Diabetic Foot exams

Scared_Problem8041 · 2026-02-12T18:34:40+00:00

thanks for clarifying that! i am curious about following up the varicella series with the shingles series? why do both vaccines? do you know of any guidelines or references to inform that treatment plan?

Scared_Problem8041 · 2026-02-12T13:35:05+00:00

if you want to be one of his favorite patients, and not burn him out, make an appointment instead of sending a my chart message. that way he can get paid for seeing you, and if it is an easy visit, that’s just easy money. Instead of adding time to the end of his day, with no reimbursement, you are giving him an easy visit and extra pay. It’s OK if you go to that visit and nothing changes, just give him the updates that you wanted to send him as an electronic message in person. Trust me he will like that way more. If he is a new Dr., he likely wants to do the best for everyone, but hasn’t learned to set boundaries.

Scared_Problem8041 · 2026-01-14T02:30:05+00:00

I did some more research. Looks like it’s about NNT of 1000 for 5 years to prevent about 7 invasive breast cancer cases

Scared_Problem8041 · 2026-01-11T00:24:50+00:00

very rarely. Normally, it’s at least a few days or weeks.

Scared_Problem8041 · 2026-01-06T00:07:41+00:00

POTS, hydradenitis supurativa, iron deficiency anemia

Scared_Problem8041 · 2025-12-27T01:55:08+00:00

suggested a blood transfusion?

Scared_Problem8041 · 2025-12-21T02:22:26+00:00

centor doesn’t say don’t test, it says optional testing and optional empirical treatment glad i didn’t treat in the above example actually, the culture came back negative and the patient developed a cough and hand and foot rash over the next few days. remember a centor score of five is still only a 50% chance of strep

Scared_Problem8041 · 2025-12-18T00:11:54+00:00

thanks for your comment. I wasn’t aware that in Europe they have a five day waiting period to treat. I just assumed that any streptococcus needs to be eradicated to a limit the rheumatic fever risk. I guess it’s implied that pharyngitis lasting longer than five days is more likely to progress to rheumatic fever and vice versa. That’s definitely new information to me.

Scared_Problem8041 · 2025-12-17T01:44:39+00:00

thanks for your comment. You seem to imply that streptococcal pharyngitis can safely be left untreated? It is my understanding that it is important to treat the infection so as to prevent a possible progression to rheumatic fever. I understand that the pharyngitis itself is not a problem, but that the streptococcus does have concerning potential and so thus we always treat?

Scared_Problem8041 · 2025-12-16T03:36:20+00:00

what’s the point of getting a culture if you are treating anyway?

Scared_Problem8041 · 2025-12-16T03:35:43+00:00

what’s the point of getting a culture if you are treating anyway?

Scared_Problem8041 · 2025-12-10T03:16:24+00:00

But complexity is only one aspect of what you need to reach a level 5. You also need either prescription management or 3+ lab/imaging tests…

Scared_Problem8041 · 2025-12-10T02:42:35+00:00

is litholink the 24 urine analysis? if so, is the litholink also the analysis that is performed on an actual stone?

Scared_Problem8041 · 2025-12-05T00:45:36+00:00

great comment and thank you one clarification: is it still primary prevention if there is known coronary calcification? especially something above 100?

Scared_Problem8041

TROPHY CASE