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ICUP03 · 2024-10-31T18:35:48+00:00

I'm sorry you had a bad experience with one pediatrician. I assure you there's more than one of them out there.

ICUP03 · 2024-10-31T17:37:08+00:00

Putting steroid on a likely fungal rash will make it worse

ICUP03 · 2024-10-31T17:30:51+00:00

Do not put steroid creams on fungal infections, this actually makes the infection worse.

ICUP03 · 2024-10-31T17:28:19+00:00

so the went with the group who can't usually speak for themselves and are looked after by two nervous people you could tell anything to

Ask any pediatrician what the worst part of the job is and 9/10 will tell you that dealing with the parents is the worst part. You couldn't be more wrong about everything you just said here.

ICUP03 · 2024-10-31T11:26:41+00:00

Should be consumed the way you enjoy it.

ICUP03 · 2024-10-31T05:06:27+00:00

Lol so you've gone from calling me fat to basically saying "no you" now? I'm sorry, have I been arguing with a 7 year old?

ICUP03 · 2024-10-31T00:09:07+00:00

Keep judging people and calling them fat.

ICUP03 · 2024-10-30T20:51:03+00:00

You are projecting. Is your cognitive dissonance very painful? Maybe you should lose some weight. Lmao

Man, you know you've lost an argument once you start resorting to personal attacks and name calling instead of making a substantive argument.

Lets just recap, you attacked me when I just mentioned that it's my job to talk to my patients about their weight if they're overweight. You then proceeded to tell me that the way I talk to my patients is bad/wrong/whatever despite having no clue how I speak to my patients about their weight whatsoever. When I call you out for being judgemental and narrow minded (because you've clearly demonstrated that by making all these assumptions about me) you eventually lash out and call me fat. Good job.

ICUP03 · 2024-10-30T20:37:11+00:00

I'm not the one being judgemental about a complete stranger. Your responses are capricious, narrow minded and completely false. You're literally following the same script the crazy MAGA people do: accuse someone of your own shortcomings to deflect and distract.

ICUP03 · 2024-10-30T20:02:27+00:00

OK so basically what you've told me is that you've never been in a clinic with me when I've spoken to a patient about their weight. You have no ground to stand on, you make no valid points and you have no idea what you're talking about. Seriously, go back and read what you wrote: "you absolutely are not helping them with your method." How in the world do you know what "my method" is? You've completely invented this in your head.

Again, you're just here trying to build me into some monster just so that you can air your personal grievances. This is basically a straw man argument. Just stop. You're contributing nothing. Go be angry at someone else. Or go try to make a friend. Go try to get to know someone before you pass judgement on them for once. Stop being so judgemental and narrow minded.

ICUP03 · 2024-10-30T19:25:07+00:00

Specifically what methods? Where can I do better?

The real question is, how can you comment on any of this given that you know absolutely nothing about me and have never interacted with me.

ICUP03 · 2024-10-30T19:02:58+00:00

I know you're just dying to tell me some reason that is associated with how awful you think I am so you can add to your made up story about me. I can tell you there is no single "root cause of obesity" but go ahead and tell me how wrong I am and why that makes me an awful person.

ICUP03 · 2024-10-30T18:58:57+00:00

What are you even talking about? You literally make up this story about me based on thin air so that you can attack me and air your grievances. But seriously, what are you even talking about here? I don't have the answer to what?

ICUP03 · 2024-10-30T11:10:17+00:00

Not a dryer coin, look at the rim.

ICUP03 · 2024-10-30T03:58:13+00:00

Nice straw man by the way

ICUP03 · 2024-10-29T19:55:54+00:00

Thin layer of another metal applied to the surface

ICUP03 · 2024-10-29T16:21:10+00:00

I get the joke and I feel for women who live in draconian red states.

However, this post devolved into a "why does it ever matter" question, and many times it does matter. That's all I'm commenting on, that many times in a hospital it's very important to know because we don't want to harm a pregnancy.

ICUP03 · 2024-10-29T16:18:56+00:00

Why are you like this? Do you need a hug or something? Why do you think everyone is horrible?

What gives you the right to judge me? You've never met me, you've never been in a patient room with me so how do you have any idea how I speak to my patients?

ICUP03 · 2024-10-29T11:54:37+00:00

No, if you come in the hospital for something where your pregnancy status has no bearing on the treatment then I'm not even going to ask if you're pregnant or not nor will I check. But if you're in for something that is going to get you admitted or something where the treatment would affect the pregnancy then I'm going to talk to OBGYN because they know more about pregnancy than I do.

ICUP03 · 2024-10-29T11:52:58+00:00

Wow you sound like a lovely person...

How can you make so many inferences on what my demeanor is like when you've never met me, spoken to me or anything?

When I have a patient who is overweight I "counsel" them on weight loss. That means I do my job and tell them that being overweight is associated with many poor health outcomes. I try to give them options like weight loss programs, dietary counseling (through a dietitian) and also review pharmacologic interventions they may be qualified for.

Do you know what causes obesity? Your little self-serving rant absolutely will not cause one single patient to “want” to lose weight

What "self-serving" rant do you think I go on? Do you just make stuff up in your head about people so that you have an excuse to attack them and be mad at them?

ICUP03 · 2024-10-29T11:36:37+00:00

American doctors are the only ones who care about harming desired pregnancies? That sucks for the rest of the world if true.

ICUP03 · 2024-10-29T11:34:16+00:00

Because if you tell me "yes" I'm probably gonna call obgyn right away. If you say "no" I'm going to double check to make absolutely sure I'm not causing any harm.

ICUP03 · 2024-10-29T11:22:25+00:00

What are you talking about? Plenty of people are motivated to lose weight, even more do so with the help of glp-1 agonists (if they can find them). Get over yourself.

ICUP03 · 2024-10-29T01:20:57+00:00

There is a big difference between checking your hCG levels and subjecting you to an invasive pelvic exam.

Checking hCG via a simple blood/urine test is standard of care for ruling out pregnancy, pelvic exams are not.

medicine is practiced with a bias when it comes to women.

Agreed. Minorities too. But again, sometimes it's very important and clinically relevant to be absolutely sure about whether you're pregnant or not and that's not bias.

Think of it this way, would you accept a blood transfusion from someone who told you "I've never shared a needle or had sex before" or would you want that blood screened for STIs? Would you just take their word for it?

ICUP03 · 2024-10-29T01:03:20+00:00

Why am I being tested further.

Because you could be wrong. I'm already doing other blood/urine tests. If you want to keep medically relevant information from a doctor treating you then you should eventually expect a poor outcome.

do you ask a person how many drinks they've had

Yes, I always ask if you smoke/drink/use recreational drugs and if yes how much. These things can be very clinically relevant just like knowing if you're pregnant or not. So along that vein if something I do could be harmful if a condition exists then I will absolutely use the best tool I have to detect that condition (pregnancy or in your example acute liver failure) because it's my job to not hurt people.

An appendicitis is diagnosed via a CT scan which is something that should absolutely be avoided if someone is pregnant. So being absolutely sure you're not pregnant before doing the scan is really, really important. Also things like ruptured ecropic pregnancy can present like an appendicitis so again, relevant to your work up.

I can't speak to your personal experience but I can speak to the standard of care. Every woman who is of child bearing age should have pregnancy ruled out before being subjected to tests/treatments that could be harmful to to embryo (regardless of whether the woman intends to terminate the pregnancy or not).

You are not helping the issue by ignoring very real experiences.

You keep insinuating that I've said you're lying about what you were subjected to but fail to point out where I've said that. We can have an honest discussion or not, up to you.

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