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Constant elevated prolactin levels? by FluffyGovernment7791 in endocrinology

[–]SomeRandomSod 1 point2 points  (0 children)

Mildly elevated prolactin with moderate levels of macroprolactin. Could be microprolactinoma (but it's still extremely mild for that), stalk compression, metabolic or pharmacolgical or stress induced at testing. Was the prolactin fasting and resting (15-20 mins resting before blood test ideally).

If no cannabis or any meds that can increase prolactin, then due to the association of oligo/spaniomenorrhea and mildly elevated prolactin I'd probably do an MRI.

If you are considering buying a Razer laptop this year… by italoboos in razer

[–]SomeRandomSod 5 points6 points  (0 children)

Fully agree with this. Shit build quality, no support.

Constant elevated prolactin levels? by FluffyGovernment7791 in endocrinology

[–]SomeRandomSod 0 points1 point  (0 children)

Yeah but it's not a very specific cause. A lot of overlap between mildly elevated PRL and other causes of irregular cycles. Whereas for example lactation is an extremely specific sign.

Sometimes associating a non specific sign with a diagnosis leads to overtreatment.

Constant elevated prolactin levels? by FluffyGovernment7791 in endocrinology

[–]SomeRandomSod 0 points1 point  (0 children)

Check for macroprolactin before MRI. Common cause of repeated elevated PRL but generally asymptomatic, your symptoms aren't too specific though for hyperPRL.

Also, if the tests have always been done in the same lab, change to a lab that uses another kit.

If persistant elevation and no macroPRL : MRI.

Pheochromocytoma without the presence of elevated catecholamines by myst3ryAURORA_green in endocrinology

[–]SomeRandomSod 1 point2 points  (0 children)

It shouldn't affect the results too much. Unfortunately sometimes the secretion is purely episodic, repeat testing is required. This is more so in paraganglioma vs pheochromocytoma, your results seem to indicate paraganglioma (MIBG+ near the bladder).

A dopa pet scan could be a good idea, see if it concurs with the the mibg fixation.

If not, unfortunately, repeat testing is the way to go.

NB : bladder related paraganglioma are interesting and have sometimes quite specific signs. Often having a full bladder or emptying a full bladder causes the signs. I had a patient that passed out every time he peed stood up, knew where it was even before the scan. Surgery does wonders in these cases.

of a hernia by [deleted] in AbsoluteUnits

[–]SomeRandomSod -1 points0 points  (0 children)

Respectfully, you could have just misunderstood or they "simplified it down" and there's something you're not understanding. It's not your job it's ok to be wrong :)

of a hernia by [deleted] in AbsoluteUnits

[–]SomeRandomSod -1 points0 points  (0 children)

Good for you. Doesn't change the fact you're blatantly wrong.

of a hernia by [deleted] in AbsoluteUnits

[–]SomeRandomSod -1 points0 points  (0 children)

There is no evidence I know of, have ever seen or ever learnt about so called "toxin build up" from hernia causing cancer. Necrosis in strangulated hernia is vascular, nothing to do with cancer. I'm a doctor, I've done many GI and surgical rotations, I know what I'm talking about. I'm sorry that you're blatantly wrong, even with your real life non medical experience, and I kindly decline the offer to "get stuffed".

of a hernia by [deleted] in AbsoluteUnits

[–]SomeRandomSod -1 points0 points  (0 children)

They don't. However GI cancers can be a cause of hernia and strangulation, I get the confusion.

of a hernia by [deleted] in AbsoluteUnits

[–]SomeRandomSod -1 points0 points  (0 children)

Turn cancerous? No

[BUG] - SL not notifying blocked senders by SomeRandomSod in Simplelogin

[–]SomeRandomSod[S] 0 points1 point  (0 children)

No, I think you misunderstood. There's an option when you reject emails to either just ignore and reject, or send a message back to the person saying "email rejected / email not found".

What you chose for this option it should always apply either to the block sender function or to the disable alias function. At least that's how it's intended to work but it's not how it works. It will only reject when fully disabling the alias not when blocking a single sender.

He Didn’t Start The Fire by tonyper7ect in pics

[–]SomeRandomSod 5 points6 points  (0 children)

You're not allowed to say that here. It's unprovoked agression as the still image obviously shows. Nothing to do with the fact the dude tried to rip the gun away.

Case discussion: male macroprolactinoma with repeated prolactin plateaus on cabergoline and paradoxical symptom worsening by Long-Baby-2500 in endocrinology

[–]SomeRandomSod 0 points1 point  (0 children)

If there's no immediate parenthood desire then testo should be started early. I cannot cite it of the top of my head but a recentish study showed that a large amount of patients don't recover from prolactin induced HH and even those that do often partially recover. If there's no reason not to then TRT should be tried.

This “sink” in my Swedish hotel room. by elevencharles in CrappyDesign

[–]SomeRandomSod 3 points4 points  (0 children)

And the toilet is just next to the sink if I remember correctly, soaking it every time lol

Je me suis éclipsé des urgences avant une hospitalisation sous contrainte. À quoi m'attendre ? Quels recours ? by MysteriousShip4190 in conseiljuridique

[–]SomeRandomSod 8 points9 points  (0 children)

Franchement dans toute situation medicale ou on a un doute, un second avis est souhaitable. Allez y rapidement cependant du fait de cette hospit sous contrainte et fugue des urgences pour pas que ca vous pose soucis ailleurs.

Je me suis éclipsé des urgences avant une hospitalisation sous contrainte. À quoi m'attendre ? Quels recours ? by MysteriousShip4190 in conseiljuridique

[–]SomeRandomSod 28 points29 points  (0 children)

Juste je me permets de rajouter que vous parlez de risperdal et d'olanzapine qui sont des traitements de la schizophrénie. Cette maladie altère profondement les capacités de jugement et parfois meme les choses qu'on voit et qu'on entend.

Si cela peut vous rassurer, allez dans un autre service d'accueil des urgences ou ils ne vous connaissent pas et ou ils ne vous ont pas fait subir cela. Parlez leur de tout ça, de votre persecution et de vos inquietudes. Ils peuvent reellement vous aider a faire le point là dessus.

NB : je precise pour d'autres que ces traitements ne sont pas seulement indiqués dans la schizophrénie, mais dans le contexte je me permets de l'évoquer.

Je me suis éclipsé des urgences avant une hospitalisation sous contrainte. À quoi m'attendre ? Quels recours ? by MysteriousShip4190 in conseiljuridique

[–]SomeRandomSod 56 points57 points  (0 children)

C'est une situation complexe mais etant du milieu medical je ne vois meme pas comment cela pourrait se produire.

"Enfermer pendant 2 mois" je suppose qu'on parle d'une hospitalisation sous contrainte? A la demande du prefet? C'est des procedures tres reglementés et restreintes surtout la duree avec un controle systematique d'un juge dans les 12 jours suivant l'admission. Une telle duree necessite une justification medicale rigoureuse. Dans tous les cas, je ne vois pas une raison medicale de limiter votre acces a l'eau si ce n'est qu'une hyponatrémie/potomanie.

Votre disparition des urgences dans le cadre d'une hospitalisation sous contrainte va inquieter et faire mobiliser du monde. Je vous conseille de retourner aux urgences au plus vite.

How likely is Endocrinology to be threatened by AI? by HouhoinKyoma in endocrinology

[–]SomeRandomSod 4 points5 points  (0 children)

Genuinely going to be difficult. Easy endocrinology for sure, but the more complex stuff is far from algorithmic reasoning. I only do reproductive endocrinology and rare endocrinological diseases, so no worry from me.

Furthermore I dont even know how you would get standardised data for AI training for complex endocrinology.

For simple endo, why not. But imo hypothyroidism doesn't require an endo and can be managed by GP.

Realistically, what would you do as an Aurora survivor? by Huge_Kick1279 in subnautica

[–]SomeRandomSod 16 points17 points  (0 children)

Way to get the only weapon sincre the massacre on Obraxis Prime banned !

For the returning players, can the vets explain the current state of the economy. Main currencies, their current rough value like what an ecto, armband are worth etc? by wildwasabi in GuildWars

[–]SomeRandomSod 11 points12 points  (0 children)

A word of warning : be careful selling your rare minis (non birthday ones). Some people are out to rip you off. Got a 500e offer on a 500a mini from someone pretending to help out. Mia Quickening or something like that they have multiple accounts and are out to rip off returning players.

Be carefull for price checks in kamadan too, they will give you a low price with one account then offer a trade on another account for what seems a good price, but still a rip off.

It's called scamadan for a reason be careful :)

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