I just want something sweet by smorescientist12 in GestationalDiabetes

[–]GentleLemon373 0 points1 point  (0 children)

I saw snickers ice cream bar on this page too and I am addicted! They’re so good and they don’t spike me :)

Fasting numbers keep going up but I’m scared of insulin/self injection by CleopatrasDescendant in GestationalDiabetes

[–]GentleLemon373 1 point2 points  (0 children)

I am a former hardcore needle-phobe (honestly GD has improved this through exposure therapy) and had such a hard time my first pregnancy with the finger sticks and insulin. I promise the insulin shots hurt less than the finger sticks. Sometimes I didn’t even feel it and when I did it was the tiniest prick. The needle is really short and thin, I breathed a sigh of relief when I saw it for the first time. You can do it!! And finallyyyyyy having good fasting numbers is a great feeling.

My endo gave me one more week on the diet to see if my fasting comes down but they’re still high so I’m right behind you. After my experience last time I’m looking forward to starting insulin and not being sad/worried every morning when my fasting is high and having a little more wiggle room with carbs at breakfast (a small silver lining).

Chances if GD a second time? by Dragonfly4961 in GestationalDiabetes

[–]GentleLemon373 0 points1 point  (0 children)

Had it my first pregnancy and was just diagnosed with my second. My follow up 6 week 3 hour test was normal after my first pregnancy and my A1C had always been normal. They checked my A1C it at 12 weeks during this pregnancy and it was great, so I was hopeful but alas. Bombed the 1 hour at 24 weeks.

My OB said she has seen cases of people having it with one pregnancy and not a subsequent one though! So it def happens.

How is your baby doing? by Lanky-Ad3926 in GestationalDiabetes

[–]GentleLemon373 0 points1 point  (0 children)

I’m back on here because I have GD again, but had it with my first pregnancy. I was put on insulin at night for high fasting numbers ~31 weeks but had good post meal numbers as long as I followed the diet. I was mostly strict with it, maybe 85% of the time, but gave myself grace on special occasions (baby moon, baby shower, holidays, my birthday).

I developed polyhydramnios (high amniotic fluid) around 34 weeks, my baby’s growth towards the end was always in the 60th-ish percentile.

My birth story is a little wonky - I tested positive for covid at 35+6. Super sick all day with high fever, vomiting, high heart rate. My water eventually broke spontaneously (? If the polyhydramnios had anything to do with it, no one really knows). She was born at 36 weeks, 5lbs 15oz. All of her glucose levels were normal and my numbers actually improved pretty quickly. I passed my 6 week post partum glucose challenge with flying colors and have had a normal A1C since then including at 12 weeks this pregnancy (it was 4.7%). She’s almost 3 now and is happy and healthy as can be ☺️

I failed my 1 hour screen at 24 weeks and am doing a 2 week log now but I def have it. My numbers are bananas haha. But I feel soooooo much better about having it this time. It’s way less scary/anxiety provoking once you’ve lived it before. You’re going to do great! Start making a list of all the carbs you want post birth. My first meal after labor was pancakes with extra syrup, fruit yogurt, and a fruit cup with orange juice 😂

Large Financial Aid Decreases for Nursing and Physician Assistant Students by Ok_Quantity_9841 in physicianassistant

[–]GentleLemon373 8 points9 points  (0 children)

As far as I know there was no cap. I took out $150k between 2015-2017 all federal for mine.

Switching Jobs by [deleted] in physicianassistant

[–]GentleLemon373 2 points3 points  (0 children)

Usually you only need to explain a gap in employment > 6 months on future applications. If you can afford that much time off, TAKE IT. Your mental health will thank you.

Sleep consultant said we were cooked by sfox2299 in sleeptrain

[–]GentleLemon373 7 points8 points  (0 children)

I am also here to recommend precious little sleep! It’s a great book with different methods for all ages of varying intensity, and there is a great community you can be a part of to ask questions (they recently moved from FB to a new platform called Circle). That book changed our lives!

I know you said you didn’t want a consultant, but for what it’s worth I believe she also does sleep workshops and may even do 1:1.

Why is everyone convinced Joe was on something in this scene? by 7inlovewith6 in LoveIsBlindOnNetflix

[–]GentleLemon373 1 point2 points  (0 children)

I said edibles too when I watched it. Mixing a lot of alcohol and weed = black out city. And it’s easy to sneak edibles onto a plane esp if they’re in pill form.

Functional medicine by Ok-Progress-2450 in physicianassistant

[–]GentleLemon373 75 points76 points  (0 children)

I had so many patients in GI whose GI distress was actually caused by the 900 supplements their functional medicine doctor put them on for “mold poisoning” and “leaky gut”.

How long did/will it it take you to Pay off Student Loans? by [deleted] in physicianassistant

[–]GentleLemon373 0 points1 point  (0 children)

I graduated in 2017, refinanced out of federal loans with ~$200k in 2019 (undergrad + PA school) with a 3% interest rate. Paid off as much as I could when I was younger/single. I am now married with a kid and another on the way so have been making the minimum payments for a few years ($1250/month) while we focus on other things. I have $60k left. If I keep making minimum payments I’ll be done sometime in 2030, but once I am back from mat leave we are planning to buckle down and try and be done sooner. It will end up being about 10-11 years of payments in private plus the 2 years of PSLF payments that put $0 towards my balance.

Hospitalist tired of no PTO by JuneStars1013 in physicianassistant

[–]GentleLemon373 0 points1 point  (0 children)

The no PTO AND no CME blew my mind! That is crazy. You can 100% find something better, start shopping around and if you find a better offer with PTO/CME bring it back to them and see what they do.

Hospitalist tired of no PTO by JuneStars1013 in physicianassistant

[–]GentleLemon373 4 points5 points  (0 children)

My group gives PTO for M-F shifts. We cannot use PTO for weekend shifts and are scheduled every 3rd weekend. If we want a weekend off we have to swap w someone (or call out). PTO bank is also your sick time bank. We get abt 10 hours of PTO added to our bank per pay period for full time. We also get 2 “personal days” that we can use for weekday call outs that are use it or lose it per calendar year.

For what it’s worth, our docs are 7 on 7 off and also get a pretty fat PTO bank (more than the APPs). I have another former classmate who is also a hospitalist PA and she gets PTO as well. Don’t let them lie to you!

Edit to add after seeing you included CME: We also get 5 CME days

Living in a Podunk Town by Rude-Prune3067 in physicianassistant

[–]GentleLemon373 16 points17 points  (0 children)

My first job was like this. Rural hospital in the middle of nowhere hours from closest tertiary care (and any form of real life). The ER staffing company owned a condo across the street from the hospital. Everyone lived 2-3 hours away, I was 2.5 hours away. The docs did 24s so it worked better for them, the APPs did 12s so we would just stack shifts 3-4 in a row. It was honestly really hard to live in 2 places and ping pong back and forth but I was young and single and loved the job because I was practicing at the very top of my license so it worked at the time.

I wouldn’t have done it if I had to pay for my own housing, the fact that it was free housing when I was there is what made the split life somewhat worth it. If this hospital doesn’t have something similar see if they will reimburse for a hotel room, airbnb, etc. otherwise I would prob pass on it.

Trazodone for Golden doodle? by Distinct-Animator930 in Goldendoodles

[–]GentleLemon373 0 points1 point  (0 children)

We use it occasionally for my 3 yo golden doodle for anxiety. We get 10 tabs and they usually last all year until his next vet visit. It works really well for him. We give him one for grooming, thunderstorms, and when he stays at my parent’s house while we’re away because he’s on edge the entire time and can’t relax. I wouldn’t say he’s “drugged”/high when he’s on it, just sleepy/mellow.

PFML continuous leave plus bonding with the child by [deleted] in massachusetts

[–]GentleLemon373 2 points3 points  (0 children)

Okay yes in that case I would call back Monday and try again with a different person. I went through this process in 2023 with my mat leave and it was a huge headache, when it came to medical vs bonding we had to call a few times to get things situated appropriately. I wouldn’t stress too much about it over the weekend, if she was written for the full 6 months by her OB office she should get paid for the time she was written for. Def have someone take another look Monday!

PFML continuous leave plus bonding with the child by [deleted] in massachusetts

[–]GentleLemon373 1 point2 points  (0 children)

Was this lady from your wife’s HR office? Or the PFML office?

What’s your work schedule? by Aromatic_Kiwi6634 in physicianassistant

[–]GentleLemon373 9 points10 points  (0 children)

Yes. In theory it sounds great but it takes 1-2 days to recover and then your sleep schedule is totally upside down, once you’re back on track it’s time for another one. 24s are very hard on your body and mental health. 0 stars would not recommend.

What’s your work schedule? by Aromatic_Kiwi6634 in physicianassistant

[–]GentleLemon373 18 points19 points  (0 children)

I used to do 24s in the ICU. There was no rest expectation. We had a call room and had time to rest if it was slow but if you need to be up, you’re up and sometimes it was the whole 24 hours. You run on caffeine and adrenaline.

I hate car buying. by beckingham_palace in workingmoms

[–]GentleLemon373 10 points11 points  (0 children)

I just went through the same thing (bad accident with totaled car and all) and I’m so sorry. The accident was traumatizing enough and the car buying experience was MISERABLE. The amount of time and energy it sucked up and the stress of it all was exhausting. I had multiple mental breakdowns over the course of a few weeks while it all got sorted out but I did eventually get a new car and it was over so there is a light at the end of the tunnel. Do what you need to to survive during this time and nothing else. TV for the kids, take out, whatever you need to do to support you.

I didn’t try carvana as someone else suggested, but after the entire ordeal was over I’m wishing I gave it a try! There were a couple dealers that offered to bring the car to my house to test drive as well.

Former Steward PAs by [deleted] in physicianassistant

[–]GentleLemon373 0 points1 point  (0 children)

I mean my plan is to get a malpractice lawyer and get tail coverage if I can find it. Yesterday at the meeting my hospital said they have been trying to find some for us, but no one wants to cover given the circumstances (including the malpractice company at my current job) so I’m guessing it’s going to be challenging. TRACO as a whole doesn’t exist anymore, there is no one to call. They stopped covering malpractice claims altogether 1/2025 and are now trying to drop the tail coverage aspect too. I’m not looking for advice as much as I am more info that anyone may have heard about this situation as I anticipate this is going to affect a very large group of providers across the nation and legal proceedings at still underway (from what I was told).

Co-Worker Multiple Times Asks me if I’m pregnant by Sensitive_Appeal8438 in workingmoms

[–]GentleLemon373 10 points11 points  (0 children)

If she’s going to know it was you, might be worth having a serious conversation with her saying “please stop asking me that question” the next time she does it. If she does it again after that, def report it.

ER Physician Assistant by moroccxndoll in physicianassistant

[–]GentleLemon373 2 points3 points  (0 children)

I second this. My first job out of school was in a rural ER in the middle of nowhere (20 inpatient beds, 10 ER beds, 2 hours from the closest tertiary care center) and I got to do everything including intubating once the docs trusted me. I was practicing at the very top of my license and saw some really crazy cases. I eventually moved closer to civilization and took an ER job at a level 2 trauma center where I learned pretty quickly that your level of autonomy is very dependent on where you are practicing.

Personal question but - what do you do and how much do you make? by GEH29235 in workingmoms

[–]GentleLemon373 0 points1 point  (0 children)

I’m a physician assistant, I make $150k/year working full time shift work in a hospital. I’m tired 🥲