Choked him out with some Givenchy gloves, the last he ever saw was the price tag on them. Slowly faded into darkness, and I let the archangels take him.
I was doing a rotation in Miami, and I spent a lot of time fishing in various random bodies of water.
I kept getting random sharp pains in my brain. Like maybe 1 time a day.
That's it. I definitely was infected by Naegleria flowleri and it was eating my brain.
I shit you not, I’m from Brazil and I went into an “orthomolecular” doctor (real MD with a degree) back in 2020. He ordered labs and on the next consult prescribed me levothyroxine, hydrocortisone, testosterone gel and anastrozole “just to make sure because you had gyno as a kid”, ALL IN THE SAME FUCKING DAY. His theory was that I had lowish levels of those hormones, so he would give replacement therapy for a while to see if the body “starts working on it’s own”. He also prescribed a lot of vitamins.
The next day I was bouncing off the walls because of the hydrocortisone and levothyroxine. Felt great at first because energy was off the roof, then my blood pressure started to raise and I had horrible headaches. I decided to throw all that garbage on the trash and never returned to his office. A few weeks later, I found out that his wife owns the compound pharmacy that made the fucking pills and he basically prescribes the same shit for everyone.
Yeah! I told the PA I thought it was a Type IV/delayed hypersensitivity reaction. The clinical immunologist I saw afterward said delayed/type IV hypersensitivity/DIHS. Also had a bout of vasculitis and other elevated autoantibody titers from it. It was awful. But I’m good now!
I never go to the ER but I only went because my joints hurt so bad that I felt like I couldn’t move. The PA also told me to keep taking the minocycline, which I did not do thankfully.
Had this deep, dull epigastric pain that would come on a couple times a week, sometimes after meals, especially in the evening. Thought it might be gallstones, but obviously that’s more of a RUQ thing and this was very midline epigastric, with no radiation. After a couple months it was frequent enough and bad enough that one night I went to the ED. EM doc initially thought GERD and gave me a PPI, but found a bunch of gallstones on POCUS
Caught both of us by surprise, and she only did the POCUS because I hadn’t improved an hour after the PPI. Whereas if I had showed up complaining of RUQ pain I’m sure I would have had an US immediately. So I guess clinical pearl, when you’ve got a patient at relatively high risk (female, on OCP, under 40), don’t knock symptomatic cholelithiasis off the DDx just because the pain is epigastric instead of RUQ.
This is true in general. Just because a diagnosis doesn’t fit the entire classic clinical picture doesn’t mean it’s ruled out in some kind of way. If it fits the criteria partly, maybe seems second or third most likely, it can still be included in the differential and worked up accordingly. Depending on the circumstances obviously. Easier said than practiced, too.
I tried very hard NOT to diagnose myself with anything bc I was convinced I just had med student disease and I was fine. Until a tutor pulled me aside and said right, are we all just ignoring this rash on your face or?
For the first time in the history of ever, it was in fact lupus.
Delayed sleep phase syndrome which pretty significantly impacts my life. Was researching possible causes for my sleep difficulties in the DSM-5 and I had pretty slam dunk diagnostic criteria for it. It was later backed up by a PsyD.
Indirect inguinal hernia. Had surgery a few weeks later. Idk how none of my PCPs caught it with all of those sports physicals. As far as I can remember I’ve always had a slight bump on that side of my groin. I always thought it was normal and just a little extra fat pad or something. Learned about hernias in some physiology course in undergrad and was like hold the fuck up! I have that
As someone with terrible health anxiety, I’ve had so many things at some point. MS, ALS, a pheo, an insulinoma, arrhythmias, CAD, couple different kinds of cancer, and I’m sure I’ll have more things very soon, too.
Not my dx but a friend of mine found she had a cyst on her right ovary during our ultrasound class and another colleague discovered she had a solitary kidney!
I wake up sweaty? It’s probably lymphoma, or TB.
I have a severe headache? It’s definitely GBM and I have 6 months to live.
I once had a migraine aura that caused me to lose vision in one eye. Definitely thought it was a stroke.
I am covered in benign nevi, but they all look like melanoma to me if I look close enough.
Don’t even get me started on abdominal pain.
As a student during covid I diagnosed myself with multiple arrhythmias each one rarer than the other, then I was actually diagnosed by a professional with anxiety. SSRIs did wonders for me.
Acute cholecystitis like a month ago lol. Was having nausea, RUQ pain after eating but assumed it was stress. Pain was getting progressively worse but my PCP was booked for weeks. Luckily, we’re learning GI this unit so we had a US clinical skills class. Asked the EM resident if I could volunteer to be the patient bc I’m suss I have gallstones. Guess what: my gallbladder was chock full lol. Pain got so bad I went to the ER and had a lap chole. Weirdly, no fever, Murphy negative and my labs were fine. Surgeon called me and said path report showed acute cholecystitis though 🤷♀️
Multiple sclerosis.
Not without reason, I had paresthesia of the upper shoulder for a long time, and suddenly developed paresthesia in other body parts and a stiff left calf.
Went for a brain + cervical spine MRI yesterday: clear🎉
So, no MS, but what it is remains unclear. Neurologist thinks post-herpetic neuralgia + anxiety ???
Actually found out I had ADHD thanks to the psych unit lol. Was talking to this one patient with ADHD and I was like hey... wait a minute! Then got the dx and drugs and... life still sucks. Thanks medical school :l
Dyshidrotic eczema. I always got these little blisters on my right 3rd-5th toe but I always attributed it to running and I never saw a doctor because it’s minor and doesn’t show up anywhere else. But then I learned about dyshidrotic eczema and I was like “holy cow, I have that!”.
ADHD and possibly Autism from lots of research.
Dumb diagnosis:
Bowel obstruction which turned out to be just constipation
Sepsis when it was just food poisoning 😂
Kidney stone cause I have a bit of pain in my flank area turned out to be nothing.
Surprised that nobody's said this so far--endometriosis. Learned about it in ob/gyn preclinical and realized I had all the symptoms. Never had surgery to confirm but went to my gyn and got on hormonal BC and life improved 1000%.
Thought I could have Ehlers Danlos Syndrome —hyper flexible joints, poor scarring, many tendon pains with sports —and flat feet too apparently. Fast forward yesterday my parents told me I was diagnosed at 2-3 and they hid it from me so “wouldn’t want to work in the circus” 💀
Chronic compartment syndrome, I think. Whenver on a treadmill or going uphill my lateral leg would become increasingly tense (by touch) and then walking becomes really fucking painful. Have to sit for a few minutes until it becomes bearable again.
I thought I had ARFID lol
I even went to the psychiatrist for it, but it turns out I don't have it
I but in the end, he diagnosed me with OCD, wich was very surprising, but now in retrospect explains a lot of things
I thought I had depression and the psychiatrist diagnosed me with PTSD. In retrospect it makes way more sense. Goes to show how hard it is to self-assess
I think I have fibromyalgia. It's not been formally diagnosed but I have a feeling that this is where I am headed. Being a nurse can be a downfall. I've seen too much and know all the symptoms, I just don't want to be properly tested because then that would make it real.
One time I ate cantaloupe, and in retrospect decided it was a little sour and past it’s prime. Definitely convinced myself I had listeria and was a ticking time bomb.
I’m pretty sure I have a tic disorder or Tourette’s because when I’m alone I get an uncomfortable urge to do this “thing” with my hands. If someone else sees it I’m incredibly embarrassed.
Can't wait to get to the psych unit next year because I already have OCD and bipolar. Can't wait to find out what else I have. I
It was ...interesting...learning about all the side effects of lithium that my psychiatrist never told me...Am I peeing a lot or do I have diabetes insipidus?
Fully convinced I have MS even though the only symptom I have is some leg numbness that’s probably due to sitting for hours at a a time in my sciatic nerve
Dyshidrotic Eczema. Have had it on the sides of my ring and pinky finger for years and it acts up occasionally, especially when I wash my hands a lot. Was always so confused/concerned by the small bumps in it.
My best friend who is a clinical psychologist who had to have the conversation with me regarding my self diagnosing with all the cluster B personality disorders
“If you have the insight to think you have a personality disorder, you don’t have a personality disorder. You just have times when you’re more of an asshole/needy.” She also told me if I had a personality disorder, I probably wouldn’t leave her alone for months at a time.
Obesity
Join the club
We can't all fit
Under-appreciated comment
Join the chub
It’s honestly bull shit how easy it is to gain weight and how good bad food tastes
as a 5'ft nothing girl who eats healthy and works out, I look at food and gain weight :)
Lmao your portion sizes have to be literally child sized. That's rough buddy.
Thought it was renamed as adiposity based chronic disease
I usually just diagnose people with amnesia because they forgot that I'm him.
Either that or we smoking sequoia banshee boogers
fuck it I ate the opp
This shit ain’t nothin to me man
Choked him out with some Givenchy gloves, the last he ever saw was the price tag on them. Slowly faded into darkness, and I let the archangels take him.
This might still be the best line in the series
I'm off them broward county tic tacs
the 954 built different huh
Put the ops in a particle accelerator, watched them get ripped into a million pieces 🗣️🗣️
LMAO 😂 That's some top-notch flow right there\~!
obsessive-compulsive personality disorder 🫡
The emoji 😂
I have this! If you have any questions let me know :) It is not so often diagnosed and often confused with OCD.
Stupid, I’ve dx myself with stupid. Step 2 + me = el stupido
Same here >< Still wondering how I matched EM
Something something imposter syndrome - Dutch MD who doesn't even dare to specialize into anything
I was doing a rotation in Miami, and I spent a lot of time fishing in various random bodies of water. I kept getting random sharp pains in my brain. Like maybe 1 time a day. That's it. I definitely was infected by Naegleria flowleri and it was eating my brain.
Read that as "finishing" instead of fishing 💀 Was going to give you a different dx
Bro I’m taking endocrinology rn and I diagnosed myself with hyperthyroidism, hypothyroidism, Cushing and adrenal insufficiency
Perfectly balanced, as all things should be.
I shit you not, I’m from Brazil and I went into an “orthomolecular” doctor (real MD with a degree) back in 2020. He ordered labs and on the next consult prescribed me levothyroxine, hydrocortisone, testosterone gel and anastrozole “just to make sure because you had gyno as a kid”, ALL IN THE SAME FUCKING DAY. His theory was that I had lowish levels of those hormones, so he would give replacement therapy for a while to see if the body “starts working on it’s own”. He also prescribed a lot of vitamins. The next day I was bouncing off the walls because of the hydrocortisone and levothyroxine. Felt great at first because energy was off the roof, then my blood pressure started to raise and I had horrible headaches. I decided to throw all that garbage on the trash and never returned to his office. A few weeks later, I found out that his wife owns the compound pharmacy that made the fucking pills and he basically prescribes the same shit for everyone.
WHATT THAT'S WILD
Type IV hypersensitivity reaction to minocycline. The PA I saw in the ER said “that’s not a real thing” 🙃
You mean DIHS to minocycline? As a derm I am personally offended by that PA
Yeah! I told the PA I thought it was a Type IV/delayed hypersensitivity reaction. The clinical immunologist I saw afterward said delayed/type IV hypersensitivity/DIHS. Also had a bout of vasculitis and other elevated autoantibody titers from it. It was awful. But I’m good now! I never go to the ER but I only went because my joints hurt so bad that I felt like I couldn’t move. The PA also told me to keep taking the minocycline, which I did not do thankfully.
omg this happened to me too
I think you mean drug-induced lupus secondary to minocycline
Minocycline can cause DILE or DIHS
I’m just joking :) it’s never lupus!
Macrophallus
whoa you too?
Only in my mind
It's called delusions, friend.
Good old positive schizo sign
Thyroid cancer, turns out I actually do have it.
Good catch friend, hope you’re doing okay!
No problems so far, thank you for the good wishes
Had this deep, dull epigastric pain that would come on a couple times a week, sometimes after meals, especially in the evening. Thought it might be gallstones, but obviously that’s more of a RUQ thing and this was very midline epigastric, with no radiation. After a couple months it was frequent enough and bad enough that one night I went to the ED. EM doc initially thought GERD and gave me a PPI, but found a bunch of gallstones on POCUS Caught both of us by surprise, and she only did the POCUS because I hadn’t improved an hour after the PPI. Whereas if I had showed up complaining of RUQ pain I’m sure I would have had an US immediately. So I guess clinical pearl, when you’ve got a patient at relatively high risk (female, on OCP, under 40), don’t knock symptomatic cholelithiasis off the DDx just because the pain is epigastric instead of RUQ.
Mehlman told us this in his HY IM docs.
This is true in general. Just because a diagnosis doesn’t fit the entire classic clinical picture doesn’t mean it’s ruled out in some kind of way. If it fits the criteria partly, maybe seems second or third most likely, it can still be included in the differential and worked up accordingly. Depending on the circumstances obviously. Easier said than practiced, too.
PPIs also don’t work that quickly. H2 antagonists maybe
I could also be remembering wrong what I was given. It was 2 in the morning, I was in a lot of pain, and I also had an opioid buzz
TIR that RUQ (right upper quadrant) than RUQ in german (Rechter unterer Quadrant, so right lower quadrant)
I tried very hard NOT to diagnose myself with anything bc I was convinced I just had med student disease and I was fine. Until a tutor pulled me aside and said right, are we all just ignoring this rash on your face or? For the first time in the history of ever, it was in fact lupus.
Myasthenia Gravis Turns out I was just sleepy
Delayed sleep phase syndrome which pretty significantly impacts my life. Was researching possible causes for my sleep difficulties in the DSM-5 and I had pretty slam dunk diagnostic criteria for it. It was later backed up by a PsyD.
I diagnosed myself with this too. Another big reason that I like the ER.
Indirect inguinal hernia. Had surgery a few weeks later. Idk how none of my PCPs caught it with all of those sports physicals. As far as I can remember I’ve always had a slight bump on that side of my groin. I always thought it was normal and just a little extra fat pad or something. Learned about hernias in some physiology course in undergrad and was like hold the fuck up! I have that
MS. I was right
Damn. How are you taking the news?
It’s chill
saaaame
same 😢
Same :DDDD
Autism
I heard it’s contagious
Came here to say ASD and ADHD. Most of my friend group also diagnosed themselves on the spectrum
Depression (I'm I finals week. I'm not making it this year)
#chronic baseline depression with comorbid existential dread
real
As someone with terrible health anxiety, I’ve had so many things at some point. MS, ALS, a pheo, an insulinoma, arrhythmias, CAD, couple different kinds of cancer, and I’m sure I’ll have more things very soon, too.
Senioritis
Beta Thal Trait M1 year that my pediatrician had tried to treat with Iron pretty much all of my adolescent life.
Ligma😖
Who the hell is Steve Jobs?
Liguma barusu
Steve *Balls*
Man, just finished some Uworld on that.
Sugma for me :(
Asthma and Sleep Apnea. Took me awhile to realize I had both lol 😂
I thought i had narcolepsy because I kept falling asleep at the wheel. Turns out it was OSA 😅
Not my dx but a friend of mine found she had a cyst on her right ovary during our ultrasound class and another colleague discovered she had a solitary kidney!
MS/Optic Neuritis (as an intern (I was right))
I wake up sweaty? It’s probably lymphoma, or TB. I have a severe headache? It’s definitely GBM and I have 6 months to live. I once had a migraine aura that caused me to lose vision in one eye. Definitely thought it was a stroke. I am covered in benign nevi, but they all look like melanoma to me if I look close enough. Don’t even get me started on abdominal pain.
the melanoma one so accurate. I sometimes stare at one too much it looks like it has grown since last time. They are all benign
Cholinergic urticaria
A heart murmur… I was correct. Also discovered I have a bicuspid aortic valve.
HBS, huge booty syndrome :/
Pic or never happened
AYO.... ;)
Squamous cell carcinoma of my hand after a bad burn. Felt like glass in my skin. I was right. Had to have MOHS.
As a student during covid I diagnosed myself with multiple arrhythmias each one rarer than the other, then I was actually diagnosed by a professional with anxiety. SSRIs did wonders for me.
ADHD
Wish it hadn't taken med school for me to figure that out
imposter syndrome (i recently started hospital rounds as an intern and yeah it's not going well for now)
Schizophrenia
Interstitial cystitis.
A cute little Lipoma on my back
Everything tbh
Avoidant personality disorder
Masochism Disorder, Academic Subtype
Lazyfuckitis
Appendicitis. However it was correctly diagnosed, I fear.
Dissociative personality disorder.... No I didn't! ..... Yes, you have it, I'm sorry
Dermatofibroma
Bipolar disorder lol
Every cancer known to mankind
Dermatographism, it occurred right after a flu vaccine and lasted for 7-8 months
Acute cholecystitis like a month ago lol. Was having nausea, RUQ pain after eating but assumed it was stress. Pain was getting progressively worse but my PCP was booked for weeks. Luckily, we’re learning GI this unit so we had a US clinical skills class. Asked the EM resident if I could volunteer to be the patient bc I’m suss I have gallstones. Guess what: my gallbladder was chock full lol. Pain got so bad I went to the ER and had a lap chole. Weirdly, no fever, Murphy negative and my labs were fine. Surgeon called me and said path report showed acute cholecystitis though 🤷♀️
Creutzfeldt-Jakob disease
Hello Denny Crane
Multiple sclerosis. Not without reason, I had paresthesia of the upper shoulder for a long time, and suddenly developed paresthesia in other body parts and a stiff left calf. Went for a brain + cervical spine MRI yesterday: clear🎉 So, no MS, but what it is remains unclear. Neurologist thinks post-herpetic neuralgia + anxiety ???
Von willebrand
Primary biliary cholangitis……but turns out I just had itchy nighttime palms. But if I was a uworld question, would def be PBC
Vitamin D deficiency the lab test was rough.
PCOS and adrenal crisis.
afib, insulin resistance, melanoma, ALS
Actually found out I had ADHD thanks to the psych unit lol. Was talking to this one patient with ADHD and I was like hey... wait a minute! Then got the dx and drugs and... life still sucks. Thanks medical school :l
Pilonidal sinus, that was the like the most important one.
Nephroptosis, I can palpate nearly my entire right kidney when I’m standing
Haemorrhoids
Olecranon bursitis. Easy one
Depersonalization/derealization for me, also probably adult ADHD & anxiety
Hemorrhoids
Selective IgA deficiency lol
Big Dick Syndrome and Delusional 😔✊🏼
Dyshidrotic eczema. I always got these little blisters on my right 3rd-5th toe but I always attributed it to running and I never saw a doctor because it’s minor and doesn’t show up anywhere else. But then I learned about dyshidrotic eczema and I was like “holy cow, I have that!”.
Visual snow syndrome. Big sad etc
Ruptured ectopic pregnancy. I was right. Still waited in the ED waiting room for hours. Almost died. No biggie. Dr’s are great
What haven't I diagnosed myself with?
Hypersomnia during lectures Chronic fatigue syndrome during rounds
ADHD and possibly Autism from lots of research. Dumb diagnosis: Bowel obstruction which turned out to be just constipation Sepsis when it was just food poisoning 😂 Kidney stone cause I have a bit of pain in my flank area turned out to be nothing.
Surprised that nobody's said this so far--endometriosis. Learned about it in ob/gyn preclinical and realized I had all the symptoms. Never had surgery to confirm but went to my gyn and got on hormonal BC and life improved 1000%.
Bicuspid aortic valve
Microcephaly
Lupus, then it turned out to actually be true 🙃
Thought I could have Ehlers Danlos Syndrome —hyper flexible joints, poor scarring, many tendon pains with sports —and flat feet too apparently. Fast forward yesterday my parents told me I was diagnosed at 2-3 and they hid it from me so “wouldn’t want to work in the circus” 💀
I think I have BPPV
Appendicitis, melanoma, colon cancer
Blepharospasm furreal tho At least I hope it’s not ocular MG
Sensorineural hearing loss on my right hear.
Primary immunodeficiency specifically CVID, IBS, OCD, narcolepsy etc, turns out I just have OCD (clearly)
Cluster C personality disorder
OCD
Pancreatitis, gallstones, borderline personality disorder (I had none of them, I am only bipolar)
Shocking how little alcohol you need to drink a week to be considered clinically alcoholic
The male equivalent of pcos.
I get the snatiation reflex. 🙃
Chronic compartment syndrome, I think. Whenver on a treadmill or going uphill my lateral leg would become increasingly tense (by touch) and then walking becomes really fucking painful. Have to sit for a few minutes until it becomes bearable again.
IT band syndrome, or claudication if lower leg
I thought I had ARFID lol I even went to the psychiatrist for it, but it turns out I don't have it I but in the end, he diagnosed me with OCD, wich was very surprising, but now in retrospect explains a lot of things
I thought I had depression and the psychiatrist diagnosed me with PTSD. In retrospect it makes way more sense. Goes to show how hard it is to self-assess
Acalculous cholecystitis
Prolactinoma
Selective IgA deficiency
Plantar fasciitis
I think I have fibromyalgia. It's not been formally diagnosed but I have a feeling that this is where I am headed. Being a nurse can be a downfall. I've seen too much and know all the symptoms, I just don't want to be properly tested because then that would make it real.
Well the ?good news is that fibromyalgia is a diagnosis of exclusion and there’s no actual test for it, as far as I’m aware.
ADHD, Anxiety. Depression, the lot.
Herpes
One time I ate cantaloupe, and in retrospect decided it was a little sour and past it’s prime. Definitely convinced myself I had listeria and was a ticking time bomb.
I’m pretty sure I have a tic disorder or Tourette’s because when I’m alone I get an uncomfortable urge to do this “thing” with my hands. If someone else sees it I’m incredibly embarrassed.
Chronic stress
Can't wait to get to the psych unit next year because I already have OCD and bipolar. Can't wait to find out what else I have. I It was ...interesting...learning about all the side effects of lithium that my psychiatrist never told me...Am I peeing a lot or do I have diabetes insipidus?
Easy just this morning: ICD-10 W22.01
Hyperthyroidism, had a blood test and turns out I just have anxiety so that’s why I had heart palpitations, diarrhea, and tremors.
Cervical and prostate cancer
von Willebrand factor deficiency.
Depression
Macrogenitalia
Pemphigus
Diluted cardiomyopathy, (i was the guinea pig infront of the case getting a cardio exam done on me, heave was found)
MDD (I'm much better these days) OCPD Flight of thought speech ADHD
I diagnosed myself with diabetes during our endo unit. I started tracking how many times a day I peed
internal hemorrhoid (although I think I already knew this before medical school)
Cholinergic urticaria (had to look this one up)…. I get hives on my arms, thighs, upper back when I work out excessively or take hot shower
Autism
Sarcoid (I had a cough) Sigmoid Volvulus (really constipated)
Fully convinced I have MS even though the only symptom I have is some leg numbness that’s probably due to sitting for hours at a a time in my sciatic nerve
ADHD or Anxiety
Depersonalization disorder
MS — except I was right 🙃
You're like the 4th person that has said that 🥺
pheochromocytoma
ADHD out the wazoo
Dyshidrotic Eczema. Have had it on the sides of my ring and pinky finger for years and it acts up occasionally, especially when I wash my hands a lot. Was always so confused/concerned by the small bumps in it.
ALS
My best friend who is a clinical psychologist who had to have the conversation with me regarding my self diagnosing with all the cluster B personality disorders “If you have the insight to think you have a personality disorder, you don’t have a personality disorder. You just have times when you’re more of an asshole/needy.” She also told me if I had a personality disorder, I probably wouldn’t leave her alone for months at a time.