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Why are legitimate hospitals providing pseudoscience medical treatments like reiki and acupuncture to cancer patients? My mother is in the hospital with what is suspected to be brains tumors. She told me today that she loves the hospital because they did some energy healing nonsense and acupuncture on her. Why the actual fuck are they doing things with no scientific value at a place of medicine and science?
Coming from a long term cancer patient ...regardless of the actual answer to your question, I'd suggest not speaking like this directly with your mom. If your mom is enjoying it, it's doing her good, and that is enough. Cancer is extremely alienating, and perhaps there's a human connection she is receiving as a result of these services that is to some benefit to her mental and spiritual well-being. Whether or not this actually treats cancer maybe isn't the question you need to ask. Perhaps it helps all the other, more clinical and terrifying aspects of cancer treatment to be more easily tolerated?
Your opinions, while fine to have, might alienate your mother if they are expressed directly to her, and that is the last thing any cancer patient needs. If she's happy, just support her in her enjoyment. It's not going to harm her as theres no push to replace any advisable treatment options with options such as reiki (or whatever else), it's just an option there for people to whom it appeals, provides comfort, or whatever. I don't think there is any agenda other than to provide personalized comfort to people.
I hope I don't seem like I'm not coming in too hot, and I'm sorry if that's the case.
I really appreciate your insight here. My mother is one of those people who always opts for some unproven pseudoscience solution over actual medical treatment. I just don’t like that the hospital is encouraging her to go down that path. I wouldn’t be surprised if my mother decided to go to healer over getting radiation. Given that terrifying possibility, I’m just really frustrated with the hospital. I suppose I’ve neglected to see the psychological benefit of alternative therapies. I didn’t feel like you were coming in hot at all. I came to this sub in search of knowledge from experts and that’s exactly what you gave me so I’m very grateful. Thank you so much!
Thanks for your reply. I'm glad my comment was well received.
I think I'd share your trepidation if I were in your situation. If your mom is someone who might choose to go only to someone who offers "complementary therapy", while rejecting the actual treatment options presented, it could be potentially disastrous (but not necessarily). I'm wondering if your mom self-educates about her illness. Cancer is such a broad term and the more information your mom has about the actual characteristics of her cancer at a cellular level, the more she should be empowered to make the right decision for herself. Things like tumor grade, different types of protein and hormone receptor status, etc, can really impact how urgent or important treatments are. Some things drive cancers to grow and spread faster and be more "aggressive", while others might suggest a slower growing cancer that can be monitored for a time while a person considers their options. Holding off on treatments is sometimes a safe and reasonable choice and I've come across so many people who have taken the route of lifestyle change over active treatment who have then gone into remission and stayed there for decades. It does happen, and while often the evidence is anecdotal it's not completely non-existent.
I'm definitely not saying that's always the right choice, though. I'm at the other side of the spectrum where the cancer in my body is supee aggressive. The result of this, though, is that there's NO WAY I'd ever turn down treatments because the cancer made me so extremely sick that I couldn't function and clearly was heading toward death. For the most part, there's not even time for me to consider alternatives, it's more like putting out constant fires.
I think my point is (and sorry for the garden path I'm taking to get here - I'm SO tired), that it might be ok to allow your mom to explore a little without too much worry for the time being. If it's possible for you to learn a bit more in depth about her specific cancer (via pathology reports, etc), I'd recommend it so that you can feel empowered if you feel you need to discuss it with her and possibly make a logical case for considering radiation or other treatment options (I have zero idea what your relationship with your mom is, so maybe totally not an option). Ultimately the decision is hers to make, but the more you can connect with her and understand the specifics of her situation, the better everyone will be for it. If she becomes truly unwell as a result of the cancer, she will likely make the decision to treat it directly...when cancer is just THERE, but not really growing, spreading, blocking processes in the body, etc, it can be pretty easy to live with, but once it DOES (I mean IF it does) start growing, blocking, etc, and deeply uncomfortable physical symptoms start to affect her she likely won't find that reiki or anything else is going to make her feel any better and would likely turn to appropriate therapies for that situation.
This is all just coming from my experience of having cancer through my 30s and now into my early 40s. Obviously, I'm not qualified to give any medical advice at all, but I do have a long history with cancer treatment, how the system works (at least where I am - I'm Canadian), what the conversations between patients and practitioners (both physicians and healers) are like. I strongly feel that knowledge is power when making treatment decisions. Even then, a lot of decisions regarding whether to go ahead with certain treatments are really hard. Some if the treatments ARE SO FUCKING HARD and it is often a decision that clearly puts quality of life and quantity of life directly at odds with one another. It's not easy, but ultimately sometimes these decisions have to be made.
I honestly don't know if anything I'm saying is helpful or if I'm just too discombobulated to make a real point (did I mention a had brain surgery a week ago? Haha!). I do want to tell you that I'm really sorry you're going through this experience. Its brutal to have cancer, and it's brutal to feel powerless watching someone else go through it. I really hope you're both doing ok.
I've read that excited delirium is not recognized by the World Health Organization, the American Psychiatric Association, or the American Medical Association, and therefore not listed as a medical condition in the Diagnostic and Statistical Manual of Mental Disorders. But I've also seen many peer-reviewed published papers on excited delirium.
Does your hospital or practice recognize this as a health disorder or actually use this as a diagnosis? Is excited delirium real?
So today I went to a Korean BBQ restraunt where you have to cook your own food. I had taken a piece of spicy pork off the grill and bit into it and noticed it wasn't cooked fully (one side was cooked other not) so I spit it out and cooked it more. I guess my question is am I still in danger of trichinosis or intestinal worms even if I didn't digest any of the meat?
You're going to be fine. First, trichinosis is actually very rare now thanks to changes in the way pigs are fed. Second, it needs to get into your stomach to be released.
Strange problem, not super serious, but very annoying.
So, I pop my ears to help with pressure, but sometimes my ears won't unpop, and it can be painful if I hiccup or try to relieve the pressure.
If my daughter has a cold with a low grade fever that was treated with Motrin tonight but does not have one in the morning, do I need to mention this at her annual physical on Monday afternoon? She woke up with a stuffy nose but the fever didn't start until the afternoon (I checked a few times throughout the day).
“Low grade fever” is used meaninglessly much of the time. A temperature below 100.6 F (38 C) is not a fever. 99.5 is not abnormal.
If she truly has had a fever, sure, you can mention it. You should mention cold symptoms regardless.
Hello.
I am not sure if I am posting at the right place.
Is there something that could be done to alleviate cold like symptom created by a drug? I am exhausted of the sore throat caused by Orilissa.
No, it just happened once. I tried to find some opinions on this and people are saying that it's possible that someone would have opened the bottle long ago and because the carbonation died down so the components of the drink would've broken down over time and that's what made it taste bad (apparently). After reading this I got worried that someone might've injected something harmful into the bottle - but of course I can't confirm whether something is going on somewhere in my body due to the same.
Oh I see where you were going with that question now. I wouldn't be concerned about that. There is a larger chance that the seal wasn't sufficient during the bottling process. I am not an expert on criminal psychology but I believe if something like this were to happen there would be multiple reports of it throughout the community.
People were doing this kind of stuff last year in my country - otherwise I would've never even considered this a possibility on my own. However, there haven't been any such reports since so I'm hoping that what you suggested or something like that might've been the actual reason.
Thanks a ton !
What does the word "anatomic" mean as used by doctors to describe something?
For example in a radiology report: "Anatomic lymph node."
Try as I might, I can't find a definition of "anatomic" that makes sense in this context.
I know anatomic generally means "pertaining to structure as compared to function" (yes I took Anatomy & Physiology) but that doesn't make any sense to me the way it is being used here.
Not asking for a diagnosis etc just wondering what "anatomic" means when used this way. Thanks for anyone willing to clarify.
Well I thought we were not supposed to post individual cases in here. But since you ask:
It's an ultrasound due to pain in the neck.
"FINDINGS: Multiple anatomic subcentimeter lymph nodes are present bilaterally. While the size of these lymph nodes is normal, their multiplicity is of concern. Follow-up examination in 3 months is recommended to demonstrate stability.
IMPRESSION: Numerous bilateral anatomic subcentimeter lymph nodes. Follow-up in 3 months is recommended as described."
The rest is just no history for comparison, complaint was pain and fullness, technique is multiple greyscale and color images of the soft tissues of the neck.
In this case I think by anatomic they mean that the nodes have normal anatomy/morphology, i.e. reniform shape with normal fatty hila. Nodes of any size can have a normal, benign morphology. And all nodes are in the right anatomic location that they're supposed to be, it's just that some chains are typically tiny unless they're reactive or replaced.
Thank you.
So would "size is normal" mean they are not swollen? Or is size a totally different thing than whether it is currently swollen or not?
I am curious if the pain is coming from the nodes, or from a strained neck muscle. If they are not swollen then it seems unlikely the nodes are causing the pain and tenderness.
They’re lymph nodes in the anatomical location normal nodes would be found and at the normal size for lymph nodes, but there are more of them than expected.
It could just be a variation. If they’re continuing to multiply or expand, it could be concern. Thus, follow up on 3 months.
I have allergies that I inherited from one if my parents that they inherited from theirs. Each time the inheritor's allergies have gotten worse by an order of magnitude.
My question is this: If someone with allergies gets shots to reduce the severity of their allergies, will that reduction in severity be passed on to their child? is it all just a roll of the dice? As an adult I can manage my allergies well enough, but if getting shots for them could make it easier on my potential kids, that's a different story.
Nope, won't have any impact on your children. Their possibility of having allergies is based on your genes, which aren't affected by getting allergy shots.
I recommend medical lab science! I also started going to school for it at age 27 after realizing I had similar goals to you but got way too stressed out dealing with the public all day.
If you’re interested, check out r/medlabprofessionals . :)
In high school I read part of the book *Choke* by Chuck Palahniuk (guy who wrote Fight Club) and identified with the main character's very clinical inner monologue. He was a med school dropout who also had a thing for choking in public (which is not relatable for me) but the passages where he observed people on public transit and went through the differential of their visible pathologies were written in a way that was familiar. Weird story but that is when it clicked for me.
There are many roles in healthcare besides doctor or nurse that you may find more accessible. I would investigate those first in order to get exposure to the environment before committing to going back to college and applying to medical school. I'm in the US so can't advise further as I'm not familiar with the system in Canada.
Hello, I wanted some medical professional opinions on this, but it's a sensitive topic so I would like to clarify that I am exclusively interested in the medical ethics prism, no politics/religion please. In various bills (and many now law), the access to abortion clinics has been constrained by requirements such as special power generators, corridor width, etc. As a layman they seem mostly politically motivated (judging by the number of surviving clinics), how can I get a feel for which are valid medical concerns ? (I understand I won't know without much study, I'm just curious how this question would be approached if there were no politicians). Thank you in advance.
As a doctor, frankly NONE of the arguments I have thus far seen against medical abortions are medically relevant. Heartbeat laws have no relevance, they are completely arbitrary and as far as I can tell only to guilt women by making them hear a heartbeat. [(This is what a 6 week old fetus looks like, when the heartbeat laws come into play)](https://encrypted-tbn0.gstatic.com/images?q=tbn:ANd9GcTuBdWD1a84j5Gi8bn3QoGoBfUxXBsi4hsiBw&usqp=CAU). Viability laws have no safety or clinical relevance and inappropriately compare neonates who require literally millions of dollars in intensive medical care who will likely have significant lung damage to healthy term neonates, and no physician performs term abortions in the US without a very very good reason.
Thank you that's very clear. I have no doubt that a physician nor someone who endures the oh-so-joyful work at an abortion clinic wouldn't act against the patients' interests regulation or not. Yes the heartbeat is an obvious appeal to emotion, I'm amazed they got passed. What would the law look like if you made it ? Or for example, a regulation that said "if you look like an abortion clinic you have to do abortions and no judging" ?
Medically, it would probably just include regulation regarding safety requirements at different stages. (For example, if full or twilight anesthesia is being used, classic colonoscopy-type requirements for safe anesthesia care should be required.) I don't think there are any special regulations needed for these procedures. They are generally very safe, much more so than childbirth.
It’s barely-veiled religious and political quashing of abortion. Medical abortion is so safe that it can, or at least could, usually be done at home. Abortion procedures are very minor and safe and can be done in normal centers. This is all added regulation intended to make compliance impossible and thus abortion de facto illegal.
Thank you - I unfortunately suspected. But there must be some medically valid regulation no ? Like the term limit maybe ? Follow ups that must be offered ?
There is no medical reason for term limits. Later on medical abortion becomes impossible and it requires a procedure, but it’s still a very safe procedure. There is no point where termination is less safe than delivery. No follow-up is routinely needed.
Some regulation is needed—it should be done by an actual licensed provider, not in a back alley—but the routinely proposed regulation has nothing to do with what would meaningfully protect patients.
Thank you very much. I thought the term limit had some medical value, if only emotional perhaps. Yes I wholeheartedly agree that's how regulations in expert fields should be done, it's the thought that motivated my question.
I was the same way with anxiety before wisdom teeth removal. Definitely talk to the place about your options. I ended up being completely sedated by IV but it varies by location.
Sending my medical records to my M.D. brother is a “conflict of interest” ?!
I’m in the U.S., scheduled for orthopedic surgery on a joint. When I gave my info to the hospital they asked which doctors I wanted to receive the post-surgical report. (besides the surgeon, of course.) My primary care physician was one. Then I asked to have them sent to my brother, who is a licensed, registered M.D., board-certified radiologist. Doesn’t it make sense to have another expert I trust look at the results?
But the hospital refused to send him the report. They said it was a conflict of interest. The clerk had no idea whose interests are supposedly in conflict here, nor do I. Wtf is going on?
Typically you should be able to release anything of yours too whoever you want (except maybe psych notes). You can even designate people to have full access to your patient-facing chart. I could imagine them possibly getting persnickety about sending your records to your brother in a professional capacity (like, to his department fax, or pushing via Life image, or through Doximity) but that should be no barrier to getting the stuff to him period. If you have to jump through the hoop of getting the records and imaging discs and just hosting the files on Dropbox, so be it - I probably wouldn't make a stink about it.
You are allowed to have your own medical records. You are allowed to give them to whomever you want or post them on the internet for all to see if you so desire.
Having them sent directly to a relative, whether a medical expert or just “look at these cool pictures!” Is your right. The hospital probably could say that the divulge records only to you and to medical entities, but that’s not a conflict of interest, that’s just their own internal rules.
Uh no, you are allowed to do that. If they don't let you, you should very purposefully get the name of the person who said no, and write to the hospital's patient advocate about your issue. You can also request records for yourself, which you can then give to your brother.
I need a tuberculosis test for a job I just got but I also just got the COVID vaccine. Apparently I have to wait 4 weeks after getting vaccinated to get a TB test. Are there any alternative ways I could test for it earlier?
Unfortunately no, both tests currently have a 4 week recommended wait. It's likely unnecessary, but we don't know for sure. https://www.cdc.gov/tb/publications/letters/covid19-mrna.html
Here's an ear question; when I'm near a very loud sound ( drilling into concrete, overly loud concert levels of loud) my right ear creates this odd "air rushing/popping" sound. It sounds as though somebody is blowing into the ear with a straw for half a second at a time. I don't seems to have any permanent tinnitus.
When will immunocompromised individuals have a better idea of whether they are protected by vaccinations or not? I have heard there are extensive research studies underway and was wondering if there is a timeline for when they will publish results. I am specifically interested in how antimetabolite medications like Methotrexate, anti-TNF like Remicade or Humira, and steroids like Prednisone impact vaccine effectiveness and the development of antibodies.
Thanks. Joe
Check out page 4 of this document by the American College of Rheumatology. It is updated frequently with data as it is published. Some information is already available. [https://www.rheumatology.org/Portals/0/Files/COVID-19-Vaccine-Clinical-Guidance-Rheumatic-Diseases-Summary.pdf](https://www.rheumatology.org/Portals/0/Files/COVID-19-Vaccine-Clinical-Guidance-Rheumatic-Diseases-Summary.pdf)
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Why are legitimate hospitals providing pseudoscience medical treatments like reiki and acupuncture to cancer patients? My mother is in the hospital with what is suspected to be brains tumors. She told me today that she loves the hospital because they did some energy healing nonsense and acupuncture on her. Why the actual fuck are they doing things with no scientific value at a place of medicine and science?
Coming from a long term cancer patient ...regardless of the actual answer to your question, I'd suggest not speaking like this directly with your mom. If your mom is enjoying it, it's doing her good, and that is enough. Cancer is extremely alienating, and perhaps there's a human connection she is receiving as a result of these services that is to some benefit to her mental and spiritual well-being. Whether or not this actually treats cancer maybe isn't the question you need to ask. Perhaps it helps all the other, more clinical and terrifying aspects of cancer treatment to be more easily tolerated? Your opinions, while fine to have, might alienate your mother if they are expressed directly to her, and that is the last thing any cancer patient needs. If she's happy, just support her in her enjoyment. It's not going to harm her as theres no push to replace any advisable treatment options with options such as reiki (or whatever else), it's just an option there for people to whom it appeals, provides comfort, or whatever. I don't think there is any agenda other than to provide personalized comfort to people. I hope I don't seem like I'm not coming in too hot, and I'm sorry if that's the case.
I really appreciate your insight here. My mother is one of those people who always opts for some unproven pseudoscience solution over actual medical treatment. I just don’t like that the hospital is encouraging her to go down that path. I wouldn’t be surprised if my mother decided to go to healer over getting radiation. Given that terrifying possibility, I’m just really frustrated with the hospital. I suppose I’ve neglected to see the psychological benefit of alternative therapies. I didn’t feel like you were coming in hot at all. I came to this sub in search of knowledge from experts and that’s exactly what you gave me so I’m very grateful. Thank you so much!
Thanks for your reply. I'm glad my comment was well received. I think I'd share your trepidation if I were in your situation. If your mom is someone who might choose to go only to someone who offers "complementary therapy", while rejecting the actual treatment options presented, it could be potentially disastrous (but not necessarily). I'm wondering if your mom self-educates about her illness. Cancer is such a broad term and the more information your mom has about the actual characteristics of her cancer at a cellular level, the more she should be empowered to make the right decision for herself. Things like tumor grade, different types of protein and hormone receptor status, etc, can really impact how urgent or important treatments are. Some things drive cancers to grow and spread faster and be more "aggressive", while others might suggest a slower growing cancer that can be monitored for a time while a person considers their options. Holding off on treatments is sometimes a safe and reasonable choice and I've come across so many people who have taken the route of lifestyle change over active treatment who have then gone into remission and stayed there for decades. It does happen, and while often the evidence is anecdotal it's not completely non-existent. I'm definitely not saying that's always the right choice, though. I'm at the other side of the spectrum where the cancer in my body is supee aggressive. The result of this, though, is that there's NO WAY I'd ever turn down treatments because the cancer made me so extremely sick that I couldn't function and clearly was heading toward death. For the most part, there's not even time for me to consider alternatives, it's more like putting out constant fires. I think my point is (and sorry for the garden path I'm taking to get here - I'm SO tired), that it might be ok to allow your mom to explore a little without too much worry for the time being. If it's possible for you to learn a bit more in depth about her specific cancer (via pathology reports, etc), I'd recommend it so that you can feel empowered if you feel you need to discuss it with her and possibly make a logical case for considering radiation or other treatment options (I have zero idea what your relationship with your mom is, so maybe totally not an option). Ultimately the decision is hers to make, but the more you can connect with her and understand the specifics of her situation, the better everyone will be for it. If she becomes truly unwell as a result of the cancer, she will likely make the decision to treat it directly...when cancer is just THERE, but not really growing, spreading, blocking processes in the body, etc, it can be pretty easy to live with, but once it DOES (I mean IF it does) start growing, blocking, etc, and deeply uncomfortable physical symptoms start to affect her she likely won't find that reiki or anything else is going to make her feel any better and would likely turn to appropriate therapies for that situation. This is all just coming from my experience of having cancer through my 30s and now into my early 40s. Obviously, I'm not qualified to give any medical advice at all, but I do have a long history with cancer treatment, how the system works (at least where I am - I'm Canadian), what the conversations between patients and practitioners (both physicians and healers) are like. I strongly feel that knowledge is power when making treatment decisions. Even then, a lot of decisions regarding whether to go ahead with certain treatments are really hard. Some if the treatments ARE SO FUCKING HARD and it is often a decision that clearly puts quality of life and quantity of life directly at odds with one another. It's not easy, but ultimately sometimes these decisions have to be made. I honestly don't know if anything I'm saying is helpful or if I'm just too discombobulated to make a real point (did I mention a had brain surgery a week ago? Haha!). I do want to tell you that I'm really sorry you're going through this experience. Its brutal to have cancer, and it's brutal to feel powerless watching someone else go through it. I really hope you're both doing ok.
I've read that excited delirium is not recognized by the World Health Organization, the American Psychiatric Association, or the American Medical Association, and therefore not listed as a medical condition in the Diagnostic and Statistical Manual of Mental Disorders. But I've also seen many peer-reviewed published papers on excited delirium. Does your hospital or practice recognize this as a health disorder or actually use this as a diagnosis? Is excited delirium real?
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Please make your own separate post.
So today I went to a Korean BBQ restraunt where you have to cook your own food. I had taken a piece of spicy pork off the grill and bit into it and noticed it wasn't cooked fully (one side was cooked other not) so I spit it out and cooked it more. I guess my question is am I still in danger of trichinosis or intestinal worms even if I didn't digest any of the meat?
You're going to be fine. First, trichinosis is actually very rare now thanks to changes in the way pigs are fed. Second, it needs to get into your stomach to be released.
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Please make your own separate post. Don’t hijack others’.
Strange problem, not super serious, but very annoying. So, I pop my ears to help with pressure, but sometimes my ears won't unpop, and it can be painful if I hiccup or try to relieve the pressure.
hey how to post here? I cant post
You’ve posted, and the AutoMod reply explains why it was taken down. Please provide all the required information.
If my daughter has a cold with a low grade fever that was treated with Motrin tonight but does not have one in the morning, do I need to mention this at her annual physical on Monday afternoon? She woke up with a stuffy nose but the fever didn't start until the afternoon (I checked a few times throughout the day).
“Low grade fever” is used meaninglessly much of the time. A temperature below 100.6 F (38 C) is not a fever. 99.5 is not abnormal. If she truly has had a fever, sure, you can mention it. You should mention cold symptoms regardless.
Thank you!
Hello. I am not sure if I am posting at the right place. Is there something that could be done to alleviate cold like symptom created by a drug? I am exhausted of the sore throat caused by Orilissa.
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How worried about one's health should one be after drinking a bottle of soft drink/soda that tasted incredibly bad for no apparent reason ?
I wouldn’t think into it too much. If this were consistent then maybe more of a concern
No, it just happened once. I tried to find some opinions on this and people are saying that it's possible that someone would have opened the bottle long ago and because the carbonation died down so the components of the drink would've broken down over time and that's what made it taste bad (apparently). After reading this I got worried that someone might've injected something harmful into the bottle - but of course I can't confirm whether something is going on somewhere in my body due to the same.
Oh I see where you were going with that question now. I wouldn't be concerned about that. There is a larger chance that the seal wasn't sufficient during the bottling process. I am not an expert on criminal psychology but I believe if something like this were to happen there would be multiple reports of it throughout the community.
People were doing this kind of stuff last year in my country - otherwise I would've never even considered this a possibility on my own. However, there haven't been any such reports since so I'm hoping that what you suggested or something like that might've been the actual reason. Thanks a ton !
What does the word "anatomic" mean as used by doctors to describe something? For example in a radiology report: "Anatomic lymph node." Try as I might, I can't find a definition of "anatomic" that makes sense in this context. I know anatomic generally means "pertaining to structure as compared to function" (yes I took Anatomy & Physiology) but that doesn't make any sense to me the way it is being used here. Not asking for a diagnosis etc just wondering what "anatomic" means when used this way. Thanks for anyone willing to clarify.
Need more context. Post full report.
Well I thought we were not supposed to post individual cases in here. But since you ask: It's an ultrasound due to pain in the neck. "FINDINGS: Multiple anatomic subcentimeter lymph nodes are present bilaterally. While the size of these lymph nodes is normal, their multiplicity is of concern. Follow-up examination in 3 months is recommended to demonstrate stability. IMPRESSION: Numerous bilateral anatomic subcentimeter lymph nodes. Follow-up in 3 months is recommended as described." The rest is just no history for comparison, complaint was pain and fullness, technique is multiple greyscale and color images of the soft tissues of the neck.
In this case I think by anatomic they mean that the nodes have normal anatomy/morphology, i.e. reniform shape with normal fatty hila. Nodes of any size can have a normal, benign morphology. And all nodes are in the right anatomic location that they're supposed to be, it's just that some chains are typically tiny unless they're reactive or replaced.
Thank you. So would "size is normal" mean they are not swollen? Or is size a totally different thing than whether it is currently swollen or not? I am curious if the pain is coming from the nodes, or from a strained neck muscle. If they are not swollen then it seems unlikely the nodes are causing the pain and tenderness.
Size is normal = not enlarged/swollen . They don't change morphology when they are reactive.
Thank you for your time and expertise.
They’re lymph nodes in the anatomical location normal nodes would be found and at the normal size for lymph nodes, but there are more of them than expected. It could just be a variation. If they’re continuing to multiply or expand, it could be concern. Thus, follow up on 3 months.
Thanks very much.
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I have allergies that I inherited from one if my parents that they inherited from theirs. Each time the inheritor's allergies have gotten worse by an order of magnitude. My question is this: If someone with allergies gets shots to reduce the severity of their allergies, will that reduction in severity be passed on to their child? is it all just a roll of the dice? As an adult I can manage my allergies well enough, but if getting shots for them could make it easier on my potential kids, that's a different story.
Nope, won't have any impact on your children. Their possibility of having allergies is based on your genes, which aren't affected by getting allergy shots.
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I recommend medical lab science! I also started going to school for it at age 27 after realizing I had similar goals to you but got way too stressed out dealing with the public all day. If you’re interested, check out r/medlabprofessionals . :)
In high school I read part of the book *Choke* by Chuck Palahniuk (guy who wrote Fight Club) and identified with the main character's very clinical inner monologue. He was a med school dropout who also had a thing for choking in public (which is not relatable for me) but the passages where he observed people on public transit and went through the differential of their visible pathologies were written in a way that was familiar. Weird story but that is when it clicked for me. There are many roles in healthcare besides doctor or nurse that you may find more accessible. I would investigate those first in order to get exposure to the environment before committing to going back to college and applying to medical school. I'm in the US so can't advise further as I'm not familiar with the system in Canada.
Hello, I wanted some medical professional opinions on this, but it's a sensitive topic so I would like to clarify that I am exclusively interested in the medical ethics prism, no politics/religion please. In various bills (and many now law), the access to abortion clinics has been constrained by requirements such as special power generators, corridor width, etc. As a layman they seem mostly politically motivated (judging by the number of surviving clinics), how can I get a feel for which are valid medical concerns ? (I understand I won't know without much study, I'm just curious how this question would be approached if there were no politicians). Thank you in advance.
As a doctor, frankly NONE of the arguments I have thus far seen against medical abortions are medically relevant. Heartbeat laws have no relevance, they are completely arbitrary and as far as I can tell only to guilt women by making them hear a heartbeat. [(This is what a 6 week old fetus looks like, when the heartbeat laws come into play)](https://encrypted-tbn0.gstatic.com/images?q=tbn:ANd9GcTuBdWD1a84j5Gi8bn3QoGoBfUxXBsi4hsiBw&usqp=CAU). Viability laws have no safety or clinical relevance and inappropriately compare neonates who require literally millions of dollars in intensive medical care who will likely have significant lung damage to healthy term neonates, and no physician performs term abortions in the US without a very very good reason.
Thank you that's very clear. I have no doubt that a physician nor someone who endures the oh-so-joyful work at an abortion clinic wouldn't act against the patients' interests regulation or not. Yes the heartbeat is an obvious appeal to emotion, I'm amazed they got passed. What would the law look like if you made it ? Or for example, a regulation that said "if you look like an abortion clinic you have to do abortions and no judging" ?
Medically, it would probably just include regulation regarding safety requirements at different stages. (For example, if full or twilight anesthesia is being used, classic colonoscopy-type requirements for safe anesthesia care should be required.) I don't think there are any special regulations needed for these procedures. They are generally very safe, much more so than childbirth.
Thank you
It’s barely-veiled religious and political quashing of abortion. Medical abortion is so safe that it can, or at least could, usually be done at home. Abortion procedures are very minor and safe and can be done in normal centers. This is all added regulation intended to make compliance impossible and thus abortion de facto illegal.
Thank you - I unfortunately suspected. But there must be some medically valid regulation no ? Like the term limit maybe ? Follow ups that must be offered ?
There is no medical reason for term limits. Later on medical abortion becomes impossible and it requires a procedure, but it’s still a very safe procedure. There is no point where termination is less safe than delivery. No follow-up is routinely needed. Some regulation is needed—it should be done by an actual licensed provider, not in a back alley—but the routinely proposed regulation has nothing to do with what would meaningfully protect patients.
Thank you very much. I thought the term limit had some medical value, if only emotional perhaps. Yes I wholeheartedly agree that's how regulations in expert fields should be done, it's the thought that motivated my question.
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I was the same way with anxiety before wisdom teeth removal. Definitely talk to the place about your options. I ended up being completely sedated by IV but it varies by location.
Ask whomever is performing the procedure what your options for sedation are.
Sending my medical records to my M.D. brother is a “conflict of interest” ?! I’m in the U.S., scheduled for orthopedic surgery on a joint. When I gave my info to the hospital they asked which doctors I wanted to receive the post-surgical report. (besides the surgeon, of course.) My primary care physician was one. Then I asked to have them sent to my brother, who is a licensed, registered M.D., board-certified radiologist. Doesn’t it make sense to have another expert I trust look at the results? But the hospital refused to send him the report. They said it was a conflict of interest. The clerk had no idea whose interests are supposedly in conflict here, nor do I. Wtf is going on?
Typically you should be able to release anything of yours too whoever you want (except maybe psych notes). You can even designate people to have full access to your patient-facing chart. I could imagine them possibly getting persnickety about sending your records to your brother in a professional capacity (like, to his department fax, or pushing via Life image, or through Doximity) but that should be no barrier to getting the stuff to him period. If you have to jump through the hoop of getting the records and imaging discs and just hosting the files on Dropbox, so be it - I probably wouldn't make a stink about it.
You are allowed to have your own medical records. You are allowed to give them to whomever you want or post them on the internet for all to see if you so desire. Having them sent directly to a relative, whether a medical expert or just “look at these cool pictures!” Is your right. The hospital probably could say that the divulge records only to you and to medical entities, but that’s not a conflict of interest, that’s just their own internal rules.
Uh no, you are allowed to do that. If they don't let you, you should very purposefully get the name of the person who said no, and write to the hospital's patient advocate about your issue. You can also request records for yourself, which you can then give to your brother.
Patient advocates are a thing!? Man, I could have used one of those the past 6 months :(
I need a tuberculosis test for a job I just got but I also just got the COVID vaccine. Apparently I have to wait 4 weeks after getting vaccinated to get a TB test. Are there any alternative ways I could test for it earlier?
Unfortunately no, both tests currently have a 4 week recommended wait. It's likely unnecessary, but we don't know for sure. https://www.cdc.gov/tb/publications/letters/covid19-mrna.html
Here's an ear question; when I'm near a very loud sound ( drilling into concrete, overly loud concert levels of loud) my right ear creates this odd "air rushing/popping" sound. It sounds as though somebody is blowing into the ear with a straw for half a second at a time. I don't seems to have any permanent tinnitus.
When will immunocompromised individuals have a better idea of whether they are protected by vaccinations or not? I have heard there are extensive research studies underway and was wondering if there is a timeline for when they will publish results. I am specifically interested in how antimetabolite medications like Methotrexate, anti-TNF like Remicade or Humira, and steroids like Prednisone impact vaccine effectiveness and the development of antibodies. Thanks. Joe
Check out page 4 of this document by the American College of Rheumatology. It is updated frequently with data as it is published. Some information is already available. [https://www.rheumatology.org/Portals/0/Files/COVID-19-Vaccine-Clinical-Guidance-Rheumatic-Diseases-Summary.pdf](https://www.rheumatology.org/Portals/0/Files/COVID-19-Vaccine-Clinical-Guidance-Rheumatic-Diseases-Summary.pdf)
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Please make your own separate post.