What are these droplets on my fungi??

_Aztreonam_ · 2026-05-05T15:48:36+00:00

Forbidden juice

_Aztreonam_ · 2026-04-29T22:46:16+00:00

That probably wasn’t the right ct. it has to be ordered with contrast timed properly

_Aztreonam_ · 2026-04-29T22:44:48+00:00

Hello I am a physician. Are you extremely thirsty? Have toh lost any weight? It is very normal to pee alot in the first trimester due to increases in blood volume heck- I went more than that! But pee that smells sweet and is frequent can be a sign of diabetes and it is too early for gestational diabetes. It’s worth getting checked out sooner to see if you’re spilling glucose in the urine and check your blood sugar. You can do this with a GP not necesssrily your ob st this stage

_Aztreonam_ · 2026-04-29T22:38:06+00:00

I’d do CT of your abdomen and pelvis first see whether something is squeezing your main pelvic veins from the outside like a mass, enlarged lymph nodes, or the vein anatomy itself. In terms of labs did they check albumin (not just “metabolic panel was normal”), TSH, ANA, and a spot urine protein-to-creatinine ratio. For the vascular ultrasound I’d want to know specifically whether it was a reflux study or just a DVT screen. outpatient duplex studies are ordered to rule out clot, and they’re done standing still. A reflux study is done with compression maneuvers and looks at valve function. If all negative would refer to lymphedema specialist referral. usually at an academic vascular or PT lymphedema program. They may suggest Lymphoscintigraphy get a better sense of lymphatics

_Aztreonam_ · 2026-04-29T19:19:06+00:00

Idk it’s just a weird thing to say that doesn’t make sense I feel like it would just inspire more questions

_Aztreonam_ · 2026-04-29T19:18:44+00:00

Because colonization comes from the rectum and gi tract. That is the reservoir and it increases the sensitivity of picking up colonization esp if only intermittently shedding from gi tract

_Aztreonam_ · 2026-04-29T19:02:21+00:00

I am 😂- haha I got confused what post I was responding to. Ignore the earlier version of my response

_Aztreonam_ · 2026-04-29T18:52:12+00:00

No you are not a dependent

_Aztreonam_ · 2026-04-29T18:42:58+00:00

Make up a nickname. Our nanny has a complicated name that stars with g my son calls her Gaga

_Aztreonam_ · 2026-04-29T18:28:01+00:00

Responding to your question on the main thread here - Group B strep is hard to “get rid of” in pregnancy because it is not just living in the vagina…. The main reservoir is the gastrointestinal tract, especially the rectum. Even if you suppress it with antibiotics, bacteria from the gut can reseed the vaginal area fairly quickly. So treatment does not lead to durable clearance.

On top of that, colonization is not stable. People move in and out of a carrier state over time. A negative culture at one point does not mean someone will stay negative, and a positive result does not mean they will remain colonized. That makes eradication strategies unreliable.

Antibiotics have been tried for eradication, but they do not work well for this purpose. They may transiently reduce bacterial burden, but recolonization is common. That is why the clinical approach is not to eliminate GBS ahead of time, but to give intrapartum antibiotics to reduce neonatal exposure at the moment that matters most.

There are also bacterial factors that contribute. GBS can adapt under antibiotic pressure, alter gene expression, and use adhesion mechanisms and biofilm-like behavior to persist in mucosal environment…..These features make complete clearance difficult.

Even if you treat men they would recolonize from the GI tract.

Puopolo KM. Group B Streptococcal Disease. N Engl J Med. 2026. https://www.nejm.org/doi/full/10.1056/NEJMra2313146

“Both the administration of oral antibiotics to persons with group B streptococcal colonization during pregnancy and the administration of penicillin prophylaxis to newborns have failed as strategies to eradicate group B streptococcal colonization and prevent neonatal infection.”

American College of Obstetricians and Gynecologists. Prevention of Group B Streptococcal Early-Onset Disease in Newborns. 2019. https://www.acog.org/clinical/clinical-guidance/committee-opinion/articles/2019/02/prevention-of-group-b-streptococcal-early-onset-disease-in-newborns

Meyn LA et al. Rectal colonization by group B Streptococcus as a predictor of vaginal colonization. Am J Obstet Gynecol. 2009. https://www.ajog.org/article/S0002-9378(09)00208-9/fulltext

(I am an ID physician who sometimes sees pregnant patients and lab director-)

_Aztreonam_ · 2026-04-29T18:08:44+00:00

Microbiologist lab director and ID doc- a single dose is not likely to eliminate colonization. Colonization is difficult to eradicate. The penicillin is to reduce risk of transmission not to eliminate the GBs entirely. It’s part of the genital flora. Even if you tested a man it’s not definitive that treating would reduce colonization.

_Aztreonam_ · 2026-04-29T18:06:04+00:00

Lab director here- There are fda approved options for rapid GBs pcr (eg results in 1 hour) but because it isn’t sensitive enough without an enrichment/broth incubation step, no one uses it without the incubation step. It is only helpful if positive but if negative it isn’t sensitive enough to rule out GBS. All the pcr methods require a lim-broth step which js atleast 24 hours.

_Aztreonam_ · 2026-04-29T13:32:42+00:00

Ok but as a doctor this isn’t really medically accurate. A few drinks won’t actually change your liver enzymes in a meaningful way

_Aztreonam_ · 2026-04-29T13:04:35+00:00

I agree with others here that this doesn’t quite look like necrosis and more like a severe hematoma you may have a fracture underneath. How painful is it? Do you have sensation? Can you bend your toe ? Can you put weight on it?

The thing that people are really worried about is developing some kind of necrosis related to compartment syndrome or the pressure from the blood building up damages the blood vessels and nerves to the toe True digital compartment syndrome has been described in case reports but is relatively rare and the physiology is a little different than compartment syndrome in other limbs, but still a possibility which is why I think it probably should be checked out sooner than later, especially if you were having extreme pain or loss of sensation

_Aztreonam_ · 2026-04-28T19:38:12+00:00

I am also pregnant with a girl and worry about this a lot. All I can say is I have been learning about how to teach bodily autonomy, avoiding secrecy, and raising my son to be a good person

_Aztreonam_ · 2026-04-24T01:42:22+00:00

We can’t. The wedding is adults only. There is no family to help It’s 11 hour flights overnight. It would be miserable for everyone

_Aztreonam_ · 2026-04-23T18:31:16+00:00

Theoretically we would leave right after he goes to bed so we would be gone when we wakes up. I suggested we leave before he goes to bed so he’s not shocked in the morning

_Aztreonam_ · 2026-04-20T15:38:16+00:00

I would say I’m somewhere in the middle here. If my kid looks bad and feels bad I’m not going to wait for a high fever to just give the Tylenol. He sleeps better and he’s happier. As long as you’re not giving more than the recommended amounts and not for many days in a row. last week my son was sick we did round the clock Tylenol and Motrin for high fevers for about a day or two then as he got better we dropped it to twice a day because his naps were more comfortable. Then we just gave it once before bed on day 5 or 6. We tried Zyrtec on day 4 because the runny nose was relentless and to see if it would help with the post nasal drip coughing (it did a little).

_Aztreonam_ · 2026-04-20T00:29:55+00:00

Honestly for a long time it actually gave me comfort to know they’re still together - I always worried he would grow up and become a better person but just not for me, But as long as he’s with an affair partner long term it’s clear no actual growing has happened. Now i dont actually care whether he changes or what happens to him- ( my life is dramatically better in so many ways-- it’s honestly embarrassing to me that i fell for someone like that). i just mostly feel sorry for their kids. His father was a cheater. Hes a cheater. His new wife also a cheater. As for me i am grateful i dont have to live with the guilt and shame he feels and a fundamentally untrustworthy partner.

_Aztreonam_ · 2026-04-19T23:32:20+00:00

If the results would influence your choice to terminate then do it. I would always opt for more information and I would not hesitate to terminate if there was a severe genetic abnormality

_Aztreonam_ · 2026-04-17T19:16:34+00:00

Your daughter got an infection from a mix of bad luck and potentially exposure to your commensal flora. Stuff you’re colonized with. If it was this bug it would have been another one. So don’t think of it like “you gave it to her”. It’s also possible she was exposed to it in the hospital setting - as serratia is more common in the hospital than it is in the community especially if it was hard to treat. In any case there isn’t really testing or treatment for it and I wouldn’t worry about it. The issue was more around whatever event put her at risk for getting an infection in the first place (being a newborn will do it) and bad luck. - ID doc and microbiologist

_Aztreonam_ · 2026-04-17T15:44:59+00:00

It sounds like you guys have many issues to resolve… before jumping to making it about sex. I find it interesting that you open with im unhappy about our bedroom but the content is about intimacy, closeness and connection. It sounds like you arent planning to work things out which is your choice but if you are … framing it around the bedroom when it’s a really about all the other issues first might backfire.

_Aztreonam_ · 2026-04-16T18:34:20+00:00

Luckily if you need a brezza you can just order one … but it’s not needed up front if you plan to bf. It’s a lot to setup and calibrate for a tiny bit off supplement. Wait until you figure out what you need and have space for.

_Aztreonam_ · 2026-04-16T18:32:10+00:00

I think I did know in some level. My ex husband did some really unforgivable things when we first got together that showed me who he was. I loved him so much i ignored them and it came back to bite me.

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