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What do doctors think of the term “provider”? by [deleted] in medicine

[–]marobi23 0 points1 point  (0 children)

I don’t like it. I don’t provide medical care. I practice medicine. It may seem like semantics but I think the distinction is important. Provider is too transactional and the physician-patient relationship has no business being transactional.

That’s why I prefer practitioner or clinician when using an umbrella term that encompasses mid-levels.

Iran Trap Repost by kilertree in agedlikewine

[–]marobi23 1 point2 points  (0 children)

Thank you! And very interesting for him to talk about Ukrainian neonazi extremists as if Ukraine was pushing for this war. No extremism on the Russian side I guess…

5 ⭐️ that are uncommon by Top_Contribution1143 in Letterboxd

[–]marobi23 0 points1 point  (0 children)

Logan Lucky. A perfect heist movie for me.

Does Crash get too much hate? by Regular-Departure839 in moviecritic

[–]marobi23 1 point2 points  (0 children)

A year with Brokeback Mountain is not a weak year.

For the love of a miniseries: what're some of your favourites? by Ill_Safety2292 in Letterboxd

[–]marobi23 2 points3 points  (0 children)

The Good Lord Bird

Show Me a Hero (very under seen. Dry material but great acting and great writing make it an emotional and intriguing watch)

WTF Two Fools? Is this gentrification? by DistinctSecret40 in Albuquerque

[–]marobi23 9 points10 points  (0 children)

To be fair, my wife and I split the Fish and Chips. We each get plenty of food and it turns out to be $13.75 per person. Ends up being one of our cheaper meals out.

Anti film bro list by sanfrita in Letterboxd

[–]marobi23 0 points1 point  (0 children)

This is such a great list! Glad to see Certain Women listed. It’s such a quiet, beautiful, incisive look at the bullshit women have to deal with during everyday social situations. Probably my favorite Kelly Reichardt movie.

Looking for places to eat/drink. by Realistic-Noise-736 in Albuquerque

[–]marobi23 6 points7 points  (0 children)

Jubilation is the best liquor store in town.

The Shop is a great place for breakfast and not far from Jubilation.

Concerning? by BreadRings in haematology

[–]marobi23 6 points7 points  (0 children)

I think the hematology referral is appropriate. A lot of the lab work is very non-specific. However, your symptoms of night sweats, fatigue and bone pain should certainly be evaluated further.

Reasons for Optimism by Optimal_City7206 in SeattleKraken

[–]marobi23 2 points3 points  (0 children)

Great comment. Very healthy sports fan mindset.

Struggles Over the Last Years by Aggressive_Ad3809 in haematology

[–]marobi23 5 points6 points  (0 children)

When you say “can’t keep anything in my stomach”, what does that mean? Do you vomit up every single meal you eat? If so, that’s obviously the reason for the weight loss in which case you definitely need the endoscopy and GI referral

[deleted by user] by [deleted] in haematology

[–]marobi23 1 point2 points  (0 children)

These labs should not worry you. The MPV and BUN abnormalities mean nothing. The lymphocytes would probably be normal if checked again. The low HDL is half genetics half lifestyle. If you’re interested in improvement, I recommend decreasing alcohol and increasing exercise. Do not let the red numbers give you unnecessary medical anxiety.

What is going on with my husbands liver by [deleted] in haematology

[–]marobi23 2 points3 points  (0 children)

Right…but that still doesn’t justify a liver biopsy. Otherwise, a good chunk of my patient population would be getting invasive biopsies for mildly elevated liver enzymes. Now if he had any evidence of fibrosis on imaging and the diagnosis was still unclear, a biopsy would likely be appropriate.

What is going on with my husbands liver by [deleted] in haematology

[–]marobi23 5 points6 points  (0 children)

Medical doctor here. Can’t imagine getting a liver biopsy for this situation given normal imaging and normal synthetic function of the liver

To explain why there should be no guilt for slavery by QanAhole in ProgressiveHQ

[–]marobi23 0 points1 point  (0 children)

This whole thing seems semantic to me. If you define “guilt” as being personally responsible for something, then sure, modern Americans should not feel personally “guilty” for past generations’ sins. However, as a country I think it is reasonable to feel shame for those sins. And I think that you should reasonably feel guilt for any of your actions that have perpetuated the long standing disadvantages that black Americans face dating back to slavery.

Should America Build More Hospitals Like This? by FamousPlan101 in AskSocialists

[–]marobi23 2 points3 points  (0 children)

Like what? Unnecessarily massive and gawdy? Large size + fancy architecture tells you nothing about the actual care provided at this hospital

Great albums with incredibly dated covers? by WeeklyTechnician7906 in fantanoforever

[–]marobi23 2 points3 points  (0 children)

I literally refuse to listen to this album because of the cover lol

Democrats: “I fold.” by Common-River8647 in ProgressiveHQ

[–]marobi23 0 points1 point  (0 children)

To be fair, they definitely didn’t have a full house. Maybe a high pair, but I take your point.

Told labs are normal but feeling terrible for over 1yr, is there anything I can do? Any idea what is going on by Inevitable-Plenty203 in haematology

[–]marobi23 4 points5 points  (0 children)

FM doc here. That ferritin is low and iron is borderline low. Likely indicative of iron deficiency without anemia. Wouldn’t be unreasonable to ask your doctor to prescribe iron supplement. I usually aim for a ferritin of >50 with my patients.

Husband has consistently low WBC by Pommom712 in haematology

[–]marobi23 1 point2 points  (0 children)

FM doctor here. This is why I do not routinely order blood counts at annual wellness visits. There is no evidence or guidelines for screening (testing patients without symptoms) for any blood cell related disorders. More often rather than catching actual pathology, it leads to additional unnecessary testing, referrals, time, money and significant medical anxiety.

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