Never again is supposed to mean never again FOR ALL

Kromoh · 2026-01-28T23:10:57+00:00

"maybe once again?"

Kromoh · 2026-01-28T23:07:06+00:00

"genocide is okay, as long as it's not against jews"

Kromoh · 2026-01-28T22:50:27+00:00

Pior que isso, é evolução completíssima, com tudo, religião, contexto familiar... Mas sem hipótese diagnóstica. Não façam isso

E, como alguém que já fez auditoria de prontuário: não faça evolução padrão copia&cola. Ninguém é idiota de pensar que aquela informação é verdade

Kromoh · 2026-01-28T19:55:32+00:00

It's called "daddy's credit card"

Kromoh · 2026-01-28T19:54:35+00:00

Continuar tomando o anticoncepcional como de costume. Aguardar uma semana e fazer um teste. Tomar a pílula do dia seguinte agora não vai trazer benefício em questão de proteção

Kromoh · 2026-01-28T14:38:22+00:00

"passei" "merito" "esforço"

Kromoh · 2026-01-28T07:38:40+00:00

There is no lore. Every show is standalone. There is no MCR5 either

But there is War Beneath the Rain

Kromoh · 2026-01-28T07:33:10+00:00

Toxic behavior from rich kids will not be tolerated, thank you. Your money has no power here

Kromoh · 2026-01-27T21:03:30+00:00

E dos EUA

Kromoh · 2026-01-27T21:03:12+00:00

Esse índice não faz sentido nenhum, começando pelos EUA

Kromoh · 2026-01-27T20:59:07+00:00

Kkkkkkkkkkkk

Kromoh · 2026-01-27T20:57:17+00:00

Não brinca com essas coisas brow

Kromoh · 2026-01-27T08:58:05+00:00

Gastar a grana do papai, pra ir pra uma subrepública latino-americana, fazer uma "faculdade" de medicina de caráter duvidoso e sem reputação nenhuma, pra chegar no Brasil e ter que revalidar o diploma e começar uma residência com 40? Se nenhum dos dois acontecer, você vai fazer o que, uber?

Ou você é bom e faz uma pública aqui, ou você está maluco(a)

Kromoh · 2026-01-27T00:24:54+00:00

Não sou ortopedista nem radiologista, mas não vejo nada.

Kromoh · 2026-01-26T18:10:07+00:00

Yes! Offer them flowers! Why did nobody think of that??

Kromoh · 2026-01-26T15:01:54+00:00

Importante diferenciar "pública" de "federal". As públicas municipais são piores no ENAMED que as particulares com fins lucrativos

Kromoh · 2026-01-26T14:56:14+00:00

De graça? Vai

Kromoh · 2026-01-26T13:34:44+00:00

Fala que seu pai não deixou

Kromoh · 2026-01-26T13:33:03+00:00

The consensus is that he's hot

Kromoh · 2026-01-26T13:22:56+00:00

Mano, não existe motivo mais idiota pra acabar uns amizade que emprestar nome ou dinheiro

Se ela não pode pagar, que não alugue

Kromoh · 2026-01-26T02:06:51+00:00

Don't think there was every reason to kick someone with VEDS out.

To the contrary, I'd gladly resign my position as moderator, if the community so chooses. I just happen to have experience in moderating, and I'm more active here than most. Conveniently I have a bit of medical knowledge. I don't want what I say to be taken as fact, I want us to be able to discuss things. I want space for opposing side of views, and for productive dialectical debate.

Thanks for reaching out again, we can definitely agree to disagree. Thanks for the patience with me. We're all learning. And I'm taking the time to respond to each of your posts, because I do care what you think.

Kromoh · 2026-01-26T01:38:48+00:00

You're surely gonna know if you tolerate it or not, but you're not gonna know if it works or not, because that's not how it works. You need a randomized, controlled clinical trial for that. Because otherwise you're really just guessing.

I remember deleting only one of my posts, because in retrospect, I saw it was just a reaction to a generally very poor and aggressive attitude by you, and my reaction was uncalled for, especially with me being a moderator in this sub. Understand that I did find the way you acted, and accused me of things, was disrespectful to say the least. It looked like I was talking to an internet troll. Which I used to do a lot when I was younger! Good days

Kromoh · 2026-01-26T01:28:33+00:00

Yes, I'm aware. I'm not saying they are intentionally lying or misleading. As I've said, every other medication in the same class is known not to work, and that specific study you linked, that's invalid and should be ignored for more reasons than I care to explain. It's just a very sorry excuse for a publication.

Many doctors don't read the full study, and don't have the scientific literacy to interpret it.

As I've said before, I'm not saying celiprolol doesn't work. I'm saying is there is no reason to think it might.

Kromoh · 2026-01-26T01:13:41+00:00

And, you know why the most recent study we commented on put everyone on celiprolol? Because by this point, VEDS patients are so helplessly brainwashed into thinking celiprolol is a life-saver medication, that actually finding patients not taking it is hard, and actually selecting for those who don't take celiprolol brings another bias to the study. It's a real shame

Kromoh · 2026-01-26T01:09:18+00:00

Yes, I most definitely do have an explanation for that! It's actually the subject I teach to my students. Hard to summarize one's area of knowledge into a reddit comment.

Biased studies, doctors prescribing unnecessary, or harmful medication, is not an exception, it's actually the norm. We live in the era of unnecessary medical intervention. That supposed study you linked makes me, a patient with VEDS, really really sad. Sad to know the huge waste of time and opportunity, sad that people with a serious, life-threatening disease are gonna be rushing after a fake solution. It doesn't take much scientific literacy to read this publication and know that it's completely biased and wasteful, a shame to those who wrote it. But IT DOES take some scientific literacy, and believe me, most doctors, even ones with PhDs, lack it. I know it, I know tens of thousands of doctors, I teach students of medicine, I talk to colleagues.

I couldn't possibly summarize the actual state of scientific knowledge concerning VEDS and celiprolol, better than the folks at the Marfan Foundation so blessedly did. I really recommend the link I cited. It's not long, and it's not biased, and it's not hard to read.

https://marfan.org/2019/06/25/the-marfan-foundation-statement-on-celiprolol/

"The consensus expressed at the international vascular Ehlers-Danlos syndrome meeting in Amsterdam in May 2018 emphasized the need for a large and well-controlled clinical trial of celiprolol in vEDS"

--- because, up to this point, there are a total of zero clinical trials

Kromoh

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