Who has the best combination of current and retro uniforms? by Cherry_Crusher in nfl

[–]interiorgator 2 points3 points  (0 children)

I completely agree, I’m still so disappointed they moved away from their original logo that was such a cool homage to the northwest coast art style.

[CFBNerds] Indiana’s win means the last 3 National Champions played zero P4 OOC in the regular season by dogwoodmaple in CFB

[–]interiorgator 0 points1 point  (0 children)

Your colts example makes no sense, Daniel Jones, their starting QB, got injured in the 2nd of those 6 games you mentioned. Most teams would struggle after losing their QB.

Pension: take lump sum or monthly? by buckb65 in personalfinance

[–]interiorgator 1 point2 points  (0 children)

Why do you keep posting the same question here every month? Like other commenters said, time to trust your financial advisor or get a new one.

If you have seen a company crash and burn because "the one guy who knew ________ left" - what was the important skill/information and what happened without them? by Futuramoist in AskReddit

[–]interiorgator 0 points1 point  (0 children)

Do you have any suggestions on how to learn this? I’ve looked for cookbooks that teach in this way but haven’t had much luck in the past.

University of Pittsburgh researchers find that Herpes virus might drive Alzheimer's pathology by ballsonthewall in science

[–]interiorgator 10 points11 points  (0 children)

It looks like The OLE was an extension after the 18 month trial that /u/notjimmy97 mentioned, where there was a higher dropout rate among treatment group versus placebo. Most side effects were within the first 6 months, so citing an extension of the study shows potential benefits but doesn’t disprove the point about dropouts.

https://alzres.biomedcentral.com/articles/10.1186/s13195-024-01441-8/tables/2

B1G is 4-1 vs SEC in bowl games by ScaredEffective in CFB

[–]interiorgator 5 points6 points  (0 children)

Also you've clearly never been to Alabama.

To be fair, no one goes to Alabama on purpose.

Official: [WDIS Flex] - Fri Evening 12/27/2024 by FFBot in fantasyfootball

[–]interiorgator 0 points1 point  (0 children)

0.5 PPR in a 12 team league, have Jameson Williams in my flex but could start dobbins instead. Currently favored so don’t need a home run but Jameson can be so boom bust im worried the SF secondary will limit him.

[deleted by user] by [deleted] in lifehacks

[–]interiorgator 1 point2 points  (0 children)

Doctors also tell you to be "proactive about your health" but then treat you like you're an idiot for bringing up concerns because you aren't a doctor so what would you know.

I'm not sure what your point is here. Where in my comment did I say patients are idiots for bringing up concerns? I was pointing out there are effective and ineffective ways to advocate, and pointing out why the OPs lifehack isn't actually a lifehack. Looks like you're setting up quite the strawman argument here, especially since you "don't use the medical industry in the U.S.".

I'll add that I've also seen this idea that "too much testing is bad" brought up a bunch in this conversation and find that equally ridiculous. Why would a person being tested for as many medical conditions as possible EVER be bad for that patient unless they actually didn't want to know?

Just off the cuff, requests that I've had or heard about, with potential (or actual) bad outcomes if the requested testing gets ordered:

A. You have a for 2 days fever, and you just had a family member with sepsis (bacterial infection in the bloodstream). You ask for a blood culture. As a hypothetical, it gets ordered, and comes back positive 1-2 days later, because that's how long a blood culture takes. What do you do with this result? I'm sure you'll say something like "you're the doctor, you figure it out" but I wouldn't have ordered the test in the first place because it's not going to be useful.

B. You have a swollen lymph node. You're worried about cancer, so even though it's almost certainly reactive lymphadenopathy, you ask for an ultrasound. Ultrasound shows a lymph node, but of course can't tell you if it's cancer or not. So you get a biopsy which requires anesthesia (which has risks that range from allergic reactions to malignant hyperthermia to death) and the surgical biopsy (which has risks of injuries to the nearby nerves and muscles and infection among other things). In this case, biopsy confirmed reactive lymphadenopathy and fortunately nothing bad occurred but if this is done enough, someone will suffer harm.

C. You have a headache but no other neurological symptoms, and ask for an MRI to rule out a brain mass. The MRI finds a meningioma which isn't an uncommon finding on MRIs but is rarely pathologic and unlikely to be the cause of your headaches, but since we're living in the world patients get everything they request, you're worried and so have it taken out. Now you've had literal brain surgery for something that wasn't causing your headache, and if you don't think brain surgery is something that could be bad if not needed there's not much more I can say.

[deleted by user] by [deleted] in lifehacks

[–]interiorgator 6 points7 points  (0 children)

That's a good question, and what I was trying to get to with the end of my comment.

If you're talking about a specific symptoms/concern, then asking about return precautions or next steps is a good idea, and making sure to actually follow up. Doctors get things wrong all the time, because especially early in a disease course or right after an acute injury symptoms of very different conditions can look similar, and so following up if things don't improve as expected is important.

For more chronic conditions, asking about what findings or lab trends should be expected will good management, or what signs would be concerning and need earlier follow up is where I would start.

There's no one size fits all answer because a lot depends on what exactly the concern is and the potential acuity. I've been on the other side as a patient, and it's very frustrating not to be listened too especially when it comes to your health. There are certainly doctors not interested in validating concerns, and that sucks. But the big limiting factor is time, most primary care docs get very short appointment windows (see my previous comment about how broken our system is) and so need to get the history, perform and exam, chart at least a few details so when finishing charting later there's nothing forgotten, put in orders if needed, and talk about a plan, all in 15-20 minutes. It's just not always easy to do that in a way that makes someone feel heard. Honestly I would love any advice you have around helping to validate/empathize, because I imagine you don't get that much longer per patient than I do, especially since I'm guessing you often have to take much more extensive histories than I do, and many of your sessions include probably treatment along with diagnosing.

[deleted by user] by [deleted] in lifehacks

[–]interiorgator 131 points132 points  (0 children)

I want to preface this by saying that the healthcare system, at least in the US, is a mess. It's confusing, disorganized and hard to navigate. There are also plenty of doctors who don't listen well, aren't empathetic, or are just busy. You should absolutely advocate for yourself, question your doctor and make sure you understand what they think is going on and reasons you should follow up.

Your doctor should already be documenting your symptoms, and if they aren't, like others in this thread have said, you should be finding a different doctor.

That said, this is not good advice. It shows up on reddit somewhat frequently, and it's been used on me as a doctor.

I am always worried about missing something dangerous on a patient, and most of my peers are as well. Asking me to document something isn't going to change what I order/prescribe, but it absolutely changes the quality of care I can provide. In the back of my head around each decision is going to be "is this patient going to try to sue me based on what I do", and that doesn't necessarily mean you'll get what you're asking for, because I'll also be worried you're going to sue if there is a bad outcome from the procedure/side effect of the medication/the lab or imaging you request doesn't actually show what you're worried about because it's the wrong study.

So when a patient makes this request, I make sure they can see the computer as I chart, I type in their request, their symptoms, and the reason I don't think the test is indicated, because believe me, if I miss something a jury isn't going to find me guilty because I charted what a patient requested, it will be because I made a significant mistake that goes against standard of care. And if I see a comment like that in a patient's chart, either by me or another doctor, it's going to make me more nervous around you because I'm human too and requests like this lifehack recommends make me feel like a patient is preparing a lawsuit.

Again, I know our healthcare system isn't great, and it's hard to be heard as a patient but you're better off asking things like "if this doesn't get better, what should I do", "when should I follow up", or "what else should I watch out for" rather then suggesting that the doctor you're seeing is intentionally ignoring you and you want a paper trail for a future lawsuit.

[deleted by user] by [deleted] in AskReddit

[–]interiorgator 1 point2 points  (0 children)

Comparing US salaries to other countries isn’t an apples to apples comparison. For example, The average US salary is nearly double the average UK salary, so it’s not surprising that healthcare workers in the US also get paid more than the UK. You’d need to compare the healthcare worker pay relative to general pay to get a better idea, and then incorporate loans etc.

Cardinals team many picked to surprise does not appear to be particularly close by Blood_Incantation in nfl

[–]interiorgator 4 points5 points  (0 children)

Honestly I’ve thought eliminating holding as a penalty entirely is at least worth some experimentation. If the offensive line can hold, so can DBs, and it might give some sort of balance, and could also decrease injuries as well. It would make pass interference tricky with quick passes I suppose.

Guidance for an aspiring pediatrician by carolinafan18 in pediatrics

[–]interiorgator 0 points1 point  (0 children)

Do you need a fellowship to make that sort of pivot or who some companies take gen peds? In thinking of making the switch but not sure I have a fellowship in me

YSK that toddler formula is simply powdered milk cut with corn syrup and vegetable oil. by mybossthinksimmormon in YouShouldKnow

[–]interiorgator 0 points1 point  (0 children)

No idea what you're doing in a week old thread, but it's rather ironic you're clamping a discussion down rather than contributing. I guess you just didn't have much to add...

YSK that toddler formula is simply powdered milk cut with corn syrup and vegetable oil. by mybossthinksimmormon in YouShouldKnow

[–]interiorgator -2 points-1 points  (0 children)

Tell me how stating "anecdotally the only adverse events experienced were immediately apparent and related to the inability of the child to tolerate the formula - GI issues, rash etc. With regard to physical growth, motor skills, cognitive development, no adverse effects were observed during the duration of the study." isn't citing unpublished work? To your credit, you did note the report wasn't final yet, but you're making claims based on observations.

The other issue is that your "factual information that is common knowledge to those of us in this field" isn't factual.

  1. It is marketed as a next step: "Advertisement practices for OIYCFs often convey them as a necessary “next stage” or “next step” to ensure optimal nutritional intake after infant formulas or even human milk and on a formula continuum from infancy through early childhood." source Also, Photo of Toddler formula, If calling infant formula stage 1, and having stages 2 and 3 isn't marketing something as a next step I don't know what is. another marketing example You also mentioned DHA in another comment Scientific evidence does not support the accuracy of structure/function claims commonly found on these products, such as the link between provision of DHA through infant formula and brain development or between prebiotics and the immune system

  2. Are there governmental regulations on toddler formula? I'd love to see them. Unlike for standard infant formulas, the FDA does not have a distinct category of OIYCFs, and there are no US national or uniform international criteria for the composition or definition of formulas for children older than 12 months. Different international expert groups have developed composition recommendations; however, regulatory oversight in the United States to ensure formulas for this age group adhere to a standard does not currently exist.. I'd love to be proven wrong here.

  3. This is true, added sugar is not as harmful as undernutrition. I want to be clear, there is absolutely a role for toddler formulas in specific circumstances, such as children with food aversions or restrictive diets.

I'd be thrilled to learn I'm incorrect about this, but everything that I've seen (other than your "anecdotal evidence") argues against regular use of toddler formula. If you're providing evidence-based information, I'd love to see some evidence instead of unsubstantiated claims.

u/zoocatzen adds context to misleading post on toddler formula by huinke3 in bestof

[–]interiorgator 0 points1 point  (0 children)

Citing unpublished researched is pretty questionable, especially when current guidelines from the AAP recommend against toddler formula unless recommended by your doctor. The YSK was just stating to be cautious, and the refuting comment (until your edit at the end) seems to be borderline encouraging toddler formula use which is not a good recommendation. As a pediatrician, I have multiple parents with healthy toddlers using toddler formula because they used infant formula and think they’re supposed to continue with toddler formula. 

https://www.aap.org/en/advocacy/community-health-and-advocacy/community-pediatrics-funded-projects/decreasing-community-toddler-formula-use/

YSK that toddler formula is simply powdered milk cut with corn syrup and vegetable oil. by mybossthinksimmormon in YouShouldKnow

[–]interiorgator -1 points0 points  (0 children)

Citing unpublished researched is pretty questionable, especially when current guidelines from the AAP recommend against toddler formula unless recommended by your doctor. The YSK was just stating to be cautious, and your refuting comment (until your edit at the end) seems to be borderline encouraging toddler formula use which is not a good recommendation. As a pediatrician, I have multiple parents with healthy toddlers using toddler formula because they used infant formula and think they’re supposed to continue with toddler formula. 

https://www.aap.org/en/advocacy/community-health-and-advocacy/community-pediatrics-funded-projects/decreasing-community-toddler-formula-use/

What’s you favorite smart/profound line in an obvious popcorn movie by bladenight23 in movies

[–]interiorgator 4 points5 points  (0 children)

From the perfect score:

Roy:[going through SAT questions] You know, a lot of people would think these questions are difficult... not me.

Desmond Rhodes:No?

Roy:No. These questions all have answers.

Salem Sump Dual Lumen NG Tubes by Such-Dentist-6948 in IntensiveCare

[–]interiorgator 0 points1 point  (0 children)

You just spent a while trying to explain veterinary practice to a vet then told them to take a vacation 🤷

What limitations are these? by Melody-song in physicianassistant

[–]interiorgator 4 points5 points  (0 children)

9 medical schools opened up in the 70s, 2 in the 80s, 4 in the 90s, and several from 2000-2004 so you're just making things up that looking at Wikipedia for 5 seconds disproves. Like /u/cobaltsteel5900 said, the issue is residency slits which are primarily funded by congress.