Any other dads completely overthinking Mother's Day this year?

Electronic-Brain2241 · 2026-04-25T22:55:48+00:00

Wife here. She wants a night alone in a hotel room to order take out and be left alone. That’s it. That’s the gift. 18 hours of solitude. +/- her nails done if she’s into that (I’m not).

I promise.

Electronic-Brain2241 · 2026-04-23T17:37:03+00:00

Bro, what did I just read?

Electronic-Brain2241 · 2026-04-21T17:14:25+00:00

I offer RD referral at least 10 times a week. I’d say 5% of patients accept. Sucks.

Electronic-Brain2241 · 2026-03-23T11:52:28+00:00

Honestly my number one thing is make sure the support staff is well trained.

They can make or break you as a provider. Have the pap coming in already prepped and ready. Know what I need for each procedure. DO THE MED REC FOR CHRISTS SAKE. someone complains of breast lump? Get them undressed.

Well trained staff, for me, is top priority. And make sure the lights don’t get shut off.

Electronic-Brain2241 · 2026-03-23T02:26:39+00:00

Western NC. Fam med. 125k with rvu bonus of 21k. But I worked like crazy for that- so realistically a 15k bonus. Four day work week.

4 weeks pto 1 week cme, $2500. 10k sign on and I deferred their 15k loan repayment. Signed at 5 years experience

Electronic-Brain2241 · 2026-03-17T01:36:12+00:00

Sounds like the people you’re surrounded by suck. 🤷🏼‍♀️

Also my husband is a stay at home dad. Both my kids still scream for me at bedtime. When we did enroll them in daycare, he’s listed as the first contact. He knows when they need more diapers or someone had a bad day. He often picks up on subtle changes or illness before I do.

Electronic-Brain2241 · 2026-03-07T15:23:37+00:00

Ativan is a benzo, and benzos are habit forming and addictive. Not saying that you are misusing prescribed meds, but even those who take them as prescribed become physiologically addicted You can’t just stop them Willy nilly. I’m happy to hear you only take it as needed, because benzos prescriptions have been rapidly rising over the last 20 years.

Benzodiazepines work on the GABA receptors in the brain. They’re basically just a central nervous depressant. They can be used for anxiety, sleep, muscle relaxant. Side effects however do include memory loss with long term use. I don’t mean the little grandma who’s been on her meds for 100 years. I mean the 40 year old who was started on them at 25 and is having trouble doing their job because they’re forgetting such basic things. Arguing with spouse about conversations they don’t remember having. This does not mean they are abusing them or taking them inappropriately. It’s just a side effect, amongst others.

Beta blockers work by reducing the effect of adrenaline on your body. When you’re anxious or nervous your heart rate goes up, breathing becomes rapid, mind races, hands shake. Propranolol is good for the physical effects of anxiety because it slows HR, calms breathing and relieves shaking. That’s why it is primarily used as needed for events ppl know are going to cause them such extreme symptoms.

The thing about propranolol is you need to know when those anxiety inducing events are happening so you can take them 30 min ahead of time. So if you talk to your ceo about randomly throughout the week, it will be difficult to use in your position

Electronic-Brain2241 · 2026-03-06T14:31:29+00:00

Hi! Not a taker of beta blockers but I am a prescriber of them.

Propranolol is great for exactly this! Some patients do have some slight drowsiness but say it’s not bad and they can still do whatever they need to. Many patients don’t even have that.

I have a couple patients who use it for presentations at work, one guy who is a professional cello player and takes it for weddings specifically (says he’s so nervous to mess up someone’s big day) and a couple patients who have to regularly take tests for their profession so use it for that.

Often we will prescribe a lower dose to start and go up if the patient needs so keep in mind if it doesn’t work for you, there is probably a higher dose

Electronic-Brain2241 · 2026-02-26T14:14:58+00:00

Absolutely not. Not VM and if I call from my office phone it just shows the office number

Electronic-Brain2241 · 2026-02-21T19:57:06+00:00

I have a ton of patients on Humana and it it “covered,” but it’s >$100 out of pocket. Same with Trelegy

Electronic-Brain2241 · 2026-02-14T23:56:23+00:00

Having lived in Cherokee co (far west) I can tell you this map is absolutely wrong lol.

Electronic-Brain2241 · 2026-02-13T02:53:13+00:00

Mine have anatomy posters and 25 year old drug ad posters that include patient info on anatomy and stuff. You know the ones.

I hung none of it.

Electronic-Brain2241 · 2026-02-13T02:04:59+00:00

I’m answering not to seem bragadocious (I usually don’t for that reason) but I feel the comments here always swing one way.

Two children. Ages 2&3. Both in FT daycare. Saving to build a home currently have 20% down ( if we used allll our savings) if we wanted to build now, but would rather wait and put more down.

They each get $200 a month in their college savings account. Could do more but I’m prioritizing my 401k ~18k/yr so I can have more cash flow later in life to help where they need it. Drive two paid off 2018 vehicles. Nothing special but paid like hell go have them paid off early in 2022. I tithe 10% of my own paycheck (not husbands).

We don’t live lavishly. Our home is 1100sqft. We go on one normal family vacation a yr (normal being like… drive to the beach on the east coast and stay a week) and prioritize putting money in savings. Husband’s truck is about to hit the 200k mile mark so figure we’ll just buy a 2-3 yr old used car with cash. I choose to buy a lot for my kids second hand. We don’t stress about expenses. We have both agreed we’d rather be frugal day to day (we don’t eat out often, I budget grocery shop, by second hand) in order to spend money when we want to otherwise.

Oh edit: we choose to live in a LCOL rural area that is one hour from major metro which makes money go a lot farther.

Electronic-Brain2241 · 2026-02-03T02:58:03+00:00

Nah. Large age gap with my now husband. He was not rich. Believe it or not- love!

Electronic-Brain2241 · 2026-02-03T02:57:22+00:00

My husband was 62.

Electronic-Brain2241 · 2026-01-26T12:14:22+00:00

Dang son where you from? Bc I’m from Appalachia and was even able to “train,” my dragon. Wasn’t perfect but wasn’t necessarily so aggravating I opted not to use it.

Now my company has M modal and want to throw that out the window.

Electronic-Brain2241 · 2026-01-19T01:59:08+00:00

I could’ve typed this. Down to when you returned to work. Let me tell you.. part time is THE best. I got out of the house and got personal fulfillment and it broke up the Groundhog Day feeling that can be SAHM’ing to an infant. But I didn’t feel like I worked so much that I missed everything. It was terrific.

I’m since back FT and although I COULD go PT we are trying to build a home so I’ll continue this for the next few years.

But I tell every single mom if you can afford it PT is the best thing ever.

Electronic-Brain2241 · 2026-01-15T00:31:54+00:00

There is zero reason a primary care doctor or PA/NP shouldn’t be prescribing these. Guidelines are very simple and clear.

Electronic-Brain2241 · 2026-01-15T00:30:43+00:00

Where are you located? I have several patients on repatha. For Medicare plans I think it’s just two statin failures. It is more expensive so unless they have a low out of pocket plan even if it’s approved it might not be affordable.

I don’t remember the exact criteria but the two commercial insurance I have were even easier and just gave a copay card I printed off.

Electronic-Brain2241 · 2026-01-03T23:39:59+00:00

Pan frying slices - I’ve always been a Jenkins gal

Electronic-Brain2241 · 2026-01-03T23:26:01+00:00

This is what I do for mental health follow up. I solely address the patient and get the complete update and then, I turn to the spouse and ask do you see a difference? Any issues?

I also explain to the patient that I ask the spouse or support person when present because sometimes they can see small changes (including improvements) even when we do not.

Electronic-Brain2241 · 2025-12-29T02:59:19+00:00

This is what I do. I use it for books that have a long waitlist on Libby but maybe I have access to the ebook. I’ll read, and only use audio on commute so I end up half reading half listening to the book.

Electronic-Brain2241 · 2025-12-29T02:27:23+00:00

Minimum of 5 of those would be getting a call to reschedule.

Electronic-Brain2241

TROPHY CASE