Roadkill coyote.

seen from United Kingdom
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seen from Japan
seen from Thailand

seen from United Kingdom
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seen from Uzbekistan
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seen from United States

seen from United States

seen from United States

seen from United States
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seen from United States
Roadkill coyote.

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.
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I survived residency!
Yes I still have 7 days left...
But I have now officially graduated!
Had to share this here XD (via)
I initially wrote this on a facebook group but thought it might be served well here for the incoming PGY-1s next week
Folks, protect your interns. Treat them like they want to be there, because 99% of them do. Don't shit on them, and be there if someone else does. This is such a critical point, where they're getting real responsibilities and flooded with fears/anxieties about wanting to do this well. These are all normal worries but if you don't foster and protect that drive, they'll lose it. Which is not just their loss, but ours. We talk about changing the culture of medicine all the time--if we really believe that, the window opens every July. Someone will inevitably take that sentiment as "coddling." There is, of course, a huge difference but that comes down to your opinion of what true leadership really means. I'm not perfect by any stretch, but I at least try to demonstrate good interpersonal skills and treat people the way I expect to be treated--patiently. I want my interns to expect the same and give the same. I resent the numerous times I was nevertheless treated poorly, and even more when I discovered my interns being treated poorly. I could go on and on about this, but really just be patient and treat them like they want to be there. They do, and it'll pay dividends over the ensuing months/years to come.
Current pic of my skull cabinet. Iâll take a picture of all the skulls together soon.

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.
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felt cute n thicc pre-interview today
Iâm a real doctor, yoooooooooo!!
The L Word
So youâre on your first pediatric rotation and you see a kid who is sick. They look a little pitiful. Nasal congestion and a cough. Theyâre snuggled up with mom and drinking some juice but they get grumpy when you try to listen to them. You go to your attending and you say those three little words that make every pediatricianâs heart race.
âThey look lethargicâ
In all fairness, that kid probably did look âsluggish and apatheticâ. However, you donât use this word in pediatrics unless youâre about to send them to the ED or, if youâre in the ED, youâre about to admit them. Lethargic kids are a big deal. They barely respond. A lot of times attendings associate lethargic with being pretty much obtunded. A true lethargic kid doesnât get mad when you examine them cause frankly theyâre too weak. They may give a weak cry but they arenât super reactive. Youâll know theyâre sick when you see them. You look at them and something inside you goes, âOh shitâ. So just a warning to all you students out there. Donât break out lethargic for a kid who is just sleepy. Lethargic means they need help immediately.