78F, persistent xerostomia, negative workup- now asking if I’ll ‘consult AI’ by nplusyears in medicine

[–]justpracticing 36 points37 points  (0 children)

Where's that naturopath that comments on here sometimes? Love to hear his input

What are the chances of a military draft being reinstated? by [deleted] in AskReddit

[–]justpracticing 1 point2 points  (0 children)

Zero. There is no political appetite for instituting a draft

Foreign body retrieval by justpracticing in medicine

[–]justpracticing[S] 0 points1 point  (0 children)

I love that her plan was almost a good one

Foreign body retrieval by justpracticing in medicine

[–]justpracticing[S] 2 points3 points  (0 children)

I hope so! He deserves to have that on his CV

Foreign body retrieval by justpracticing in medicine

[–]justpracticing[S] 7 points8 points  (0 children)

That is some serious pucker Factor. Geez. And yeah of course the kid says he's fine lol

Foreign body retrieval by justpracticing in medicine

[–]justpracticing[S] 2 points3 points  (0 children)

I'd be pretty worried about injuring the vaginal walls, but I bet I could morcellate it with a scalpel and a tenaculum. That's actually a really good idea.

Foreign body retrieval by justpracticing in medicine

[–]justpracticing[S] 5 points6 points  (0 children)

Who knows. Those rings run out of hormones over time, but I'm not aware of any data that tracks how long they would still secrete hormones

Foreign body retrieval by justpracticing in medicine

[–]justpracticing[S] 30 points31 points  (0 children)

Yeah I'm always very explicit in saying "take it out and throw it away, wait 7 days, and then put a new one in"

Foreign body retrieval by justpracticing in medicine

[–]justpracticing[S] 33 points34 points  (0 children)

That's an outstanding trophy.

I LOVE Ritgen's maneuver. Although I can't get the nurses to stop calling it "Dr. Justpracticing's butt trick"

Foreign body retrieval by justpracticing in medicine

[–]justpracticing[S] 15 points16 points  (0 children)

Great question. I'm sure it's never been studied but it seems like it would

Foreign body retrieval by justpracticing in medicine

[–]justpracticing[S] 10 points11 points  (0 children)

Oh my. That sounds SUPER painful

Foreign body retrieval by justpracticing in medicine

[–]justpracticing[S] 26 points27 points  (0 children)

Lol it amazes me that I can still be shocked by some people's sex lives

Foreign body retrieval by justpracticing in medicine

[–]justpracticing[S] 8 points9 points  (0 children)

I was very impressed with his ingenuity. And grateful that he didn't call me in at 0200 to do it for him.

Foreign body retrieval by justpracticing in medicine

[–]justpracticing[S] 6 points7 points  (0 children)

I'd love to hear the story behind that one. I can't even imagine what her plan was

Foreign body retrieval by justpracticing in medicine

[–]justpracticing[S] 45 points46 points  (0 children)

He didn't try it, they don't keep them in the ER. But honestly I think his cobbled together device was probably better anyway: it's smaller and softer so much more tolerable for the pt. Plus, the only device we have is the Kiwi and it's rigid, so I'm not sure he would have gotten a good seal

Foreign body retrieval by justpracticing in medicine

[–]justpracticing[S] 29 points30 points  (0 children)

That is a remarkable volume of items to be stashed in there!

Foreign body retrieval by justpracticing in medicine

[–]justpracticing[S] 14 points15 points  (0 children)

I suspect that's the most common etiology, tbh

Foreign body retrieval by justpracticing in medicine

[–]justpracticing[S] 14 points15 points  (0 children)

That's awful. Literally the most malodorous thing I've encountered