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Individual Daily Risk Profile picture
@medicalaxioms
Jun 26, 2018 • 5 tweets • 2 min read • Read on X
In these days at the end of June 22 years ago I began to formulate my internship mantra:

Remove unnecessary motion.

#TipsForNewDocs
Anything you do must move you towards the goal of completion. You don't "read the patient's old medical record." You "write a summary of the patient's past medical history." Always active, never passive.
When you read a paper or an online summary, seek the answer you are looking for and nothing more, e.g. if you give steroids for alcoholic hepatitis, how long is the course?
When you find the answer, stop reading.
Or maybe it was:

Stop wasting valuable time doing stupid stuff.

#TipsForNewDocs
Could it have been:

Never wait for anyone.
Make them wait for you.

#questionabletipsfordocs

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More from @medicalaxioms

Individual Daily Risk Profile picture
Sep 18, 2018
Let’s see if we can come to some consensus about what a doctor looks and acts like. I’m going to share my experience which may be very limited and provincial. Feel free to share your opinions as we go along to help us flesh out this definition.

Gender: any
Skin tone: limited to the available hues available to humans on earth. (Note: tattoos are okay, so we’ll add the visible spectrum)

Country of origin: limited to the countries on earth

Religion: any. (Note: my nurse friend practices Satanism. He’s very nice)
Hair: I’m going to be conservative about this one. Bald to real long. And everywhere in between. But I think a doctor’s hair should be kinda tidy not full on caveman/woman. Need comments here. I’d like to be more specific. I’m not sure if I know what hair doesn’t look doctory.
Read 12 tweets
Individual Daily Risk Profile picture
Sep 4, 2018
I know I shouldn’t do it and it’s unkind to take advantage of another person’s weakness but when I come across a short-tempered person who is quick to anger I sometimes make them angry on purpose. Then I make them come, sit, lie down, and roll over. It’s just so easy.
When I was younger and (more of a) hothead people did this to me. I never understood the irony that my anger I used to gain power and control actually made me very easy to manipulate.

The light went on when I realized my anger was a response to being hurt.
One of my shrinks suggested I “stop at hurt.” Just pause right there without releasing the adrenaline and preparing to hurt back. It’s not easy. Takes practice.

Now I see the initial hurt is always less then the self destructive rush of anger.
Read 11 tweets
Individual Daily Risk Profile picture
Sep 3, 2018
Attaching emotion to physical objects that are inherently temporary leads to inevitable sadness. #MuseoNacionalDeBrasil
You have two superior options:
1. Celebrate each day a temporary physical item is not destroyed. “Good morning, coffee cup! It is so great to see you not broken again today!!”
2. Put your effort and emotion into unbreakable eternal projects. Beads on the string of causation.
Here’s a short list of things that won’t be eventually ruined predictably in a fire, flood, or disaster:
- teaching someone
- forgiveness
- love
- helping someone through a hard time

These project lead to other effects and so on. Eternally. Each is indestructible. Causation.
Read 12 tweets
Individual Daily Risk Profile picture
Sep 2, 2018
There is a line between sickness and health where we stop treating the person like a person, “hi it’s Dr. Reid here, nice to meet you,” and start treating them like a situation or a procedure “hand me that suction, this is a tough one.”
When I was a rookie, this line was way out here towards health. To the the point where the patient might say, “I can hear you. I’m right here.”
With time, I’ve moved the line out to death. Then I heard a bunch of pathologist on #medtwitter talk about how using good manners around the dead is necessary to maintain their humanity. So I’m trying to get rid of the line altogether.
Read 4 tweets
Individual Daily Risk Profile picture
Aug 10, 2018
If patients are the enemy, call in sick today.
Set to work on your spiritual condition.*
Keep calling in every day until you’ve set it right.
*I use this term a lot and people don’t know what I am talking about.

Spiritual Condition manifests as compassion, forgiveness, empathy, gratitude, generosity. It’s not those things though. It the feeling of wholeness, safety, strength, connectedness, appreciation.
For many humans, spiritual condition is something that happens to them. An accident. “I’m having a good day today!”

Same with bad days. “Everyone is a jerk!” “I’m so unlucky!”

This serves many purposes, mainly that your spiritual condition becomes someone else’s fault.
Read 12 tweets
Individual Daily Risk Profile picture
Aug 8, 2018
Even more powerful:

- walk up to a colleague you don’t always agree with or who seems not to respect your opinion
- out of the blue, thank them for being a dependable & helpful colleague and all their good work
- walk away leaving them shocked or baffled
- do it again
I enjoy this kind of thing. It is subversive. The Evil Demons who would like to keep shirts playing skins and X fighting O despise this kind of disturbance.

Vanishing grudges and dropped resentments infuriate the Evil Demons who thrive on conflict and hatred.
They want everyone to play their part. Hatfield and McCoy. Mongoose and snake.

It’s jolly fun to ruin the predictable pattern. Wipe the slate clean. Join the world as it is instead of as it used to be.

Let bygones be bygones.
Read 5 tweets

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