#garlicstr

Mainstream “liberals” are either communists or people who would happily hand you over to the communists.

These are evil people.

I don’t care how you feel about that statement.

You are wrong and I’m correct.

Holy shit… tomorrow will be our 100th #[0]​

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Although I understand the point of your initial note, it is an inaccurate generalization.

I promise, when you lose the ability to pee, pass a kidney stone, or any number of other urologic issues….you will visit. And I would bet my entire stack you will not be murdered by the doctor.

Do you really need a doctor to tell you the cause of many of our problems is poor diet, lack of exercise, break down of the family, drug use, and poor sleep hygiene?

None the less, you seem to have everything figured out. I truly wish you the best.

TBH, I took it personal bc my wife and I gave up most of our lives to try and help.

*There are many bad doctors. I accept this point.

Strong work!

Well, it was the small chance of bilateral blindness that was terrifying.

We were willing to tell the famous docs that we were going to a less known children’s hospital for newer and therefore less well tested care. But the totally obvious superiority of propranolol clearly didn’t have double blind placebo controlled proof…a good example of “proof” not being necessary when obvious.

A decent physician should be able to communicate the rationale and level of certainty for any diagnosis & treatment regimen.

For my daughter, the recommendation was intralesional vincristine injection…the rationale for rejecting propranolol was only 2 years of global experience with the drug…we thanked them for their opinion and left for an institution with better thought’s & recommendations…albeit they fleeced us.

I had a kid with a benign but locally aggressive intra-orbital mass…and a metric shit-ton of medical bills.

I sold 100 bitcoin to make a mortgage payment and started locums to make ends meet during residency.

really, really, really late presentations…with me still being the first one to talk to them about GOC

Ugh…strong work man.

Few understand how heavy such a task is to the clinician.

I’ve only pushed TPA once as a rural medicine overnight ED locums doc as a radiology resident (rural MN…there are a few hospitals in driving distance of a famous clinic in SW MN where I trained). While uneventful & straightforward, it was a harrowing decision.

What’s black and white and orange and purple all over?

Q fever aortitis 😆

#[3]​ , I found your 🟣🟠 🦓

I have a lot of respect for docs like you who can hear those hoofs and rule out horses to find the zebra.

Most of my patients have defined themselves before I get my hands on them.

😳

Not saying all cards need to be on the table every visit, but maybe that 30yo contracted syphilis also and now has syphilitic aortitis as the diagnosis for his new onset chest pain

Agreed. But that 30yo might not know that something they are hiding might be an important element in the diagnosis… there should be a flag that indicates to the physician that something is hidden

Agreed. She’s a freakin warrior. FPs from that part of the world don’t fuck around.

Bring it on. I need to know if this simplistic design will work or not. Otherwise, we need to go into more complicated solutions.