Re: Challenges in diagnosing asthma in children
(Source: BMJ Comments)
Source: BMJ Comments - March 4, 2024 Category: General Medicine Source Type: forums
Chronic cough question from Pulmonologist to GI doctors
Hello GI doctors
I have an honest question about community GI setups regarding getting esophageal manometry and 24 hour pH probe Bravo studies.
As a pulmonologist I see a lot of chronic cough.
After I have gone through the checklist of asthma/COPD/bronchiectasis/structural lung disease and done all of my PFTs, FENOs, bronchoprovocation testing, and CT chests, I am often still confronted with GERD
I barium esophagrams and at times I get lucky with GERD but this is not always the case...
Read more (Source: Student Doctor Network)
Source: Student Doctor Network - December 22, 2023 Category: Universities & Medical Training Authors: NewYorkDoctors Tags: Gastroenterology Source Type: forums
Medical waiver denied AF, chances of approval with Army?
Hey MilMed!
Long story short, I've been applying for AF HPSP since October. Responses have been SLOW. Today, I finally heard back that my medical waiver was denied. I had childhood asthma (last prescription at age 15, no incidence since age 9, and lots of time in sports (including Swimming) in HS, and a recent (06/2022) psoriasis diagnosis).
Before I put effort into trying with the Army, I'm wondering if anyone has had success getting either condition waived as a disqualifier?
Thanks in...
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Source: Student Doctor Network - November 7, 2023 Category: Universities & Medical Training Authors: W1zardDoctor Tags: Military Medicine Source Type: forums
3.58 and 510 should I add Schools?
cGPA/sGPA: 3.58, 3.68
MCAT: 510(128, 127, 128, 127)
State: Texas
Ethnicity: Chinese/Taiwanese
Undergrad: UTD Grad: Spring’ 2022
Clinical Experience (3000 hours paid) :
1 year projected in an allergy and asthma clinic as a scribe, MA, and front office with direct patient interaction (immunology injections, intake, and tests)
Research Experience (3200 hours):
3 month research at Baylor Scott and White Heart Hospital as a research intern. Worked on as a full-time position...
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Source: Student Doctor Network - July 26, 2023 Category: Universities & Medical Training Authors: Shugwinyasuper Tags: What Are My Chances? WAMC Medical Source Type: forums
Organisational change needed to move & quot;Towards net zero: asthma care & quot;
(Source: BMJ Comments)
Source: BMJ Comments - July 11, 2023 Category: General Medicine Source Type: forums
Re: Do not diagnose or routinely treat asthma or chronic obstructive pulmonary disease without pulmonary function testing
(Source: BMJ Comments)
Source: BMJ Comments - April 8, 2023 Category: General Medicine Source Type: forums
SCS cancelled: again
Anesthesia cancelling case.
Reported pneumonia a month ago. H/o asthma.
Off Abx x10 days.
Normal CBC
Normal CXR.
Pre-op eval 2 days before surgery and patient says SOB when waking to car. No sx in office, normal pulse ox on RA.
Cancelled by anesthesia as not at baseline.
Fax today from PCP saying low risk.
Your take? (Source: Student Doctor Network)
Source: Student Doctor Network - October 27, 2022 Category: Universities & Medical Training Authors: lobelsteve Tags: Anesthesiology Source Type: forums
Is xanax contraindicated in Asthma / Copd exacerbation
Is there any data that restricts the use of low dose xanax (0.5mg) in mild asthma exacerbations (not requiring o2) Can they still take to help them sleep. Is it a complete contraindication? (Source: Student Doctor Network)
Source: Student Doctor Network - September 18, 2022 Category: Universities & Medical Training Authors: Cadet133 Tags: Pulmonary / Critical Care Medicine Source Type: forums
LONG COVID right before starting residency... HELP
Did not match this year and ended up scrambling into a prelim surgery spot at a major academic center.
Recently developed long covid after having covid a month ago. now suffering from severe fatigue, memory issues and asthma like reactions...
Devastated by this turn of events. can I get through a prelim surgery year, do well enough to get good letters while battling long covid or should I forfeit the position and focus on health?... I likely will not have this opportunity as a reapplicant...
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Source: Student Doctor Network - June 2, 2022 Category: Universities & Medical Training Authors: user22175 Tags: Medical Students (DO) Source Type: forums
“Office” or “For emergency” med prescriptions
Hey everybody,
Let me start by saying that I am 100% NOT talking about any controlled meds, and I am posting this from my regular easily-identifiable SDN handle that I’ve had for 10+ years, so there is no question about anything shady.
I’m an ER doc living and practicing in FL. Because of my job and training, it’s not unlikely that if I were presented with an emergency while off work (asthma/anaphylaxis/OD/etc) I’d be able and qualified to do a little good in the world by treating...
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Source: Student Doctor Network - May 5, 2022 Category: Universities & Medical Training Authors: TeddyBoomBoom Tags: Pharmacy Source Type: forums
Vent Management primer
Definitely have a knowledge gap here, but figured brushing up here would be useful since we end up with boarding ICU vented patients. Usually I'll set the tidal volume to 400-500cc, RR 15-18, higher PEEP for ARDS/CHFer types, minimal for asthma patients, and let the ICU handle the rest. Has worked well for me so far.
Hoping @sylvanthus and some of the CCM folks can jump in here. What kind of specific vent settings do you guys prefer to use for common situations, such as CHF, ARDS...
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Source: Student Doctor Network - November 30, 2021 Category: Universities & Medical Training Authors: bravotwozero Tags: Emergency Medicine Source Type: forums
Interesting case
Had an interesting thing happen in the cardiac OR yesterday:
50 year old man, severe MR w/ P2 prolapse, scheduled for MV repair. Otherwise pretty healthy and well compensated, had albuterol on his med list but didn't carry a formal diagnosis of asthma and denied using his inhaler in years.
At the end of the bypass run, cross clamp comes off, start to pace, did a little recruitment then started trying to ventilate but was getting very high airway pressures. In the surgical field, the lungs...
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Source: Student Doctor Network - September 18, 2021 Category: Universities & Medical Training Authors: Hork Bajir Tags: Anesthesiology Source Type: forums
Tons of weird symptoms
You guys seeing any of this?
We are having many fold more young people coming in with just really weird symptoms. It's always
"Chest pain, left toe pain, headache, and arm itchiness"
"nausea, palpitations, left neck pain, and sore throat"
"diarrhea, headache, and transient dizziness"
" head pain, cough-asthma, bilateral knee, foot, arm pain"
"shocks all over the body, left arm swelling"
It's non stop. All in people between 20-40. They all have nothing. Our usual census is 120/day, we...
Read more (Source: Student Doctor Network)
Source: Student Doctor Network - September 5, 2021 Category: Universities & Medical Training Authors: thegenius Tags: Emergency Medicine Source Type: forums
