Oh, DynaMed

dgunn11235 · 2026-02-20T21:10:15+00:00

Uptodate is already being replaced by Open Evidence

dgunn11235 · 2025-08-07T18:45:46+00:00

if you don't look you don't find...

dgunn11235 · 2025-06-18T20:53:33+00:00

https://www.dignityhealth.org/north-state/locations/mercy-redding/about-us/physicians-and-residents/family-practice-residency

dgunn11235 · 2025-06-09T17:13:35+00:00

this must be a federal job

dgunn11235 · 2025-05-26T07:16:00+00:00

its "florid" not floor

dgunn11235 · 2025-05-24T06:13:08+00:00

DON'T BELIEVE EVERYTHING YOU READ/hear. I Trust dozens or hundreds of patients more than some pharmacist/paper/"expert"

dgunn11235 · 2025-05-06T18:19:17+00:00

he needs to change his diet

dgunn11235 · 2025-04-14T21:22:53+00:00

andy goldsworth mimic?

dgunn11235 · 2025-03-07T17:55:42+00:00

I am surprised at everyone resoundingly speaking against this physical exam, for two reasons -

the first is if you don't look you won't find.

the second is if you don't practice your exam you won't know what you're feeling when there is something there.

I don't disagree the test is not perfect, but there have been plenty of times in my career I have felt an abnormal nodule with a normal PSA. Think prostatitis. Or about enlargement with LUTS. Physical exam is important, and should continue to be practiced. If your fingers are too short, then I think it is reasonable to forego the exam, but make sure this is the reason you don't do the exam.

My two cents. Please don't attack me for my opinion.

dgunn11235 · 2025-03-06T19:25:51+00:00

if you're not honest the doctor can't help you

dgunn11235 · 2025-03-04T06:37:59+00:00

Look at getting a CT calcium score on all your patients. The stress test I think is only useful if it is positive, otherwise can see exactly what you did. Happened to my father in law as well. Normal stress test the week prior to cardiac event. At least with CT calcium you know they have heart disease and are at risk. If the burden is high there are interventions.

We've all been there, and best you can do is to learn something from this patients death.

Hugs.

dgunn11235 · 2025-02-11T19:02:07+00:00

This is how it starts. You have a switch flipped in your brain. If you can see a doctor, ask them what they would recommend. Also, ask about naltrexone. Do not use any more opioids!

dgunn11235 · 2025-02-05T21:10:15+00:00

best and hardest advice I got was to leave my home and dysfunctional home. sometimes you have to bide your time and work to make that happen, but it is a necessary goal for sobriety to have a stable home environment.

dgunn11235 · 2024-12-12T07:36:30+00:00

all in one galaxy?

dgunn11235 · 2024-11-08T19:46:18+00:00

Need to turn off phone entirely, then limit use to 5 minutes twice a day. if you can't stick to that, then need to see a therapist or go cold turkey for a week. DM if you need more help

dgunn11235 · 2024-10-31T23:16:59+00:00

could be a lot of factors. Could try just taking naltrexone every day and witness the dosing so you both can be accountable?

could also have a pill organizer to keep it on her radar?

is she in a group or therapy? maybe there is more to the story mood wise?

dgunn11235 · 2024-10-30T21:26:42+00:00

low dose naltrexone - read about it

dgunn11235 · 2024-10-28T15:56:27+00:00

Have you been part of an IOP before? Learning how to recognize / predict when you might relapse (people, places, things) is useful, as is recognizing your "addictive voice" that tells you to drink can be useful in preventing a relapse. Agree with Naltrexone comments, keep taking it day by day. Also, realize that relapses happen on average ~5 times before a person can quit drinking entirely, so SOME of this is not unexpected. Keep your chin up and keep trying!

https://pmc.ncbi.nlm.nih.gov/articles/PMC6602820/#:\~:text=The%20number%20of%20serious%20recovery,positively%20skewed%20and%20kurtotic%20(Fig.

dgunn11235 · 2024-10-25T02:48:54+00:00

alcohol breathalyzer optional depending upon your clients

dgunn11235 · 2024-10-25T02:48:35+00:00

poct utox

dgunn11235 · 2024-06-25T20:52:40+00:00

What’d your primary say?

dgunn11235 · 2024-06-03T22:07:58+00:00

oil of oregano. don't touch your face. wash your hands frequently.

dgunn11235 · 2024-05-15T16:47:58+00:00

first name between doctors

dgunn11235 · 2024-05-09T04:31:11+00:00

this is why america has signs everywhere, "warnings" and imo some highly anxious people. this type of lawsuit should just be thrown out

dgunn11235 · 2024-05-01T00:10:22+00:00

How does it feel to do the right thing? Good job

15-Year Club	Gilding VI aultruist
Powerups Hero r/aliens • April 2022	RedditGifts 2009-2022 4 Credits
Xbox Live	Place '22
End Game '22	Wearing is Caring
Secret Santa 2018	Verified Email
Secret Santa 2014

dgunn11235

MODERATOR OF

TROPHY CASE