🥼 I help doctors get unstuck, unburnt, and rediscover the joy in medical practice 🎙️Host "Stimulus" podcast 📖 Get my best updates (link in bio)
Bend, OR
Joined June 2010
- Tweets1.7K
- Following267
- Followers17.8K
- Likes411
Pinned Tweet
📍 Hey X friends! If things have been quiet here, it’s because I’m now active on YouTube & Instagram.
YouTube is where I’m having deeper conversations - youtube.com/c/emergencypdx
Instagram for quick, practical anti-burnout tips - instagram.com/emergencypdx/
See you there!
Sometimes we harm patients.
Medical education, particularly audio, does a massive disservice to doctors.
I've been guilty of it dozens of times.
It's subtle, but multiple clients have brought it up. A case is discussed on a podcast where something went wrong.
I still think about cases where I harmed patients. Three of them died. I didn't want that to happen, but it did.
Processing that trauma is a skill almost none of us are taught.
Processing that trauma is something that may never happen if not approached with intention.
Amos Tversky was a psychologist instrumental in the understanding of cognitive bias and handling of risk.
On Experts:
"Whenever there is a simple error that most laymen fall for, there is always a slightly more sophisticated version of the same problem that experts fall for."
On the paucity of Socratic ignorance:
"It's frightening to think that you might not know something, but more frightening to think that, by and large, the world is run by people who have faith that they know exactly what is going on."
You can't take med mal risk to zero; there's a certain capriciousness to it.
You can, however, reduce the risk with a few light lifts.
From Mark Brown MD, JD, where to focus your energy:
*Stay up to date and practice solid medicine
*Be Nice
*Follow-up/callbacks
On average, how long after the official end time of your shift do you leave the hospital?
17%On time
44%Less than an hour
33%1-2 hours
5%Over 2 hours
455 votes • Final resultsThe Regret Minimization Framework. It sounds so trite when you hear it but when you do it, there's a lot of voltage.
youtube.com/watch?v=jwG_qR6X…
Watching @thelaccourse suturing video and, for me the elephant in the room is holding vs dangling.
When tying a suture knot, how do you hold the needle end of the thread?
Do you hold the thread itself and let the needle dangle or hold the needle like a guitar pick?
78%I'm a proud dangler!
15%Hold it like a pick!
7%Something else
67 votes • Final resultsJ Russell MD @UCPracticeTips is editor-in-chief of a journal, works UC, EM, palliative care.
A lot on his plate.
He wanted a heuristic for making decisions on new jobs/projects to determine, “Hell yeah or no.”
This is his coaching session to get there buff.ly/3JOXqtB
When starting insulin on a patient with DKA, how do you typically go about it?
- Fluid bolus is complete and blood glucose still critically high-
25%IV bolus then drip
72%Just the drip
3%Sub Q
1%Something else
324 votes • Final resultsDo you buy your own scrubs or use what the hospital/clinic provides?
36%Hospital issue only!
52%Buy my own
11%Combo of hte two
201 votes • Final results