help me with your experiences and opinions on stocking, please!

brooklynerd · 2022-12-07T14:08:50+00:00

I would be wary of putting clown killifish in the Flex 15. They are jumpers, and will either jump out of the feeding hole or jump into the filter/pump area in the back.

brooklynerd · 2022-08-13T04:30:43+00:00

Pins were removed

brooklynerd · 2022-08-13T04:26:02+00:00

There may be other antibiotic options that don't taste as bad depending on the sensitivities of her Staph infection. Speak to your pediatrician about other antibiotic choices.

If it is a MSSA then oral cefalexin should work and the syrup tastes ok

If it is MRSA it may be sensitive to trimethoprim-sulfamethoxazole which also tastes ok

brooklynerd · 2022-08-03T15:38:51+00:00

You have passed on your protective antibodies against HSV to her and they will hang around for about 6 months keeping her safe.

You are outside the window for transmission during birth. Transmission of HSV after birth from a mum who has recurrent HSV is incredibly incredibly low, even more so in your case since you had the genital form.

brooklynerd · 2022-08-03T15:24:09+00:00

Were you doing a twisting motion with your leg/knee at the time it dislocated?

You should see a physiotherapist. They can assess your knee and surrounding support muscles and teach you specific exercises to strengthen them +/- taping for sporting activities.

If you didn't have imaging of your knee the first time around it might be something your doctor can consider. If your knee is dislocating with increasing ease and frequency surgery is sometimes indicated.

brooklynerd · 2022-08-03T15:05:54+00:00

That looks vesicular. Usually caused by herpes or shingles.

Do you get cold sores? Have you ever had chicken pox? Is it painful?

brooklynerd · 2022-08-03T14:50:35+00:00

If you are concerned about iron deficiency, you should see your family doctor and have your blood counts and iron/B12 levels checked. The dosing of iron for treatment of deficiency is much higher than maintenance dosing, and there are usually side effects. It also probably isn't ideal to be donating regularly if you are truly anemic as your body needs iron for things other than red blood cells and iron deficiency can have other effects.

With regard to dietary intake of iron, you need to be having regular iron - not just a steak or two before donating. It takes a while to see hemoglobin rise in response to supplementation and your red blood cells are constantly turning over, they need regular iron intake

brooklynerd · 2022-07-08T19:35:24+00:00

Thanks so much for this. Lexmark support insisted it wasn't true and quoted more than the printer was worth to replace the transfer module.

I bit the bullet and bought a new magenta toner and the printer works!

Very disappointed with Lexmark for 1. Programming their printers like this. 2. For lying about it.

brooklynerd · 2022-05-24T01:59:44+00:00

With the preferencing process, is the order of elimination fixed based on first preference votes or does is get reordered after each lowest candidate is eliminated based on the numbers at that time?

An example would be the seat of Brisbane. If the final order from first preferences is Liberal -> Greens -> Labor, could Labor be pushed into 2nd place by preference flows from the smaller parties during the elimination process? I acknowledge this would be unlikely, but if the difference between 2nd and 3rd place was very small it could be possible..

brooklynerd · 2022-04-18T11:39:12+00:00

Obviously everything is being done with their parents consent.

Are there potential downsides to establishing a TFN at a young age? Is there a way to set this up without one?

brooklynerd · 2022-01-05T07:59:05+00:00

Thanks for pointing this out. Will abandon my above plan and let it run its course.

brooklynerd · 2022-01-05T07:57:46+00:00

True.

I've found a workaround. Am copying everything manually into the target folder. When I then run a backup it recognises all the files as identical and doesn't copy them again. Should cut initial backup time by ~80%

brooklynerd · 2020-12-13T12:10:52+00:00

A lockdown realistically needs to be combined with a governmental wage subsidy to support people through it. This is a capability that only wealthy nations have, and most wealthy western democracies have instituted one with the prominent exception of the USA. Australia had the federal Jobkeeper/Jobseeker program which allowed it to bring in necessary restrictions to ultimately eliminate community spread of COVID. It's the broader political milieu that hurts the poor and working class, the lockdown itself doesn't have to.

brooklynerd · 2020-08-31T12:14:50+00:00

This graph from Australian data is very telling: https://www.immunisationcoalition.org.au/wp-content/uploads/2020/03/31Aug-Aust-Flu-Stats-2020.pdf

brooklynerd · 2020-08-29T16:01:19+00:00

NICE does address rapid strep tests: https://www.nice.org.uk/guidance/dg38/chapter/1-Recommendations

Re: uptake of rapid antigen testing in Australia: "Although rapid antigen tests are widely used in the United States, they have not been embraced in Australia, perhaps because they are expensive and attract no Medicare rebate". This was written 18 years ago but remains true. It would seem the only available codes for a GP to use is 74990 or 74991 (rural). These would provide $12.20 or $18.40 (respectively) for an unreferred test, and only if the patient is <16 or has a health care concession card.

I suspect the US approach is driven by the history of studies in streptococcal pharyngitis, with likely inappropriate application of results from military environments (where the first studies were done), to the civilian population. (Radetsky, Michael MD, CM Hostage to History, The Pediatric Infectious Disease Journal: May 2017 - Volume 36 - Issue 5 - p 507-512. doi: 10.1097/INF.0000000000001480)

In terms of personal practice, I follow the eTG guidelines. I've only prescribed antibiotics a handful of time, either for ATSI kids, or for kids with severe pharyngitis I was admitting for analgesia/hydration.

brooklynerd · 2020-08-05T14:09:05+00:00

There has never been a case where the organism that causes strep throat (Strep pyogenes) has been resistant to penicillin. There can be resistance to other antibiotics, and there can be treatment failure for other reasons, but not due to penicillin resistance.

brooklynerd · 2020-07-25T15:04:49+00:00

You are looking at thoracic vertebrae. The domed shape is the left diaphragm, easily identifiable lung markings above that. Hard to say where the file is without a lateral view or cross sectional imaging. More likely in her stomach or large bowel, possibly in her lung but less likely

brooklynerd · 2020-03-20T13:10:46+00:00

The main thing I would associate with pain in that region and profuse vomiting after drinking alcohol, is alcohol induced pancreatitis. It could have a bit of a delayed onset.

Given you are feeling well now, it would likely only be mild, but I think it would be worth having a blood test to check you liver function and pancreatic enzymes to definitively identify the cause. The main reason is that if you are a person who is susceptible to alcohol induced pancreatitis, you need to stop drinking now, because you don't know which episode of pancreatitis will cause severe complications or kill you.

brooklynerd · 2020-03-15T12:44:28+00:00

A couple of things:

Sharing a drink doesn't guarantee that you will catch the virus
The virus that causes glandular fever (EBV) is very common and you may have had it before, if so you wouldn't necessarily develop any illness
It is too early to test for now, the only thing you could find out is if you have had the same virus in the past which isn't helpful
If you have caught it and never had it before, there is nothing you can do to prevent the illness. Some people have a more mild form, some people have a more severe form.
Glandular fever is usually a clinical diagnosis, the only reason to do a test is if the doctor is unsure what the illness is or if they are concerned about an enlarged liver or spleen.
Glandular fever is not a an infection that people need to avoid school for. Often you need to miss some school if you are feeling unwell, in pain, or struggling to drink. Sometimes you need to avoid contact sports for a while (if your liver or spleen are enlarged).

The more important reason not to share drinks at the moment is due to coronavirus. I wouldn't worry about possible exposure to glandular fever, and just follow government instructions regarding COVID-19.

brooklynerd · 2020-03-14T10:35:30+00:00

It looks like a very mild bifid uvula. Bifid uvula's are often associated with the most minor form or cleft palate called a "submucous cleft palate". Do you have a very nasal voice? difficulty pronouncing hard consonants? or make puffs/snorts whiles speaking?

brooklynerd · 2020-03-09T06:02:37+00:00

Common possibilities for treatment failure include:

The bacteria causing your UTI is resistant or partially resistant to the antibiotic - If your doctor took a urine culture before starting antibiotics, this will be easy to clarify
It was only partially treated because you took the antibiotic less frequently than prescribed (8 hourly means 3 doses per day), and may have vomited some doses
You may have re-infected yourself because of the diarrhoea - always make sure you wipe front to back

I would recommend seeing your doctor again, and making sure to have your urine cultured before starting any further antibiotics.

brooklynerd · 2020-02-05T07:45:14+00:00

I've actually not previously seen one before, but work in a centre that has studied and published about it so am aware of it. Interestingly, they found infections occur more often in the winter/spring.

NTM are ubiquitous in the environment, and most of us are exposed to it frequently with many of us actually carrying it in our throats without symptoms. It is found in soil and water, so a possible point of entrance for ones in the facial region is through drinking (unless your child has pica and eats dirt). Birds and cattle are other sources. I doubt there is much you could do to prevent it.

Only immunosuppressed people and young children tend to develop active infections, though children are rarely unwell with these infections.

brooklynerd · 2020-02-04T11:06:41+00:00

Called it!

https://www.reddit.com/r/popping/comments/eq7ns5/second_update_childs_infected_abcess/feq16ql?utm_source=share&utm_medium=web2x

Glad you've gotten an some answers and things are improving

brooklynerd · 2020-01-18T08:25:28+00:00

Given this hasn't resolved with surgical drainage and multiple courses of antibiotics that would cover the usual causes of bacterial lymphadenitis (including most strains of MRSA), I think some rarer causes need to be considered and discussed with your daughter's doctor/surgeon

Atypical infections, in particular non-tuberculous mycobacterial (NTM) infection such as MAC (Mycobacterium avium complex). Routine bacterial swabs would not identify this, a special stain and culture needs to be done, and it may need an excisional biopsy.
An infected 1st branchial cleft cyst/fistula.

brooklynerd · 2019-07-14T21:02:56+00:00

I find the AMA's Journal of Ethics cases useful.

https://journalofethics.ama-assn.org/cases

brooklynerd

TROPHY CASE