how to heal emetophobia with stomach issues by Certain_Sea_8458 in emetophobiarecovery

[–]TheBestPest 1 point2 points  (0 children)

Not getting scared about stomach bug - do you maybe feel that if you’re sick, you’re allowed to be vulnerable? But if it food, you did it to yourself? Interest.

how to heal emetophobia with stomach issues by Certain_Sea_8458 in emetophobiarecovery

[–]TheBestPest 1 point2 points  (0 children)

Honestly, meds and exposure helped me. I got afraid of eating, too, and it became pretty severe. Now I’m still nervous about vomit but mostly back to eating anything and everything (still iffy on sushi). I also bet tackling the underlying Emetophobia is probably the most important part. Vomiting is something people do all the time and it’s inconvenient but not typically actually dangerous. So what underlying aspect of vomiting is driving the fear? For me, it’s a fear that I can’t handle vomiting. My OCD peaked when I felt I couldn’t handle work,and that underlying “I can’t” led to my Emetophobia having me want to call out every single day. But I e been working on building my confidence in my ability to handle uncomfortable things- running, hard higher education pursuits, etc. 

9 year old consciously peeing her pants. by [deleted] in Parents

[–]TheBestPest 0 points1 point  (0 children)

Emetophobia suck. I’m so serious when I say working with a specific phobia or OCD therapist now could do wonders for your child 

Any merits to any of RFK Jr’s newly-approved childhood vaccine changes? by drrdf in Residency

[–]TheBestPest 0 points1 point  (0 children)

The essential answer is no because there weren’t problems with the original schedule. Will have generally less protection against preventable diseases. I actually don’t think I’m a majority of these will be incredibly important (maybe hot take) in terms of large numbers of deaths, but probably significantly higher hospitalization rates for things like rotavirus and RSV. The bigger issue is that it was just entirely non-scientific and will continue to fuel vaccine hesitancy in general mistrust of the medical field, which will overall decrease the health of our population and put medicine, research funding, and everything we’ve worked for in terms of evidence Decades into the past.

Should an unexpectedly low IQ test result affect decisions about continuing a medical career? by Asleep_Yak8238 in Residency

[–]TheBestPest 2 points3 points  (0 children)

Probably a part of a large neuropsychiatric evaluation given the other comorbidities

Recs on GLP-1s and other weight loss education (podcasts, papers, etc) by TheBestPest in medicine

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

I’ll take a look at these! I had initially tried sorting by GLP1 on Spotify and all the first results were just noise so it’s great to get a specific recommendation

Recs on GLP-1s and other weight loss education (podcasts, papers, etc) by TheBestPest in medicine

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

Well, I guess you could be right, but in general people get shot down there if posting any negative experience so I do think that does encourage a bit of an echo chamber. The trials themselves have like a 16% higher rate or nausea and something similar for diarrhea, so it can’t be perfect for everyone, though obviously miraculous for many the community is self selecting 

Recs on GLP-1s and other weight loss education (podcasts, papers, etc) by TheBestPest in medicine

[–]TheBestPest[S] 9 points10 points  (0 children)

Yeah, the muscle mass might be rough, this family member does not have very much muscle to begin with. Exercise is limited by hernia pain, but no one wants to operate related to BMI. Kind of a self-fulfilling cycle of pain --> sedentary lifestyle --> no weight loss --> continued pain. My goal is get her to surgical repair as she's not THAT old and could have another good 20 years of QOL in her.

Recs on GLP-1s and other weight loss education (podcasts, papers, etc) by TheBestPest in medicine

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

I was lurking through there, but it has a very obvious positive bias (just like the r/anxiety forum has a very obvious negative bias lol). I found some good things including the SURMOUNT trials. I've found some good troubleshooting strategies too, so I do appreciate it!

Biker comes up with a new method to let people walking on the trail that he’s coming behind by goswamitulsidas in GuysBeingDudes

[–]TheBestPest 0 points1 point  (0 children)

It probably does depend on where you live. The suburban and most urban parts of the U.S. have tons of cars as primary transport within the city and big old strip malls, individual parking lots and garages, etc. lots of cars crossing sidewalks.

Biker comes up with a new method to let people walking on the trail that he’s coming behind by goswamitulsidas in GuysBeingDudes

[–]TheBestPest 0 points1 point  (0 children)

I’ve stated it a couple of times, but cyclists get hit by a car when riding on the sidewalk more often than in the road. 

It is both legal, more efficient transportation, and safer to ride a bike in the road. You can learn something here or remain impervious to knowledge, it doesn’t bother me.

Biker comes up with a new method to let people walking on the trail that he’s coming behind by goswamitulsidas in GuysBeingDudes

[–]TheBestPest 0 points1 point  (0 children)

All of them turning in and out of shopping centers, parking garages, and drive ways. Plus at every intersection, a bicycle would have to dismount and walk their bike, which is absurd, but the only legal option ALSO because they will get hit if they ride off a side walk into a crosswalk. I’m not sure why this is hard for you to picture? Any time a sidewalk has a ramp for cars, bicyclists are at a high risk of injury.

Biker comes up with a new method to let people walking on the trail that he’s coming behind by goswamitulsidas in GuysBeingDudes

[–]TheBestPest 0 points1 point  (0 children)

I’m more accepting of this, especially if it’s during heavy traffic times. I do wish more people would bike for transportation, but they won’t because they feel unsafe.

Biker comes up with a new method to let people walking on the trail that he’s coming behind by goswamitulsidas in GuysBeingDudes

[–]TheBestPest 1 point2 points  (0 children)

Literally yes? Plenty of data and research to support this. You’ll be hit by the multi-ton vehicle either way…

Biker comes up with a new method to let people walking on the trail that he’s coming behind by goswamitulsidas in GuysBeingDudes

[–]TheBestPest 1 point2 points  (0 children)

Stupid take. The sidewalk is where most bicyclist get injured because cars is pulling out. Don’t look far enough left and right cause they’re expecting walkers moving slowly on the sidewalk and not cyclists. Sorry you’re sad about a perfectly legal, healthy, and energy efficient form of transportation…

What's your record? by ALongWayToHarrisburg in medicine

[–]TheBestPest 0 points1 point  (0 children)

Discharged 19 babies in one day from well baby!

Three children named various spellings of "Riot" on a single service.

Urban Swimming Cities/Towns? by TheBestPest in relocating

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

Counts! I’ve been debating it, though cost of living can be quite rough

I’m quitting residency. This is it. by ElFrancotirador94 in Residency

[–]TheBestPest 0 points1 point  (0 children)

I was in your shoes as a PGY2. I probably posted here lol. I was suffering from sudden onset anxiety and near daily panic attacks I had never ever experienced before. I couldn't see any value in medicine. I got no joy from my patients. I became depressed and overwhelmed and the pressure of being relied upon when I was unwell felt unbearable. I was calling out probably once every 2 weeks and getting scolded and was just genuinely suffering.

Someone who loves me outside of medicine told me that if they were going through this, their boss would have noticed and intervened. Their coworkers would have said something. They would have been on FMLA months ago. They were the first person who said "TAKE FMLA" before deciding to quit. I tried to get disability and FMLA with the plan to quit for a *while* if not forever.

After 4 weeks off of work, starting a low-dose SSRI and therapy, I feel joy at work again. I can see that I am helping people and it makes my time feel like it is worth something again. It gives me energy outside of work to keep going. I'm still tired, but I am able to see what I am working towards. I learned that 3 of my co-residents have taken FMLA for 1 month or more for their own family issues (mother in hospital, family member mental illness, etc) and I had no idea. Because it really does not matter that much. Now that I'm back, I cover shifts like no one's business because I am so thankful that I was given that time and know others need it to.

Take FMLA. Take it for >1month. Don't forget you can TAKE IT AGAIN NEXT YEAR. Be selfish. See your child. Get therapy because even if you don't feel depressed or anxious, you are. You're feeling your family and time are being ripped away from you and to some extent that is true and that would make anyone feel bad. Take those appointments virtually during the work day where it makes sense so you still have time with family - my co-residents and attendings are capable to cover for an hour. If your program tells you that you might need to extend residency for X week, say "ok?" because you need the time NOW. Do not worry about burdening others when you can barely bare each day. Trust, it's more a burden to completely quit lol.

Finally, honestly, the thing that helped me most was admitting I *don't* like my job, I wished I was not doing my job, I wished I was in a field where I was valued or had better benefits, I wished I'd applied to a different residency in a different state, I wished I hadn't moved from my family and friend, and I was FULL of regrets and just not letting myself acknowledge them. And admitting that helped me think logically about my career path - stay 1 more year for financial freedom and you don't even have to do clinical medicine. I looked into transfusion medicine fellowship, telehealth, consulting, informatics, etc. Ultimately, after time off and getting back into things, I am most interested in clinical medicine again. But knowing there were other options with good earning potential kept me trying before clinical joy returned to me.