Insufferable but correct 😌 Views and opinions are my own and do not represent my institution. nothing I say is medical advice. she/her.

Joined November 2012
While I was getting tattooed over the weekend, there was a No Kings protest going by the shop and a Ukrainian artist just sighs and says, “your people need to learn about fire”
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Residency be like
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The ACGME wants to gut resident work hour restrictions and requirements for program directors for shareholder profit, not for patient safety or resident education. Don’t miss your chance to speak up about this absolute dumb fuckery they’re up to
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Protect house staff and our patients from excess call burden and inadequate time between shifts! Deadline (10/22) approaching to protest proposed loosening of work hours restrictions for trainees. Relevant sections are screenshotted. Survey here: acgme.org/programs-and-insti…
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I would like to formally complain about residents getting threats from administrators because our attendings haven’t attested our notes because why the fuck are you telling me you’re gonna suspend my epic access when I’ve done my fucking work?? Do it!! DO IT!
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Empress 🖤 retweeted
open the fucking schools.
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I was bummed that I wasted my day on the couch absolutely rotting but reminder to self, it would be weird if we weren’t exhausted after working literally twice as much as regular full time employees
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Am I a dick if I message someone on another team to tell them their documentation is incorrect
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He immediately blocked me like a little bitch but do you people think strokes didn’t exist before vaccines???
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My gut told me to assess visual fields in an otherwise very benign exam and I caught a PCA stroke 😳
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Med student was humble bragging about how many interviews they’d received in my specialty and it was so off putting lol 😵‍💫
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Got billed $650 for a 10 minute telehealth visit 🤠
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Unfortunately I now respond with “thanks, I learned that in prison!” to anything I am complimented on my ability to do
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A male patient asked me to hold his dick while he used the urinal for the very first time yesterday and all I could think of is how nurses have to deal with this type of creepy shit and worse ALL the time and I’ve been relatively shielded from it. Thankful for yall always 🩷🩷
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Intern on another service that shares patients with mine hung up on me twice when I asked for their recs and told my upper level that they were too busy to hear our concerns 🙃 this shit isn’t cute yall! Don’t burn bridges that you need to walk on for five more years
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Also, a study using Colorado-specific data, modeled by local public health researcher Dr. Josh Barocas predicts that this law could lead to increased overdose deaths - up to 1,700 excess deaths over 5 years. ccjrc.org/projected-impact
Prop 132 sounds pretty simple: Fentanyl is killing people. Get tougher on fentanyl. Seems straightforward. Then you actually read the measure. And holy mandatory minimum, Batman. Prop 132 makes distributing ANY amount of fentanyl a Level 1 drug felony. Sentence: 8 to 32 YEARS. Mandatory. Not just trafficking 50 grams. Not just running a drug operation. Selling it. Transferring it. Sharing it. Any amount. And here’s an important detail: Colorado measures the weight of the entire substance containing fentanyl, not simply the amount of fentanyl inside it. Possession gets tougher too. Under 1 gram becomes a felony, although successful court-ordered treatment can knock it back down to a misdemeanor. Possessing 1–4 grams can mean 2–4 years in prison. But the part I think voters really need to understand is what happens to judicial discretion. Under Prop 132, judges lose the ability to consider some mitigating circumstances, including whether someone reasonably believed the substance didn’t even contain fentanyl. That’s a pretty damn important distinction when fentanyl routinely shows up mixed into other drugs. Then there’s the Good Samaritan provision. Right now, someone involved in a low-level drug distribution situation who calls 911 during an overdose and stays to help can qualify for reduced penalties. Prop 132 removes that protection for fentanyl distribution. So imagine this: Two people use drugs together. One overdoses. The other knows calling 911 could potentially expose them to a mandatory 8-year prison sentence. Maybe you still think that’s the right policy. But voters deserve to know that’s part of the deal. And we’re going to pay for it. Colorado’s nonpartisan fiscal analysts estimate roughly $141.6 MILLION in added prison operating costs over five years. By 2030-31, the state could have roughly 1,000 additional people in prison because of this measure. If Colorado needs to build enough additional prison capacity? Potential price tag: Up to $422.5 million. Now, there is absolutely a legitimate argument for Prop 132. Fentanyl is extraordinarily dangerous. People knowingly trafficking it should face serious consequences. I’m not going to sit here pretending somebody moving fentanyl by the truckload deserves a sternly worded pamphlet and community service. But here’s my problem: Prop 132 doesn’t just hammer the cartel-level dealer. It deliberately removes distinctions between radically different situations. The guy moving kilos? Eight-year minimum. The person transferring a tiny amount? Eight-year minimum. The person who reasonably didn’t know fentanyl was in the substance? Much less room for the judge to care. And research on mandatory minimums has repeatedly found that making punishment more severe isn’t nearly as effective at deterrence as making it more certain. So the real question isn’t: “Is fentanyl bad?” Of course it fucking is. The question is: Does giving virtually every fentanyl distributor an 8–32 year mandatory sentence actually make Colorado safer enough to justify the collateral damage and hundreds of millions in prison costs? That’s the question Prop 132 asks. And that’s a hell of a lot more complicated than: “Fentanyl bad. Prison good.” Read the fine print. #ColoradoPolitics #Prop132
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My patient was worried that she was just anxious, not having a real medical problem, and she literally hugged me when I said that it’s my job to treat anxiety as a diagnosis of exclusion; I must be completely sure that there is no other cause before I consider it 💖
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If I call you an hour and a half before shift change… do not fucking tell me I need to wait until shift change to talk to somebody about the patient because HELLO I AM ALSO GOING THE HELL HOME IN AN HOUR AND A HALF what the fuck is wrong with some of yall
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I am calling you for a reason too, the reason is that the PATIENT NEEDS YOUR EXPERTISE remember that this is about a SICK PERSON who needs your god damn help okay
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Also reminder that using correct pronouns is suicide prevention. It’s also just not that hard to use they/them pronouns if you can’t figure out she/her or he/his for your trans patients
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Got absolutely bodied by my overnight shift but no one can hurt me like the specialty I thought I wanted could!!! You’ll never be as mean as those fuckers were
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Medical culture is so fucked because if you aren’t telling me that I don’t deserve to be here and you aren’t using actual slurs to describe me, I think you are a nice person
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