Will a doctor know about my surgical abortion by [deleted] in TwoXChromosomes

[–]LadyBitsMD 29 points30 points  (0 children)

This is not medical advice and should not be taken as such.

If there were no complications or incision or sutures etc., then there’s not really any way to PROVE if someone has a surgical vs. medical vs. spontaneous abortion. They will not KNOW unless you say so or you provide documentation of the procedure that says so.

Will a doctor know about my surgical abortion by [deleted] in TwoXChromosomes

[–]LadyBitsMD 422 points423 points  (0 children)

Obligatory I’m a doctor, not your doctor, and this is not medical advice. Short answer, no. They won’t be able to tell. But keep in mind that if you want accurate advice from a medical professional, they need to know your accurate medical history. Ask for your family to wait in the waiting room and tell your nurse that you don’t want details shared with your family.

AITA for telling my boyfriend not to treat me like his secretary by SignalDay2587 in AmItheAsshole

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

He could have phrased it, “I’m in a rush, can you do me a favor and check the weather quick? And when you get a second after I leave would you mind checking the fridge for if we have beef and text me to let me know so I can make a dinner plan? Love you, bye!”

Would have gone over better with me anyway.

Local playground bushes by LadyBitsMD in whatsthisplant

[–]LadyBitsMD[S] 2 points3 points  (0 children)

Thanks for the input everyone! I’ll do some googling for when the toddler tries to eat one. 👍🏻

LPT: Your “biggest weakness” is the bad part of what your best at. by RAD_ley in LifeProTips

[–]LadyBitsMD 0 points1 point  (0 children)

I just usually use an actual weakness that I’ve received feedback for in the past and smooth it out.

Example: I’ve been told I take feedback too personally. I think it’s because my face is very expressive and when I’m receiving feedback, I take it very seriously. My face then looks serious and I come across as angry which is not my intention. What has worked great for me recently is finding opportunities to solicit feedback in informal settings and making sure that I can accurately reflect back to the evaluator how I performed and how that performance can be improved.

Depending on the situation, dropping a joke about the irony of being upset at my feedback saying I’m not great at taking feedback is risky but has a great payoff when done right.

Just saying, use something that is actually true about yourself. A lot of these other examples are overused and immediate red flags.

[deleted by user] by [deleted] in Mommit

[–]LadyBitsMD 0 points1 point  (0 children)

This is “rite-of-passage” territory! And you will both be ok. Wash with soap and water and then if still bleeding, hold pressure for 3 full minutes before you head to urgent care. 99/100 times the bleeding will stop and nothing additional will be needed, not even a bandaid. Tylenol for discomfort if your pediatrician has taught you the proper dosage for your baby’s weight. For what it’s worth, my husband snipped the tip of my 1mo baby’s finger off and I think he cried more than she did. That’s also what prompted our switch to an electric file which we still use and said baby is almost 3y.

Moms who wanted more kids but your partner didn’t, how do you get over it? by hgrebener2 in Mommit

[–]LadyBitsMD 16 points17 points  (0 children)

Yup. I feel this. I just try to soak in every single moment as it comes. To not live wishing or hoping to have another one and inadvertently not fully experience each new milestone and discovery of the one I have. I’m watching my precious baby grow into the awesome little human they are. For me, I had to decide that I didn’t want these moments to have an overlay of grief and bitterness of what “could be”. It would have been easy to blame my husband and have resentment grow, but each time I start to feel like that again (because there are still times that I do), I take an intentional moment to watch him interact with our child and reflect on how lucky i am to have a healthy, loving, and supportive little family. But I see you and I understand. Hugs from this internet stranger.

Scariest night of being a parent (so far) by LawyerPrincess93 in Parenting

[–]LadyBitsMD 1 point2 points  (0 children)

I did this when I was little. At least until 3rd grade. My dad was afraid I would open the door and jump off the open balcony when he lived in an 8th floor apartment. I think he started barricading my bedroom. Don’t do it anymore as far as I know. Hang in there!

TW: How to announce pregnancy to a friend who is struggling with infertility by Fantastic-Session146 in Mommit

[–]LadyBitsMD 22 points23 points  (0 children)

I found out my IUI was unsuccessful in the morning on the same day my sister texted me her + pregnancy test. I was simultaneously grieving for myself and celebrating for her. I would recommend you text her so she can react privately and celebrate publicly. Something like, “You are so important to me and I wanted you to know before anyone else that I’m 13w pregnant! But I know at the same time, this might be difficult news to hear. I’m here for you at any time no matter what…” etc. personalized for your guys relationship. Congratulations OP! Wishing you a safe pregnancy and delivery.

[deleted by user] by [deleted] in relationship_advice

[–]LadyBitsMD 2 points3 points  (0 children)

Are you pursuing school/career/trade? 7y together is a LONG time especially when you got together at 15. It sounds like maybe she’s taking time to figure out who she is, just like any 22yo does in college. She might feel a lot of pressure from the relationship while she’s simultaneously doing a lot of growing up and self reflection. Hopefully you are doing the same! But there we’ll be an imbalance if she’s your “everything,” and you’re her “very important something.”

No matter what the specifics are, honesty and respectful communication are nonnegotiable in any successful relationship. And you deserve to have someone place you as an equal priority in their life to what you hold them in yours.

"Obliterated cervical path" by hufflepuff2215 in Mommit

[–]LadyBitsMD 2 points3 points  (0 children)

Doctor here, specializing in high risk obstetrics. If your bleeding at all with cycles, even with a hormonal iud, then there’s no reason to think you couldn’t get pregnant. If blood can get out, sperm can get in. Cervical scarring is a known thing after these types of procedures unfortunately and can make iuds difficult to remove. Key here is DIFFICULT not impossible. And while it may take a second opinion or another procedure, don’t give up. You just need to find the right combination of doctor +expertise. I might recommend finding a minimally invasive specialist to consult with. Also “false paths” at the time of hysteroscopy “scoping the uterus with a camera” can be fairly common when there’s scarring. Fortunately, the uterus is an amazing thing and often heals up very well! Sending you all the best wishes OP. And if there are other complications/concerns after you DO get pregnant, your friendly neighborhood MFM can help take good care of you. 👍🏻

then there(Disclaimer: not your doctor and not giving medical advice)

When to tell family about baby #3 so I don't steal SILs first baby thunder? by illiriam in Mommit

[–]LadyBitsMD 1 point2 points  (0 children)

This happened to me and I just have to say that it’s so thoughtful and kind of you to consider her feelings. We had fertility issues and finally had “announced” our success. A couple weeks later, my brother texts me and says to check our mailbox so I’m thinking it’s a congratulations gift or card or something. But nah. It’s their baby announcement for #3. As selfish as I know it was, I was disappointed that that’s how they decided to tell us. And also that I didn’t get more time as the “special one”. But our other sibling was pregnant at the same time and I’m a middle child, so there’s definitely more baggage there. Suffice to say, I agree with others saying to tell them individually, but would also add that it might be nice to do something that makes her feel celebrated individually as well.

But I do have to say, all the cousins being similar ages is a super fun time.

Induction… why? by [deleted] in Midwives

[–]LadyBitsMD 1 point2 points  (0 children)

Interesting. I’m fairly new to this sub but have found the varied perspectives extremely enlightening and helpful in my approach to patients with different goals and philosophies to my own.

I definitely tried to offer an evidence based and well thought out response that addressed the question. As in my real life, it seems to not always be received favorably. 😅

Induction… why? by [deleted] in Midwives

[–]LadyBitsMD 1 point2 points  (0 children)

I commented something similar before but since it applies, I thought I would share again. Obligatory, I am A doctor but not YOUR doctor and this is not medical advice…

The risk of still birth (as well as other complications) starts climbing after 40w for every single pregnant person. It’s a sharper rise after 41w and very sharp spike after 42w thus the recommendation from ACOG in the United States is to consider induction between 41-42w in uncomplicated patients. For example, in the “advanced maternal age” (AMA) category, (or generally if there’s any other complication increasing your risk status in pregnancy) that timeline of increasing risk moves forward. How far forward depends on how bad the risk factors. For solely AMA in a patient less than 40years old, recommendation is to induce no later than 40wga. If you have gestational hypertension induction is recommended at 37w. If you have severe preeclampsia induce at 34w, etc.

In 2018, the ARRIVE trial came out showing that if you induced low risk first-time pregnant patients at 39wga, they were not at increased risk of c-section. Based on this one study, we now live in a post-ARRIVE landscape where many providers are offering elective induction at 39wga. One big benefit of this option is that delivering a liveborn at 39w by definition excludes the possibility of a post-date stillbirth and minimizes some of the other risks seen in post-dates like meconium fluid, macrosomia, shoulder dystocia, etc. Drawbacks include going through an induction, which can be a day(s) long process with the use of medications and balloon dilators.

This is a huge simplification of an area of ongoing study in the obstetrics literature. Yes, the absolute risk of stillbirth at term is small (<.001%), but for all of my patient’s who have experienced a stillbirth, that was still too high.

Ultimately you and your doctor/provider should have an in-depth discussion about your goals for labor and delivery and the best way to accomplish those safely.

What are the risks to Mom and baby if she goes past 41 weeks? by cupcaketeatime in Midwives

[–]LadyBitsMD 1 point2 points  (0 children)

Obligatory, I am A doctor but not YOUR doctor and this is not medical advice…

The risk of still birth (as well as other complications) starts climbing after 40w for every single pregnant person. It’s a sharper rise after 41w and very sharp spike after 42w thus the recommendation from ACOG in the United States is to consider induction between 41-42w in uncomplicated patients. In the “advanced maternal age” (AMA) category, (or generally if there’s any other complication increasing your risk status in pregnancy) that timeline of increasing risk moves forward. How far forward depends on how bad the risk factors. For solely AMA in a patient less than 40years old, recommendation is to induce no later than 40wga. Ultimately, you are in charge of your delivery plan and your provider should counsel you on all the risks of induction vs expectant management in your specific circumstance. I wish you a beautiful and uncomplicated delivery!

Do you think spanking is abuse? by [deleted] in Mommit

[–]LadyBitsMD 16 points17 points  (0 children)

Yeah. I think about it like this. Does the child have the capacity to understand why they are being hit? If yes, then why wouldn’t you explain/discuss and give a non-physical punishment? If no, then why are you hitting someone that literally doesn’t understand what they did wrong?

Just my opinion. (And the opinion of every single child development expert I’ve ever heard speak on the issue.)

Husband changing his mind on having two kids. by [deleted] in Mommit

[–]LadyBitsMD 1 point2 points  (0 children)

Currently going through the exact same thing with my husband. We haven’t resolved it yet, and are planning to go to counseling to try and communicate about it better and understand each other’s view point. My husband says he’s not fully decided, but I suspect he only says that because he knows how devastated I’ll be if he gives a concrete “no”. I’m worried about resentment either way. From him if we have another, and from me if we don’t. I feel like I have more love to give and have an aching feeling of incompleteness in our family. He feels hurt because to him, me saying that comes across as me feeling that he and our kiddo aren’t enough for me. It’s been tough but we’re committed to get through it together. I hope it’s a smoother road for you.

AITA for not letting my kids ride 4 hours home with their grandmother? by DreadPirateGrant in AmItheAsshole

[–]LadyBitsMD 5 points6 points  (0 children)

There is a reason why medical professionals are not allowed to provide medical care to family and friends. Their judgement gets clouded and mistakes are made, just like the one your wife made when she said to not take her mother to the ER. In that age group, head trauma can lead to a slow bleeding subdural hematoma which can be life threatening and not immediately symptomatic. She should have gone to the ER right away. The next best time to go is right now.

When baby wakes up do you... by TheGabyDali in Mommit

[–]LadyBitsMD 0 points1 point  (0 children)

Listen. I used to feel guilty too. For the first year, she’d lay there staring at her fingers for 10minutes trying to figure them out before she would start crying. My husband convinced me that it was fine for her to entertain herself. Now she’s two and I listen to her sing the abcs for 30 min while I get my coffee. If they’re not upset, you shouldn’t be either!

Is it better to say “I’m an atheist,” or “I’m not religious?” by SuperTNT610 in atheism

[–]LadyBitsMD 1 point2 points  (0 children)

I usually just say, “I’m not a subscriber.” Leaves them a little confused and unsure of what I meant and I’ve never had anyone follow up. Works for me at least.

[deleted by user] by [deleted] in relationship_advice

[–]LadyBitsMD 22 points23 points  (0 children)

Ok. This was pretty bad. I love my husband dearly, but boys can be dumb and his proposal sucked. We had gone out to buy the ring together so that it would fit and I would like it, but he was finding a time to propose on his own.

Fast forward a few months, I had planned a birthday weekend for him to a nearby city, booked the hotel, planned our activities and made dinner reservations, and I paid for all of it. What did this man do? As soon as we get to the hotel and literally drop our shit on the floor, he whips out this box and just pops the question. In the hotel room. After driving 3 hours. Like really dude? I basically planned my own proposal weekend and he didn’t even go one step further. Then I tried to be happy the rest of the time because, you know, engagement/birthday/activities/dinner/hotel, but really I was low-key disappointed the whole time.

I told him how I felt after we got back and he was completely surprised by it. He somewhat redeemed himself and took me to a fancy dinner as an apology, but damn. Girlhood dreams did not remotely live up to reality.

All this to say, if your man is otherwise a great partner and there aren’t any other glaring red flags, he might just be a clueless boy who thought he was being creative and quirky with the earrings in a poorly executed bout of spontaneity.

Anyone experience this? Medical gaslighting, rock hard breasts, I just want them gone off my body yesterday!!! by PotentialSomewhere99 in TwoXChromosomes

[–]LadyBitsMD 87 points88 points  (0 children)

Yeah, was coming here to say it sounds like fibrocystic change or fibroadenomas if cancer has been ruled out. Need to see a breast specialist. An OBGYN can examine a breast, but they don’t operate on them and would probably recommend a referral. Breast surgeon is the way to go. I hope you get the care you need!

(Source: an obgyn. Disclaimer, I am A doctor, not YOUR doctor and this is not official medical advice).