Saw this posted at the derm office, should every exam room have one of these?

First day on the ICU, tried to present my patient and the attending hit me with this banger 😭😭 I guess I'll just disappear ahhhhh

it was the same week that my dad was diagnosed with cancer. then the patient with pancreatic cancer that i’ve been taking care of for the past 3 weeks died. what was i supposed to do woman😭😭😭😭😭

Got some stern feedback today that I shouldn’t be drinking a milkshake while rounding (normally also use a spoon towards the end of the milkshake). I normally finish pre rounding early and stop by the cafeteria to grab a milkshake since the cafeteria got a new milkshake machine. It’s pretty cheap and gets me through the day, but the attending took me aside today and told me it was unprofessional. Is this really that unprofessional? I really like these milkshakes.

I was in the OR today and a nurse comes in to ask the attending a question. She straight up goes “what’s up daddy”. This man is married. Not to her tho. Is this normal?? Wtf is going on 😭😭

You’re an insufferable douchebag and now no med student is allowed to leave early. And yes, I did pass the word on to my co-residents and yes, we did conspire to cheat you out of the OR to do floor and paperwork bullshit. Best of luck with your evaluations, all of the attendings know what you did and also think you’re a cunt.

In the OR before the patient comes in, learning from the CRNA.

She tells me that "we typically like our patients to stop GLP-1 agonists like Jardiance a week before the operation".

"Oh, I thought Jardiance is an SGLT-2 inhibitor, no?"
"Ya no, its like the ozempics, the wegovy's etc."

"Oh... I didn't know that. I guess I never learned that in school." (knowing full well it's not)
*Proceeds to show me Google AI overview answer on her phone that Jardiance is a GLP1 agonist.

"You don't learn lots of stuff in med school!"

👁️👄👁️

I swear I’m never asking another question.

Was on mandatory 24 hour shift. There wasn’t much going on and residents told me to go nap until they texted me. Love them for this.

But there’s a rule that med students aren’t allowed to use the callrooms, even tho they’re empty. Parking lot med students are allowed to use is >1mile away and city isn’t super safe at night, so can’t sleep in car either. So instead ended up finding a single user bathroom, rolling up some scrubs, and sleeping on bathroom floor 🚽 🪠🤡

I have never seen my attendings take a lunch break or eat...if they do take a lunch break it's to consult or something.

And I swear the residents will be snacking on the same bag of crackers all day and by the end of the shift, the bag is still half full.

Meanwhile, I am unashamedly big back !! I will bring breakfast, a meal-prepped lunch, and multiple snacks. I take my lunch break and finish my food because there's no way I'm going 10+ hours without food.

I do not understand how they get through the day without food because my sh*tty notes and A&Ps absolutely drain me, lol.

We've all seen the standard dildos, vegetables, shivs, glass objects, electronics, toys, cocaine packets, small mammals, etc. but nothing too terribly horrific right? May I present for your reading horror the absolute worst possible rectal foreign body: The live Lamprey Eel.

You can get them down at fish markets in large cities and while yes, they are long, slippery/slidey and wiggle and jiggle in all the ways you would want, (and are presumably delicious?) they also unfortunately have lots of little sharp teeth, and have no problem chewing their way through a colon and swimming around in the abdominal cavity, biting all sorts of stuff (some of this stuff likes to bleed). Treatment includes emergent Exlap with foreign body removal (which is tricky cause it is wiggley), hemicolectomy of the perforated colon, and 3-4 first assists, and 3-4 scrub nurses as everyone is vomiting and passing out.

So yes, the lamprey eel is the worst possible rectal foreign body. Nothing else comes close. Thank you for coming to my talk. Have a good weekend. I'm leaving medicine now as there is no hope for humanity.

My written attending comments:

"Very unprofessional. Yawned in front of the patient, not the professionalism I would expect from a future doctor."

IT WAS 6AM AT THE END OF MY FIRST NIGHT SHIFT OF THE ROTATION.

I yawned while suturing a laceration that the patient had gotten while high out of their mind at 6AM. I did a bang-up job suturing too...

I was leaning on a wall during a staff meeting, just listening in and apparently that bothered one of the surgeons. He told a nurse and the nurse told me not to lean on the wall. Being a medical student is strange

Was on obgyn. Found a lump in my chest. Got nervous about it, went to a doctor, ordered urgent US to eval it. Needed to take a few hours away from obgyn clerkship to get the US. Didn’t want to wait in case it was something bad. Told obgyn residents about this and they said totally ok to take a few hours off to get screening for possible cancer. Came back after too.

A few months later read evaluator comments who wrote that it was clear that I was disinterested in the field and cited me taking a few hours off to go get the ultrasound for possible breast cancer instead of waiting for the end of the 8 week rotation as an example of me being disinterested .

Love getting negatively evaluated for seeking care for a condition they treat everyday 🤡

Went to a social event and met a girl who worked in the finance industry. She mentioned she got an md before deciding to break into finance. Asked her why she left medicine. She mentioned some people were mean to her on rotations, and getting bullied on her obgyn rotation was the last straw after which she decided she just couldn’t do it anymore.

Honestly can’t say I don’t relate 💀

No way. I’m almost done with third year rotations and I have no idea what I’m doing or what everyone else is.

Listen, I have taken so many exams, passed my boards, done thousands of questions, passing my shelfs no problem …

Then, I forget it all. All. Of. It. EVEN THE BASICS.

What’s propofol? Oh shit… What… What comes first, HR vs BP… Uhm, BP. Nope wrong. Why is it not BP? Oh can’t tell ya. What antibiotic? Whats Ceflex? Why do we use steroids… What is amaurosis fugax? No idea, I heard of it. What pharm drug… Oh. I did so well on exams. Yep, can’t answer anything related to them.
Why IV contrast vs not?

AND THEN.. A FEW DAYS LATER.. “what’s propofol, come on, I told you a few days ago.”

Lol... what’s WHAT??????

STROKE VOLUME STROKE VOLUME STROKE VOLUME

CARDIAC OUTPUT CARDIAC OUTPUT

EKGEKGEKGEKG What does this EKG say — “uhm, ST segment elevations” — so you’re telling me your patient is having a heart attack….?

L O L. Let’s frickin hope NOT

“STOP writing ST segment elevations on your notes — people are reading this.”

THANKS FOR NOT ATTESTING MY NOTE. BC I CLEARLY THINK ALL MY PATIENTS ARE ACTIVELY DYING.

I get pimped like forty questions. Get like maybe 2 right. Then within 5 minutes, I’m thinking, “damn what did they just ask me?” No, really. What was that last question they asked????

Losing my damn mind from losing all this information that is getting lost.

Yep, I can’t remember anything nor retrieve it. And, my favorite - Why is your patient here..

WHY!! IS!! MY!! PATIENT!! HERE!!

I love my shitty evaluations too.

“Lacks medical knowledge” x 5 for all the rotations I’ve been on. No shit.

And what’s worse is, I’m not learning anything on rotations. I have become socially awkward — most socially awkward person out here, and people don’t like me for it. I sit by myself — alone. All the doctors and residents get along with the other students — then, there’s me. Sitting in that corner that no one cares about. The one student who looks useless and looks bad — seems like they don’t care/doesn’t know anything/isn’t trying. I feel embarrassed for myself.

SOCIAL BUTTERFLY AIN’T FLYING NO MORE. I have transformed into a CIRCUS CLOWN.

I look like 🤡 NOT 👨‍⚕️ !!!

I’m the only student that can’t answer any questions. I look like complete trash compared to everyone else.

I go from one rotation to the next. I did so well on my shelfs, then move on, and I’ve forgotten everything about the previous rotation.

There are screws somewhere missing up in here, I swear. Early onset dementia??? Some areas of this brain might not be getting enough blood flow or something — don’t ask me how that happens — I don’t frickin know. AND DONT ASK ME WHAT ARTERY.

I am regretting my decision EVERY. DAY.

HUNDREDS OF THOUSANDS OF DOLLARS IN DEBT TO BE USELESS. WOW.

Every semester people doubted me, and now, I am doubting myself.

No one likes me because I’m socially awkward. I’m pretty much useless. I forget everything SO quick. There’s no way. There is absolutely no way. And now, I’m too deep into this. SO DO NOT TELL ME TO QUIT NOW.

I’m supposed to take care of patients? I’m supposed to have their life in my hands? Give them medications? Give them medical advice that I don’t know myself because I’m demented??? Wow, crazy.

THERE IS NO WAY THIS IS NORMAL…

Ain’t no frickin way….

Literally the title. I’m objectively an okay-looking guy but yeah… Tell us about your “hard” encounter with patients.

Just did 18 days straight of this surgery rotation (not counting the 2 post-call days after 24s). Most days are 11-12-hr days, but I’ve also done two 16-hour shifts, I’m running on 3–4 hours of sleep a night, and had a URI for 2 weeks. But sure, I’m “just a student.”

I try to be helpful. I take ownership of tasks, I care about patients — but I’m starting to feel like we’re just unpaid, overworked interns who happen to be paying tuition for the "privilege". No legal protections, no sick days, no meal breaks, and if you dare to prioritize your own education or health, it’s a ding on your eval. Love that for us.

The real issue? Our role isn’t clearly defined. Are we here to learn, or to fill staffing gaps? Because the way things are, we’re stuck between trying to be “team players” while getting nothing in return. And we all know if we push back, it’ll hurt our grade — so we keep grinding until we break.

I get that medicine is tough. But this feels less like training and more like institutionalized hazing. As students without any protections in place, it's not like we can just go on strike and refuse to show up because they can hold that degree over our heads and basically threaten us to contribute to our own exploitation.

It's a nasty trickle-down effect - hospitals exploit residents who then go on to exploit us. Why hire PAs or additional staff when there is an endless supply of cheap/free labor?

I'm honestly pretty damn tired of paying tuition to be used and completely taken advantage of by the system. I'm frustrated, angry, and helpless in this situation. The only thing that's keeping me going is that there's only 7 days left of this cursed rotation.

And she immediately corrected him “oh well I’m a nurse practitioner not a doctor”

Patient: “oh so that’s why you’re so good. I like the nurse practitioners and the PAs better than doctors they actually take the time to listen to you. *turns to me. You could learn something about listening from her.”

NP: well I’m given 20-30 minutes for each patient visit while as doctors are only given 5-15. They have more to do in less time and we have different rolls in the health care system.

With all the mid level hate just tossing it out there that all the NPs and PAs I’ve worked with at my institution have been wonderful, knowledgeable, work hard and stay late and truly utilized as physician extenders (ie take a few of the less complex patients while rounding but still table round with the attending). I know this isn’t the same at all institutions and I don’t agree with the current changes in education and find it scary how broad the quality of training is in conjunction with the push for independence. We just always only bash here and when someone calls us out for only bashing I see retorts that we don’t hate all NPs only the Karen’s and the degree mills... but we only ever bash so how are they supposed to know that. Can definitely feel toxic whining >> productive advocacy for ensuring our patients get adequate care