cherry valley forever
ē„ę„ / Permanent Vacation
"I'm Dorothy Gale from Kansas"
wallacepolsom
romaā
Kiana Khansmith
Not today Justin
Sweet Seals For You, Always
šŖ¼
RMH
he wasn't even looking at me and he found me
Claire Keane
2025 on Tumblr: Trends That Defined the Year
blake kathryn
Monterey Bay Aquarium
if i look back, i am lost
Keni
ojovivo
hello vonnie
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@doc-resilient
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āI just donāt know what Iām supposed to do next.ā
āSounds to me like youāre entering into a new season in your life.ā
āWhich one? Fall? āCause it hurts.ā
āAt that time Frodo was still in his tweens, as the hobbits called the irresponsible twenties between childhood and coming of age at thirty-three.ā
ā The Fellowship of the Ring, J. R. R. Tolkien
Something ridiculous I typed in my sign out that I am cracking up about
So, why do it then? Why choose to be good, every day, if there is no guaranteed reward we can count on, now or in the afterlife?
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this was a great read. āLaziness Does Not Existā by Devon Price
i have a strongly worded email in my drafts to send to my work in order to advocate for safe staffing and Iām oddly nervous about sending it but more for āshit is this too long will my colleagues think Iām dramaticā reasons than ālose my jobā reasons although probs a little the latter too
sent. š³
no official replies. i got one text agreeing with me. i got another colleague who called also agreeing with me but stating he was contacted by one program director stating there wasĀ āno wayā that administration would hire more providers. i have a missed call from another program director who wants to talk to me who said heād call me back but hasnāt yet. but from the frustrations that are vented to me, i know everyone (including program directors) feels the same.
honestly, this is something i can just survive. i can keep my head down and grind and my contract will be up soon. but iām not doing this just for me. this isnāt how medicine is supposed to be. staff and patients donāt deserve this. this is an effort to work within the system to see how i can improve conditions.Ā & i will keep pushing for change.
the accuracy! it must generate more revenue to burn through providers rather than invest in making the system one that they will stay for. though providers leaving seems to be a newer phenomenon.
I think a lot of creating change - as it is with all capitalismās unholy creations - is to figure out how to hit them in the benjamins though.Ā
as an update, there have been slight changes for the better but I hardly think it was my doing. it was not NOT my doing either, though. ;) i am in a new location which faces the same struggles because yay healthcare system but iād like to think i left my last place a little better. bonus: that feeling of solidarity with my colleagues was validating.
My life has been so much better ever since I traded my impostor syndrome to brilliant conman -syndrome. Do I deserve anything in life? Fuck no! Will I grasp it anyway? Fuck yes!
Ā My art has never been worth shit, but watch me bullshit my way into art school! I am a horrid goblin, but watch me make these people like me! Am I qualified to do this task? Well I sure have the certificates that say that I am! And how did I get those? Who knows! Not me! I am so good at cheating, I donāt have to break a single rule to do it!
Ā I am brilliant, fast, and absolutely drunk with power!
haha yes. horrid goblins unite. all the hero talk floating about makes me think i really ought to be embracing the villain origin story
Con: I have to be here all week
Pro: That good, good continuity feeling when you can say to someone āhey I got you, I know you, Iām here all weekā
i have a strongly worded email in my drafts to send to my work in order to advocate for safe staffing and Iām oddly nervous about sending it but more for āshit is this too long will my colleagues think Iām dramaticā reasons than ālose my jobā reasons although probs a little the latter too
sent. š³
no official replies. i got one text agreeing with me. i got another colleague who called also agreeing with me but stating he was contacted by one program director stating there wasĀ āno wayā that administration would hire more providers. i have a missed call from another program director who wants to talk to me who said heād call me back but hasnāt yet. but from the frustrations that are vented to me, i know everyone (including program directors) feels the same.
honestly, this is something i can just survive. i can keep my head down and grind and my contract will be up soon. but iām not doing this just for me. this isnāt how medicine is supposed to be. staff and patients donāt deserve this. this is an effort to work within the system to see how i can improve conditions.Ā & i will keep pushing for change.
Anya is live and ready to show you everything. Watch her strip, dance, and perform exclusive shows just for you. Interact in real-time and make your fantasies come true.
Free to watch ā¢ No registration required ā¢ HD streaming
i have a strongly worded email in my drafts to send to my work in order to advocate for safe staffing and Iām oddly nervous about sending it but more for āshit is this too long will my colleagues think Iām dramaticā reasons than ālose my jobā reasons although probs a little the latter too
sent. š³
i have a strongly worded email in my drafts to send to my work in order to advocate for safe staffing and Iām oddly nervous about sending it but more for āshit is this too long will my colleagues think Iām dramaticā reasons than ālose my jobā reasons although probs a little the latter too
Okay, headspace, but you clearly havenāt heard of medicine and medical education...
Jokes aside, this concept is something I struggle with. I like to think Iām doing better.Ā
I have to remind myself that I can contain multitudes. I am worthy as everyone human is of being more than one thing. Itās all one life. Iāve got this one life.Ā Ā
Honestly, the kind of mental status exam Iām all about
everyone asking who is hospitalist, no one asking how is hospitalist š¢
Anya is live and ready to show you everything. Watch her strip, dance, and perform exclusive shows just for you. Interact in real-time and make your fantasies come true.
Free to watch ā¢ No registration required ā¢ HD streaming
clutching my clinical pearls! (a collection of overheard wisdom from the mayhem of medicine)
1.
āPractice is personal, results are not.ā
- Stated during my hospital orientation and honestly should be emphasized to all trainees (and others!) who get hard on themselves about outcomesĀ
2.
āQuestion the answers.ā
- Said by one of my residency attendings and it fits in lots of contexts, even Not Medicine, but itās so so important,Ā maybe one of the greatest things you can learn to do
3.
āHow does this change management?ā
- Said by: Every. Attending. Ever. Despite it *sometimes* being used in the wrong hands to prevent a resident from delving deeper or taking care of something, IĀ actually really love this concept and apply it to real life too. In medicine, it really helps distill complex information to the critical āhow can I care for and communicate this with my patient and their care teamāĀ while being responsible with resources
4.
āClose the loop.ā
- Said by everyone in the medical field ever despite an increasingly complicated system filled with increasing transitions and increasing loads hellbent on making this difficult while often pretending to make it easier. But this is SO important. Sign it out. Do whatās in your power to transition your patients safely. Sometimes itāll feel like youāre dumping, sometimes it felt like you got dumped on. We gotta fix that. But, patient first. Find help, pass it on, close the loop. Donāt let us forget that hemoglobin, that potassium, that lactate, that scan, that sodium, etc. Donāt assume and donāt hesitate. If itās important, close the loop!
5.
āCourse not progressing as expected.ā
-Something an attending in residency used to frame diagnosing around. A patientās course will either progress as expected or not progress as expected. I know it seems obvious but picking up on when a course (or any problem on your problem list) is not progressing as expected can help you catch a diagnosis.
thereās nothing heroic about burnout. thereās nothing heroic about not sleeping, or forgetting to eat because youāre so focused on wanting to help someone.
save the world, but the world includes you.
