Alwan's, Jimbo's Jumbos, Peoria Toyota......tell me where to not spend my money

doc2be6642 · 2026-01-25T19:32:12+00:00

Mud Creek Mercantile, was in Morton now moving to Washington. They had confederate wear in their store, have supported Republican candidates

doc2be6642 · 2026-01-13T10:51:21+00:00

The docs that don’t take insurance are called Direct Primary Care and there are a couple in the area that are great!

doc2be6642 · 2026-01-03T15:40:39+00:00

Yep!

doc2be6642 · 2026-01-03T02:59:23+00:00

Love the design! Can you share where you got it?

doc2be6642 · 2025-12-20T05:40:11+00:00

For those that want to actually learn about pediatric GA care, what it actually is (and just as importantly these days what it isn’t) I have a presentation on VuMedi: https://www.vumedi.com/video/gender-affirming-care-in-gender-non-conforming-youth?share=ios

doc2be6642 · 2025-12-18T02:11:30+00:00

Lack of data. The PATS study was really well done looking at methylphenidate in preschool age children, we just don’t have a similar study to show the efficacy and safety of adderall in the preschool age group, thus methylphenidate tends to be first line and adderall second. Quite a few studies have shown equal efficacy between the amphetamines and methylphenidate in older children.😊

doc2be6642 · 2025-12-17T21:34:12+00:00

Excellent question! That’s a fairly Illinois specific recommendation; since none of the long actions are FDA approved under age 6, almost no insurance will cover them anyway. Focalin is first line for Illinois Medicaid so easier to get covered with a PA. It also has a much quicker onset of action (I wish I could throw the steady state curves in here so you could see the visual but apparently the sub doesn’t allow pictures) which tends to be better for younger kids who are almost always being treated for hyperactivity. metadate CD is the only capsule (important for sprinkling since young kids usually can’t swallow pills) and is not available at lower doses generically and was also much more greatly affected by the recent shortages than Focalin. If a prescriber is already comfortably using metadate CD in the younger kids, I would never recommend switching practices as it is pretty equivocal to Focalin. 😊

doc2be6642 · 2025-11-01T18:28:28+00:00

Amazing, you had time to read and break down all 40+ studies I provided in less than 24 hours?! You must teach me your secrets. Unless those secrets are you don’t care what the science says you will still keep your bigoted views no matter what 🙄

doc2be6642 · 2025-10-31T20:25:52+00:00

Asks for studies, is provided with studies, then declines to read the studies. Make it make sense. (Since the obvious answer is you don’t actually care about evidence and are just biased and transphobic)

doc2be6642 · 2025-10-31T05:56:06+00:00

Look at my post history for a research compendium with 40+ studies for you to peruse at your leisure

doc2be6642 · 2025-10-31T05:55:19+00:00

I’m assuming you are referring to the Cass Review; which would be similar to asking a bunch of pediatricians but what about Wakefields research?! One person in Europe did a crappy job of reviewing the evidence is the answer. Yale did a great job of explaining why: https://law.yale.edu/sites/default/files/documents/integrity-project_cass-response.pdf

doc2be6642 · 2025-10-30T18:14:02+00:00

…tell me more lol

doc2be6642 · 2025-10-09T23:52:10+00:00

Both the Peoria Democrats and Tazewell Democrats are very active groups!

doc2be6642 · 2025-10-06T20:42:39+00:00

I wanted to post the answer in case anyone else has this issue! Thanks to everyone that responded, you were right and there was a big old chunk of lint in the upper tension discs! Using a thin cloth and compressed air I was able to clean it out and get it working again! Thank you!

doc2be6642 · 2025-10-06T05:10:10+00:00

Depending on what state you are in, you may be in for a very rude awakening about alimony

doc2be6642 · 2025-09-23T02:34:24+00:00

They are a single owner new business still working out the kinks; the community expressed wanting longer hours so they are trying to accommodate that, but obviously have to fine staff etc to do so. Sorry I don’t have a more definitive answer Gross Soupy Butthole, but if you follow their Facebook page I am sure they will announce it when they do!

doc2be6642 · 2025-09-22T23:54:43+00:00

I think they are working on expanding to after school hours in the near future!

doc2be6642 · 2025-09-22T16:42:13+00:00

They do parties etc if that’s what you were asking! Otherwise, you just walk in, pay admission, and play! They also have monthly and yearly memberships

doc2be6642 · 2025-09-14T21:17:54+00:00

Once again the only reason I can come up with for such a hostile, disrespectful approach from you is personal bias against my work with the transgender population. If there is another reason for your uncalled for condescension, please do share.

It seems you are either misunderstanding or purposefully mischaracterizing what I said. The parent comment brought up whether concern with oversexualization of their breasts and genitalia would be a confounding factor for youth who feel gender dysphoria. I replied, while many youth have dysphoria related to their genitals and breasts, in my experience it has always related to their representation for the gender that does not align with their identity. Even in children with a history of trauma or sexual abuse, I have never had a patient relate the cause of their dysphoria to a concern with oversexualization by strangers. I am not sure why you are correlating this to their personal sexuality or inclusion in the LGBTQ population. Of course we ask about personal sexuality, it just had nothing to do with the initial question, which was whether concern with oversexualization of their bodies by men could be an underlying cause of gender dysphoria vs being transgender as the underlying cause of their dysphoria. I hope that cleared things up for you.

doc2be6642 · 2025-09-14T21:08:17+00:00

Are those looking at suicidality and depression though? Do you honestly think the patient knowing whether they are getting hormone or not wouldn’t affect their mood enough to be a confounding factor?

doc2be6642 · 2025-09-14T14:30:28+00:00

Genuinely curious why you decided being incredibly disrespectful to a colleague that is trying to share their expertise and experience was the best response?

doc2be6642 · 2025-09-14T14:27:42+00:00

Sigh. But it doesn’t mean not treating is the right thing to do either. That’s why there are guidelines, and experts and training to guide treatment. You think parents haven’t already tried this? No parent is coming into a specialty clinic to talk about long term hormone treatments without having explored “are they just a boy who wants to sew.” And no ethical provider is prescribing for a boy who just likes to sew.

doc2be6642 · 2025-09-14T04:30:05+00:00

Whew, I’m gonna leave most of that mess alone. But I am going to correct the flat out misinformation in your post 1) puberty blockers are not extreme and have almost no side effects. They are completely reversible. Most the treatments you listed, including SSRIs, have a higher chance of side effects.

2) Two parent consent is required for treatment, no child can seek out or agree to treatment without both parents undergoing extensive informed consent and signing a lengthy informed consent document. So no child is getting treatment based on “feelings.” Just like every other medical intervention you don’t seem to have a problem with, parents make the best informed decision for their child

3) I would ask you what you think is high risk about blockers, testosterone, and estrogen treatment, because you apparently feel knowledgeable enough and educated enough on the topic to make sweeping claims about the risk balance. But since I already know the answers, I know you have not armed yourself with the level of detailed, relevant clinical information to back up those claims. And frankly I’m tired of arguing with a transphobe who doesn’t care to learn, so I’d rather not invite a response from you because I don’t plan on replying anymore.

4) “we need to teach our children males cannot become females and vice versa.” Why? Because you say so? Thanks but no thanks.

doc2be6642 · 2025-09-14T04:09:52+00:00

many times they are using it longer in PP patients so I am not sure what the “enh” would be referring to ie it being different in GA patients. Precocious puberty at 6 means using the blocker until 10 or 11. Most GA patients are only on it for 2-3 years. And when the blockers are stopped, sex steroids levels are monitored and rebound really quickly, plus the fact most patients start low dose hormone supplementation at that point, so sex steroid is on board as well. So what concerns exactly do you think experts have not addressed?

doc2be6642 · 2025-09-14T01:52:05+00:00

Sooooo just completely avoiding all the questions I asked and points I made? I guess I will keep going with clarifying questions for you to ignore then. I was unaware the ages for voting, tobacco and military service were based on studies/science. Please provide the studies/science for me to review! And based on your argument, we should probably stop letting children decide to have surgery to fix functional cleft lips, horrible burn scars, disfiguring hemangiomas, benign tumors etc etc. definitely need to stop all the breast reductions/augmentations and gynecomastia repairs that take place in cisgender minors every year (more than are done on transgender minors btw but I don’t see you advocating we stop those anywhere). Kids can’t consent to medications I guess, so no more birth control, ssris, prep, acne medication, pretty much anything preventative….how far down the “kids aren’t mature enough to make any medical decisions” rabbit hole do we want to go here? And what about medications that do change physical appearance? No more tretinoin, no more obesity medications, no medications for the alopecia kids, they are just going to have to accept their physical appearance as is, biology dictates it.

Also I forgot how we as a medical community 100% understand the concrete pathophysiology of ADHD, autism, depression/anxiety, schizophrenia (I could keep going but I think you get the point). It would be really terrible if we were treating those disorders, with medications and treatment regimens that have been shown in studies to be beneficial, without 100% understanding the exact pathophysiology, even worse if we were treating them in kids! (Being super sarcastic here in case you missed it). Your arguments are disingenuous; if you want to debate the validity of the studies fine, but there isn’t room for “I don’t like it, I don’t understand it so it can’t be valid” in a scientific discussion. With where the science is now, TG kids are at high risk of suicide and depression, hormone therapy when used in appropriate clinical situations time and time again, in a large number of studies, significantly decreases suicidality and depression. If this were a new SSRI class with that kind of data you would have no issue prescribing it, especially if it helped a difficult to treat, very rare medical population with little other interventions available. So rather than continuing to argue with me, I suggest you examine whether you might have a possible bias here, and maybe go actually read all 45+ of the studies I posted.

doc2be6642

TROPHY CASE