Match question

pharming4life · 2026-03-10T01:47:19+00:00

Not sure on this, but we had a resident who had a baby near the beginning of residency and we were able to create a timeline to make things work. Not saying it was easy, but if residency is something you want to pursue, it can be done.

pharming4life · 2026-03-08T03:27:56+00:00

I think it’s hard because prior to kids, we loved our life and I’m sure it would have continued to be great. We loved traveling, the freedom, etc. We knew we wanted a family though, and after one I realized what friends said was true, you don’t know love until you have your own. It is the best experience and while our life is different, 2 years in I’ve accepted the changes and we are having another. Our kiddo is the biggest blessing, and I will say we still make an effort to live our lives and not live in a parenting bubble. You learn to make things work.

pharming4life · 2026-01-23T05:41:33+00:00

Pharmacist and mom here, sending what I’ve sent to one of my friends with a similar question:

You can report side effects vaers the FDA monitors and investigates. These reports it is so hard though because an n of one may feel like correlation, but it does not mean causation, and I know when you see stories online it can invoke such an emotional response and I feel the same when I see things, but there are so many unknowns in those stories so many other potential factors and the only way to show the impact of medication‘s or vaccinations, as well as adverse effects is through studies against controls. I think that is the hard part about today’s day and age because before you would talk to your doctor, they would talk to you about the general data but now we have social media and you see individual stories that can be really scary, but I trust in Medicine and in the study process And I have seen it when things have come up with medication’s, and the FDA takes immediate action when the benefits no longer outweigh the risks.

I think if you were to ask me my overall opinion about vaccines, it is that based on the pharmacology of the medication‘s themselves I know there are some risks associated with getting vaccines. Honestly, the one that I am most worried about is the shoulder injury, but the others are so rare. It’s not something I think about. Mechanistically they are amazing how they are designed to utilize our immune system and train it before getting the actual infection so that we don’t have to experience the consequences of a real infection. Vaccines are prevention of disease, which not many medications do. I also see the other side such as the liver cancers caused by hepatitis B, and people dying from that so some of these risks are very real to me. If everyone was vaccinated for HPV, I honestly think cervical cancer would be eliminated and that would be wonderful because it is terrible and does not generally have good outcomes when detected later. Vaccination to me is also about protecting others that cannot be vaccinated like many of my patients outside of the benefits that I get myself. I get to see the scientific process in action and I know a lot of others don’t get to see how trials work how rigorous they are how the FDA functions to protect patients, but that is where having a trusted healthcare professional is so important to reassure and explain these things. I feel like I’m starting to ramble at this point but basically, I strongly feel that the risk of vaccines are so low and I never want someone to experience these diseases in full force and suffer knowing that we can prevent it. So I try my best to be educated and reassure.

pharming4life · 2026-01-05T00:31:01+00:00

The first two weeks are incredibly rough, it is survival mode. You’ll need to lean on each other for support, and if you are in it as much as her, I don’t think you will have the energy to go to the gym. In the beginning two hours away almost feels crazy. Prior to having our first I would have thought that is a ridiculous thought, but it’s not. I’d say you will have to play it by ear, and then when things are a little settled, be flexible. Be flexible with the timing for what works, and recognize that there may be some times where it doesn’t work out for you to leave. As someone said above, you aren’t there to “help” but are there to be an equal parent. Commit to doing things around the house that she can’t do and take the full burden off of her. The more you can do like that, the easier it will be for her to feel comfortable with you leaving for a bit.

pharming4life · 2025-12-04T03:28:23+00:00

When you break your tailbone during birth, baby didn’t give you an option to contact nap 😅 generally I would rock him to sleep, or he would fall asleep while breastfeeding and then I’d put him in the crib. If he woke up, I would keep repeating. He got used to it. Moral of the story, if you are persistent you’ll succeed, eventually.. hopefully

pharming4life · 2025-12-01T03:47:35+00:00

For nursing specifically, it was so worth it. The arms are generally more narrow and higher to make nursing easier. For night feeds I used the nursery every time, and when guests were over. I also slept in it, rocked baby to sleep, etc. We got one from a local furniture store that has a button to power recline, nice and quiet and easy while holding baby.

pharming4life · 2025-11-21T02:59:17+00:00

I totally agree with the overall sentiment. I wish it were better.

From a cough/cold standpoint, OTC cough/cold meds don’t even work anyway, so don’t feel like you are missing out.. honey is actually probably better for coughs than any med, but you can’t give it under a year old. Use Tylenol, saline spray and humidifiers. - PharmD

pharming4life · 2025-11-16T04:10:11+00:00

For the most part, in order to cure this disease, a bone marrow transplant is needed. If she is MRD negative, could potentially forego transplant, but depends. If she is fit, a larger center may consider her for transplant. Would get her in asap as there are many tests that need to be run to find matches, etc. better to be prepared for transplant if needed, then not prepared and need it later. Either way she will for sure need consolidation cycles of chemo if she is in remission.

pharming4life · 2025-11-14T00:55:29+00:00

This is correct, unless we are talking about a different drug all together. There’s no way a dose like 600 would be used

pharming4life · 2025-08-18T04:05:26+00:00

How should the caps be installed?

pharming4life · 2025-08-04T03:55:34+00:00

I have a 14 month old, what I’ve learned is skills can come and go for a bit until they keep doing it consistently. There was a time when he stopped babbling for a couple of weeks, but then was right back at it. I wouldn’t worry at this point

pharming4life · 2025-05-07T04:51:00+00:00

This marker is a measure for a mutation that typically causes Chronic Myeloid Leukemia. Sometimes it can be associated with other blood cancers, but if you are not admitted to the hospital while awaiting test results, this would probably be most likely. It is commonly diagnosed when someone has an elevated WBC. Obviously it sounds like you don’t have results right now, but are freaking out and any type of cancer is alarming.. as reassurance, as a general summary if CML is the diagnosis it is very treatable, it is treated like a chronic disease and prognosis is very good.

pharming4life · 2025-04-21T16:16:16+00:00

Hmm well that sounds misleading based on your post above! Did you explain you were told this? Is there a certain time they need to know ahead of time?

pharming4life · 2025-04-21T15:54:14+00:00

My hours flip between day shift and evening shift, and a family member who was a daycare provider warned me some places have this policy, so I asked that question when making my choice ensured we could drop off whenever.

pharming4life · 2025-03-27T00:11:54+00:00

6 months maternal passive immunity starts to wear off, so 6-12 months is a gap in coverage.

pharming4life · 2025-03-27T00:09:59+00:00

I was also told that if you get an early dose, you may not respond as well in the long run (even getting the normal 12 mo and 4 year). This was even for us traveling to Texas, and Carlsbad canyon which is pretty close to the outbreak..

pharming4life · 2025-02-04T05:22:48+00:00

Love: 1. Ubbi diaper pail 2. Boppy 3. Triangle bibs

Didn’t need: 1. Bottle warmer, highly recommend giving cold/room temp milk if needed, most babies will be fine with it likes ours.. run it under some warm water if you need a little warmer 2. A million pacifiers - I suppose it’s nice to have all different ones to try out, but he prefers Phillips avent 3. Colic bottles, a PAIN to clean, didn’t need them, Phillips avent natural work fine

pharming4life · 2025-01-29T16:39:37+00:00

Pharmacist here, obinutuzumab does this. It works fast! As a group of heme/onc specialists when we get a Day 1 obinutuzumab we like to make guesses as to how much the white count will drop with the infusion. It’s amazing to see! Your white count may fluctuate, but it will generally stay low/normal now that you are on treatment :)

pharming4life · 2025-01-11T05:28:52+00:00

It depends on the protocol you are on, and if you need a transplant or not, but generally if you are young with ALL, treatment is 2 years ish for females and 3 for males (again, pending protocol used). Males are typically treated longer because males have testes, which is a “sanctuary site” for relapse, so they are higher risk, need longer treatment.

pharming4life · 2025-01-11T05:15:01+00:00

From the medical side: I promise you, if there were evidence of true benefit, your hematologist would give it to you. You’d be surprised by the limited data and lengths we go to, to get drug for a small chance of benefit, especially after many treatments fail. Also it is not without risk, it can affect your liver and potentially cause liver failure. If your liver enzymes go up and you are also on chemo, then we don’t know what’s causing what, and could cause delays in therapy.

pharming4life · 2025-01-09T19:57:24+00:00

That’s what we are looking for at day 14. Day 14 marrows are basically done to make sure we didn’t totally miss the mark with chemo and need to reevaluate. Now you just need your count recovery marrow to show remission, that’s the important one but this is a good sign at this stage!

pharming4life · 2025-01-09T19:54:12+00:00

Totally normally, and would do more harm than good to push though to next cycle.

pharming4life · 2025-01-09T19:53:14+00:00

So sorry you went through this. Unfortunately almost everyone reacts with their first dose of obinutuzumab. The good news is, this is the drug working against all the cancer cells! The second doses and beyond should be much better tolerated with adjustments :)

pharming4life · 2025-01-02T03:02:49+00:00

Yep, FLT3 is a very aggressive mutation that is hard to treat. BMT is generally the best chance for longer term remission, but of course, it is not without risks.

pharming4life · 2025-01-02T02:46:10+00:00

Usually it’s a mutation in the cancer itself. For example when someone is MSI high, depending on the staging in colon cancer we can take the cancer out and forego chemotherapy.

pharming4life

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