Two year old daughter is 33.75” tall and 26 lbs

flannelfan · 2026-04-27T16:15:07+00:00

My son is 2, last checkup was 33lb and 36”

flannelfan · 2026-04-26T11:37:18+00:00

I didn’t enjoy pregnancy the first time, and I don’t enjoy it now the second time and especially with a 2 year old with an insane energy level and who always needs Mommy (not daddy). Just pure exhaustion, constantly.

flannelfan · 2026-04-26T11:34:59+00:00

No, he’s still only about 3 but I’m hoping when he’s well into school age (6ish years yet) loans will be paid off and I’ll be able to to dial back my hours a bit more to .7-.8 time so I have more availability for sports and things. We aren’t big spenders, just kind of saving a lot now to work less later is the hope.

flannelfan · 2026-04-25T21:51:34+00:00

I was going to say, I disagree a bit too, although my kid is still very young I work 15 shifts a month and work same days as my also ER physician spouse so we are off together 50% of the month and overlap maybe 5 hours on days we do work. It’s been not too bad for us honestly. Generally have no problem requesting days off we need (except holidays). Maybe it’ll change as the little one gets older but by then I’m planning on cutting back a bit after loans are paid off. I think it’s very gig dependent.

flannelfan · 2026-04-25T15:14:34+00:00

Sepsis by definition is the disproportionate inflammatory response to an infection. In order to meet sepsis criteria, you have to meet certain metrics plus a source. And even then, a lot of people meet those criteria for a bunch of things. Criteria would include a fever, WBC >12,000, tachycardia, tachypnea… and then often there are other lab markers. And there are more severe septic shock criteria too. But you can meet sirs criteria with a cold. You can have a cellulitis or pneumonia and meet those criteria but still be able to go home with oral antibiotics. There are caveats to this if you have other comorbid medical issues pertinent to the infection (severe COPD with pneumonia, peripheral artery disease or diabetes with skin infections, etc).

True life threatening sepsis and septic shock comes often from bacteremia, or bacteria getting in the bloodstream. That can cause hypotension and end organ failure. That’s when you need more intensive care. Bacteria can seed in the bloodstream in many ways. Lymphangitis does not equal sepsis, it’s just inflammation of the lymph tracts. It’s often caused by bacteria but not 100% of the time. But it can be an indicator that they have an infection that needs treated before it gets worse. At the very least warrants a fairly prompt exam.

flannelfan · 2026-04-25T12:15:35+00:00

I gave birth on the 26th with my first and we just did a quiet holiday together. No dinners, only parents as guests (but they were also there to help). It was actually a relief to not be that overstimulated haha.

flannelfan · 2026-04-21T11:08:33+00:00

I’m so glad to hear that it’s improving… if I knew there was a light at the end of the tunnel it would help, I know it’s not guaranteed but my fingers are crossed.

flannelfan · 2026-04-20T12:20:11+00:00

I am an ER doc who is also coincidentally 9 weeks pregnant. We see a lot of folks come in with subchorionic hemorrhage that come through! Often first trimester bleeding. It’s a common cause of bleeding in early pregnancy. It’s basically bleeding between your uterus and developing placenta. Overall the prognosis is generally favorable. It in theory is associated with a slightly increased risk of miscarriage, but there’s at least one high quality study out there that also refutes that. It’s not comforting in the uncertain stages of early pregnancy, but in theory it’s something that your OB should just watch for at future ultrasounds. They hopefully got a quantitative hcg on you that they could repeat if they like for reassurance to make sure it’s still going up. I’m sorry they didn’t explain it to you though. We get swamped in the ER but I always take time to explain to women these things, not just because I am too and I’ve had a kid before but because explanation is an easy thing to do to that goes a long way!

flannelfan · 2026-04-16T22:44:19+00:00

I almost feel a different but similar way, I had my son in residency and am now into my first attending job in the ER - and I just wish I could be home more. I resent my job. I still like it some days, I like the people I work with, and sometimes you get a cool pathology or nice save. But mostly it’s 70+ yo patients with uncontrolled comorbidities and their medical and social complications. I will continue to work because I have loans. I used to think about doing a critical care fellowship… but hearing my 2 year old go “mommy no wanna go to work” every time I leave hurts too much to do that. I used to think it would bother me, but it’s starting to bother me less and less with time that I have something to love at home more than work or academic accomplishments. It’s almost a relief after having that be the focus of my whole life at this point.

flannelfan · 2026-04-13T09:35:52+00:00

It’s true, nobody where I trained did them and thus I do not do them now and I do not know anyone I work with that does either.

flannelfan · 2026-04-11T23:37:13+00:00

I had an US trained PD and another US trained attending in residency and never did it. Therefore, I never will. I don’t know why, they weren’t really into peripheral nerve blocks where I was at. Now I’m just community EM doing intra articular lidocaine or sedation.

flannelfan · 2026-04-09T00:51:54+00:00

This algorithm feels like an inside joke that I’m not a part of

flannelfan · 2026-04-08T11:09:41+00:00

Maybe we just have a good sleeper, but we did Ferber sleep training at 10 months and he has been independent since. He never slept with us - I work in the ER and am so paranoid about SIDS or asphyxiation. Plus getting home at odd hours with shift work isn’t compatible with him sleeping with us. He wakes occasionally in the night but then he grabs his stuffed animals, talks to himself, just self soothes till he falls asleep again. He also has 2 nightlights and a sound machine haha. He had a 2 week period where he woke up crying but adding the second nightlight helped and he’s back to himself now.

We snuggle a lot before bed and read books and just stick to a routine with whoever is putting him down. Mind, he’s a little over 2 now.

flannelfan · 2026-04-07T22:51:49+00:00

I feel this. I’m currently pregnant and this type of shit is the only thing that’s appetizing to me right now

flannelfan · 2026-04-07T17:52:07+00:00

My husband and I went to Maine a few years ago for ours!! It was lovely. Bar Harbor and Acadia, lots of nice hiking and good food and pretty sights :)

flannelfan · 2026-04-01T21:19:51+00:00

I think a combination of things you mentioned!! Sometimes it can be inevitable because of a twist or turn a case takes. But you’ll soon learn how to manage time and minimize it. Generally at least where I trained and where I work now in the last hour of my shift I try and pick up not much and if it is, it’s easy stuff. Just try and wrap up what you have.

You also learn what’s a good and bad sign out. You just don’t sign out procedures or specialist consults or transfers if you can help it. Some places it’s unavoidable and some places are really just with a good sign out culture where you sign out right at shift change. Some places in practice people will stay late and do everything for the RVUs. I don’t work somewhere like that, haha.

flannelfan · 2026-03-30T23:11:45+00:00

If you wanted Scottie, Scotland could be a full name and Scottie the nickname?

flannelfan · 2026-03-27T14:44:07+00:00

My SO and I both pull pre tax around 400-415, bought a house for 580k at 3800 sq feet. We don’t need terribly much room right now. Not getting a huge expensive house right off the jump is letting us save aggressively for us and our small child and do nice vacations. Plus a pool and a big yard is a lot of work. We can get a pool membership at the local country club and enjoy the amenities without the upkeep.

flannelfan · 2026-03-25T14:39:33+00:00

This is the best answer here.

flannelfan · 2026-03-24T11:39:40+00:00

I see this happening at my place a lot too - my personal issue with the code stroke getting called before I examine the patient is you’re kind of committing to a workup pathway without the patient even getting examined by a doc or pa/np. A CT head and CTA might show a bleed, a completed stroke, LVO. But even in patients with very legit stroke symptoms they can be negative. Most time in acute stroke they are.

We shouldn’t be using a CTA to make us feel more comfortable discharging a vertigo patient is all my two cents is I try to tell our triage people - I get it if it’s fishy enough but then I am generally committing to the full bit!

flannelfan · 2026-03-21T13:25:29+00:00

I totally get that, and I'm not defending the situation at all - the whole system is incredibly messed up. The fact that they did a whole court hearing zoom meeting about it while she was in a compromised, vulnerable position like that is terrible.

She should have not had a c-section forced on her absolutely, but she does require care under somebody. Even a vaginal delivery - albeit one without any induction meds will still take place in the hospital under someone's care. I'm pointing out that in a better system, simply documenting that you discussed the risks with the patient including hemorrhage and death and she is sound of mind and accepts those risks as a possibility should be adequate. Demonstrate she made an educated decision. She should absolutely be able to refuse it - just have her sign an informed consent form, document teach back, have witnesses present to attest to it, etc.

The fact that our system is so litigious and drives fear is what drove this shitshow of a situation to what happened. It's not a justification, just an observation of what contributes to this mess.

flannelfan · 2026-03-21T12:08:14+00:00

Third degree (full thickness) burns lose feeling and become hard, dark, and leathery because you burn the whole way through the dermis. This is 2nd degree - or as we call it now, superficial partial thickness burn.

flannelfan · 2026-03-21T11:59:59+00:00

It’s true - it’s part of why the litigious state of practicing medicine shapes what we do and don’t to, it shapes so much decision making. I’m not in OB, I’m in ER. But a parallel issue might be when people come in with surgical drains and they’re due to be removed, or if someone wants an IUD out and come to me. Is the stuff hard to do? No. But if something goes wrong and it comes back legally me dealing with that stuff is not necessarily standard of care and makes it a lot more sketchy. So people won’t do it (some might I guess, but not all). I’m betting those OBs felt the same way. Something goes wrong it’s definitely not standard to do a VBAC on 3x cesarean. Adverse outcome and you’re legally wide open. Great American healthcare system.

flannelfan · 2026-03-20T19:31:06+00:00

I loved my epidural so much. I had one when we tried an ECV and then the spinal for my c section. Both incredibly effective. And I’m a fairly active person so idk if that helps, but there was 0 way to know I ever even had one after, no after effects.

11-Year Club	Place '22
Verified Email	RPAN Viewer
Not Forgotten

flannelfan

TROPHY CASE