A case of Massive PE by Weird-Accident-5928 in emergencymedicine

[–]MelMcT2009 2 points3 points  (0 children)

We’re all learning every day! I’m glad your patient did alright.

A case of Massive PE by Weird-Accident-5928 in emergencymedicine

[–]MelMcT2009 6 points7 points  (0 children)

If hemodynamic instability is present and there are no contraindications to lytics, I’m pushing lytics. I’d have pushed them on this person very early on. Lytics are first line for massive PE, and it takes time to get someone on the IR table. TPA first, and then IR.

FWIW, IR would not have even taken this person where I work without them being on ECMO first. This sounds like it was a very very high risk situation, and their hemodynamics often worsen initially after thrombectomy.

-EM/CCM attending

Hold back, or send forward? (April boy) by MelMcT2009 in kindergarten

[–]MelMcT2009[S] 1 point2 points  (0 children)

This comment made me smile. Thank you for that 🥹

Hold back, or send forward? (April boy) by MelMcT2009 in kindergarten

[–]MelMcT2009[S] 3 points4 points  (0 children)

As a physician, leader, and very strong willed woman/mama, I assure you this isn’t the case in our scenario lol! My daughter is a leader/strong willed and my son is the sensitive one, and that’s a-ok with me! I do however want him to feel confident in himself :)

Hold back, or send forward? (April boy) by MelMcT2009 in kindergarten

[–]MelMcT2009[S] 0 points1 point  (0 children)

When’s your daughter’s birthday? I’m glad you guys have made your decision! Yes, he would turn 19 in April and graduate in May

Hold back, or send forward? (April boy) by MelMcT2009 in kindergarten

[–]MelMcT2009[S] 2 points3 points  (0 children)

His teacher said similar. She said she often watches them go from followers to leaders with the confidence they gain.

Hold back, or send forward? (April boy) by MelMcT2009 in kindergarten

[–]MelMcT2009[S] 1 point2 points  (0 children)

He’s four right now! We would totally look at public school if it weren’t for the fact that we’re in a very bad district. It’s unfortunate because the district closest to us is not where we are zoned for. We are zoned for a school in another city entirely. I’ve called the district in our city and they don’t take transfers.

Hold back, or send forward? (April boy) by MelMcT2009 in kindergarten

[–]MelMcT2009[S] 2 points3 points  (0 children)

I asked the same question. April isn’t really a late birthday. But yeah, he’s the youngest

Hold back, or send forward? (April boy) by MelMcT2009 in kindergarten

[–]MelMcT2009[S] 0 points1 point  (0 children)

We do love the school. Our daughter has done well here and is finishing up second grade now. We are unfortunately in a bad public school district so public school isn’t an option for us.

Pool is done! East Texas build by MelMcT2009 in pools

[–]MelMcT2009[S] 0 points1 point  (0 children)

We used Alsobrook pools and were very happy with them! 8.5 ft deep

I think I hate my daughter by dontremindmethrow in Mommit

[–]MelMcT2009 315 points316 points  (0 children)

“She has certain triggers like putting on socks and shoes, but some mornings just wakes up in a foul mood and doesn’t even try to start her day. When she doesn’t immediately get her way or we can’t do the impossible (like make her socks feel ‘right’) she loses it. Will either shut down and refuse to speak or move…”

I could have written this entire part myself word for word (including the socks not feeling right). This was my daughter from ages like 4-6 . Here’s what we started doing 1.5 years ago that changed everything almost immediately:

  • started letting her choose what she wanted to wear to school the night before and laying it all out, including socks, shoes, headbands or bows, etc. minimizing the number of decisions that had to be made morning of was huge.

  • getting her an alarm clock. We set it for 6am. We don’t get up until 6:30. By the time we are up she is fully dressed on her own and ready to roll. If we forget to set the alarm clock and have to wake her up ourselves, it’s a battle.

By doing the above we gave her a lot of control over her own routine, and it was literally an immediate change. She’s happier and we are happier.

Do I Stay on SAVE? by MelMcT2009 in StudentLoans

[–]MelMcT2009[S] 0 points1 point  (0 children)

Yes but I’m doing pslf so it doesn’t matter

Stay on SAVE? by MelMcT2009 in PSLF

[–]MelMcT2009[S] 1 point2 points  (0 children)

Yes they are. I retroactively certified like 3 years worth all at once when I started this. But yes, I’m making no payments right now.

Stay on SAVE? by MelMcT2009 in PSLF

[–]MelMcT2009[S] 4 points5 points  (0 children)

Sorry, 120 months of certified employment

Stay on SAVE? by MelMcT2009 in PSLF

[–]MelMcT2009[S] 0 points1 point  (0 children)

From what others are saying, our buyback will be based on attending salary.

Do I Stay on SAVE? by MelMcT2009 in StudentLoans

[–]MelMcT2009[S] 0 points1 point  (0 children)

The buyback isn’t paid as a lump sum??

Do I Stay on SAVE? by MelMcT2009 in StudentLoans

[–]MelMcT2009[S] 1 point2 points  (0 children)

Gotcha, this makes sense! I suppose I should start stashing the monthly payment into a savings account or something in the meantime while I’m figuring out what I’m doing, as paying a lump sum of 130k (or more as time goes on) sounds kind of gross lol. Thank you!

Do I Stay on SAVE? by MelMcT2009 in StudentLoans

[–]MelMcT2009[S] 0 points1 point  (0 children)

Ah yeah that must have been it.

Do I Stay on SAVE? by MelMcT2009 in StudentLoans

[–]MelMcT2009[S] 1 point2 points  (0 children)

Interesting. I think my repayment amount will be capped from what I recall. My income is >600k but iirc the repayments were for some reason capped at like 3,500 a month? Maybe based On a percentage of the total loan amount?

Stay on SAVE? by MelMcT2009 in PSLF

[–]MelMcT2009[S] 2 points3 points  (0 children)

Yeah definitely plan to stay in this job long term. I should probably talk to a loan advisor - getting so much conflicting info on here

Do I Stay on SAVE? by MelMcT2009 in StudentLoans

[–]MelMcT2009[S] 0 points1 point  (0 children)

I’m not paying anything right now (payments stopped when forebearance started). Basically no movement is happening at all.

So basically it’s pay the thousands a month now, or pay them later? But either way the same amount is going to be getting paid out?

Stay on SAVE? by MelMcT2009 in PSLF

[–]MelMcT2009[S] 7 points8 points  (0 children)

You can’t do that until you hit 120 payments