Hey. You may be aware, but the entire medical field has a long-standing hierarchical structure that stems from the ever-increasing knowledge we have in medicine and the need to learn through mentorship over the course of a decade. Generally, you go from med student (ranked in experience by years 1, 2, 3, and 4), to intern, to resident, to chief resident, then you become an attending physician that can work entirely independent. It can be considered rude to correct the people you are supposed to be learning from because 99.99% of the time, they know more about the topic than you will know for another few years.
When working with an attending this week, a 31 year old woman came in with some flu symptoms and wanted Covid and Flu testing with antibiotics if it ended up being bacterial rather than viral. In other words, she had a decent understanding of medicine to evens be coming in with that kind of agenda. She mentioned having received a graduate degree a few years prior and both her and her husband worked. The attending physician, in addition to ordering the testing, recommended a humidifier. Then the conversation went like this.
“Yeah. Humidifiers are great. Especially when it gets cold and dry like it is now. Do you have kids?”
Patient: “No”
“Well when you have kids it will be great for them too. Be sure to put one in their rooms first thing to keep their airways more clear.”
The patient didn’t say anything and didn’t look terribly uncomfortable but the topic was just dropped and we left the room.
After biting my lip, I said,
“Hey Dr. LastName. This may be a small thing, and it’s something that I’ve slipped up on before, but I think something we said in there might have made the patient uncomfortable or could under different circumstances. We said “when” the patient has kids, rather than “if” or even just asking if she was interested in having kids. I know that we can be short for time, but assuming things like that can hurt our relationship with patients.”
He initially dismissed me, saying that it wasn’t a big deal. After a couple minutes to think about it, he agreed with me, saying, “I guess I thought she was a lot younger. She looked really young.”
I didn’t want to upset that fragile victory that pointing out it shouldn’t fucking matter how old the patient is (btw props to 31 y.o. Childfree women looking 24), but figured that would at least be enough for him to start considering the idea that not everyone is religious and looking for the n
... keep reading on reddit ➡Just a note about the new cases today: These numbers include the partial update from yesterday, so it's not an additional 61 cases but 61 subtracting 23 from yesterday would be 38 new cases today alone.
- In addition there are 9 confirmed cases of Omicron and 34 presumptive positive cases of omicron in the province now.
December 18
In the Eastern Health region:
- Four between 20-39 years of age; and
- One between 50-59 years of age.
There are three females and two males. One is a contact of a previously known case and four are under investigation.
In the Central Health region:
- Three under 20 years of age;
- Six between 20-39 years of age;
- Three between 40-49 years of age;
- Three between 50-59 years of age; and
- One between 60-69 years of age.
There are four females and twelve males. Twelve are contacts of previously known cases, one is travel related, and three are under investigation.
In the Western Health region:
- Two under 20 years of age.
There is one female and one male. One is a contact of a previously known case and one is under investigation.
December 19
In the Eastern Health region:
- Nine between 20-39 years of age;
- One between 40-49 years of age; and
- Three between 50-59 years of age.
There are six females and seven males, and all are under investigation.
In the Central Health region:
- Two under 20 years of age;
- Eight between 20-39 years of age;
- Four between 50-59 years of age; and
- Two between 60-69 years of age.
There are six females and ten males. Nine are contacts of previously known cases and seven are under investigation.
In the Western Health region:
- Five under 20 years of age;
- One between 20-39 years of age; and
- Two between 40-49 years of age.
There are four females and four males. Three are contacts of previously known cases and five are under investigation.
In the Labrador-Grenfell region:
- One between 20-39 years of age.
The case is a male and is under investigation.
Advisories:
Effective midnight tonight, the communities of Badger, Gander, Grand Falls-Windsor and Twillingate will be moving into Alert Level 3. Under Alert Level 3:
- It is recommended to avoid travel in and out of the region unless it is for essential reasons such as work or medical care.
- Weddings, funerals, burials, religious and cultural ceremonies are limited to 100 people or 50 per cent of venue capacity, whichever is less.
- Public visitations are permitted, with one household bubble visiting at a t
Back in the day, [[Isamaru, Hound of Konda]] was a solid pick for White Weenie. [[Watchwolf]] was a good pick for the Zoo build. Neither is noteworthy now outside of a footnote, but their P/T-to-MV ratio was effective enough to reliably beat with, even if there were always creatures with actual abilities that were the genuine signposts of the decks.
Ignoring tokens, what level of efficiency should it take by this point for a vanilla creature to matter in Constructed?
Hey y'all,
I'm wondering if I can still apply for presumptive conditions. I deployed to Iraq in 09. I was initially denied for asthma and rhinitis since I told them I had allergies prior to enlisting and had an allergen test done as well. Since getting out my allergies have been getting significantly worst to where I'm constantly congested, taking meds for it, and overall unable to focus. Would it be worthwhile to try again with the new presumptive rules?
Thanks
I've been reading the posts and I'm in need of guidance. Currently, at 90%, I've filed several claims which are either Presumptive and/or Secondary. Most have been updated. See below:
Cervical Strain with loss of cervical lordosis - Secondary to Intervertebral disc syndrome, with spinal stenosis, degenerative arthritis and herniated disc (40%). I was denied this secondary service claim. I don't have cervical lordosis, but I do have cervical strain as I am constantly compensating, whether it be walking, standing, or laying down. My posture is hunched over and causes increased tension and strain on my neck area. This is all due to my main service connection. When I put cervical strain as the reason why I'm claiming it, it automatically included "Loss of cervical lordosis" too.
Sinusitis - Presumptive condition due to Burn Pits. Approved.
Rhinitis - Presumptive condition due to Burn pits. Denied. Why would this be denied yet, Sinusitis was approved and service-connected?
Migraine Headaches - Secondary claim to Tinnitus, and possibly PTSD. The claim was denied, not service-connected. Why?
Somatic Symptom Disorder - Secondary claim to PTSD 70%. Finished a C&P exam, DBQ for PTSD, and the provider mentioned that this disorder is primarily for pain that necessarily doesn't exist but affects the veteran or individual. Based on my research and others who have filed for it, this is commonly known as chronic pain, but the psychologists (in my opinion) disregarded the symptom. I'm aware that this gets tied into PTSD and can either be filed together or separately. She asked questions which closely related to my PTSD and they mentioned it will be submitted and PTSD re-evaluated. I don't know how to feel about this. The provider didn't seem knowledgeable about somatic symptom disorder based on her description. Am I thinking too hard on this or is this part of the process?
If anyone can help guide me on what to do or what are my next steps for the above claims that would be great! Perhaps me filing my claims online was a mistake and I should have gone through a VSO? Thanks everyone!
I’ve always gotten several of these types of emails a semester, but this academic year takes the cake. Almost daily I receive multiple emails that totally disregard all policies written into the assignment and syllabus by attaching poorly done work that doesn’t meet assignment criteria (or if it does, it’s weeks late with no extension having been granted with the explanation that they simply forgot to do the work) and then thank me for “understanding” and close with “I look forward to receiving my grade.”
No… no, you don’t look forward to receiving that big fat zero I already marked in the gradebook when the work was due. Know how I know?
Your follow up emails.
“My grade is very important to me. I know you understand this, and I know we can work something out.”
Oh, do you now?
It’s the last Friday of the semester, so fuck this Friday. I’m tempted not to respond to these emails since grades come out Tuesday anyway. I know if I ignore, I’ll be in for a long line of meetings in the spring with disgruntled students. On the other hand, I wonder if responding really matters at this point—from my experience, many will bully their way to whatever grade they assume they should have.
I was denied for sinusitis and rhinitis back in 2012. I am a gulf War vet and I filed them under the gulf War hazardous materials. What do I need to do to reopen both of the since they're both presumptive illnesses now and the va is treating me for both.
If filing for migraines and sleep disturbance do you specifically have to file them under gulf war presumptive or do they automatically tie it together?
Are there any claims that are considered to be presumptive based on the MOS that people worked in the service?
I've been out for a while, but also have bee n trying to get a dx for certain conditions since then. I finally have a dx for a menstrual disorder that would be assumed presumptive if dxed within a year of discharge.
Is it possible to still get it rated if I testify that I've had the symptoms the entire time? The disease is in stage 4 so it does show I've had it for a while.
Multiple Deployments, accepted to the Burn Pit Registry. Noticed about 2 years ago that I have issues with blockage, headaches among other issues. Never have been seen by a doctor for it, I just deal with it. My question is if I were to put in for a claim should I be diagnosed first by a civilian specialist, or put in the claim and have the VA diagnose? Not sure which way would be best to help my cause. thank you for any advice.
Hi, one of my friends got his RT-PCR test done yesterday at FH Health and he received a "Presumptive Positive" in the test results. Has anyone received the same on their test result?
They mentioned in the report that they will send the sample to another lab for confirmation. How long does it take for the confirmed results to arrive? Also could this be a false positive by any chance?
