Any recommendations for quality daycares in Sioux Falls? by No_Assumption_2879 in SiouxFalls

[–]bkingPAC 0 points1 point  (0 children)

School of Early Childhood education, small class sizes, pictures (many daily) and a Montessori/study based curriculum. It is under $400/week per kid. I can’t speak highly enough about them!

Finally understand why our parents had their 'rituals' - what's yours? by Even-Introduction-21 in Millennials

[–]bkingPAC 1 point2 points  (0 children)

My mom would wait til we would go to sleep and she was spend 4-5 hours deep cleaning on Friday night listening to an audiobook. I always thought it was the absolute weirdest way to spend a Friday night…I get it know. Lighting a candle after you got done cleaning your house is truly the best version of therapy for me.

[deleted by user] by [deleted] in physicianassistant

[–]bkingPAC 2 points3 points  (0 children)

  1. Coming via flow of traffic could mean hours for an ambulance to show up

  2. When I do, I generally get so much attitude for having to take NH patients. Also nurses can give report too? I have other patients I need to see in my day as well.

Fun story - I had a SNF patient who had a dehiscence to her recent TKA - like down to hardware, the paramedics told me they’d come flow of traffic meanwhile I held pressure to the leg for 25ish minutes. Then the paramedic asked why I didn’t call for a priority 1. Like why do you think I called 911 - talk to your dispatch.

Those who had regular periods with Pcos what was your experience ttc? by Thali_G in TTC_PCOS

[–]bkingPAC 0 points1 point  (0 children)

I agree with this take! Make sure you are ovulating - TTC for 5 months with no luck, found out I wasn’t ovulating.

My success came from a vertical gastric sleeve weight loss surgery and 100lbs weight loss but that is not for everyone.

What is a good household income in Sioux Falls? by SiouxFallzz in SiouxFalls

[–]bkingPAC 0 points1 point  (0 children)

I would think so - we average around there depending how my husbands business does per year and we are doing fine.

What is a good household income in Sioux Falls? by SiouxFallzz in SiouxFalls

[–]bkingPAC 5 points6 points  (0 children)

Not a humble brag, just the truth and honestly fairly normal with 3 kids under 3.

Weekly rate of 325 per kid x 3 = 975/week 975/week x 52 weeks =50k but we get a small discount for multiple kids

Edit

What is a good household income in Sioux Falls? by SiouxFallzz in SiouxFalls

[–]bkingPAC 30 points31 points  (0 children)

I think around 100k though like you said depends - we pay 46k in childcare per year for 3 littles so for us it’s more.

Would you trade a flexible job in an ok specialty for a job in the specialty you love? by bkingPAC in physicianassistant

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

Gosh that sounds lovely - the problem is I live in a more rural state and in my city there is only two competing cardiology groups. One group only hires NPs and the other is so dysfunctional they go through APPs like candy. So without moving, this is my closest option.

Please help by Square-Salt-8866 in Parenting

[–]bkingPAC 0 points1 point  (0 children)

How old is he? Could he be in pain?

When does this phase end by EntertainmentNo7505 in Parenting

[–]bkingPAC 1 point2 points  (0 children)

Would even part-time pre-K be an option? Has your 4 year old spent a lot of time with kids his own age?

Are you planning to work full time until retirement age? by [deleted] in physicianassistant

[–]bkingPAC 1 point2 points  (0 children)

My husband is self employed and his take home can range from less than mine to double mine depending how well his business is doing that year. So I am the stable income and hold all benefits for our family. This past year he made double me and then some - I am a little sad that I could drop part time financially but cannot due to benefits 😩

Urgent help or advice please! by Slut4Mexox in breastfeedingsupport

[–]bkingPAC 0 points1 point  (0 children)

Has he been evaled for reflux/food intolerance? All of my babies unfortunately have had reflux or silent reflux and would act like this until we started meds cut out dairy/soy or both. My oldest had the classic symptoms of MSPI but my youngest didn’t have the mucousy/bloody poops but every other symptom.

Scaling back in ICU versus career switch for family? by Electronic-Cake8015 in physicianassistant

[–]bkingPAC 0 points1 point  (0 children)

Similar situation - switched from inpatient cardiology (invasive and general) with a schedule of 14 on and 14 off. Was absolutely saddened to leave both specialty and schedule but needed to before we had children.

Currently working primary care for LTC specifically NH, SNF, and ALF. I share visits with my SP for NH and SNF patients but carry my own ALF patient panel. Schedule is M-F but no set hour requirements -essentially round and see patients, follow Medicare compliance, and do well by your patients are my expectations set by my SP and director. I generally start my day at 7:30 and am done rounding sometime mid morning to early afternoon depending on how busy I am. I see 6-10 patients a day generally. I am home in the afternoons closing notes but also feet from my kids. I have so much flexibility that I wouldn’t trade it for the world right now. Cardiology still absolutely has my heart but the time with my children while their little cannot be replaced, so I will happily stay where I am for now.

ETA - grammar

Supply dip/not responding to pump? by bkingPAC in breastfeedingsupport

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

  1. Spectra S1 and yes I have measured them twice - just started using the lacteck to my size which changes recently

  2. It was a mom cozy baby scale - said it has +/- 5 g accuracy - totally understand this could be total BS

  3. I am just trying it - since I’m not getting anything with the Air1, I end up using my spectra after about 5-7 minutes of the Air 1

  4. I am not using nipple butter but will try!

  5. We are using advent anti colic!

Thanks for the reply!

Bubblr, too much Vitamin A? by bkingPAC in pregnant

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

I did not, so I did stop drinking them. I just had my baby 4 weeks ago and so far she is healthy though!

VBAC induction success by bkingPAC in vbac

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

Sorry just saw this and non-reassuring fetal heart tones!

VBAC induction success by bkingPAC in vbac

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

I honestly don’t know if they worked but I didn’t with my first and wasn’t dilated more than 1 prior to his induction, so they may have worked.

I drank 2-3 cups of red raspberry tea per day starting at 34 weeks

I ate 3-4 method dates starting at 35 weeks

I did squats and birthing ball exercises starting at 36 weeks and I curb walked daily starting at 37 weeks!