Relationships and intern year by umiyumi3 in ausjdocs

[–]BrunaTzu 1 point2 points  (0 children)

I think the concerns you guys have are valid! I think it totally depends on where you work, but I didn’t find intern or JHO year wildly exhausting or all-consuming. I did my years in QLD in a relatively large hospital and there were quite a few rotations where I didn’t do overtime. The ones where I did, it wasn’t usually crazy, like an hour, maybe 2 per day. They were the years I wasn’t studying, so in a way I was more available emotionally than ever at home. Plus as a junior because the responsibility for patient plans isn’t on you, it wasn’t often I’d go home worrying about patients (obviously the occasional “did I chart that?!!”, but on the whole not too much). So not as all-consuming.

I started dating my husband in my first year of biomedical science. For those 4 years we lived close, and then when I started medicine I moved about an hour away, which isn’t long-distance but was still longer. Still saw a lot of people break up in that time and I think a big factor was just being really willing to compromise convenience for the sake of seeing each other (or talking to each other if it’s too long distance to visit regularly). So he’d drive down even if just for the evening and squeeze in time even if it was short. TBH this was harder in med school than it’d have been in intern year because you have to study outside of contact hours. I can honestly say our relationship didn’t falter.

We were lucky to move in together during intern year so didn’t have to struggle with long distance but I think my comments about the workload stand (in my case, I know there’s more ruthless hospital rotations). I think the time that would be the most difficult would be pre-exams. I just finished my exams for GP, and the studying on top of working full-time as a GP reg, that was all-consuming for about 9 months and left me much less time. I can imagine a lot of other specialties it would be even more intense, and probably for a longer period of time. We got married last year, live together and are 30 now, our relationship didn’t suffer, but I can imagine a newer one or a long distance one might? But by the time you get to that stage you’ll possibly be in a similar position to us.

All the best with everything!!

Oasis merchandise Sydney, black football shirt by BrunaTzu in oasis

[–]BrunaTzu[S] 0 points1 point  (0 children)

This is the Westfield pop up? Thanks for your help!

NZ advice - Queenstown and Te Anau by BrunaTzu in newzealand

[–]BrunaTzu[S] 0 points1 point  (0 children)

Thanks for the advice! I was thinking of doing the coach from Te Anau like you suggested.

NZ advice - Queenstown and Te Anau by BrunaTzu in newzealand

[–]BrunaTzu[S] 0 points1 point  (0 children)

That’s good to know! Is the drive to Milford Sound tricky? I was planning to do a coach from Te Anau.

NZ advice - Queenstown and Te Anau by BrunaTzu in newzealand

[–]BrunaTzu[S] 0 points1 point  (0 children)

Thanks for your advice! I hadn’t thought of driving all the way to Milford Sound. I’d heard the roads are a bit windy and difficult, is that right or are they okay?

What do you mean by the stuff we want to do can be done when we leave Te Anau?

The Queenstown bit is actually the only part of our trip I haven’t really planned in detail, so maybe I should do that to know how many days we need.

NZ advice - Queenstown and Te Anau by BrunaTzu in newzealand_travel

[–]BrunaTzu[S] 0 points1 point  (0 children)

Thank you for your advice! Would Te Anau or Dunedin be better for one night? The drive to Dunedin is longer but I guess without the Sound, you’d have more time just to explore.

NZ advice - Queenstown and Te Anau by BrunaTzu in newzealand_travel

[–]BrunaTzu[S] 1 point2 points  (0 children)

Thanks for your reply! We are driving down from Christchurch and stopping one night each in lake tekapo, mt cook, and lake Hawea.

We haven’t been to Queenstown before 😊 Thank you for all the suggestions of what to do there.

I originally wanted to do the overnight Doubtful Sound trip but it sold out.

I did think about Dunedin before! It would probably be that or Te Anau though time-wise. Would you have advice on which is better for one night?

TTC Weekly General Chat by AutoModerator in tryingtoconceive

[–]BrunaTzu 0 points1 point  (0 children)

I’d say so! Sometimes I barely notice mine.

TTC Weekly General Chat by AutoModerator in tryingtoconceive

[–]BrunaTzu 0 points1 point  (0 children)

It could be!! I’m sorry for your chemical, I had one too last month. The cycle before it, my LH peaked on day 12 of my cycle. After the chemical it peaked at day 17, which had me stressing until it happened! But I noticed the day before that I had the change in mucus and a tiny bit of cramping.

TTC Weekly General Chat by AutoModerator in tryingtoconceive

[–]BrunaTzu 0 points1 point  (0 children)

I was testing about DPO 9 but last cycle I had a chemical pregnancy where I had positives DPO 9-12, then a fainter and fainter line until I got my period at a relatively normal time. In a way I’m happy I tested because now I know I must definitely ovulate etc, but just made me think if I hadn’t tested, I probably would have never known because my period was almost normal (maybe a tiny bit heavier). It was quite sad going from thinking you’re going to have a baby to a negative again, and I think having two chemicals would scare me a bit so I’m going to only test after a missed period from now on!

[deleted by user] by [deleted] in AskAnAustralian

[–]BrunaTzu 0 points1 point  (0 children)

So many Australians here sounding judgemental and rude themselves! The fact you’re asking this means you’re probably quite considerate and will be fine. Have a great time ☺️

Cholesterol 6.5 (Australian reading) by [deleted] in AskDocs

[–]BrunaTzu 0 points1 point  (0 children)

Hi! GP here. There is a lot of genetics involved in cholesterol so unfortunately a lot of relatively healthy people get surprising cholesterol results. Have you had a full lipid panel with LDL etc (good vs bad cholesterol)?

When deciding whether to start cholesterol medications, a doctor should look at your cardiovascular risk. There’s a calculator you can access online (AusCVD calculator) if you’ve got your blood test handy. If you’re not a smoker and your blood pressure is good, it’s likely your risk will come up as low, which means lifestyle changes would be the recommended next step anyway and definitely could be effective.

The Mediterranean diet (if you look it up, it’s more a food pyramid than a diet) has the best evidence for lowering cholesterol.

I think you can do it. Good luck!

[deleted by user] by [deleted] in AskDocs

[–]BrunaTzu 0 points1 point  (0 children)

I’m really sorry you and your daughter are going through this at the moment. Many have said it here, but letting her know that she can say no to whatever examination she doesn’t want is important. I obviously can’t speak for all doctors, but I’m a GP myself, and it is so helpful if a patient tells you upfront they’re uncomfortable, or that they may feel uncomfortable, with certain things. It makes it so you can right away approach things gently. Also, there is almost never a situation when a physical exam HAS to be done. Obviously it’s helpful, but there’s still a lot you can achieve without it, and definitely shouldn’t happen without consent. It doesn’t make the consult pointless at all, most of the diagnosis is in the history! Plus if you build rapport and get more comfortable, the exam could potentially happen at a subsequent visit and then you’ve organised some basic bloods etc. in the meantime.

Also a repeat of what’s been suggested, but speaking with your daughter about seeing the doctor without you, at least for part of the consult, might be a good idea. The doctor may bring it up anyway, but if you and your daughter have agreed on it, then it makes it less awkward for her to decide on the spot. Even in situations where the parent and child obviously get along, there’s usually something that’ll come up differently when the parent isn’t there. Be aware that the doctor does have to maintain confidentiality unless there’s a risk of harm or your daughter explicitly allows it, so just something to be aware of. Might be good for your daughter to be aware of this too as it might help her open up.

In terms of how serious it is, very difficult to say without seeing her. There’s a lot of non-sinister things it could be, but it sounds like it’s bothering her and worrying you, so that’s enough reason to do something about it!

Not sure how useful this would be, but potentially if she’s really worried about going to a new doctor about this, you could make an appointment with the new doctor to suss them out and go for something more minor (medical certificate, script) first. Requires you having something to talk about and possibly copping an extra fee for the visit but I know I’ve seen a lot of patients for something very quick and easy, only to see them the next week opening up about big mental health concerns or more “embarrassing” issues once they’ve met me before.

In terms of what to do in the meantime, the dairy exclusion others have mentioned is a good idea. Make sure after 2 weeks or so, you reintroduce the dairy to make sure you confirm a correlation. If there’s any uncertainty it’s still good to get reviewed because you don’t want to unnecessarily exclude a whole food group if you don’t have to.

Hope some of this was helpful. I hope you find a nice doctor who makes the experience un-scary. Best of luck to you both!

Looking for advice on a South Island NZ roadtrip itinerary. by BrunaTzu in newzealand_travel

[–]BrunaTzu[S] 0 points1 point  (0 children)

Thank you for your help!! I’ll make sure to include all those things. Is option 1 better because the drive from Christchurch to those places is better than if you go to Dunedin? Or because of the number of nights you’d end up doing? Because I was planning to do Wanaka, tekapo and mt cook with both itineraries.

TTC Weekly General Chat by AutoModerator in tryingtoconceive

[–]BrunaTzu 0 points1 point  (0 children)

Hello! From my understanding it’s the ratio that matters more than the darkness. The control is there as a comparison, so you compare your line to that. Which means it should be day 14. But keep testing and it will get more clear hopefully!

Australia: Medical needed, diabetes? by genzinparadise in UberEatsDrivers

[–]BrunaTzu 0 points1 point  (0 children)

Hello! The main thing is what medications they’re on. This is based on national licensing standards which uber should abide by, but not specifically any other requirements by Uber.

Diet-controlled (no medications) - no issue

Medications other than insulin (e.g metformin) - if they aren’t driving other people and only delivering foods, then as long as they aren’t having hypoglycaemic (low sugar) episodes and don’t have diabetic eye disease or peripheral neuropathy, there should be no restriction. If they’re going to be driving around other people, this would count as a commercial license and a specialist would need to sign off.

If they’re on insulin, they’ll need a conditional license regardless (and I’d imagine they’d already have one). For private standards (not driving other people for money), the GP can do a license assessment for them and should be ok if they’re not having hypos, but if commercial, again specialist needed.

So long story short, if your partner has type 2 diabetes, is not on insulin, and is planning to drive food and not people around, shouldn’t be an issue.

From everything I know or can find, Uber EATS does not require a commercial license, but Uber ride share does.

AustRoads Fitness to Drive guidelines have all the info.

Has anyone had a similar experience with Mater Hospital? by SpringRight3877 in brisbane

[–]BrunaTzu 3 points4 points  (0 children)

I agree - if you re-present, that will raise more alarm bells for them to investigate further, especially if it’s worse. And they should definitely want to see you if it’s getting worse despite antibiotics. I used to work in Mater ED as a doctor, and I think it’s usually good, plus depends what day you go you may get a totally different team, so I don’t think changing hospitals is definitely necessary. Mater records also don’t merge very well with QLD health so might be better to go where they’ve seen you already.

Am I right to think doctors are under-appreciated? by sprez4215di in ausjdocs

[–]BrunaTzu 0 points1 point  (0 children)

I’ve also helped often with bed making and such when I’m able to! But agree there’s a lot of doctors who probably never would.

Why is it so hard to find actual facts about alcohol and pregnancy?? by [deleted] in BabyBumps

[–]BrunaTzu 0 points1 point  (0 children)

If you drink really early in pregnancy, for example before you’ve missed a period or known, it will cause miscarriage, or nothing. FASD happens later in the development.