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Jack Iwashyna@iwashyna.bsky.social · 3w ago

My daughter just texted me about my new (and 1st) @nejm.org #Voices column: ‘From my pre med friend: “it’s things like that, that make me rly excited to go into this profession”’ And I am going to be smiling all day I would love your thoughts voices.nejm.org/doi/full/10....

white people spawning from all corners of my east asian park I guess the stereotype is true they are kind of obsessed about being outdoors

Went to Ximending after work. These tourists are having a Really Good Time. I don’t see the appeal but good for them. Seeing people enjoying things makes me happy too

I am working on some notes while Very Tired and typed “emergent tacos” instead of “emergency department” for whatever reason

One Discovery I made today is that tofu is edible straight out of the package so with some katsuo soy sauce I ate one whole block of nigari tofu all by myself

I love this

Rheum Cat@rheumcat.bsky.social · 3w ago

It's online! I gathered a group of people within the rheumatology community with diverse experiences & perspectives to write about improving conference accessibility www.jrheum.org/content/jrhe...

Mid-shift with the Elixir of Life Eight 24-28 hour shifts this month on top of normal work days send help

tfw a major typhoon about to hit + u immunosuppressed af + have a 28-hour shift tomorrow + JUST NOW accidentally ate some undercooked fried chicken

Apparently I have Grave’s, despite a normal fT4. I guess autoimmune really does beget autoimmune

I actually don’t care if using one of these TJ bags in Asia is considered cringe Gen Z behavior It was 2.99 and perfectly matches my dodo drink holder (there’s a drink holder INSIDE the birb) and I got it in Chicago during ACR so it’s a special bag 😬

My list of physicians who also have autoimmune diseases, including SLE, keeps growing. Highly biased and deeply flawed methodology, but the prevalence appears to be much higher than the general population

I did a fitness test to access my hospital’s free gym. Turns out I am spectacularly out of shape with curiously strong muscles 🦕

I have been working on an autoethnography on chronic illness and physician identity. Thinking it could be turned into a full paper at some point But also I identify as a clinical research kind of person and it’s a little weird to have this on my researchgate?

I have obtained the goods.

I missed several doses of my 2.5mg (very low dose) pred, after getting a 100mg MTP bolus before RTX earlier in the week, and during a very stressful 103-hour work week. Ended up with what most likely was an adrenal crisis which fortunately I caught in time. Doctors can be very dumb patients.

Kicking off #LupusAwarenessMonth with a thyroid nodule aspiration tomorrow. People with SLE have a ~2x risk of developing thyroid cancer so it is a good idea to keep an eye on these nodules

Next month’s itinerary: 1. Return from vacation 2. Practice medicine on people 3. Have medicine practiced on me (inpatient rituximab twice + get sus nodule aspirated again because it still looks sus)

I am so done with surgery 😮‍💨😮‍💨😮‍💨

Some random lady just randomly gave me a juice box she just bought as part a buy 1 get 1 free deal at familymart. Thank you random lady

I just filled in a PRO survey that started with: “I am a (choose one)” 1. Lupus patient 2. Physician 3. Nurse 4. Other

the chronically ill physician life is asking yourself “why am i sick” after THREE 28 hour shifts in ONE WEEK followed by a weekend conference 💅

Another 24h surg shift tomorrow. Better fuel tf up tonight bc there is a good chance that I will not be eating drinking or sleeping Probably go for a swim tonight too

Sitting in the hospital lobby after a 24h shift, hydrating while watching a random parrot swear…it’s a whole mood

The sorting hat has placed me into IM residency starting Aug, as expected. It’s making this mandatory surgery rotation that much more soul (and hip) crushing. It’s contributing to my eventual hip replacement I am sure. But the people on GS service are so nice.

Doing a panel on identity at the taiwan medical anthropology conference. First time submitting something based on personal experience & social science-y (vs. the PP posters at ACR). Steep learning curve & lowkey weirded out. The anthro people seem comfortable with self as a study subject though

Roommate is starting a project and we spent the night brainstorming outcomes and biases and getting them acquainted to EndNote. Who am I to say this but I’m starting to see why some folks enjoy being a mentor. And I’m both frightened and flattered to see a peer? write my bullshit down?? on paper???

The streets are empty. Nothing is open during LNY except the department stores So the entire populace of Greater Taipei just fit ourselves into the department stores. I bought a backpack yay

Threads is a good place to be. Not enough rheumatology content over there but the vibe is excellent

Finding it difficult to make time to consistently study AND do/consume research during residency. That said I do have the lofty goal of reading Harrison’s cover to cover in a couple of years

Taiwanese steak: It always starts with a sticky table, coke in a paper cup, and corn chowder slopped from a huge cauldron into a plastic bowl.