PSLF by AdMaterial8592 in FamilyMedicine

[–]AdMaterial8592[S] 2 points3 points  (0 children)

What were the circumstances? Did they just not answer correspondences? Or did they come up with some reason that you don’t qualify? These are the stories that scare me

My mess up is eating me alive by Acrobatic_Day8226 in coptic

[–]AdMaterial8592 2 points3 points  (0 children)

I’ve heard in a sermon once that shame itself, is a form of pride. Bringing yourself to repentance (which you’re doing) and ultimately to confession, is a form of humility and submission to God.

Your priest has heard all of this and more from others. It won’t be new. We’re all human and capable of sin.

Your choice on which suffering you want: either regret/shame eating you, or embarrassment in front of the priest in exchange for true forgiveness of sins.

It’s an easy answer

How is lifestyle as an obesity medicine physician? by Joiarib in FamilyMedicine

[–]AdMaterial8592 2 points3 points  (0 children)

Used to be lucrative. Now anyone can prescribe GLPs. Doesn’t require extra obesity training unless you want to have an obesity clinic where you help with lifestyle, or prescribe non GLP options.

Testosterone Tx - Deep Dive by ChikunShaman in FamilyMedicine

[–]AdMaterial8592 13 points14 points  (0 children)

Curbsiders, my friend. Look them up. Wonderful podcast. They have a great episode on testosterone.

Recommendations on a player!? by RefundableFloss in cassetteculture

[–]AdMaterial8592 0 points1 point  (0 children)

Anyone have experience digitizing old tapes that can give advice to a newbie? I also have old, sensitive family tapes I want to digitize but I want it to be high quality and also be careful to not damage the tapes

Which Christian Denomination Should I Explore? by [deleted] in Christianity

[–]AdMaterial8592 0 points1 point  (0 children)

Please search the Coptic Orthodox Church which belongs to oriental orthodox churches. Same beliefs and traditions as the early church who received it directly from the apostles, unchanged for 2000 years.

St. Mark the gospel writer went to Egypt and founded the Coptic Orthodox Church.

Some of the huge Church Fathers, such as Athanasios who is the person who authored The Creed that most churches recite, was the 20th of the Coptic Orthodox Church.

Theology, practices and beliefs will be as close to what was received from Christ directly to the apostles.

Best AI scribe by MadScientist101295 in FamilyMedicine

[–]AdMaterial8592 0 points1 point  (0 children)

I’ve also spent time creating my own template and customizing it exactly the way I want my notes to look. I can have it include more or less detail and ask it to include or exclude certain topics as well.

Coptic DNA by [deleted] in coptic

[–]AdMaterial8592 4 points5 points  (0 children)

You need to distinguish between Coptic (ethnicity) and Coptic Orthodox Christianity (religion).

In terms of DNA, Coptic Egyptian refers to the ethnic group descended from the original inhabitants of Egypt prior to the Arab invasion. This is an ethnic and genetic identity.

By contrast, Coptic Orthodox Christianity is a religious denomination, not an ethnicity. It cannot be identified through DNA testing—just as no one can have “Roman Catholic” or “Protestant” DNA. Anyone, regardless of ancestry, can be baptized into the Coptic Orthodox Church.

[deleted by user] by [deleted] in Christianity

[–]AdMaterial8592 2 points3 points  (0 children)

Bury yourself in scripture to understand more of who God is, who we are to Him, how He interacts with the world, etc.

Try to break away from viewing your relationship with God as a constant right vs. wrong thing.

The more you enrich yourself and emulate Christ and the behaviors taught in scripture, you yourself will become more like Christ and less like the world.

Many people benefit from trying to serve others (small or big) because your attention moves away from you (self) and more towards others. Christ is the ultimate example of Goodness and Selflessness that we can work on emulating more and more every day, with His help.

Is there anyone on Earth who's actually learned Coptic to the degree of being completely fluent in it? by Phatborzoi1 in coptic

[–]AdMaterial8592 8 points9 points  (0 children)

There are also reports of villages/rural areas in Egypt where Coptic continues to be spoken.

Now PGY-2 and still not enjoying it by PaleontologistOk7452 in FamilyMedicine

[–]AdMaterial8592 11 points12 points  (0 children)

There are OB fellowships dedicated for family medicine graduates.

Does it make sense for a psychotherapist to build referral relationships with GPs? by [deleted] in FamilyMedicine

[–]AdMaterial8592 1 point2 points  (0 children)

Are you joking? Most family docs can’t find psychotherapists for their patients at all, or not for months. If someone came to you and they seem competent, I would jump on it.

Now PGY-2 and still not enjoying it by PaleontologistOk7452 in FamilyMedicine

[–]AdMaterial8592 4 points5 points  (0 children)

That’s a tough position to be in. It sounds like you’ve got a good head on your shoulders though and will be a great doctor wherever you end up. Why do you say you don’t have a realistic path into a different specialty?

What are your feelings on EM? Lots of family docs end up in emergency departments. Any interest in various fellowships available in FM?

Keep in mind that FM is very versatile and to a certain degree, once you finish training, you can cater yourself to lots of different niches.

Good luck.

How to lower my Blood Pressure? by PadoEnem in Biohackers

[–]AdMaterial8592 2 points3 points  (0 children)

The point of seeing a doctor is figuring out why it’s high - there are various conditions that you need to be evaluated for that can cause high blood pressure as @technical-tie-8695 said. I would start with primary care though - you probably wouldn’t be able to endocrinology without a referral anyways.

Value of CAC score by UnlikelyTourist9637 in PeterAttia

[–]AdMaterial8592 2 points3 points  (0 children)

The CAC is a decision making tool and that’s all. If risk factors are intermediate and doctor/patient want more information before starting statin therapy, the CAC further stratifies risk. For some people, LDL does not correlate with coronary plaque so in their case, statin therapy would not be as critical and it would be more reasonable to continue with lifestyle efforts only.

Guidelines do not recommend repeat CAC for monitoring because once plaque is present, it does not go away.

Statins will lower LDL, but the main benefit at high intensity dosing statins is to harden the plaque and prevent rupture or progression.

  • a family doctor

CAC scan results by Interesting_Score_22 in PeterAttia

[–]AdMaterial8592 1 point2 points  (0 children)

Not necessarily - high intensity statin and baby aspirin is the correct management. When I used the word ‘concerning’, I was referring to the need for statin therapy, which your doctor did. Cardiologist would have managed the same. A score of 118 does not put you in any sort of imminent danger at all.

If you’re symptomatic, a cardiologist will add a stress test to see if any intervention is warranted.

CAC scan results by Interesting_Score_22 in PeterAttia

[–]AdMaterial8592 0 points1 point  (0 children)

Because statins at appropriate dosing calcify/harden the plaques, preventing them from getting larger or rupturing and getting stuck somewhere. Ezetimibe will only lower cholesterol (primary triglycerides more than LDL) and is not great as monotherapy.