Reposting this thread now that people are studying for tox boards and other tests!!! Good luck :)

Josh Trebach, MD@jtrebach.bsky.social · 2y ago

I finally figured out a study technique that worked well for me and I wanted to share it with my bluesky friends! A thread on the technique that got me through med school, residency, fellowship, and the hardest board exam I’ve ever taken:🧵📚

stop telling yourself you deserve a sensitive man you deserve a sensitive AND specific man

If the human body was an amusement park would the nephron or the semicircular canals be a better rollercoaster

friendly reminder that sometimes your patient isn’t “confused” or “altered” or “demented” they literally just need their hearing aids

currently in the phase of my life where all my shirts need texture

one time in med school I asked a doctor for feedback and he told me that I was stapling the patient lists together with the staple in the incorrect orientation and that a diagonal staple was not appropriate and it needed to be a horizontal staple so I laughed but he did not laugh

one time in med school we learned about a disease that gives you silver stools and I was like “woah I wonder what that looks like” so I googled it and idk what I was expecting

we joke in the ER that “chief complaints come in threes” so after two people came in after slipping/falling on ice i was like “okay who’s next” but a third never came in anyways i got off shift, walked to my car, and i

*be me in airport* me: person: hi Dr Trebach me: oh hey (who is this person? are they a patient? a student? why can’t I remember? Omg I’ve been thinking too long now it’s getting uncomfo—) person: u dropped this *hands me my hospital badge that says Dr Trebach*

it kind of sucks that you can randomly dislocate your jaw from yawning and then you have to go to the ER so we can pop it back into place

got a space heater and I was like “omg it’s so cute its saying hi to us!!” and my husband was like “no u doofus that is the power setting” 🙃

nothing will betray you faster than the front shirt pocket of hospital scrubs one lean forward and your pens and dignity end up on the floor

ER doc here. I’ve seen patients walk out during heart attacks and other life-threatening emergencies because no one could feed their pets at home. Imagine the lives saved if free emergency pet care existed.

Hi, medical toxicologist/ER doctor here 👋 here’s what you need to know about medetomidine in the illicit opioid supply

street fighter xmas sweater

one time I was driving home and I saw a small crowd around someone who looked dead so I pulled my car over and checked for a pulse and then started cpr on the sidewalk and while I was doing cpr a bystander tried to STEAL MY CAR KEYS

nurse: doctor josh can you please tell my son that he shouldn’t eat too much candy me: ugh yeah one time I ate so much sour candy that my tongue started peeling it was soooo painful nurse: oh wow how old were you me: …….yesterday

one time in college I took an exam thinking “wow this is way harder than I expected” and the professor walked by and gasped because she’d given me (AND ONLY ME??) an exam from a different course. Every hard exam since I was like IS IT HAPPENING AGAIN? IT CAN’T HAPPEN TWICE RIGHT?

people named barb are so lucky because they can be like “my name is short for phenobarbital” and no one can argue with them

didn’t think this needed to be said but please don’t put urine in your eyes

when I was a resident, a mysterious ER nurse used to leave a cookie on my desk after I did a good job with a sick patient. Years later, no cookies appear…but after every resuscitation I still crave one….a Pavlovian echo of a kindness that never quite left me 🍪

*be me in med school* me: ok remember these 3 words—book, cat, potato. I’ll ask again in 5 min to test your memory patient: ok *5min later* patient: book, cat…uhhh…what was the third one? me: ……. patient: did u forget too me: …………yeah

just Bucket (orange) and Pebble (grey) being gamer kitties

big if true!!!

*me working in pediatrics ER* kid: do u play video games kid’s dad: he’s a doctor of course he doesn’t play video games me:

thank goodness for this useless infographic now we know the cure for cancer is “minerals”

chew your food please or it will get stuck in your esophagus and then you will have to go to the ER and yes the culprit almost always is steak

got a new kitten from the shelter and we named her Pebble and I was worried that our adult cat Bucket would be upset but it has been less than 2 weeks and I woke up this morning to this 🥰

if you post a video on social media making fun of your patients body fluids you deserve to be fired and never see patients again

not sure what is more impressive—an IV placed in the forehead, or the fact that it was documented as “IV-head”