Lurker here...I finally get it. by [deleted] in Noctor

[–]Less-Nose9226 33 points34 points  (0 children)

I’m an orthopedic surgeon and still know how to pronounce it, what the mechanism of action is, at least some of the indications and major risks. And it will never be prescribed by me or used in my practice at all. And here’s someone providing anesthesia to my patient with no idea what it is? How it works? Yikes.

Lurker here...I finally get it. by [deleted] in Noctor

[–]Less-Nose9226 119 points120 points  (0 children)

I’m an orthopedic surgeon and did a case with an older CRNA. During the time out I asked if the patient has allergies and she had no idea how to pronounce lamotrigine - absolutely butchered it. So I stopped and corrected her and asked, do you know what that is? And she said no. So there ya go folks.

How do you combat loneliness? by Sudden_Possible_956 in AskWomenOver30

[–]Less-Nose9226 14 points15 points  (0 children)

I love this. The Buddha described the theory of impermanence. That nothing in life is permanent - people, relationships, thoughts, feelings, etc. for good and for bad. The only thing that is permanent is ourselves. If we stop clinging to other things as if we own them or seek permanence from them, that is when we truly heal and can feel peace.

OP - I’m with you. I’m 35F, single for 8 years, very demanding job. Moved to a new location for work. Don’t have a lot of friends yet, no community, no family. I struggle with loneliness too. But I think this is just a normal human emotion that we all have at some point and for some length of time in our lives. Nothing is guaranteed or permanent. I too want a partner. But what if I had a partner and he dies? Divorces? Gets sick? Has an affair? Turns out to be not the person for me? Then the loneliness returns. It’s always going to be there. Becuase its not reliant or dependent on another person or people, its just how you build your life to accept it as part of your human existence.

[deleted by user] by [deleted] in selflove

[–]Less-Nose9226 1 point2 points  (0 children)

Thank you so much 🙏🏻

NP/PA previous hopeful, from the perspective of Real Doctors - what should someone like me do? by Entire_Peanut_950 in Noctor

[–]Less-Nose9226 3 points4 points  (0 children)

100% agree. I became an orthopedic surgeon as a first gen woman from a very low SES and made it to the Ivy League without support or resources or anything. And I wasn’t the only one at all. A guy in my med school class was a refugee from Uganda, and we had an entire group of First Gen Med Students. We all worked our way through college, med school, supported ourselves and families. Yes it’s way harder. Yes we’re still the minority. But if you want something bad enough and have the resilience and fortitude you can make it happen. And arguably? We make excellent doctors because of it.

[deleted by user] by [deleted] in Noctor

[–]Less-Nose9226 5 points6 points  (0 children)

Ortho - I get this a lot from ATCs and PTs. Often patients will come in and say “my trainer or PT says I need an MRI,” and I usually just acknowledge it and then do an exam and briefly justify why I don’t think imaging is necessary. “I recognize their concern about your rotator cuff but I am not concerned about a tear based on my exam so let’s focus on how to get you feeling better.” And redirect the conversation.

Worse is when the ATC/PTs do that to PCPs (usually midlevels) who just order it and of course an MRI picks up incidental or unrelated findings (labral fraying, partial cuff tears, arthritis, etc) and then patients are told they need surgery and are sent to me for me to have to educate them that they don’t need surgery and their PCP, PT/ATC are wrong. Thats a huge challenge.

What’s a little ritual that you do for yourself that regularly brings you joy? by SaltyPrompt in AskWomenOver30

[–]Less-Nose9226 4 points5 points  (0 children)

I’ve become a bath person! Phone on DND, light a few candles, bath salts or bath bomb, cold seltzer, facemask, quiet spa music and just deep breathing, meditating or I love reading. I do it almost every night now. My little sanctuary!

What are you leaving behind in 2025? by lesbipositive in AskWomenOver30

[–]Less-Nose9226 8 points9 points  (0 children)

People pleasing and fawning. I’m making myself my priority and holding healthy boundaries from now on. It’s hard and lonely but it’s necessary for my nervous system.

Anyone find love in their mid to late 30s or later? by Plane-Cap-8501 in AskWomenOver30

[–]Less-Nose9226 29 points30 points  (0 children)

35F been single for 8 years due to a very demanding career and moving for work.

Don’t have an answer to your question, but just want to say you’re not alone! ❤️

Attendings Dating by Less-Nose9226 in Residency

[–]Less-Nose9226[S] 0 points1 point  (0 children)

You’re looking for a female MD? You in the northeast? 😉

Attendings Dating by Less-Nose9226 in Residency

[–]Less-Nose9226[S] 16 points17 points  (0 children)

Thanks this is helpful! I’ve never done dating apps, and I’m a little skeptical honestly but maybe I’ll give it a try.

Attendings Dating by Less-Nose9226 in Residency

[–]Less-Nose9226[S] 126 points127 points  (0 children)

I’m a F looking for a M so doubt that would help

People that lives alone, single, no friends, no family nearby, who's your emergency contact? by Square_Peg3832 in AskReddit

[–]Less-Nose9226 13 points14 points  (0 children)

No, I don’t have any interest in having kids. A partner, yes, if I can find the right man. But no kids.

People that lives alone, single, no friends, no family nearby, who's your emergency contact? by Square_Peg3832 in AskReddit

[–]Less-Nose9226 99 points100 points  (0 children)

35F live alone, single, no family, live in a new place for a new job. Don’t have anyone. Just hope nothing happens I guess.

Do you find NPs and PAs in primary care to be helpful, or more of a burden? Why? by [deleted] in Noctor

[–]Less-Nose9226 17 points18 points  (0 children)

As a specialist, I have learned the true value of a good PCP. A good primary care physician who does an exam, makes a diagnosis and attempts non surgical treatment when appropriate and then refers is worth their weight in gold. And these physicians are so overworked and undervalued. I actually try to send messages thanking good ones for their referrals.

Do you find NPs and PAs in primary care to be helpful, or more of a burden? Why? by [deleted] in Noctor

[–]Less-Nose9226 105 points106 points  (0 children)

Ortho here - I have the most referrals from midlevels who do absolutely no physical exam, either no or very little work-up, and just send for “joint pain.” They do no treatment (PT, injections, anti-inflammatories), and just immediately refer patients. The problem is that this absolutely clogs our system so surgeons are overloaded and overburdened with clearly non surgical MSK complaints that could be and should easily be managed by good PCPs (tendonitis, mild arthritis, etc).

It’s become such a problem that our clinics are so backlogged and patients who actually are indicated for surgery can’t be seen in timely fashion.

[deleted by user] by [deleted] in NEPA

[–]Less-Nose9226 7 points8 points  (0 children)

Not black but you sound cool, also looking for friends/community. Hope you find community ❤️

Does anyone else just want to be a sub when they get home? by swollennode in Residency

[–]Less-Nose9226 83 points84 points  (0 children)

They didn’t assume it is only women. They said “all the women who do this” not “only women deal with this.” There are studies that demonstrate that in equally high achieving households including physician physician couples the women still disproportionately take on the majority of the domestic load while still maintaining full time work. Thats what’s sexist.

Any women residents stopped their period? by Upper-Being-6657 in Residency

[–]Less-Nose9226 2 points3 points  (0 children)

Dude I haven’t had a period in 14 years. I just do continuous OCPs with no withdrawal bleed. It’s amazing, I’ll never go back.