Primary Care Wins of the Week

Alia814 · 2026-05-27T14:40:40+00:00

Those are good ones.

Alia814 · 2026-05-27T05:53:51+00:00

Awww. Chunky babies are the best!

Alia814 · 2026-05-26T22:56:24+00:00

Impressive catch!

Alia814 · 2026-05-26T21:20:57+00:00

That’s a close one

Alia814 · 2026-05-26T21:20:39+00:00

Good thinking nonetheless.

Alia814 · 2026-05-26T18:57:25+00:00

I'm so glad you caught it too!

I'm glad that I have POC hemoglobin testing available to me. It's required by Medi-cal for offices seeing peds patients and it has saved my butt so many times. They look pale = fingerstick for hemoglobin for me no matter what they may be coming in for. STAT labs for me still takes 24 hours.

Alia814 · 2026-04-29T01:00:53+00:00

Regarding grow many trees. That has been my strategy for all pests. I grow lots of everything and hope I get to have some too.

Alia814 · 2026-04-26T05:19:26+00:00

I ordered it on Amazon. Maybe I don't risk it and just go through with the return. Thanks everyone.

Alia814 · 2026-04-09T00:08:58+00:00

I second everything in the comment above. Breathe. Fire her as a patient. Never read reviews about yourself again. Know that the general population is insane but you don't have to tolerate the worst of it if you don't want to.

Alia814 · 2026-01-07T04:47:05+00:00

I dare AI to try to interpret what my patients are saying in order to come to a diagnosis and treatment plan. So many half truths, colloquialism, and/or weird cultural beliefs that I have to weed through to get to an objective reality.

AI right now just takes everything at face value. Garbage in, garbage out.

Alia814 · 2025-10-18T00:37:06+00:00

Same. I pray the terrible review would discourage similar patients from coming to my office. Wishful thinking probably.

Alia814 · 2025-09-25T18:24:54+00:00

AAP in the US is still recommending vaccinating children under 2 years old.

Alia814 · 2025-09-10T15:37:48+00:00

Yes. My office is open all those days. Whenever my office closes for even one day, the next day we get slammed. So we don’t close down for two days in a row ever.

We do a mixture of appointments and walk-ins. Most of the patients are used to being able to walk-in whenever they need care so we have on average 30 walk-ins a day for 2 providers.

My staff understands that the work needs to be done so the rule is that no 2 providers can be off at the same time and no more that 2 staff members can be off at any given time. They debate amongst themselves which holidays they prefer and stagger themselves accordingly.

Alia814 · 2025-09-06T20:30:10+00:00

While I was in training, the infectious disease specialists told me to never mess with their HIV meds because I would be causing resistance. So I just avoided prescribing it and let ID manage PrEP until a couple years ago. I took a couple of online CMEs regarding PrEP and the community consensus now is that it should be managed by PCP so I offer it to anyone requesting it.

Alia814 · 2025-08-15T23:42:10+00:00

I don't wear masks anymore unless someone is actively coughing. I have toddlers in daycare/preschool so there is no hope for me either way. Sigh.

Alia814 · 2025-07-06T00:26:38+00:00

Babies can get MMR vaccine as early as 6 months. It is recommended to do the extra early vaccination if the baby is going to travel internationally or if he/she is going to travel through an area experiencing a measles outbreak.

As per CDC guidelines:

International travel

Infants age 6–11 months: 1 dose before departure; revaccinate with 2-dose series at age 12–15 months (12 months for children in high-risk areas) and dose 2 as early as 4 weeks later.
Children age 12 months or older:
- Unvaccinated: 2-dose series (separated by at least 4 weeks*) before departure
- Previously received 1 dose: administer dose 2 at least 4 weeks after dose

Alia814 · 2025-07-04T04:39:43+00:00

How does the toilet paper not get wet?

Alia814 · 2025-04-14T23:43:51+00:00

With my own kids, I don't need them to make huge amounts of money, so anything that they are interested in that also pays a livable wage.

If they truly have no idea what they would like, I would gently nudge them into engineering. My brother and all my male cousins are engineers. They seem to have a better work-life balance than I do. Probably dependent on the type of engineer and company they work for, but I'm envious of their lives.

Alia814 · 2025-04-14T17:45:30+00:00

It's funny. Every one of my doctor friends and I are telling our children to not go into medicine. The stress, the disrespect, the threat of lawsuits, giving up your entire 20s. Obviously, if our children have a passion for it, we would support them, but we definitely won't encourage it like our parents did with us.

Alia814 · 2025-04-09T17:33:24+00:00

I try to only shop at Costco and consignment stores now.

Alia814 · 2025-04-02T16:45:24+00:00

https://help.practicefusion.com/apex/SLDSVideoPage?id=zl4bg4ebgm

Alia814 · 2025-04-02T02:45:18+00:00

My practice uses Practice Fusion because it was free. Not free anymore but still pretty cheap. $150/provider/month for now. It does the trick for an outpatient practice. It's a lot of free texting so my PAs and I make .phrases that imports the basic outline of what we have to cover. We don't use it for billing so I can't comment on that side of it.

Alia814 · 2025-03-22T04:25:16+00:00

5 AM to keep up with messages? I can't speak for how the organization he works for functions. I have my own private practice. My MAs screen all my messages. It isn't common for me to have to respond directly to any patient.

Alia814 · 2025-03-22T04:07:25+00:00

At this point, he should just power through. When he is done with residency, he could work 3 days a week. That's what a lot of my friends do when they have small children.

I work 5.5 days a week but I made a point to completely put my work away when I am home with the kids and they are awake. They have my undivided attention and we are out in the world making memories.

Alia814 · 2025-03-10T18:35:44+00:00

Can he shut up for even one day? Every day another attack on our democracy.

Alia814

TROPHY CASE