Thank you @doctor.dice for your time
1️⃣Tell us about you: I'm Daniela Fonseca I'm from Venezuela but came to US when I was 15 y/o. I was raised in Miami graduated HS in 2007 at St. Brendan. I enrolled at an FIU program called QBIC were I graduated in 2011 with a B.S in Biology. I went to med school in Kansas City University School of Osteopathic Medicine. I began residency in Miami Beach in 2016. Now I'm a 3rd year IM resident.
2️⃣How did you decide on your specialty? During my rotations I was that med student that enjoyed every specialty. I knew I had to work with people (so no radiology for me) I like kids but I don’t love parents lol (so no Peds or Family Medicine)I hated standing in the OR for a long time and I care about quality of life (Bye bye surgery). I like continuity of care. I enjoyed most of my IM subspecialty rotations but having a variety of fellowships to pick after residency was something intriguing to me.
3️⃣Whats a typical day like for you? Fav part of your job? It's dependent on my schedule. If we have MICU we have 24h call every 3 days. On the floor we have short days for 3 days (6am-3 pm) then 24h every 4 days. Clinic/outpatient weeks usually 9to5. I usually wake up at 6 daily for coffee and a quick breakfast and go to work. I try to work out at least 3x/week. I love cooking and spending time with my family.
4️⃣Any advice for premed and med students you wish you knew back then? Find balance in the amount of studying vs research/volunteering. Sometimes we focus on extracurriculars because we're worried about not having a dense CV and forget to study more for the MCAT and get better grades. In the end, grades weigh heavily. Medicine is a long journey! Don’t lose track of your goals! It’s all worth it!
5️⃣What are your future plans after residency? I'm planning a fellowship in endocrinology, diabetes and metabolism. It's 2-3 years. I'm applying now and I'll post more about my interview season as it approaches. So far I have two interviews already: UF and Mayo... woot woot 💪🏻
6️⃣Where can we reach you? Follow me @doctor.dice to learn more about me, my journey and medical advise. Or via email Doctor.Dicenso@gmail.com
“travel is the only thing that you can buy that makes you richer” ✈️
why not wander the world? 🌎
P.S thanks to #NTSbabe , @monicakem 😘, for taking her fave #notetoself with her on her trip to Canada ✨
hope everyone is having a great weekend making memz with the ppl they love most 👨👩👧👧 keep wanderin’ babes! 💖#wanderalways ✌🏻
“I will remember that there is art to medicine as well as science, and that warmth, sympathy, and understanding may outweigh the surgeon’s knife or the chemist’s drug” • Howard University College of Medicine Class of 2022 reciting the Hippocratic Oath for the first time #wemadeit#hucm2022
Last day of residency ➡️ med school graduation ➡️ college graduation ➡️ HS graduation (sweaty!) Life sure has changed a lot over the past 12 years! Can hardly believe Nick and I met almost 10 years ago and in the past 7 years we have lived in separate places for five of them. FINALLY today we moved *one* of us for the LAST TIME! 🎉📦🚚(Starting from the year we got married one of the other of us has moved every single year 😵) Not even going to look at the pile of boxes now 😅 •
Today, I’m here to tell you... you can do this. Be patient & kind with yourself. The road is long & hard but so worth it. If you want it bad enough, you WILL achieve it 💛
It’s okay to be scared or nervous, or even anxious through this process; whether you’re in HS, undergrad, gap year, or applying for PA school or Med school ✨
Take advantage of this community & ask questions, network, & start being confident in yourself! We’re all here for one another & we’re all going through this together, you’re not alone.
Feel free to DM anytime with questions & I’ll answer to the best of my knowledge! 🧠
Featuring #CrownedScrub 👑 @doctormannat ------------------
Dr Mannat Kaur is a new Internal Medicine intern! She is following her (gastroenterologist) father’s footsteps into medicine. As a doctor in training in NYC, she is excited to be serving a population in need. In internal medicine, Mannat sees patients with many coexisting conditions and has the opportunity to be a first point of contact in medicine for these patients. It’s important for her to establish care and provide healthcare maintenance education.
One of the keys to market your practice on social media is to first understand who you are talking to. Who is your ideal patient? Male? Female? What age? When you get really clear about who you are talking to, your content creation becomes so much easier! For more info about this, check out my blog on finding your ideal patient (link in bio). And in the mean time, comment below with any details you have about your ideal patient 😷
Finalmente mi primera publicación como primera autora sale en el volumen 31 del American journal of hypertension.
Este fue un estudio colaborativo entre el Maracaibo Aging Study (estudio que pertenece al Lab de Neurociencias de la Universidad Del Zulia) y profesores de la Universidad Politécnica de Sinaloa en Mexico, Columbia University en New York, USA y la University of Texas Rio Grande Valley en Texas, USA. Mis más sinceros agradecimientos a los demás autores por su paciencia y enseñanza.
Los que quieran conocer más sobre esta investigación me pueden preguntar y con gusto responderé :) #science#womeninmedicine#womeninscience#maracaibo#aging#hypertension#orthostatichypotension#hypotension#epidemiology
I know it’s soo much easier said than done. Especially as a pre-med or medical student where there are not many real ‘days off’. Nights, weekends, holidays are still spent grinding away while it seems like everyone else is getting a chance to relax. Even still, on the worst of days, being able to work towards your dreams (however impossible they may seem at the time) is still one of the greatest blessings.
Replace saying “I have to” with “I get to”, and hopefully you’ll find more joy along this journey ✨
Reposting from @sheikhbeauty
On my way home from brunch today, I drove past a small beach park. I stopped to listen to the waves and taste the salt in the air. Have you ever felt homesick for somewhere you’ve never called home before? That’s how I’ve felt about the ocean for as long as I can remember. Maybe I was a dolphin 🐬 in a past life. ☺️
I’m so glad more attention is being brought to ocean conservation by the #skipthestraw movement. 🥤 On July 9, Starbucks announced that it will eliminate single-use plastic straws from all its branches over the next year. Why is this important? Plastic waste is accumulating so quickly in our beaches and oceans that it may, by the year 2050, exceed the weight of fish in our seas. Studies have also shown that 70% of seabirds have ingested plastic over the course of their lifetime. Eventually, this measure by Starbucks will eliminate the use of 1 billion plastic straws globally.
While banning plastic straws is only a small step in the right direction, it’s started a conversation. Legislation has been proposed to ban them in New York City by 2020. I’m happy to say that Miami Beach 🏝 has similar efforts in the works! I hope that this movement inspires more conservation efforts for our ocean friends. 🐬 Skip the straw with me, please?
Does it count as an away rotation if you go home to do it? // Alternatively, does it count as vacation if you’re both working (more than) full time?👩🏽⚕️ I met Matt right after I started med school 3 years ago - we had each just moved to the middle of the country (Dallas, TX) from opposite coasts after college! On our first date (which was like all day thanks to an accidental 10 mile walk) we realized that the company he worked for was headquartered right near the area of California where I grew up! As med school went on, we realized that a leading residency program in training the exact type of physician I want to be was located here, just 10 minutes down the road from my mom’s and 20 min from his job! It felt like fate! So now that fourth year has rolled around and residency applications are drawing nearer, I came out here to rotate at the program and he got to come work out here too!!! It has been so surreal to be out here “running our future simulation” as Matt puts it, but what an incredible experience it has been. We are just starting to explore possibilities and keeping a super open mind about where we will end up next year, but if it’s anything like these past few weeks I am so excited for what is to come! Hopefully it includes many more trips to national parks on the weekends 👌🏼🌎⛰
A p p r e c i a t i o n
Today I appreciate my family, and having enough family to have to squeeze in 3 barbecues in one day 😂
I appreciate my health and how great I have been feeling with myself lately 💪🏼
I appreciate being given to chance to study nursing and hopefully change lives one day 🙏🏼
I appreciate the constant love in my life from my friends and @joeaabye •
It’s Saturday folks 🎉 be appreciative of everything you have! Life is seriously too short. Tell someone you appreciate and love them today 💕
Despidiendo a la próxima doctora de la familia !!!! Y disfrutando al nuevo puppy de los Rubio Alvarado !!! @rubiomoni @dorisguidos #womeninmedicine#medicos#futuredoctor suerte Moniiiiii estoy segura tendrás éxito!!!😍
I took yesterday and today off from writing because I was starting to get pretty burned out, and I feel so much better now. I’ve finished my apps for 11 schools so far, which means I’m halfway there! This photo embodies what I imagine I’ll feel like when I finally submit that last secondary. ☺️
Guys, did you know @transitionslenses now come is mirrors?! Clear inside and mirror reflection outside! Protecting your eyes has never been so stylish. I’m in love 😍 #transitionslenses#transitionsmirrors @transitionspro
Since there are some new folk round these parts, let me take a minute to introduce myself. My name is Alexia 🙋🏻♀️ I’m born and raised in NYC, and still live here. I’m a non-trad pre-med student. I have my AA in liberal arts from my high school/early college (shout out to BHSEC), BA in ecological biology, and my MPH in epidemiology. Right before I started my masters in 2014, I got a job at a doctor’s office. At the time, I had no med dreams. I really wanted to focus on epi research. As I got deeper and deeper into the program, while also working in the office, medicine kept tapping my on the shoulder, and I kept shooing it away. Until finally, I got rejected from a research fellowship, and it sort of hit me. Medicine is what I’ve always wanted way deep down. So here I am. I’m finishing some pre-reqs as a non-degree now, and I am starting an amazing volunteer program for pre-meds in the fall at a hospital which provides patient care hours and research hours. I am so terrified by this whole process, and sometimes I want to crawl into a hole and not come out. At the end of the day, though, I know this exactly what I want, and I will do whatever it takes to get me there. This account is not always the most science-y or med related, but I hope to inspire at least one person with a pretty picture of a pretty thing. So, hi, hello, welcome, I hope you stay awhile. .
Just checked my calendar, 34 MORE DAYS TILL IM DONE WITH NURSING SCHOOL!!!! 👩🏽⚕️
(Probably the busiest month for me with preceptorship, exams, paperworks, prep for NCLEX and overall stress from nursing school 😅)
I honestly stopped using my planner a few weeks into the semester, so most of these spreads are still empty 😅 But here’s to the fact that there’s only 2 more weeks before #hellmester is officially over 🎉 .
...I just need to get through 8 more tests & 1 paper, no big deal 🤧 .
If you’ve come across my page as an incoming #utmbnursing student (or if you’re in the process of applying), I’m always happy to answer any questions or ease any worries you may have. I believe in you! 💓
This rotation has PINK gloves! I’m loving having the opportunity to test my anatomy skills on this rotation. Feeling the rusty cog wheels turning in the noggin! Pretty proud of my brain for remembering how to draw the brachial plexus after all of these years (self five). I challenge all the other MS4s to see how fast it takes them to draw that beauty out (with muscle innervations listed too 😃) you just might surprise yourself!
Is working during nursing school right for you?
I think the most common question I get is if one should working during nursing school or how to obtain a job as a PCT because it would be helpful during nursing school. While a PCT job is helpful as far as learning during nursing school, I DO NOT recommend working unless you absolutely have to for survival. Nursing school is a full-time job within itself. Any accredited curriculum is designed so that you have all the necessary knowledge and tools you need in order to sit for the NCLEX. You will get hospital experience via clinicals and a lot of learning still occurs when you get your first job. If you are becoming frustrated with not finding a PCT job, do not fret. Focus on your academics and apply for an externship. And make nursing school your NUMBER ONE job. If you must work during nursing school (like me...just because I went PRN doesn’t mean my bills did) I highly recommend a PCT job or a job within the hospital. This will allow you to “study” by doing some of the nursing skills you learned in school. I recommend a PRN schedule so you have a little more flexibility in when you are able to work. I would not recommend working more than 20 hours a week...remember your first priority is school. Your current job should never be in competition with the career that is going to make you the true coins!
“Sometimes we can offer a cure, sometimes only a salve, sometimes not even that. But whatever we can offer, our interventions, and the risks and sacrifices they entail, are justified only if they serve the larger aims of a person’s life.
When we forget that, the suffering we inflict can be barbaric.
When we remember it the good we do can be breathtaking.”
- Atul Gawande
Learned some hard lessons this week at the Academy for Emerging Leaders in Patient Safety Conference. Hearing stories about loss and mistakes were not easy but they have already altered my approach to patient care and teamwork. •
Feeling grateful to all of the medical providers I met and the patient advocates for sharing their stories. Feeling the passion that ignites reminding me that being a physician is truly the best job in the world. •
Saturday... So glad I cleaned up my month's worth of papers, books, shoes, and dirty dishes so That Guy I Live With could have a clean house while I'm gone for the next month. 😯😜
Not going to lie, though, I'm definitely going to miss these beautiful messes and the laughter they bring. It'll be hard being away from my family but it's only a month and hopefully it'll be worth it in the long run. ~
R2: family medicine. I'm coming for you. 🧜
Hippocrates (full - Hippocrates of Kos or Hippocrates II) was a Greek physician widely regarded as the first to ever view medicine rationally.
Often referred to as the father of medicine, he believed that disease had natural origins; as opposed to the common and popular belief at the time of disease being a result of afflictions and curses from the gods.
Hippocrates was both care provider, and researcher. He first described the clinical sign known as ‘finger clubbing’; first categorized illnesses as acute or chronic, endemic or epidemic, all relevant to this day.
Hippocrates lived at a time when autopsies were considered unethical and unsavory. Cutting open a dead body was prohibited by the religious ideology which governed conduct in his day. Because of this, knowledge of the human body was extremely limited, making his achievements all the more impressive.
He wrote the code of ethics for the medical profession called “ The Hippocratic Oath”, of which many versions have been adapted, and which is still respected and in use today.
Maybe most significantly, Hippocrates incorporated clinical findings; and family history, social, and environmental factors into his practice as a physician. Reminding us even today; that it is important to treat not just the disease; but the patient as a whole.
His theory of cancer though wildly inaccurate, remained in use for several years. He believed that the body contained 4 humors/body fluids:
- Yellow Bile
- Black Bile
According to his theory, any imbalance of these four fluids resulted in disease, and having too much black bile in any particular organ caused cancer. This theory of cancer survived through the Middle Ages, becoming the standard for more than 1300 years.
Hippocrates used the terms ‘carcinos’ and ‘carcinoma’ (Greek for crab) to describe tumors; later translated into the Latin word for crab — ’cancer’ by the Roman physician Celsus.
It's a beautiful sunny Saturday in LA ....and I'm here with my head in the books studying for my AANP certification 🤪📚 Crossing my fingers that I won't have to study for very much longer but until my test date, it's crunch time! Anyone out there interested in seeing if they can answer a handful of FNP exam questions correctly? I'm posting some on our story today! Here's one to get you jump started:
All of the following are clinic eye findings found in some patients with chronic uncontrolled hypertension. Which of the following findings is not associated with this disorder?
A. AV nicking
B. Copper wire arterioles
C. Flame-shaped hemorrhages
Let us know what your guess is! On another note, this coffee shop is playing “candy rain” by soul 4 real right now. Study environment goals? #90shiphopandstudy#heartsandhormones#nursepractitioner#FNP#womeninmedicine#NPlife