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What does it take to be let go from residency?
#21
Hey thank you for sharing!
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#22
You ever see anyone re-match after being let go?
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#23
it can happen but needs a strong willed person who is willing to fight for justice. and even file a lawsuit against the place that let them go if reason exists. look, to be in nsgy residency you busted your guts. don't give up. you have it in you

best revenge is success
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#24
(06-16-2020, 09:59 PM)Guest Wrote:
(06-16-2020, 08:38 PM)Focus Wrote: This could turn into a back and forth but how about we make it productive. I'm sure a lot of people would be interested in how you have successfully addressed substance abuse. Not something frequently talked about it but substance abuse is rampant in surgery.

This is Residency Rehab Blogger again... 

You're right, the back and forth is less than ideal.. I cannot convince others that there is another reality lived by Americans who don't look like you.  If you don't believe it, some loser who got kicked out of his residency on the internet will certainly not convince you.  

The substance abuse issue was insane.  I was prescribed the amphetamine during my intern year for inattention and then became dependent on it within about 6 months.  From there, the anorexia effect caused me to lose weight and my short term memory evaporated.  The IQ test showed that as well, my working memory was at the level of a 100 IQ.  

The website goes over how I pulled myself off the medication in attempts to 'get clean' and make the case that the medication had been messing me up all along.  That plan actually worked, and I was immediately placed on a leave of absence.  

Those months when I was away were some of the hardest days of my life.  I was in serious withdrawal.  Gained all kinds of weight, fell into depression and suicidal thoughts.  But I wouldn't tell anyone for fear that they might use it against me.   I basically quit cold turkey, so I don't have much insight on how to deal with the addiction per se. 

I would say.. if you are tempted to get on amphetamine to deal with the fatigue.  Consider not doing it.  Max out on Vitamin D, Fish Oil (perhaps I sound like a Hippie, but over the years I've found that vitamin D can work wonders if you're deficient).  Also, use a clean diet to optimize your alertness.    Most of us go through life without realizing how much cognitive clarity and alertness come from the food that we eat.  As I was recovering from what was literally years of eating very little, and eating trash when I did.. I watched 'Forks over Knives.'  It was 2011 and the documentary had just come out on Netflix.  

I made a lot of changes based on that.  I did not completely eliminate meat, but I made every effort to eliminate all artificial food products.  The reasoning in the film seemed solid, we evolved to eat plants for the most part.  So anything that I could not have consumed about 200 years ago I considered unnatural and eliminated.  

This made a huge difference.  Despite these improvements, I craved amphetamine throughout the time that I was in recovery.  It was very hard to not take it as I had left over pills.  Eventually, my doctor treated the depression and my cravings subsided.  After a year on Effexor I had zero desire to take amphetamine.  I now believe that the inattention that I sought treatment for at the beginning was probably just depression in the first place.  

So if I were to summarize my experience, I would say that I entered residency with some horrible eating habits (but I was thin and athletic, so I never knew).  I also had some mild depression that I had dealt with since my teen years.  The combination of residency and all of these factors AND an addiction to amphetamine led to an insane crash 3 years into it.  

Was there some shady stuff going on as well?  Yes, you can lose your mind and still be treated unfairly.  Just because you're paranoid doesn't mean people aren't out to get you.  Not one, but two other residents had both psychiatric and substance related issues during this same time period at the same residency program.  Their treatment was significantly different than my own.  Dramatically so, that is why I made such a big deal about it.  Not because I was the perfect resident, but because the differential treatment was so blatant.

You test your IQ way too often
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#25
What kind of jobs do people do while out of one residency waiting to get into another?
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#26
Apparently they start residency rehab programs, who knew!?
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#27
This site has what Uncle Harvey could never provide.... average homemade amateur porn
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#28
One of my friends was let go from neurosurgery residency. He was a very nice person and very attentive to patient care, but he struggled with the written board exams and was extremely slow and unsure in the operating room. He also just seemed perpetually depressed and maybe needed to be in a specialty that wasn't quite as soul-sucking and all encompassing. I think under different circumstances, his confidence and operating skills could have been improved, without going too much into detail about the program.  When he was let go, the chairman of one of the other specialties at my program tried very hard to get him ("we love him!"), but he was a PGY3 and there was a funding issue. He is doing well for himself now, but is not a neurosurgeon.
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#29
(06-19-2020, 08:44 AM)Guest Wrote:
(06-16-2020, 09:59 PM)Guest Wrote:
(06-16-2020, 08:38 PM)Focus Wrote: This could turn into a back and forth but how about we make it productive. I'm sure a lot of people would be interested in how you have successfully addressed substance abuse. Not something frequently talked about it but substance abuse is rampant in surgery.

This is Residency Rehab Blogger again... 

You're right, the back and forth is less than ideal.. I cannot convince others that there is another reality lived by Americans who don't look like you.  If you don't believe it, some loser who got kicked out of his residency on the internet will certainly not convince you.  

The substance abuse issue was insane.  I was prescribed the amphetamine during my intern year for inattention and then became dependent on it within about 6 months.  From there, the anorexia effect caused me to lose weight and my short term memory evaporated.  The IQ test showed that as well, my working memory was at the level of a 100 IQ.  

The website goes over how I pulled myself off the medication in attempts to 'get clean' and make the case that the medication had been messing me up all along.  That plan actually worked, and I was immediately placed on a leave of absence.  

Those months when I was away were some of the hardest days of my life.  I was in serious withdrawal.  Gained all kinds of weight, fell into depression and suicidal thoughts.  But I wouldn't tell anyone for fear that they might use it against me.   I basically quit cold turkey, so I don't have much insight on how to deal with the addiction per se. 

I would say.. if you are tempted to get on amphetamine to deal with the fatigue.  Consider not doing it.  Max out on Vitamin D, Fish Oil (perhaps I sound like a Hippie, but over the years I've found that vitamin D can work wonders if you're deficient).  Also, use a clean diet to optimize your alertness.    Most of us go through life without realizing how much cognitive clarity and alertness come from the food that we eat.  As I was recovering from what was literally years of eating very little, and eating trash when I did.. I watched 'Forks over Knives.'  It was 2011 and the documentary had just come out on Netflix.  

I made a lot of changes based on that.  I did not completely eliminate meat, but I made every effort to eliminate all artificial food products.  The reasoning in the film seemed solid, we evolved to eat plants for the most part.  So anything that I could not have consumed about 200 years ago I considered unnatural and eliminated.  

This made a huge difference.  Despite these improvements, I craved amphetamine throughout the time that I was in recovery.  It was very hard to not take it as I had left over pills.  Eventually, my doctor treated the depression and my cravings subsided.  After a year on Effexor I had zero desire to take amphetamine.  I now believe that the inattention that I sought treatment for at the beginning was probably just depression in the first place.  

So if I were to summarize my experience, I would say that I entered residency with some horrible eating habits (but I was thin and athletic, so I never knew).  I also had some mild depression that I had dealt with since my teen years.  The combination of residency and all of these factors AND an addiction to amphetamine led to an insane crash 3 years into it.  

Was there some shady stuff going on as well?  Yes, you can lose your mind and still be treated unfairly.  Just because you're paranoid doesn't mean people aren't out to get you.  Not one, but two other residents had both psychiatric and substance related issues during this same time period at the same residency program.  Their treatment was significantly different than my own.  Dramatically so, that is why I made such a big deal about it.  Not because I was the perfect resident, but because the differential treatment was so blatant.

You test your IQ way too often
Residency Rehab here again.  I have never tested my own IQ.  I was forced to have my IQ tested by the troop commander at the hospital where I was doing my residency.  Why?  Because my program director and the GME director above him wanted it done.  The 100 IQ working memory was from the same test.  If you actually look into it, there are 4 components that make of the Weschler Adult Intelligence Scale II exam, the one that I took that day.  One component is working memory.

(06-18-2020, 09:25 PM)Guest Wrote: You ever see anyone re-match after being let go?

Residency Rehab here.  I don't know about Neurosurgery but I've seen General and Orthopedic Surgery residents who both resigned and/or were terminated make it into new programs and complete their training.  If you look through the legal cases on my website http://www.residencyrehab.com you can find them.   I looked up several of the terminated doctors who filed lawsuits against their former residency programs.  As you know, doctors are easy to find on the internet.  Just based on their most recent positions and the education histories provided on their employment webpages, I was able to confirm how they moved forward with their careers.
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#30
Hi RR,
Thanks for that update, that's definitely encouraging news for the people on the forum who have resigned / been let go / etc.
Appreciate your comments!
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