First Paycheque

I rushed home today after finishing call to log on to my computer. It is my first pay day, and I was anxious to know if my payroll application had gone through. It did.

While the electronic transfer only takes into account a week’s worth of pay due to delayed processing, the amount transferred was still more money than I had ever received on a single pay stub.

Complete Cardiac Transplant. (Warning: Graphic and not safe for work)

medblrs as characters in Supernatural! :) — Asked by irandommomentsdevida


I. Love. This. Question. Because I think medicine is like Supernatural. Seriously.

I’m about to miss a TON of my favorite people (I apologize!!) but I’m going to do my best. 

cranquis: Bobby Singer. In the medblr universe he is our fount of knowledge and humor. He reassures, jokes, keeps it real. Also, I imagine he, like Bobby, would probably say this regarding some of his more…colorful patients: image

baffledinbrooklyn: It was HARD deciding this one! But I’m going with Chuck Shurley. Like Bobby, he’s someone whose looking at the big picture that we medblrs will often visit for information. Chuck is endearing because he, like baffled, makes an effort to emphasize that he’s a normal person with a far-from-normal (leaning more towards amazing) job. image

wayfaringmd: Ellen Harvelle. Down-to-earth, capable, no-nonsense. Her tumblr is like the Roadhouse, a critical pitstop for the roaming medblr in search of knowledge or a good chuckle. When I need advice or a tune-up, I always listen to her. :) image

imaresident: Sheriff Jody Mills. From her posts, she always strikes me as the person who has a level-head even when nothing around her makes sense or is going bonkers. I’d want her as my senior resident. image

medicalstate: Sam Winchester. He’s smart, well-spoken, thoughtful. But EVERYONE can tell that Tom is a beast on the wards. He is undoubtedly nailing it right now in his intern year! I also imagine that he gives good hugs.image

descantforhope: Mary Winchester. descant brings her nurturing, positive energy to the medblr community. A gorgeous, wonderful mom who also kicks butt, academically, personally, and in all other areas of life.image

aspiringdoctors: Charlie Bradbury. The geek-chic sister everyone wished they had who loves LoTR and is a proud nerd. Won’t hesitate to defend what’s important and right. Also, both are on top of their fashion game. image

mynotes4usmle: Tessa the Reaper. Lovely, wise, and an unexpected guide. While in Supernatural, Tessa is a surprising guide and ally to Dean, Renata is a parallel for me and many others in a world where some would rather hoard their test tips and knowledge than empower others(I’m looking at you, SDN). She’s someone you want in your corner! image

ladykaymd: Linda Tran. Whip-smart, capable, loving, a fearless champion. When you think you know everything about her and how badass she is, she surprises you and reminds you that she is exactly what you thought: a medical goddess in the making. Everyone wants to be her. This is fact. image

Imagine, instead of Crowley, anti-vaxxers, misogynists, and the patriarchy as ladykay slaps them hard with knowledge.

ermedicine: Balthazar. Because you have to be committed, smart, and a healthy dose of sassy to survive a hectic ER. I imagine ermedicine slinging awesome lines like this during his shifts: image

beyondtheoath: Kevin Tran. Thoughtful and gifted with a natural ease in a profession that is pretty much all about the unnatural. image

hartmd: Castiel. It’s something about the writing style. Analytical and meticulous but ringing with a lot of heart.  image

ninjatengu:  Garth. He balances crazy medlife with a fulfilling life beyond it. Sports! Friends! Food! Yummy drinks! And he’s got a refreshing, unique take on medlife, much like Garth. image

modernathena90: Jo Harvelle. Spunky and fearless. image

irandommomentsdevida: I wanted to say Gabriel, but…you gotta be Becky. Minus that creepy episode with the love potion. I deny it’s existence. Because Becky is enthusiastic, unapologetic for her passions, and always genuine. She’s fun and reminds us all that yes, the Supernatural/med world is often scary and serious, but it can be a lot of fun too!


kyidyl: Krissy Chambers. Hunter/medblr in training, but already showing some serious badass potential.


thenotquitedoctor: the Impala, stalwart and true! You can always rely on TNQD. 

thebiopsyIf we have a Bobby, medblrs must have a Crowley. A fan favorite, funny, and he’s the man with the skills and knowledge you need when you’re in a bind (podcast, med school consults via social media). I imagine you to have excellent sartorial style as well :D image

How do you think I did? ;)

Supernatural Medicine.

Recently, I referred to a post where the Crafty Premed had listed me as part of the crash course through the medical tumblr, or medblr community. I was really humbled by that. 

Today, I am once again very flattered for being mentioned in another list, this time by MD Admissions. I am not a follower of the show but you are far too kind in terms of the description. That would be really something if I could go beast mode on the ward. Thanks again!


Low Battery Warning

On call again. Half way through my shift, my pager has started to flash its low battery warning. No. Not now. Not when I still have follow ups that need to page me.

It is yet another issue to deal with, keeping me on edge, preventing me from sleeping.

Please do not die on me tonight.

My friend, old and passing, said,
“There is more to life than staying alive.
Don’t rescue me too much.”
On his farm, twelve miles out
by rough gravel roads, he is done
with plowing, spraying, harvesting.
But he is not done watching the sun
sink below the windbreak or listening
to the nighthawks above his fields.
Don’t make him move to town.
There is more to tragedy
than dying.

A Note to His Doctor by Kevin Hadduck.

Poetry and Medicine, JAMA July 2, 2014, Vol 312, No. 1

I feel warm inside :) by ilovedoodle.

I feel warm inside :) by ilovedoodle.

The First Week: Thoughts on Being a Doctor

Today marks the end of my first week as a doctor. To say the least it has been exciting, interesting, but above all, scary.

I have hit the ground running here, starting my first rotation in internal medicine. The days thus far have been long, hard, and busy. Everything feels more real, more high stakes; after all, I am now the one who needs to make the decision overnight. 

However, every resident feel like this when they begin practice. What I would like to share instead are some of my other experiences:

  • People are addressing me as doctor: This continues to feel very out of place to me. While I now do refer to myself this way, I still ask people to address me as Tom.
  • I can give verbal orders over the phone: As a medical student, I was never allowed to give a verbal order over the phone. In order to start investigations or medications, I always had to go to the ward and write it myself. Not anymore.
  • What orders should I give over the phone?: While I used to have time to think on my way to the ward as well as the luxury to phone the resident for approval, this is no longer the case. I cannot emphasize enough how awkward it is to be asked for directions on the spot. “Can I call you back?” or “Let me lay eyes on the patient first.” are my go-to phrases now.
  • Accepting my orders as they are: On very few instances when a pharmacist is on hand, no one has questioned my orders. It is a scary burden to carry as a new resident. “Is what I am about to order safe?” Unfortunately, no switch flips on in our head when we become a resident, granting us all the knowledge and competence we need to make these decisions on our own. Even for some of my simpler orders, I still run them by my senior resident first.
  • The work does not change: Honestly, while the responsibilities have increased, the work we must do is the same. That also means that time for sleeping, eating, and peeing is still at a premium. Already, I have done a 36 hour straight call shift. And more are to come I am sure.
  • Billing: I never had to learn about earning money as a medical student but now it is part of my daily life. The flip side to doing all of the clinical work is all of the paperwork, now billing included.

There are still two years ahead of me in this residency and much to learn, see, and do. Expect more thoughts on this transition in the future.

Why You Are Still Alive - The Immune System Explained by Kurzgesagt.


Being off service for three months has made me more rusty than I thought. There was no greater wake up call than realizing I had forgotten how to approach some simple problems on the ward.

While it is July 1st and most all of the seniors and attendings expect a bit of an adjustment back to clinical work, my performance today was disappointing.

Back to the books.

96 plays

In the Summertime by Mungo Jerry.

Last day of freedom. I better get out there and enjoy the summer. Cheers everyone and hope you are all having a wonderful day.