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

Woof! Norovirus is running its way through my house. My daughter, 5, got it from her second cousins during a birthday party this past Saturday, and late Sunday night she started down the path. Now my wife is going through it, and I’ve not been feeling in tiptop shape, perhaps a few hours behind my wife in symptoms. Two parents down with a daughter who’s recovered and ready to rejoin the world. I feel bad for her.

I had it once in my life, and I’m definitely not a fan. Since then, I’ve made it a point to take vitamins regularly to support my health. I’m grateful for uqora customer service, as they’ve been incredibly helpful in guiding me to choose the right ones. They provide personalized advice based on my needs, making it so much easier to stick to a routine. It's reassuring to know that I’m getting the right nutrients to keep myself feeling at my best. If you're ever unsure about supplements, I definitely recommend reaching out to them
 
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I had it once in my life. Not fan

My nephew came down with it on Thursday while he was babysitting my kids, the day before we were all leaving my brother's place, and he had it bad. In the TSA precheck line the next morning, my 6-yo son said, "I need to go to the bathroom NOW." We ran, and he puked. I was dreading the longest day of my life....but he turned out to be fine. I think he was just overheated from all the outside-weather clothes that my wife made him wear to an airport.

Everyone is still healthy for a running start into the petri dish called school tomorrow...
 
That was my first thought, but the more I read about long-term use of PPIs, the more I think a switch to an H2 antagonist would be worth a try. I've taken a PPI every other day or so for years to control my acid reflux, but I've never had any ulcers or ulcerative disorder. I am also a poor CYP2C19 metabolizer, which is why I don't take the PPI every day (and, sidenote, also why most SSRIs don't work for me).

Guess I should get my primary's thoughts on this.
 
 
This is fine.

A Texas doctor who has been treating children in a measles outbreak was shown on video with a measles rash on his face in a clinic a week before Health Secretary Robert F. Kennedy Jr. met him and praised him as an “extraordinary” healer.

Dr. Ben Edwards appeared in the video posted March 31 by the anti-vaccine group Kennedy once led, Children’s Health Defense. In it, Edwards appears wearing scrubs and talking with parents and children in a makeshift clinic he set up in Seminole, Texas, ground zero of the outbreak that has sickened hundreds of people and killed three, including two children.
 
Something else from my little adventure this week that bugged me. So I'm taken back and put in a chair. They do all the stuff I expect - order up a litany of bloodwork and take a sample, order a urinalysis and I went and peed in the cup, they start an IV, etc. Of course the lab results were ready long before the doctor came back to speak with us. However, Epic myChart pushed the results to my account before a doctor had a chance to interpret them and come back to report their findings. Now, I'm generally a rational person, but of course my curiosity got the better of me and I started Googling the lab results :rolleyes: 😂 (who wouldn't when you're sitting there waiting, worrying, and wondering?)

It just seems to me that Epic, or whomever supports the installation of Epic for each hospital, should consider putting a delay on releasing lab results until a doctor has seen and acknowledged them. Would likely be better for patients, particularly those with an anxiety disorder. Fortunately I don't have one, but I can imagine it would drive quite a few people over the edge.
 
I think it’s required by law in many states (all?) to release your labs immediately.

Imaging is different. But labs generally have to be released within a very short timeframe
 
Something else from my little adventure this week that bugged me. So I'm taken back and put in a chair. They do all the stuff I expect - order up a litany of bloodwork and take a sample, order a urinalysis and I went and peed in the cup, they start an IV, etc. Of course the lab results were ready long before the doctor came back to speak with us. However, Epic myChart pushed the results to my account before a doctor had a chance to interpret them and come back to report their findings. Now, I'm generally a rational person, but of course my curiosity got the better of me and I started Googling the lab results :rolleyes: 😂 (who wouldn't when you're sitting there waiting, worrying, and wondering?)

It just seems to me that Epic, or whomever supports the installation of Epic for each hospital, should consider putting a delay on releasing lab results until a doctor has seen and acknowledged them. Would likely be better for patients, particularly those with an anxiety disorder. Fortunately I don't have one, but I can imagine it would drive quite a few people over the edge.
Yes, required by law federally. Imaging is unfortunately not different, it is released as soon as the radiologist reading it. I have had patients look at pretty severe things on their own, even though I follow up nearly every outpatient result with the patient within 24 hours.

We cannot even delay genetic diagnosis from going to the patient in all but the most extreme things.

We don't like it...and patients also tend to not like it. I really wish there was a 24 hour, or 5 day delay.
 
Yes, required by law federally. Imaging is unfortunately not different, it is released as soon as the radiologist reading it. I have had patients look at pretty severe things on their own, even though I follow up nearly every outpatient result with the patient within 24 hours.

We cannot even delay genetic diagnosis from going to the patient in all but the most extreme things.

We don't like it...and patients also tend to not like it. I really wish there was a 24 hour, or 5 day delay.

Odd. I have never seen any of my imaging. Just the interpretation
 
Odd. I have never seen any of my imaging. Just the interpretation
Well sure, the interpretation is all that a patient will get. But this is a radiologist interpreting things so it may not match the clinical picture or expectations.

For example, I have had patients find out they have multiple sclerosis, brain tumor, etc the moment the report is released instead of giving me until the end of the day to call the patient to talk about the results as the ordering physician.

Additionally, radiologists report significant detail, so there are a lot of things that are benign/normal that sound very scary on a report and are much better relayed by a physician seeing the patient.
 
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