
Residency 101: How to Survive a 24-Hour Call Shift
Let's talk about surviving 24-hour call shifts, because they're brutal but manageable with the right game plan. First, prep like an athlete: Hydrate the day before, eat a solid meal before your shift, and bring snacks that give real energy. Think protein and complex carbs, and not just sugar crashes.
Second, stay organized. A simple to-do list or a notes app helps you keep track of tasks when your brain gets foggy at 3:00 AM. If your hospital allows it, take strategic microbreaks. Even 10 minutes to close your eyes or stretch can help reset your system. And please, if you get a chance to sleep, take it — no guilt, no heroism, just rest.
Also, try to stay connected. A quick text to your friend or a funny meme can help lift your mood even when you're running on fumes.
And finally, after call, go home, shower, eat something comforting, and sleep. The world can wait. You made it through, and that is a win.
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Travel + Leisure
4 hours ago
- Travel + Leisure
I Was Told I Might Never Walk Again—so I Hiked a Volcano in Guatemala
It was Christmas morning when I blinked awake to the mechanical beeping of a heart monitor. At first, I thought I was dreaming. My heart thumped loudly in my chest. I tried to roll over and orient myself, but my limbs were numb, and everything around me was a blur of pale light and quiet panic. The voices outside my hospital room faded in and out until one finally broke through the fog. A man rushed in—the one who changed everything. His face said it before his words did. 'It's lupus,' he said. I didn't know what that meant. I only knew it wasn't good. I was 22 and had just been accepted to William & Mary, a top public university in the U.S. I had been the picture of health. A hiker. A wild-hearted, barefoot-loving soul who spent her weekends chasing sunrises and meaningful conversations. I had always been a thinker—someone who mapped out dreams and imagined every possible 'what if' scenario life could throw at me. But even with all that imagination, nothing prepared me for the moment I stepped out of bed one morning and collapsed into my new reality. Tess while dealing with her diagnoses. Tess Moormans/Life Through A Lense Lupus is a chronic autoimmune disease. A body turned against itself. In a cruel twist of irony, after years of mentally picking myself apart, now my immune system was doing it for me—attacking perfectly healthy organs like they were intruders. It was a full-on war and I was losing. I was diagnosed with the worst class of it and told multiple times I might die. I almost did. The fatigue was relentless. The joint pain, unbearable. I received over nine blood transfusions just to keep me alive. The list of symptoms and restrictions, well, they were longer than my age. Tied with IVs to the hospital bed for more than a month, I remember the doctor rattling off day in and day out what I could no longer do: no more sun exposure, swimming, hugging friends, eating at restaurants, playing with animals, gardening, and walking in dirt. Even walking unassisted, they warned, might not be in the cards. I had a compromised immune system and was supposed to live in a sanitary bubble if I was to live at all. It was like someone had compiled a list of everything that made me me , then crossed it all out. I was a girl who ran and danced toward her dreams, tripping sometimes, but never stopping. Now, I was being told to sit still. But I've never been very good at doing what I'm told. And that's how I ended up 13,000 feet in the air, climbing Volcán Acatenango, one of Central America's highest peaks. The decision made no rational sense. Just months after being told I might never walk unassisted again, I was hiking into the sky on a path of volcanic ash and cloud-thin air. At the same time, it was one of the most logical decisions I ever made. Travel is so much more than movement and cool pictures in new places. It's how we reclaim pieces of ourselves. It's how we stretch beyond discomfort and fears and find out who other people are beyond our presumptions and who we are when no one else is around to define us. View of Volcán Acatenango seen through the clouds. Tess Moormans/Life Through A Lense I started the hike alongside a group of strangers—fellow adventurers whose names and stories I didn't know, but whose silent grit matched mine. There was something exhilarating about trekking next to people who knew nothing of my diagnosis, only my determination. After our bus dropped us off at the beginning of the trail, my heart sank. From the start, it was a slow, burning, upward climb. I am so glad I had no idea what lay ahead because I might have turned around right then and there. We passed through five microclimates in a day—humid jungle, alpine forest, wind-swept ridges, dry volcanic fields, and a cloud-pierced summit. Each shift was like stepping into another world entirely. As we climbed, Acatenango's landscape shifted beneath our feet. The farmlands gave way to dense forests. The air thinned. My legs burned. My lungs ached. I slowed. And slowed again. I was often last in line, stopping frequently to rest, my legs almost crumbling under me. And yet, I was still moving. Stray dogs are abundant in the farmland, and a beautiful chocolate shepherd shared the journey with us. I soon realized what I hadn't shared with anyone, he probably knew. Out of the 20 of us, he stuck by my side, stopping when I paused and walking together with me when I began again. The friendly stray dog who stuck by Tess's side; Hiking up Volcán Acatenango. Tess Moormans/Life Through A Lense When we reached base camp at 12,000 feet, I was shaking. My body throbbed. The trail narrowed and a dark windy fog quickly set in. I was surprised when our guide said our camp was just ahead because I could see nothing, not even a glowing light. It was icy cold. Where was Fuego, the elusive pillar of angry fire? We had been told there would be accommodations at the top. I didn't know whether to laugh or cry when I saw a stack of used mattresses, box springs, and shared sleeping bags. There was nothing sanitary about it, but it felt more healing than the hospital bed. We sipped hot chocolate around a flicker of a flame. I had come to see lava and was shivering around fading coals. But our guide was confident and told us we should wake up at 4 a.m. if we wanted to hike the remainder of the way to see Fuego up close and active. I had plenty of experience staying awake through the night from my weeks in the hospital. I had no idea how I would pull myself out of bed this time. Luckily, I didn't even have to set an alarm. At 2 a.m, I awoke to cold, wet slobber. The puppy that walked with me had curled up on my pillow. Having shared the trek, he wanted to share the warmth, too. I was more than a little annoyed and sat straight up, trying to drag him off my corner of the mattress. I kicked open the wooden door of our makeshift hut to shove him out and came face-to-face with Fuego. In the deep mist of the night, I had no idea our camp was clinging to a slab of cliff right in front of the summit. The earth growled and Acatenango's fiery twin erupted in the distance. It was bright and brilliant and alive and somehow almost outdone by the thousands of shimmering stars framing it. The deep fog that had suffocated everything was peeled back like a curtain and I realized all the beauty that had been hiding underneath. We rose for the summit. The final push. The hardest part. What seemed so close was a full three hours away still. A pillar of lava burst into the sky, glowing against the dusk. Around me, others gasped. Many reached for their phones and cameras. I stood in stunned silence. I wanted this image and memory etched in my mind before I tainted it with a camera lens. The eruption lit up the sky again and again throughout the night and early morning. I had barely slept. It was pitch black, and we were pushing through heavy sand and ash now. Two steps forward, a half step back. Mounds of crumbling dirt rose on either side, forming a slithering trail as we dipped down into the ravine and steadily rose up the other side. There was a moment, somewhere above the clouds, when I paused and turned around. The mountain where we camped, Acatenango, towered behind me, massive and ancient. Beneath its surface were deep, dark scars—grooves cut through the rock by old lava flows, now overgrown with stubborn green. I stood there, breathless from exertion and awe, already dripping sweat. I realized something that made me pause: The looming walls of dirt both engulfing me and forming my own path were the same. From the fog of sickness and the sting of IV needles, I was now coursing through the hazy vein of the mountain. The same burning force that had once destroyed this path had also shaped it—created it, even. And now, I traced it. My own body, too, bore scars—seen and unseen. Pain had carved through me, but it had also made this journey possible. I wasn't walking despite my pain. I was walking with it and becoming something through it. I was, by every definition, weak. But I was so strong. I was breathing hard—nearly wheezing—as the icy wind whipped against my face. My legs were leaden. My fingers were stiff and swollen. I stopped more than I moved. But I wasn't alone. Step by step, I made it to the top. There—at 13,045 feet—the sun rose above the world in every color imaginable—and some not even the most creative mind could fathom. Aerial view of Antigua, Guatemala. Tess Moormans/Life Through A Lense We stood in silence as clouds drifted below us and light spilled across the neighboring volcanic ridges—Agua Volcano to the left, Pacaya to the right. I was standing on Fuego in the shadow of Acatenango. Ironically, the name means 'Walled Place,' and here, I felt the walls placed around me come crumbling down. All I kept thinking was how everyone told me I couldn't—and how they weren't here to see this view. I reached my grimy, dirt-covered hand down to pet the dog in blatant defiance of my instructions not to be around or touch animals. I didn't ever want to descend. The way down was almost harder than the trail up. I was slipping, sliding, and tumbling, joy erupting inside me. Whether or not we realize it, we each travel every day—through grief, joy, and fire. We each have our own personal Fuegos and Acatenangos to face. Mine just happened to be a real one. When I returned from Guatemala, my lupus didn't vanish. But I proved that 'can't' is just a word. Acatenango didn't cure me, but it reminded me my journey didn't end in a hospital bed. It started there. It was Christmas morning when I blinked awake to the beeping of a heart monitor, my body a battlefield and my future a blur. But it was through the mist of the mountain where I really opened my eyes. They told me I'd never hike again. That I might never walk unassisted. That I would have to live a smaller life, if I lived at all. But they weren't there when the sky split open and fire danced across it. They didn't see me rise through ash and altitude, gasping and shaking, clinging to a mountain that had known its own share of eruptions. They didn't see the girl with IV scars, windburned cheeks, and dirt under her fingernails reach the summit with a dog by her side and a defiant heart in her chest. I didn't conquer the mountain—I bled into it. Walking on the wounds it once carried, I learned how to live with mine. And when Fuego erupted, lighting the sky like a pulse, I knew I would never be the same. Not because I reached the summit, but because I learned I could keep rising—even while breaking.
Yahoo
5 hours ago
- Yahoo
"A UTI Can Be Completely Asymptomatic": Doctors Are Spilling Shocking Truths About Our Bodies That We Were Never Taught In School
We recently surprised a lot of you with these body facts that medical professionals say most people don't know, and it turns out a lot of our readers are healthcare experts who have more to add to the list! So, here are 15 more things you may not know about your own body but should: 1."In older women, a UTI can be completely asymptomatic. I'm a bladder cancer survivor and very tuned in to my bladder health. I was feeling very run down but had absolutely no UTI symptoms. I went to the emergency department for something unrelated, where I passed out and had to be resuscitated multiple times. I had become septic from an unknown bladder infection, and my husband had to watch me die and be revived in the emergency room at least three times. A super star emergency team saved my life, and I was put in the ICU without much hope of recovery. I spent six days hospitalized, and every day I thank God and those medical professionals for letting me go back to my family. PLEASE learn from my frightening experience!" —charmingcaptain114 Related: 2."Your optometrist asks what medications you take because your eyes are part of your body and can be affected by systemic diseases. You can lose vision from diabetes, hypertension, autoimmune disorders, etc. It amazes me when people leave off medications they are taking, and I say, 'So, you aren't taking any medications at all?' And then the person has an entire list, explaining that they didn't mention them because 'they don't affect my eyes.' This is wrong." —Anonymous, 52 Wisconsin 3."Never EVER boil breast milk. By doing this, you destroy all the nutrients, and it basically becomes as nutritious as water." —u/SuspiciousLemur 4."As a Navy corpsman and now Physician Assistant, I have always told my male patients that smoking can cause erectile dysfunction. That gets their attention more than strokes or heart attacks." —Anonymous Related: 5."Women continue to build bone mass until age 30. That is why it is important that you get enough calcium when you are young. It affects bone density and helps prevent osteoporosis." —Anonymous, 74 Ohio 6."I'm an ENT. Please bring earplugs to loud concerts and shows. Please don't listen to music on your earbuds/headphones too loudly. Your hearing doesn't regenerate, and you put yourself at a higher risk of developing tinnitus (ringing in your ears) and hyperacusis (sensitivity to sound)." —u/hapabeauty 7."Grapefruit juice can mess with a lot of meds, so you might want to avoid it while you're taking them." —Maya Related: 8."Type 2 diabetes is more serious than most people realize. I work as a doctor in hemodialysis, and most of the cases are due to diabetic nephropathy. It also affects your eyes, nerves, immune system, etc. Simple life changes can help prevent this." —u/kingofneverland 9."Moles don't have to look odd, have irregular borders, be different colors, grow fast, crack and bleed, etc., to be skin cancer. Moles that look absolutely normal and have been on your body for years can be cancerous. Flaky patches of skin that mimic eczema or psoriasis can actually be skin cancer. A dark freckle can actually be skin cancer. A dark purplish stretch mark can be skin cancer. This is why it's so important to not only get yearly skin checks, but also check yourself every time you are naked. Make notes of the locations on your body and a detailed description of what each area looks like so you can track it." "About 25 years ago, I had two little moles on my left ear and asked to have them removed so I could get my ears double pierced. The doctor did the usual shaving procedure and sent the tissue out for testing (this is standard protocol). Imagine my shock when the doctor called a week later and said I needed to come in to talk about the results. My perfectly normal moles were stage 1 squamous cell carcinoma. They also took off a normal-looking mole on my left elbow, which turned out to be full of atypical cells (which often leads to cancer). Thankfully, the cancer was completely localized, and I didn't need chemo or radiation. 'Normal' isn't always what it seems." —henrylovedog 10."Antibiotics only work against bacteria; they are not some kind of wonderpotion that cures anything, and they should not always be given. Please stick to the prescription the doctor gives you. Even if you already feel better, don't just stop unless the doctor says you can stop. A lot of medication needs to be taken according to the prescription in order for it to be effective because you build up the dosage to an effective level. Stopping or not sticking to it really decreases effectiveness." —u/jonneyboy112 11."Tell us what drugs and alcohol you're on. We aren't gonna tell the cops, and we aren't gonna lecture you, but it might change the anesthesia we give you. Some of the stuff we give could kill you. So, if you drink a 30-pack a day, tell us." —u/CopyX Related: 12."Having wet hair in a cold room will not make you sick." —u/jbx_93 13."Just because you're skinny doesn't mean you're healthy. Sometimes I ask teens whom I treat what healthy foods they eat, and rarely do I get a right answer. I feel like the internet has so many fad diets, and some families rarely cook, so there are so many people who don't know basic nutrition facts." —u/Thornloki256 14."Alcohol is really, really bad for you. By binge drinking, you run the risk of developing stomach bleeds, intestinal bleeds, pancreatitis, liver disease, and/or liver failure, alcoholism, heart failure, seizures, stroke, osteoporosis, lung failure, the list goes on... Having 4 drinks spread out over a few hours can be JUST as fun as having 10 drinks in the same time span, AND you're not putting yourself at risk for massive organ failure and making yourself look like an idiot." —u/Mosessbro lastly: "Fevers are not always dangerous. In fact, they are your body's natural response to an illness. Always call your doctor first, but you might not need to rush to the emergency department at the first sight of one." —u/sms575 Did any of these surprise you? Let us know in the comments! Also in Internet Finds: Also in Internet Finds: Also in Internet Finds: Solve the daily Crossword


New York Times
11 hours ago
- New York Times
No Meals, Fainting Nurses, Dwindling Baby Formula: Starvation Haunts Gaza Hospitals
In several of the hospitals still functioning in Gaza, nurses are fainting from hunger and dehydration. Managers often cannot provide meals for patients or medical staff. Doctors are running low on formula for newborn babies, in some cases giving them water alone. And at least three major hospitals lack the nutritional fluids needed to properly treat malnourished children and adults. Those scenes were described in interviews starting Friday with seven doctors — four from Gaza, and three volunteers from Australia, Britain and the United States. All of them worked this past week in four of the territory's main hospitals. After months of warnings, international agencies, experts and doctors say starvation is now sweeping across Gaza amid restrictions on aid imposed by Israel for months. At least 56 Palestinians died this month of starvation in the territory, nearly half of the total such deaths since the war began 22 months ago, according to data released on Saturday by the Gaza Health Ministry. As starvation rises, medical institutions and staff, already struggling to treat war wounds and illness, are now grappling with rising cases of malnourishment. Weak and dizzy, medics are passing out in the wards, where colleagues revive them with saline and glucose drips. Persistently short of basic tools such as antibiotics and painkillers, doctors are also running out of the special intravenous drips used to feed depleted patients. Want all of The Times? Subscribe.