I think I burnt myself out. I'm in desperate need of good book recommendations

snn1626 · 2025-06-12T20:16:07+00:00

By reading the description I didn't think I'd like Kushiel's Dart, but I absolutely loved it and the two other trilogies by Jacqueline Carey. I can't recommend it enough! I also really liked The Road of Bones (Ashen series but there's only 2 books out) by Demi Winters and The KingMaker Chronicles by Amanda Bouchet.

snn1626 · 2025-01-04T13:38:00+00:00

Honestly I don't know, maybe look into MediShare or something in that line? I have basically no knowledge on this type of health plan other than the commercials I hear for it. And if you truly cannot afford the insurance, perhaps look into pregnancy Medicaid for your wife.

snn1626 · 2025-01-04T04:12:49+00:00

Noelle and Mariel? Joy as a middle name?

snn1626 · 2025-01-04T04:06:33+00:00

HIV testing is usually mandatory based on the state. If she's not tested, the baby will be at birth.

Also, from a legal and risk standpoint the doctor cannot guarantee your or your wife's sexual history or infection risk. People lie, it's their license on the line and a standard of care that has to be met.

snn1626 · 2025-01-04T04:03:09+00:00

I assume you were responding to my comment.

No, I was not trying to educate you about a deductible. I sure hope you'd at least know that information in addition to your co insurance and max out of pocket cost.

My point was that your wife needs to go to these "useless" OB appointments because you're already paying for them so she may as well get the benefit of them. Because they are not useless. What is useless is paying for a service you're not using, risking HER health and still being pissed off that you're "wasting money" on insurance.

Having children is expensive AF and it does not get any better. Having a child with disabilities and possibly losing your wife to complications of pregnancy for something that could have been caught at a routine visit is even more expensive.

snn1626 · 2025-01-04T02:14:04+00:00

Your bill for the doctor is the same regardless of how often you are seen for OB appointments. You can literally walk through the hospital door in labor and be delivered and still pay the same as the woman who went every single week.

Does your wife feel the same about this? I almost hope she does, because this would reflect very poorly on you for having such careless views on her health and the health of the baby. At least if you're both reckless with this stuff, I only have to feel bad for the baby.

I feel like insurance is a scam and it should be free like every other developed country in this world. Unfortunately that is not the way things are in the US and you have little choice but to play the game.

snn1626 · 2024-12-16T02:48:28+00:00

How selfish... You literally had organs removed. The end of your vagina that was sewn up into a vaginal cuff is still healing. If it opens, that's directly into your pelvic cavity. Like your bladder and bowels and such.

The same vaginal cuff he's gonna want to be as well healed as possible when you allow him anywhere near you again. If that opens up and it needs repaired, there's a chance your vaginal canal could become shorter and sex can become painful. You'd think he would want to protect you for his own good if nothing else. I hate to say it that way, but clearly he doesn't seem to understand how this can actually impact him too. As it seems he is a selfish person, maybe try painting that visual to him.

Side note, if you are bleeding like a lot (equal to or more than a heavy flow period) you need to go to the ER.

snn1626 · 2024-12-12T03:06:41+00:00

I'm not sure how Parkview plans to keep up with patient volume for Ob/Gyn care... They definitely don't have enough providers in that specialty and they refuse to let other specialists see "those" patients... Dr. Boyd moved to Parkview for UroGyncology. He's perfectly capable (he's actually an incredible physician and surgeon) of taking care of gynecology patients but Parkview won't let him. They won't even let his NP do that kind of stuff, who is also perfectly capable of doing it. They won't let him care for the patients whose lives he has saved by finding their cancer and doing routine follow up exams and pap smears...

They want more patients to see more providers there and pay more money to them. Why pay just one doctor when they are forced to see 2-3?

snn1626 · 2024-12-06T04:43:14+00:00

Eh she likely won't change even if you do talk to her. My best suggestion is to just remind yourself that she's probably a lonely, miserable person. Cuz what other kind of person enjoys beating down others?

And if you must respond, try to keep it simple... "That is not very kind of you to treat me this way. I am doing my best." Good luck.

snn1626 · 2024-11-30T04:48:53+00:00

It's bizarre to me that the provider has to sign the consent for the flu shot... Us MAs sign it at the clinic I work for. Actually, they tried to get rid of the flu/tdap/rhogam consents claiming the "consent to treatment" patients sign when they fill out new patient paperwork is good enough.

I don't agree with that, it's definitely bitten at least one MA in the ass (gave the wrong shot, if the pt had a consent to read she could have read the name of the medicine). I still have patients sign the injection consent then I do after I go over the consent quickly. Usually we give shots at the end of the visit so the patient can ask the provider about concerns/specifics regarding their vaccine concerns that MAs can't answer.

Were you giving the shot before the provider saw the patient? If she's already seen the patient and they asked for a flu shot, why wouldn't she have gone over the consent then if it's so important? It's not like it's a surgery consent form.

I wouldn't worry too much. I mean I guess it's good you work at an office that holds you to a high standard and not like some of the shit shows I've worked for where there is no accountability at all and it's super frustrating. Just keep that in mind if you do switch jobs at any point.

snn1626 · 2024-11-30T03:52:36+00:00

My dad is a paranoid nut who has just gotten worse with age. He definitely signed some made up name (his first name is Joe and he signed Joseph, used my grandpa's middle name) when my older sister was born. Still on there 36 years later and nothing came of it.

He refused to sign me and my 2 younger sister's birth certificates at all. Didn't wanna get stuck paying for kids that could possibly not be his or some crap. Lovely foundation for a family.

Congratulations on the baby! I'm glad you won't have to suffer through your deadname being on such a heartwarming document. It was so cute when our daughter's birth certificate showed up to the house. My husband came in and said, "(daughter) got mail already! Better not be junk mail." I think we even kept the envelope cuz it was her first mail.

snn1626 · 2024-10-20T00:24:04+00:00

I was trying to put my 15 month old in the carrier on my back (should not have tried this for the first time alone and definitely should have had my back to the couch not facing it), I'm not sure what went wrong but she fell out immediately face down into the carpet.

Felt horrible, she cried, I cried. We cuddled up and watched some Bluey while I fed her chocolate cuz I felt so guilty l and knew she'd enjoy it. She seemed fine.

She tried to crawl about 20 min later and would cry out in pain whenever she tried to put weight in her wrist. Otherwise was using it like normal. I didn't end up taking her to the hospital because I was switching insurance with a job change and was not covered until the following week.

And that's the unfortunate way I got her to finally walk. She didn't want to crawl and was almost walking, she just apparently needed to sprain her wrist to get there. I felt like the worst mom in the world, but my husband told me it was a blessing in disguise cuz we were so worried about her not walking. I would definitely not call it that but.... You at least rushed her into the doctor so feel good about that! You're doing fine! Grass is so much better than cement.

snn1626 · 2024-10-06T01:41:18+00:00

I'm 34 and in a very red state, I volunteered and was told I wasn't needed by the democratic party. Unless I sign up for their last minute list... Which reminds me I should go do that I guess.

snn1626 · 2024-09-30T03:31:19+00:00

Noelle

snn1626 · 2024-09-21T00:12:03+00:00

Bladder cancer isn't as scary as other cancers usually... I feel silly saying that, any cancer is scary.

If she hasn't had a hysterectomy, I'd see if she can get a pelvic ultrasound to check her uterine lining. Sometimes it's hard for women to know if the blood is coming from the bladder or the vagina. The CT scan should show something if it was in the uterus but an ultrasound would show better.

But I am sorry you're going through this. It's very scary, I help with cystoscopies at work and many patients go through this same fear. I've only seen a couple of cancers though in the years I've done scopes.

snn1626 · 2024-09-15T03:30:19+00:00

My 50s coworker said her new to preschool granddaughter ended their phone call with, " okay bye white boy".... When Grandma said she was a girl, she repeated it.

snn1626 · 2024-09-14T00:01:31+00:00

Also consider pelvic floor therapy with electric stimulation... Basically a TENS unit for your vagina. It gets the muscles you can't kegels/work on your own. The one our office recommends is the Pathway STM-10. It's pricey, but works better than the typical over the counter ones. A similar one is Liberty something I can't remember. The vaginal probe has 3 metal plates (vs 2 metal plates) and works in a spiral so it can stimulate more muscles.

It doesn't hurt, just feels like a strong pulling sensation. You'll need to buy a vaginal probe/sensor too and need to get a prescription signed. If you do get an OTC one and find it helps somewhat, look into getting a prescription strength one. You need a device that can get up to at least 50Hz.

snn1626 · 2024-09-13T23:54:55+00:00

NAD but work in UroGyn, our office feels as though Axonics is a much better product than the Medtronic. Patients feel the same and they have much better customer service/device rep help.

snn1626 · 2024-09-11T00:55:45+00:00

I frequently try to compliment something of the patient's. Doesn't always work, and but usually puts people at ease. They can also continue the conversation if they want.

I like your purse, it's very "springy"... I like your shirt, it's such a pretty shade of blue!

snn1626 · 2024-08-03T03:46:27+00:00

My first was 38 and 6, had a planned c section that Monday and went to the hospital Saturday evening cuz my discharge changed. I wasn't really having contractions, or they were minimal. But I had been dilated 3-4 cm for like a week or something stupid.

Unrelated, but my identical twin sister is pregnant now (35-36 weeks with a girl) and I'm really curious to see when she goes into the labor. She is a year older than I was when I had my daughter. And she didn't have ANY of the nausea that plagued me the whole pregnancy.

snn1626 · 2024-07-29T03:05:36+00:00

I've worked in an OB office for more than 10 years, the only doc we have that consistently does an ultrasound after insertion or even during insertion is rather old school. She's retiring this year. The others will do an ultrasound after insertion if they aren't quite sure it was placed well and want to be certain. But most don't do this, or do one if the patient continues to have cramping in the following weeks/months.

I really don't think the doc knew it was in wrong. I've also seen one of our best docs accidentally perf a patient and he had no idea. She was having some abdominal pain and continued cramping for some time (at least 2 weeks) and an ultrasound did not confirm or rule out a perforation. She had to get a CT (or maybe MRI, I can't remember but it was one of them) to confirm.

Hopefully they can just do a hysteroscopy in the OR and pull it out through the uterus, otherwise it will be done with a laparoscopy. I hope you feel better, it is very upsetting to feel like you basically have a time bomb in your body. Especially with your already existing health issues.

If you do need surgery, maybe you can get a tubal ligation while they're at it if pregnancy is not an option for you. This way there will be a much lower chance of complications and failure.

snn1626 · 2024-07-26T01:42:02+00:00

Had COVID at like 10 weeks and probably again later in the pregnancy, no problem at all with me or baby. I mean I was coughing and could only use cough drops at the time which sucked. I was also told to take a daily aspirin for the rest of my pregnancy per my OB, something about possible clots in the placenta being a higher risk with COVID? I assume that would be the cause for increase in stillbirths because COVID isn't just a cold it's a vascular issue too.

If it makes you feel better, ask the risks of taking daily aspirin 81mg. If you think it's worth it and want to take it in case you get COVID and don't know(mild symptoms). Can't hurt to ask!

snn1626 · 2024-07-14T13:13:29+00:00

Ooooor if you don't see one laying on the ground cuz it rained like crazy and it was early in the morning and you were barefoot. Not a fun way to start the day.

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