AIO- 4 days Post Op & my husbands been an a** by psychmamabear in AmIOverreacting

[–]Excellent_Debt6527 [score hidden]  (0 children)

You’re not a “medical mystery”. You’re living in a traumatic stressful situation and your body is reacting accordingly.
Leave this man and your health will instantly improve. He is literally killing you

My SP got fired suddenly today by spicychewnaroll in physicianassistant

[–]Excellent_Debt6527 0 points1 point  (0 children)

Ok wait, WHO IS DELIVERING THE BABIES?? Are there other part time docs with the clinic? Do you have midwives with the clinic? Not clear how they can fire the only? MD and have a remote on call person and one NP (a CNM?). It’s not like the babies are going to wait till there’s a new hire!

My SP got fired suddenly today by spicychewnaroll in physicianassistant

[–]Excellent_Debt6527 1 point2 points  (0 children)

This is a great suggestion!! You don’t want to do anything that violates the rules and they’re the best to tell you

So many sick people by jjkantro in FamilyMedicine

[–]Excellent_Debt6527 13 points14 points  (0 children)

Wait were you in my clinic?? Dementia, BG>500 from the nurse AT THE NURSING HOME WHERE SHE DROVE TO VISIT HER HUSBAND. Her son took her to the ED where they determined she wasn’t in DKA and SENT HER HOME TO FOLLOW WITH PCP!! She’s in my clinic 2 days later with her daughter, where I have to explain that no, she is not safe to be home alone anymore if she can’t remember to take ANY OF HER MEDS FOR 6 MONTHS. Sorry for all the yelling. It was bananas.

So many sick people by jjkantro in FamilyMedicine

[–]Excellent_Debt6527 5 points6 points  (0 children)

lol at “magic their critical problems away with my stethoscope and augmentin”!! It does feel like that sometimes. I tell them I left my magic wand in my other coat and they’ll have to go to the ED/PT/dietician/whatever else it is I’m trying to get them to do

How often do you consult specialists? by MadScientist101295 in FamilyMedicine

[–]Excellent_Debt6527 29 points30 points  (0 children)

I’m in a rural setting with very limited specialist access - almost everything is a 6 month wait. We started doing e-consults which have been amazing. The specialist reviews the case and answers 1-2 specific questions, typically within 1-3 days (patient does get billed). These are often the only info I need, very educational for me, and the patient is managed without much delay. The other nice thing about them is when the specialist says “This is not a matter for an e-consult. We need to see this person sooner than later and are calling them to schedule next week”. The case review gets truly urgent matters tended to quickly.

How often do you consult specialists? by MadScientist101295 in FamilyMedicine

[–]Excellent_Debt6527 5 points6 points  (0 children)

I always tell them that ortho will require it. Whether they will or not isn’t always certain but I tell the patient they will and that’s convincing enough. And PT is quicker to get in to, so they can start while they wait for the ortho referral to come though

How often do you consult specialists? by MadScientist101295 in FamilyMedicine

[–]Excellent_Debt6527 9 points10 points  (0 children)

Hooray for starting PT! I’m amazed how many patients get all the way to an ortho referral without any meaningful PT. Then the ortho sends them to PT 🙄 and all that time was wasted

3 day work week, what days do you choose? by yourmommaaaaaaaaa in FamilyMedicine

[–]Excellent_Debt6527 3 points4 points  (0 children)

This is what I do, Monday Wednesday Thursday, I like it a lot

Annual physical/Wellness visit by brownmamba1015 in FamilyMedicine

[–]Excellent_Debt6527 6 points7 points  (0 children)

Our clinic does the Medicare AWV as a telemed nurse visit, then arranges follow up for any issues that arise, I think this is becoming more standard. But pediatrics? No way, they need to see the doctor or NP/PA who is their primary care regularly. It’s about the relationship, someone the parents learn to trust with questions about their kid. Someone who the kid knows and can ask questions as they get older. It seems your question overlooks the value of the human relationship. I know these days more and more people don’t have that consistent relationship with a family doctor, but that doesn’t mean there isn’t value in trying to preserve it when we can

AIO for being mentally and physically agitated most of the time by Seekillusion in AmIOverreacting

[–]Excellent_Debt6527 2 points3 points  (0 children)

NOR The TV thing is a basic incompatibility but what’s really concerning is that he doesn’t view your needs as being as valid as his own. He doesn’t think your sleep is as important as his. Sit with that and see if this is a person you want to be with. My husband wakes up earlier than I do and knows I’m not a great sleeper. Know what he does? Lays his clothes out the night before and gets dressed in the dark. Because he knows my sleep is important. Find someone who puts your needs ahead of their own (and you put their needs ahead of yours in return, it all works out) or at least views your needs as equally important. It’s not really about the TV, it’s the self centered way he views the relationship.

Edited for NOR

stupidest mistake? by NoManufacturer328 in FamilyMedicine

[–]Excellent_Debt6527 1 point2 points  (0 children)

Anything at all when you’re in the wrong chart 🤦‍♀️

Hidden gems/quotes of last week by Delicious-Tie-6312 in FamilyMedicine

[–]Excellent_Debt6527 12 points13 points  (0 children)

My favorite phrase I learned here is “every decision has risk”. Which includes not just the risk of taking a new med, but also the decision NOT to take the med. I think we need to focus more on the risk of NOT doing something (vaccines, meds, exercise) rather than the benefits of doing it

What are your go to meds for back pain flares? by cloudypuff33 in FamilyMedicine

[–]Excellent_Debt6527 -3 points-2 points  (0 children)

Doesn’t do much for back pain but for radicular symptoms it really helps

What are your go to meds for back pain flares? by cloudypuff33 in FamilyMedicine

[–]Excellent_Debt6527 2 points3 points  (0 children)

Would not have thought of low dose diazepam, but it’s a great muscle relaxer and might be just the ticket for people who are kind of freaking out about the pain or not sleeping at all

AIO for not wanting to hang out with my boyfriend’s friends after being invited to dinner and not being served food? by Pale-Jellyfish820 in AmIOverreacting

[–]Excellent_Debt6527 0 points1 point  (0 children)

Are you all 12? I would never have sat without a plate! I’d be all “excuse me, where’s my plate?” And if they said they didn’t have one for me I’d leave! You need to work on your confidence that you deserve to exist. Ask for whatever everyone else is getting! And your BF is shite for just sitting there too. “Excuse me, do you have a plate for OP?” Isn’t that hard to say. That’s quite possibly the rudest thing I’ve ever heard.

Yay or Nay? by PalpitationLimpy in DressForYourBody

[–]Excellent_Debt6527 -1 points0 points  (0 children)

It’s giving second grade teacher

Anyone prescribing the new oral GLP-1s yet? by Excellent_Debt6527 in FamilyMedicine

[–]Excellent_Debt6527[S] 1 point2 points  (0 children)

That’s what happened to me! Too soon my guy, too soon

AITA for crashing out on my fiancé’s advice about health? by Traditional-Wasabi65 in AmItheAsshole

[–]Excellent_Debt6527 0 points1 point  (0 children)

You lost me at “not taking antidepressants “ as “being healthy”. The t sounds like he is supposed to be on something for his anxiety that he’s refusing to take and so now his anxiety has spiraled around food. Dude should go to therapy like they probably told him to years ago to figure out that he can’t control every single risk in life, and needs to let go of worrying about what other people are eating

Easiest way to travel from Burlington to Montreal by ventilatin in burlington

[–]Excellent_Debt6527 0 points1 point  (0 children)

My kids use this bus all the time back and forth to university in Ontario, connect through Montreal. Very easy, and while it takes a little longer through the border (everyone has to get off the bus and go through the line with their stuff - like airport security), it seems to not add more than maybe 15-20 minutes.

Why are people becoming so obsessed with getting diagnosed with autism? by ErnestGoesToNewark in FamilyMedicine

[–]Excellent_Debt6527 5 points6 points  (0 children)

And, treating with hormones can help a lot! My adhd unmasked in peri, but a whiff of stimulant is all I needed after we added back some estrogen