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.

Never have I ever drank alcohol illegally or underage.