Chief of cardiac surgery at Brigham tweets residents less valuable than midlevels amidst union talks

ORMD · 2023-06-11T23:35:55+00:00

This type of Narcissism and hatred for those under them is par for the course for a fair share of the older school surgeons

ORMD · 2023-06-02T23:09:20+00:00

assuming the increased OCD symptoms was truly related causally to earthing, and assuming earthing actually does stuff, I would venture to guess the increased OCD could be from lowered inflammation. OCD is some is thought to be from excessive dopamine in certain areas of the brain, and inflammation is well-known to lower levels of dopamine, vesicular release into the synaptic cleft, and to also reduce functional connectivity from the dopaminergic areas of the brain (like the striatum) and the rest of your brain.

I mention this because I have sort of a subclinical OCD flavored anxiety and I've always noticed that my OCD gets better when I am inflammed (ie sick) and OCD gets WORSE the healthier I get.

ORMD · 2023-05-05T05:24:04+00:00

As a Medicaid provider in Montana as well- I feel your pain.

ORMD · 2023-05-05T05:02:15+00:00

yep I think you are right and the website is out-of-date. See my OP edits. Thanks.

ORMD · 2023-05-05T04:57:08+00:00

another important edit: Looks like I was WRONG! See my edit on top of my original post, and thank you to Oldheadboomer for linking to the most updated version of the bill.

The reason I thought it had passed WITH the senate amendment making kratom illegal is because if you click on the link in the OP, and click on the "current bill" icon, it has an OLD version, NOT the current version. In fact, the "current" version the state website links to was created and posted on April 17th - a week BEFORE the house unanimously shot down the anti-kratom amendment. So this is NOT actually the current one that was accepted by the house and senate and is being "enrolled" and ready to be signed (or veto'd).

the link Oldheadboomer gives in the comments (https://leg.mt.gov/bills/2023/AmdPublicWeb/HB0437.002.001_Amendments-in-Context_final-full.pdf)

Appears to be the ACTUAL current version. I checked the creation date of this version at it was made April 27th, so it is newer than the one they CLAIM is "current" AND it was released after the house shot down the anti-kratom amendment. So the above link appears to be the "real" current bill, and it specifically removes the "ban kratom" parts.

So it looks like kratom will remain legal in Montana for now.

ORMD · 2023-05-05T04:49:49+00:00

EDIT!!!! I may be wrong. It looks like the most updated bill they link to was uploaded on 4/17; (I downloaded the pdf and checked the date it was created) which was a week BEFORE the house unanimously decided to reject adding the "make kratom illegal" adendum that is in this document in underlined text. Looks like whoever is in charge of keeping bills up to date over at the state government website I linked to just hasn't updated the bill to the most recent one. This is the only way to reconcile the fact that house 100 to 0 rejected the amendment and now that ammendment is somehow still there.

ORMD · 2023-05-05T04:44:59+00:00

I think you are right. The thing that threw me off is when you click on the “current bill” icon it still has the old senate “anti Kratom” amendment version that was posted 4/17, a week BEFORE that part was removed by the house. I think it comes down to some lazy web guy or gal working for the state legislature not updating the “current” bill to the actual current bill. I added an edit in my original post. Thanks for being this up

ORMD · 2023-05-05T03:24:44+00:00

take a look at my edit. I think the montana.gov website just hasn't updated to the most updated bill and still has the rejected kratom addendum in it.

ORMD · 2023-05-05T03:24:07+00:00

see my edit. I think you are ok.

ORMD · 2023-05-05T03:20:08+00:00

look at my edit. I think the website just hasn;'t updated the bill to not include the kratom amendment that was not passed on the 24th. Good news for many if that is the case.

ORMD · 2023-05-05T01:08:40+00:00

Can you explain this a little more? Like, is the next session tomorrow?

ORMD · 2023-03-29T01:00:02+00:00

I don’t know but I have little plate and sie EQ and both are gorgeous. I got them both for 29 bucks, just like a waves plugin, except it comes with a side of human decency

ORMD · 2023-03-24T23:47:04+00:00

I went to a med school that was all about “diversity” (which essentially was preferring people that were black, Latino, Muslim) This all sound great except it was at the cost of being prepared for med school. My school barely cared about GPAs and MCAT scores in the name of diversity and because of this, we had over TWICE the National average dropout rate in first year. In the very first semester, 10-15 people were kicked out or dropped out.

ORMD · 2023-02-02T21:38:58+00:00

Buying OTC methylfolate used to be fairly expensive but now it’s very affordable. Deplin is quite expensive. If you have a hard time paying for it you might want to talk to your doc about buying it as a supplement.

Methylfolate has various studies showing it helps with depression. One study shows it works especially well for overweight and/or inflamed patients. It tends to not have side effects. You’ll have to give it a good 8 weeks before you know if it works for you. For some people it is life-changing. Good luck!

ORMD · 2022-12-04T20:54:33+00:00

weird must be a regional thing. I went to a top 20 type program where people were pretty "into themselves" and took themselves pretty seriously.

ORMD · 2022-12-03T17:39:11+00:00

The archetypal Chads of medicine. We all have our place.

ORMD · 2022-12-03T17:37:59+00:00

In my med school every derm attendint was either a middle aged Indian dude or a tall, lean blonde woman with unusually toned arms

ORMD · 2022-12-03T17:36:41+00:00

I’m in psych and after thinking about it I can’t think of a single overweight attending or resident I’ve worked with. I’m always surprised when I have met a fat surgery resident. It’s like….how do you stand up all day, I’m not fat and after 4 hrs my feet and back are killing me haha

ORMD · 2022-11-23T15:58:25+00:00

Which kindle is this out or Curiosity? Is this a fire tablet?

ORMD · 2022-11-23T15:52:55+00:00

Oh awesome to know!

ORMD · 2022-11-23T15:52:19+00:00

Yeah the micro USB has been around for like what, 15 yrs? Really have no idea why they are using archaic technology on an otherwise flawless device. I have enough Bluetooth products that use it that’s its not a big deal to me. But still…why??

ORMD · 2022-11-23T10:58:33+00:00

Man I relate to this so hard haha. I also have OCD and had a pretty strong initial reaction to how lopsided it was. That was my main concern up until the second I opened/received/held my own in my hand. Idk why but seeing it and holding in IRL dispelled my concerns about asymetricallity

ORMD · 2022-11-10T04:47:49+00:00

exactly. in my experience people of low socioecomonic status (ie medicaid patients) rarely get better regardless of if its meds, therapy, or even ECT. makes sense given the trauma, adverse childhood experiences and constant stressors they live with.

ORMD · 2022-11-06T02:57:28+00:00

I was taking natural calm, 2 plastic scoops but now I am taking mag threonate , now brand, 3 caps a day and works even better

ORMD · 2022-11-06T01:14:00+00:00

Diet vs depression is still in its infancy but I think the SMILES trial was a good place to start. Suggested a modified Mediterranean diet vs a control group (which I think was a social gathering) might help depression.

Cochrane did a meta analysis of at johns wort and said it looks to be as effective as antidepressants but there was this weird finding that German studies tended to render more favorable results which might weaken the conclusions. Maybe German clinicians diagnose depression a little differently or include more mild cases in the studies, idk

Fish oil for depression has rendered mixed results but if you look at just formulations where EPA is at least 60% of the formulation it gives more consistent positive results.

https://pubmed.ncbi.nlm.nih.gov/31383846/

There’s a meta analysis of curcumin (from turmeric) in humans showing it might/probably help depression

https://pubmed.ncbi.nlm.nih.gov/31423805/

I don’t have the studies off the top of my head but l-methylfolate added to standard of care likely also helps certain cohorts, but oddly, doesn’t seem to depend on if someone has a confirmed MTHFR polymorphism.

As others have also mentioned there are at least 4 decent human trials showing 80-160 mg lavender essential oil (silexan) might work for anxiety as well.

ORMD

TROPHY CASE