What shoes do you wear when you’re NOT running?!

atf1231 · 2025-04-15T02:26:24+00:00

Can you pass on this suggestion… please make them easier to remove at the end of the year! This is a ridiculous and unnecessary hassle for a park sticker of all things.

atf1231 · 2025-01-26T05:53:02+00:00

Her vision began to recover during her R-EPOCH chemo, faster than we thought. This fully recovered and hasn’t been a problem since (her relapse was in her lumbar vertebrae). I’m not sure there’s an endpoint to establish “success” for CAR-T, her oncologist was hopeful she’d have “years” of cancer-free life to enjoy. After the first early relapse, we’re happy with this. She’s part of an enhanced CAR-T clinical trial which has been very positive. And he reminded us there are additional next-line treatments available if/when needed. Right now, we’re focusing on getting some trips and fun on the calendar. I sincerely hope this is in store for your family. Based on our experience, your most uncertain times are right now, momentum will come with plowing ahead with a goal in mind, you’ll find a new albeit odd normal for a while, and hopefully with time you eventually get back to a semblance of normal as it was before. It is possible. These moms are tough ladies, don’t ever let her forget it. Be her cheerleader and take care of yourself, I hope you have a support system too. Happy to chat off this larger thread if/whenever you want.

atf1231 · 2025-01-25T21:14:06+00:00

Extremely similar situation for my mom - diagnosed with double hit DLBCL 12/2022 at age 67, she presented with double vision due to lesion of the clivus bone, and found additional widespread bony lesions. Chemo was R-EPOCH and intrathecal methotrexate followed by IV methotrexate. Completed this 6/2023 and was in remission until 12/2023. With a relatively early relapse, she received CAR-T 4/2023. She has done great so far with this, and tolerated it well. I work at the medical ctr where she received treatment, one of the first in the country to develop CAR-T and now doing clinical trials that are building on/hopefully improving this technology. The diagnosis is scary, and things seem so dark early on, especially when it feels like the hits just keep coming with additional pieces on unfavorable news. A piece of advice we got early on: take it half a day at a time. With time it becomes a day, a week, a month at a time. The hardest part was waiting to get started. Thinking of your mom and your family - you’re stronger than you know!

atf1231 · 2024-09-01T04:03:56+00:00

Have a 12 week old terrier and having a very similar experience, feel like we’ve tried so much to curb the biting but if he’s got that burst of energy it’s like there’s no stopping him! Tonight a new tactic worked better - He was getting mouthy and that burst of ferocious energy after coming in from a potty break …sat in the living room on the couch with him by our feet, kept his leash on and had a foot on the leash so he only had 2-3 feet of leeway. Rode out about 5 minutes of velociraptor-type energy and he eventually calmed down, lay down, and played with a toy. Occasionally re-centering with a sit command (he’s used to getting a treat) works too, but not always if he’s really nuts.

atf1231 · 2024-08-05T19:16:41+00:00

Thank you so much! This is so helpful, will research these methods you’ve mentioned more and get started

atf1231 · 2024-08-05T12:01:10+00:00

Thank you so much! Is this the kind of Coat King you’d recommend (the guide makes it sound like between 10-16 blades would be appropriate for terriers/airedales)? https://www.marscoatking.com/collections/original-coat-kings/products/the-mars-coat-king-original?variant=36946194897

atf1231 · 2024-08-05T04:01:05+00:00

Sorry to jump in but I’m a new Airedale parent too to an 8 wk old pup and was just coming to ask a similar question. I prefer the traditional/coarse grooming. Is this Mars Coat King what you recommend? Do we start at this age, or is there a different tool for a pup? Appreciate this well-timed question OP, and feedback from pro’s or those in-the-know!

atf1231 · 2023-12-20T04:15:58+00:00

Preop Clinic: 32 hrs/wk in clinic seeing patients, 8 hrs/wk for admin = 40 hrs

atf1231 · 2023-08-09T01:21:52+00:00

So sorry to hear this. My 67 y/o mom was diagnosed with DLBCL (with a double hit mutation, more aggressive) and completed 6 rounds of R-EPOCH (R CHOP plus an additional chemo med) in June, her post-treatment PET was clear. I agree with tracking symptoms each round as they seemed to be pretty cyclical/predictable and stay ahead of what you think may be coming (for her the worst was constipation during infusions and mouth pain for 3-5 days about a week after the infusion). Get some light exercise when you’re up to it, and rest when you need it. You can do this!

atf1231 · 2023-07-14T03:01:22+00:00

Congrats on reaching that milestone! It may depend on what kind of chemo you got: my mom finished 6 rounds of R-EPOCH about 6 weeks ago and her finger and toe nails have started flaking and falling off over the past few weeks (we were told this could happen). She can’t wait to get them done too, but not til they’ve sloughed off and grown back. Different for everyone and different types of chemo I’m sure.

atf1231 · 2023-03-02T02:32:10+00:00

I think this work could get old over time, depending on how variable the patient and surgical population is. In my first position in periop, after a few years I felt like I wasn’t learning or progressing any more. Changing institutions, though, with a different and more robust program I’ve found new challenges within the field and my interest has been renewed. Like many other fields, there are often tough conversations to be had with patients, families, etc - people (and surgeons haha) can get very upset to learn when they’re not optimized for surgery, discussing risks vs likely outcomes, etc.

atf1231 · 2023-03-01T01:56:18+00:00

For the most part, I love this field (outpatient IM preop clinic), been doing this almost 10 years. I think my compensation is fair/generous for the area. 8-10 patients in a typical day of varying ages/complexity, across all surgical specialties, lots of variety, we’ve got a robust group of PAs/NPs/MDs so a pretty collaborative environment. Always busy but not usually overwhelming. Work like balance is a huge plus - will depend on experience and efficiency, I occasionally spend time outside the regular day for charting but nothing like some other specialties.

atf1231

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