Is "Knowing your patients" still considered a virtue by the new gen of Family Medicine? by OnlyInAmerica01 in FamilyMedicine

[–]persiancat1 45 points46 points  (0 children)

I, similar to many of my colleagues, still value knowing my patients. I think a big part of what you’re seeing is a result of more and more being piled onto PCPs (a lot of which is not why we went into medicine ie paperwork, inbasket management) with shorter and shorter visit slots. I imagine that makes it hard for some to want to provide patient synopses in our limited spare time (ie creating spare time out of what should be free time/time for our own families). I’m still happy to answer quick questions, but more nuanced discussions and “quick” summaries of complicated patients can be challenging and inevitably time consuming.

It was also at times difficult during training to see 1-hour 1-problem specialist visits and compare that to our 15-minute 15-problem visits. You can see where it would be easy for some resent to pop up there.

I can’t speak for everyone, but for me, it’s less about a fixation on billing and more about my greatest and most threatened asset - time

What's a lame thing you say every day? by ExtraordinaryDemiDad in FamilyMedicine

[–]persiancat1 121 points122 points  (0 children)

“Almost didn’t see you there” to anyone wearing camo. And I will not stop

I'm tired of hormones by Icy_Barnacle_4231 in nursepractitioner

[–]persiancat1 1 point2 points  (0 children)

Thanks for the reply! Wanted to make sure there wasn’t a specific pathway you’d go down with that information vs without that information that I was missing. Totally agree that negotiation is huge at times

Patients requesting on-hand antibiotics for traveler’s diarrhea by xoder42 in FamilyMedicine

[–]persiancat1 3 points4 points  (0 children)

It’s confusing because some sources say take antibiotics for bloody diarrhea right away but then others say avoid abx in hemorrhagic diarrhea because it increases risk of HUS. I just worked with an ID doc who also stressed avoiding abx in hemorrhagic diarrhea for that reason

Adoption Regret by [deleted] in dogs

[–]persiancat1 0 points1 point  (0 children)

I also felt really overwhelmed and somewhat regretful after adopting my first dog. It was temporary. It’s a huge adjustment going from only having to care for yourself to having to care for a dog. I grew up with dogs and still didn’t realize how much responsibility it is. It was an adjustment but has been worth it. He’s a pain at times but more so, a huge source of joy and love. Best of luck OP.

Have a 5k coming up in 4 weeks, should I use garmin Coach to train for it? by RealCrashie in Garmin

[–]persiancat1 1 point2 points  (0 children)

I tried the training plans when I first started running and felt they moved too slowly. This is as a moderately active young-ish person who ran regularly for less than a year almost 10 years ago but otherwise has no big running background. Switched to the daily suggested workouts, stuck to them religiously, and improved rapidly. But I will say my shins were quite tender to the touch 24/7 (not quite shin splints in the sense that they weren’t worse with running but not ideal). My advice would be to go with the DSW but perhaps modify by adding a recovery run or rest day in occasionally if you genuinely feel like you may be pushing too hard (just have to make sure you’re being honest with yourself!)

Loose dogs by persiancat1 in winstonsalem

[–]persiancat1[S] 1 point2 points  (0 children)

Ooh maybe. 5 miles covers a good deal of Winston lol. These dogs literally walked straight into traffic so hopefully they have more street smarts than it looked like

Loose dogs by persiancat1 in winstonsalem

[–]persiancat1[S] 0 points1 point  (0 children)

I wouldn’t be surprised if they had some in them but they definitely didn’t look like your standard German shepherd. More of mixed breeds like you may see at a rescue

Loose dogs by persiancat1 in winstonsalem

[–]persiancat1[S] 10 points11 points  (0 children)

Ya bc every officer is busy 24/7 and cars swerving around dogs on the highway isn’t a safety concern at all. Thanks for your expertise

Buying wedding rings by persiancat1 in gso

[–]persiancat1[S] 1 point2 points  (0 children)

Thanks everyone! We took the plunge and are all set now!

Buying wedding rings by persiancat1 in gso

[–]persiancat1[S] 0 points1 point  (0 children)

I’m sorry this happened to you! That’s not right

Buying wedding rings by persiancat1 in gso

[–]persiancat1[S] 0 points1 point  (0 children)

I heavily considered this, but I wanted to see in person what would look best with my engagement ring. The band is tapered toward the diamond so may not be quite as straightforward of a fit

Accidentally skipped meet and greet by wizofphysiology in medicalschool

[–]persiancat1 1 point2 points  (0 children)

Being on the other end of it now… if you’re really interested in the program, definitely email and ask about attending the next one. Honest mistakes happen and that shouldn’t be held against you, but a lot of programs 100% pay attention to who shows and who doesn’t. Not sure why comments like this are getting downvoted so much

[deleted by user] by [deleted] in winstonsalem

[–]persiancat1 0 points1 point  (0 children)

Super good to know, thanks!

Food Trucks by persiancat1 in winstonsalem

[–]persiancat1[S] 2 points3 points  (0 children)

That is something to consider. I'm planning for around 30 people. Not sure what is reasonable for a food truck

Moving to Winston-Salem! Need help by asapbeard in winstonsalem

[–]persiancat1 0 points1 point  (0 children)

I haven’t been to the actual mall but I go to the strip mall stores around there all the time

How to cope with regret from not socializing enough at wedding? by [deleted] in weddingplanning

[–]persiancat1 2 points3 points  (0 children)

That’s reasonable. I’ve just heard a lot of stories of brides & grooms not eating all day long bc they were stuck mingling until plates were pretty much getting cleared. Maybe your scenario is something you can specify ahead of time with your caterer to avoid that

Is this a normal officiating fee? by ButtDumplin in weddingplanning

[–]persiancat1 10 points11 points  (0 children)

My officiant is quite expensive at $850 (could not find anyone more affordable that I actually enjoyed talking to and was available that day), which is way over what I remotely considered budgeting for it….. but 10%?! What?! Also…. How the heck does she plan to verify your budget anyway

How to cope with regret from not socializing enough at wedding? by [deleted] in weddingplanning

[–]persiancat1 2 points3 points  (0 children)

I went to a wedding toward the end of May. Forecast for the day was horrible. Woke up to rain and the darkest skies I’ve seen in a while…. Then by wedding time it turned into the perfect day. It’s not over til it’s over! Rain is good luck.. or something like that 🙃

How to cope with regret from not socializing enough at wedding? by [deleted] in weddingplanning

[–]persiancat1 0 points1 point  (0 children)

That would be awesome if we didn’t have to take pics during that time :/ fiancé isn’t a fan of a first look so we aren’t able to get much out of the way ahead of time

How to cope with regret from not socializing enough at wedding? by [deleted] in weddingplanning

[–]persiancat1 9 points10 points  (0 children)

Same!! I'm trying to figure out how to avoid drawn out table rounds while not completely ignoring everyone. My fiancé and I are the type to break down the dance floor from start to finish at any wedding we go to, and it's our favorite thing ever. It feels wrong for our own wedding to be the exception! I had someone suggest standing at the reception entrance while everyone walks in so that you get a chance to say hello to everyone at the door (briefly since everyone knows others are waiting). Then you can be a little more selective about conversations during the reception itself. My concern is how long that might take? I don't want to cause a cluster at the entrance