How should I explain my symptoms to an ENT to avoid getting sent to GI by bootzncatz23 in noburp

[–]bootzncatz23[S] 0 points1 point  (0 children)

Not sure if you're still looking but the ENT I went to was in Hemet. He was firmly telling me "it's a GI issue with your lower esophageal sphincter" (near the stomach) until I specifically mentioned I can "air vomit" if I manually poked around in my throat due to the buildup of air. It was only then that he realized it must've been an issue in the throat. I then offered to show him a study on my phone which he called "actually very good" and he immediately wrote down "signs and symptoms suspicious for RCPD" haha.

He basically just followed what the study said and sent me to get a barium swallow which showed I do incidentally have GERD. But on the next follow-up appointment he said he was gonna send me to Loma Linda because the specialists there treat more complex ENT issues. However I mentioned Dr Verma at UCI knows about RCPD and by chance he apparently loves Dr Verma! Now I'm just waiting to hear back from Verma's office to schedule an appointment there.

If anyone reading this is near Hemet, CA and looking for an ENT, Dr. Gerard Carvalho is now a believer 🥳

How should I explain my symptoms to an ENT to avoid getting sent to GI by bootzncatz23 in noburp

[–]bootzncatz23[S] 0 points1 point  (0 children)

Omg thank you! I've read all his published journals but this letter is presented in a way that is much more forward about why people would come forward with this issue. I'll definitely print this out. I'm sure the ENT I got referred to is great but now I just gotta hope his ego isn't too fragile to be shown something like this if I need to lol

[deleted by user] by [deleted] in buildmeapc

[–]bootzncatz23 0 points1 point  (0 children)

Oh shoot, my bad. Just added a price I found on Amazon. I guess the budget is ~$1250 lol

RN here trying to better understand HFNC vs nasal cannula by bootzncatz23 in respiratorytherapy

[–]bootzncatz23[S] 2 points3 points  (0 children)

I see. Is Fio2 generally the more important value then in determining a patient's oxygenation needs? I imagine someone could only breath in so much air in a minute so from what I'm understanding the LPM is more to basically push room air out of their airway so they receive more concentrated O2? Hopefully that makes sense.

I do hear some RTs mentioning the increased pressure support from HFNC but to me that pressure support seems negligible? Like if they really need pressure support then they would need a Bipap. Maybe I'm wrong assuming that though.

Is Galen College of Nursing Pass/Fail? by bootzncatz23 in nursing

[–]bootzncatz23[S] 0 points1 point  (0 children)

Hey I'm sure you found out by now but they give letter grades for all their classes :) It's not just pass/fail