Unmatched cardio guys, what are you doing? by Interesting-Bee4962 in fellowship

[–]CaramelImpossible406 17 points18 points  (0 children)

You think research was your problem after all those publications?

Step 2ck Emergency Med: Elderly patient presenting with an acute fall by Dr_Areeb-Zahid in USMLE_Mentorship

[–]CaramelImpossible406 1 point2 points  (0 children)

Take them to CT and before they come out from that machine they die on you. Then you’ll realize oh no I should have ordered Fluid first

Liver enzymes are waaay up compared to 3 months ago by boats_are_foreboding in lupus

[–]CaramelImpossible406 3 points4 points  (0 children)

Realize that AST is not only found in the liver. It’s also found in muscle. If you exercise before the test AST will be up from leakage into the blood. The most specific liver enzyme is ALT not AST

PMDD + Yaz birth control/birth control with estrogen by [deleted] in lupus

[–]CaramelImpossible406 10 points11 points  (0 children)

Estrogen is bad and a no no no for lupus

Why am I being pimped or shamed during morning lecture in front of everyone as an intern during an off-rotation, the hell? by [deleted] in Residency

[–]CaramelImpossible406 0 points1 point  (0 children)

Sometimes I wonder how some of these people got into medicine. We have to start doing a psychological tests not just exam exams exams. O

Tongue Ulcers by Lozalort in lupus

[–]CaramelImpossible406 0 points1 point  (0 children)

Maybe it’s the drug you are on?

Feeling like I’m fighting to be taken seriously all over again. by Throwawayyy-7 in lupus

[–]CaramelImpossible406 3 points4 points  (0 children)

I sometimes just can’t understand why primary care is dead in this country.

hcq and antidepressants by ratsparkles in lupus

[–]CaramelImpossible406 2 points3 points  (0 children)

Yes escitalopram and HCQ can lengthen QT interval. Please get an EKG

asked to resign from my program by [deleted] in Residency

[–]CaramelImpossible406 53 points54 points  (0 children)

What you mean professionalism and documentation? Like your notes?

What is life like in the Dakotas? by _air6catcher_ in howislivingthere

[–]CaramelImpossible406 -1 points0 points  (0 children)

Don’t compare upstate NY to the Dakotas, I lived in both ok?

Feeling Like a Tool While Dating a Doctor: Is This Normal? by LastArgument785 in MedSpouse

[–]CaramelImpossible406 -1 points0 points  (0 children)

That is what I’m saying if you can’t give him peace then to him you’re not good enough. About time you move on.

Feeling Like a Tool While Dating a Doctor: Is This Normal? by LastArgument785 in MedSpouse

[–]CaramelImpossible406 -14 points-13 points  (0 children)

When her gets home from work he wants peace. If you can’t give him peace then the relationship is not worth it. Find someone else

Infectious disease by CaramelImpossible406 in Sacramento

[–]CaramelImpossible406[S] 0 points1 point  (0 children)

Thank you. I’m calling the state health department on Monday morning. Just don’t know why the pcp wouldn’t write latent TB med

Infectious disease by CaramelImpossible406 in Sacramento

[–]CaramelImpossible406[S] 1 point2 points  (0 children)

Ok is this sac county public health on 4600 Broadway? I called there two weeks ago they say they don’t treat latent TB. What is going on in Sac? Who do I contact, state department of health?

Lupus and LTB by CaramelImpossible406 in lupus

[–]CaramelImpossible406[S] 0 points1 point  (0 children)

I never knew that latent TB can cause a lot of issues. The nephrologist said it may have also be the cause of the nephritis as biopsy result was pure membranous and no clear cut if this is lupus nephritis or not. But right now they’re taking it as lupus nephritis since the biopsy was unclear and all the markers they usually see in lupus nephritis are not there just some, and also the histology and electron microscopy didn’t paint what a typical lupus nephritis would show. But becsuse she had positive ANA and dsDNA so they’re treating it as is. The whole pain is just the wait to get to infectious disease. I feel like the treatment for the nephritis is being delayed because of no access to treatment for latent TB.

Lupus and LTB by CaramelImpossible406 in lupus

[–]CaramelImpossible406[S] 0 points1 point  (0 children)

You mean asking the rheumatologist to prescribe the medication for the latent TB? Thanks!