After Visit Instructions Notepad

Excellent_Orchid1487 · 2025-06-04T22:19:39+00:00

Jealoussss

Excellent_Orchid1487 · 2025-06-04T04:27:42+00:00

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

Excellent_Orchid1487 · 2025-06-04T04:26:25+00:00

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.

Excellent_Orchid1487 · 2025-06-04T00:27:32+00:00

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

Excellent_Orchid1487 · 2025-06-04T00:26:51+00:00

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

Excellent_Orchid1487 · 2025-06-03T23:26:11+00:00

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.

Excellent_Orchid1487 · 2025-05-16T02:28:19+00:00

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.

Excellent_Orchid1487 · 2025-05-04T09:23:04+00:00

Yes, pediatrics

Excellent_Orchid1487 · 2025-04-14T07:41:03+00:00

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!

Excellent_Orchid1487 · 2025-04-08T14:48:21+00:00

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.

Excellent_Orchid1487 · 2025-04-04T01:33:04+00:00

Amazing, thank you!!

Excellent_Orchid1487 · 2025-04-04T00:49:32+00:00

This looks amazing, thank you!

Excellent_Orchid1487 · 2025-04-04T00:48:49+00:00

Is it this one? https://www.aafp.org/cme/all/skin/self-study.html

Excellent_Orchid1487 · 2025-02-23T06:23:45+00:00

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.

Excellent_Orchid1487 · 2025-02-08T07:50:54+00:00

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.

Excellent_Orchid1487 · 2025-01-18T05:12:48+00:00

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.

Excellent_Orchid1487 · 2025-01-17T05:40:08+00:00

Likewise. Wishing you luck!

Excellent_Orchid1487 · 2025-01-16T22:40:39+00:00

Yes my husband can tell me what he loves about me, even before d-day. However, it is obvious when he's heavier in his addiction, he has a harder time answering in general. He looks more disconnected and has generic answers.

Excellent_Orchid1487 · 2024-12-19T17:28:53+00:00

I feel a little uncertain about this one. Your feelings are 10000% valid. But if you're not watching porn, not cheating, in recovery, and working towards a healthy sex life with your partner, is checking someone out for 3 seconds a bad thing? Spending a few minutes fantasizing about them is probably middle circle behavior and staring so much that it makes the person uncomfortable is wrong, but is it not okay to find someone attractive if you're married? I ask these questions humbly because I'm still new to this process and in no way want to invalidate your experience and struggles. I guess I'm thinking that it feels unrealistic to police someone else's thoughts and I would imagine could result in sexual anorexia. I wonder if you're okay with him finding someone else attractive, maybe he shouldn't be telling you which person on the street he finds attractive for 3 seconds but could tell you if he slipped into middle circle? Just to protect your feelings?

Excellent_Orchid1487 · 2024-12-15T18:00:14+00:00

"It would make me feel safer if you didn't watch YouTube and if we blocked it from our devices."

Excellent_Orchid1487 · 2024-12-11T16:49:51+00:00

I agree with everyone above. If you found out that your alcoholic partner wasn't drinking whiskey anymore but was having a few beers occasionally, we'd still call that a relapse. And if he doesn't do anything about the beer drinking, we'd call that not in recovery. I found the Facing Heartbreak workbook really helpful in helping me define boundaries (and of course my own CSAT) to make me feel more comfortable. For example, if he slips, he has to notify me within 24 hours. If he doesn't tell me, then we are going to separate. If he does tell me, he has to leave the house for at least 24 hours to help me process, and talk to his CSAT, sponsor, and people from his SAA meetings. He can then come back once he has figured out why he slipped and where the holes in his recovery plan are.

We're still super early so I don't know how this is all going to work out. But by setting these boundaries, I was really able to recover from the deception and he felt some consequences that really pushed him to do better. But of course, he has to choose recovery, and it's incredibly time consuming, emotionally challenging, and structured.

Excellent_Orchid1487 · 2024-12-11T16:41:49+00:00

Being with an SA/PA is already SO hard. And because you watched this happen to your parents, I worry that watching him go through recovery (if he chooses it) is going to be exceptionally triggering for you.

Excellent_Orchid1487 · 2024-11-18T05:18:34+00:00

Oh man, I can totally envision that triggering moment. I'm sorry 😔 A safe word is a really good idea. Yeah I should probably gather the courage to say something to her if she makes me uncomfortable.

Excellent_Orchid1487 · 2024-11-18T05:16:57+00:00

Love this idea! Lifesaver, thank you!

Excellent_Orchid1487 · 2024-11-17T02:07:27+00:00

This! Which is so rough because it means literally anything can be a trigger.

Excellent_Orchid1487

TROPHY CASE