Commonwealth Fund Fellow 👩🏽‍⚕️@emres_mghbwh | Alumna of @iumedschool & @uwmadison | first gen 🇲🇽| she/ her | tweets are my opinion

After 13 years of embarking on this journey, I’m officially a Harvard trained EM Attending! I wouldn’t be here without the full support of my parents, who sacrifice so much to get me here . From our humble beginnings to now the first physician in my family, I did this for them..
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Senior presentation day 💪 insane how time flies and incredible to watch us all present our academic work in the ether dome 🤓 Class of 2024, you are all such rockstars!
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Harvard EM @ MGB 🫶🏼 love y’all! @EMRES_MGHBWH
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Academic Emergency Medicine & Brunch.. my true passions 🫶🏼😬 join @SAEM_RAMS !!
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Throw back. From white coat ceremony to last year of residency. 🥰
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Feeling grown after my M&M talk yesterday… I remember as an intern I felt so intimidated of ever having to do that. 👩🏽‍⚕️✨

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my brain constantly now as chief on call finding swaps in the schedule. I think in excel now 🤣

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Congratulations to @CarrieDWalsh ✨
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Our residents and med students busy on our SAEM RAMS Scavenger Hunt 2023! @SAEMonline @SAEM_RAMS
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Truly humbled and honored to be selected as one of the Chief Residents for @EMRES_MGHBWH God is good 🙏🏼
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Charting will be the death of me ….never ends.

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EM bound students , come check us out! We have amazing faculty joining us to tell you a little more about our program 💪🏼 tinyurl.com/haemrhighlights
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Pre shift ritual = Blast Bad Bunny on my drive to the hospital #wellness 😌

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Any CV recs are appreciated … let’s start with where do I put that im currently a resident ?

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Best way to celebrate my bday! Doing what I love 💕 thank you to my ED team for making it special. Here’s your typical ED cake 🎂 @EMRES_MGHBWH
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Guys I made it. Got in on the nurses food order and they said love you as I walked out my shift. 😭💕 i do love the ppl I work with everyday, specially our bada** nurses! 💪🏼

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Replying to @CharloisPa

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Epic downtime last night. How I felt it went.

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Someone (not even security) asked me for my ID as I walked into the ED… but no one else around me was asked. 🙄 shoved my ID at his face and said “I’m one of the doctors ” TGIF

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Replying to @Danjegan

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In honor of seeing all the beautiful faces of the future URiM doctors, I wore my Minority Doctors Matter to work 💪🏼🙏🏼 I see you!

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My attending asked to play music during shift. So I put on 80s rock. Figure it was appropriate. And I tell him this ain’t want I usually listen to. He actually want to know what I was listening to last So “in the Bible” plays..we listened to CLB rest of the night 🥴😅 he a fan!

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ortho res and I went at it with our premed student why they should pick either of our specialties. I think I won when I said I got here at 7am and leave at 4pm.. where as he doesn’t😅🥴😂

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CLB on rpt during my overnight shift

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Budgeting after all my recent trips/weddings .. got me thinking how much broker can I get? #cannedbeansitis

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Replying to @drewskiMD
Yessir!

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S/o to my patient senior resident, who flawlessly guided me through procedures today @paul_ginart

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Feels weird, but good, to work 7-4pm, workout and get to cook myself dinner. 🥴 I feel like a reg human again.

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Replying to @AbimOkulaja
👋🏽 Check us out! @EMRES_MGHBWH
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Not all hero’s wear capes. S/O @zirulnik for bringing me coffee as I start my fourth night.. now me getting back to the mess.

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Nothing like having drinks with co residents to vent. So liberating 😌

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Replying to @KadeenForrest
Welcome!! Happy to answer any questions about the process or my program. We have an upcoming event on Aug 31st to learn more.
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Donut of truth. 😂😂
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Found out I passed my last USMLE exam while on vacation! So you know it’s time to turn up! 😆
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We take our presentations SIRIUS !! What a blast working on this conference presentation with @zirulnik 🚀👩🏽‍🚀👽 @emres_mghbwh
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Made it! Finish intern year, learned a a ton & gained some dark circles and wrinkles, but on to the next! Living the Dream 💪🏼😎 #LatinasInEM
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Before I decided EM I was hardcore OBGYN, been waiting all year for my L&D rotation and my heart is happy 😍🥲 i missed delivering babies.
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This morning’s lesson on Toyota Production system..I am applying TPS to my life.... I have nothing else to give but to work hard and not sleep 🥲...
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Highlight of my night...80yo telling me she doesn’t want to take oxy cause she doesn’t want to become a hippie..”then I’ll say where are the cool cats at?” **waves hands as below** 😂😂 i died of laughter.
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The kid of duck I am most of the time tho 😂
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Wise words from my senior (@davidtoomeyMD) as I told him about my day and how I manage to stay calm as a kiddo desatted... he said ED docs are ducks... calm above the water while you paddle like crazy under the water.
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Intern growth. When consultants are rude and I’m just silent as they huff and puff, like get it out ... “so let me know what you think when you see them, bye”
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Decided to go on a fasted run before work cause it was 70F. Then of course I end up running late and couldnt eat. But God is working in my fav, first thing my attending said when I walked in was “we don’t have anyone, go eat”. #HEswatching #wellness
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Afrobeats & working out as a preshift routine, gets me ready to work.
1.Mexican 🇲🇽, EM PGY1 at MGH/BWH 2. RBD!! Knew every song(still do) and even dye my hair like Roberta 😂 3. @MaritzaGomezMEd @Guadalupe_J1
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Social rounds in the ED when I’m off service are crucial for wellness 🥲
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Just want to give a quick s/o to our pharmacist. Always saving my butt!! I love you.
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My ICU attending complimented me this morning saying I give good presentations, after presenting my overnight patient on hour 27 of my call. I was brain dead. But mammaaa we made it!
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Hey look two pagers now. Scary. Code pager while on my ICU rotation. “Don’t worry it won’t go off” ... goes off during rounds. 🙀
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Today I actually had a moment during my shift where I gave myself a compliment. “Wow, you are growing, you def know some stuff now” because it’s a new year, and as an intern it’s easier to just put yourself down than give yourself grace. Give yourself a compliment today!
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I painted for the first time in a while, I forget how much I enjoyed other hobbies outside of netflix and sleeping 😅
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Has it really only been 4 months since our first day? Wilddddd. Here’s to the white coats that are prob tuck away somewhere in a closet 😂 Ik mines is, keeping it crispy for graduation lol
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Why HAEMR? Because we talk about how we can improve as providers. Today’s conference was dedicated to health equity. I learned more on how to stand up for myself and others when experiencing microaggressions.@EMRES_MGHBWH #RepresentationMatters
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The joy I get when I run into a co intern in the city ❤️ exact moment from just a minute a go. Happy Friday! #whyhaemr
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Also me now getting to all my notes I didn’t finish over the weekend. Lol
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Mood walking out my last day from my 6wk block in the ED ... cause the last pt I had had hyperk, went into Vtach, leading to me placing my first central line.... #growth s/o to my procedure guru Keena and amazing senior Farah ❤️ (they ma goals)
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PSA! I have successfully placed an Ultrasounded IV!! 😆 only took like a million tries lol
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29 years old man. Unarmed. 7 shots at closed range. In front of his children. Fighting for his life. #JusticeForJacob #BLM
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What I mean when I say my coresidents GOT ME. I lost my stethoscope @GiselleMalina lend me her extra...On my third overnight @PatrickLowe9 kindly offer to bring me coffee at 4am as he was also in the hospital on OB nights. 😭 yalllll Im blessed 😭
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Thoracentesis and A line all in one day. Mood walking home 😂 yalllllll I was geeking when I got that A line tho. Still no IV 😅 coming soon tho!
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Throwback to 10 years ago. Where becoming a doctor was only a distant dream....
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Today my patient cried and screamed as I attempted an ALine, she said I only had two tries.. I failed. When I ask the second yr to help, she said “Don’t you ever give up, you’re not a quitter, you keep trying.. I’ll be fine even if I’m screaming” thank you, my pts keep me going.
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Survived my first ACUTE shift !
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Welp, I can place a pig catheter but not IV lines. Lol one day, I will succeed!
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When your senior on shift is a badass and Latinx, and you can finally see what you hope to become one day 🙏🏽
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Replying to @rebekah_roll
Congrats!!!
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2nd day on the job: Update I’m still struggling to write notes, place orders, matter fact know what to do period. But one pt told me how proud she was of me, & happy to meet her first Mexican doctor (fellow Latina) & another scream out at me as she left “you’re a good doctor”🙏🏽😭
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As I reflect on where I am now and this new beginning.. I needed this!! Thank you @hrh_approved ! New interns take a sec to read. Don’t be afraid to say I don’t know, be vulnerable, and support one another 💕🙏🏽
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First shift complete ... and I was a typical intern (gif provided). Worst mistake I made though was forgetting my apartment keys and now I’m locked out at midnight post 12 hr shift 😭
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Walking into my first clinical shift like ...
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Day 1 of Orientation Done @EMRES_MGHBWH ! Looking forward to working with these amazing ppl! Already loving the vibes and can tell it’s going to be an incredible journey. 💕🙏🏽
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First virtual attendance to didactics as an incoming intern @EMRES_MGHBWH just WOW!! All Women Speakers to celebrate women leaders. Extremely inspiring !!
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The evaluation of the optic nerve sheath diameter (ONSD) is a simple non-invasive procedure that can help asses elevated intracranial pressure. ONSD is measured 3 mm posterior to the globe of the eye. Normal width is <5mm. #FoAM4Cook
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Hemoptysis is pretty scary but always remember your ABCs first to asses pt status. Next differentiate between massive vs non-massive hemoptysis. Massive hemoptysis is variably defined as pulmonary bleeding of somewhere between 100 to 600 mLs in a 24hr. #FoAM4Cook
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Do you know the difference between a felon vs paronychia? This sketch on google sums it up well haha #FoAM4Cook
When a peritonsillar abscess is present, insert an 18g needle with guard into the superior pole of the abscess, moving to the middle and inferior poles if no purulent drainage is obtained at the superior pole. #FoaM4Cook @CookCountyEM
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