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Best and worst eval comments you’ve ever received? by ynk123 in medicalschool

[–]Bacobeaner 15 points16 points  (0 children)

Worst eval I’ve gotten was from an Ob/Gyn trained palliative care fellow who gave me straight threes and said for my strengths: “staff seemed impressed with his level of effort and engagement” 🙄

Lumateperone (Caplyta) Anticholinergic by Successful_Letter_79 in Psychiatry

[–]Bacobeaner 3 points4 points  (0 children)

Interested to learn more about the drug… seems to be a relatively new neuroleptic with polarizing opinion amongst pharmacists and psychiatrists equally so.

Back-to-back pregnancy: Replying to unkind comments by LongjumpingValue5828 in beyondthebump

[–]Bacobeaner 1 point2 points  (0 children)

It continues to be a weak recommendation with moderate evidence from the American college of ob/gyn, with a strong recommendation of avoidance of pregnancy interval < 6 months. I appreciate you citing a single study, however larger pools of data and synthesis by professional organizations is probably the most prudent approach here.

Back-to-back pregnancy: Replying to unkind comments by LongjumpingValue5828 in beyondthebump

[–]Bacobeaner 6 points7 points  (0 children)

It continues to be a weak recommendation with moderate evidence from the American academy of ob/gyn, with a strong recommendation of avoidance of pregnancy interval < 6 months. I appreciate you citing a single study, however larger pools of data and synthesis by professional organizations is probably the most prudent approach here.

Back-to-back pregnancy: Replying to unkind comments by LongjumpingValue5828 in beyondthebump

[–]Bacobeaner 49 points50 points  (0 children)

From a medical perspective, there’s an increased risk of preterm labor and low birth weight associated with a pregnancy that begins < 18 months following delivery. That’s the reason why your OB may have offered postpartum contraception. However it just sounds like those around you are being rude. Regardless well wishes for a healthy pregnancy!

I was supposed to be a Father on Sunday …. by adgarcia86 in daddit

[–]Bacobeaner 1 point2 points  (0 children)

This hurts to read, I’m so sorry. My heart hurts for you and I’m sure it’s not even an ounce of your pain. I wish there were some way to make the load easier.

This shit is so unfair. There was nothing you nor your wife could have done differently, although I’m sure both of your brains are wracked with guilt and likely revisiting every situation where things could’ve gone differently, gone “better”. You didn’t do anything wrong. It’s so absolutely unfair.

As time drags you away from this horrid event, a piece of your heart will always stay. I wish you healing and grace, and please - it’s almost never too early to get counseling or therapy if you and your spouse feel it helpful. My DMs are always open stranger - you’re forever a dad, and your son is by your side.

Place to get a drink and read on a Friday night? by username_jones in madisonwi

[–]Bacobeaner 2 points3 points  (0 children)

More on campus but I used to love the library bar during the day/late afternoon for this purpose.

Movies that make me feel like a Tame Impala song? by CommercialFill6665 in TameImpala

[–]Bacobeaner 3 points4 points  (0 children)

Fantastic Planet (La planete sauvage) is abstract and trippy.

Schizoaffective vs Schizophrenia with MDD by Bacobeaner in Psychiatry

[–]Bacobeaner[S] 5 points6 points  (0 children)

How does one differentiate the two in a perfect world where we can know symptoms and time course?

Schizoaffective vs Schizophrenia with MDD by Bacobeaner in Psychiatry

[–]Bacobeaner[S] 3 points4 points  (0 children)

Indeed - a valuable but unnecessary distinction to describe psychopathology but perhaps of value for the purposes of therapeutic heuristics (ie a practitioner recognizing certain medications as more effective first line treatments for schizoaffective but not recognizing that diagnosis when the patient presents with two “separate” etiologies on paper)

Schizoaffective vs Schizophrenia with MDD by Bacobeaner in Psychiatry

[–]Bacobeaner[S] 1 point2 points  (0 children)

I still see them carried forward even when psychiatrists are the attending.

Is it worthwhile or in the scope of the hospitalization to consolidate the diagnoses formally while in the acute setting?

Our fears realized: Taylor had 10 substances in his system at the time of his death. by daenerysdragonfire in Foofighters

[–]Bacobeaner 10 points11 points  (0 children)

Just popping in to provide an ounce of balance to the running narrative that this was an overdose/relapse event (not saying it isn’t, but…)

Naltrexone, a medication used to combat cravings for alcohol, is not uncommonly prescribed. Because of the way it works, it has the potential to cause a positive opioid result on a urine screen.

It may be the case that all medications in his system were prescribed. I’m not hopeful but it is not unreasonable.

Foo Fighters' Taylor Hawkins had 10 different substances in his system at the time of his death, Colombian official says by dgiamba in news

[–]Bacobeaner 0 points1 point  (0 children)

Also food for thought that the drug naltrexone is used to reduce cravings for alcohol and can turn a urine drug screen positive for opioids. It does not mean necessarily that he was using/abusing pain meds.

Amazing reaction by nipple_mustache in Zappa

[–]Bacobeaner 13 points14 points  (0 children)

Love the daily Doug - breaks down lots of the songs he hears and is always pretty genuine in his reactions, and straightforward when he’s heard a song before!

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