🔵In patients with co-existing B12 and folate deficiency, both vitamins are typically replaced simultaneously because replacing folic acid alone may hasten progression of the neurological manifestations of B12 deficiency.
IgA nephropathy
*Hematuria always
*Proteinuria often
*No blood test (IgA level most wrong answer)
*Only biopsy
*ACE/ARBs
*Steroids MORE useful than thought
*Fish Oil less useful than hoped (worthless)
*Sparcentan (ATII/Endothelin antagonist)
When I took Step 1 the treatment for heart failure was beta blocker and ACEi. Now it’s BB-ACEi-ARB-ARNI-SGLT2-Ivabradine-ICD-BiV pacer. Students today have to MEMORIZE it all for the test plus the outdated stuff like digoxin. And that’s just one disease. Result=burnout.
I just want to put it out there to the doctors in Gaza who are helping patients during this unimaginably difficult time, that you have my most profound respect. You are the epitome of selflessness and courage, and any one of us would be fortunate to have you as a colleague 🙏🫡
Patient Doctor interaction is super rewarding.I only did PAC for a 2 yr old operated in neurosurgery.Her mom came up to me while i crossed ICU today telling me " Madam acche se ho gai surgery Asma ki " 💜🥹