Are diabetics immunocompromised in your practice?
Had some pushback last night from a hospitalist. Been out 4 years and never heard this argument before. 50's male with HTN, IDDM. Came in febrile to 102, obviously tacky. WBC 16k, lactic 2.5. Viral panel neg. Pneumonia on CT. Did all the sepsis stuff and covered with abx. The hospitalist argues with me and says they are stable and can be sent home and when I said they are immunocompromised with DM he said "almost everyone is diabetic so what" Threw me for a loop. I would never consider... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - March 15, 2024 Category: Universities & Medical Training Authors: wareagle726 Tags: Emergency Medicine Source Type: forums

We must do better
Podiatry compensation is laughable. We go through 4 years of post graduate education to then do 3 years of residency… FOR WHAT? To make the same or less then a PA with only 2 years of post graduate education. This is not to overlook the value of PA/NP. It’s a needed and great profession. However until we start to stand up for ourselves and get some lobbyist (like the nursing community has) our value will never go up. Okay we are replaceable? Let ID handle the Diabetic foot ulcer, let... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - March 6, 2024 Category: Universities & Medical Training Authors: footdoc24 Tags: Podiatric Residents & Physicians Source Type: forums

Botox for neuropathic pain
Has anyone here successfully used Botox (subcutaneous) for neuropathic pain (e.g. diabetic neuropathy). The Europeans have been using for some time and there are numerous good studies https://www.thelancet.com/journals/laneur/article/PIIS1474-4422%2816%2900017-X/fulltext I don't think Botox is approved here for this indication but one could do off-label, cash pay? Thoughts? (Source: Student Doctor Network)
Source: Student Doctor Network - February 15, 2024 Category: Universities & Medical Training Authors: drg123 Tags: Pain Medicine Source Type: forums

Endo billing
Hey all, Question for those of you who are endocrinologists. Spouse is currently finishing up his stay at LTACH after ICU admission Diabetic, normally was very well managed Anyhow, primary doctor consulted pretty much everyone including Endocrine. Endocrine doctor saw him 1-2 times and then reviews his chart, and bills for encounters without seeing him. Says he sees him but doesn't. Is this legit? Do Endocrine docs bill without seeing patients/is that allowed? Thanks! (Source: Student Doctor Network)
Source: Student Doctor Network - February 3, 2024 Category: Universities & Medical Training Authors: Iamnew2 Tags: Other Subspecialties Source Type: forums

Re: Artificial pancreases for type 1 diabetes: Better access is “watershed moment”—but delivery is key
(Source: BMJ Comments)
Source: BMJ Comments - January 29, 2024 Category: General Medicine Source Type: forums

Free Conferences for Students (and some Residents)
Many conferences will let students come for free. I'll start compiling a list as I become aware of them. If you know of any, feel free to add here. TexFix March 16-17, 2024 San Antonio, TX Sponsor: UTHSCSA Free for students and residents in Texas programs. Other residents discounted. Basics on external fixation constructs, use of ex fix for complex soft tissue and osseous deformities, dry and wet labs Diabetic Limb Salvage Conference May 11-14, 2024 Washington, DC... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - January 22, 2024 Category: Universities & Medical Training Authors: diabeticfootdr Tags: Podiatry Students Source Type: forums

WAMC/School List Advice
Would appreciate advice on creating a school lists for the 24-25 cycle. Ethnicity/State of Resident Nontraditional, black female, URM US citizen and NY resident GPA Undergrad sGPA 3.23, post bacc sGPA 3.6 and cGPA 3.38 MCAT 498 (122/124/123/129) Undergraduate institution Private: Ivy league Non- clinical volunteering: 5000+ hours: beach clean ups, soup kitchen, diabetes walks, AIDS walk, feeding America food distribution, guardian ad litem volunteer... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - January 20, 2024 Category: Universities & Medical Training Authors: Blueceal Tags: What Are My Chances? WAMC Medical Source Type: forums

Low Rate of Aspiration With GLP-1s During Upper GI Endoscopy
A large retrospective review provided the first cumulative incidence rate of pulmonary aspiration in those undergoing upper endoscopy while receiving popular diabetes and obesity treatments. www.medscape.com No data to support stopping GLP-1 agonists prior to elective endoscopy As patient safety will always be paramount, and in the absence of actionable data, we encourage our members to exercise best practices when performing endoscopy on patients on GLP-1 receptor...
Source: Student Doctor Network - January 13, 2024 Category: Universities & Medical Training Authors: TheLoneWolf Tags: Anesthesiology Source Type: forums

Re: Benefits and harms of drug treatment for type 2 diabetes: systematic review and network meta-analysis of randomised controlled trials : Manifestations of Drug Treatment for Type 2 Diabetes in Tribal Settings
(Source: BMJ Comments)
Source: BMJ Comments - December 11, 2023 Category: General Medicine Source Type: forums

1st year
Hi! What should we be able to do at the end of the 1st year of residency in ophthalmology? At the hospital we don't have many cases and I still have difficulties recognizing large elements at the back of the eye or important pathologies, for example hypertensive/diabetic retinopathy or macular edema. At this moment, I didn't even have retinal detachments... I started to panic and I would need your advice, because I'm already thinking of giving up... It’s normal? I think that at the end of... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - November 28, 2023 Category: Universities & Medical Training Authors: Myh60 Tags: Ophthalmology: Eye Physicians & Surgeons Source Type: forums

Focus on prevention of New onset of diabetes in pre-diabetics
(Source: BMJ Comments)
Source: BMJ Comments - November 7, 2023 Category: General Medicine Source Type: forums

Combating Youth Type 2 Diabetes Requires a Holistic Approach
(Source: BMJ Comments)
Source: BMJ Comments - November 1, 2023 Category: General Medicine Source Type: forums

Is it too late for medicine?
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Source: The Student Room - September 25, 2023 Category: Universities & Medical Training Authors: ellisloh118 Tags: Medicine Source Type: forums

Re: Modifiable risk factors and long term risk of type 2 diabetes among individuals with a history of gestational diabetes mellitus: prospective cohort study
(Source: BMJ Comments)
Source: BMJ Comments - September 21, 2023 Category: General Medicine Source Type: forums

Re: Screening and diagnosis of gestational diabetes
(Source: BMJ Comments)
Source: BMJ Comments - September 4, 2023 Category: General Medicine Source Type: forums