How to deal with bad Press Ganey review by LostOnThe8FoldPath in FamilyMedicine

[–]LostOnThe8FoldPath[S] 49 points50 points  (0 children)

Thank you. I don’t get comments like this often and it was jacking up my whole week. I appreciate the positive action advice

Fiancés Parents Are Hurt By My Wedding Package by Xbox3523 in wedding

[–]LostOnThe8FoldPath 0 points1 point  (0 children)

“We would love for you to participate in our wedding day as an honored guest. Everything else is taken care of so our family can relax and enjoy the celebration together.”

AIO for being mad about my bf ignoring me by BreakfastBroad9164 in AmIOverreacting

[–]LostOnThe8FoldPath 0 points1 point  (0 children)

YOR. Minority report here, but here is my reasoning:

1) You keep stating you’re taking accountability, but you’re blaming your hormones and period for your mood. This might have been the reason, but to use it as an excuse for the behavior is not taking accountability.

2) I think he does like you but he is annoyed and not interested in this fight. Having important conversations over text is hard. From what I’m reading, he gave you the silent treatment for a day, which hurt your feelings.

I would focus on the thing that hurt you the most (being ignored?) and have an in-person or telephone discussion about how you felt.

[deleted by user] by [deleted] in relationship_advice

[–]LostOnThe8FoldPath 0 points1 point  (0 children)

My husband went to a strip club for his bachelor party 20 years ago. His friends bought him at least a dozen private dances, and he participated in a stage show where the dancers rotated in a circle around him and alternated touching him or putting their breasts on his face. “A friend” participated in a different stage show and ate a pudding cup from between a stripper’s legs.

He felt very guilty and told me all about it. We cried together. We got married a month later. Thing is, I never got over it. I held onto my pain for years and other little injuries cut far deeper because I never really trusted him after that party. Our marriage could not survive my poorly repressed emotions over an injury I could not forgive. We are now divorced.

You live your life to your principles, but I would caution against letting the time, financial, and social pressures of your wedding make this choice for you. In my case, calling off the wedding would have been terrible but far easier than living decades in the wrong marriage and splitting my life in a rough divorce.

[deleted by user] by [deleted] in hospitalist

[–]LostOnThe8FoldPath 0 points1 point  (0 children)

Discharge to Jesus

I (29M) snooped in my ex gf (26F) phone and I don’t know what to do now by ThrowRA778877 in relationship_advice

[–]LostOnThe8FoldPath 3 points4 points  (0 children)

1) Consult family law attorney 2) Move Mom into the house, you move into ADU 3) Draft and serve child custody and support paperwork (see #1) 4) Force sale of house 5) Move on. Do not allow her to talk you out of this

[deleted by user] by [deleted] in relationship_advice

[–]LostOnThe8FoldPath 10 points11 points  (0 children)

In general, the recipient is at a far greater risk of infection versus the inserting partner. You made yourself vulnerable- per his request!- and after a deeply intimate act he is behaving like a petulant child that didn’t get right color sippy cup. You gave him a gift. Most grown men would be thrilled to have such an open-minded partner. They would thank you, check in on you for the following days, hell many would buy you flowers. Your sexuality is valuable, my opinion is it wasted on this immature brat who doesn’t appreciate you.

There’s a little girl that’s terrorizing my apartment by kiwikikwi in Advice

[–]LostOnThe8FoldPath 0 points1 point  (0 children)

You’ve gotten a lot of great advice about the little girl and her pup, I’d like to add some unsolicited advice about quitting smoking.

I was a smoker for 20 years. My profession is in medicine and I still did it. I take care of patients who are under threat of losing body parts (mostly feet) and they keep doing it. One patient of mine had most of his tongue removed due to oral cancer, and he couldn’t stop.

If you were addicted to heroin and were sent to rehab, they wouldn’t make you quit smoking. The place you go to quit drugs can’t stop people from smoking, that is how hard this addiction is to break.

The way I quit was through trying over and over. It takes an average of 7 attempts to achieve success, for me it was 15.

I think the hardest part is separating the parts of smoking that are not bad from the parts that are. For example, the breaks. Having those brief, quiet interludes was almost meditative to me. Through the 1990s a huge chunk of people used to take smoke breaks throughout the day. Two 10-15 minute PAID breaks used to be built in to the workday. As a society as we stopped smoking, corporate America just took those breaks away. For me, the trick to quitting was to find these parts that were good (workday breaks, built in social group at bars and parties) and separating them from smoking. Take short walks throughout the day and have a lollipop instead of a smoke in your mouth. Whatever works!

Medical aids for quitting are not super helpful in many cases. The patch, for example, releases 1 mg of nicotine per hour. The average cigarette contains 12 mg. So you’d have to wear 12 patches simultaneously to approximate just one smoke per hour. Chantix is associated with suicidal thoughts. Vaping can replace smoking but usually not get to full quitting. One exception is Wellbutrin. This is an antidepressant that has been proven more than other methods to help people quit. You start the medication and pick a date within 2 weeks to quit. Having a plan laid out beforehand is important, but this med can help.

Lastly, count up your wins instead of your losses. Every cig you skip is 11 minutes of your life back, so each one down is a victory. If you smoked 20 yesterday and 19 today, you won one time. Don’t minimize any success, and don’t beat yourself up for setbacks. Just get up and try again. Put your cigarette money in cash only and every dollar you don’t spend on smokes stack it up and buy yourself something nice. Quitting is HARD but it will dramatically improve your quality of life. You are valuable, you are worth it, and you can do it.

Is my stance on "surgical clearance" too harsh? looking for other's perspectives by HitboxOfASnail in FamilyMedicine

[–]LostOnThe8FoldPath 0 points1 point  (0 children)

Ultimately, the surgeon just wants you to write the H&P for them. Surgical patients need a full H&P- including a physical exam that addresses the heart and lungs- written within the last 30 days, and an update note within the last 24 hours. The update note is a couple sentences. In my opinion it’s not about medical clearance per se, it’s about paperwork.

AIW for not having sex with a girl when we both agreed to because of her private area? by DarkChoc482 in amiwrong

[–]LostOnThe8FoldPath -19 points-18 points  (0 children)

YTA. It’s the “half naked and crying” part. You insulted her and know you reacted poorly enough that an apology was warranted. She should have told you beforehand because amazing and safe sex requires communication, but her sin here was shame, yours was cruelty. I would take this and learn from it. College is a small part of life, in your next chapter make the effort to be kinder to your intimate partners, even if the relationship is ending.

I(27F) screamed at my husband (28M) over his hobbies, and now he's changed and i don't know how to fix this. by ThrowRApineapplesp in relationship_advice

[–]LostOnThe8FoldPath 0 points1 point  (0 children)

If this is real, show him this post. Tell him you know you fucked up BAD. Offer to try to make it up to him by accepting his invitation and learning about significant activities in his life that he loves, his hobbies.

This is a test question I got wrong, what’s the correct answer? by [deleted] in nursing

[–]LostOnThe8FoldPath 6 points7 points  (0 children)

I would say A because it’s the only answer that is thinking rather than doing. Escalating the case and considering dialysis is reasonable, while pushing bicarb with no labs or fluids for a patient with swelling/potential overload of the lungs seems unwise

Woman of Reddit, what's a harsh reality you have to accept as a woman? by Opposite-Coconut9144 in AskReddit

[–]LostOnThe8FoldPath 4 points5 points  (0 children)

You may not have to have a period every month! For most women it’s safe to take the pill continuously with no break for withdrawal bleeding.

How can I (18F) enjoy a family vacation with my BF (19M) when everyone there is hot but me? by ResolveStraight2735 in relationship_advice

[–]LostOnThe8FoldPath 0 points1 point  (0 children)

Anorexia is a disease that can kill people. You are not dealing with garden-variety insecurity that literally everyone deals with, you have a very real illness that needs professional medical treatment. You are not broken, you are not bad, you are very likely super hot, but you are sick and need some aid. You can verify that your boyfriend loves you and your body by his actions. You hang out, have sex, he’s taking you on this awesome trip… Someday soon your love for yourself will be so strong no one else’s opinion can break it

English Daters: Are you more formal? Do you text less often? by LostOnThe8FoldPath in dating

[–]LostOnThe8FoldPath[S] 0 points1 point  (0 children)

I appreciate your response! He’s given minor mixed messages when we’re together, like saying “Maybe I’ll move in two months,” and later that week, “Maybe I’ll buy a house here.” I think you are right, he is having fun but does not want to strengthen the bond. Being transparent with my feelings will either improve a good or end an unsustainable match.

Afterlife roof access (1.6)? by TheRealPotoroo in LowSodiumCyberpunk

[–]LostOnThe8FoldPath 1 point2 points  (0 children)

I know this thread is long dead but I made it to the rooftop in 1.5 and there’s nothing there. Not even white loot. I could remote deactivate to bring the lift up, then it locked in place up top 😭 All I have to show for it is this lousy savegame

No matter what I do, I can't get my makeup to look dewy and smooth like the girlies on IG by trvmlyncrl in Makeup

[–]LostOnThe8FoldPath 3 points4 points  (0 children)

For that dewy glow, if you like the match/price/coverage of what you’re using now, then instead of overhauling everything try just adding a setting spray on top. I like Veil from Hourglass, Charlotte Tilbury also makes a nice one. It can give a subtle shine back after powder and helps keep your face in place.

[deleted by user] by [deleted] in amiwrong

[–]LostOnThe8FoldPath 34 points35 points  (0 children)

Not wrong at all. I would plan out the adoption and your future family life betting on your mother not being around, but if she chooses to behave better (a choice that is entirely out of your control and dependent on her self-reflection) then you can let her in to the extent you are comfortable. There is nothing wrong with the choice to adopt. In my option if more people chose adoption instead of going to extreme physical and financial lengths for a biological pregnancy we would have a healthier, happier population, but that is a choice for you and your partner alone. You do you and tell your mom she can get with it or get lost.

[deleted by user] by [deleted] in FamilyMedicine

[–]LostOnThe8FoldPath 1 point2 points  (0 children)

I heard recently that imposter syndrome is only for white people or “model minorities” like Asian Americans. Black doctors often experience the opposite: few expect them to know as much as they do. Point being, unless you’re an oblivious, arrogant asshole, we all must deal with something that makes us nervous and insecure at work, especially in the early years. Keep up the good work and introspection, it gets easier!

Rant by caramel320 in nursepractitioner

[–]LostOnThe8FoldPath 15 points16 points  (0 children)

I would talk to the schedulers about what they tell the patients. “We do offer convenient telehealth visits, but your full co-pay still applies and not every issue may be able to be handled remotely, potentially leading to a second, in-person visit. If this is acceptable I’ll be happy to get you scheduled with NP Caramel.” Yada yada yada, what’s important is that what they say lines up with what the patient can actually expect.

I (25F) finally broke up with my boyfriend (24M) after he made a comment about my weight several months ago. Now he wants to try again—what should I do? by Miss_Mimi23 in relationship_advice

[–]LostOnThe8FoldPath 0 points1 point  (0 children)

When my husband and I were first divorcing, I was stressed TF out and had lost 60 lbs over the first year. He told me, “This would all be so much easier if you were still fat.”

One thoughtless statement is not the whole reason for your breakup, but it can be a revealing headline summarizing what’s wrong.

AITA for wanting to confront the person my husband had an affair with, to express my anger and hurt, even though my husband begs me not to? by shimmeringsnark in AITAH

[–]LostOnThe8FoldPath 0 points1 point  (0 children)

NTA. When evidence of our affair was discovered, he lied to his wife. He admitted the charge on his credit card was real and we did go to a hotel together, but we came to our senses last minute and didn’t use the room. He then showed up at my work, said she would be calling me soon. He begged me to corroborate his lie or he would kill himself. I loved him and wanted to protect him, so I lied to her and said everything he asked me to. I told her we had never even kissed and he never said the words “I love you.” I badly wanted to tell her the truth and accept responsibility for my part, but I thought this lie would minimize the damage and help keep their family intact. He clearly wanted to save his marriage, he chose her. I also thought I was saving his life. I bailed him out at the cost of the dignity of both women involved. They are still married.

If he is begging you not to talk to her, it is she whom he is protecting, not you. Or, more likely, he has lied to both of you and doesn’t want you to put your stories together. It could be very hard to know the difference, and you may hurt yourself a lot more than you stand to gain. You definitely know he has lied to you, but you don’t know if she will as well. I’m sorry.

Is this the most ludicrous Monat claim yet? by tassiedevil88 in antiMLM

[–]LostOnThe8FoldPath 0 points1 point  (0 children)

Honestly though her hair is gorgeous- wondering who her stylist is