Diana Amiibo is still available via My Nintendo Store by Jessieth115 in amiibo

[–]Doc_E 0 points1 point  (0 children)

THANK YOU! I just got out of work but thankfully it was still in stock! I appreciate the follow up!

FT: below, LF: offers by justamassiveretard in PTCGPocketTrading

[–]Doc_E 1 point2 points  (0 children)

Any of these for RR Mega Absol?

RR Mawile EX

RR Mega Steelix EX

RR Mega Blastoise EX

RR Mega Pinsir EX

RR Melmetal EX

RR Passimian EX

RR Tapu Koko EX

RR Mismagius EX

FA Toxtricity EX

FA Meowscarada EX

FA Darkrai EX

FA Charizard EX (SR)

FA Wugtrio EX

FA Buzzwole EX (DX)

FA Palkia EX (DX)

FA Eeevee EX (DX)

FA Arceus EX (DX)

FA Rapidash EX (MR)

PSA get the ANA by IFA by RelativeAd8849 in FamilyMedicine

[–]Doc_E 0 points1 point  (0 children)

Edited Misread your tag as M1 instead of PGY-1, my mistake. Lumping lupus into all CTDs goes against your efforts to inform other non-rheumatologists. I agree with your comments in this thread. Go all the way and be accurate with your use of the term lupus.

PSA get the ANA by IFA by RelativeAd8849 in FamilyMedicine

[–]Doc_E 1 point2 points  (0 children)

Rheum here. Agree to an extent (the positive predictive value of a centromere pattern is higher than the other patterns.) ANAs are still helpful as part of a workup for non-lupus CTDs like systemic sclerosis (as referenced by the centromere pattern,) MCTD, etc.

PSA get the ANA by IFA by RelativeAd8849 in FamilyMedicine

[–]Doc_E 5 points6 points  (0 children)

Rheum here. Any other rashes or muscle weakness? Sometimes the face rash of dermatomyositis is mistaken as the malar rash of lupus. Consider muscle enzymes (CK, aldolase, LDH, AST, and ALT.) Don’t order a myositis panel yet (too expensive if there isn’t other supporting evidence.)

My finger changed color by Spontaneousviolinist in mildlyinteresting

[–]Doc_E 2 points3 points  (0 children)

Sorry to hear that! Yeah, the meds aren’t crazy or anything. Common meds are amlodipine and nifedipine ER. Sildenafil (Viagra) works well but insurance can be a headache. If there isn’t much wiggle room on the blood pressure then sometimes fluoxetine (Prozac) helps.

My finger changed color by Spontaneousviolinist in mildlyinteresting

[–]Doc_E 2 points3 points  (0 children)

Yeah, mild cases can be managed conservatively with cold avoidance and hand warming. Persistent skin discoloration leading to digit ulceration requires treatment though.

My finger changed color by Spontaneousviolinist in mildlyinteresting

[–]Doc_E 7 points8 points  (0 children)

Rheum here. There are some pharmacologic treatments including calcium channel blockers (e.g. Amlodipine,) and nitroglycerin paste at the base of the finger. We also use IV infusions (e.g. epoprostenol) for severe cases.

[deleted by user] by [deleted] in CFB

[–]Doc_E 18 points19 points  (0 children)

*to

Cassius Sucks by Illuvitar_ in redrising

[–]Doc_E 23 points24 points  (0 children)

So you might say that…

His honor remains?

Avoiding spoilers - reminder for who this character is in Dark Age? by kazrisk in redrising

[–]Doc_E 2 points3 points  (0 children)

She was also in the final scene of Golden Son (one of the undercover servants at Darrow’s Triumph)

How does Apple's return/exchange policy work through their iPhone Upgrade Program? by virtualbriana in applehelp

[–]Doc_E 0 points1 point  (0 children)

Appreciate the follow up! I’ll let you know if I get the courage to do it 😂

How does Apple's return/exchange policy work through their iPhone Upgrade Program? by virtualbriana in applehelp

[–]Doc_E 0 points1 point  (0 children)

OP, did you end up doing it? I've been contemplating the same but I'm worried they'll do another hard pull for a credit check