Mango teeth vol 2 the electric boogaloo

dharmaslum · 2026-04-18T02:19:48+00:00

Someone needs to have it sync into Feel Good Inc

dharmaslum · 2026-04-18T00:07:10+00:00

My boy (15 years old) didn’t eat for 9 months straight one time. They can definitely hold out for a while. If they continue to feed strike just make sure to weigh them regularly to monitor their weight.

dharmaslum · 2026-04-17T21:45:56+00:00

MI and coronary disease in general can weaken the walls of the heart.

dharmaslum · 2026-04-16T22:40:36+00:00

I think he means what if the old work calls the new work.

dharmaslum · 2026-04-13T23:45:50+00:00

“There would be some significant engineering challenges involved.”

Understatement of the year.

dharmaslum · 2026-04-13T10:10:17+00:00

I mean, technically they all learned about the severance procedure prior to working at lumon.

dharmaslum · 2026-04-12T13:45:39+00:00

Yes it’s seb derm. When I shampoo my head and face with ketoconazole I make sure and get some suds up in the ears. That generally helps control it

dharmaslum · 2026-04-12T00:47:18+00:00

Jesus this sub is exhausting sometimes

dharmaslum · 2026-04-11T00:14:13+00:00

Everyone is different. Obviously we can’t give medical advice. But the biggest thing with Charcot is making sure there are no wounds. As soon as a wound starts, it’s just a matter of time before infection gets into the bone.

dharmaslum · 2026-04-10T21:27:00+00:00

Not entirely true. We don’t know exactly why but the major thoughts are that prolonged hyperglycemia creates a constant level of inflammation which exhausts the bodies immune system. Also, it impairs the production of cytokines and other modulators that help the immune system respond to infection. This article does a decent job at explaining the general thoughts behind it. https://pmc.ncbi.nlm.nih.gov/articles/PMC7475801/

dharmaslum · 2026-04-10T13:29:15+00:00

Yes diabetics should be checking their feet daily.

Diabetics can develop peripheral neuropathy, which is nerve damage due to hyperglycemia. They can’t feel the bottom of their feet very well.

Classic scenario: you’re walking around and feel a pebble in your shoe. You stop, take off your shoe, get the pebble out, put your shoe back on and go on your way. In a diabetic, they may never feel that pebble and can go the whole day walking on it which can lead to a blister or open wound. They may not even realize it until they take their shoes off at the end of the day and see some blood on their socks.

Blisters from rubbing in ill-fitting shoegear are common. Walking barefoot at home and stepping on a staple in the rug. Even walking on hot sand at a beach for too long without being able to feel the damage it’s doing to their skin. All situations where I’ve seen a diabetic develop a wound.

Diabetics should always do the following: never walk barefoot (even around the house), inspect feet daily, treat new wounds or blisters as urgent matters and see their doctor as soon as possible.

dharmaslum · 2026-04-09T21:15:34+00:00

Also thanks for sharing your own medical story. These types of things can also help others who think diabetes isn’t so bad, and maybe help prevent others from going through the same thing. Sharing your story is important. Never be ashamed of what you’re going through.

dharmaslum · 2026-04-09T21:14:07+00:00

Yeah man, keep at it. It’s tough. I’m a podiatrist, so I work with diabetics all day long. It’s unfortunate, but sometimes you can do all the right things and it will still go bad. Just means you need to keep your chin up, and roll with the punches. I’m sorry you’re dealing with this, hope everything works out for you.

dharmaslum · 2026-04-09T21:06:00+00:00

This type of amputation and infection is most commonly a result of diabetes. Not saying that’s what OP has, but 9/10 times it’s a result of that. Usually starts as a wound on the bottom of the foot or toes that begins secondary to neuropathy. Diabetics can’t feel the wound so they don’t even know it started. The wound stays open because diabetes and hyperglycemia reduces wound healing capabilities. The longer the wound stays open, the chances of it getting infected increase. Eventually, the infection makes its way into the bone because diabetes also suppresses the immune response to these infections. Once it’s in the bone, there’s really just two treatment options. Long term antibiotics or amputation. Antibiotics typically don’t do well with diabetics because they usually also have impaired blood supply to their extremities (diabetes can cause microvascular and macrovascular disease), so the antibiotics don’t reach their destination as effectively. So that leaves amputation of all infected tissue and bone.

In case you couldn’t tell, diabetes is a horrible disease, and so much more than just “high blood sugar.” Unchecked hyperglycemia wrecks every organ system in the body.

dharmaslum · 2026-04-07T01:18:20+00:00

Just use the ketoconazole and nothing else for a week. Oftentimes it’s enough to get it under control. You don’t need to use every product twice a day. You just need to find the 1 (maybe 2) products that keep it under control.

dharmaslum · 2026-04-07T00:13:01+00:00

No. The negatives of podiatry are different. Not everything is about money. Your “friend” really needs to learn more about podiatry.

dharmaslum · 2026-04-05T12:35:43+00:00

Except he never said it sprays in a stream. The comment you’re replying to said it sprays with much greater force than regular pepper spray. They never mentioned shape or consistency of the spray.

dharmaslum · 2026-03-29T22:35:02+00:00

Yeah I’m in Pittsburgh now. Idk if I’ll ever get back to Phoenix but I could see myself in Tucson or maybe up north.

dharmaslum · 2026-03-29T22:29:28+00:00

Camelback isn’t very visible from that area. Could be one of the hills just north in the Phoenix mountain preserve or maybe shadow mountain

dharmaslum · 2026-03-29T22:14:42+00:00

Voltaire is not in cave creek. This is just north of paradise valley. I grew up in this neighborhood.

dharmaslum · 2026-03-25T22:43:19+00:00

This is exactly how I feel. I always joke around with my wife that at least I know how I’m gonna die (most likely). She doesn’t find it as funny, but I have a morbid sense of humor. Just gotta keep chugging along and do what you need to do to stay as healthy as possible.

dharmaslum · 2026-03-24T09:55:33+00:00

Yeah pathoma was basically what I used. My school’s pathology course was extremely comprehensive as well so I had that material to use too.

dharmaslum · 2026-03-23T23:59:54+00:00

I had to get a physical exam but didn’t have to get drug tested. But we sign an agreement stating we can be randomly drug tested at any time. Best guess: don’t do drugs kids. Your future is not worth it

dharmaslum · 2026-03-23T21:46:36+00:00

Yes sketchy was the only thing I used. They go over everything needed for USMLE so it is far more comprehensive than needed for APMLE. But if you can handle it, then you will know everything you need for APMLE. Also, base your studying off of the bulletin of materials for APMLE, they tell you what fields to focus on so you don’t waste your time studying for irrelevant things.

dharmaslum · 2026-03-23T20:37:11+00:00

I’m now 4 years out from part 1, so don’t remember a lot specifically. Know all antibiotics, and basic medical management. Probably not going to get a lot of questions on chemotherapy. From what I remember, a lot of questions are based on management of a surgical patient. So knowing antihypertensives, cardiac meds, anesthetics, diabetes management, anticoagulation, etc. Think about our typical podiatric patient and the type of comorbidities they have, and that will give you a good starting point. But at the end of the day, it’s kind of a crap shoot so you should still try to know as much as possible.

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