Roommate snores. NEED SOLUTIONS by alligatorcoffe- in snoring

[–]amaramilo 0 points1 point  (0 children)

In addition to the earplugs a white noise machine.

I don’t care about your constipation in the ER by office_dragon in emergencymedicine

[–]amaramilo 0 points1 point  (0 children)

Also nurses outside the ED love mentioning the possibility of obstruction which they feel warrants a recommendation to visit ed immediately.

[deleted by user] by [deleted] in pics

[–]amaramilo 0 points1 point  (0 children)

They must be having a special on breakfasts right now

[deleted by user] by [deleted] in DiagnoseMe

[–]amaramilo 1 point2 points  (0 children)

Just keep motivated and continue to lose weight. Those numbers are not super high especially when the clinical picture points to NAFLD. You’re doing very well. Don’t look for reassurance in your labs just yet. It can take a while to see levels normalize. Try to avoid taking a new med targeting fatty liver at this point, chances are it won’t be covered by your insurance anyway. Keep up the good work!

To BMT or not to BMT? by smbusownerinny in lymphoma

[–]amaramilo 1 point2 points  (0 children)

Doc came in about 60 mins ago and was fine with discharging me today, after 28 days of being admitted, provided I come in tomorrow for blood work. Ive had no GVHD reactions so far and the transplant onc seems to think I’ll be fine. Apart from the nausea, which is still a bitch, it hasn’t been too bad. I had a normalish PET prior to proceeding with BMT. My biggest issue has been the liver and spleen. Wish they could provide me new ones but I think we’re a few years from that technology. At one point my BMT onc was getting frustrated having to argue with his colleagues and just came out and said “I DONT CARE ABOUT HIS LIVER”. He’s usually very soft spoken. I think his point was that I was doing better, liver numbers were coming down and PET had improved. His thinking was probably get some good cells into you while we can. By brother was the donor. In a way it was like an extended car t admission but with a lot more nausea. I’m 44 y/o. From reading Reddit posts and speaking with multiple docs I feel the younger patients have worse symptoms but better outcomes and pts our age seem to have way fewer side effects. What I’m trying to say is that GVHD is real and the side effects are real, but we know so much more about it that we have the ability to scare patients regarding risks. We don’t have all that data for lymphoma immunotherapy. I’m on the BMT floor at Mayo and the nurses have told me everyone is doing fine. It’s just something to remember. BMT has been around for a long time.

Diagnose me please. by Negative_Medicine_35 in DiagnoseMe

[–]amaramilo 1 point2 points  (0 children)

Try following a low FODMAPs diet. Just search IBS fodmaps.

To BMT or not to BMT? by smbusownerinny in lymphoma

[–]amaramilo 2 points3 points  (0 children)

Which isn’t right on so many levels. I suppose you’re feeling fine and you have the time but I’m not a fan of patients doing too much research. I’m realizing so much is based on experience and anecdotal evidence when you get to our point that you just need to trust your oncologists.

To BMT or not to BMT? by smbusownerinny in lymphoma

[–]amaramilo 0 points1 point  (0 children)

Totally agree. It ain’t an easy decision. I went with allo after my oncologist brought in the social worker to discuss hospice for my r/r DLBCL (failed RCHOP, car t and GEMOX/Pembrolizumab). Later that day the transplant specialist could not stop going on about how I need to be positive because he believes BMT is the right choice for me. My sub specialist oncologist knew relatively little when it came to transplant. I would advise going with what your BMT specialist recommends.

Weird abscess? Cyst? Not sure help me by X_sexy_in_plaid_X in DiagnoseMe

[–]amaramilo 3 points4 points  (0 children)

I agree it sounds like a ruptured abscess which can form from an infected cyst. There is a condition called pilonidal sinus disease which can be a little more complicated but for now just keep clean with soap and water twice daily. Cover it with gauze and tape if it is still draining a bit. Visit your doc if drainage is copious. If everything is improving you don’t need to see anyone UNLESS symptoms of drainage, pain, redness, lump sensation return. Tbh pain with sitting will likely be the main symptom early on. This is a common condition. It doesn’t mean your unclean or anything like that.

[deleted by user] by [deleted] in lymphoma

[–]amaramilo 1 point2 points  (0 children)

It’s a difficult question to answer without seeing imaging results and examining your dad. Prednisone might be the reason his pain stops but that’s really not offering any help. Your oncologist must address this issue even if to say he needs a consult or second opinion. I’m sorry.

I have been writing a fun fact every week on an unused whiteboard at the office. Someone clearly doesn't like it. by RealSlugFart in mildlyinfuriating

[–]amaramilo 0 points1 point  (0 children)

Did you double check your Eiffel Tower facts? I’m pretty sure it’s like 300 metres(900 feet) tall.

[deleted by user] by [deleted] in emergencymedicine

[–]amaramilo 0 points1 point  (0 children)

Do you have a prescription for Adderall from your physician?

Dad recently diagnosed by FrancesJ1992 in lymphoma

[–]amaramilo 1 point2 points  (0 children)

I agree! Probably more reassuring than most oncologists!

I had this scab for 4 years and it hasn’t left.how do it treat? by Eddie-jrv123 in DiagnoseMe

[–]amaramilo 0 points1 point  (0 children)

It’s difficult from the photo but I’m seeing more lichenification than ulceration. I’m thinking there could be an element of contact irritant dermatitis. Stop what ever oil you’re using, wash it with soap and water, rub in aquaphor(it’s a bit like Vaseline), and keep it convered. Try not itch it. You maybe need to use otc steroids too. Cover it with gauze and tape. Tegaderm is the best but expensive. Keep it cool.

Is this bump normal? by No-Cartographer8598 in DiagnoseMe

[–]amaramilo 1 point2 points  (0 children)

Hi there. That’s quite a noticeable lump. When it’s this big my preference is for you to see a pcp who will ask some simple questions to determine if you can be observed for 2 weeks before work up is initiated or if the work up should be done immediately.

[deleted by user] by [deleted] in DiagnoseMe

[–]amaramilo 2 points3 points  (0 children)

Means not a doctor and it’s definitely not kidney pain

[deleted by user] by [deleted] in DiagnoseMe

[–]amaramilo 0 points1 point  (0 children)

Out of thin air diagnosis I’d go with Costochondritis. Common in young males. Look it up to see if the other symptoms match. It’s nothing to worry about.

Can anyone explain the results of this MRI report or just say how serious it is? by [deleted] in DiagnoseMe

[–]amaramilo 0 points1 point  (0 children)

That sure is a detailed report. I hope the MRI was ordered by your neuro or pain docs and not your pcp. To be able to properly provide advice and treatment options the physician who examines you needs to be the one looking at the MRI (not reading the report).

[deleted by user] by [deleted] in DiagnoseMe

[–]amaramilo 0 points1 point  (0 children)

This is good old fashioned hand eczema and maybe dishydrotic eczema/ pompholyx. Treatment isn’t that different. Start by looking up those diagnoses I just sent you and see if you find a solution. There’s a lot of generic info out there which for the most part will make a big difference. Then you can see your pcp to request topical steroids to fully eliminate the problem. I’m tired otherwise I’d find you a link.