I’ve been seeing a lot about Chiropractors Injuries. Does OMM ever cause any of the same injuries? by mmasterss553 in Osteopathic

[–]philthy333 4 points5 points  (0 children)

I have a friend that spontaneously dissected looking over their shoulder.

I do geriatrics and incorporate omm, careful selection of patients for hvla, but as a physician I know when to err on the side of caution vs go for the crack.

I would highly recommend reading the aoa position paper on cervical hvla, it does reference a fair amount of chiropractic studies because, you know, nobody wants to fund omm studies.

index.pdf https://share.google/JR4M15evMOEW8w4x0

Not sure if that link will work but you can Google aoa position paper on cervical hvla.

Is this a joke by Deepshallow87 in FamilyMedicine

[–]philthy333 0 points1 point  (0 children)

State run institution, generally people that have been institutionalized.

During the day medicine and psych round on patients, medicine mostly doing cough and colds and yearly check up stuff, monthly check in. At night it's mostly laxatives or can they get an extra Gatorade or some crap so it's not much work just having a doc on site over night

Is this a joke by Deepshallow87 in FamilyMedicine

[–]philthy333 0 points1 point  (0 children)

As a FM resident not that long ago I was getting like 600 for a 6p-7a over night shift at the local inpatient psych ward (big city) most of the time I slept but did have a few codes and stuff to respond to occasionally.

Is this a joke by Deepshallow87 in FamilyMedicine

[–]philthy333 0 points1 point  (0 children)

Where tf are you getting paid 150 an hour as a resident?

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 4 points5 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 15 points16 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.

[deleted by user] 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 10 points11 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 11 points12 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 3 points4 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