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vivyangmd vivyangmd

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Viv Yang, MD  💌 vivyangmd@gmail.com ☀️ real life and adventures of an animal loving family doc 👩🏻‍⚕️Riverside County 👩🏻‍🎓UCI SOM 👩🏻Caltech 👧🏻Chicago

Happy happy birthday to my favorite human in the world. Wishing you health, happiness, and lots of dog cuddles this year 🐶😍🎉🎂 #feetpictures #throughtheyears #whatsfordinner #happybirthday #capricorn

If only every Tuesday morning after long call on MLKJrDay could be like this. Dreaming, planning, recovering, centering, caffeinating, creating. And yes, I’m wearing my giraffe onesie 🦒 #brunch #vegetarianbrunch #sofull #workhardplayhard #medicine #dayoff #physician #doctor #intern #internyear #resident #residency #purplepotatoes #quiche #fruitplate #yesiateallofit

Today was seriously a 💩 day. Started with literal 💩 from the dog all night in multiple rooms of my apartment at multiple times throughout the night. Then it went to me being a 💩 friend and asking about things I wasn’t supposed to ask. On top of that, I acted like a 💩 to some nurses because orders weren’t getting done, although it wasn’t their fault or my fault or lab’s fault. I put myself in a timeout for being a 💩 doctor. Reminded myself that there are people fighting to have my job. That I have an amazing privilege to witness human joy and suffering every day. Walked around the floor, did a physical exam on a 2 *hour* old baby boy, and woo-sah’d on the phone with Daniel. Also texted my mom, which probably solved about 99% of my 💩 mentality. You know what? Today’s actually going to be a good day. #medicine #badday #physician #doctor #sleepdeprivation #poopydog #worklifebalance #workhardplayhard #intern #internfail #medicalstudent #medicalschool #gratitude #health #💩 #sunrise #highwaypicture

Dog is suspicious about this whole fermentation process. He says food is meant to be eaten immediately! #sauerkraut #fermentedfoods #domesticateddoctor #workhardplayhard #seeyouin2weeks

Realizations: Most of my photos are in stairwells, because I’m too self conscious to take selfies in the hallway. I haven’t had a @monsterenergy in like 4 months of inpatient, but today is day 12 of 12 on, and I’m dang tired. I’m also on long call. Edit: Monster just kicked in and I just cleaned the whole nursery work room. Now I’m looking for things to throw away. If the nurses let me I will probably reorganize the supply closet and re-work the very inefficient flow of baby-related paperwork and medicine. I think I still have three quarters of the can left. Edit again: lol I threw away one of the med student’s prerounding notes 🙄 Oops... at least I sent him home early. #medlife #medicine #monster #workhardplayhard #resident #residency #physician #healthcare #doublefisting #intern #internfail #almostgoldenweekend

Had my first narcotics patient yesterday in clinic, so celebrating with an overpriced iced coffee 😂🎊💃🏻 BUT REALLY THOUGH. I was so peeved yesterday and have since been able to calm down a tad, but the entire encounter really highlighted (1) inappropriate narcotics prescription without a long term plan for discontinuation like switching to NSAIDS or Tylenol, going to physical therapy, and actively engaging in their healing process, (2) inappropriate management and monitoring of narcotics prescription including urine drug screen, imaging, referral to specialists, checking CURES, and a pain contract, (3) naïveté of an intern with no prior experience with a particular patient and who wishes to help the patient but gets duped into prescribing opiates to a patient who reports chronic pain for 10+ years but has no imaging and no opiates in his UDS. NO OPIATES IN HIS PEE. Which means he’s not taking the medicine he tried so hard to get. Also has a prior history of substance and prescribed opiate abuse (which includes not taking as prescribed and reselling on the street). I was about to blow up yesterday after clinic, especially after I had another patient with terminal cancer diagnosis who couldn’t get adequate pain control, let alone narcotics, because of ED run around and insurance. Sometimes I feel like a broken cog just grinding along in the broken system. I’ve had previous narcotics patients, but usually they are compliant and non manipulative. I guess the lesson learned is that I need a better lie detector. Also don’t skip the morning coffee, because after tossing and turning all night, I was dozing off while examining babies this morning! Edit: I should mention that I’m aware of the challenges my patient is facing, in terms of societal and financial challenges. I don’t hate the patient as a person, but I dislike the patient that has been created as a result of insurance, society, and systems influences outside of his control. Continued in comments >>>

Just, you know, casually being senior resident for 2 medical students and 13 newly born humans. If anyone can do a Starbucks run, that would be much appreciated. #medicine #residency #physician #doctor #hospital #newbornnursery #resident #blackweekend #intern #internoncall

Found this bundle of love on my car this morning (thanks babe @mistakim3131), a nice reminder to slow down, take it easy, and breathe... because day 5 of a 12 day stretch can be long and frustrating or long, a good learning experience, and rewarding. Also doesn’t hurt when your peds senior recognizes how tired you are and sends you home 3 hours early. #medicine #physician #residency #resident #doctor #nature #flowers #happiness #bestboyfriend #workhardplayhard #worklifebalance

Did doctor-y things today, but more importantly, was a community leader, health care provider, and educator today 👩🏻‍⚕️ #residency #resident #intern #internlife #worklifebalance #workhardplayhard #medicine #doctor #physician #md #gratitude #healthcare #countyhospital #familymedicine #fmrevolution

When you come home from long call like this 🤯 but the best boyfriend in the world has made you a beautiful Buddha bowl for dinner, so you end the night like this 😊 #emoji #residency #imhungrynow #medicine #workhardplayhard #worklifebalance #newyear #vegan #vegetarian #eatyourveggies #earyourfeelings

2018: more breath, more love, more space, more freedom, more travel, more centering, more quiet. Daniel and I went to visit his grandparents’ grave yesterday. And while we couldn’t find the exact site (...🙄...), it was a sombering and rejuvenating experience. I passed by the grave site of a 31 year old male physician. 31 years, likely still in residency or just graduated. As much as I love medicine and guiding people towards better health, I would regret it immensely if a stethoscope were the only thing that symbolized and summarized my life. This year of 2018 is about trying to become the best human I can be, on top of training to be the best physician I can be. Because I don’t want to die with a stethoscope around my neck and no one to laugh about it with. #medicine #physician #doctor #familymedicine #circleoflife #residency #resident #workhardplayhard #worklifebalance #purposeoflife #findyourpurpose #intern #internlife #sunset #deathanddying #newyear #comingatyourfromnewbornnursery #newyearsbabies

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