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Shirlywhirl, M.D.
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M is for medical students.

I remember being a third year medical student. It was the worst. I tell all of my medical students that I would rather repeat intern year than be a third year medical student again, and I mean it. You never know where you stand or how you’re doing, you feel like you’re constantly sucking up, your residents are mean or ignore you. I vowed to never be that type of resident.

And now that I’m a resident? I don’t know if I’m keeping that vow. The thing about intern year is that the learning curve is steep and the priorities are different. My presentations don’t have to be perfect and I don’t need to know what the mechanism of action of so and so is because I have ten patients to juggle (including the med students), and I’m more worried about the potential for one of them to crump / how I’m managing their care than I am about how much I’m impressing the attending. As a medical student, you can’t have that mindset because you’re shooting for that Honors. A medical student can be difficult to. There are some students who just get it. Others who don’t. More still who will probably get it later, as they get battered by third year. I’m an intern, so it’s hard for me to teach. But I do try to give them tips to help them do well!

Also, I’m at AMEC! So if you’re there too and think you see me, just say hi, it’ll only be a little awkward if you’re wrong! #hospital #patient #procreate #illustration #webcomic #resident #intern #pgy1 #medicine #residency #inpatient #doctor #relatable #womeninmedicine #blackdoctors #graphicmedicine #premed #premedmotivation #im #residency #internyear #internalmedicine #medschool #medicine #medicalschool #medlife #md #medstudents

L is for Loans.

Story time: I’ve been trying to put money into my loans since I started residency. So this year, when January came around, I thought I had my ish HANDLED. I was like, everybody else is freaking out bc that forgiveness period is over and I’m just chilling. I was wrong. I forgot to sign up for the REPAYE/PAYE and Sallie Mae swung out and took a whole paycheck out my account. RUTHLESS.

anyway I have a lot of feelings for the amount of debt we are saddled with after medical school and not to mention the indentured servitude that is residency following it. Especially given that medical school is so competitive that you don’t really get to choose between private and public schools, you just go where you get in ¯_(ツ)_/¯. IN OTHER WORDS, Commission me and help me pay off my loans! Deets coming up in my story

#hospital #patient #procreate #illustration #webcomic #studentloans #salliemae #loans #resident #intern #pgy1 #medicine #residency #inpatient #doctor #relatable #womeninmedicine #blackdoctors #graphicmedicine #premed #premedmotivation #im #residency #internyear #internalmedicine #medschool #medicine #medicalschool #medlife #md

K is for K Repletion. I’m a fan of oral repletion, so k-dur and klor are the homies. Might throw a little micro k in there to keep it spicy. Sorry for the long wait! I’ma bolus y’all soon, because I’m ready to get back to our standard programming haha

#hospital #patients #procreate #illustration #webcomic #artist #digitalart #resident #intern #pgy1 #medicine #residency #inpatient #doctor #relatable #womeninmedicine #blackdoctors #graphicmedicine #premed #premedmotivation #im #residency #internyear #internalmedicine #medschool #medicine #medicalschool #medlife #md #saltbae

J is for journals! I should really be better about reading the literature, but when I get home I really don’t want to do more medicine. How do you guys stay up to date on management? . . #hospital #procreate #illustration #webcomic #healthcare #singlepayer #artist #resident #intern #medicine #residency #inpatient #doctor #relatable #womeninmedicine #blackdoctors #graphicmedicine #premed #premedmotivation #im #residency #internyear #internalmedicine #medschool #medicine #medicalschool #medlife #md

Dear Social Workers and Case Managers,

You guys are the uncelebrated backbone of the hospital and you get things done that I would’ve thought impossible. At the end of the day you probably have more of an impact on people’s lives at the end of the hospitalization than we do. I appreciate you. #socialwork #casemanagement #casemanagers #procreate #illustration #webcomic #artist #digitalart #resident #intern #pgy1 #medicine #residency #inpatient #doctor #relatable #womeninmedicine #blackdoctors #graphicmedicine #premed #premedmotivation #im #residency #internyear #internalmedicine #medschool #medicine #medicalschool #medlife #md

Based on an actual time that I spent forty five minutes ”convincing” an insurance company to pay for the actual out patient management of a common condition. How much medical waste goes into insurance dealings? Whether that’s measured in time spent documenting, beds taken up due to difficulties getting coverage for outpatient management, admin and advertising costs, or even rehospitalizations for people who you know won’t and can’t follow up? I wonder a lot now practicing medicine in a single payer system would be like. Any followers from Canada etc who can give me a glimpse? . . #hospital #patients #procreate #illustration #webcomic #healthcare #insurance #singlepayer #artist #digitalart #resident #intern #pgy1 #medicine #residency #inpatient #doctor #relatable #womeninmedicine #blackdoctors #graphicmedicine #premed #premedmotivation #im #residency #internyear #internalmedicine #medschool #medicine #medicalschool #medlife #md

G is for Goals of Care . . I’ve talked about this before, but one thing I feel especially blessed to be a part of are goals of care conversations with families. . . As a physician, it is my role to provide families with my knowledge about their condition and about their likely quality of life. We aren’t gods, so of course we don’t have all the answers. But we can take a decent guess. The most important aspect of goals of care is abiding by the patient’s wishes- or what we think their wishes would be. . . #hospital #patients #procreate #illustration #webcomic #resident #intern #pgy1 #medicine #residencylife #inpatient #doctor #relatable #womeninmedicine #blackdoctors #graphicmedicine #premed #premedmotivation #im #residency #internyear #internalmedicine #medschool #medicine #medicalschool #medlife #md

F is for Food (dietary restrictions) . . I actually don’t believe much in giving people specialized diets in the hospital. There ain’t no way they’re sticking to it when they leave, so why not cater their Medical care to what their actual state is at home? Besides have you seen what a renal diet entails? Not I captain! . . What’s the wildest food you’ve seen a patient sneak in? Mine was a cards patient who was eating multiple bagged pickles (each with like 80% your daily sodium intake) a day . . #hospital #patients #procreate #illustration #webcomic #resident #intern #pgy1 #medicine #residencylife #inpatient #doctor #relatable #womeninmedicine #blackdoctors #graphicmedicine #premed #premedmotivation #im #residency #internyear #internalmedicine #medschool #medicine #medicalschool #medlife #md

E is for Empathy. . I always tell people that the thing that prepared me most for IM residency was not my illustrious medical education, but my time working at Borders during liquidation. My team was great () but we were understaffed, the environment was high stress, and the customers were p-oed all the time. . . The hospital is the same way. Thing about the hospital is that my patients do not leave in 15 minutes, and they are undoubtedly sick. It is easy to be empathetic to some, even when they’re cranky. But then there are others who wear you out. Who test your professional veneer. Because you’ve been dealing with some genuinely dark stuff all month, you’re running up a sleep debt, and all those lectures on maintaining empathy you got in med school are feeling pretty distant right about now. You’re pretty sure you’ve got hypertensive urgency in those moments. Do they notice that you’re talking to them through gritted teeth? . . How do you all keep your feelings in check and maintain empathy even when you are being tested? . #hospital #patients #empathy #resident #intern #pgy1 #medicine #residencylife #inpatient #doctor #relatable #uchicago #pritzker #womeninmedicine #blackdoctors #graphicmedicine #premed #premedmotivation #im #residency #internyear #internalmedicine #medschool #medicine #medicalschool #medlife #md

D is for Dispo aka disposition. . The moment we get a patient into the hospital, one of the things we have to start thinking about is where they’re going next. Is it home? To rehab? Are they going to end up in an ICU? Are they off to the great beyond? What do we have to do to get them to the former and keep them from the latter? . Feel free to share some funny/ frustrating/ difficult and hipaa-compliant Dispo situations in the comments! . #hospital #patients #dispo #resident #intern #pgy1 #medicine #residencylife #inpatient #doctor #relatable #uchicago #pritzker #womeninmedicine #blackdoctors #graphicmedicine #premed #premedmotivation #im #residency #internyear #internalmedicine #medschool #medicine #medicalschool #medlife #md