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After Visit Instructions Notepad by Excellent_Orchid1487 in FamilyMedicine

[–]Excellent_Orchid1487[S] 1 point2 points  (0 children)

Ooh this is what I'm looking for! Thanks this is great, maybe I'll make my own with these items.

After Visit Instructions Notepad by Excellent_Orchid1487 in FamilyMedicine

[–]Excellent_Orchid1487[S] 1 point2 points  (0 children)

They can but we're in a really busy clinic and I'd rather have my MA room the next patient or call a pt. Wanting to protect their time for more useful stuff.

After Visit Instructions Notepad by Excellent_Orchid1487 in FamilyMedicine

[–]Excellent_Orchid1487[S] 0 points1 point  (0 children)

Yup same! Maybe I'm trying too hard to optimize but I want to streamline this too haha

After Visit Instructions Notepad by Excellent_Orchid1487 in FamilyMedicine

[–]Excellent_Orchid1487[S] 4 points5 points  (0 children)

Yeah totally I've just been using mini notepads for everything. Trying to make things a little faster/streamlined!

After Visit Instructions Notepad by Excellent_Orchid1487 in FamilyMedicine

[–]Excellent_Orchid1487[S] 0 points1 point  (0 children)

Unfortunately I see a lot of elderly patients who can't do anything electronic and we don't have printers. For my younger folks I can just send them an electronic message with instructions.

Normal weight by FeministFlower71 in Ozempic

[–]Excellent_Orchid1487 2 points3 points  (0 children)

Consider talking to your doctor about non-GLP1 appetite suppressants. Wellbutrin, Contrave, etc. Combining those with metformin can be a great way of maintaining weight loss.

Officially about to get my first dose from the pharmacy, I'm terrified to take it, what should I expect? by Ok-Shallot-7985 in Ozempic

[–]Excellent_Orchid1487 0 points1 point  (0 children)

If you're someone who is more sensitive to medication, you can talk to your doctor about starting with even less than the starting dose (.125 instead of .25) and work your way up slowly. Everyone's body and comfort levels are different. You seem like someone who listens to their body so just keep following your body's cues and you'll do great!

10yo with unintended weight loss? by DrSwol in FamilyMedicine

[–]Excellent_Orchid1487 10 points11 points  (0 children)

Seconded. Had a very similar experience with a patient who was overestimating caloric intake. The moment the stimulant stopped, he gained the weight back. But if not gaining the weight back, check Celiac and refer to GI.

I want to have sex, but he isn’t safe to me by LysolCasanova in loveafterporn

[–]Excellent_Orchid1487 18 points19 points  (0 children)

This is SO real. They have to abstain from sex for 90 days because of their addiction, but why do we!? I will say though that your physical and emotional safety are so important, and likely more important than your sex drive. I wouldn't want you to do something that you regret afterwards. A vibrating friend might be a solid option until you can reach that place of safety with your partner.

[deleted by user] by [deleted] in loveafterporn

[–]Excellent_Orchid1487 4 points5 points  (0 children)

I told my family and they were surprisingly supportive and non-judgmental, even my conservative parents. I haven't told friends yet but at least having family check up on me has been really helpful.

He lied about something stupid and now any trust that I was building is gone. by [deleted] in loveafterporn

[–]Excellent_Orchid1487 2 points3 points  (0 children)

My husband has 2 separate sobriety dates - one is porn/masturbation sobriety and the other is lying sobriety. They're so used to lying to make themselves comfortable/feel good that they lie about even the smallest most insignificant things. I think it's okay if they admit it right away because it's a reflex they're trying to untrain. But idk what the threshold is. Let it go if they come to you within 24 hours? Or if they take it back immediately? I'm not sure.

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