think they're doing OK? Ignore it

3 guarantees in life: death, taxes, and the nicest patients coming to clinic with vague DOE and "abnormal chest CT" from outside facility given the devastating diagnosis of IPF

🫁 certified

Just found out this is a real thing Can’t help but feel like Scooby Doo trying to say “lupus” “Sorry to break the news, but your lungs are full of rhupus” *eats a comically large sandwich in one bite* *legs spin in a circle for 3 seconds before I disappear in a puff of smoke*