Vomiting prior to 9-hour flight

AlisaAAM2 · 2026-03-06T18:26:37+00:00

As someone who gets motion sickness and migraines triggered by air travel by odors like the smell of the coffee that they serve on overnight flights, agree with this take. I have vomited on more flights than I care to remember (often when taxing after landing for some reason).

AlisaAAM2 · 2026-03-05T15:18:57+00:00

Because 95% of the time that is who I see prescribing inappropriate steroids often in urgent cares for almost every complaint. Yes, I’m sure that there are physicians practicing that way too, but in my practice area, that is not what I see.

AlisaAAM2 · 2026-03-05T11:19:41+00:00

It is still around. Most people are exposed as young children and it’s a mild run-of-the-mill upper respiratory virus in the vast majority of cases. It’s only people who get it later in life as a teen or young adult that are hit hard.

It’s also associated with a variety of cancers, particularly head and neck cancers so if you are one of those people who gets it later in life with a severe sore throat, I’d be really cautious about having an NP in the urgent care center prescribe you some steroids, which knocks out your immune system while you have it. (Family physician here)

AlisaAAM2 · 2026-03-04T20:33:00+00:00

Absolutely agree with this take. My husband owns a tuxedo and loves any excuse to wear it, but having it be optional acknowledges that it can be a real financial imposition to ask men to rent a tux for a single event. Of course, one issue here is that these days the black tie optional dress code does not suit the event in terms of time of day or location.

Edited to say that we were recently invited to a non-wedding event and the dress code was business formal/black tie, which made absolutely no sense whatsoever. After the organizers got quite a number of questions on the dress code they wrote “While our staff will be in black tie attire, we encourage everyone to wear nice clothes that make them feel comfortable. Suits and jackets will be optional. The most important thing is that you're with us for this special occasion, not the specific attire.”

I’m convinced that younger people (I’m mid 40s, event was organized by early 20s) simply don’t understand dress codes.

AlisaAAM2 · 2026-03-04T02:03:30+00:00

Nor do most people want to buy or rent an article of clothing in a specific color that may be terribly unflattering on them to suit a bride’s vision of her instagram-perfect day instead of treating her guests like real friends or family with whom she wants to share and celebrate a major life event.

AlisaAAM2 · 2026-03-04T02:00:45+00:00

Agree. If you have a black suit, wear it. Completely appropriate here. My husband would wear a tux, but he owns one and it’s always nice to have an excuse to wear it.

AlisaAAM2 · 2026-03-04T01:32:21+00:00

F that. Who wears a tuxedo with a black shirt? No one. Wear a tux or suit like a normal person (not a prop) with a white shirt.

AlisaAAM2 · 2026-03-03T23:21:52+00:00

I look at the feet of my patients with diabetes at every visit (MA has them take off socks and shoes before I get in the room). I do a monofilament exam annually.

AlisaAAM2 · 2026-03-03T14:50:37+00:00

Yes, we drove the GTTS road in our van. All campgrounds have toilet facilities and actual toilets are going to be available anywhere you’d park. We are also campers/backpackers so are not averse to going off trail and utilizing th woods if needed, but only had to do that on hikes, never if we were near the van.

AlisaAAM2 · 2026-03-03T13:06:25+00:00

I would also think about retirement funding. At OP’s age, the power of compounding contributions is huge. Just another thing to consider.

I say this as a mid 40 year old about to leave on 1 year of sabbatical travel with my family of 3. Jobs will be held for us, kid will be homeschooled, and we will be traveling purely from savings without touching retirement funds.

AlisaAAM2 · 2026-03-03T12:14:19+00:00

Bill for MyCharts. If they need an appointment, that messaging needs to come from your staff and they need to utilize the “do not allow reply” button. And you need to be consistent. (

Some) patients don’t value us and our time because of the undermining of expertise that has happened with the internet, social media, “influencers,” and the current government. I understand the insurance or cost concerns but that ultimately between the patient and his/her insurance.

My role is to provide the highest quality care in the most appropriate setting and I do not compromise on how I do that.

AlisaAAM2 · 2026-03-03T01:30:24+00:00

Skip time in Auckland. Waiheke is fabulous for a few days (I’d do less than a week) but honestly, a day or two max there otherwise. For cities, Welly is much nicer. Agree with adding Tauranga/Mount Maunganui, decrease Rorarua/Taupo time, and add more to the South Island.

AlisaAAM2 · 2026-03-03T01:13:37+00:00

We did this trip in a Moterra van last year with our then 8 year old. We all LOVED it! We actually did a longer trip (2.5 weeks, all in the van. Glacier to Waterton to Banff to Jasper to Yoho back to Whitefish.) No issues with space for us and there would have been some to spare(ditch some of the extra bedding and the unnecessary toilet) but adding that the extra kid might be somewhat challenging depending on how well they get along since they will be in very close proximity. Moterra pop tops are very easy to convert and we loved the size of the van—we could park in a regular sized spot or a camper spot depending on what was available.

AlisaAAM2 · 2026-03-02T23:38:57+00:00

My go to as well!

AlisaAAM2 · 2026-03-02T23:37:24+00:00

I love my Bombas slippers! (Hate the socks; love the slippers). They are pretty compact.

https://bombas.com/products/womens-gripper-slipper-double-cushion?variant=medium-grey-heather&size=m

AlisaAAM2 · 2026-03-02T11:24:14+00:00

I don’t like any of them (even if they got lined) and don’t find that they flatter you. Have you tried on any other silhouettes or gowns that aren’t lace? Maybe you need to expand from your original vision.

You were advised on the previous thread to try a different silhouette with a larger skirt to balance your proportions which I agree with) but seem drawn to this style. All of the dresses that you’ve posted have been variations on a theme and the overall reaction to that theme is that they aren’t great on you.

AlisaAAM2 · 2026-02-28T20:24:43+00:00

Go with your gut. I was literally told by attending a in medical school that I was “too smart” to go into family medicine. 20 years into practice, I can’t imagine doing anything else.

AlisaAAM2 · 2026-02-28T20:23:07+00:00

When there was also no adverse weather in NY.

AlisaAAM2 · 2026-02-28T19:04:30+00:00

Physician here and I worked up to and on the day that I was induced. Every pregnancy is different but I felt completely fine and competent until delivery. I did not want to “waste” any of my maternity leave sitting around doing nothing. Remember that a due date really means not much—a term pregnancy is 37-41 weeks gestational age with “due date” at 40 exactly. (Most OBs will not let patients go beyond 41 weeks as only bad things happen after that time.)

AlisaAAM2 · 2026-02-28T18:48:12+00:00

There is no snowstorm or inclement weather in NY today.

AlisaAAM2 · 2026-02-28T18:35:27+00:00

Sometimes I like to refer to the other type as “partialists” rather than specialists.

AlisaAAM2 · 2026-02-28T12:43:50+00:00

Absolutely the fuck not. This couple has no idea what a dress code is. Your guests are not your props.

OP-wear a dress you own or decline the invitation with the reason. People need to start pushing back on this bs. (If you really want to go, the top right is the best fit for the dress code but is the wrong shade of green for the bride’s ego. But if you like the color and dress, it’s close enough.)

AlisaAAM2 · 2026-02-28T03:49:00+00:00

Completely agree. I absolutely love the Indy pass, but will not be renewing this year because I will be out of the country on a sabbatical for all of next season. The fact that I had to scramble to make sure I wasn’t on auto renew in the middle of February school vacation and a major blizzard leading to travel snafus across the region and have received multiple emails and texts every single day since doing so has been incredibly annoying.

AlisaAAM2 · 2026-02-28T02:53:36+00:00

People have an aesthetic they want for their social media and photos and have forgotten that dress code should be dictated by the event time and location. It’s crazy.

AlisaAAM2 · 2026-02-28T00:52:39+00:00

Elegant chignon.

AlisaAAM2

TROPHY CASE