I’ve never had a pumpkin spice latte, please hold your applause

Day 10/16 of call I am definitely going to lose it

How are you paging me and misspelling my name, its literally on the paging system brother

Are you at the couples tennis phase of your career yet? Don’t worry it’s coming

tried to happy eid my way back in her life, she replied with eid spelt backwards

people doubting this is qatar when the road signs are literally in the official qatari language, korean

Ortho: Thank you, you are very pleasant to work with Me: You made it easy Ortho: The fact that you would lie about that is what makes you so pleasant to work with *mutually exhausted attending handshake*

This is so good. I love Derek's essays.

everybody calm down. i got this.

average Tribeca Pediatrics waiting room at 1 pm

I’ll have my lawyer draft a prenup where the dog gets everything

when i get more active on twitter thats how you know im getting insane again

I hate consulting adult cardiology so much. It’s always a painful experience. Do you think I’m calling you because I like you??? I’m calling you because someone needs to read the big bad squiggly lines before I can give my chemo

I’m certain there are health benefits to cupping but maybe don’t do it when your platelet count is <1000.

Anchor: CT scan showed his knee was good to go Me: that’s not even the right imaging modality for a ligament tear!!!! Bf: oh my fucking god

My toxic trait is that I don’t feel any sense of accomplishment after achieving something. Just a mild sense of relief that it’s done.

Whoever says doctors aren’t good at negotiations I invite you to listen to one of these conversations: - Peer-to-peer with patient’s insurance to approve a medication that will improve their quality of life - Talking a 5 year old into taking their iron supplement

Female doctors get their patients better outcomes. Female doctors do not outlive their male colleagues. The trade is not an accident. Dr. Noemi Adame, board-certified pediatrician and founder of Culver Pediatric Center, sat with this on The Podcast by KevinMD. The data she walks through: Female physicians demonstrate better patient outcomes across multiple fields of medicine. Portal data shows patients and staff make 25% more requests of female primary care doctors than male. Same panel. Same hours on the schedule. 25% more inbox work. Unpaid. Unrewarded. A JAMA article found that while women generally outlive men, female physicians do not get that longevity benefit. The added stress of being a female doctor may be why. When Adame was a hospitalist, she noticed staff and patients interacted differently with her than with her male colleagues. When she was in corporate medicine clinic, she was the last one out the door, often by hours. She blamed herself. She asked her employer for a time flow study, certain it would prove she was inefficient. The EHR super-user who shadowed her found the opposite. She was faster than average. Her notes were so thorough a scribe would have been a downgrade. The system was the variable. Her playbook for holding a boundary in medicine, worth bookmarking: Ask if the request is fair to both parties or only to one. Replace "I'm sorry" with "Thank you for waiting." Do not bend a rule once, because the negotiation never ends. Tell the patient exactly what you are giving up so the trade is visible. The structural problem she names is sharper than the burnout conversation usually allows. Female physicians are not burning out because they cannot keep up. They are burning out because the system asks them to do more for the same pay and rewards them with shorter lives. Listen to the full conversation on The Podcast by KevinMD. Link in the replies. For female physicians: at what point in your career did you realize the workload was unequal, not your time management? #ThePodcastbyKevinMD #PhysicianBurnout

Live audio of my coattending and I at signout