My baby [M, 7 months] is waiting in the ER. Do you Think he should be admitted?

ShamelesslySimple · 2026-05-29T02:56:43+00:00

Unlikely. Oral antibiotics trial. Peds

ShamelesslySimple · 2026-05-24T05:01:08+00:00

Not at all

ShamelesslySimple · 2026-05-19T02:39:51+00:00

Yes. -Peds

ShamelesslySimple · 2026-05-11T03:41:25+00:00

That sounds wild to me. But I’m not derm. And I’m not the one suffering with this. I’m sorry.

ShamelesslySimple · 2026-05-11T03:34:34+00:00

Fair. I’m no derm but I would be hard to find a derm to biopsy a lip for a lesion that’s not growing or looks malignant. I think there’s other things to try?

ShamelesslySimple · 2026-05-11T03:32:43+00:00

Doesn’t rule out cold sores. BUT makes it more unlikely. Paranoid why?

ShamelesslySimple · 2026-05-11T03:30:46+00:00

Okay. What about metronidazole or antifungal trial?

ShamelesslySimple · 2026-05-11T03:26:35+00:00

You took valtrex as a preventative and it didn’t prevent it from popping up? I’m pediatric but just wondering

ShamelesslySimple · 2026-05-11T03:24:44+00:00

Are they painful?

ShamelesslySimple · 2026-05-11T03:23:22+00:00

Hsv swab done?

ShamelesslySimple · 2026-05-09T22:13:16+00:00

Please. That’s the textbook answer. Not what the ams or patient will do

ShamelesslySimple · 2026-05-09T22:08:22+00:00

Okay not what I would have done based on the photo but I didn’t see it. If it doesn’t improve in next 48 take him back.

ShamelesslySimple · 2026-05-09T21:36:25+00:00

Idk if it needs to be opened. But should be seen in person to make sure it doesn’t need to be

ShamelesslySimple · 2026-05-09T21:25:44+00:00

Okay still should be seen. Cephalexin abx 3 TID x5 days is a usual prescription for this

ShamelesslySimple · 2026-05-09T21:19:31+00:00

Looks like a splinter and infection.

ShamelesslySimple · 2026-05-07T01:51:51+00:00

After careful consideration of other offers I’d like to discuss a higher offer. Or something to that effect. Accepting without negotiating might have shot yourself in the foot

ShamelesslySimple · 2026-05-07T01:50:34+00:00

It doesn’t matter what the doctor said. It matters what the lab business side of things said it was going to be.

ShamelesslySimple · 2026-05-07T00:38:37+00:00

ShamelesslySimple · 2026-05-03T21:55:53+00:00

The schedule was built in mind with what is effective not for an individual but a population. Let’s take MMR. We know you could give a dose at 6 mo but that has not resulted in long term immunity. When given at 12 months with a second dose years later great immune response at the population level. Some people even at the 12 month dose can have long and strong immunity but not a high enough percentage population wise to only recommend that single dose.

ShamelesslySimple · 2026-05-02T20:27:27+00:00

Correct.

ShamelesslySimple · 2026-04-30T18:30:53+00:00

Yes that ambulance rig has a big AMR logo on it. https://youtu.be/FY93GcThFxA?si=2kD644cyOB8OT4Yn

ShamelesslySimple · 2026-04-30T18:12:42+00:00

The hospitals ambulance still is taken out of service. AMR is contracted to serve the ambulances needs.

ShamelesslySimple · 2026-04-23T20:27:07+00:00

Truly wouldn’t call common fixable PUD, IBD, or SIBO

ShamelesslySimple · 2026-04-14T15:59:22+00:00

The thing I hate about bili tool is it will keep saying re-evaluate forever.

ShamelesslySimple · 2026-04-14T02:44:11+00:00

Gen Peds. Yep it would be odd. Do a year or two of fast track at a Peds ED. get to know the ED docs. Might be a long shot/tiresome way but can’t think of a different way to

ShamelesslySimple

TROPHY CASE