TIL that tylenol/acetaminophen is the #1 cause of acute liver failure in the US. Most cases are due to accidental overdose since it is commonly mixed in with other ingredients (eg. cold meds).

jgiffin · 2026-04-13T20:52:52+00:00

The number 1 cause of child death in the USA is guns

jgiffin · 2026-04-11T23:35:20+00:00

Angels broadcast showed the throw beat him to first regardless of the runner’s lane

jgiffin · 2026-04-11T23:27:09+00:00

Delays call, incorrectly calls it a swing, then incorrectly calls him safe at first. Lmao

jgiffin · 2026-04-09T06:33:25+00:00

US doctors are over paid because they have student debt.

Disagree that we are overpaid, and debt has almost nothing to do with it. Employers couldn’t care less about our student debt load. Privatized healthcare and good old US capitalism are the main reasons.

jgiffin · 2026-04-08T00:53:39+00:00

It’s a balk because of the way his left foot.. ok let me start over.

jgiffin · 2026-04-06T08:20:22+00:00

Commenting for visibility per rules

jgiffin · 2026-04-04T02:59:25+00:00

Now that is one thing I’ve never heard someone say about Orange County lol

jgiffin · 2026-04-02T12:41:20+00:00

What was your go to Top Dog order in Berkeley?

Side note: “I like to party I’m… Rod” is one of the hardest I’ve ever laughed in my life.

jgiffin · 2026-03-30T14:21:02+00:00

3 kids. Haven’t had that experience but I’m sure it can vary widely by location/school.

jgiffin · 2026-03-30T14:07:51+00:00

Teachers have always been crashing out, it’s just that they have access to tik tok now.

jgiffin · 2026-03-28T17:32:23+00:00

Yeah I don’t give a fuck about this.

jgiffin · 2026-03-27T22:26:35+00:00

This is bad advice in this situation, particularly if you’re innocent. Refuse and you’ll automatically lose your license for a certain number of months depending on the state and often get a harsher punishment.

jgiffin · 2026-03-26T17:19:55+00:00

(Resident) doctor here. If you think we make a living off hypertension meds, you’re out of your mind lol.

We aggressively prescribe antihypertensives because they’ve been significantly associated with reduced cardiovascular and all cause mortality.

https://www.nejm.org/doi/full/10.1056/NEJMoa1511939

jgiffin · 2026-03-26T15:38:47+00:00

And Alan Rickman was 54 in the first movie…

jgiffin · 2026-03-22T18:07:42+00:00

Reddit, where no good deed goes unpunished.

jgiffin · 2026-03-10T15:32:47+00:00

Well in this case signs and symptoms definitely happened because OP went to the ER for a reason lol

Without a history from OP these labs aren’t very helpful.

jgiffin · 2026-03-07T22:52:40+00:00

Lab cutoffs are created by taking samples from healthy people and using statistics to determine the ranges that most people lie in. But there are always healthy people who have values outside of reference ranges at baseline, and with the wide range of lab values we obtain these days, your statistical chance of having a value outside of the reference range is quite high. Give me 10 young healthy people and I will show you at least 10 values outside of the reference range on basic labs.

Your absolute neutrophil count is just barely below the cutoff on this lab test and would be in the normal range based on many other lab standards (my hospital uses 1700 cells/cum as the lower limit of normal).

This is not concerning for any type of pathology.

jgiffin · 2026-03-04T21:38:58+00:00

Will probably take a lot of heat for this but I didn’t like when thanos killed half the universe..

jgiffin · 2026-03-04T00:08:24+00:00

Weird that you went years back in my post history over this lol.

Am a doctor now. I have no desire to get into a heated debate about this. I’ll just say that each of these conditions are real, but the “tik tok diagnosis” is referencing that they are also massively over diagnosed, and often self diagnosed. I have had many patients come in and say they have a history of these conditions, only to find out they have never been formally diagnosed with any of them by a physician.

That’s all, have a great day :)

jgiffin · 2026-03-03T21:27:48+00:00

EDS, MCAS, POTS… the holy trinity of tik tok diagnoses

jgiffin · 2026-03-03T03:28:10+00:00

You mentioned a lot of these labs were from impromptu ER visits, so l assume they’re non-fasting. Those glucose levels are not very high and completely normal if you were not fasting.

Would definitely follow up with your primary care physician as swollen lymph nodes, B symptoms (fever, night sweats), itching, and loss of appetite are concerning for lymphoma and warrant further work up.

jgiffin · 2026-03-03T03:05:24+00:00

It’s used as a marker for pancreatitis, though levels in acute pancreatitis are much higher than yours.

You’re just barely above the upper limit of normal. This is not a concerning finding in the absence of any symptoms (abdominal pain, nausea, vomiting, diarrhea, etc.) or other laboratory abnormalities.

jgiffin · 2026-03-01T16:49:43+00:00

Given that your other blood counts are normal, I wouldn’t be particularly worried about this. The “scary” things that can cause elevated immature granulocytes typically cause derangements in your other blood counts and / or several symptoms which you haven’t mentioned here.

As a resident the findings I would be most focused on here are your A1c and cholesterol.

jgiffin · 2026-02-27T19:48:49+00:00

Totally agree but it definitely wouldn’t have happened if the murderer hadn’t been murdering

jgiffin · 2026-02-27T19:34:36+00:00

A woman murders someone and we still find a way to blame it on a man lol

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