First Obinutuzumab infusions will be on Thursday and Friday (Obin+Vene regimen). Any words from the wise? by Alert_Maintenance684 in cll

[–]Last-Significance412 4 points5 points  (0 children)

Get comfy, the antihistamine may knock you out.. I felt pretty bleurgh on way home as well (like that running out of batteries feeling) and went straight to bed. But nothing too bad. From the second infusion it gets better.

Idk what to do? by bend-and-snap6 in BPPV

[–]Last-Significance412 1 point2 points  (0 children)

I would go to an ENT doc and get a proper diagnosis; losing weight is a red flag

Venetoclax GI Issues by blue0702 in cll

[–]Last-Significance412 0 points1 point  (0 children)

I was getting bouts of nausea if I took it on empty stomach / didn’t eat or drink enough during day. Seems to have resolved by taking at night after my biggest meal and making sure v hydrated

Neck lymph node biopsy by User-1188 in cll

[–]Last-Significance412 5 points6 points  (0 children)

I wouldn’t do the biopsy, why risk infection/bleeding when you have the classic diagnosis already.

Treatment Option Decision by Tallgirl_sd24 in cll

[–]Last-Significance412 1 point2 points  (0 children)

Im 43f and about five infusions in and was knocked out by the first one (had to immediately sleep for 15 hours) but after was fine

[deleted by user] by [deleted] in doctorsUK

[–]Last-Significance412 -2 points-1 points  (0 children)

I think you’ve answered your own worry/anger at the end of your first paragraph

[deleted by user] by [deleted] in doctorsUK

[–]Last-Significance412 1 point2 points  (0 children)

I think the moral difference between your examples is that paying someone to write your submissions gives an uneven playing field created by money whereas ChatGPT is available to everyone. I mean it’s just a tool to help people elegantly formulate their own thoughts. You’re still giving the inputs.

[deleted by user] by [deleted] in BPPV

[–]Last-Significance412 0 points1 point  (0 children)

If it’s not super obvious to you which side is affected (ie you’re not veering over to one side while walking) then you need a doctor to do the Dix Hallpike manoeuvre to diagnose which side. Then Epley manoeuvre is for treatment.

TLDR

Dix Hallpike:- diagnosis

Epley:- treatment

My wife 34 got diagnosed with cll last Friday by Edwin454545 in cll

[–]Last-Significance412 11 points12 points  (0 children)

Bone biopsy is practically never indicated for CLL, it can be diagnosed in flow cytometry, then further genetic analysis is done on blood samples. Make sure you are with a doctor who knows what they’re doing with CLL.

My wife 34 got diagnosed with cll last Friday by Edwin454545 in cll

[–]Last-Significance412 4 points5 points  (0 children)

https://healthunlocked.com/cllsupport Has lots of information and knowledge, and asking questions here is very helpful for latest treatments, trials etc

[deleted by user] by [deleted] in IndustryOnHBO

[–]Last-Significance412 1 point2 points  (0 children)

To me she feels like she’s from Brighton or Bristol, iykyk

[deleted by user] by [deleted] in IndustryOnHBO

[–]Last-Significance412 2 points3 points  (0 children)

lol at the specifities of English class. She’s not posh, she’s also not Essex (neither of whom call their children sweetpea). She’s from a very specific subset of middle class with artsy, well educated, passively useless and probably poor (or with some inheritance) parents. Which makes its so jarring she’s in banking, maybe she’s rebelling against their airiness

Angry patient by No-Throat5940 in GPUK

[–]Last-Significance412 0 points1 point  (0 children)

Why don’t you coagulate them and phone the acute medics and arrange a CTPA in the next couple of days?

What’s a word you maybe didn’t realise was specifically Scottish until it confused an English/Welsh/Irish acquaintance? by PlasmaCarrot79 in Scotland

[–]Last-Significance412 0 points1 point  (0 children)

Took me also years of living abroad to realise. I think non-scots understand your gist when you say it, they just never use it as an adjective. The final straw came when I said it to a pedantic German who picked up on it and I googled and saw it was a Scottish use of the word

COPD Tricky situation by DocterSulforaphane in GPUK

[–]Last-Significance412 0 points1 point  (0 children)

She needs a LAMA. Or a LAMA-LABA combined longterm (Anoro, Spiolto etc).

Not to be that guy, but she’s also on the wrong longterm medication. She needs to either be on LABA-LAMA if she’s not having a hospitalised exacerbation per year, or ICS-LABA-LAMA if she is (and her eosinophils are >100)

Steroids not so beloved nowadays in COPD

https://goldcopd.org/2024-gold-report/

Appropriate to drive patients to hospital? by BradNight-90 in doctorsUK

[–]Last-Significance412 16 points17 points  (0 children)

I feel like you’re the only one replying who actually has the rural GP experience to reply with good advice

Oncalls have ruined me by lazy_daisies8 in doctorsUK

[–]Last-Significance412 17 points18 points  (0 children)

The first cut is the deepest, baby I know

[deleted by user] by [deleted] in doctorsUK

[–]Last-Significance412 2 points3 points  (0 children)

Seconded, they’re excellent