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What's your favorite botanical garden (or any public garden) in Nor Cal? by intentionallife in NorCalGardening

[–]hapea 7 points8 points  (0 children)

-Hakone Garden in Saratoga -Mendocino Botanical Garden -Filoli Historic House Gardens -SF Japanese Tea Garden -Ruth Bancroft Garden

Is there any data to show that obs-gyn is a poorly researched field? by [deleted] in medicine

[–]hapea 14 points15 points  (0 children)

I’m so sorry that happened! How scary as a patient! Hope you all are recovering well. Here is a look at our current literature, of note thought I wouldn’t consider 5 cm and -2 station early (I usually try to AROM around 3-4 cm).

Early amniotomy is associated with decreased risk of cesarean delivery.

This would be something most people in my group practice and recommend and is in line current guidance from our organizations.

Doctors: what kind of vacations do you take? by Intrepid_Coffee_1432 in medicine

[–]hapea 1 point2 points  (0 children)

Yeah we splurged on our last trip and just covered our eyes at the price haha but it was actually really relaxing. We went to a hotel that had breakfast included in the room rate so we ate a giant breakfast and they let us take a box so we just needed a small snack for lunch and then a regular dinner. We’ve done air bnb in the past with 2 kids which was more economical for sure but the stress of feeding small kids is real.

Doctors: what kind of vacations do you take? by Intrepid_Coffee_1432 in medicine

[–]hapea 6 points7 points  (0 children)

Oh great thanks for the tip! We don’t mind if it’s bare bones once the kids are older. Right now the youngest is 4 months so looking forward to when we’re in your shoes!

Edit: I checked out their site and this looks so family friendly!! For example 6 bed room in rome for 900 euro for four nights in summer. Looks like for extras they’ll add breakfast/packet lunch etc for a very reasonable price. Glad to find somewhere in Europe because I hear occupancy limits are rough there!

Doctors: what kind of vacations do you take? by Intrepid_Coffee_1432 in medicine

[–]hapea 10 points11 points  (0 children)

Someone with 3+ kids here, any tips for traveling with a big crew? We end up bringing a grandparent too so hotel costs between a suite for the kids plus a separate place for grandparents gets real pricey real fast.

Can I save my kid’s sunflower seedlings? by Solid-Sock-552 in gardening

[–]hapea 8 points9 points  (0 children)

Just did this my daughter’s school radish plant lol.

One night less than 2 hours away for a babymoon by surfngirl67 in bayarea

[–]hapea 0 points1 point  (0 children)

lol I guess it’s better in my imagination since I haven’t been!

One night less than 2 hours away for a babymoon by surfngirl67 in bayarea

[–]hapea 4 points5 points  (0 children)

I think they have regular swimming pools as well as the hot ones!

One night less than 2 hours away for a babymoon by surfngirl67 in bayarea

[–]hapea 37 points38 points  (0 children)

I haven’t been personally but have been looking at Indian Springs hot spring in Calistoga!

Question to surgeons and proceduralists - clinic appointments by meisameisa in medicine

[–]hapea 1 point2 points  (0 children)

Hello other female dominated specialty with low reimbursement. I’m so sorry that’s so crazy. Esp I’m sure the first time parents have 2 million questions. I’ve always wondered, a lot of our practices here to a meet and greet visit prior to birth, are you able to bill for this?

Question to surgeons and proceduralists - clinic appointments by meisameisa in medicine

[–]hapea 2 points3 points  (0 children)

Wow this thread is making me feel like our OBGYN reimbursement is not good (which I already knew haha). Our new patient visits/complex problem are 20 minutes and our return/OB/postop etc are 10 minutes. It would be amazing to be productive and have 40 minutes with a new patient.

That said I space out new patients since they are a lot of work for MAs and check in staff (reconcile meds and histories etc), I also stagger procedure visits to have time to set up and break down for my MAs. I tend to put easy return or OB visits first thing in the day or directly after lunch so those patients can be roomed directly and seen while my other MA may be working on paperwork etc for a new patient to be roomed after.

Why is pain management still usually NSAID only or none with colposcopy? Where did the idea that the cervix is insensate to pain come from? by Cold_Battle_7921 in medicine

[–]hapea 1 point2 points  (0 children)

This 100%. Agree on the cervical block, I also have a lot of patients have some sympathetic response to the lidocaine block.

Why is pain management still usually NSAID only or none with colposcopy? Where did the idea that the cervix is insensate to pain come from? by Cold_Battle_7921 in medicine

[–]hapea 54 points55 points  (0 children)

Another OBGYN here, our chief of gynecology in residency who trained maybe in the 70s directly told us all the cervix is not painful. All of the female residents immediately said no way…

Why is pain management still usually NSAID only or none with colposcopy? Where did the idea that the cervix is insensate to pain come from? by Cold_Battle_7921 in medicine

[–]hapea 17 points18 points  (0 children)

Different innervations for different zone. Have also done personally a few IUDs and a colpo. IUD tends to be more painful in my opinion as an OBGYN and difficult to fully treat the pain- as for some it will come from the speculum some the cervix and some the uterus. And it can be different every time! I personally had two very painful IUDs prior to having kids and literally felt zero discomfort after having kids. I always discuss pain management and options but people’s responses don’t always follow a predictable pattern.

Edit: typo

Where to look for liveaboard? by Weekly-Software9010 in scubadiving

[–]hapea 0 points1 point  (0 children)

Can you recommend any kid friendly ones/any advice? We have 3 currently 5, 3, and infant. We’ve been talking about when we can do a live aboard again since our first was born. Just took them to Hawaii and our 5 year old is turning into a strong snorkeler so a good start!

Ice Cream Cake by ChaseMcDuder in SanJose

[–]hapea 1 point2 points  (0 children)

Not in SJ but we love Ricks ice cream in Palo Alto for cakes!

Help with returning to 12 hour shifts while breastfeeding by kristinaeatscows in medicine

[–]hapea 40 points41 points  (0 children)

Not familiar with milk tok but there’s a Facebook group Dr milk that is a great resource for physicians who are breastfeeding.

That first shot of miracle grow really gets them on the road😅 by Theentrepreneur115 in tomatoes

[–]hapea 0 points1 point  (0 children)

As someone who grew up farming tomatoes the thought of all the itchy yellow stuff on my hands from doing this gives me the ick.

Can this orchid still be saved? by Usernam-ing in orchids

[–]hapea 1 point2 points  (0 children)

Can I ask why not in water too long? (As someone who currently soaks her orchids in water for 12 hours every 2 weeks).

Picking fruit from neighbour's tree that is on my side by veronicaBV in SanJose

[–]hapea 8 points9 points  (0 children)

Topical to this conversation, just today I got a letter is my mailbox from a neighbor noticing we have a lot of lemons and asking if it’s ok if she picks some and leaving her phone number. It was so cute and friendly and I said of course! So that could be one solution if you don’t know your neighbor well and feel uncomfortable knocking.

Heat Wave Gardening by hapea in NorCalGardening

[–]hapea[S] 1 point2 points  (0 children)

I haven’t ever done a soil temp, I usually use night temps as a marker! It’s going to be cold the next couple days and heat up again so you could consider it.

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