@CliffBrowning17@TheBasedMother That's absolutely right. They're using various excuses to openly pocket taxpayers' money. This is a crime they should all be arrested.
@kpharmd12 Yes, pharmacies have always borne ethical, legal, and medical responsibilities, and that will not change. Many medications are sold below cost, and it is neither reasonable nor sustainable for pharmacies to bear this burden entirely over the long term;
Deep plane face and neck lift and minor rhinoplasty to she bumps. She looks beautiful and “turned back time”. Subtle changes, not drastic unnatural solutions, are my philosophy. So happy for her and thank you so much for allowing us to share! #facelift#deepplanefacelift
A year ago, I received a letter from UnitedHealthcare that was meant to scare me into silence.
I documented parts of the last year that I haven’t shared before.
That morning, as I processed the shock of what was happening on my drive to the hospital, I turned on my phone and started recording.
As I spoke to you, my resolve developed. I knew what I had to do. I had to stand up for the truth, my patients, and myself. Even though I was terrified, I found peace and purpose in that moment.
Days later, when I shared the threatening letter with you all, you stood with me.
I know we are far from done, but I share this now to remind you of the good we can do together.
@TotalCytopath@Baskotacytopath@RazaHoda@fouad_boulos Yes, according to AJCC criteria, N2a requires metastasis in 4–9 axillary lymph nodes, with at least one large metastatic lesion. In this case, despite the presence of ITC, only one lymph node showed a large metastasis, thus failing to meet the criteria for N2a.
@GloriousPCMD@SpineNeuro When working extended shifts, residents receiving surgical information as late as 3 a.m. does indeed increase their workload. If surgical plans could be communicated more clearly to Gauguin, this would greatly assist both resident scheduling and team coordination.
Possible Klippel-Feil syndrome with degenerative stenosis at C1-2 and C3 vertebral fusion at C3-4-6 segments. Preoperative detailed consultation is essential, with CTA evaluation of vertebral artery anatomy. In this case, I recommend an O-T2 procedure. Anatomical structures may be present within the C3-6 lateral fusion block, potentially complicating secure fixation. Additionally, decompression of the C1-C4 vertebral bodies may be necessary
Surgery may be related to Klippel-Feil syndrome, with an approach selected anterior-posterior or posterior-anterior. C3-4 mobility may be normal. Key procedure: C2/C3-4 inferior fold retraction. Imaging suggests possible necessity for intranasal sphenoid process resection, but intraoperative ultrasound will confirm. Spontaneous fusion of the occipital transverse process is already present.
79-year-old male presenting with limb weakness and impaired coordination—possibly indicating cerebellar dysfunction or injury, though peripheral neuropathy or myopathy cannot be ruled out. I will first conduct a comprehensive neurological examination, laboratory work, MRI, and electromyography. I will provide a detailed update before determining the specific intervention plan.
@Obfarmacologist@JAMACardio While established concepts draw upon experience, they have limitations. Medicine, too, requires constant renewal and advancement. Only in this way can it better deliver treatment to patients.
@PeterNakajiMD This is indeed one of the most urgent procedures in neurosurgery. Given that each case is unique, the commitment to exerting every effort to protect nerves is truly admirable.