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2 yr. ago

  • Painless hematuria (blood in the urine without pain when peeing) is one of the first (and frequently only) signs of bladder cancer. Especially if it's frank blood (meaning that you can see it without a microscope).

  • Don't feel bad about that! There are no stupid questions when it comes to your health and it's important to ask someone who can give you accurate answers (and there's no one better to ask than your own physician that you have a relationship with).

  • My great grandfather was an Italian immigrant. My father is looking into getting an Italian passport. Maybe being a soon-to-be physician will improve my chances of getting one too. (Maybe I'll switch from learning French to learning Italian too)

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  • The problem is how he got that $55 billion to donate.

  • A good legal defense will prevent them from just throwing the book at him for trumped up charges and/or sentencing guidelines. Cops commit more heinous crimes than this and get a slap on the wrist at best, and regular rich white people get cushy, minimal sentences. Without public outcry and legal defense to intervene, they probably would have tried to get him on outright terrorism charges to throw him away for life without parole. (There's a bunch of white nationalists and Nazis that need to catch that sentence, but I don't think it's appropriate for Luigi)

  • I have seen snippets in the news saying that his family has disavowed him and cut him off so he effectively no longer comes from a rich family unless they change their minds.

  • Well, they're not making it easy to find and it's being funded by angry poor people. There's probably not a lot of wealthy big donors on this one.

  • If they are proportional to each other, you shouldn't really be able to get more in your mouth than your esophagus can handle. There are some conditions that make the esophagus tense up wrong instead of making peristalsis.

  • You should ask about getting a swallowing study done to find out what's going on because that isn't normal. It might be an esophageal stricture or spasm that can be fixed.

  • I came here to say this. We're just getting a lot better at recognizing it earlier to try to jump on getting the kiddos into therapy to limit the impact on their life as adults.

  • It's disappointing to see even Reuters dancing around the topic of the fully justified and wildly popular outrage against corporate America. They're trying so hard to whitewash this and paint support for Luigi as "disturbing" while painstakingly tip-toeing around the actual issues. I expected better of Reuters than contributing to the bootlicking editorializing that's going on in this article.

  • Thankfully, I do meet criteria for medical necessity, it's just a matter of getting it done in the middle of medical school instead of when I'm done with everything and actually have a substantial amount of time off for full recovery.

  • This is why I'm accelerating my plans for a hysterectomy by a year even though it will complicate quite a few things for me.

  • This is entirely unsurprising. Hopefully they can wrangle something functional out of the insurance at some point.

  • In my family medicine rotation a couple months ago, we got it approved for someone with pre-diabetes, high blood pressure, and stage 2/3 kidney disease (which is not very advanced. A lot of people over the age of 35-40 can technically fall into stage 1/2.)

  • If they have cardiovascular disease or kidney disease, those are getting added as indications for the GLP-1's so they might be able to resubmit the authorization/claim with those diagnosis codes added to get it covered.

  • FIP Warriors is who we went through, but it progressed too quickly because the fluid accumulation was in his lungs, not his abdomen.

    That medication is quite new to the market and wasn't available when this happened about 4 years ago, but I will mention this to our current vet so that she knows about it.

  • Careful with that one. Big pharma killed my cat once.

    My cat came down with Feline Infectious Peritonitis which is a coronavirus that is lethal to cats when the virus mutates and becomes FIP. FIP is 100% fatal without treatment, and there is now a treatment (originally developed at UC Davis) that is now owned by a big pharma company. They shut down the feline clinical trials in 2020 because they also make Remdesivir, and there was a concern that if there were any problems with the feline drug trial, the FDA might not approve Remdesivir for COVID. You can buy the drug on the internet from China, but it's a 12 week course of twice daily injections, and you're gambling on whether you got a good batch every time you get a shipment.

    By the time we found this out, it was too late to save our kitty, so he crossed the rainbow bridge.

  • Unfortunately, the swing to the right and the rise of shit like "Blue Lives Matter" has changed this in some places. When I was in the western part of Virginia for school, there was a local car dealership called "Pinkerton" and I saw their dealership license plate frames and emblem on a LOT of cars in the area. Many of those cars also had the Gadsden vanity plates and a bunch of blue lives matter, trump, etc. stickers on them.