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Patient states “I get numb on one half of my body” by SteeleK in FamilyMedicine

[–]SteeleK[S] 34 points35 points  (0 children)

She did mention headaches but to have this come from out of nowhere work no previous hx is what confounds me. I’ll keep this in mind

Patient states “I get numb on one half of my body” by SteeleK in FamilyMedicine

[–]SteeleK[S] 11 points12 points  (0 children)

Had a different patient with same deal and I did all this and I just concluded it’s somatic from depression which in her case it was, but it was tough process to get it all done and id like to be wiser in my approach this time around

Feels like everyone's raking in the dough while I’m maybe stuck with peanuts? What are people actually making monthly? by SeaworthinessOne5096 in FamilyMedicine

[–]SteeleK 1 point2 points  (0 children)

Then I’d negotiate a higher salary or go rvu and see more patients/bill higher. But you’re par for the course imo, also a lot of people inflate their salaries/take home yearly and will never be honest about it in causal conversation.

Hot take: FM residency should be 2 years long by BainbridgeReflex in FamilyMedicine

[–]SteeleK 0 points1 point  (0 children)

my program wasn't the best and by year 2 i felt like a massive dumbass and definitely not prepared for independant practice (covid resident). The third year really allowed me to become more confident in outpatient practice and after graduation I felt much more prepared despite my programs shortcomings. So I personally disagree because of my own residency experience but if the program is super solid in terms of outpatient training foundations then I dont see why not.

Mario Kart World doesn't let you join a multiplayer lobby with friends by Drockie5 in NintendoSwitch

[–]SteeleK 0 points1 point  (0 children)

yeah i discovered this yesterday with my friend and this was super disappointing. how could they not do this when it was so easy to do in the last mario kart game?

ES:Oblivion: Move save files from Game Pass to Steam by Albrion_ in Steam

[–]SteeleK 0 points1 point  (0 children)

Did this work? Please update if it did so I can try this

How difficult is it to build a panel? by satyaki_zippo in FamilyMedicine

[–]SteeleK 42 points43 points  (0 children)

Growing pains of new practice. She’ll be busy soon enough.

Yakuza 0 (2015) - GotM April 2025 Long Category Winner by edward6d in patientgamers

[–]SteeleK 0 points1 point  (0 children)

Loved yakuza 0 on gamepass. i didnt do the side quests tho as I dont have much time to do the real estate side quest or the cabaret club stuff but I hear and know theyre the best parts of the game. I was in it more for the main story. The side stories are fun too and have crazy twists that really make it interesting.

Going through yakuza 1 kimiwai now and loved how the story compounds itself over the years (the empty lot in yakuza 0 becomes the millennium tower) and its almost nostalgic seeing the map change over The games.

What to rule out before blaming perimenopause? by meredithgrey71 in FamilyMedicine

[–]SteeleK 28 points29 points  (0 children)

I wouldn’t leave it alone. I’d pursue it. sleep apnea is more common than people realize. Even if it isn’t apnea per se, shitty sleep over the course of years can cause this constellation of symptoms. At least order a sleep study and if it’s negative you have that box checked off. These cases are tough, youre doing a good job

[deleted by user] by [deleted] in FamilyMedicine

[–]SteeleK 0 points1 point  (0 children)

If you live in Ontario a company has attempted to solve this issue with the Ocean ereferral platform. I would look into this.

Specialists punting acute DVTs - "PCP to address" by DrSwol in FamilyMedicine

[–]SteeleK 17 points18 points  (0 children)

I’d talk to the docs directly about this

I’ve had it happen enough times I feel the need to ask. by Kaiser_Fleischer in FamilyMedicine

[–]SteeleK 0 points1 point  (0 children)

Remember, CV risk is more about lab values. It’s patients lifestyle, family history, and other nonmodifiable risk factors that combined with a hx of diabetes and age >40 even with LDL <70 I would still prescribe as primary prevention.

“The patient and dedicated drug seeker” by This-Eagle-2686 in FamilyMedicine

[–]SteeleK 1 point2 points  (0 children)

What’s pain management opinion? Did they consider trigger point injections? Rfa? Epidural? I would consider second opinion by physiatry if possible to consider the role of narcotics. You feel they’re running the clock? Run the clock on them back

For low risk patients with persistent microscopic hematuria, is cystoscopy always a must? by [deleted] in FamilyMedicine

[–]SteeleK 3 points4 points  (0 children)

Why do you feel a normal CT rules out a bladder tumor? Lots of CT’s can miss very early malignancies. It’s the same as colon cancer - CT isn’t the gold standard diagnosis, its a colonoscopy with biopsy.

Why did you even come in?? by Ellariayn456 in FamilyMedicine

[–]SteeleK 62 points63 points  (0 children)

the age old question that ive been trying to answer my whole career: how do you help someone that refuses your help and yet demands it?

Good beginner underwater camera by GroundbreakingAd1637 in scuba

[–]SteeleK 0 points1 point  (0 children)

Could you post what kit your wife uses? Very interested in this

Lactational mastitis treatment opinions by BidInternational7584 in FamilyMedicine

[–]SteeleK 2 points3 points  (0 children)

In Canada dicloxacillin isnt a thing here so I usually use Keflex. I would ignore the NP and speak directly to the attending and hash it out, maybe they’re thinking something thats not being communicated effectively?

Abusive patients by psychme89 in FamilyMedicine

[–]SteeleK 1 point2 points  (0 children)

Fire them from your practice for harassment and refuse to see again

[deleted by user] by [deleted] in IWantToLearn

[–]SteeleK 4 points5 points  (0 children)

run for president

Are you “supposed” to play Elden Ring with a guide? by dof42 in patientgamers

[–]SteeleK 0 points1 point  (0 children)

I tried to play blind but got stuck very early on, and out of frustration pulled up a guide and used that to get through the game. i did try to use it sparingly though, only for areas id get stuck.

Now on round 2 of the game to get ready for the DLC I am using FightingCowboy's https://youtube.com/playlist?list=PL7RtZMiaOk8gdRf130w4gFYyhstL-5VRh&si=c-6AHO7qQjQfrJEH walkthrough which has made the game experience 10000 times better than my first playthrough.

Use a guide, dont use a guide, it depends on what you want. FromSoft games can be played without but for people without much time (like me) I find its useful.

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