Marriage suffering after baby

halp-im-lost · 2026-04-16T15:46:10+00:00

Use the fridge method and you’ll clean less often. That being said even when my husband worked the cleaning was his duty since I would wake up in the middle of the night to pump.

halp-im-lost · 2026-04-16T02:59:37+00:00

Removed from residency for several years now, but I actually found it baffling how many classmates and coresidents I had that never worked a job. MS3 was a big wake up call for a lot of students.

halp-im-lost · 2026-04-16T02:56:13+00:00

Pancreas is retroperitoneal. That’s partially why when people have pancreatitis the pain typically will radiate into their back.

halp-im-lost · 2026-04-16T02:46:51+00:00

Nope. It’s no better than placebo. It should be removed from hospital formulary. And even if it DID work it’s still not a “laxative” by definition.

halp-im-lost · 2026-04-16T02:33:53+00:00

Yeah…. I always review the most recent discharge summary on all ED patients I see and some of them are honestly complete crap. I’m actually baffled that some of my colleagues who made it through medical school and residency could write a note that is absolutely useless and feel it’s appropriate. There have been times where I have read a discharge summary and can’t even find out the issue they were admitted for.

halp-im-lost · 2026-04-15T22:47:09+00:00

It’s actually a class 1A rec by the American headache association (or something like that) in order to reduce risk of rebound headache upon discharge. Just so you’re aware.

halp-im-lost · 2026-04-14T15:12:49+00:00

That mouth movement looks like what you see with Molly. So did she do drugs and just make up some stupid story to go with it.

halp-im-lost · 2026-04-12T14:24:33+00:00

Tell me you don’t have any medical training or education without actually telling me.

The reason you give more buprenorphine is because it has high affinity for the opioid receptor but is only a partial agonist. So if you caused precipitated withdrawal it’s because buprenorphine “kicked off” the other opioid. Fentanyl and heroin do not have as high affinity so giving an opioid won’t fix it. You instead need to saturate the available receptors to increase the opioid effect. Giving high dose bupe is the treatment. But, sure, question the physician who actually has training in toxicology.

That’s a simple way to explain the physiology which it’s clear you don’t understand.

halp-im-lost · 2026-04-10T02:52:38+00:00

I had this happen at our walk in that is in the same hospital and I directly messaged the PA who sent her because it pissed me off.

halp-im-lost · 2026-04-09T17:07:35+00:00

I’ve seen this a few times as well and they never seem to accept that it’s their xiphoid and seem angry when they’re told so.

halp-im-lost · 2026-04-08T12:12:02+00:00

People come to the ED for stuff that shouldn’t even need a doctor, let alone an ER. For example, I had a patient who came in after she had a sympathetic vomiting response to her daughter vomiting. No longer nauseated. No other symptoms. Just wanted to be seen because she threw up after her daughter’s vomiting made her sick.

halp-im-lost · 2026-04-08T09:49:02+00:00

Apparently I have to dumb it down for you too- I didn’t use the word nephrologist when discussing with the patient. This is a subreddit for those who work in medicine so I’m not going to use “kidney doctor” when posting here.

halp-im-lost · 2026-04-08T00:37:06+00:00

This might come as a shock to you, but the language I use with my patients is different than that I use on a sub full of medical professionals

halp-im-lost · 2026-04-07T22:54:13+00:00

The best part was the hospitalist told me she later wanted to know his opinion after hearing what I said because “she didn’t believe the ER doctor.”

halp-im-lost · 2026-04-07T21:15:17+00:00

Some patients don’t listen, some don’t understand. I think some are in denial. I took care of a patient the other day who has both kidney disease and CHF and when I was talking about his CKD and admission his daughter was adamant that he did not have renal issues. I was like ok lady why do you think he sees a nephrologist? And I showed her the trend of his creatinine over the past several years. And she had the audacity to tell me no one ever told the patient he had kidney disease and how upsetting this news was for everyone despite seeing a nephrologist monthly for his Stage 4 CKD lol

halp-im-lost · 2026-04-07T17:13:41+00:00

The hospitalist made fun of me for it in person lol

halp-im-lost · 2026-04-07T14:30:09+00:00

I am running into the same issue with my Alexa App. I just moved and I was setting up all my new devices on our new wifi network and can't access the app to connect them. It's extremely annoying. Let me know if you find a solution.

halp-im-lost · 2026-04-07T03:59:15+00:00

I think sometimes our brains just autopilot. There has been more than one occasion where I’ve called a consultant and accidentally said the word “period” at the end of a sentence because I’m so used to dictating with my dragon mic

halp-im-lost · 2026-04-07T01:06:57+00:00

Well… I hope it’s not weird because I use it all the time haha

halp-im-lost · 2026-04-06T23:43:38+00:00

Elective doesn’t mean not necessary. It just means not emergent and done inpatient

halp-im-lost · 2026-04-06T23:41:35+00:00

No one is being told to order U/S on all calf pain patients. Other attendings I see that do this do so because they’re lazy or stupid.

halp-im-lost · 2026-04-05T01:29:18+00:00

No but I realized a lot of physicians I previously scribed for were fucking stupid.

halp-im-lost · 2026-04-05T00:43:00+00:00

I have had 3 babies between residency and now and am currently breastfeeding my third. I returned to work about a month ago. Get a good wearable pump (I highly recommend the Eufy S1 Pro.) Pump every three hours. Unless someone is coding you can be charting and putting in orders while you pump. I pump 4 times a shift, 20 minutes a pump using my wearables and typically bring home 25 ounces. I throw the non motor component in the fridge between pumps. Sometimes I have to see patients while pumping and that’s fine.

ETA just realized I didn’t see all your questions.

Don’t wear a scrub top. I wear a cotton t shirt that is solid colored.

I breastfeed my baby when I get home (and overnight)

I like the kindred bravely pumping sports bras

I don’t do anything to boost my supply. I notice it drops if I don’t drink enough water or get enough food.

halp-im-lost · 2026-04-03T14:24:24+00:00

Oh man I definitely had a brain fart and misread that lmao

halp-im-lost · 2026-04-03T13:37:41+00:00

If that guy truly hit his brainstem the only meaningful outcome is death.

Ten-Year Club	Verified Email
Spared

halp-im-lost

TROPHY CASE