I was about to comment a similar sentiment. I didn't realize I stopped existing or had my gender identity reassigned because I'm on lemmy instead of other social media.
I didn't originally set out to go to a DO school, but I do like the approach that they teach us which is to treat the patient as a whole person. Someone's psychological health can be suffering because of poor physical health and visa versa, so it's important to work on both, and to make sure that the treatments being discussed are actually feasible and reasonable for them to try to adhere to. (i.e. telling someone to "just lose weight" without working with them on strategies on how to do so in a safe and manageable way is just plain stupid.)
Agreed. It's always more complicated than "just psychological". There can be a psychological element to it because things like emotional stress can have downstream effects by way of over-activation of the sympathetic nervous system, but it's not a be-all-end-all explanation. The mind is powerful and can exert influence over the rest of the body, but that just means that you have to treat the psychological portion as well as the somatic portion.
At this point, Israel is a rogue terrorist state that needs to be cut off from all material and financial support until they agree to permanent ceasefires and handing Netanyahu and his cabinet over to the ICC.
He was banned from trying to join any branch of the military because he did so poorly on the ASVAB (and probably also failed a psych eval). While many police departments are deeply corrupt, I don't think any of them want the bad press that would come with hiring him. Maybe he can get hired as a deputy in a sheriff's department run by someone like Arpaio.
"Assault" is shouting and threatening, "battery" is actually making contact. It sounds like she got the pepper spray out in time to prevent him from touching her, which is a very good thing.
Usually the situation they put themselves in is taking a job as a cop and refusing to deescalate any situation.
I'm pretty sure I've gotten a couple board questions wrong because I leave stuff like conversion disorder/functional neurological disorder so far down my differential that it's basically in the trash anyways. I see it as a diagnosis of extreme exclusion.
The immune mediation would explain why AIDS medications might work though, particularly if it's one of the viral synthesis inhibitors.
I suppose my next question would be as to whether or not ME appears to be a centrally-mediated disease like fibromyalgia is. There are a lot of very strange ways problems with the central nervous system can present, and it seems like ME has a broad enough swath of signs and symptoms that it is either a multi-system disease, or of a centrally-mediated etiology.
Correct. I'm a third year medical student on my clinical rotations right now, and I worked in the medical field for 4 years before starting med school.
Empiric treatment is not the broadest spectrum possible. Yes, they will put someone on Augmentin for a human bite, but that's very different from putting someone on IV vancomycin or meropenem. The augmentin will probably cover anything in that bite, but if the culture comes back showing resistance, then you switch to something else.
I've been in clinical rotations and my attending physicians have been very clear about antibiotic use and there is a lot of clinical evidence and guidance for minimizing broad spectrum use.
We like to use the narrowest spectrum antibiotics possible to limit side effects and breeding resistance. Also, the really broad spectrum ones are expensive.
Not even a sip for me. I was offered small amounts of champagne or wine at special occasions, but I never drank any because I could smell the alcohol on it and didn't want to.
I've just always been some variant of the "mom friend" and after I turned 21, I was still the DD most of the time.
My husband and I have a house in St Paul and we go to Hudson for lunch/dinner dates sometimes. It's quite close. And Minnesota and Wisconsin have agreements set up for living in one state and working in the other.
Nope. The first time I drank any alcohol ever was on my 21st birthday. My Dad made me a gin and tonic with Bombay Sapphire, and that set the standard for the kind of alcohol I will drink. It's a good thing I'm a lightweight because I only drink the expensive stuff. (The cheap crap burns too much.)
I've tried to drink coffee a couple times. I never was successful at it. My body just hates something in coffee and it just comes right back up before even hitting my stomach. So, I guess it's gone down my esophagus, but never further than that.
I end up going to the ER way more than I want to. It's really annoying; if you walk into an urgent care or a regular doctor's office (besides my regular care providers, they're used to me now) and say you think you have a kidney infection or other kidney problems and you just need antibiotics, they just go "NOPE" and yeet you out the door to go to the ER. So far, I have been successful in preventing them from calling an ambulance for me.
I like to go through and take a couple of these tests every now and then to kind of check up on myself to make sure I'm not developing biases that will negatively impact my ability to care for my patients. I think it's probably a good idea to at least get a baseline for yourself so you know when you're most likely going to need to self-monitor what you say and do more closely.
I'm currently a medical student and a licensed EMT with a chunk of professional experience in medicine as well as having multiple chronic illnesses, a couple of which are very stigmatized. I've kind of settled into conducting my appointments like I'm presenting a patient to an attending physician. I still use I/me/my/mine and describe things from my perspective, but it's still a rather....professional(?) discussion. I feel like it helps me approach the conversation in a productive way, and my physicians seem pretty receptive to my suggestions for treatment and testing...but it also feels like I'm dehumanizing myself a bit.
The biggest issue I've had tends to be with nurses/NPs/admin/etc when I call and say "hey, I'm having these weird symptoms and I think this is the diagnosis, can you get me in to see the physician?" and they sort of short-circuit almost because they seem to be in the habit of exerting their own judgement about a situation.
I recently had a nurse try to punt me back to my primary care physician because the specialist was out of the office and she wouldn't escalate to the physician on-call because she didn't understand that I had already talked to my primary care physician and she said she wasn't equipped to deal with it. (This was an issue that has the potential to be life-threatening in a matter of days that, fortunately, I knew how to kinda sorta manage on my own for a little bit.)
Personally, I try to present myself as excited for the training with some degree of competence without trying to pretend like I already know....anything? I feel like I have some trouble striking the perfect balance between competent and receptive, or maybe it's a balance between confidence and humility.
I think erring on the side of humility and receptiveness is a better bet if you're not sure where the balance is, but I'd like to hear from other folks' experiences and perspectives.
(I'd also be grateful for perspectives from folks who have been preceptors or instructors!)
I'm currently in my Family Med clinical rotation, and our professor has us working on social determinants of health stuff for the didactic/academic portion. To that end, she sent us some resources and then I dug up a bunch more, so I wanted to share links to the resources I found in case anyone finds them useful in their practice for helping patients with SDOH needs.
Unfortunately, these are all going to be American resources, but hopefully they'll be helpful to someone.
- Neighborhood Navigator for resources by zip code
- Reading Level analyzer for patient instructions.
- SAGE - Resources for LGBTQ+ Elders
- Medigap/Medicare Part C for supplemental and prescription drug coverage
- Medicare Savings Programs for low-income seniors
- Supplemental Security Income assistance for seniors and people with disabilites
- Aid Access - Buy abortion pills online
- Dental Care state programs
- Free or Low Cost Eye Care
- Hearing Aid Project
- Google Doc of OB/Gyns known to do hysterectomies
If there are any other resources you know about, please share them in the comments! This stuff is so important for healthcare access, but they can be really hard to track down sometimes.
Post here with your title/role/qualifications and whatnot if you want to. If you want to post a region or field to look for folks in your area to network a bit, this is the place to do it!
Be respectful of people's privacy and do not dig for details. Put a note in the top of your comment if you are open to messages and/or questions.
(At the moment, this is likely to be America-centric for system questions unless/until we get more international representation.)
Please post queries here if you are looking for advice on what kind of specialist to seek out for medical problems. Keep descriptions of the medical concern in question brief, and limit discussion of personal details.
THIS IS NOT A SUBSTITUTE FOR PROFESSIONAL PHYSICIAN/PATIENT RELATIONSHIPS. THIS IS EXCLUSIVELY FOR HELP NAVIGATING THE MEDICAL SYSTEM.
After weeks of speculation, Minnesota Gov. Tim Walz will join the Harris ticket as her vice presidential pick over other candidates, like Pennsylvania Gov. Josh Shapiro.
cross-posted from: https://midwest.social/post/15388609
> >Democratic presidential nominee Kamala Harris has picked Minnesota Gov. Tim Walz to be her running mate, wagering that a former red-district congressman with a progressive streak can help her win over working-class voters in battleground states needed to beat Donald Trump in November. > > >“The entire country is about to see why their friends from Minnesota can’t stop bragging about Governor Walz,” Minnesota DFL Party Chair Ken Martin said in a statement. “By picking a servant leader born and raised in a small town who has dedicated his career to protecting freedoms and lifting up working families, Vice President Harris has chosen the perfect foil for [Trump running mate] JD Vance and his politics of resentment.”
Context: https://www.startribune.com/harris-vp-pick-minnesota-governor-tim-walz/600844951
After weeks of speculation, Minnesota Gov. Tim Walz will join the Harris ticket as her vice presidential pick over other candidates, like Pennsylvania Gov. Josh Shapiro.
cross-posted from: https://midwest.social/post/15388609
> >Democratic presidential nominee Kamala Harris has picked Minnesota Gov. Tim Walz to be her running mate, wagering that a former red-district congressman with a progressive streak can help her win over working-class voters in battleground states needed to beat Donald Trump in November. > > >“The entire country is about to see why their friends from Minnesota can’t stop bragging about Governor Walz,” Minnesota DFL Party Chair Ken Martin said in a statement. “By picking a servant leader born and raised in a small town who has dedicated his career to protecting freedoms and lifting up working families, Vice President Harris has chosen the perfect foil for [Trump running mate] JD Vance and his politics of resentment.”
After weeks of speculation, Minnesota Gov. Tim Walz will join the Harris ticket as her vice presidential pick over other candidates, like Pennsylvania Gov. Josh Shapiro.
>Democratic presidential nominee Kamala Harris has picked Minnesota Gov. Tim Walz to be her running mate, wagering that a former red-district congressman with a progressive streak can help her win over working-class voters in battleground states needed to beat Donald Trump in November.
>“The entire country is about to see why their friends from Minnesota can’t stop bragging about Governor Walz,” Minnesota DFL Party Chair Ken Martin said in a statement. “By picking a servant leader born and raised in a small town who has dedicated his career to protecting freedoms and lifting up working families, Vice President Harris has chosen the perfect foil for [Trump running mate] JD Vance and his politics of resentment.”
A friend of mine is helping me with setting up a Linux-based homebrew security system set up. He's currently using Wyze cameras, but they are faulty and have ads on them, so I'd like to find something more open-source/closed system that I can control completely. Any recommendations or pointers in the right direction would be great.