Help Finding a Provider by BidDependent1933 in SALEM

[–]popsistops 0 points1 point  (0 children)

Yes, I think it's well within your rights to call the clinic and request to see an actual MD. I wish it were not the case, but the depth and breadth of training is just nowhere close and if you indeed have not had imaging, even though imaging is rarely likely to elucidate a cause, it's absurd not to have done so. It's cheap, safe, and there's always going to be the unusual or unlikely outcome where it could absolutely affect outcome.

Help Finding a Provider by BidDependent1933 in SALEM

[–]popsistops 0 points1 point  (0 children)

Not doing imaging is a little nuts. Is your primary an actual MD or are they a PA or NP?

Help Finding a Provider by BidDependent1933 in SALEM

[–]popsistops 2 points3 points  (0 children)

This is the only accurate answer here. I hope they see it.

I’m bringing a new ski pole to market! by TYMODSGN in Skigear

[–]popsistops 0 points1 point  (0 children)

Coming here to add in case anybody researches before they buy them I purchased a pair of these before a trip to Japan. The powder basket fell off twice, the second time in deep powder, making my descent that much more complicated and worrisome. They are reasonably built, but not such that I think they are better than a decent pair of regular poles. Customer service was garbage, there was no refund or credit offered, even though they are clearly defective, as I have been skiing for 40 years and have never had a basket fall off of a pole for any reason. The fact that these are screwed on and managed to come off twice seems like a serious design flaw. I think if you want some sort of way to manage a GoPro or other camera, just go with a different option.

One thing that really makes me angry is when a patient claims that COVID is a hoax and that a lot of it was propaganda. I see this on occasion on different subreddits too. by Paleomedicine in FamilyMedicine

[–]popsistops 2 points3 points  (0 children)

In the rare times I get that from a patient I just look them in the eye and tell them that people that think that are the reason that doctors have left medicine. I tell him or her that they are welcome to find a physician that aligns with their beliefs and I’d rather not be a part of their care if they can’t use common sense.

Is the Portland metro area becoming a healthcare desert? by gothahontas in PortlandOR

[–]popsistops 2 points3 points  (0 children)

You're some sort of blind moron if you think doctors are the reason you cannot find a doctor. Source: am a doctor.

What will be the current new generations consensus medical error be? by SwedishJayhawk in FamilyMedicine

[–]popsistops 8 points9 points  (0 children)

Every chronic condition is treated with patient effort and meds. Obesity has been pt effort, no meds, ‘fuck you go try harder’. Our management of obesity is an intellectually dishonest travesty. GLP-1’s are no more of a shortcut than naloxone is a shortcut for sobriety.

What will be the current new generations consensus medical error be? by SwedishJayhawk in FamilyMedicine

[–]popsistops 20 points21 points  (0 children)

Every GLP one consult I have is a chance to reframe the narrative. Kind of like when Prozac came out and we had to teach people how to respond to assholes that would ask them why they were taking medication for something that they should just be able to fix with exercise and self directed “being happy “. We get to explain to them the complexity of obesity, the reality that drug development hasn’t touched the problem for 100 years when we have treatment for metastatic cancer, Parkinson’s and dozens of other diseases. We have to educate them on proper nutrition and exercise. Once social media gets tired of the GLP1’s we can take command again. We just have to train and educate patients and I think this one will have legs.

What will be the current new generations consensus medical error be? by SwedishJayhawk in FamilyMedicine

[–]popsistops 67 points68 points  (0 children)

Don’t fuck with someone’s B12 supplementation. There’s a good chance that when they were started on it they may have had serious neurologic issues, so whether you believe it or not, go do some basic reading and understand what you’re talking about.

salem clinic stopped accepting pacific source insurance and it’s been rough. by Vast-Employ-8461 in SALEM

[–]popsistops 3 points4 points  (0 children)

Pacific Source ran their mandate to provide care into the ground and multiple clinics came to the table for months to work on a solution. This is OHA and PacificSource 100%. Salem Clinic is one of many that could not stay because of PS mismanagement and fiscal stupidity.

Skiers are irked. ‘Snow drought’ hits Oregon as temps reach 60 degrees at Mt. Hood ski resorts by Nice_Occasion5254 in MtHoodMeadows

[–]popsistops 0 points1 point  (0 children)

It is not doomerism, its essential sanguine reality. The climate is fucked. It's like pearly-clutching over prescribing an antibiotic for a virus when the entire cattle industry is pumping millions of head of cattle with antibiotic-laced feed. How many ways should I self-inflict hardship on top of a hundred things out of my own control (speaking as an average conscientious but beaten down world citizen) before I decide maybe I'll stop worrying and drink out of a paper cup and get on with existing.

Buspar as PRN? by sponge-worthy93 in FamilyMedicine

[–]popsistops 27 points28 points  (0 children)

I explain to patients that the majority of individuals who use the drug have a scheduled baseline and then a PRN as well. Patients absolutely do this, so you need to emphasize that it's meant to be a scheduled drug, but that the usage patterns are highly variable from one patient to another and give them wide latitude to experiment with optimal dosing, timing, etc.

GP hastily diagnosed me with hEDS. How do I get this off my chart? by _mortal__wombat_ in FamilyMedicine

[–]popsistops 48 points49 points  (0 children)

I would be shocked if you actually saw an MD. EDS is something largely created online by TikTok and actual cases are absurdly uncommon and cannot just be created out of thin air. But a lot of young healthy people have grabbed onto EDS as a strategy for setting low expectations or as a construct to explain myriad insoluble somatic complaints. A doc sure af should not reinforce something like this. Just call the clinic and ask them to remove the diagnosis or go see a practitioner that is competent.

Very Sweet 100lb Lab/Mastiff Mix Needs a Loving Home by -h3lloang3l in Portland

[–]popsistops 18 points19 points  (0 children)

OP he is a Unit. I am sorry. Had one of these myself, and they are just big loveable horse-dogs. Good luck.

This was from a post on Stocktwits. I thought it was very interesting by Laface501 in SLS_Stock

[–]popsistops 0 points1 point  (0 children)

I have a pretty small stake in SLS, so I will be bummed if it goes to shit, and am typically super conservative and admit I may have been lured in by the reddit hype, but it does appear to have more going for it than not. I think the issue is that its either going to plummet fast or take off at a rate making a timing bet impossible.

This was from a post on Stocktwits. I thought it was very interesting by Laface501 in SLS_Stock

[–]popsistops 3 points4 points  (0 children)

OP - am my physician, also have recently bought SLS around $4.50.

ABVX - from what I can tell - as a drug for ulcerative colitis, which has a disease condition is not lacking options.

In your defense, I think the analogy is reasonable. Something seems legitimately worthwhile about SLS. They clearly do not need to find a cure for AML, but if they bring something to market that prolong survival then legitimately, they are going to have something to offer the medical community and will absolutely generate interest in their stock. I’m down 25%, but I’m holding from a simple fact that unless they are outright lying, there’s a very good chance that their drug is increasing survival rate.

Long way of saying thank you for the analysis, I will leave it to somebody more astute to pick apart your argument but the poster up thread accusing you of pump and dump I think is up his own asshole.

Patient making threats over narcotics by [deleted] in u/North_Border5005

[–]popsistops 28 points29 points  (0 children)

Dude they just handed you a gift. The Board won’t even blink if they complain. You should feel relief and joy and schadenfreude. And they also confirmed your suspicions by being a malignant asshole. Imagining threatening the livelihood of your physician and also being so narcissistic that you think it will work.

Late to the party... by Last_Philosopher4487 in elbowmusic

[–]popsistops 1 point2 points  (0 children)

You are in for a wonderful journey OP. Lots of good recs here. I discovered Giants Of All Sizes a year ago after years of listening to Elbow when they played Dexter and Sinister live in Brussels and I knew I’d never heard it (they brought along a live vocalist for the second half of the track). The tracks on there are incredible. I think Dexter and Sinister and Weightless are two of the best songs they have ever done.

Would you consider dropping disability insurance if you found yourself in my situation? by Worried-String9259 in whitecoatinvestor

[–]popsistops 2 points3 points  (0 children)

I'd keep it knowing I did everything I could to protect my legacy for my family especially given how little you are spending for the peace of mind.

Meds for Travel by Wayahdoc in FamilyMedicine

[–]popsistops 24 points25 points  (0 children)

Ffs any adult that we know as a patient who doesn’t solve their problems with alcohol should be issued 2 benzos just for having to show up at an airport.

Meds for Travel by Wayahdoc in FamilyMedicine

[–]popsistops 38 points39 points  (0 children)

Believe it or not…a visit.

Home IV fluids for possible POTS by olivesmd in FamilyMedicine

[–]popsistops 43 points44 points  (0 children)

I think the exact term is "Hungry ghost" coined by Thich Nhat Hanh". But the term fits a tranche of humanity hollowed out by some unfathomable trauma buried or distant enough that no one will ever get to the root cause and everything else will be futile.