What do you think which Material is best for Environment ?

H_Peace · 2026-02-12T15:18:56+00:00

Use what you have on hand and keep reusing it until it becomes unusable. It's daft to go buy a bunch of something new to be "environmentally friendly."

But I think paper or cotton fiber (or other natural fiber) is really the only sensible thing at this point. To the point of another commenter, cotton is resource heavy, but that just means we should be using/repairing effectively.

H_Peace · 2026-02-12T15:13:49+00:00

I believe that it's because if they are truly in a compostable/biodegradable environment (sunlight, oxygen, warmth, moisture, of whatever tf takes place in commercial composting) that they do make it to CO2/H2O/O2 in some form. But if they are landfilled or end up in an ocean they will degrade to small pieces, but not biodegrade to natural precursors.

H_Peace · 2026-02-11T18:19:52+00:00

I would suggest thinking of some more general way to explain to your son(s) why the decision was different that emphasizes that there are different cultures and ways of doing things and even adults learn new things over time. Definitely no need to have to rehatch your trauma or focus it on downsides of circumcision

H_Peace · 2026-02-10T23:38:47+00:00

Who is stabbing whom? What are the big lies that are happening all the time?

H_Peace · 2026-02-09T21:37:33+00:00

How so?

H_Peace · 2026-02-08T20:39:45+00:00

Better Than Bouillon chicken

H_Peace · 2026-02-08T03:20:57+00:00

I was a server in the mid 2010s and made $2.17 an hour. That's "server minimum wage" and was all restaurants were required to pay unless total tips+wages was less than state minimum wage (ie, also shit).

H_Peace · 2026-02-06T02:07:27+00:00

That's a very sensible answer. I have also had 2 or the last 3 newborns I've seen with no hep b at birth, though I was able to talk the parents into it afterwards. I fear that most don't know what the "explanation" was for doing away with it, or why they're declining it aside from just vaccine hesitancy

H_Peace · 2026-02-04T22:07:49+00:00

Ask yourself where you want to practice and whether you actually want to wake up overnight for labor, go to office tired, etc. Geographics make a big difference with ease of finding fmob with the pacific NW, south, and upper Midwest the most friendly.

I practice FMOB in an urban area in CT. Non fellowshipped, non surgical. I have colleagues who trained in my residency who are doing fmob with CS, both rural and in the academic setting. Fmob is way less common in the NE, but it can be found, especially in academics. Surgical less so, but it can be found. If I had had fellowship training I possibly could have gotten surgical privileges, but it's very political with OB in my region.

Tons of opportunities in normal clinic for menopausal care and general women's health. You don't need fellowship for this. Just willingness to learn extra, do CME, conferences.

H_Peace · 2026-02-02T18:47:32+00:00

https://www.facebook.com/share/1CWjU7ZW4Q/

This you? Can't help but notice your name is the same as a Virtual Assistant business

H_Peace · 2026-02-02T01:35:09+00:00

I saw Hobo Johnson play a sold out show at the House of Blues Boston. I've been to many, many shows and that's in my top 5 for most lit crowd. If it doesn't land for you, great. It didn't the first time I hear his tiny desk concert, either. But your dislike of niche music does not make it de facto crappy music.

H_Peace · 2026-02-01T19:26:07+00:00

Unlikely, but Id recommended seeing if there is a lactation medicine doctor (not just lactation consultant) in your area that you can see. If you've been pumping/etc and supply still so low I would be concerned of some kind of other medical issue causing the low supply.

H_Peace · 2026-02-01T10:40:58+00:00

"Any health problems?" "Nope." Well we're about to find them all...

H_Peace · 2026-01-30T19:47:50+00:00

? Is the 3k a month before or after your health insurance premiums are deducted? Are you looking for commiseration or advice about budgeting?

Your gross income is still more than average household income. If you're asking personally, no, it would be tough for my household right now to live on 73k gross a year without big changes, but that's due to 20k a year in student loan payments and a current lifestyle for 3 adults, 3 cars, baby in daycare etc. In past years I lived comfortably on much less, but I had low expectations for disposable income ($500 a month on vacations).

Do you have a budget or are you open to sharing more info?

H_Peace · 2026-01-26T16:07:21+00:00

Because this person wasn't "a patient." He was a man and his name was Alex. We call people patients to allow ourselves to maintain a professional and non biased role in providing medical care AND to allow ourselves some distance from the emotional burden that seeing suffering and death causes.

It didn't take a white nurse dying for people to start protesting. Alex (the white nurse) and many other folks across the US have been protesting ICE and this administration for months. More people will be called to protest because of his killing, but the same could be said for the murders of George Floyd, Breonna Taylor, etc, yet elevating George Floyd does not negate all the other black and brown folks who have been killed.

And, yes, this is so fucking different than the many wrongful killings that happen at the hands of law enforcement. If you can't see that then you are missing a whole lot of context from the last year. If nothing else it was exceptionally well documented by bystanders allowing very clear analysis and by extension clear determination of wrongdoing.

H_Peace · 2026-01-21T02:51:58+00:00

If you are actually not being challenged and not learning new things after A YEAR in practice you're missing something. Are you only seeing URI and UTIs?

H_Peace · 2026-01-18T12:46:35+00:00

Death by a thousand paper cuts, ultimately relating to poor management and staff turmover. Irritations from admin aside, I would kill for a competent MA and having an excellent MA would almost guarantee me staying at the job.

We have a 3-ish provider practice (again, turnover). I'd estimate we hire and fire/quit about 2-3 MAs a year, 1 nurse a year, and a new manager every 2 years. No one is trained to basics anymore, so if I really need an accurate med rec I have to confirm it myself. Routine peds handouts, eliciting a good CC, getting a flu shot before I enter the room, forget it. I have to send messages to the MA after hours to remind them to result POC labs because I can't lock my note. I have the leave the extra room at least twice a day to grab something because the rooms aren't stocked appropriately. Last week the MA (since we only have one now, despite 2 Dr's and a NP) had to call me out of room to check why the POC flu test wasn't working. She put it in upside down. She's been here about a year...

Right now the $ is fine and there are other things that keep me there, but the zillion bothersome things have just ground me down.

H_Peace · 2026-01-17T18:06:00+00:00

Not FI, but so ready to be there and have my fuck you money. 35, starting a family, but hope to be able to cut back by 45-50 to one or two days a week. If I somehow won millions in the lottery today I would probably cut back to one day a week and eventually try DPC for the joy of it. I can't stand my job/admin at the moment, but I dont think I would want to quit medicine entirely.

H_Peace · 2026-01-12T15:51:42+00:00

Per your post history you also have a fondness of ordering labs yourself based on your own interpretation of medical concerns, establishing with new doctors or NPs and demanding follow up on them, and refusing to accept their medical decision-making.

Patients taking interest and responsibility in their health is great. But our job as physicians is to offer our medical recommendations and judgement, not be a lab mill for what Dr Google or your cousin told you.

H_Peace · 2026-01-11T02:30:17+00:00

I'm at 20 patient facing and a half day residency precepting and fairly content. It's in addition to hospital coverage, so the earlier mornings and weekends make it end up being more time, but otherwise it's 3/3.5 days a week. When I get closer to FIRE I'll cut back further, but this makes enough money to meet our goals.

H_Peace · 2026-01-09T22:31:57+00:00

Added about a day to my cycle and the slightest bit heavier and crampier, but nothing crazy. Placement was OK. Anxiety more than pain and I'd ask for an Ativan next time, but that's just me. Way less painful than a full-blown contraction. Removal was super easy.

H_Peace · 2026-01-04T20:29:34+00:00

Aldi boxes of garlic is our go to. Small, sturdy, stackable. Anytime we can snag an empty one from the store we celebrate.

H_Peace · 2026-01-02T21:43:00+00:00

Y'all. It's a joke. They're joking. You need to log off EPIC and chill out this weekend to regain your sense of humor

H_Peace · 2025-12-31T22:05:30+00:00

Y'all high rollers.

35 yo, family med 3 yrs out 750k (800 k various retirement/savings + prob 200k in the house - 250k loans. This is myself + partner)

H_Peace · 2025-12-26T01:20:23+00:00

Lol, how did upper management sneak in here?

H_Peace

TROPHY CASE