We do patients a grave disservice by avoiding the term “alcoholic.”

There is no free widely available support group called “Alcohol Use Disorder 12 Step Sobriety Club that Protects your Personal and Professional Identity.”
It is malicious to convince someone repeatedly hospitalized for the ravages of addiction to alcohol that they don’t belong at free, widely available meetings of self-identified alcoholics.
Also while we are at it, if you think you know how 12 step programs work because you have been to a meeting you are dearly deceived.

Only step 1 and step 12 occur at meetings. The rest are done between 2 trusted friends in private.
If you’d like to know what the middle 10 steps are like, ask someone who has done them.

Most of these people are happy to tell you.

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More from @medicalaxioms

14 Apr
One thing we don’t teach you in med school or residency is how to call in sick. 1/20
I will tell you an embarrassing story. 2/20
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12 Apr
At this time of year, your goal with residents is to get the to relax. 1/
Let them put easy things together.

Pneumonia with hepatitis and hyponatremia might be legionella. (It was). 2/
After 9 months, the interns are scared shitless of missing some tiny detail.

They miss the forest for the trees. Due to anxiety and hyper-vigilance. 3/
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9 Apr
I round at the bedside and also do most of my teaching in the patient rooms drawing on the window with a dry erase marker.

I get A LOT of compliments from patients about
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- how smart the team member are
Patient like to see how hard we work to solve their problems and also how much of their story and details we keep in our heads each day.

I can only recall once in 10 years when a patient asked us not to teach and discuss in the room. It was last week!
He said, “Will you stop talking and fix my problem??”

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I had to be honest that we teach and learn in every patient room just the same.
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9 Apr
I see a fair number of doctors every year because, you know, chronic illness.

About half the time, they have residents or students with them.

I enjoy being a part of their education and training because that also happens to be my job. 🤓🤓🤓 1/12
I also understand how things are made.

When I eat a salad, I know human beings cut those greens in a field. Food doesn’t walk to my store. It’s grown and harvested by people. Then washed, shipped & handled by others.

I respect the people involved in the things I consume. 2/12
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They are not printed in a factory and they aren’t grown in a lab. 3/12
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7 Apr
I don’t care if you don’t want a COVID vaccine.
Your reasons don’t interest me.
Your theories are irrelevant.
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We teach wrong when we teach residents to write elaborate notes. 1/many
Doctoring is not performed in front of a computer in a work room. 2/I’m going off
Every extra minute spent writing pretty notes is a minute not spent

- solving the sick person’s problem
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And most importantly

- talking to your patient 3/
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