“Change isn’t the rejection of our past. It is the affirmation of our future.” Here for the movement system research. Not looking for love, thanks. she/her
I was working this morning (due to an overflow of patients) and saw a woman in her early 40s who's had multiple medical and neurologic problems over the past few years. Aside from interstitial cystitis, her past medical history "appeared" unremarkable. In the middle of her health problems, she developed some type of twitching that a well-meaning neurologist at a good academic institution diagnosed as FND. The neurologist explained what FND was and how to treat it, but the patient didn't think that she had a software problem and never went back to that neurologist. The neurologist seemed dismissive of the burning pain in her legs, tachycardia, flushing and GI symptoms, but was adamant that the patient had FND. Complicating this story was the patient's current stress from a divorce, which was also rooted in the fact that the patient didn't feel well for years and was no longer able to keep up with lifestyle and fun activities that the spouse wanted to pursue.
After several questions, I had no doubts that the patient had a hypermobility spectrum disorder (HSD), mast cell activation syndrome, #dysautonomia and other common complications of a connective tissue disorder. However, she has never heard these diagnoses from her doctors - after circulating in our healthcare system for years!
Case in point: you cannot look at a patient with multisystemic symptoms with a "pick-and-choose" approach. If all you see is FND because the patient also had weird-looking twitching, but fail to see neuropathic pain, dysautonomia and connective tissue disorder that are at the core of the patient's suffering and disability, then I am sorry, but you're not doing a good job, and I don't care what specialty you come from. All specialists should learn how to recognize #HSD/#EDS and #Dysautonomia in their patients.
#MedTwitter #NeuroTwitter #PatientCare #BrainHealth
0regon spends $109 per day to house someone in jail, or $3,379 per month.
The average studio apartment in Oregon costs $980 per month.
If you support jailing people over providing housing, you're not only an evil person, you're an idiot.
Let's be clear. The GOP feigning outrage over the brutal rape and murder of a 12-year old girl by an illegal immigrant, is the same GOP that would force that 12-year old girl to have her rapist's baby, had she survived.
John Deere has laid off roughly 1000 workers so far this year.
But the company reported a profit of over $10 billion in 2023.
Its CEO received $26.7 million in total compensation.
And it spent over $7 billion on stock buybacks.
Textbook corporate greed.
@DanWuori I am Oma. My husband didn’t like Opa so we tried to get the little guy to call him Papa. He tried for a while but then shortened it to Bob. My mom thought I had a lover when I told her about sitting in bed talking to Bob. Mt husband’s name is Rick.
I cannot stand by when I am seeing female patients being treated monthly with Cipro for recurrent UTIs, developing resistance, C. diff, needing a PICC line, almost dying, when they could have just been put on vaginal estrogen years ago 🤬
If you have a vagina and experience recurrent UTI, please discuss vaginal estrogen with your gynecologist, urologist, PCP, oncologist, FNP-C, et al. Help yourself and public health! https://t.co/CjORFnjzUu
Just back from a wonderful poetry reading at my children's school.
This was one of my daughter's contributions to the evening.
I know I will never have the vision to write anything as beautiful as "I will unbutton the sea from the sky..."
(Thank you @CalebParkin for guiding her)