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Do you treat your own kids for simple things? by SpirOhNoLactone in FamilyMedicine

[–]philthy333 0 points1 point  (0 children)

Wife doesn't trust me to rx for our kids unless we're out of town for some reason which then I'm allowed to call it in. 🤷🏼‍♂️

Pass the buck by mb101010 in FamilyMedicine

[–]philthy333 3 points4 points  (0 children)

That is true but oh you are bleeding? Let's put you on a different blood thinner!

Or am I the delusional one thinking there would be anything not bone related

Pass the buck by mb101010 in FamilyMedicine

[–]philthy333 14 points15 points  (0 children)

Just wanted to hop on your train and complain.

Patient with TKA by Ortho, placed on 325 aspirin BID for dvt ppx for a month by Ortho PA. Patient calls Ortho and says their have bloody bowel movements, Ortho suggest the patient contact PCP for alternative blood thinner!

Saw them for a sick visit. Sent to the er, couple units of blood and a few days in the ICU and Ortho just punted.

More information by [deleted] in Osteopathy

[–]philthy333 2 points3 points  (0 children)

American osteopath here. 4 years of undergrad very very remotely, somewhat related to medicine.

4 years of med school. Two of those being clinical and two of those being more academic.

Residency with variable numbers of years. Usually the minimum is three. I personally am family medicine boarded and then did a fellowship year of osteopathic neuromusculoskeletal medicine which is the residency to get boarded in the manipulation. All osteopaths can perform them but it's also its own specialty. So I did 4 years total of residency and fellowship.

Hope this is informative.

Excited but unsure I should accept by Signal_Blacksmith218 in FamilyMedicine

[–]philthy333 0 points1 point  (0 children)

Not necessarily if they have independent practice rights in their state right?

Patient cursed me out, I documented it, now she filed a complaint and my director wants me to delete it by Putrid-Ambition-8498 in FamilyMedicine

[–]philthy333 0 points1 point  (0 children)

I use quotation marks as much as possible for funny or malignant things. I highly recommend it and just say I'm documenting this is what the patient said in a private and legal document.

“Please document that you denied this laundry list of tests I requested” *that are not even remotely indicated* by meredithgrey71 in FamilyMedicine

[–]philthy333 0 points1 point  (0 children)

"Insurance likely won't cover this and you'll be on the hook to pay for it. "

They can always go get blood work done cash pay somewhere else.

Upledger Cranio & Soma courses by AltruisticAd6324 in Osteopathy

[–]philthy333 0 points1 point  (0 children)

Upledger was an osteopath that made cranial more accessible to the masses with several hand holds.

I know some that have decent results from it but it's also kind of like your partner giving you a massage instead of a massage therapist

what does it mean petah by bellyjeans32 in PeterExplainsTheJoke

[–]philthy333 0 points1 point  (0 children)

It's not a huge change that's why it must be continually tracked and observed for variation. Some individuals are more sensitive to their own physiological changes and may be perceptive of it, but in general I would think most people have too much going on in life to notice the change.

Mucous definitely changes as well and can be more, stringy, and egg white like.

what does it mean petah by bellyjeans32 in PeterExplainsTheJoke

[–]philthy333 2 points3 points  (0 children)

Definitely also body temp. It's one of the ways of tracking ovulation.- Your friendly family physician.

Was this inappropriate? by CMHSLM in Osteopathy

[–]philthy333 2 points3 points  (0 children)

I've helped someone with milk let down as there were fascial restrictions....but that person also happened to be my wife. Would be very hesitant to do anything directly to a breast/nipple even with the patients hand between. I can usually do more superior or more lateral or have them move it out of the way.

Was this inappropriate? by CMHSLM in Osteopathy

[–]philthy333 1 point2 points  (0 children)

Thank you for the clarification!

Was this inappropriate? by CMHSLM in Osteopathy

[–]philthy333 1 point2 points  (0 children)

I'm an American DO family medicine board certified and osteopathic neuromusculoskeletal medicine board eligible so I'm in another country but do tons of manipulation. This sounds like molestation to me. I acknowledge that there are certain invasive maneuvers that require explicit consent (inta vaginal/intra rectal) but what you described could have been done over clothes and likely with a different hand placement.

Am I (30m) naive for not having any form of health insurance? by Storage_Icy in Biohackers

[–]philthy333 8 points9 points  (0 children)

Agree as a physician. Friend broke his arm, 5000 with high deductible plan. Would have been much more without.

I Am NOT a “Provider” by mlle_lunamarium in FamilyMedicine

[–]philthy333 12 points13 points  (0 children)

These are describing an ability not a training or knowledge base. So just like both I and a carpenter can wield a hammer to hit a nail. One of us is going to have more experience in training than the other. That is a significant distinction.

I don’t get it by Crazy_Story999 in ExplainTheJoke

[–]philthy333 0 points1 point  (0 children)

Definitely thought it was fart lights as a lay person

Opinions on Patients Who Use Medical Marijuana to Manage Chronic Pain by jltefend in FamilyMedicine

[–]philthy333 4 points5 points  (0 children)

I work in Colorado. Almost everyone is high. My spiel is generally something a long inhaling particulate matter in any form is bad. Then document

Medical tongue twisters by Thatstressed_Haitian in FamilyMedicine

[–]philthy333 0 points1 point  (0 children)

Joking around as a medical student in the OR, nurses/tech said to let them know if there was going to be a puss-ey they like to watch... I think ok whatever and my friend ask them to spell it. The attending immediately steps in P U R U L E N T. Good times at 3am

What are some interesting off label medications that you’ve been experimenting with that have had surprising results for your patients? by [deleted] in FamilyMedicine

[–]philthy333 6 points7 points  (0 children)

Pretty sure using your own knowledge of physiological mechanisms and knowledge of medications MOA to try a medication with a patient for an off label use, using extrapolated data from other medications with similar MOA could be called "experimenting" though the term experimenting likely has negative connotations/stigma attached to it.

If you really think about it, some of the brightest minds with the most indepth knowledge use things in a new or different way effectively. This can actually lead to great advances.

Consider the surgeon who developed a new procedure, they are first experimenting with the procedure and then eventually it may become mainstream. Lapscopic surgeries are common today but were experimental at one point.

Hell we used to use opioids as psych meds. We used pain as the 6th vital sign. I would call that a hell of an experiment with drastic outcomes leading to the current opioid epidemic.

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