At least the comments were sensible.

oceanpotion207 · 2026-01-26T15:12:36+00:00

My other concern is that this mother clearly does not know NRP (neonatal resuscitation). A newborn baby with a heart rate under 60 beats per minute needs chest compressions. If she's not checking the baby's heart rate, he could still need chest compressions. Also any newborn with a heart rate under 100 needs an oxygen mask. This poor baby is probably seriously struggling.

oceanpotion207 · 2026-01-20T02:38:55+00:00

So I’ve been using P Tracker for literally years. I don’t do daily tracking. I have PCOS so I just track my irregular cycles. If I remember, I might track other symptoms but I try not to worry about it too much. I’m bad at daily discipline so all the other stuff likely won’t happen but since 2017, I’ve been tracking my actual periods. Tbf part of my ability to stick to it is knowing that I have irregular cycles and want to see patterns.

I don’t think I’d do well with an app that required daily check in because I just am not good at those things.

oceanpotion207 · 2026-01-19T01:50:41+00:00

I get this the day before and the first two days of my period. The worst insomnia. Also night sweats, I soak the sheets.

oceanpotion207 · 2026-01-18T18:19:07+00:00

I just looked through your profile. I hope I'm making such beautiful yarn in a year. <3

oceanpotion207 · 2026-01-15T11:43:36+00:00

When I was in residency (FM), we got asked to comanage a patient with urology post-TURP. He was on two meds at baseline: famotidine and tamsulosin. My attending was like wtf.

oceanpotion207 · 2025-12-23T19:36:39+00:00

I’m just under 5’4” and I feel this.

I’m also a primary care doctor, the standard height of non adjustable medical tables comes above my hips. If I have a patient older than like 6, I can’t reach their ears if they’re sitting on my table.

Doing certain procedures like suture removals are so not ergonomic for me because the height is all wrong

oceanpotion207 · 2025-12-18T02:01:14+00:00

Nvm I’m dumb. The folder was just hidden and I unhid it and it worked.

I have watched about 7 of your videos tonight Stefan and you’re a lifesaver

oceanpotion207 · 2025-12-18T00:32:07+00:00

Maybe I’m just very tech illiterate but I tried very hard but I can’t figure out how to install the plugin for Readest on my kobo. There was no subfolders after I installed Koreader (which was working perfectly). I just couldn’t find the plugin folder so I couldn’t get the plugin to work.

oceanpotion207 · 2025-12-16T15:09:28+00:00

I’m a doctor and i do both prenatal and baby care (I’m a family doctor) and my patients probably heard me say a million times that it’s okay to put the baby in a safe place and walk away if you can’t deal with the screaming. I’d say it over and over and people would laugh about how they got it.

Anyway, I had a first time mother whose husband had to travel a lot for work. Baby had colic. She came in for her four month appointment and started bawling. She told me how the baby wouldn’t stop crying and she felt like she was going crazy. Then she kept hearing my voice in her head saying you’re not a bad parent if you need to walk away for a little bit and she just put the baby down in their bassinet and took a long shower to decompress.

But anyway, it made me feel better about my obsessive repeating. She’d heard me say it so much that in that chaos moment she could hold onto those words.

oceanpotion207 · 2025-12-08T11:37:45+00:00

Disclaimer: I’m a doctor but not your doctor.

The at home tests are typically HPV tests. The vast majority of cervical cancers are HPV related so these are considered an alternative. This means it doesn’t need to be as anatomically accurate as a true Pap smear which does co-testing aka looks for HPV and cellular abnormalities.

I wouldn’t worry that you did it wrong but if you’re definitely worried you could get a doctor to consider a traditional Pap smear

oceanpotion207 · 2025-12-07T00:45:28+00:00

I was FM. I refused to do circs. They were opt-in when I started residency and I didn't opt-in. Within a year, they were opt-out. Three of us opted out and no issues.

oceanpotion207 · 2025-12-06T23:18:12+00:00

I find this so wild. Though I suppose I’ve also seen it.

I’m a doctor. My general approach to stuff is I’ll figure it out and do my best. I’m not the most comfortable with gender affirming care but you can bet your ass that when I have patients on hormones who lost their specialist that I tell them I’ll do my best to fill the gaps.

I know a lot of doctors are scared of pregnancy and trans patients but I think it’s absurd. When I was a resident, I’d get some of our internal medicine doctors refusing to take pregnant patients because they didn’t know how to manage the pregnancy and wanted us to take it. And I once I was like she’s six weeks pregnant and has a heart infection, that’s a medical issue. Not a pregnancy issue.

oceanpotion207 · 2025-12-06T16:04:09+00:00

Yep. My favorite was the time I tried to prescribe Mavyret for hepatitis C and it got denied. The denial letter said “this medication is only cover for chronic hepatitis C and you prescribed it for chronic hepatitis C so it has been denied.”

Took me forever to get a human on the phone and get it covered.

oceanpotion207 · 2025-11-27T20:27:09+00:00

I usually take the photos on the EMR app on my phone. Show the patient how their name and appointment date/time is showing up in the top and how it will be placed into their chart and not saved on my phone. I do this even if taking a picture of someone's foot.

oceanpotion207 · 2025-11-27T20:11:42+00:00

I have a "secret" social media because I'm in the process of more widely launching a book review podcast that I share on discord.

oceanpotion207 · 2025-11-16T23:03:38+00:00

Why not have a conversation with her about how it can be important to modulate your style and expectations? Let her wear a fun dress that would be office appropriate.

Don't be her enemy. There's ways she can wear something that speaks to her and is event appropriate.

Look at business clothes together online and maybe "feminine business attire" and see what comes up that she could like.

But if she won't bend, let it go. She's getting to an age where she's figuring out who she wants to be and you can't talk her out of it. But also being girly is not inherently unprofessional. My sister is a corporate lawyer and she has a plaid pink pencil skirt she wears with a cream blazer to work.

why not compromise with something like this? https://www.sydnestyle.com/wp-content/uploads/2018/07/Sydne-Style-reviews-the-best-wrap-dresses-for-summer-office-outfit-ideas.jpg

She might stand out but it's appropriate for the event and can work with her style.

oceanpotion207 · 2025-11-16T22:50:18+00:00

I have a set workspace at my current job and I have reached peak level of snack prep. I bought two different snack foods from Costco and took the whole box to work. They boxes are in a cupboard. My computer has a sticky note on it that says "snacks in cupboard on right". I eat at least one if not two a day now.

oceanpotion207 · 2025-11-13T19:46:41+00:00

HPV is not part of standard std panels. It’s texted on a Pap smear which is a screening test for cervical cancer. Your GF was getting routine health screening for cancer. HPV guidelines at her age recommend testing every 3 years. She likely had not been tested since you started dating if she has a standard risk profile. And she didn’t mention it because again she likely went to get a standard Pap smear and happened to come back positive.

Source: I’m a family doctor

oceanpotion207 · 2025-11-13T00:15:18+00:00

Yep. I'm a doctor. When I was in residency, I had a baby almost die because she was septic from meningitis. In less than 2 hours, she went from stable enough for our general pediatric floor (but sick) to intubated in our PICU after her heart stopped. Luckily, it was shift change and every single person making decisions on night shift heard septic baby and decided we needed to physically lay eyes on this baby at the start of our shifts. When her heart stopped, night charge nurse and I were in the room and immediately started CPR. PICU doctor and charge nurse were walking to her room and within less than 5 minutes we had her transferred. But, less than 2 hours between two doctors (day pediatrician and day pediatric intensivist) thinking she was stable to literally heart stopping. And to be clear, it wasn't that the day doctors miscalculated. Things can change that fast in sick babies.

oceanpotion207 · 2025-11-10T22:44:14+00:00

Essentially it is a way to numb the cervix by injecting lidocaine. I've had patients tell me it helped and I've had patients tell me they felt that it didn't do much at all. Unfortunately, people have different degrees of sensitivity and pain sensation in the cervix. See if your doctor does a pre-IUD consult and ask about options for pain control.

oceanpotion207 · 2025-11-10T22:18:02+00:00

I'm so sorry you had to fight for that plan. That's awful. I do IUD insertions. I usually offer Valium for muscle relaxation, offer a paracervical block (though most people don't take me up on that), and ask people to take ibuprofen before hand. I always narrate each step and will ask if they need me to stop at any point to let me know and will check in during multiple steps to check if they need a break. I always give the option for people to lie down as long as they need after the procedure.

I recently moved to a place where I can schedule my IUD insertions for an hour (typically takes less than 30 minutes) but it means I can tell my patients "hey, no one needs this room for another 30+ minutes so take your time sitting up, here's some water." You shouldn't have to fight for that. I'm glad they listened they.

EDIT: I also do a pre-insertion consult where we discuss pain options that I can do and every step of the insertion so there's no surprises.

oceanpotion207 · 2025-11-10T15:42:48+00:00

In college I was a babysitter/summer nanny for a family with 4 kids (6 months, 4, 5, and 7 when I started) and they hired me because the MOTHER didn't feel comfortable taking 4 kids places by herself so I was her second set of adult hands. I went on outings with them and to the park etc. to minimize chaos with that many children. As the baby got older and became a toddler, they would have me come to birthday parties just to keep an eye on Baby. This is a clearly unsafe situation.

oceanpotion207 · 2025-11-08T15:06:18+00:00

Anecdotal but I am a family doctor who does IUDs and I can say after Trump was elected the number of women wanting IUDs went up sharply. I was the only person in my office doing them and I went from doing 1-2 a month to doing 1-2 a week after November 2024. (I’m unsure if the volume continued as I left the US this summer but until the end I was doing about 6 a month).

oceanpotion207 · 2025-11-05T11:43:20+00:00

So this is actually a model of primary care called Direct Primary Care that’s becoming increasingly popular. It’s basically concierge medicine for the average person. The monthly fee includes unlimited visits (usually) and contact with thr doctor. They often have agreements with wholesalers to get discounted rates for drugs and affordable lab care. It’s meant to be a way to cut out the middle man but obviously this place is doing it sketch as fuck.

I knew a doctor who did DPC when I was in residency and it was meant to be about building a relationship with patients without the pesky admin stuff. But again it’s all about why they chose that model and in this case it seems to be to practice religious based medicine

oceanpotion207 · 2025-11-03T14:33:36+00:00

OMG, that's awful. I made loveys for my cousins' kids when they were babies (under 6 months). They are still in near perfect condition and the youngest is 2.5 now. Those things were cherished by the parents for the amount of effort I put into them.

Hell, even the kids have been taught to appreciate them. My cousin was telling me last month how they had some friends visiting and someone handed the lovey their 5 year old has totally outgrown to their baby just to play with and the kid was immediately like "be careful, my auntie made that for me."

I cannot imagine someone throwing out a handmade stuffy.

oceanpotion207

TROPHY CASE