The Apprentice Doctor

How Many Medical Red Flags Can You Relate To?

Discussion in 'Doctors Cafe' started by Ahd303, Nov 8, 2025.

  1. Ahd303

    Ahd303 Bronze Member

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    How Many Doctor Red Flags Do You Have?

    Every doctor has habits. Some are harmless quirks — like hoarding pens or checking vital signs in TV shows — while others are… well, red flags. The kind of warning signs that only your colleagues will understand, the ones that say, “This doctor has seen things,” or “This one’s about three espresso shots away from a cardiology consult.”

    Medicine shapes us in strange ways. Years of training, night shifts, and impossible patients carve out unique behaviors — endearing, bizarre, or borderline alarming. So here’s the real diagnostic test: how many doctor red flags do you have?
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    1. You Diagnose Everyone You Meet
    You can’t help it. The moment someone coughs, limps, or looks pale, your internal differential diagnosis starts spinning like a roulette wheel.

    Your friend mentions fatigue? You’re quietly running through anemia, hypothyroidism, and malignancy. Someone sneezes on the train? You automatically label them as “Day 2 of viral prodrome.”

    It’s not judgment — it’s reflex. Years of being trained to “think pathologically” have rewired your brain.

    If you’ve ever ruined a family dinner by explaining what really causes that symptom, that’s your first red flag.

    2. You Don’t Flinch at Anything Anymore
    Someone faints? You sip your coffee.
    Someone bleeds? You grab gauze without breaking conversation.
    Someone cries? You silently offer tissues with the same emotional tone you use for a discharge summary.

    You’ve seen too much. Nothing surprises you now — except maybe a well-written handover.

    You’ve become so desensitized that when your non-medical friends gasp at a horror movie, you’re just admiring the special effects. If your emotional baseline is permanently “clinically detached,” congratulations — you’ve earned another red flag.

    3. Your Humor Could Get You Struck Off in Any Other Profession
    The darker the joke, the more healing it feels. You’ve laughed at things that would make civilians weep.
    You’ve made jokes in resus. You’ve laughed in pathology. You’ve said, “At least he’s not hypoxic anymore,” and genuinely found it funny.

    Medical humor is a survival mechanism — but outside the hospital, it’s social suicide. You’ve probably told a joke at a dinner party that resulted in stunned silence and someone whispering, “Are you okay?”

    You are okay. But also… that’s a big red flag.

    4. You’ve Forgotten What “Normal” Sleep Feels Like
    You measure rest in naps and micro-sleeps. A 4-hour stretch feels luxurious, and anything beyond 6 hours makes you suspicious that you missed a page.

    Your circadian rhythm has filed for divorce. You fall asleep anywhere — bus seats, call rooms, radiology chairs.

    If you’ve ever woken up confused about whether it’s day or night, or found yourself charting in your dreams, this flag’s got your name stitched on it.

    5. You Think Coffee is a Food Group
    Not a drink. A necessity.
    You’ve lost count of how many cups you’ve had today, and your bloodstream is 60% caffeine.

    You’ve evolved past flavor — you drink it for survival. When someone says, “I only drink one cup a day,” you look at them like they just told you they breathe recreationally.

    When you can smell fresh coffee from three wards away, you’re not human anymore — you’re a caffeine-dependent life form.

    6. You Speak in Acronyms
    You no longer say “heart attack.” You say “NSTEMI.”
    You don’t say “shortness of breath.” You say “SOB.”

    And then you realize, mid-conversation with a non-medical friend, that you just said “The SOB was complaining about CP but the ECG was NAD,” and they think you’ve lost your mind.

    Your brain now translates everything into shorthand. The problem is, outside medicine, you sound like a malfunctioning robot. That’s not just a red flag — it’s a full-blown code red.

    7. You’ve Developed Trust Issues with Handovers
    You don’t believe a single word written in the handover list. “Stable” means “about to arrest.” “Improving” means “please don’t call me overnight.”

    You recheck every result because experience has taught you that optimism kills. You no longer trust “normal limits.” You don’t even trust your own notes from yesterday.

    Your trauma response to “the patient’s fine” is to sprint to their bedside. You’ve been burned too many times. That’s a red flag seasoned with PTSD.

    8. You’ve Lost Track of the Last Time You Ate Something Fresh
    Your diet on call consists of vending machine snacks, cold pizza, and “mystery sandwiches” from the fridge.

    You’ve eaten biscuits from 2018, and you’ve microwaved meals that should have been donated to science. You call it resilience. Dietitians call it a cry for help.

    When someone offers you fruit and your body rejects it like a foreign antigen, it’s safe to say nutrition is another red flag area.

    9. You Call People by Their Conditions
    You don’t mean to, but in your mind, everyone is labeled by diagnosis:

    • “The fractured hip.”

    • “The pancreatitis in bed 7.”

    • “The COPD who keeps absconding for cigarettes.”
    It’s not dehumanizing — it’s efficiency. But outside of work, it slips out awkwardly. You once called your friend “the migraine” without thinking.

    That’s when you realize: the hospital has rewired your social vocabulary. Another flag.

    10. You’re Overly Polite to Nurses — Because You Know Better
    You’ve learned through painful experience that nurses run the hospital. They can save you or destroy you.

    You bring them coffee, you apologize preemptively, and you thank them even when you have no idea what for.

    You may have nightmares about the phrase, “Doctor, can you just review?” but you still smile and say, “Of course!”

    It’s survival instinct — and a red flag for how deeply institutionalized you’ve become.

    11. You Can’t Stand Poor Documentation
    Bad handwriting? Missing times? No signature? It physically hurts you. You rewrite discharge summaries like a perfectionist novelist.

    You’ve muttered “who wrote this?” more times than you’ve said “good morning.” You’ve also judged a colleague’s intelligence purely based on their note structure.

    If you’ve ever rewritten someone else’s documentation “for clarity,” congratulations — you have the control freak subtype of the Doctor Red Flag Syndrome.

    12. You Forget Birthdays but Remember Lab Results
    You can recall sodium values from six months ago but forgot your partner’s anniversary. You don’t remember your best friend’s wedding date but you can quote the patient’s Hb trend like scripture.

    Medicine has trained your brain to prioritize data over emotion. When someone says, “You never remember important things,” your reflex is, “His potassium was 2.8 — that’s important.”

    If your emotional memory is replaced by biochemistry, that’s another clinical finding on your red flag chart.

    13. You Have an Existential Crisis in the Shower
    Every doctor has one — sometimes daily. You stand under the water and think, “What am I doing with my life?” followed by “Did I sign that drug chart?”

    You question your career, your sanity, and occasionally your choice of specialty. But you’ll still show up tomorrow and do it all again.

    That’s not just a red flag — that’s the universal physician watermark.

    14. You Find Hospital Alarms Comforting
    That rhythmic “beep… beep…” in the background doesn’t bother you anymore. In fact, silence feels wrong.

    You could sleep through monitor alarms but wake up instantly at the faint sound of a pager. Your brain is hardwired for crisis.

    Normal people hear that sound and panic. You hear it and think, “Who forgot to plug the leads?”

    When the hospital symphony becomes your lullaby, you’ve reached the next stage of flag evolution.

    15. You Make Diagnoses Based on Smell
    You can identify C. difficile, DKA, and gangrene before the lab results are back. You can tell who’s septic from the hallway.

    It’s both impressive and disturbing. Your olfactory system is basically an early-warning diagnostic tool. You no longer trust your intuition — because your nose is usually right.

    This isn’t just a red flag. It’s a red nose.

    16. You Forget What Normal Conversations Sound Like
    When your non-medical friends talk about their “busy day,” you have to suppress the urge to laugh. You can’t relate to normal human topics anymore.

    You accidentally drop phrases like “gross pathology” into brunch conversations and wonder why everyone’s gone quiet.

    When someone says, “I fainted once,” and you immediately ask, “How long were you unconscious?” — that’s a communication red flag.

    17. You’re Allergic to the Words “Quick Question”
    It’s never quick.
    It’s never simple.
    It’s never about something you actually know.

    Your pulse spikes when someone starts with, “Can I just ask you something quickly?” because you know what’s coming: a complex, unsolvable problem disguised as small talk.

    If you’ve ever hidden in the sluice room to avoid being asked one, you’re waving that flag proudly.

    18. You Have a Love-Hate Relationship with Your Pager
    It’s your lifeline and your nemesis. You panic when it’s silent and curse it when it’s not.

    You’ve developed auditory hallucinations — phantom pager syndrome. You hear it buzzing even when it’s off.

    You’ve threatened to throw it out the window, but deep down, you know you’ll cradle it like a newborn because without it, you’re not on call — you’re incomplete.

    19. You Have “Resting Triage Face”
    Even outside work, your face screams assessment. Strangers think you’re judging them, but you’re really just calculating their ASA grade subconsciously.

    You walk into a room and instinctively scan for airways, exits, and the nearest crash trolley.

    If your natural expression says, “Tell me your presenting complaint,” you’re not just showing red flags — you’re emitting them.

    20. You’re Immune to Complaints About Workload — Unless They’re from Doctors
    Your friend says their boss was mean? You smile politely.
    Your colleague says they did two back-to-back on-calls? You instantly validate their trauma.

    You’ve developed a double empathy standard — one for doctors, one for everyone else. You can listen to a 20-minute rant about photocopiers without flinching, but one sentence about a night shift makes you tear up in solidarity.

    If only doctors understand your language of suffering, that’s another emotional red flag.

    21. You’ve Lost the Ability to Sit Still
    Even when off-duty, you can’t relax. You multitask unconsciously — scrolling, checking messages, cleaning, and mentally running through a ward list that doesn’t exist.

    Vacation? You still wake up at 6 a.m.
    Dinner? You instinctively eat in 5 minutes like a ward round is waiting.

    Rest feels alien. That’s not resilience — that’s chronic hypervigilance.

    22. You Say “It’s Fine” When It Clearly Isn’t
    Your go-to response to chaos, exhaustion, and existential dread is: “It’s fine.”
    You’ve said it while bleeding, while crying, and while holding a half-written death certificate.

    Medicine has taught you to normalize distress until it becomes background noise. The problem? You actually believe it sometimes.

    If “I’m fine” is your emotional bandage, it’s a massive waving flag.

    23. You Feel Guilty When You’re Not Working
    Days off trigger guilt. You feel like you’re letting someone down by resting. You can’t shake the thought: “There’s always someone still on call.”

    Your self-worth is tied to productivity. If you’re not fixing, diagnosing, or charting, you feel lost.

    That’s the hallmark of every burnt-out healer — compassion turned inward until it hurts.

    24. You Still Love It Anyway
    Despite the exhaustion, the trauma, the caffeine addiction, and the emotional calluses — you stay. You complain, laugh, cry, and still show up.

    And maybe that’s the biggest red flag of all: you can’t imagine doing anything else.
     

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