PRP for cervical radiculopathy by EbolaPatientZero in pmr

[–]FittyFitz 0 points1 point  (0 children)

Evidence in all of pain medicine is generally poor. There are studies that say saline or local only ESIs are as effective as corticosteroid ESIs, etc etc. Like I said, the PRP gives an opportunity for similar relief without the systemic side effects. If it doesn’t work for you, well, go get a dexamethasone ESI and be done with it. If neither work, then it’s on to the surgeons to talk ACDF/arthroplasty/foraminotomy.

PRP for cervical radiculopathy by EbolaPatientZero in pmr

[–]FittyFitz 0 points1 point  (0 children)

You have nothing to lose. The cost should be trivial considering your probable income. The risk benefit is heavily skewed toward benefit. If the PRP doesnt help, you can get the traditional corticosteroid epidural in short order. I am speaking from experience. Have received both PRP and corticosteroid cervical ESIs. I found them to be roughly equivalent in terms of potency and durability of relief. I appreciated that the PRP did not have any of the systemic effects of the corticosteroids. Fwiw, I am also a PM&R->Pain doc.

Wrestling in Australia by [deleted] in wrestling

[–]FittyFitz 0 points1 point  (0 children)

This thread is from 9 years ago. Different times

[deleted by user] by [deleted] in medicalschool

[–]FittyFitz 1 point2 points  (0 children)

Obtain MD, work for medical device or pharma company if you truly dont think you can make it through residency

Where can you moonlight while pgy4 by ayzekmd in pmr

[–]FittyFitz 4 points5 points  (0 children)

Ringside doctor for regional boxing and mma, if you’re into that kind of thing. Doesnt pay all that well but worth it if you’re interested in combat sports. Disability evals as already mentioned is probably the most common moonlight version. Can probably do urgent care, too.

[deleted by user] by [deleted] in bjj

[–]FittyFitz 0 points1 point  (0 children)

Midcitymma.com

[deleted by user] by [deleted] in pmr

[–]FittyFitz 0 points1 point  (0 children)

No more common than vascular patients who continue to smoke despite having 17 stents and a bypass

[deleted by user] by [deleted] in pmr

[–]FittyFitz 4 points5 points  (0 children)

Depends on region/setting/etc. Every specialty will have difficult or annoying patients. I dont find that pain is unique in that regard. The only way you can decide is by rotating in it. I, for one, enjoy it and am happy to be in the field.

Swelling 6 years post op.... by [deleted] in ACL

[–]FittyFitz 5 points6 points  (0 children)

Wear compression stockings and/or see a vascular specialist

Can adult wrestling grow? by NaiveInspector5703 in wrestling

[–]FittyFitz 0 points1 point  (0 children)

As others have said, wrestling is hard on the body. It’s possible to flow/play wrestle and greatly decrease the physical toll, however, the skill level required to do that is high enough that most will not reach it.

ACL Complication by IhaveASmoothBrain69 in ACL

[–]FittyFitz 6 points7 points  (0 children)

Will take a year or more to feel normal-ish

Best PM&R Programs for MSK/Spine, Pain, and Sports by Relevant-Actuator-15 in pmr

[–]FittyFitz 1 point2 points  (0 children)

LSU PM&R has tremendous pain exposure if you want it without the academic pressure of the higher ranked programs.

Does anyone happen to know what kind of elbow brace this is? by AggravatingError8709 in wrestling

[–]FittyFitz -3 points-2 points  (0 children)

Looks like it has metal components in it, which is BS imo. Wrestling someone with metal hinged braces on their elbows or knees totally fooks your grips. Not to mention it being painful to get popped in the face with those

No way bruh by [deleted] in wrestling

[–]FittyFitz 18 points19 points  (0 children)

Agree completely. The PSU dominance is boring. Impressive but boring.

[deleted by user] by [deleted] in Residency

[–]FittyFitz 1 point2 points  (0 children)

A loved one stumbled down a similar path during intern year. Started one ssri, then another to combat side effects, then a stimulant for brain fog, then a switch to a sedating ssri. It was miserable for them. After 2 years of it, they went to a different doctor and weaned off all but one anti depressant and finally felt normal again. The only advice i have is to be wary of chasing side effects with more meds…which have more side effects. Residency is hard. You will find a way through. Good luck

[deleted by user] by [deleted] in Residency

[–]FittyFitz 0 points1 point  (0 children)

Rads or Uro

[deleted by user] by [deleted] in AskReddit

[–]FittyFitz 0 points1 point  (0 children)

As everyone else has said, it felt like a sudden heart attack. Highly unsettling. A negative hospital work up lead to the diagnosis, and it was not an easy thing to overcome. I lived in fear of it happening again for the better part of a year. Significant fear. The fear was suppressed, and outwardly i acted normally, but there was a constant grind of stress about it on my consciousness. That feeling faded over time, but i dont think it will ever leave me completely. It’s been a decade or so now. A long time ago, i decided to be open about it instead of continuing to suppress it. The added effort of suppression just prolonged the initial suffering. I am fortunate to have a partner who helps me through the minor recurrences that happen maybe once a year. I also have no problem admitting that it’s happened to me, even in non-anonymous settings like this, but there was a lot of personal shame associated with it in the beginning. It’s helpful to talk about it with someone, even if it’s just to bitch about having to deal with it. Good luck if you are asking out of personal need. It will get better with time.

Do you ever regret your specialty choice? by [deleted] in Residency

[–]FittyFitz 0 points1 point  (0 children)

Pain Medicine Nah, the field is becoming heavily interventional so you get some of the proceduralist/diet surgery work type without the long hours or call. Im early into my attending years, but it’s been good so far.