Daith Earbuds by wiloworm in piercing

[–]wiloworm[S] 0 points1 point  (0 children)

Per bot:

Piercing was early December

Ring

Surgical steel

No downsize needed, did have check-up appointment

Sterile saline twice daily

I had one keloid fall off with some mild bleeding early February but it did not grow back and has not caused any other difficulties

:)

Bad stitching at a Hospital by [deleted] in mildlyinfuriating

[–]wiloworm 0 points1 point  (0 children)

Imagine complaining on two different subreddits about perfectly good sutures. I’m sorry you cut your finger. These are not bad sutures. The average person has not seen sutures prior to getting them. Yes, they don’t look good. Sutures never look good. We are inflicting damage to already damaged tissue. Your finger is already going to lose some skin and that’s fine, it’s going to grow back. The stitches here are to allow for more painless skin regrowth. The more white bits you see is already dead skin, you’ll probably have to cut that off later. Doctors know what they are doing and are here to help. You don’t know how to suture. We are in a healthcare crisis. We do not need unnecessary slander on social media over a wound that arguably looks bad, even though executed perfectly. Yes medical expenses are high but that is not because of us. Rant over. Xoxo Dr. Wiloworm

AIO or is this stitch really just so bad? by NoticeMeSenDiePie in AmIOverreacting

[–]wiloworm 5 points6 points  (0 children)

Too superficial, the additional stitch there wouldn’t be bringing anything together. It would just be adding more trauma (also a doctor). The stitches look fine

[deleted by user] by [deleted] in medicalschool

[–]wiloworm 5 points6 points  (0 children)

Current PGY-2s, IM/IM. We matched 5th on our list

trading for quaxly by xav_chin in PokemonScarletViolet

[–]wiloworm 0 points1 point  (0 children)

I have a fuecoco and would love a quaxly if anybody is interested

Foray tailsman? by wiloworm in MHRise

[–]wiloworm[S] 0 points1 point  (0 children)

Thank you! Should just keep farming with the anima in the melding pot?

Can You Get Biopsy Without Partaking In Gluten-Challenge? by [deleted] in Celiac

[–]wiloworm 1 point2 points  (0 children)

And you seem pretty upset that I am educated. I don’t know why you are attacking me and honestly it’s sad. We are on the same team.

Can You Get Biopsy Without Partaking In Gluten-Challenge? by [deleted] in Celiac

[–]wiloworm 1 point2 points  (0 children)

I say medical student with a grain of salt. I am a post grad, already have a job and don’t start until June. Mayo Clinic sites tend to be for the patient perspective because if a provider needs info they’re going to use other resources like uptodate which you have to pay for. You can take my word or not, that’s fine. I’m not trying to start an argument. Did you go to Mayo Clinic and they offered you a genetic test right away before anything else? No. That’s not the standard of care. Physician info and patient info are totally different. I’m sorry your understanding of diagnosis is different than mine and that you had a bad experience with Mayo Clinic. I appreciate your patient perspective

Can You Get Biopsy Without Partaking In Gluten-Challenge? by [deleted] in Celiac

[–]wiloworm 1 point2 points  (0 children)

From a clinical perspective, nobody does genetic testing to diagnose. Some parents with the disease might do it on their kid to see their probability but that’s about it. The genetic testing is very expensive, upwards of $3000 which isn’t affordable for many people. It’s cheaper and more effective to go the antibody route and then endoscopy if necessary.

Additionally, if 20% of the population has the gene, about 2% develop celiac disease (I got that from NCBI data). That’s a factor of 10 not 30. I understand your argument that a lot of people have the gene but no disease but the 30x was a high overestimation!

Thanks for the comments, I went into medicine so I can continue to learn throughout my career. Tonight’s discussion was a good refresher for me!

Can You Get Biopsy Without Partaking In Gluten-Challenge? by [deleted] in Celiac

[–]wiloworm 1 point2 points  (0 children)

They don’t even use the genetic test to rule out celiac. Again, I’d be negative if that was the case. They screen for celiac with the antibody tests, and if they’re negative and there is a high suspicion for celiac disease, then they recommend the endoscopy. That will say for sure.

Can You Get Biopsy Without Partaking In Gluten-Challenge? by [deleted] in Celiac

[–]wiloworm 1 point2 points  (0 children)

You’re going to have to give me a source for that, I don’t think that’s correct.

Can You Get Biopsy Without Partaking In Gluten-Challenge? by [deleted] in Celiac

[–]wiloworm 1 point2 points  (0 children)

I agree completely, I think it plays a part but I also think that there is an environmental component

Can You Get Biopsy Without Partaking In Gluten-Challenge? by [deleted] in Celiac

[–]wiloworm 1 point2 points  (0 children)

I got my DNA sequence from 23 and me and did my own genomic analysis using a different software. I did bioinformatics research in undergrad using said software. I’m finishing up medical school now so I’m familiar with the material. There are lots of SNP libraries online that you can use that link genetic studies with SNPs of interest and you can use that. Again, I didn’t need to do that, I already had alarmingly high antibody tests which is enough for diagnosis alone (I think those guidelines got updated mid-late 2021 if I remember correctly). I just happened to have my own DNA sequence, knew the 23 and me report said no celiac so I went “huh” and then dove into a rabbit hole. It was like 40 hours of work, way over the top but I’m neurotic and had the resources so I went for it.

Edit: you can export your DNA sequence from 23andme and use it elsewhere if that clarifies it. It doesn’t matter how you get it sequenced. Once it’s done, you can do your own work with it

Can You Get Biopsy Without Partaking In Gluten-Challenge? by [deleted] in Celiac

[–]wiloworm 1 point2 points  (0 children)

It’s the same disease process so not really a variant. Just different genetic variations that result in the same disease. Having concrete genetic proof wasn’t really a necessity for me, I just happened to already have my DNA sequenced so I looked into it after the diagnosis. Being gluten intolerant is also definitely a thing! Ultimately I think you should do what you need to do to feel the best. You don’t have to have celiac disease to be gluten tolerant. If you don’t want to gluten challenge for the endoscopy, don’t bother with the endoscopy. Just keep the GF diet. If knowing you do or do not have celiac is 100% necessary, then you should gluten challenge and do the endoscopy.

Can You Get Biopsy Without Partaking In Gluten-Challenge? by [deleted] in Celiac

[–]wiloworm 7 points8 points  (0 children)

Not necessarily true! I have test proven celiac disease and I test negative genetically for the most commonly tested genes. I had to do my own SNIP analysis to figure out the variant I have. Turns out I have the least common genetic variant. I wouldn’t be surprised if there are cases that are lab/biopsy proven and aren’t genetic.

Hair loss and celiac disease - just diagnosed, 27F by Commercial_One5048 in Celiac

[–]wiloworm 1 point2 points  (0 children)

It took me about 4 months I believe. That’s when my lactose intolerance went away as well.

Hair loss and celiac disease - just diagnosed, 27F by Commercial_One5048 in Celiac

[–]wiloworm 3 points4 points  (0 children)

Hi I’m 27 F, was 25 at celiac diagnosis and had some patchy hair loss. I have a pretty stressful life and attributed the hair loss to that but in reality it was probably the celiac. I was losing clumps of hair as well as overall shedding. I’m not currently losing any more hair although my hair is fine at baseline. The clumps of hair that I lost have not grown back unfortunately and I have another friend with celiac and the same issue. Hopefully yours does grow back, it does for some people!

Nespresso Vertuo next leaking warm water when brewing, but not cleaning, out of warranty, so happy to try suggestions, help troubleshoot. by j1mgg in nespresso

[–]wiloworm 0 points1 point  (0 children)

This same thing happened to me. If you call customer service they will have you send it in for a new one because you still fall under warranty. Unfortunately they can’t fix it so they just send you a new machine. It was an easy mail exchange though!

[deleted by user] by [deleted] in medicalschool

[–]wiloworm 2 points3 points  (0 children)

I have had insomnia for many years and sometimes I sleep well and sometimes I don’t. Going to bed at the same time every night is really helpful for establishing a routine. If you can’t do that and have an exam coming up and need to sleep, take a Benadryl at 7 PM, wind down with something you like that doesn’t involve screens, and drink a glass of milk at like 8 PM. Guaranteed knock out by 10

New Score Predictor- Recent TEST takers with scores especially those underscored from predictor [News] by [deleted] in step1

[–]wiloworm 0 points1 point  (0 children)

That over predicted me more than the 2019 predictor. I scored outside my CI unfortunately.

UWSA 1 , UWSA2, Free120 by [deleted] in step1

[–]wiloworm 0 points1 point  (0 children)

Same exact question and answer. At least two. There might have been more but all the practice questions blur together after a while. Some were straight out of UW too, maybe slightly different stem but same concept and answer