medgremlin

joined 8 months ago
MODERATOR OF
[–] [email protected] 21 points 18 hours ago

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.

[–] [email protected] 7 points 19 hours ago

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.

[–] [email protected] 15 points 1 day ago* (last edited 19 hours ago)

"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.

[–] [email protected] 16 points 1 day ago* (last edited 19 hours ago) (2 children)

Usually the situation they put themselves in is taking a job as a cop and refusing to deescalate any situation.

[–] [email protected] 2 points 1 day ago (1 children)

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.

[–] [email protected] 1 points 1 day ago (3 children)

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.

[–] [email protected] 3 points 3 days ago

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.

[–] [email protected] 3 points 3 days ago (1 children)

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.

[–] [email protected] 4 points 3 days ago (3 children)

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.

[–] [email protected] 3 points 3 days ago (7 children)

We like to use the narrowest spectrum antibiotics possible to limit side effects and breeding resistance. Also, the really broad spectrum ones are expensive.

[–] [email protected] 1 points 3 days ago

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.

[–] [email protected] 2 points 3 days ago

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.

 

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!)

5
submitted 1 week ago* (last edited 1 week ago) by [email protected] to c/[email protected]
 

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.

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.

295
Walz for VP (midwest.social)
 

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.”

 

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.

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