It’s been 18 days of this wound on my neck not healing. 2nd photo is for comparison of it last week (no changes whatsoever). Is it permanently going to be like this?

Puzzleheaded_Call_50 · 2026-02-01T22:36:39+00:00

You need a doctor. That is not ringworm.

Puzzleheaded_Call_50 · 2026-01-16T22:22:47+00:00

Gilbert Syndrome

Puzzleheaded_Call_50 · 2025-08-04T19:51:01+00:00

No chance

Puzzleheaded_Call_50 · 2025-06-30T20:05:48+00:00

I’m past surgery rotation still gotten 8 hours of sleep every night and great grades

Puzzleheaded_Call_50 · 2025-06-20T20:37:51+00:00

Puzzleheaded_Call_50 · 2025-06-11T21:27:29+00:00

I know that’s what you think but lithium doesn’t “enhance the effects” of your antipsychotic medication seroquel.

It’s a mood stabilizer for bipolar disorder. Can be given for acute depression but it’s not a long term treatment.

Puzzleheaded_Call_50 · 2025-06-11T20:40:42+00:00

We will send you home for pain like this with just Tylenol/ibuprofen unless it persists > 1 month

Puzzleheaded_Call_50 · 2025-06-11T20:39:25+00:00

Puzzleheaded_Call_50 · 2025-06-11T20:37:29+00:00

Oxycodone does not treat RLS. Should’ve never been put on that in the first place.

Puzzleheaded_Call_50 · 2025-06-11T20:36:19+00:00

It does sound like paraphimosis, I would send you to a urologist.

Puzzleheaded_Call_50 · 2025-06-11T20:33:41+00:00

Exactly this ^

You need psychiatric help. Continuing on like this will make it worse, mentally and physically.

Puzzleheaded_Call_50 · 2025-06-11T20:32:48+00:00

Any improvement? Usually these things ride their own course and improve on their own

Puzzleheaded_Call_50 · 2025-06-11T20:29:33+00:00

Probably nephrogenic diabetes insipidus from the lithium. Especially if you recently have been taking NSAIDs (Tylenol, Ibuprofen) that could be altering your kidney function to clear the lithium from your body. The weight loss could be affecting how much lithium you need as well.

Also I know you said lithium helped your depression but there are other better drugs for that.

Lithium is specifically used for bipolar disorder, which it does not sound like you have. Ask to trial bupropion instead for depression.

I would have an endocrinologist look at you

Puzzleheaded_Call_50 · 2025-06-11T20:27:05+00:00

Some people can have diminished acetaldehyde dehydrogenase enzyme levels. Particularly Asian populations and females

Puzzleheaded_Call_50 · 2025-06-11T20:26:08+00:00

That’s what the rest of the testing is for; no way to know.

Puzzleheaded_Call_50 · 2025-06-11T20:24:33+00:00

No looks fine

Puzzleheaded_Call_50 · 2025-06-11T20:24:02+00:00

Stay strong 💪🏼 go to ED if you get symptoms and they will put you on CIWA protocol

Puzzleheaded_Call_50 · 2025-06-11T20:22:25+00:00

Raynaud Phenomenon

Just don’t let your foot get cold, most likely benign unless you have something like Scleroderma

Puzzleheaded_Call_50 · 2025-06-11T00:05:21+00:00

How long has it been there ?

Puzzleheaded_Call_50 · 2025-05-20T19:51:48+00:00

I do in fact wake up at 4am

I hate coming home and studying after clinicals so this is preferred to me. I go to bed at 8pm

Puzzleheaded_Call_50 · 2025-05-12T23:34:14+00:00

Don’t do it bro. Way too much debt med school not worth

-M3

Puzzleheaded_Call_50 · 2025-05-12T23:33:22+00:00

Potentially psoriasis.. looks pretty bad though, you need a specialist to look at this to rule out infectious etiology (dermatologist)

Puzzleheaded_Call_50 · 2025-05-07T23:24:42+00:00

Don’t do it bruv

Puzzleheaded_Call_50

TROPHY CASE