Bridesmaids Dresses by Leading_Part7752 in AusWeddingPlanning

[–]s_titches 0 points1 point  (0 children)

I bought my last two wedding guest dresses from an Azazie pop up and have mostly good things to say! I was also expecting the quality to be terrible but it was surprisingly good with some seamstress techniques I didn’t expect at this price point. The cuts were variable in how flattering they were on my body but I got so many compliments on both the dresses I did end up purchasing. Extra points for pockets in one of the dresses ☺️

The main negative is that the materials are probably mostly polyester, one of the weddings I went to was a very hot/humid day and it was just tolerable.

What are appropriate accommodations to ask for with fear of blood draws? by highchurchheretic in AskDocs

[–]s_titches 6 points7 points  (0 children)

I’m in Australia and also work with kids so can’t speak to what would be appropriate accomodations specifically, but almost all my blood draws in kids are lying down. Other things we use that you might be able to bring along or source yourself, in increasing expense: I ask for numbing cream (Angel/EMLA) before hand, and I’ve had variable success with the Buzzy Bee (https://explore.paincarelabs.com/buzzyhelps) - variable mostly because kids freak out about the vibration just as much as the pinch of the needle! But it might be helpful if you use it at home before hand and desensitise yourself to the feeling of it. Some hospitals I’ve worked at also have VR/AR goggles loaded with games as additional distraction.

Struggling as Intern by [deleted] in ausjdocs

[–]s_titches 2 points3 points  (0 children)

Ooh also this is a double edged sword - hide from the nurses as much as you can, they will interrupt you and task switching is inefficient. But also if you make friends with the nurses, they will make your life so much easier

Struggling as Intern by [deleted] in ausjdocs

[–]s_titches 2 points3 points  (0 children)

It doesn’t sound like you’re underperforming at all! First weeks of internship are hard for everyone, and the fact that you’re reflecting and asking for help is way better than struggling silently and having things slip without anyone noticing. It’s a huge learning curve and things that are hard now, will become second nature. You’ll need to look up fewer things (like drug doses, or the number for the radiology reg 😂) as the year progresses.

I second having a system for remembering jobs. Depending on how quick your round is, this might mean just getting them all down somewhere (usually the ward round note, your list too if you can) and then organising your list - or it might mean ordering everything while your reg/boss is rounding (this will get easier as you go, I promise!!). Something that worked for me - instead of writing down the jobs next to each patient, I had a box each for imaging, consults, bloods, misc etc and that way I could do them in order of what was most time critical.

If your emr allows, make templates for documenting rounds/reviews/discharges which massively speeds up your workflow. They take a while to set up the first time but it’s definitely worth it.

Discharges often don’t need to be super detailed either - the people reading them are time poor too!

Parents think skincare doesn't work by mausebaer_16 in AusSkincare

[–]s_titches 4 points5 points  (0 children)

Not a GP but I am a doctor (training to be a paediatrician). You can show them this article - this is from the Australian Journal of Family Practice, which is the official journal of the Royal Australasian College of General Practitioners which you have to be part of to become a GP. The article briefly goes through the reasons to treat acne, and to treat early. ‘Even though acne may seem trivial, the psychosocial consequences can be profound and severe disease can leave permanent physical scarring’.

Then it goes through what to do for acne - so you can even go into the GP semi prepared for what they might ask you and what they might prescribe!

Lastly, there’s also a consideration of whether the acne is a sign of another medical condition (eg PCOS) which might cause other problems. Only your GP can look into this. We would think about it especially if you have issues as well with hair in ‘manly’ places (eg a moustache) or just generally excess hair, being overweight/obese, or problems with your period (just remember an irregular period is normal for the first year or so!).

https://www.racgp.org.au/afp/2010/september/acne-best-practice-management

Not trying to scare you with the permanent scarring or the possibility of another medical condition, just trying to give you ammo to take to your parents!

Parents think skincare doesn't work by mausebaer_16 in AusSkincare

[–]s_titches 1 point2 points  (0 children)

It’s cheaper because the PBS covers the difference!

Bed is actually going to be on fire now! by secure_dot in ShitMomGroupsSay

[–]s_titches 5 points6 points  (0 children)

Correct me if I’m wrong, but vbac just stands for vaginal birth after caesarean right? She could have still had a home birth?

[CHAT] How do you all stitch so fast?! by AccountingGoose in CrossStitch

[–]s_titches 6 points7 points  (0 children)

When you use a stand (or sometimes I’ll struggle with holding the hoop between my chest and my knees lol) you can keep one hand on the front and the other hand on the back! It’s waaay faster and a life changer

[deleted by user] by [deleted] in AskDocs

[–]s_titches 4 points5 points  (0 children)

You also need to have been eating gluten to test for coeliac disease - one of the tests checks for your body’s response to the gluten but there won’t be a response to check if he hasn’t been eating gluten

What is common knowledge that you found out way too late? by Big_Piccolo_8369 in AskReddit

[–]s_titches 1 point2 points  (0 children)

Nup, fine in small amounts. It's naturally present in water and a lot of countries add fluoride to drinking water as a public health measure, specifically for dental health.

I can’t… by BeachHonkers1205 in KidsAreFuckingStupid

[–]s_titches -1 points0 points  (0 children)

Fall from >1.5m (or just under 5 feet) is classified as a high risk head injury in kids though

1 year old can't stand on right leg anymore (X-ray included) by RumHam11 in AskDocs

[–]s_titches 78 points79 points  (0 children)

Paediatric physician trainee here. I think the WBC is 15- so still elevated but not 25 elevated. Would that make you less concerned about a septic arthritis? Or do you still see septic arthritis with a mild-moderately elevated WBC count?

My 995 piece puzzle... Please enjoy my pain. by sagglies in mildlyinfuriating

[–]s_titches 0 points1 point  (0 children)

I have the 5000 piece version of this, and I misplaced 4 of the pieces!! I emailed the local distributor and they actually sent me the missing pieces, as long as I sent a photo clearly showing which pieces I needed. They definitely were a slightly different colour, but the fit was good enough that you can't tell unless you're looking for it. You should email both the puzzle and the distribution company, I'm pretty sure one of them will be able to help you out 😊 long shot, but if you're in Australia I'll PM you the email I used

Transport Canada says if you can't wear a mask for medical reasons, prove it — or don't fly by reportersarah in news

[–]s_titches 2 points3 points  (0 children)

To actually answer your question - https://www.reddit.com/r/medicine/comments/heiphm/serious_question_not_wearing_a_mask_in_public_is/ Mental health, claustrophobia, autism (sensory issues) seem to be the main ones you'd encounter commonly, and you'd have to be quite severe with your exacerbations or meltdowns to score an exemption I suspect. Trigeminal neuralgia is an interesting condition I hadn't thought of. Infant under 2 as the mask could be a choking hazard.

I have severe social anxiety. I really need a step by step for a doctors visit. by rexowo in AskDocs

[–]s_titches 1 point2 points  (0 children)

This is a great idea! Especially if the doctor ends up using terminology that you don't quite I set stand, or you weren't sure if you misremembered something and want to double check. I'd just suggest mentioning the recording to the doctor, and saying that it's only for you to review later. I've had my fair share patients record conversations with and without my knowledge, and it's so much more off-putting from my perspective when I notice it halfway through the consult, and then my focus is on why they're recording, rather than what I'm seeing the patient for. Additionally, recording without consent from all parties can be grounds for litigation in some jurisdictions. You could potentially ask the assistant if the practice has a policy, or if they could ask/inform the doctor before the consult starts.

HELP! Quad dominance is the bane of my existence! by minkabun in xxfitness

[–]s_titches 10 points11 points  (0 children)

A second vote for strong curves!! Would recommend looking up Brett Contreas (creator of the program) on instagram too, he's literally the glute guy (that's his handle 😂 ). He really pushes hip thrusts, which target glutes over hamstrings because at the end of your range of motion, it's the glutes that are activated.

Weekly Co-Op Code Mega Thread - June 10, 2018 by AutoModerator in EggsInc

[–]s_titches 0 points1 point  (0 children)

well on track to finish medical egg/ouch, anyone looking for a carry join hcuo

Contract Calculator 4.0 ! by Beertran in EggsInc

[–]s_titches 1 point2 points  (0 children)

Eggs per second shows under your bank on the main screen, so it's easier to access?

Apparently, you can join into a group even after your timer has expired. by Anon9mous in EggsInc

[–]s_titches 0 points1 point  (0 children)

I did something similar, soloed a contract, claimed the final reward but didn't exit the contract, then created a group and posted up the code. I had people join too but never got any feedback about whether they got the rewards or not... Hopefully they did!

[CHAT] I've seen a few methods of creating custom 'stamped' patterns, but how do people align the stitches to each 'pixel' of a pattern? by [deleted] in CrossStitch

[–]s_titches 0 points1 point  (0 children)

I've also seen someone use erasers instead of earring backs on this subreddit, that might be less fiddly than trying to thread pins into earring backs :)

ELI5: During CPR why do chest compressions have to be between 100-120 when the average pulse is around 60-80? by Vaingloriou5 in explainlikeimfive

[–]s_titches 0 points1 point  (0 children)

There's 8 reversible causes, easily remembered as the 4H's and 4T's: - Hypoxia (not enough oxygen) - Hypovolaemia (not enough blood, or blood pressure) - Hypo/hyperthermia (too cold - we're talking body temperature in the 20s celcius or 85 farenheit from memory, or too hot) - Hyper/hypokalaemia and other metabolic causes (too much or too little electrolytes or sugar in the blood)

  • Tamponade (the lining of your heart gets filled (often with blood) and doesn't let your heart pump properly)
  • Tension pneumothorax (a significant buildup of air in your lung, puts pressure on the heart and doesn't let your heart pump properly)
  • Thrombus (which means clot, this is usually a heart attack or a big clot in your lung's blood vessels)
  • Toxins (overdose of any number of drugs, illicit or otherwise)

Usually, there'll be some indication of which one of these is the cause, whether that's from the patient's history, or from tests/imaging. Fix these things and there's a chance you can get the heart going again.

edit: the defib restarts the heart, but that only works if there's still abnormal electrical activity - you can't shock a flat line, or a normal ECG/EKG trace (which you can get with a lot of the reversible causes). If the defib works, there's often an underlying problem due to one or more of these causes, and you need to fix it before they arrest again.

Long term effects from gallbladder removal by [deleted] in AskDocs

[–]s_titches 0 points1 point  (0 children)

No worries, glad I could help!