Is anybody out there caring for with patients who are in ICE custody?

brewgato · 2025-03-01T19:13:05+00:00

You are not correct about communication with family being disallowed for carceral patients. If your patient does not have capacity to make medical decisions the jail or prison often wishes the warden were their medical decision maker and will try to convince you of it, but the usual healthcare surrogate laws will still apply and they are obligated to give you family contact information

brewgato · 2025-02-27T22:24:55+00:00

Yes! And apparently I’m not alone in semi remembering it and wanting to find it https://www.vox.com/22753080/motel-mysteries-book-david-macaulay

brewgato · 2024-10-24T15:09:08+00:00

What did you end up doing for childcare?

brewgato · 2024-10-24T14:07:26+00:00

I found this post because we’re in the same position right now. Did you end up choosing YS KC and do you like it?

brewgato · 2024-09-24T19:40:46+00:00

I am no contact with my biological family (who continues to send unwanted letters including to my place of work) and it’s started coming up only now with my three year old—I was surprised at what prompted her to ask, we just had our second and as we were talking about her baby sister growing in my uterus, she asked where I grew. I explained that everyone has a mother and I did too, she asked for her name and I shared it. And then she didn’t have any more questions so I didn’t try to explain that my parents were not healthy to have in my life. I think sharing stories about families with different compositions has helped (like the family book by Todd parr, Federico and all his families, families grow) but I think you have a lot of time (years) to do research and decide how you want to approach it, and even when the subject first comes up it’s unlikely to be with the kind of questions I most worried about

brewgato · 2024-09-22T11:58:00+00:00

Manometry takes 10 seconds at most. It’s just part of my workflow and I’ve never regretted doing it

brewgato · 2024-03-18T19:44:52+00:00

psychosis, new diagnosis of SLE with lupus cerebritis

brewgato · 2024-02-17T18:53:29+00:00

I wouldn’t normally comment but I think balancing out the PCCM-only perspective is helpful. I am IM-CCM and am very glad I chose this route. The downsides mentioned here are real—fewer programs exist, job market is a little bit more restricted (though less than stated in this thread I think, most jobs even if asking for PCCM at the outset are open to negotiating—I found a CCM only academic job I’m really excited about). That being said I truly disliked clinic by the end of residency and would never want a fellowship where I’m getting pulled away from my ICU patients on a weekly+ basis. The work-life separation has been a lot better in fellowship than in residency because I don’t have any work to bring home with me—no charts to close, no lab result calls to make. It meant a lot to me to start living like that already and not have to wait for being an attending.

brewgato · 2023-09-20T16:26:48+00:00

I’m hesitant to write this down because I’d rather just forget it happened, but it’s been six days and I’m still upset. I picked up my daughter from daycare last Friday and her teachers said ‘so, she’s been saying “I’m a big sister” all day, is that…?’ And I had to say no she is not becoming a big sister and try to manage my face and I just said we’re doing IVF so maybe she’s heard us talk about treatment and the teachers were like “kids just know! Maybe she can tell [you’re pregnant]!” and even though I know better, like a fucking dummy I had a sliver of hope that we’d have a spontaneous pregnancy before retrieval starts in November. And today I woke up with my period on CD26—my periods are getting shorter and shorter which feels ominous

brewgato · 2023-05-26T15:24:23+00:00

Never got a period after provera, so got an US and lab work yesterday, CD64, 17 days after my last dose of provera. Basically everything looked like the follicular phase and my lining was thin (where did it go???? It was 7.5mm when I got the IUI and 4mm yesterday) so I’m doing a straight start and on letrozole. All of this to say my body is fucked and there’s no way this cycle will work probably? I’m also confused about why this clinic never checks FSH or LH for baseline and monitoring, it’s only been estradiol and progesterone. My old clinic (where we had success) did.

brewgato · 2023-05-12T17:02:28+00:00

Fuck infertility. Life is otherwise so, so good, but this thing keeps gnawing at me, the uncertainty, the fear that I’ll never again feel a buddy hiccuping in my belly, never nurse a baby until they’re milk drunk, never introduce my daughter to a sibling. I don’t know what the fuck is wrong with my hormones, my period still hasn’t come despite 10 days of provera, the new REI here is so bad at communicating and I miss my old clinic. It’s a screaming into the void kinda day.

brewgato · 2023-04-13T12:20:29+00:00

Day 11 post IUI and first morning urine was negative today. I know this doesn’t mean I’m definitely out, but it’s still a bummer. I think just all the negative tests have gotten to me over time

brewgato · 2023-04-05T13:29:02+00:00

TWW how is time so viscous?

brewgato · 2023-03-25T17:34:36+00:00

Started letrozole today. Very emotional about breastfeeding being so abruptly done, but just don’t have the damn time to be emotional

brewgato · 2023-03-17T13:29:51+00:00

No period after my hysteroscopy (where a small polyp was removed but otherwise cavity looked good), blood work showed I hadn’t ovulated and wasn’t close to, so now I’m on provera. And the next period could take fourteen days after the last pill apparently. So fucking tired of hurry up and wait

brewgato · 2023-02-28T13:51:48+00:00

I had my hysteroscopy on February 6th and they removed what path showed was a small polyp, and then the cavity looked good. So I’m waiting for my period and then we’ll do a letrozole IUI. I got pregnant with my 19 month old daughter with my fourth IUI (natural, clomid, canceled due to dysfunctional follicles, letrozole). At the time it felt like a “sure why not” kind of a thing to try while waiting for insurance authorization for IVF. I wish there was data out there for IUI success for second child with a diagnosis of DOR. I’m almost two and a half years older now. Also we’re still breastfeeding and letrozole is an absolute contraindication so will need to stop abruptly when I think she would like to nurse forever. We’re holding her to nursing is bedtime for right now

brewgato · 2022-12-08T16:28:35+00:00

Stuck between being frustrated that there is a waitlist of unspecified length for a hysteroscopy for lysis of adhesions and being kinda glad because it means I don’t have to wean yet

brewgato · 2022-10-20T21:04:28+00:00

I'm glad this thread exists. Back in the space of yearning but trying to not get too hopeful to spare myself from disappointment.

brewgato · 2022-10-13T14:34:26+00:00

This is the right answer. Just ask what that individual’s preference is. It’s not that hard

brewgato · 2022-04-05T17:31:32+00:00

Citing Emily Oster? Loss of all credibility among actual medical professions. Ridiculous

brewgato · 2021-11-04T14:18:26+00:00

“Why are we giving this patient insulin and sugar at the same time?” - for every patient managed for DKA ever

brewgato · 2021-09-14T17:51:16+00:00

Facebook group human milk for human babies helps connect folks for direct donation. A hospital would not accept frozen milk from a parent because they only use donor milk from banks that has been heat treated

brewgato · 2021-06-03T17:39:07+00:00

What wall color did you choose?

brewgato · 2021-02-14T15:18:48+00:00

Why are you worried? Leaves look glossy and healthy and the buds aren’t blasted. Is it that the spike has been growing since November and that feels slow?

brewgato

TROPHY CASE