I was about to comment a similar sentiment. I didn’t realize I stopped existing or had my gender identity reassigned because I’m on lemmy instead of other social media.

I didn’t originally set out to go to a DO school, but I do like the approach that they teach us which is to treat the patient as a whole person. Someone’s psychological health can be suffering because of poor physical health and visa versa, so it’s important to work on both, and to make sure that the treatments being discussed are actually feasible and reasonable for them to try to adhere to. (i.e. telling someone to “just lose weight” without working with them on strategies on how to do so in a safe and manageable way is just plain stupid.)

Agreed. It’s always more complicated than “just psychological”. There can be a psychological element to it because things like emotional stress can have downstream effects by way of over-activation of the sympathetic nervous system, but it’s not a be-all-end-all explanation. The mind is powerful and can exert influence over the rest of the body, but that just means that you have to treat the psychological portion as well as the somatic portion.

He was banned from trying to join any branch of the military because he did so poorly on the ASVAB (and probably also failed a psych eval). While many police departments are deeply corrupt, I don’t think any of them want the bad press that would come with hiring him. Maybe he can get hired as a deputy in a sheriff’s department run by someone like Arpaio.

Usually the situation they put themselves in is taking a job as a cop and refusing to deescalate any situation.

I’m pretty sure I’ve gotten a couple board questions wrong because I leave stuff like conversion disorder/functional neurological disorder so far down my differential that it’s basically in the trash anyways. I see it as a diagnosis of extreme exclusion.

The immune mediation would explain why AIDS medications might work though, particularly if it’s one of the viral synthesis inhibitors.

I suppose my next question would be as to whether or not ME appears to be a centrally-mediated disease like fibromyalgia is. There are a lot of very strange ways problems with the central nervous system can present, and it seems like ME has a broad enough swath of signs and symptoms that it is either a multi-system disease, or of a centrally-mediated etiology.

Correct. I’m a third year medical student on my clinical rotations right now, and I worked in the medical field for 4 years before starting med school.

Empiric treatment is not the broadest spectrum possible. Yes, they will put someone on Augmentin for a human bite, but that’s very different from putting someone on IV vancomycin or meropenem. The augmentin will probably cover anything in that bite, but if the culture comes back showing resistance, then you switch to something else.

I’ve been in clinical rotations and my attending physicians have been very clear about antibiotic use and there is a lot of clinical evidence and guidance for minimizing broad spectrum use.

We like to use the narrowest spectrum antibiotics possible to limit side effects and breeding resistance. Also, the really broad spectrum ones are expensive.

One of the problems these monsters have been having with carrying out executions is that they can’t get pharma companies to sell them the drugs they use and they can’t find actual healthcare professionals to perform the act. That’s why there’s been a few cases recently of having to cancel or postpone an execution because they couldn’t get the damn IV line in.

…I ran into a new problem…how do you deal with it when your preceptor says some pretty offensive stuff? I know I’m in the rural Midwest, but it has been a hot minute since I heard someone genuinely refer to Asian people as “the Orientals”.

I’m not familiar with this disease, so I was looking around for more info. The Mayo Clinic’s summary/explanation has some useful basic information, but I’d definitely like to learn more about the pathophysiology and treatment as I might be going into primary care.

Based on the description, it does seem rather similar in etiology, presentation, and progression to fibromyalgia, so I’m definitely going to ask my Osteopathic Medicine professors about it when I get the chance because we have discussed some OMM treatment modalities for fibromyalgia and I wonder if they might be applicable here.

Which is why, in many cases, there should be liability assigned. If a self-driving car kills someone, the programming of the car is at least partially to blame, and the company that made it should be liable for the wrongful death suit, and probably for criminal charges as well. Citizens United already determined that corporations are people…now we just need to put a corporation in prison for their crimes.

The article specifically describes the housing options that are single-occupant with doors that lock and accommodation for pets. They are also working on solutions for couples to help keep them together where possible. It’s not ideal, and it’s not a permanent fix, but they interviewed someone that’s staying in the safe, clean, cabins while attending a 2 year college program to get a better paying job.

There is definitely more that the state could be doing as a whole, but they are investing a lot of money into programs and housing with free or heavily subsidized rent to help people get back on their feet. The article specifically mentioned a model where “rent” costs 30% of the resident’s income and the rest is covered by a rental assistance program.

This is a good place to start. That’s definitely how I approached it when I was getting started as an ER tech.

My original idea was for the AI companies to shell out for building new nuclear plants, but bringing an old one back online is a step in the right direction. I don’t think the current “AI” projects are actually worth the resources they consume, but if they’re going to exist, their creators should be shelling out for non-fossil fuel options to power them.

The restrictions on nuclear fuel recycling might be lifted soon, so that argument may very well become moot as well.

There is talk about lifting the restrictions on fuel recycling, so that problem (which isn’t as big an issue as folks make it out to be) has the potential to be solved.