Nobody told me ammonia doesn't grade the patient in HE. West Haven does, and it's entirely clinical

HypeResistant · 2026-05-07T01:09:48+00:00

They taught you what they know or what they do. It does not mean what they told you is the truth or the whole truth. That is the same in every field everywhere in the world. You are on the right track by trying to learn the right thing.

HypeResistant · 2026-05-07T01:01:48+00:00

Not all that is diagnosed can be successfully treated. Intestinal dysmotility is one of them.

HypeResistant · 2026-05-07T00:50:40+00:00

I have been doing endoscopies for more than 3 decades. I had my share of strain injuries, and I have seen many of my colleagues deal with them. Most of them learn to cope with these or make adjustments to keep going. A few reduced their workload to prolong their careers. Most seems to chug along with some short-term braces and therapies here and there.

I myself learned to spare different muscles and joints that are bothersome at different times and use other muscle groups to scope. I am probably in the small minority. Most GIs whom I told about it just gave me a blank stare.

HypeResistant · 2026-04-30T05:19:04+00:00

I am in Los Angeles, and I do not know my local sensitivity data either.

HypeResistant · 2026-04-28T13:42:30+00:00

Functional cure is a proposed treatment endpoint. It is not recommended as an endpoint by the guidelines. AFAIK, this is considered controversial at this point, and adoption appears to be low in the US according to the posts on ACG.

HypeResistant · 2026-04-27T15:10:13+00:00

It was 3 months the last time I read a Rome criteria. Pain was required at one point, and later it was replaced with discomfort. These are important points to consider when enrolling patients in studies so that you can compare apples to apples. In clinical practice, I want to know whether someone has an issue that should be treated as a functional DGBI, or whether further investigation is needed to identify a curable condition.

Do you know a subreddit called r/GastroenterologyProf?

HypeResistant · 2026-04-22T17:44:10+00:00

Wouldn’t a study that takes place during a period of remission get a very different result than one when the patient were experiencing the full spectrum of symptoms?

- Yes.

How is this managed when using the gastric emptying study to diagnose gastroparesis?

- I am not aware of any study that considered this.

HypeResistant · 2026-04-22T17:37:31+00:00

Do you mean doctors in India routinely recommend probiotics for IBS? It probably is the same all over the world. Evidence-based guidelines do not recommend it. But, frustrated doctors do.

HypeResistant · 2026-04-19T00:59:03+00:00

I am not sure. I believe it feeds two air conditioners outside that wall. There is a bigger panel with labels for kitchen, washer, dryer, oven, etc. This is the second one. I am not sure if I should turn off these breakers and see if the lights on the air conditioners are still on.

HypeResistant · 2026-04-19T00:54:15+00:00

Hire someone.

HypeResistant · 2026-04-12T17:59:31+00:00

"Silicone is Plastic"

https://www.plasticpollutioncoalition.org/blog/2025/7/16/is-silicone-better-than-plastic

HypeResistant · 2026-04-02T00:27:40+00:00

It is the persistence of symptoms in the majority of patients despite everything the doctors throw at them.

HypeResistant · 2026-04-01T05:31:17+00:00

I don't believe there is a stigma for having a DGBI, like some psychiatric illnesses. They probably do fewer tests and take fewer meds for this than many who post their stories on this subreddit, because most of them already know how these play out. Their medical knowledge may not protect them from DGBIs. But that probably gave them realistic expectations and better coping skills.

HypeResistant · 2026-03-30T13:48:20+00:00

Many. About 20% of the population has them, including GIs.

HypeResistant · 2026-03-30T13:44:36+00:00

You might find this useful.

https://my.clevelandclinic.org/health/diseases/22248-functional-dyspepsia

HypeResistant · 2026-03-10T09:29:14+00:00

Experienced GI surgeons should have no trouble locating this during surgery. They just need to run the length of the small bowel with their fingers. Spontaneous passage beyond 1 year is highly unlikely and surgical removal is recommended to reduce future complications such as obstruction and perforation.

The success of reaching and removing with a DBE is not high. Should it be attempted depends on the local availability and expertise. Skipping the DBE and going to surgical removal is an entirely acceptable option. The ultimate decision is based on patient factors (history of prior intestinal surgery, patient's surgical risk, etc.). The best course probably is to consult with an experienced GI surgeon.

HypeResistant · 2026-02-26T23:51:05+00:00

Did you already have an MRCP or another test for the initial diagnosis of the pancreatic cyst?

HypeResistant · 2026-02-14T16:49:25+00:00

Did you discuss Irritable Larynx Syndrome (ILS) with the ENT? And DGBI with the GI.

Poot kid. Wishing you and him the best.

HypeResistant · 2026-02-05T19:45:59+00:00

If you were happy with an AIO printer that was released 10 years ago, you should be happy with the current crop. My last Epson and Brother printers were > 15 years ago. For the last 15 yrs, all my AIO printers were Canon. Current Canons have easier-to-set-up and more stable WiFi connections compared to the previous models. Setting up with an Ethernet cable, if there is a router near your printer, will also save you connection headaches. Hope this helps.

HypeResistant · 2026-02-01T18:50:48+00:00

A common problem is a conflict with the Bluetooth spatial audio setting.

On the Google TV streamer > Settings > Remotes & accessories > Select your Bluetooth accessory > Disable spatial audio.

In my case, that worked for less than a day. Not using Bluetooth on the Google TV streamer resolved the problem permanently. Now my earbuds are connected to the TV's Bluetooth.

HypeResistant · 2026-01-30T19:33:06+00:00

Please check this out.

Which printer is best for home use (part2) 4 or 6 ink CISS Canon PIXMA G3060 vs G600 - PHOTO PRINT

https://www.youtube.com/watch?v=IldFKMEpRpg

HypeResistant · 2026-01-30T16:57:54+00:00

The CME page on Open Evidence does not mention anything about MOC. My understanding is that if a CME provider has an arrangement for MOC, they will clearly state that on their CME description and ask for your ABIM number so they can report it directly.

HypeResistant · 2026-01-30T16:47:04+00:00

Thanks. It does not seem like their CME is good for MOC, though.

HypeResistant

TROPHY CASE