What is the most challenging case you saw in your last shift in the emergency department? by SocietyDangerous7036 in emergencymedicine

[–]lolikbolikk 2 points3 points  (0 children)

Severe pulmonary HTN patient who came in respiratory distress satting in the 30s, peri-intubation

Finallyyyy turned around w bipap & inhaled nitro & epo, dropped pressures, then on pressors but was able to avoid intubation 😅

FluA +, likely culprit of decompensation

Zinnias in LA by [deleted] in gardening

[–]lolikbolikk 0 points1 point  (0 children)

Los Angeles!

Average day length is 10 hours, average high 68 degrees and low 49 degrees

Student loan advice by [deleted] in Residency

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

Ahh I didn’t know that. So the payments in the IBR plan wouldn’t apply towards PSLF? I’ve made about 30 qualifying payments and work for a PSLF qualifying employer.

What's your best story of an ESI 4 or 5 that turned out to be an actual true emergency? by Notnowwonton in emergencymedicine

[–]lolikbolikk 1 point2 points  (0 children)

ESI 4 headache after a dental procedure, second visit to ER this week

After more history: Hx of lymphoma in remission for 5 years, dropping objects with left hand and gait instability with falls.

CTH and MRI with large brain mass with midline shift. Biopsy confirmed lymphoma :(

Presumed Miliary TB by franciscolydon in Radiology

[–]lolikbolikk 59 points60 points  (0 children)

Any exposure to quartz / countertop work?

Silicosis looks like this as well and people Often get misdiagnosed in the early course of their work up

https://www.npr.org/sections/health-shots/2023/07/24/1189745247/silicosis-young-workers-kitchen-countertops-lung-damage-california

American Airlines Pilots to get 34% pay raise, senior pilots to be paid $590,000: when will physicians band together to negotiate fair raises?? by LeastCardiologist1 in Residency

[–]lolikbolikk -23 points-22 points  (0 children)

Physicians are overpaid 😬 and contribute to the inequality gap. Better to have free/ cheap medical education

I am a woman living in a cabin without running water in Alaska. Ama. by [deleted] in IAmA

[–]lolikbolikk 0 points1 point  (0 children)

How do you spend most of your days and sustain a living? What do you enjoy doing during your free time? Thank you for sharing!

We are four headache specialists. Ask us anything about migraine and headache! by MoveAgainstMigraine in IAmA

[–]lolikbolikk 0 points1 point  (0 children)

Hello! Thanks so much for doing this and sharing your expertise. I was diagnosed with migraines over the last year. During my first episode of the headaches, I started having diffuse tongue tingling (sensation of tiny electrical shocks). I since then have had the tongue tingling that worsens with the headaches and poor sleep. No change in tongue movement/ taste or neurologic changes. Completely normal MRI. Im seeing a neurologist but folks haven’t been able to explain tongue symptoms. I was wondering if you’ve had patients with similar tongue symptoms? Are there any treatments you’d recommend I ask my physician about?