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See, that’s what the app is perfect for.

Sounds perfect Wahhhh, I don’t wanna
wheresonichedgehogwnt
image

Good news, everyone: My cat is beautiful (and so is yours!)

My cat is the best and so is yours She is definitely getting an upgraded kitty enclosure once my first paycheck comes through And the most epic of catios once we have an understanding landlord I'd like to wait until we are for reals settled with a house but she is 16 years wise and I'm not sure if she will wait for us So in the meantime I will supply her with the best kitty enclosure we can provide her and cross my fingers The Grand Old Lady Kitty
wheresonichedgehogwnt wheresonichedgehogwnt
wheresonichedgehogwnt

I think my hobby this year is going to be doing normal FP things around OB/GYNs and watching them loose their damn minds over it

Repleating electrolytes is only the beginning, today I treated an uncomplicated diabetic in clinic without consulting endocrinology

I can't wait until I have the chance to manage asthma or COPD or propose doing a joint injection in clinic, that'll probably cause all sorts of chaos

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wheresonichedgehogwnt

A patient came in to follow up on a complaint of “pelvic pain”

Physical exam and imaging were normal, previous Urology and GI workups were unrevealing, and OB/GYN was not sure what to do, so they handed me the chart

I asked the patient to point to where the pain was, she pointed to her groin bilaterally, and I did a hip exam

I walked out of the room a few minutes later, 99% sure she has referred hip pain

The OB/GYNs lost their damn minds that I did a hip exam and have not entirely recovered

Sucess

Family Docs: We get the job done! There were actually Med students around for this and an FM intern so hopefully they all learned about keeping a broad differential etc. etc. Regardless it was a triumphant primary care moment in a specialist clinic It also demonstrated one of the reasons why I personally don't think OB/GYN is a primary care specialty but that's another post Fellowship: The Final Frontier
wheresonichedgehogwnt

I’m torn between wanting fetal demises to get easier and being glad they haven’t gotten easier

Some things shouldn’t be easy for doctors, and I think this is one of them, at least for me

Also reason 738 I'm a Family Doc is I literally can't NOT acquire continuity patients I'm glad patients and I seem to bond well because so much of what I do as a Family Doc is based on relationships And I find it so gratifying and wonderful and powerful and fulfilling But it's also hard when something awful happens I hope they know their doc is home thinking about them and wishing them well Family Docs: We get the job done! Fellowship: The Final Frontier
myoxisbroken eleonorebirk
glumshoe

What people don’t realize about pregnancy is that it’s incredibly unstable. People miscarry for the strangest reasons, even if they want to carry to term, even with sufficient prenatal care. All sorts of things can cause someone to miscarry in various stages of pregnancy, and those risks are exponentially greater among people with chronic illness and poor people. Taking basic steps to survive, like taxing your body by working long, stressful hours to be able to pay rent, or skipping meals because you can’t afford to eat, can be considered “endangerment of a fetus”.

glumshoe

Time and time again, we have seen that the politicians pushing all this legislation are profoundly biologically illiterate. They don’t know how anatomy works. They don’t understand pregnancy. They think a uterus works like an infant vending machine.

And ultimately, they don’t care. Do we see them pushing for affordable, accessible healthcare for all? For humanity and sympathy and functional foster care systems? For access to preventative measures and equalized adoption policies? Of course not—we see them passing legislation that controls and punishes and ensures that prisons are kept filled and funded, and that the people most affected by these measures are the first to lose their ability to vote. They push harder and further with each step, and will keep pushing until the line in the sand we all took for granted has been crossed and trampled underfoot.