phaedrus441

Medical license rules differ by state, but doctors need at least 1 year of postgraduate training to apply for a license (though without completing a residency, which is 3 years at a minimum, career options are severely limited).

Hadn’t heard of this. Just got a used copy for myself through Bookfinder!

Just a heads-up, you can get a great-condition 3DS (or 2DS) cheaply from Nintendo directly: https://store.nintendo.com/nintendo-3ds-2ds/refurbished.html

When I was a medical student on my psychiatry rotation we had a patient who was a history professor at a local college. He was actually admitted to the hospital after reporting himself for molesting his neighbor’s children, but this was investigated and turned out to be impossible. Nonetheless, he was convinced he had done it, and was very impulsive and saddened by it (he would tearfully confess over and over). In the end, we imaged his brain and diagnosed him with frontotemporal dementia. The most strangest aspect was that you could look on rateaprofessor.com and see how he gradually changed over the semesters. I remember a comment saying that he came in on day one, told the class they would all get A’s, and left without coming back for weeks.

The CDC says, "When performed and interpreted in accordance with current guidelines, 2-tiered serologic analysis has a sensitivity of ≈70%–100% and a specificity >95% for disseminated Lyme disease." [https://wwwnc.cdc.gov/eid/syn/en/article/22/7/15-1694.htm]

Thought I'd reply with another great resource I've used with patients: Tickborne Diseases of the United States from the CDC (https://www.cdc.gov/lyme/resources/TickborneDiseases.pdf). Great PDF to keep on hand (and in fact, UpToDate references it).

Coincidentally, I am in northern Virginia, went for a run and found a small tick on me tonight (for the first time ever).

This sounds more like the patient had previously-undiagnosed heart failure, didn’t respond well to rehydration (since it’s easier to become volume-overloaded with heart failure), and required further work-up.

This is the first I've heard of Qotom, can you elaborate?

Random question, but how did you have the link for this unlisted Youtube video?

As someone who just certified a residency match list last night, I'm glad this system exists.

This is becoming relatively common these days. As hospital systems switch to more-advanced EHRs, patients are often asked to sign up for a web-based account. From my experience, most hospitals are either going with products from Cerner or EPIC, and both offer this function (and even the ability to read physician notes, etc.)

You probably don't want to get one without a good reason: this uses x-rays, and you get a considerably-higher dose of radiation than something like a normal chest x-ray. As for other comments saying an older machine would be cheaper, etc., this is true, but older machines actually deliver more radiation.

All that being said, you can get modern CT scans cheaply in countries other than the US. In Japan, for example, there are ex-pat clinics that give comprehensive medical checkups, which include chest CT scans, starting around US$650, which is absolutely incredible compared to costs here in the States.

I like Moves (and all the quantified self stuff), but for me, I don't seem to get much out of the data. I just looked at Moves and had 161 days of data, but…so what? I've done nothing with it besides automatically check-in to places on Foursquare, which I also don't really need or care about ("Awesome, I'm mayor of Costco!"). I went ahead and deleted my account and the app on my phone—at least I'll see a little boost in battery life.