u/bubblesxox

I’ve been practicing as an attending for 3 years now mostly outpatient clinic. Almost daily, I have 20 good patients (half great and appreciative, half meh), then there’s one that don’t trust you or is demanding / rude etc. It affects me and I take it personally. Even though deep down I know that 99% it’s a “them, not me issue”, it still makes me doubt my skills and personality like it never has when I was a trainee. and it makes me really dislike being a physician. The medicine itself I don’t have much issue with. And most people would actually describe as very personable as well. But any negative interactions honestly just stays with me for longer than it should. Edit to add that like a lot of hospitals, ours also has a ratings system, which leads to the increased people pleasing.

I think this is burn out? I already take a reduced hour. I see my own PCP for anxiety treatment. I just don’t really know what else to do to stop feeling this way other than leave clinical medicine.

I had recurrent miscarriage panel 1w after my most recent chemical. HCG was 0. Anti beta cardiolipin igG was 190!! Anyone had similar experience? I had 2 first trimester miscarriages, a live child, and now a chemical recently.

Fasting insulin level is 11. Doctor said that’s normal? Isn’t this insulin resistance? Not sure if metformin would actually help anything in this case. A1c 5.2, fasting glucose 98, BMI normal. Just seeing if anyone had similar experience !

Hi all, LO is 3 years old and we are touring Montessori schools. One school has a large stair case since the building is 3 stories. During daytime the kids come out of the classroom by themselves to use the bathroom so they theoretically can just go climb the stairs themselves? During aftercare there’s not much supervision either and kids of various ages go up and down the stairs all the time.

There’s also a pool that’s open some months out of the year. Of course this is supervised. But ratio is 1 teacher to 12 kids in the pool.

How worried should I be about these things as safety concerns? Are these a deal breakers?

Hi all, the baby is 2 now and we are preparing to transition to daycare in the near future. We’ve had a wonderful nanny up until now. Both my husband and I are HE in demanding jobs and I’m scared of the daycare illness the first winter will bring. We cannot take many PTOs last minute and cannot work from home.

What’s the best way to go about this assuming finance isn’t an issue?
A) I’ve heard the most popular choice is do daycare + nanny for the flexibility when the kid is sick and needs to stay home. What does the nanny do the time your kid is in daycare? I assume for this to work you need a full time nanny because they need to be available on random sick days? I also assume people do this for a year while kid transitions?
B) Daycare only, with as needed sitters when kid is sick. Where do people even find sitters last minute?
C) Other options?