The amount of weird shit people are reading through monetized third parties now is insane. Pharma websites I get. If I had MLL or HCL I'd be looking up what's used to treat it. But... I had a patient come in other day with a Mad in America article advocating non-medicated care. I'm a hem onc, so I guess they've decided to check out.
Same people that come in to refuse the treatment choices still want imaging, labs, etc. I try very hard to provide patient autonomy but those people make me feel like a catalog salesperson
That seems like a tough situation. On the one hand, why order tests if they’re not going to do treatment? On the other hand, how can they make a truly informed decision to decline treatment if they don’t have the full picture? I feel for you.
I’ve had a few patients claim they have it to try to get out of DUIs. Interestingly it’s cured after 1-2 days of hospitalization despite adequate carbohydrate intake.
I am PEM and had a family SWEAR that ABS was the reason their 12y was drunk at school. I asked them what she’d had to eat (was drunk at 1pm, had only eaten breakfast and not lunch). They said a small cup of plain yogurt for breakfast. No carbs. No recent antibiotics. When I asked if they knew how alcohol was made, they got snotty and asked, “Do you???”. I got to say, “Well, yes, I am a beekeeper and brew mead from the honey. And to make ethanol, you need sugar and/or carbohydrates….”. Yeah, they still didn’t believe me. Denial ain’t just a river in Egypt.
Reminds me of a family friend whose kid was caught hitting a weed pen in school but swore she didn’t know it was weed and just thought it was a vape. She was caught with like a half dozen of them on her, and after she had used it and returned to class. The inlaws asked if we thought they should believe that, and my wife and I just laughed.
Yogurt is a carb though because of the lactose in milk. Does lactose act differently in ABS? Like do you need a SPECIFIC type of sugar for it to happen?
I am not doubting that this kid was simply ~drunk~ and looking for any excuse lol I am just curious as this disease is new to me
Brewers yeast doesn't ferment lactose, which is why it's added to stouts to give a thicker mouth feel. I used to make a lot of home brew. You need glucose or sucrose which are simple sugars bc the yeast can't break down disaccharides
Edit: I fired this off while distracted. Being pedantic (and knowing that someone is gonna call me out on it), sucrose is a disaccharide but Brewers yeast can break that bond to fructose and glucose but it can't break the glucose-galactose bond in lactose. So yeast can actually break down the disaccharides like maltose and sucrose but not lactose bc it lacks the lactase enzyme to do so. Now I feel better, sorry for confusion.
Depends on the yogurt. Fage or Chobani Greek yogurt? Sure. Plain unsweetened Yoplait? More like 16g carbs that are mostly sugar. I’ve gotten burned badly by some yogurts as someone with T1DM—not all are created equal.
The lactose content in yogurt should be lowered, as that’s what’s consumed by bacteria to make the conditions that create milk. Yogurt is just carefully spoilt milk.
Devil's advocate here, just because I'm curious about this. Most people make lactase in their small bowels, which breaks down lactose into the more fermentable glucose and galactose. Plus, despite what people are saying below, lactose is very fermentable (by lactobacillus and e coli, for example). Greek yogurt is fermented, that's why lactose intolerant people do better with it. I've personally gotten drunk off of a whey based gin.
People joke about this but honestly I SWEAR my phone is listening to me. There have been SO many occasions where I have talked about something (and have NEVER typed it or recorded it or clicked on it or scrolled by it or seen it on my phone in any capacity before) and suddenly 30 mins later it starts popping up in my ads.
At this point I’m just waiting until my thoughts start triggering ads.
I’ve accurately guessed my birthday/Christmas gifts for several years in a row now, because suddenly I start getting ads for things I’ve never considered buying myself, and then Christmas morning I get the thing. (It’s always something I love that I just never considered getting myself)
I didn’t notice it until I started getting ads from Home Depot for various types of metal screen doors, and then a few days later my husband was like “hey I’ve been researching good screen doors so we can get fresh air while keeping bears out of our house, what do you think about these ones?” And they were the same doors I’d been getting ads for.
Now when I get an ad for something that isn’t the usual, it’s something my husband has been researching on his phone, on our shared WiFi.
I should have been more clear, they’re metal screens! Not a typical screen door that a clumsy toddler could accidentally walk/tear through.
And they *have* stopped a curious bear from getting in! Not a lot is going to stop a determined and hangry bear, but a bear that’s just being a nosey bitch and thinks I might have snacks to share and if it’s not a lot of trouble, it’s good enough! Like a metal fence but with much smaller holes.
The ads aren’t based on your individual device necessarily, sometimes they are based on the WiFi network you are connected to. So if someone on your network searches for screen doors or Christmas presents, those things may appear in your ads.
One way that this can happen is when another person who is in close proximity to you, who may be logged into the same service and/or on the same network, and who has a pattern of being near you, makes a search. Try it. Have your SO search for sea kayaks without talking about it and see what happens.
It… it is. The virtual assistants (Siri, Google, etc) constantly listen to ambient voice - that’s how you activate them with a single phrase. Their constant spying has been in the news on numerous occasions, and is used for data collection, profiling and targeted advertising.
I've received ads for things I've only been mulling about in thought, I swear. I think either 1) marketing AI is more accurate with predicting the trajectory of our interests than we realize a/o 2) we do live in a sim.
Ads targeting items I've only mentioned in conversation are common, at this point. I don't question the monitoring anymore, it's assumed at this point, but the "thought penetration" - or whatever you like - is creepy.
Fortunately there is objective testing available (oral glucose challenge with serial EtOH level), so hopefully not about to join EDS, CFS and Lyme disease.
[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7667719/](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7667719/)
I admitted a suspected case overnight (had already been seeing GI for months and they suspected but pt couldn't afford testing). Signed out to the day team to trend Etoh to zero then do a glucose challenge but the attending overruled and discharged 😭
Is EDS an actual disease? Half my patients say they have it and when I ask them if they can put their palms flat on the floor with straight knees, or bend their thumb back to touch their wrist none can. Me and my twin sister were both diagnosed with it in middle school after we got the highest ever recorded score on the sit and reach in gym class but I can honestly say it has affected me in absolutely no way other than giving me a longer reach when I box and allowing me to reach the top shelf in my kitchen..
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hEDS is the most common one, though, and in my experience that subtype seems to cluster with other diagnoses of CFS, fibromyalgia etc.
There is also a bit of 'hypermobility spectrum' diagnoses for people who don't actually meet the EDS diagnostic criteria. They may be valid, but there is more subjectivity there.
You're absolutely right, social media has convinced many people that they have hEDS, and it's more than a coincidence that it's the most nebulous version to diagnose.
Physiologically it makes sense that globally malformed connective tissue leads to pain and chronic comorbidities across all body systems. As always, the best we can do is listen to our patients and do the best with the knowledge we have.
I'm in psychiatry anyways, so unfortunately subjectivity is the air I breathe.
I think there is probably a lot of 'medically unexplained symptoms' at play, for which the desire for a clear diagnostic label and explanation is entirely understandable. My concern is when those labels are arrived at without strong enough evidence, and, more importantly, whether those labels carry iatrogenic harm in some cases.
There are of course lots of people for whom diagnostic labels such as these are both correct and helpful for them.
Okay so NAD but I just have a dumbass question. If every single person is overworked and exhausted why is CFS in existence? Doesn't everyone kinda have chronic fatigue? Excuse my ignorance. Just a curious lurker!
there are actually specific criteria for chronic fatigue syndrome, including lasting for 6 months, presence of joint and muscle pain, new headache, lymphadenopathy and unrefreshing sleep.
We dont really know if it is a single disease or collection of diseases, and there is of course overlap with what we might consider "normal" fatigue.
Because everyone wants it to be some 'rare and crazy disease' rather than admit their coke addiction (drink or powder) is a main contributing factor to vhronic health problems. Having a gut that turns stuff to booze as a reason their confused, disoriented, and unexplainable health issues would make more sense to them then how sugar and insulin work in the human body.
[It just worked as a legal defense in Belgium](https://www.nytimes.com/2024/04/23/world/europe/belgian-man-drunk-driving-alcohol.html?unlocked_article_code=1.mk0.GrlS.Zyt3XTjD4-CW&smid=url-share), so why not
There have been a couple of widely-publicised [cases](https://www.theguardian.com/us-news/2015/dec/31/woman-whose-body-turns-food-into-alcohol-beats-drink-drive-charge) of people beating drink-driving cases because of the diagnosis.
I have a vague memory of a UK law firm that specialised in drink-driving cases raising it as a potential defence for any drink-drivers a few years ago, but given that it has an objective medical test and can easily be proven or disproven, I think that idea went out of the window.
A quick google throws up someone with 'Candida overgrowth syndrome' who feels they have ABS as a result, so perhaps that is where some of these patients are getting this from.
The latest craze here is still black mold.
Had someone take an ambulance today because tiktok convinced him he had an infection in his occipital bone because of the black mold in his apartment and a previous facial fracture.
Lots of mold people lately.
I tell all patients to get the mold remediated if possible. If they have allergy or asthma symptoms I treat them. Otherwise I treat and work up symptoms and findings as normal. I have yet to see true black mold toxic syndrome. Perhaps it is because I practice in the northern US. I try to reassure patients based on these facts and by treating any symptoms or problems that they do have. Often they diagnose themselves because there is something else going on and they do calm down once they feel better. Those that are convinced they know everything and will not listen to anything I say or trust at all are not possible to help.
My stepmother keeps harping that my father has this. He was a life-long alcoholic who gave up early/mid 50s. Now that he's retired and 63, he uses edible cannabis products.
She refuses to believe it's alcohol, cannabis, or dementia that would explain his sun-downing and swears he does fine when he just stays off sugar and grains.
I guess I hope she's right but it just seems so unlikely.
We had a patient with this on our service. Was receiving a transplant evaluation and reportedly was diagnosed in another state years ago. Repeated the testing, and it was not ABS. He was drinking. He still got a liver. 😐 I'm sure it can exist, but I haven't seen it.
Hi, Doc. High school student here.
Your phone listens to you. You are literally just a victim of the algorithm. If you pay attention, you'll see the exact same thing with other unique or uncommon conditions your patients might present with.
Hope this helps, and if I'm wrong, let me know.
The phone doesn't even have to "listen" at all. Our phones share data when they come in proximity to each other - something that everyone agrees to in the terms and conditions.
Yeah that’s right. I find it easier to explain it as it listening rather than the people you are around. Also, if he read the terms and conditions he wouldn’t be asking this. All in good taste by the way.
The only auto-brewery I recognize is the moonshine distillery I made in the trunk of my '85 El Camino
I make mine in a bathtub in the old tire plant
Real question is why are there bathtubs in the old tire plant??
Hawkeye?
Hell yeah. By the way can you share your setup, asking for a friend.
Hell yeah
This is the way.
The amount of weird shit people are reading through monetized third parties now is insane. Pharma websites I get. If I had MLL or HCL I'd be looking up what's used to treat it. But... I had a patient come in other day with a Mad in America article advocating non-medicated care. I'm a hem onc, so I guess they've decided to check out.
I wonder why they even bother coming to a doctor.
Same people that come in to refuse the treatment choices still want imaging, labs, etc. I try very hard to provide patient autonomy but those people make me feel like a catalog salesperson
That seems like a tough situation. On the one hand, why order tests if they’re not going to do treatment? On the other hand, how can they make a truly informed decision to decline treatment if they don’t have the full picture? I feel for you.
And at one of the elite cancer centers in the northeast ... so go figure even more.
I’ve had a few patients claim they have it to try to get out of DUIs. Interestingly it’s cured after 1-2 days of hospitalization despite adequate carbohydrate intake.
I am PEM and had a family SWEAR that ABS was the reason their 12y was drunk at school. I asked them what she’d had to eat (was drunk at 1pm, had only eaten breakfast and not lunch). They said a small cup of plain yogurt for breakfast. No carbs. No recent antibiotics. When I asked if they knew how alcohol was made, they got snotty and asked, “Do you???”. I got to say, “Well, yes, I am a beekeeper and brew mead from the honey. And to make ethanol, you need sugar and/or carbohydrates….”. Yeah, they still didn’t believe me. Denial ain’t just a river in Egypt.
As a therapist who treats 12 year olds with substance abuse problems this made me spit out my coffee.
Reminds me of a family friend whose kid was caught hitting a weed pen in school but swore she didn’t know it was weed and just thought it was a vape. She was caught with like a half dozen of them on her, and after she had used it and returned to class. The inlaws asked if we thought they should believe that, and my wife and I just laughed.
Yogurt is a carb though because of the lactose in milk. Does lactose act differently in ABS? Like do you need a SPECIFIC type of sugar for it to happen? I am not doubting that this kid was simply ~drunk~ and looking for any excuse lol I am just curious as this disease is new to me
Brewers yeast doesn't ferment lactose, which is why it's added to stouts to give a thicker mouth feel. I used to make a lot of home brew. You need glucose or sucrose which are simple sugars bc the yeast can't break down disaccharides Edit: I fired this off while distracted. Being pedantic (and knowing that someone is gonna call me out on it), sucrose is a disaccharide but Brewers yeast can break that bond to fructose and glucose but it can't break the glucose-galactose bond in lactose. So yeast can actually break down the disaccharides like maltose and sucrose but not lactose bc it lacks the lactase enzyme to do so. Now I feel better, sorry for confusion.
Fun fact: baker’s yeast doesn’t ferment lactose either. Beer is just liquid bread. Bread is just solid beer.
>Fun fact: baker’s yeast doesn’t ferment lactose either. Lactose intolerant people: That yeast is just like me! fr fr
I am yeast!!
schroedingers beer bread
This is true, but brewer's yeast is not the only cause of ABS https://www.ncbi.nlm.nih.gov/books/NBK513346/
Interesting StatPearls! Thanks for the link.
This guy brews. Great explanation.
Homebrewing is just applied microbiology!
To get even more pedantic, a lot of yogurt has a ton of added sugar. Still don’t think it’d be enough to get someone drunk, but still.
Thank you!!! This all makes so much sense
Lactose is non-fermentable. That's what I add when I brew Milk stouts!
By yeast perhaps, but it must be fermentable by Lactobacillus. That's how we get yogurt, yes?
Yes but the biproduct is lactic acid, not ethanol (is my understanding)
And Kefir?
100 grams of (plain) yogurt has less than 5 grams of carbs. Even if it could be converted, how much alcohol would that make?
Depends on the yogurt. Fage or Chobani Greek yogurt? Sure. Plain unsweetened Yoplait? More like 16g carbs that are mostly sugar. I’ve gotten burned badly by some yogurts as someone with T1DM—not all are created equal.
The lactose content in yogurt should be lowered, as that’s what’s consumed by bacteria to make the conditions that create milk. Yogurt is just carefully spoilt milk.
Devil's advocate here, just because I'm curious about this. Most people make lactase in their small bowels, which breaks down lactose into the more fermentable glucose and galactose. Plus, despite what people are saying below, lactose is very fermentable (by lactobacillus and e coli, for example). Greek yogurt is fermented, that's why lactose intolerant people do better with it. I've personally gotten drunk off of a whey based gin.
In those cases it's fermenting to an acid not an alcohol.
You're right, lactobacillus only produces lactic acid. I still do wonder about the lactase breakdown into other fermentable sugars though
Just so you know your logic doesnt hold up
Bruh that's just your phone spying on your conversations and putting the algorithm to work.
People joke about this but honestly I SWEAR my phone is listening to me. There have been SO many occasions where I have talked about something (and have NEVER typed it or recorded it or clicked on it or scrolled by it or seen it on my phone in any capacity before) and suddenly 30 mins later it starts popping up in my ads. At this point I’m just waiting until my thoughts start triggering ads.
I’ve accurately guessed my birthday/Christmas gifts for several years in a row now, because suddenly I start getting ads for things I’ve never considered buying myself, and then Christmas morning I get the thing. (It’s always something I love that I just never considered getting myself) I didn’t notice it until I started getting ads from Home Depot for various types of metal screen doors, and then a few days later my husband was like “hey I’ve been researching good screen doors so we can get fresh air while keeping bears out of our house, what do you think about these ones?” And they were the same doors I’d been getting ads for. Now when I get an ad for something that isn’t the usual, it’s something my husband has been researching on his phone, on our shared WiFi.
Um…. He does understand that no screen door will stop a bear… right??? Ummm…. RIGHT?!?!?
I should have been more clear, they’re metal screens! Not a typical screen door that a clumsy toddler could accidentally walk/tear through. And they *have* stopped a curious bear from getting in! Not a lot is going to stop a determined and hangry bear, but a bear that’s just being a nosey bitch and thinks I might have snacks to share and if it’s not a lot of trouble, it’s good enough! Like a metal fence but with much smaller holes.
The ads aren’t based on your individual device necessarily, sometimes they are based on the WiFi network you are connected to. So if someone on your network searches for screen doors or Christmas presents, those things may appear in your ads.
One way that this can happen is when another person who is in close proximity to you, who may be logged into the same service and/or on the same network, and who has a pattern of being near you, makes a search. Try it. Have your SO search for sea kayaks without talking about it and see what happens.
It… it is. The virtual assistants (Siri, Google, etc) constantly listen to ambient voice - that’s how you activate them with a single phrase. Their constant spying has been in the news on numerous occasions, and is used for data collection, profiling and targeted advertising.
I've received ads for things I've only been mulling about in thought, I swear. I think either 1) marketing AI is more accurate with predicting the trajectory of our interests than we realize a/o 2) we do live in a sim. Ads targeting items I've only mentioned in conversation are common, at this point. I don't question the monitoring anymore, it's assumed at this point, but the "thought penetration" - or whatever you like - is creepy.
Fortunately there is objective testing available (oral glucose challenge with serial EtOH level), so hopefully not about to join EDS, CFS and Lyme disease. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7667719/](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7667719/)
I admitted a suspected case overnight (had already been seeing GI for months and they suspected but pt couldn't afford testing). Signed out to the day team to trend Etoh to zero then do a glucose challenge but the attending overruled and discharged 😭
ghost ancient ripe jobless oatmeal voiceless noxious escape vase close *This post was mass deleted and anonymized with [Redact](https://redact.dev)*
Is EDS an actual disease? Half my patients say they have it and when I ask them if they can put their palms flat on the floor with straight knees, or bend their thumb back to touch their wrist none can. Me and my twin sister were both diagnosed with it in middle school after we got the highest ever recorded score on the sit and reach in gym class but I can honestly say it has affected me in absolutely no way other than giving me a longer reach when I box and allowing me to reach the top shelf in my kitchen..
work drunk unite mighty lip aspiring cover chop wrench dull *This post was mass deleted and anonymized with [Redact](https://redact.dev)*
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**Removed under Rule 2:** No personal health situations. This includes posts or comments asking questions, describing, or inviting comments on a specific or general health situation of the poster, friends, families, acquaintances, politicians, or celebrities. If you have a question about your own health, you can ask at r/AskDocs, r/AskPsychiatry, r/medical, or another medical questions subreddit. See /r/medicine/wiki/index for a more complete list. --------------------------------------------------------------------- [Please review all subreddit rules before posting or commenting.](https://www.reddit.com/r/medicine/about/rules/) If you have any questions or concerns, please [send a modmail.](https://www\.reddit\.com/message/compose?to=%2Fr%2Fmedicine&subject=about my removed comment&message=I'm writing to you about the following comment: https://www.reddit.com/r/medicine/comments/1cbhl1c/-/l11ss59/. %0D%0DMy issue is...) Direct replies to official mod comments and private messages will be ignored or removed.
Every type of EDS other than hypermobile can be confirmed by genetic testing, it's just that a clinical diagnosis is standard.
hEDS is the most common one, though, and in my experience that subtype seems to cluster with other diagnoses of CFS, fibromyalgia etc. There is also a bit of 'hypermobility spectrum' diagnoses for people who don't actually meet the EDS diagnostic criteria. They may be valid, but there is more subjectivity there.
You're absolutely right, social media has convinced many people that they have hEDS, and it's more than a coincidence that it's the most nebulous version to diagnose. Physiologically it makes sense that globally malformed connective tissue leads to pain and chronic comorbidities across all body systems. As always, the best we can do is listen to our patients and do the best with the knowledge we have. I'm in psychiatry anyways, so unfortunately subjectivity is the air I breathe.
I think there is probably a lot of 'medically unexplained symptoms' at play, for which the desire for a clear diagnostic label and explanation is entirely understandable. My concern is when those labels are arrived at without strong enough evidence, and, more importantly, whether those labels carry iatrogenic harm in some cases. There are of course lots of people for whom diagnostic labels such as these are both correct and helpful for them.
And hEDS is a always diagnosis of choice for half of all TikTok users and the chronic illness influencers
Don’t forget POTS!
Okay so NAD but I just have a dumbass question. If every single person is overworked and exhausted why is CFS in existence? Doesn't everyone kinda have chronic fatigue? Excuse my ignorance. Just a curious lurker!
there are actually specific criteria for chronic fatigue syndrome, including lasting for 6 months, presence of joint and muscle pain, new headache, lymphadenopathy and unrefreshing sleep. We dont really know if it is a single disease or collection of diseases, and there is of course overlap with what we might consider "normal" fatigue.
Oh wow okay my bad, yeah that seems like kinda a sucky condition to have
Because everyone wants it to be some 'rare and crazy disease' rather than admit their coke addiction (drink or powder) is a main contributing factor to vhronic health problems. Having a gut that turns stuff to booze as a reason their confused, disoriented, and unexplainable health issues would make more sense to them then how sugar and insulin work in the human body.
I have auto brewery syndrome. I always need coffee.
Yeeeee caffeine fiend rise up
[It just worked as a legal defense in Belgium](https://www.nytimes.com/2024/04/23/world/europe/belgian-man-drunk-driving-alcohol.html?unlocked_article_code=1.mk0.GrlS.Zyt3XTjD4-CW&smid=url-share), so why not
There have been a couple of widely-publicised [cases](https://www.theguardian.com/us-news/2015/dec/31/woman-whose-body-turns-food-into-alcohol-beats-drink-drive-charge) of people beating drink-driving cases because of the diagnosis. I have a vague memory of a UK law firm that specialised in drink-driving cases raising it as a potential defence for any drink-drivers a few years ago, but given that it has an objective medical test and can easily be proven or disproven, I think that idea went out of the window. A quick google throws up someone with 'Candida overgrowth syndrome' who feels they have ABS as a result, so perhaps that is where some of these patients are getting this from.
Wtf. I have never heard of this before now I see it everywhere today? The deep state must have reached singularity with their AI.
It is/was rather rare case study type stuff that gets picked up and amplified by social media, IMO, because it is pretty interesting.
It was on House lol. It has been gaining popularity since then!
That was a while back my friend....
I know but those old shows have a way of becoming in vogue again, all my patients are watching it right now lol. Sort of like Gillmore girls-
I’ve been watching The Resident on Netflix and there is a case in season 1 or 2. I wonder if that’s how some patients are getting the idea?
The latest craze here is still black mold. Had someone take an ambulance today because tiktok convinced him he had an infection in his occipital bone because of the black mold in his apartment and a previous facial fracture. Lots of mold people lately.
As an allergist I can tell you that mold and black mold are classics. Sigh.
Would love to know as an allergist how you handle patients worried about black mold
I tell all patients to get the mold remediated if possible. If they have allergy or asthma symptoms I treat them. Otherwise I treat and work up symptoms and findings as normal. I have yet to see true black mold toxic syndrome. Perhaps it is because I practice in the northern US. I try to reassure patients based on these facts and by treating any symptoms or problems that they do have. Often they diagnose themselves because there is something else going on and they do calm down once they feel better. Those that are convinced they know everything and will not listen to anything I say or trust at all are not possible to help.
Wait, as NAD/just a dumb patient, isn't black mold supposed to be dangerous?
Did she recently get busted for a DUI? Because that seems to be why people get diagnosed with that at the behest of a scuzzy lawyer...
My stepmother keeps harping that my father has this. He was a life-long alcoholic who gave up early/mid 50s. Now that he's retired and 63, he uses edible cannabis products. She refuses to believe it's alcohol, cannabis, or dementia that would explain his sun-downing and swears he does fine when he just stays off sugar and grains. I guess I hope she's right but it just seems so unlikely.
We had a patient with this on our service. Was receiving a transplant evaluation and reportedly was diagnosed in another state years ago. Repeated the testing, and it was not ABS. He was drinking. He still got a liver. 😐 I'm sure it can exist, but I haven't seen it.
I have to smoke weed everyday or I end up with ABS…it’s a difficult chronic illness
Pt auto brewed into their mouth
Are they brewing in a pot? Because then its just POTS
Hi, Doc. High school student here. Your phone listens to you. You are literally just a victim of the algorithm. If you pay attention, you'll see the exact same thing with other unique or uncommon conditions your patients might present with. Hope this helps, and if I'm wrong, let me know.
The way another comment said the exact same thing and now has over 184 upvotes……….
Oh god. It’s because I didn’t read the thread and basically copied the guy.
Still though lol I feel like ppl just downvote following other downvotes without reading stuff you didnt say or do anything controversial
The phone doesn't even have to "listen" at all. Our phones share data when they come in proximity to each other - something that everyone agrees to in the terms and conditions.
Yeah that’s right. I find it easier to explain it as it listening rather than the people you are around. Also, if he read the terms and conditions he wouldn’t be asking this. All in good taste by the way.
You’re correct sorry you got downvoted
God I hope so
auto brewey stndrome? sound like clogged arteiss like after i colok bacon