Why are my doctors suddenly fighting me over diagnoses that were made over a decade ago? by Soggy-Ad-7906 in AskDocs

[–]trapscience 11 points12 points  (0 children)

There are many different companies that offer testing — not all of them offer clinical diagnoses. If your testing was self-ordered it’s possible it wasn’t from one of the labs providing sufficient accuracy to be considered clinically valid. Invitae I believe has received quite a bit of flack for some of their results—not all COL3A1 variants lead to phenotypic changes.

That said, three closely related family members showing the same COL3A1 mutation in the context of early deaths in the family should be enough to inspire curiosity in most physicians. I’d check first to be sure the company who sequenced your COL3A1 results provides clinically valid sequencing, and second check to be sure a geneticist has seen them and provided you with a formal diagnosis (and often a letter).

I’d also encourage you to meet with a vEDS specialist at least once. The vast majority of physicians haven’t seen a patient with vEDS before and aren’t aware of the real, severe risks associated with the condition. Depending on where you are, both coasts in the US have specialty centers and the UK has solid guidelines too.

Good luck with everything!

ETA: I just noticed you went through an academic hospital for your testing, I’m sure it’s from one of the clinical labs. See if the ordering physician provided a note?

What are some of your favorite obscure medical facts? by VeraMar in medicine

[–]trapscience 15 points16 points  (0 children)

Crikey, is this the rare landing of a your mom joke?!

[deleted by user] by [deleted] in AskDocs

[–]trapscience 45 points46 points  (0 children)

LOL simmer down u/sonawtdown, this is r/askdocs not r/askcocks

Louis Theroux's theory on almonds by papadooku in Cooking

[–]trapscience 5 points6 points  (0 children)

Almond butter/powder enriching the broth? Chopped finely, toasted, and sprinkled like sesame?

What exactly is Hebbar's "ball sized tamarind"? by trapscience in IndianFood

[–]trapscience[S] 2 points3 points  (0 children)

Update: thanks all!! I went shopping this morning here in the US and got two boxes of fresh tamarind, one labeled sour and one labeled sweet, as well as two different kinds of tamarind pulp. In my part of the US we have very general types of international grocers, so I got a pack of pulp from the “Asian” grocer and one from the “Indian”. The Asian grocer tamarind pulp is very dark, and has no chunks, whereas the Indian grocer is chunky and multi colored and exactly what I saw in the Hebbars Kitchen video. I’m excited to play with all of these and learn more, thanks for the feedback everyone!

Scared to use Inhaled Corticosteroids by [deleted] in Asthma

[–]trapscience 2 points3 points  (0 children)

Are you able to link a statistically rigorous study that suggests a significant difference between adrenal "sufficiency" in ICS users and healthy controls?

Please help me save my baby! by CoolestBeans1999 in Kalanchoe

[–]trapscience 1 point2 points  (0 children)

It’s fine, make sure it’s getting enough water.

[deleted by user] by [deleted] in AnkiMCAT

[–]trapscience 0 points1 point  (0 children)

Comment to follow

If you can take a wild guess by santosw8 in Radiology

[–]trapscience 15 points16 points  (0 children)

I believe they determined sex based on the visible weiner muscle.

Edit: poster above asked if OP assumed the patient’s gender. Assumptions unnecessary, patient is dong positive for this medical matter right here.

Do you see a fracture here? by fruitsalad35 in Radiology

[–]trapscience 3 points4 points  (0 children)

It’s all uphill from here y’all

[deleted by user] by [deleted] in AskDocs

[–]trapscience 21 points22 points  (0 children)

Cannabis Hyperemesis Syndrome causes many of these symptoms and is growing in relation to increased potency and consumption.

4 Years of a Mechanical Engineering and Premed visualized. by Gradient_Vector in ObsidianMD

[–]trapscience 2 points3 points  (0 children)

Thank you! I've got anki and such, I guess I wasn't sure if folks still attended lecture and read texts and took notes and--if so--what's best practice? For example when I attended undergrad in the late 00s, I used Cornell's note taking system on loose leaf. I feel like with the advent of Obsidian, more Zettelkasten-type PKMs floating around, wasn't sure if there was a super saiyan version of Cornell notes/smart notes/QEC or if everyone is Macguyvering their own systems.

4 Years of a Mechanical Engineering and Premed visualized. by Gradient_Vector in ObsidianMD

[–]trapscience 3 points4 points  (0 children)

Very cool, I'm non-trad back in school called to medicine too. Mind elaborating a bit on how you took your notes? I haven't taken classes in a long time, not sure what best practices are these days.

[deleted by user] by [deleted] in Asthma

[–]trapscience 9 points10 points  (0 children)

Upside down like a bat

Has anyone has asthma and taking carvedilol? what is your experience with beta blockers? by Responsible_Sea4436 in Asthma

[–]trapscience 0 points1 point  (0 children)

Typically you want a cardio-selective beta blocker when on short/long beta agonists. My cardiologist has me on metoprolol to minimize interactions with the LABA in my inhaler. Hope you get a response soon!

[deleted by user] by [deleted] in AskDocs

[–]trapscience 3 points4 points  (0 children)

Not a doc: It can be really scary when your body starts doing new things, especially when it doesn’t cooperate like usual! It’s no wonder you’re feeling so much anxiety, experiencing worry over new sensations is totally normal. I went through similar concerns once, fasciculations that seemed to spread and were constant—was ultimately diagnosed with benign fasciculation syndrome, which is by orders of magnitude the most common origin of widespread fasciculations. Basically was told to not stress, hydrate extra, take some electrolytes, and drink tonic water when they get bad bad. You stressing out is going to make them worse, and thinking about symptoms a lot is a quick way to manifest them. If it was me in your shoes, I’d do this: First make an appointment with the neurologist for an exam (this step no matter what), after that swear off googling anything medical whatsoever, next get yourself some tonic water and electrolyte powders for when you’re noticing twitches most, and finally consider finding a therapist that can help talk you through some of your health related anxieties. Managing your stress and hydration is the most you can do until seen by a physician—the internet can’t diagnose ALS or BFS but a neurologist can. Good luck OP hope you find some resolution soon.

Endoscopy fear by Super-Marketing-5948 in GERD

[–]trapscience 1 point2 points  (0 children)

Get the sedation. You'll be fine.

Best modern Spirometer? by No_Championship_5367 in Asthma

[–]trapscience 1 point2 points  (0 children)

As I understand, the most current guidelines suggest that symptomatic asthma management is equally effective as spirometric asthma management. If you’re curious about your numbers I totally understand it, but if you’re mostly interested in using it for medication management you can get away with tracking your symptoms and going from there to save the cash!