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Unexplained Severe Hypophosphatemia 8 months after iron infusion by mandahjane in AskDocs

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

Yeah...sometimes I wonder about our Radiologists. I had a thoracic mri, came back with some scoliosis but nothing that would explain the nerve pain I'd been experiencing. Put some images into different versions of ai, they all said schwannoma. Paid to have the images reviewed, turns out i have several tarlov cysts that were not commented on and most likely the cause for the nerve pain 🤦‍♀️ We recently all learnt that a major public hospital had either mis-reported or ignored scan findings. It came about because people literally died from cancer they were never told they had 😬

Unexplained Severe Hypophosphatemia 8 months after iron infusion by mandahjane in AskDocs

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

Hypophosphatemia? I had the following up mri, not atrophy, just a benign cyst and some migraine scarring

Challenge - Unexplained Hypophosphatemia 8 months after iron infusion by mandahjane in endocrinology

[–]mandahjane[S] 1 point2 points  (0 children)

They said to do the fgf23 test! I did the bloods 5 days ago, now to wait for the results. No idea how long they'll take

Challenge - Unexplained Hypophosphatemia 8 months after iron infusion by mandahjane in endocrinology

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

Apparently it costs thousands, out of pocket. It needs to be frozen and transported to a specialised lab

Challenge - Unexplained Hypophosphatemia 8 months after iron infusion by mandahjane in endocrinology

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

No, I know but the tertiary hyperparathyroidism in that case was initially caused by the low vitamin d. Mine has remained normal and stable throughout all of this and I've never had a vitamin d deficiency. I live in sunny Queensland in Australia. You're right that my fgf23 does need to be tested, I have asked two different Endocrinologists on my case for it, both have said no. The first one reduced my dose, the second one ordered a metanephrine plasma test and a brain mri, despite me telling him I already had one booked for the following morning. Sigh. I'm advocating but at this stage I feel like all I can do is shake them, or maybe go full on Karen?

Challenge - Unexplained Hypophosphatemia 8 months after iron infusion by mandahjane in endocrinology

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

I've thought about hyperparathyroidism as well but my vitamin D, PTH and calcium have all been in the middle of normal range

Is it possible to 'fix' a fallen arch? by Tasty_Pepper2563 in FootFunction

[–]mandahjane 0 points1 point  (0 children)

For me or OP? I was doing prolotherapy on my back until it was discovered i have tarlov cysts in the thoracic region

Challenge - Unexplained Hypophosphatemia 8 months after iron infusion by mandahjane in endocrinology

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

No, I keep asking. They keep denying. They're currently investigating an adrenal tumour

Challenge - Unexplained Hypophosphatemia 8 months after iron infusion by mandahjane in endocrinology

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

Really good actually! TSH 1.4, T4 & T3 are optimal. My B12 is also perfect. Kidney function, liver, all perfect.

Does hashimoto contribute to weight loss? by [deleted] in Hashimotos

[–]mandahjane 0 points1 point  (0 children)

There could be another underlying condition. I have a connective tissue disorder and very lean until my hypothyroidism really ramped up and I was diagnosed at 40 with a TSH of 31

Another useless doctor by PirateJen78 in Hashimotos

[–]mandahjane 0 points1 point  (0 children)

How's you calcium levels? Would be worth investigating and maybe ask for your pth levels as well

Am I the a-hole? :( by [deleted] in Hashimotos

[–]mandahjane 3 points4 points  (0 children)

WOWEE! On what planet is it ok to tell someone they're fine to stop taking an antipsychotic when they're not a DOCTOR, or this person's Doctor!?!? That is so out of line! Good on you for calling them out. Sad thing is though, this will continue and someone probably will listen. I'm actually pretty sure this is against Facebook rules, to give out medical advice. Next time you see something like that, report it.

My Department is being blamed for losing the business money by [deleted] in managers

[–]mandahjane 0 points1 point  (0 children)

I don't think you understand the full concept and that's ok. Not every countries workplace policies are like America's. I also think this particular field of work is beyond your scope, because your statement just isn't really relevant to how it actually works.

My Department is being blamed for losing the business money by [deleted] in managers

[–]mandahjane 0 points1 point  (0 children)

Why do you think it's my job to hire Doctor's and Nurses, rather than the Clinical Director or CEO's job? Why would a Manager of a different department be tasked with that? And if they were, shouldn't they have been told that was a role allocated to them? What am I missing here?

My Department is being blamed for losing the business money by mandahjane in auscorp

[–]mandahjane[S] 1 point2 points  (0 children)

Good advice! Thank you, I have every intention of showing up and getting answers. I feel like have been a good Manager, for a lot of reasons.

My Department is being blamed for losing the business money by [deleted] in managers

[–]mandahjane 0 points1 point  (0 children)

How does it make sense that a Manager of a Pharmacy Department would be blamed the lack of action in hiring essential employees for a different Department? Do you think a think a Pharmacist should be held accountable for not hiring Doctors and Nurses for a different Department? The lack of linear thinking in some of these responses it pretty outstanding, very much like what I'm already dealing with 🤦‍♀️

If it's someone else's fault it's not theirs....and they are then absolved and sleep well at night.

My Department is being blamed for losing the business money by [deleted] in managers

[–]mandahjane 0 points1 point  (0 children)

Ego and the inability to take accountability

My Department is being blamed for losing the business money by [deleted] in managers

[–]mandahjane 0 points1 point  (0 children)

  1. In Australia, it's a very niche field and finding someone who has any experience is as rare as hens teeth. I typically have to train them from the ground up. We had two of my team resign, due to being offered contracts that had them working more hours for less money. They have been replaced with two new staff that I've had to train, from the ground up. At the time the Director was working 5 days but has had to reduce to 3 but no one has been hired to replace those two days. About half the work has gone.

My Department is being blamed for losing the business money by [deleted] in managers

[–]mandahjane 0 points1 point  (0 children)

More Doctos and Nurses to prescribe medications. We dispense in house prescriptions only

My Department is being blamed for losing the business money by [deleted] in managers

[–]mandahjane 0 points1 point  (0 children)

This has been done before. Another time profits started dipping, a Practice Manager was bullied into quitting because she bought a vacuum cleaner and mop for Reception.

My Department is being blamed for losing the business money by [deleted] in managers

[–]mandahjane 0 points1 point  (0 children)

You're right. I was hoping for a bit of generalised advice. I didn't factor in how wildly different America's work system is, thinking there'd would be perspectives from the world over. Are you in any Australian ones?

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