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The Medical Thread: We're experts on everything else; why not?

Re: The Medical Thread: We're experts on everything else; why not?

Viagara now available over the counter in the UK.
 
The constipation issue is pretty much resolved. What was missing was oats and high intensity activity.

As for the fatigue and anemia: feeling better. Enough to run and do more intense workouts again. However, I am holding myself to a promise of "No 26.2" this coming year. I think 5K, 10K, and sprint duathlon (5K run/20K bike/5K run) should keep me busy.
 
Re: The Medical Thread: We're experts on everything else; why not?

I believe chronic fatigue was a misdiagnosis, and it was simple overtraining that led to being so f-cking tired.

2015, did three marathons, felt good.
2016, decided I could pile on with 5 marathons and a 50 mile ultra. After the Marquette Marathon Labor Day weekend that year, my ankles were screaming. After each marathon that year, I only waited a week before heading back out.
2017, I wanted to shoot the moon. Shot both feet off in the process. I wanted to be on someone else's level so badly that I ignored the warning signs. In the end, when I was forced to not run between August and December, "I did absolutely nothing. And it was everything I dreamed it could be."
 
Re: The Medical Thread: We're experts on everything else; why not?

CBD oil cream/salve/balm whatever you want to call it, it works.
 
Re: The Medical Thread: We're experts on everything else; why not?

St. Clown said:
Clearly a one-sided report, with Mayo declining to respond, but interesting nonetheless.

Family says Mayo was trying to abduct their daughter.
Click to expand...

Admittedly, I'm a supporter of Mayo. But starting with the line that the patient had virtually no chance of survival and progressing quickly to obscenities, I have some doubts about this one. 1) They see thousands of patients a day - not surprising that at some point they'll have some issues 2) This is not a bank - they literally save the lives of hundreds a day and potentially lives that may not have been saved elsewhere. I think giving some slack is due. 3) It even appears that CNN is walking on egg shells with how much positioning this one's getting. Questionable.
 
Re: The Medical Thread: We're experts on everything else; why not?

5mn_Major said:
Admittedly, I'm a supporter of Mayo. But starting with the line that the patient had virtually no chance of survival and progressing quickly to obscenities, I have some doubts about this one. 1) They see thousands of patients a day - not surprising that at some point they'll have some issues 2) This is not a bank - they literally save the lives of hundreds a day and potentially lives that may not have been saved elsewhere. I think giving some slack is due. 3) It even appears that CNN is walking on egg shells with how much positioning this one's getting. Questionable.
Click to expand...

Here is the thing about the Mayo Clinic. If your head just fell off of your shoulders one day, that's the place where I'd want it to happen because if there is a way to keep you alive in that situation, they will figure it out.

But, the Mayo Clinic, as a business and organization, is nasty. I can tell you this from personal experience. When talking about Mayo it is extremely important to remember those differences. They would throw a wheelchair bound 80 year old into the street if she was interfering with their business expansion plans, then turn around and have one of their doctors restore her ability to walk.

This young lady was saved by a medical miracle that can really only be performed at Mayo and perhaps a couple of other locations. The problem afterward is that she ended up having to deal at length with the corporation.
 
Re: The Medical Thread: We're experts on everything else; why not?

Have a cold in the summer is no fun.

Having the cold that is ripping through my region this summer is a whole lot of no fun. I should've bought stock in Kleenex.
 
Re: The Medical Thread: We're experts on everything else; why not?

unofan said:
And this is where I stopped reading. I wish people would post real articles about newsworthy events instead of screeds from advocacy sites.
Click to expand...

Yeah. Medical malpractice insurance is of great value on society. Beyond that, there are certain institutions that are a target...because they attract readers. Notice that in spite of other major stories, the Mayo story wasn't just a front page story...it was the screaming headline. That's editorial positioning.
 
5mn_Major said:
Yeah. Medical malpractice insurance is of great value on society. Beyond that, there are certain institutions that are a target...because they attract readers. Notice that in spite of other major stories, the Mayo story wasn't just a front page story...it was the screaming headline. That's editorial positioning.
Click to expand...

The mayo story was at least cnn, which still had journalistic standards. I'm referring to the follow-up postings.
 
Re: The Medical Thread: We're experts on everything else; why not?

St. Clown said:
Clearly a one-sided report, with Mayo declining to respond, but interesting nonetheless.

Family says Mayo was trying to abduct their daughter.
Click to expand...

Although I do not have any direct knowledge of this patient (and full disclosure I have several colleagues and friends at Mayo), I can say that there are many errors in this report that I can say with pretty high certainty. Some may know I am critical of some of Mayo's practices but I can assure you that they are more than capable of following standard of care for this type of patient and unless there is convincing evidence otherwise, I would assume they did everything to the best of their ability.

I do not have the time right now to go into it deeply (busy inpatient service right now) but off the top I can say this patient was not on a neurology service, but a neurosurgery service. Frequently confused but very different. Aneurysms and their subsequent subarachnoid hemorrhage is managed by neurosurgeons, with possibly neurology as a consult to help with the almost inevitable seizures. The neurosurgeons would be the ones continuing the opiates.

These type of patients are literally the sickest people in the hospital for the first 2-3 weeks after rupture (as long as the surgeons can secure the aneurysm) but if you get them through that, they are the type of people that will walk back into your ICU in a year to thank you.

Briefly on the transfer, often you cannot transfer a patient because of insurance reasons. There are regulations that you cannot transfer a patient to a "less capable" hospital. For instance, if you transfer from a primary hospital to a tertiary care hospital, the insurance will not cover transfer out because by definition the tertiary care facility can offer every available treatment. Mayo is often referred to as a "quaternary care" facility (particularly for neuro related cases) so they likely have trouble fulfilling transfer requests.

I may add more later in the week but the tl;dr version is that there are enough clear, easy enough to correct errors throughout this entire piece that I seriously question the accuracy of anything said in it.
 
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