Things that I couldn't live without in residency/medical practice

[njbmd]

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I though I would start a thread about things that made residency (and now practice) a little better for me. Definitely add to these so that folks can make the transition a little easier.

My list:

• Support hose (T.E.D hose) and my Danskos
• My Pocket Pharmacopoeia
• Vacation
• Christmas Vacation
• My foot fixer/massager
• My gym membership
• Quality residential movers
• A hot shower post-call
• A warm sweatshirt
• Hydrogen peroxide (gets rid of ink and blood stains on your lab coat)

As for my Pocket Pharmacopoeia, I would put little notes in that book and little tabs. I broke (or had stolen) three Palm Pilots so I gave up and went back to the Pharmacopoeia and a half of index card for important phone numbers.

Vacations became precious to me (especially around Feb). Getting away for two days on a weekend and a week for vacation was golden. I get far,far away from medicine and anything hospital; no study and no reading on vacation.

Movers - the first time I moved, it was heaven. The company that I used was great and all of my stuff ended up in great condition. The second time that I moved, the company broke many things and I lost many things (such as my golf clubs) that I was not able to recover. Poor movers can be costly.

Finally, just going to the gym for 30 minutes (even if you feel like you can't take another step) is great for stress relief and sanity. After completing residency, I learn to make my workout a daily habit and I can't tell you how much better I feel mentally and physically.

For a surgeon, the feet are of prime importance. There is nothing worse than walking on hard floors in the hospital with uncomfortable shoes and aching feet. I also froze most nights on call so the heavy sweatshirt was a "must" for me.

If you want to keep that lab coat white and stain-free, rinse any spots promptly with hydrogen peroxide and wash the coat with a good detergent and the correct amount of bleach. Too much bleach will turn a white coat into a yellow mess and not using bleach will result in a grey mess. If you don't get rid of the spots promptly, the coat looks awful. (I also kept a coat around that I only used for presentations so that it never was subjected to blood, ink and coffee). If you look good, the sharks don't attack as much in M & M.

 

[Winged Scapula]

In addition to the above (which I wholeheartedly agree with):

- regular pedicures. Good for men and women. Very relaxing, and with your feet in better condition (from callous removal), they are easier to stand on.

- thick socks and a fresh pair for post-call mornings

- make-up remover cloths: great for those nights I was just too darn tired to wash my face

- "Brush-Ups": cloth strips you put on your finger to give yourself a quick tooth brushing. Great in a pinch when you can't get back to the call room to do the real duty.

- reasonably healthy snacks in the call room; hidden so no one else could get to them (dried fruit, nuts)

- on-line banking; without it, my electricity and other utilities would have been turned off multiple times if I was forced to write a check, find stamps and actually send real mail

- alcohol pads to keep my stethoscope clean

 

[Doowai]

Great post.

What movers do you recommend?

I have never tried TED hose. Why? DO you have circulatory problems?

I hate pedicures. There is nothing worse than having someone grease my toes. I would substitute a massage, but even then I hate for them to do my feet.

For me my big three are a good bed, good TV and good car. However I too must get to the gym - last week I had 7 consecutive days of interviews or second looks, somedays with 7 hours of driving in between, and I got 30 minutes to 1 hour of exercise every day. I would rather miss sleep than exercise.

 

[SLUser11]

- alcohol pads to keep my stethoscope clean

Agree with the alcohol. Not so much the wipes, though, as the stuff you drink.


I also am a loyal user of the tarascon. I have my important phone numbers and codes written on the inside cover. I keep my patient stickers in the front as a temporary home before they make it to my log book. I use the ruler on the back to measure wounds, etc, and I've written some important stuff in the notes section.

Honestly, I'd rather lose my Palm than my $10 pharmacopoeia. My palm has the ability for internet, email, documents, pictures, mp3s, etc, but for me, it's a heavy, glorified solitaire machine. Also, I have "Gaydar" on there, which was funny for a day and a half as an intern.......

 

[smq123]

- "Brush-Ups": cloth strips you put on your finger to give yourself a quick tooth brushing. Great in a pinch when you can't get back to the call room to do the real duty.

How well do they work? I used a real toothbrush (kept one in a travel holder in my bookbag) a few times on call or after night float, and it was amazing how good you feel after brushing your teeth. Do the Brush-Ups work well? I wish I had thought of that before.

 

[Hernandez]

- thick socks and a fresh pair for post-call mornings

- reasonably healthy snacks in the call room; hidden so no one else could get to them (dried fruit, nuts)

- on-line banking; without it, my electricity and other utilities would have been turned off multiple times if I was forced to write a check, find stamps and actually send real mail

I've started wearing the wool hiking socks whenever I'm on call, it's made call just a smidge better. I've debated just wearing them even with dress cloths as they are much more comfortable than normal thin dress socks.

the thing that would make call 10 times better for me, is a couch or bed which is actually long enough for me to stretch out on. and nurses who don't page me 4 times and tell me "oops, sorry doctor, I was trying to reach the moonlighter" 🙄

 

[Leforte]

- alcohol pads to keep my stethoscope clean

Stethoscope? What's that? Wait I think I do remember something about them from years ago...

 

[Castro Viejo]

- alcohol pads to keep my stethoscope clean

Just borrow the intern's. 🙂

I couldn't have survived residency without knowing the code to the pantry where they warehoused all the hospital's supply of Cocoa Krispies.

Too damn bad for the first two years of residency I could NEVER find a spoon. It was so frustrating... Like blue balls frustrating.

 

[njbmd]

Great post.

What movers do you recommend?

I have never tried TED hose. Why? DO you have circulatory problems?

I hate pedicures. There is nothing worse than having someone grease my toes. I would substitute a massage, but even then I hate for them to do my feet.

For me my big three are a good bed, good TV and good car. However I too must get to the gym - last week I had 7 consecutive days of interviews or second looks, somedays with 7 hours of driving in between, and I got 30 minutes to 1 hour of exercise every day. I would rather miss sleep than exercise.

Movers: Ask people around you but generally use nationally known companies which may be more expensive. Your stuff arrives intact and it DOES arrive. I used a cheaper company (Internet search) and lost more than a few things.

T.E.D Hose: If you stand for long periods of time such as extended rounds in IM or long cases in surgery, support hose make your legs feel more comfortable. Just remember to remove and replace your stockings regularly or they become too tight. I usually did this about every six hours.

I also like to sit on the floor against the wall with my feel stretched above my head too. While I look like a contortionist, this feels good after a day of standing up.

All pedicures are not created equal. Like hair stylists, when you find one that you like, they are golden.

 

[Blade28]

Great tips in this thread thus far!

I'd like to add:

*Dopp kit with essential toiletries (toothpaste, toothbrush and antiperspirant/deodorant at a minimum) for call nights
*Journal article or Xeroxed textbook chapter - carried at all times so you always have something to read during downtime (5-10 minutes here and there, or in between cases)
*A "frequently called numbers" list, either on paper or in the PDA. Saves lots of time calling the hospital operator asking for phone numbers
*ACLS cards (from the textbook) - always good to brush up on these every now and then
*Extra pens

For me, a gym nearby was essential to keep fit and destress. I'm lucky in that my apartment complex has a small gym - enough for my purposes, and only 20 seconds away from my apartment. 🙂

 

[Annette]

I'd add some good music selections in the car for the trip in and the trip home.

 

[Hurricane]

Danskos: ugly but so comfy

ipod: on post call days I liked to put on my ipod while I'm flitting from floor to floor dropping notes and orders in charts and filling out forms. Helps block out that unpleasant hospital environment.

cell phone alarm with a snooze function: For waking up to do post call rounds. My first cell phone didn't have snooze, so when you turned it off, it was off. That was bad.

PDA: if you get electronic versions of key reference materials, it can really cut down on the amount of crap you have to weigh your pockets down with. Heavy pockets = sore back. When the iphone can finally run 3rd party apps, I'll finally have one device to replace them all 🙂

eyemask + earplugs + melatonin: for when I had to work nights. I could sleep like a baby during the day with these.

tivo: it changes your life

 

[Winged Scapula]

Great post.

What movers do you recommend?

I used Moovers Inc based on reviews I read here and on-line. Affiliated with the Delancey Street Project in the Bay Area; very friendly, organized and careful guys. I got all my stuff, unharmed, albeit a couple of days late.

I have never tried TED hose. Why? DO you have circulatory problems?

Almost all surgeons have some element of spider veins, varicosities and venous incompetence from all the standing. I HATE support stockings because I get hot but there is no arguing that they (my legs) do feel better.

I hate pedicures. There is nothing worse than having someone grease my toes. I would substitute a massage, but even then I hate for them to do my feet.

Its a lot more tan "greasing your toes". The nails are cleaned, cut and filed to shape. Callouses removed, feet massaged, etc. I have never left with "greasy toes" and frankly it feels great after all that standing. But I have heard of others (my ex, for example) who cannot stand to have their feet touched.

For me my big three are a good bed, good TV and good car.

Those are great things, but they are not essential or even available during residency.

However I too must get to the gym - last week I had 7 consecutive days of interviews or second looks, somedays with 7 hours of driving in between, and I got 30 minutes to 1 hour of exercise every day. I would rather miss sleep than exercise.

Most people find that exercising gives them more energy; although finding an hour a day during residency might be difficult.

 

[Winged Scapula]

How well do they work? I used a real toothbrush (kept one in a travel holder in my bookbag) a few times on call or after night float, and it was amazing how good you feel after brushing your teeth. Do the Brush-Ups work well? I wish I had thought of that before.

They are not as good a real tooth brushing, but there were many nights that I never saw the inside of the call room so was not able to do the real thing. Therefore, a Brush Up in my pocket (its a tiny package) is great because it does get the grunge off the teeth which gum or mints don't typically do as well.

 

[DrDawg]

Agree with much of what everyone has said, but here are my essentials

Shower - even if it replaces the only 15minutes of sleep I could cramp in, taking a shower an putting on clean clothes/scrubs is a big deal.

at least a 1 minute call to the wife, if for nothing else to say goodnight.

DVR to keep up with all the sports I can't watch. Go Pats!

Once a month I get a massage. Typically I sleep through all but the first ten minutes. A great way to relax.

Takeout/delivery

 

[persia]

http://www.ameswalker.com/

This is where I get my black 30/40 kneehighs. Awesome!! They hurt like the dickin's going on but your feet/calves feel terrific all day and then when you get home and take them off. I find they last about a good six months before they stretch into maybe 15/20's which are still pretty decent.

A vascular surgeon recommended the full strength for me and said she wore them too. They made a huge difference for me.

 

[Pir8DeacDoc]

really the only bad news with the TET hose is they are hot as hades to wear. My legs will actially start to sweat sometimes. They do make your back and legs feel SOOOO much better at the end of the day. TET's combined with Dansko's are the best combo I've discovered.


I concur with the shower and also the teeth brushing. Nothing is worse than rounding with the combo of morning breath/coffee/teeth grime/gum. It's just a bad combo.

Also, agree that you've gotta find time for the gym. No matter how busy things are, that 30-60 minutes can really be a de-stressor. Make yourself get in the gym and do something.

 

[Blade28]

Also, agree that you've gotta find time for the gym. No matter how busy things are, that 30-60 minutes can really be a de-stressor. Make yourself get in the gym and do something.

👍 👍

 

[Doowai]

I am not a resident and may never be at this rate, and so this is theoretical. But I am sensitive to weather - I love spring,summer type of seasons. Winter gets very old to me. Many of the residencies I have interviewed at are in the upper midwest - which means months of cold and snow.

At each place I have already located the nearest solar conservatory, and all have them within reasonable driving distance. Some of these solar conservatories are connected glass pods with each pod having its own flora and fauna - such as a desert theme, a rain forest theme with water fall etc. Inside they are sunny, full of growing plants. I know it would help me during the winter months to spend an hour or so weekly feeling I am inside a rain forest in the spring, or walking through a warm desert landscape. Then I can more easily tolerate walking through snow and cold when going to work. At this point I am planning on not going to sleep immediately post call if at all possible, but go to be around 6 PM to get up the next day at a normal time - after call I would like to go to the solar conservatory.

Theory on my part, but an idea.

 

[Blade28]

One of my attendings here related a great story when he was interviewing for residency positions back in the day:

Attending: So what's the weather like in this city? How bad do the winters/summers get?
Interviewer: It doesn't matter. The only weather you'll ever know is 72 degrees Farenheit and fluorescent bulb indoor lighting.

 

[ekydrd]

Clean undies, bra, socks, shoes, and fresh set of scrubs... real honest to golly toothbrush and paste (if I have time)... hospital issue wash cloth for scrubbing the face (and other parts of the anatomy)... and then I almost feel human when I round post call. Short, 1-2 hour, post call naps are an essential part of this old ladies post call day, but then I do get up and do my normal routine until my regular bed time. I am lost without my ectopic brain of the electronic version... and like Hurricane I can't wait for the iPhone to run Epocrates. Simple pleasures such as hot coffee, graham crackers n peanut butter, and a quiet pager can also make me happy.

 

[nimbusadjust120]

Snickers chocolate energy bars, anyone??😕

 

[Winged Scapula]

Snickers chocolate energy bars, anyone??😕

I've seen those - are they any good?

 

[buckley]

Wow... my essentials were a pen tied around my neck (so I don't leave it somewhere), my rubber shoes and pony tail 🙂

"Convenience" items: a belt bag to hold my wallet, cellphone, candy bars, three 3 cc syringes, 2 tuberculin syringes, gauze pad, micropore, tourniquet, testtubes, toothbrush and tooth paste

"Luxury" items: mp3, facial wash, anti-mosquito lotion, a change of scrubs

"Living da Life": channel surfing for 4 hours and shopping!

 

[zinjanthropus]

Wow... my essentials were a pen tied around my neck (so I don't leave it somewhere), my rubber shoes and pony tail 🙂

"Convenience" items: a belt bag to hold my wallet, cellphone, candy bars, three 3 cc syringes, 2 tuberculin syringes, gauze pad, micropore, tourniquet, testtubes, toothbrush and tooth paste

"Luxury" items: mp3, facial wash, anti-mosquito lotion, a change of scrubs

"Living da Life": channel surfing for 4 hours and shopping!

anti-mosquito lotion? what are you, M*A*S*H? 😀

 

[buckley]

hahaha...no we do have toilets in our hospital far far far away from US. so will the comment above assuage my fears of dengue fever and malaria when I start residency in the US? teeheehee

 

[Winged Scapula]

Wow... my essentials were a pen tied around my neck (so I don't leave it somewhere), my rubber shoes and pony tail 🙂

"Convenience" items: a belt bag to hold my wallet, cellphone, candy bars, three 3 cc syringes, 2 tuberculin syringes, gauze pad, micropore, tourniquet, testtubes, toothbrush and tooth paste

"Luxury" items: mp3, facial wash, anti-mosquito lotion, a change of scrubs

"Living da Life": channel surfing for 4 hours and shopping!

Bit of advice: only nurses and techs (and random EM residents) wear these in the US.

You can leave the test tubes and syringes at home along with the anti-skeeter ltion.

 

[buckley]

oh no... i can't imagine going on duty without having that thing tied to me! crap. does this mean i have to get one of those pretty bags now? hahaha...call me a traitor to my chromosome, but i've never had a thing for bags other than a really comfortable backpack.

oh i know i'm going to be *that* weird foreigner intern for the first weeks or so. i just hope we'll all be so busy that nobody will really care or take notice. what i like about the US is that I don't stick out as much as when I am in other foreign countries. you just can't tell whose the foreigner...(well, japanese men with their fisherman's hat and Nikon camera asking you to take a picture are another level)

back to the thread...

 

[Winged Scapula]

oh no... i can't imagine going on duty without having that thing tied to me! crap. does this mean i have to get one of those pretty bags now? hahaha...call me a traitor to my chromosome, but i've never had a thing for bags other than a really comfortable backpack.

There will be a call room or locker where you can keep your personal supplies and remember that in most places in the US, we wear lab coats, so incidentals (ie, gum, pens, etc.) can go in the pockets. Honestly, you really don't see residents wearing "fanny packs" or carrying bags around...hallmark of a midlevel or a student here. Maybe Derm residents carry purses on consults. 😛

I carried a stethoscope, pens, gum or mints, Maxwell's and my patient list. You really don't need much else on a day to day basis even in non surgical fields. Someone else will be drawing blood so no need for syringes and test tubes, you can get a belt clip for your cell phone and leave the toothbrush and toothpaste in your call room/locker/resident lounge. Candy bars? Those will fit in your pocket or I recommend eating the graham or saltine crackers that can be found in every US hospital.

oh i know i'm going to be *that* weird foreigner intern for the first weeks or so. i just hope we'll all be so busy that nobody will really care or take notice. what i like about the US is that I don't stick out as much as when I am in other foreign countries. you just can't tell whose the foreigner...(well, japanese men with their fisherman's hat and Nikon camera asking you to take a picture are another level)

back to the thread...

Ok...just trying to help you from being that "weird foreigner".😛

 

[smq123]

Honestly, you really don't see residents wearing "fanny packs" or carrying bags around...hallmark of a midlevel or a student here.

Some of the anesthesiologists wear fanny packs...still looks a little weird.

 

[BlondeDocteur]

and neurologists refuse to be separated from their little black bag o'tricks, god bless them.

 

[buckley]

Ok...just trying to help you from being that "weird foreigner".😛

Oh it's much appreciated 🙂
And i'm sure i'm not alone...

 

[Winged Scapula]

and neurologists refuse to be separated from their little black bag o'tricks, god bless them.

True...but they need them (all their little tools). buckley is carrying around needless stuff and risking looking like the weird foreigner.😛

 

[Winged Scapula]

Some of the anesthesiologists wear fanny packs...still looks a little weird.

I mostly see the guys on pain service doing that but I agree, it does look a little weird.

 

[telenurse]

Bit of advice: only nurses and techs (and random EM residents) wear these in the US.

You can leave the test tubes and syringes at home along with the anti-skeeter ltion.

Don't carry too much on you, you'll get mistaken for a nurse.
Haven't you ever heard, take a female nurse, turn her upside down and shake. Out will fall Saline flush syringes, alcohol wipes, stethoscope, kelly forceps, bandage scissors, alligator lock clips for IV lines, scraps of paper with VS, 3cc 5cc 10cc syringes, medipore tape, 2-4 inkpens, sharpie, highlighter, change, small bottle of nitro subling tabs, pen light, and numerous other items. (Male nurses have all this in the fanny pack.)

 

[Faebinder]

Stethscope.... check. (hoping to lose that after 1 year).
Pin Light.... check. (hopnig to lose that after 1 year).
Trauma Sheers check. (hoping to lose those after 1 year).
IPhone... check.

The rest can be compensated for.

 

[iamcatwoman]

...(well, japanese men with their fisherman's hat and Nikon camera asking you to take a picture are another level)

Hmmm, guess that I should rethink my wardrobe.

 

[Winged Scapula]

Don't carry too much on you, you'll get mistaken for a nurse.
Haven't you ever heard, take a female nurse, turn her upside down and shake. Out will fall Saline flush syringes, alcohol wipes, stethoscope, kelly forceps, bandage scissors, alligator lock clips for IV lines, scraps of paper with VS, 3cc 5cc 10cc syringes, medipore tape, 2-4 inkpens, sharpie, highlighter, change, small bottle of nitro subling tabs, pen light, and numerous other items. (Male nurses have all this in the fanny pack.)

See buckley - I am telling it to you straight!

Nurses are like the moms/dads of the wards...they often have whatever you need right there in their pockets.😛

 

[buckley]

I'm listening! I'm listening!😀

It would be nice not to get scolded at for not having endless rolls of micropore with me...Yes!~ I knew there was a reason I sat down for all those usmle's

food i can't live without during residency:
1. anything pasta -- a good plate is my ultimate post duty comfort food. i love arabiata!
2. rice -- i cannot last a 24h tour of duty without at least one meal with rice
3. chocolate milk -- i was never a coffee drinker, so this is my wake-me-up
4. dumpling, spring rolls and other quick bites - perfect pop-down-and-run food
5. kfc original recipe fried chicken -- it lifts me up
6. anything shrimp -- makes me happy just thinking about it

 

[Blade28]

Don't carry too much on you, you'll get mistaken for a nurse.
Haven't you ever heard, take a female nurse, turn her upside down and shake. Out will fall Saline flush syringes, alcohol wipes, stethoscope, kelly forceps, bandage scissors, alligator lock clips for IV lines, scraps of paper with VS, 3cc 5cc 10cc syringes, medipore tape, 2-4 inkpens, sharpie, highlighter, change, small bottle of nitro subling tabs, pen light, and numerous other items. (Male nurses have all this in the fanny pack.)

It would be nice if they all carried this!

Sometimes it takes an act of Congress for a nurse to produce a syringe/saline flush/stethoscope/Kelly/penlight around here. 🙁

food i can't live without during residency:
1. anything pasta -- a good plate is my ultimate post duty comfort food. i love arabiata!

Ah, one of my favorite sauces! Especially when it's really spicy. 👍

 

[telenurse]

It would be nice if they all carried this!

Sometimes it takes an act of Congress for a nurse to produce a syringe/saline flush/stethoscope/Kelly/penlight around here. 🙁

I actually have a method to how I stock my pockets...it's kinda sad in an OCD way. But if you're holding pressure to a bleeding ________ or torn/ripped/pulled out _____ tube with your L hand, you have to know what's in what pocket and be able to grab it quickly with the R hand.

So yes, in a crisis, if I putting down an NG tube and someone needs something, and both my hands are occupied, I am the nurse who says, "In my R cargo pocket are flushes, in my L shirt pocket are alcohol wipes, in my L jacket pocket are scissors, just grab them. "

Besides, if you don't keep them on you, kelly's/scissors/stethoscopes/penlights grow legs.

 

[Blade28]

So yes, in a crisis, if I putting down an NG tube and someone needs something, and both my hands are occupied, I am the nurse who says, "In my R cargo pocket are flushes, in my L shirt pocket are alcohol wipes, in my L jacket pocket are scissors, just grab them. "

Please. Come. Work. Here. Already.

🙂

 

[HRantz]

Has nobody seriously said "chapstick"? The hospital is so dry that I would go crazy without my chapstick.

 

[roja]

1. hand lotion
2. gum
3. music
4. running
5. dansko's (I heald out for years.. what was I thinking)
6. manicure/pedicure
7. take out
8. befriend other services... they might have cooler call rooms than you and you might get sick of your own residents.
9. vacation. take it.
10. the park... when deprived of outside, sleep in it.

 

[DrDawg]

I'm listening! I'm listening!😀

It would be nice not to get scolded at for not having endless rolls of micropore with me...Yes!~ I knew there was a reason I sat down for all those usmle's

food i can't live without during residency:
1. anything pasta -- a good plate is my ultimate post duty comfort food. i love arabiata!
2. rice -- i cannot last a 24h tour of duty without at least one meal with rice
3. chocolate milk -- i was never a coffee drinker, so this is my wake-me-up
4. dumpling, spring rolls and other quick bites - perfect pop-down-and-run food
5. kfc original recipe fried chicken -- it lifts me up
6. anything shrimp -- makes me happy just thinking about it

I love Ice cream on call. Nothing like a klondike bar at 2 am.

 

[RTrain]

I love Ice cream on call. Nothing like a klondike bar at 2 am.

A. Men. I figure my gym membership (see posts above for the importance of this...) entitles me to eat absolutely anything that might taste good when on call. Grilled cheese is a favorite.

Most of my indispensables are covered above. It is also a must for me to have/wear something that distinguishes me from the uniformity of residency. Not for vanity's sake - I don't have diamond earrings or anything - but something to let my personality come through. For instance, instead of the little lapel clip, I carry my badges on a lanyard with the logo of my favorite football team - which is decidedly out of state! It is a conversation piece, it humanizes me to staff and patients, and it makes me feel less like a cog.

 

[Finding Chi]

I could not make it without the bowls of random candy that seem to magically appear in the ICU in the middle of the night. Whoever the magic snickers/tootsie roll/assorted tiny candy bar fairy is... I love you.

 

[roja]

Bit of advice: only nurses and techs (and random EM residents) wear these in the US.

You can leave the test tubes and syringes at home along with the anti-skeeter ltion.

*snicker* thank goodness none of our residents wear these. Its the equivalent of a mullet. (Kind of like khaki pants with a tucked in scrub top!).

If you are dying to carry stuff around, they make scrubs with all these pockets. A little less dorky looking.

 

[Winged Scapula]

*snicker* thank goodness none of our residents wear these. Its the equivalent of a mullet. (Kind of like khaki pants with a tucked in scrub top!).

If you are dying to carry stuff around, they make scrubs with all these pockets. A little less dorky looking.

Glad to hear that your residents don't wear fanny packs (or the EM mullet); you've trained or selected them well!😀

 

[roja]

Well, we are in manhattan where people are generally a little more image concious. Plus, we would mock them mercilessly. We had an attending who carried the fanny pack. He netted an entire skit about the bag...

😀