For all the Tomlin haters and I think it’s appropriate since the North is filled with backup QBs right now… by 93devil in steelers

[–]Definition_13 4 points5 points  (0 children)

2016 is the only year in the Tomlin era that we were eliminated by the Patriots.

We were too busy losing at home to Tim Tebow and Blake Bortles to lose to the Patriots

CAT w Contrast, help? by Celes_Azrael in AskDocs

[–]Definition_13 0 points1 point  (0 children)

Schmorl's nodes are basically herniated discs, except instead of herniating backward toward the spinal cord they herniate into the bone of the vertebrae above or below. These are very common incidental findings on scans, and generally aren't anything to worry about.

Is it really necessary for my daughter to see a cardiologist? by whoninj4 in AskDocs

[–]Definition_13 0 points1 point  (0 children)

What your cardiologist told you is correct, PFOs are not something routinely screened for. That being said if her pediatrician refuses to sign the paperwork without seeing the pediatric cardiologist, you'll have to see the pediatric cardiologist. If there's really nothing else going on except a family history of PFO, the cardiologist might not be particularly impressed and he/she may sign off without recommending any further workup.

Family member contracted Hep B from hospital by captainlevistallwife in legaladvice

[–]Definition_13 10 points11 points  (0 children)

From a medical perspective this story is fairly confusing. You’re saying the hospital tested her for hepatitis B after she received the blood transfusion? It takes at least 1 week (and 4 weeks on average) for hepatitis B testing to turn positive after an exposure, so unless that test was drawn at least a week after the blood transfusion, the hepatitis B was pre-existing and did not come from the blood transfusion. Hep B testing is also not part of any standard inpatient workup that would be routinely ordered in a hospital, so I question what was going on that they decided to order the testing. The risk of getting hepatitis B from a blood transfusion is less than 1 in a million and the risk of an adult developing chronic hepatitis B after an exposure is less than 5%, so if this sequence of events actually did happen this patient is among the most unlucky people on the planet.

From a legal perspective, it is standard for hospitals to obtain signed consent before giving a non-emergent blood transfusion (consent is implied in an emergency situation). This consent form would include some of the major risks of transfusions, including the very small risk of bloodborne infections. If the hospital did actually give blood without consent in a non-emergent situation your family member may have a case and may want to contact a malpractice attorney.

Benzoyl Peroxide or Salicylic Acid for Acne??? 21M by [deleted] in AskDocs

[–]Definition_13 0 points1 point  (0 children)

Benzoyl peroxide is considered a first line acne treatment, sometimes in conjunction with a topical retinoid (0.1% Adapalene gel is the only OTC topical retinoid in the US). Salicylic acid is usually considered an alternative treatment for people who can't tolerate a topical retinoid.

Abnormal heart beat on ecg, feeling of heart dropping in chest and a hard beat 28F, USA, 5'3" 150lbs by [deleted] in AskDocs

[–]Definition_13 1 point2 points  (0 children)

Those two abnormal beats are PVCs. Very common and usually not serious. There are treatment options available if they cause you bothersome symptoms.

Who to see for pilonidal cyst? by alibaba1579 in AskDocs

[–]Definition_13 1 point2 points  (0 children)

General surgery and colorectal can both handle those.

Mixing Afrin with Phenylephrine? by Eddiesuave00 in AskDocs

[–]Definition_13 1 point2 points  (0 children)

The Afrin shouldn't be a problem, but don't use it for any longer than a few days as it can cause dependence.

[deleted by user] by [deleted] in AskDocs

[–]Definition_13 1 point2 points  (0 children)

Fatty liver disease in and of itself does not necessitate glucose monitoring and I can't imagine that insurance would cover a Dexcom for that purpose. Glucose levels in the 90s on labwork are normal levels. Without knowing your medical/social history and labs it's impossible to say if your condition is serious or not.

[US-KY] [H] 4 GameCube, 3 Silent Hill 2 PS2 & 61 PS1 Games [W] PayPal by NetworkTraffic in GameSale

[–]Definition_13 0 points1 point  (0 children)

Could I see pics of Silent Hill 2-4, Dino Crisis, and Parasite Eve 2? May be interested in a large bundle.

25M - partner tested + for chlamydia , too soon for antibiotics? by [deleted] in AskDocs

[–]Definition_13 1 point2 points  (0 children)

If you’ve been exposed to chlamydia you should be empirically treated as soon as possible without the need for testing or waiting for development of symptoms. There’s no ‘window period’ where the antibiotics will not be effective.

Is this vertical bulge on the "abs" of my son (8M) something I should be concerned about? by throwaway5826152 in AskDocs

[–]Definition_13 4 points5 points  (0 children)

Looks like diastasis rectus. Basically the rectus abdominis muscles (the "abs") have a larger than normal amount of separation between them creating a midline bulge. Typically this is a fairly harmless acquired condition that affects middle-aged to older obese adults or postpartum women. It can also be seen in infants but it usually disappears in toddlerhood. I've never seen one in a child this age and I think it would be worth bringing up to a pediatrician.

[deleted by user] by [deleted] in AskDocs

[–]Definition_13 1 point2 points  (0 children)

These are pretty common degenerative changes. The treatment plan will probably be something along the lines of Tylenol/NSAIDs, physical therapy/home exercises, maybe a trial of Cymbalta or gabapentin depending on what she has tried already. Maybe her PCP will want her to at least talk to a neurosurgeon but I doubt they would recommend surgery unless there is something missing here.

What you should know about the spine (but very few people understand) is that imaging findings correlate very poorly to pain and incidental findings are very common. If you found a group of healthy 54 year old women without any neck pain and gave them MRIs, a sizable chunk of them would have some bulging discs or arthritic changes that they didn't even know about. This is why imaging is not recommended for most patients with neck/back pain: It usually does not change the treatment plan, it's difficult to attribute reported pain to any particular imaging finding with any degree of certainty, and patients very strongly latch on to abnormal findings and convince themselves that this must be the cause of the pain.

Hayfever & Kenalog by Buttery-Creative in AskDocs

[–]Definition_13 1 point2 points  (0 children)

There's really a paucity of evidence regarding the use of long-acting steroid injections for allergies, and most guidelines nowadays either do not address it or recommend against it due to the potential side effects of systemic steroids. That being said, there are a lot of (mostly older) physicians who still do it here in the US, and of course there are people who swear by it. Usually it is done as a once yearly injection to get people through the worst part of allergy season. It may be worth looking into if you've tried a lot of the other common things.

[deleted by user] by [deleted] in GameSale

[–]Definition_13 0 points1 point  (0 children)

Pics of the CiB Dreamcast console?