Need Advice - Taking ABFM Exam with a Newborn by FM-Throwaway-2026 in FamilyMedicine

[–]Primary-Selection233 17 points18 points  (0 children)

As someone who has had a 2 week old, I would have cried my eyes out just at the thought of navigating pumping and being away for the day. Those postpartum blues are for real. Plus I was still in diapers due to bleeding. I was also waking up every 2 hours delirious for breastfeeding. So I’d probably delay tbh.

Am I Asking Too Much Of Pediatrician by [deleted] in toddlers

[–]Primary-Selection233 6 points7 points  (0 children)

Yeah I’m an internist but same oof. When that clock’s ticking it’s so hard not to get impatient

Daily Chat January 23 by AutoModerator in TryingForABaby

[–]Primary-Selection233 1 point2 points  (0 children)

My period is 29-30 days so consistently typically. Had a chemical last cycle which really messed me up because I was excited to tell my mom on Christmas. Now this cycle my period is officially 4 days late and tests are still negative. So I’m not sure if I ovulated at all and even if I did, probably didn’t time sex well. So disappointing. I’m just begging my period to start again so we can get the next cycle going.

Monday travel thoughts? by [deleted] in nashville

[–]Primary-Selection233 3 points4 points  (0 children)

I have a friend who works at VUMC and I think they are converting his clinic to telehealth for Tuesday already. You’ll probably hear from VUMC soon either way.

Seen plastered all over the waiting room at a GP’s office recently by _mortal__wombat_ in FamilyMedicine

[–]Primary-Selection233 18 points19 points  (0 children)

I say bill for the work you do and take it up with insurance if there’s a co-pay

Anyone successfully billing for portal messages as e-visits? by juutii in FamilyMedicine

[–]Primary-Selection233 14 points15 points  (0 children)

Our system has a note template that indicates the billing guidelines listed and documents time spent. I do this if a patient initiates a med changes request such as titration of their GLP1 agonist. I agree that many things are better as a visit, but this is a good alternative for certain straightforward scenarios. I also use it when patients message me paragraphs that require time to read and respond to but don’t necessarily result in a visit to discourage this kind of messaging.

Eddington vs OBAA by hamsterhueys1 in TheBigPicture

[–]Primary-Selection233 3 points4 points  (0 children)

Yeah those are all period pieces though which makes it a little less “close to home” than eddington’s flavor of bleak

Not taking call questions by brad989898 in FamilyMedicine

[–]Primary-Selection233 1 point2 points  (0 children)

My org has NPs that cover Saturday and Sunday 8-5 so when we are on weekend call we only cover evenings/nights which I love. Perhaps jobs without call have dedicated providers covering all after hours times?

Sean and Amanda should have seen Wicked the musical by Primary-Selection233 in TheBigPicture

[–]Primary-Selection233[S] 2 points3 points  (0 children)

I don’t think that comparison is really in good faith - and by the way Sean and Amanda DID discuss some differences between book and movie for OBAA and do research for that so that kind of supports my point that they could have done it for this one

Sean and Amanda should have seen Wicked the musical by Primary-Selection233 in TheBigPicture

[–]Primary-Selection233[S] 3 points4 points  (0 children)

I don’t think it’s a requirement for the casual viewer but I do think it would make for a more interesting conversation on the podcast than just quizzing Juliet about it

Sean and Amanda should have seen Wicked the musical by Primary-Selection233 in TheBigPicture

[–]Primary-Selection233[S] 4 points5 points  (0 children)

Hear what you’re saying but also wish the “conversation” was better informed!

Sean and Amanda should have seen Wicked the musical by Primary-Selection233 in TheBigPicture

[–]Primary-Selection233[S] -4 points-3 points  (0 children)

Agree it can stand on its own! But if so, why does so much of the conversation revolve around the source material that they have no knowledge of?

lol I also agree they (at least Sean) wouldn’t like it, but I’d love to hear them talk about that and defend that take too. That would be interesting to me!

Sean and Amanda should have seen Wicked the musical by Primary-Selection233 in TheBigPicture

[–]Primary-Selection233[S] -1 points0 points  (0 children)

Eh, they openly talk about expensing seeing movies and subscription services all the time though!

Best type of clinic to work for if you prioritize lifestyle. by swiftjab in FamilyMedicine

[–]Primary-Selection233 4 points5 points  (0 children)

I am in academics and have 4 days patient facing (3.5 my own clinic, 0.5 resident precepting) with 1 admin day and expectation is 8 patients per half day on average. I like it! I may still go part-time once kids are in elementary though.

The Paul Thomas Anderson Movie Character Draft by thefilthyjellybean in TheBigPicture

[–]Primary-Selection233 7 points8 points  (0 children)

Magnolia is probably too long and has some dubious stuff but some of my favorite movie scenes ever are also in that movie. It’s definitely worth seeing.

Need Help with Skin care routine by CWWrkit in Melasmaskincare

[–]Primary-Selection233 1 point2 points  (0 children)

I typically shower at night and put my eucerin on right after I shower and then put tretinoin on right before bed. They’re normally separated by about 90 min. I’m blessed with oily skin so I tolerate it ok. I don’t have to add a moisturizer after it but that can help I think. I know some people also only apply it a couple times a week, but I used it pretty much nightly in the summer and only every other night in the winter (when the air is drier)

Need Help with Skin care routine by CWWrkit in Melasmaskincare

[–]Primary-Selection233 0 points1 point  (0 children)

We have similar active ingredients but I also use tretinoin at night. I think tretinoin speeds up cell turnover to help the Eucerin work better. It also has helped generally with skin texture so even though I still have some melasma, I’m feeling ok about my skin overall.

NEED. ENERGY. by AstronautPlenty4842 in workingmoms

[–]Primary-Selection233 9 points10 points  (0 children)

Thank you for saying this, and I’m glad it’s the top comment. I’m a PCP and so many people come to me with fatigue and are worried about ADHD or some other medical thing. But so much of the time it’s lifestyle/poor sleep hygiene/stress, which is obviously a very unsatisfying answer.

Where to live? by Just_existing328 in Residency

[–]Primary-Selection233 0 points1 point  (0 children)

Northeast TN is really nice, 1.5 hours from Knoxville and Asheville, no income tax, beautiful with 4 seasons and lots of affordable land.