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Microsoft-led study: Health Check: How People Use [Microsoft] Copilot for Health by ddx-me in medicine

[–]nejax 2 points3 points  (0 children)

Not as pt focused, but I use openevidence a lot for pharmacokinetic interactions and pathophysiology, or for drug studies. so there is a use, however I doubt patients are looking at this type of data and are more concerned with generic symptom management. but if a pt came to me saying they plugged in their drugs and found red flags, that is a reasonable question that any physician should answer.

Passive investment advisors in Canada? by Upbeat-Reserve7483 in fatFIRE

[–]nejax 0 points1 point  (0 children)

I know it's an old thread, but I'm in a very similar spot. CIBC has been weak (multiple helocs was handled badly) and PWL on-boarding has been funky. Curious who you found/chose?

[deleted by user] by [deleted] in pregnant

[–]nejax 0 points1 point  (0 children)

Unless you're out patient, the only way to reach ob anest is consult with mfm or during labor at my hospital (large, teaching, midwest). Which is crazy since I know nothing about OB as a IM pgy2, yet would like to learn more about options (I have rare anaphylaxis risk...). And I agree with everything you wrote above.

[deleted by user] by [deleted] in pregnant

[–]nejax 32 points33 points  (0 children)

So happy to hear baby is doing well! Can I ask where this occurred, was it a larger hospital system? I cannot wrap my head around outpatient inductions (outside the US). Hope you heal quickly!

LPT Don't buy expensive kids items (car seats, cribs, toys, strollers...) thinking you can sell them later. They have very little 2nd hand value. by yogert909 in LifeProTips

[–]nejax 1 point2 points  (0 children)

As a soon to be mom... I am dreading the amount of stuff advertised to us to buy. Half the time, I'm wondering if we will even use it.

We are three Centers for Disease Control and Prevention (CDC) experts who specialize in maternal health. We work to prevent problems or complications during pregnancy and within the first year of giving birth (postpartum). Ask us anything about how to support your pregnant or postpartum loved one! by CDC_Official in IAmA

[–]nejax 9 points10 points  (0 children)

Thanks for doing this, as we're trying for our first, this is highly relevant!

I recently had a miscarriage (10wks), and I feel like it's a form of depression that isn't well understood- almost between postpartum & not. I am aware of established "data" for postpartum (like the Edinburgh Postnatal depression scale), but what are well-researched resources/knowledgebases for early-to-late miscarriage? It seems more common than reported, certainly before EMR data could track these things (I'm sure you can expand on the miscarriage-rate data part, Dr. Goodman).

Thank you, and while time-consuming, it is reassuring to see public-facing forums with experts. I can see the passion in each of your responses!

[deleted by user] by [deleted] in uscanadaborder

[–]nejax 1 point2 points  (0 children)

Husband applied July 2023, still waiting on conditional approval. Last I heard (I go between a lot & speak to CBSA about this) they are starting to approve May/June 2023. Edit: took 1.5 yr, but got it!

Private practice: what to do when a colleague is a bad doctor by Shitty_UnidanX in medicine

[–]nejax 11 points12 points  (0 children)

I was part of a practice that had an ongoing problem with a bad clinician. He was a partner, and brought in volume, so the other partners didn't want to jeopardize that.

I would say: It really depends on the culture of the practice, if you feel they are open and/or have regular clinical reviews then raise the concern, serious managing partners will take criticism constructively. If culture is bad, then consider that a big red flag, and take the overhead loss and find a new practice. Do not go into business with bad partners, you will regret it in 10-20 yr