Do not confuse the “colitis”, my children. The risk is of developing CDifficile associated colitis (toxin mediated infection). Basic med school USMLE question. The patient has inflammatory bowel disease (ie Crohns or ulcerative colitis). Autoimmune inflammatory condition.
Not a thing. We are workers. We do work. If you want a ladder start your own clinic, instantly at the top (or bottom as you get paid last) and then hire doctors to work for you.
That is the off label use for that dose. Please read published papers “Longevity, Aging and Rapamycin” by Ehninger D et al and “Rapamycin for longevity: opinion article” by Blagosklonny M.V. For further details. There are several other publications detailing what I just described.
How do you expect an RCT on a longevity medication? Longitudinal study for 80 years? IRB is not going to approve it. Who’s going to fund this for a generic inexpensive medication? The data available is on limited studies on animals, of course. After almost 20 years of medical practice, I learned to be a bit more open minded. I do not yet openly recommend it to my patients but I do have a conversation of pros and cons when asked about it.
This looks like SVT. AFib IS a type of SVT. However, this is NOT AFib. AVNRT, junctional tachycardia, focal AT? This is the time when you consult an EP physician for further evaluation. -Internal Medicine physician for 17 years
Noooooooooo. DO NOT. Have everything in writing. 6 months from now she’ll disappear and you won’t see them again and have no recourse. Are you dumb? Is this a real post??
Dude… run as fast as you can & don’t look back. Be grateful for the bullet you dodged. You don’t cater to that kind of behavior. Have boundaries & grow a pair.
They’re married. Do this and the court sees it as hiding money and can screw her over later. Just divorce and move on if you cant deal with it. Also not saying you SHOULD deal with it, just an option.
She’s a woman. The court will take her side regardless if she goes to the neighbor’s house, sets him on fire, and then tap dances on his corpse. She’ll get the kids, half of everything, alimony, child support. She’ll prevent the kids from seeing him and the courts will tell him “tough titty”. Keep paying child support and alimony, mate. The kids don’t know she’s the one not letting them see their dad so they hate him, start calling her new boyfriend “Dad”, and are certain he’s an absent deadbeat since that’s what mom keeps calling him on a daily basis. HE IS ROYALLY F…..ed!
En el caso de un medico lo que ganas va a depender de la especialidad. Por lo general, especialidades quirurgicas o subespecialidades que hagan procedimientos (gastroenterologos, cardiologos, intensivistas) ganan mas.
Habiendo dicho eso, una subespecialidad como las que tu estas mencionando son minimo 14 años de estudio y residencia. Comienzas tu primer trabajo como a los 34 años con 250k-500k de deuda en prestamos estudiantiles. Te lo digo yo, Cheo Feliciano
Seguro. Derm, radiation oncology, radiology, ophthalmology, ENT. Ya sabes que tienes que ser el top 1% de tu clase, tener research, y matar los USMLEs. Suerte ahi.
I agree to a point. I am a dietitian, and read his book and listen to his pods. I actually do agree with much of what he says related to nutrition- there are many paths to eating healthy, people should do something sustainable and what aligns with their health issues and beliefs, and the research is not great… for all the reasons he outlines (hard to control, confounders, time…).
You’re not hurting my feelings. I agree, nutrition training for physicians is abysmal to nonexistent. Interesting because I didn’t get that from the book nor do I personally think nutrition is not important. I think nutrition is extremely important in longevity and health overall. He touches on calorie restriction but how do we translate that into a concrete diet plan is we’re lacking. I think (I’m probably wrong) that there are many ways to achive the same goal with different types of diets and it all boils down to what the patient will stick to. I’m opening up an outpatient practice at the end of the year and I’m planning on referring my patients to a dietician because I’m not competent in the nuances of the field of nutrition.
This is probably not totally true. He takes rapamycin for example, while the animal data looks great and it's obviously used in humans there's very little human research on it being used the way Peter and a few others are using it for longevity.
I’m glad you’re bringing this up. You are correct. No human studies. Please read the book to understand the rationale behind his belief in Rapamycin. In brief, studies done by different labs on different species of animals along the evolutionary line with positive results. It will be inherently difficult to do a longevity randomized controlled trial with human subjects (it would take close to 100 years to complete). I also personally believe there would be no funding for such study since Rapamycin is a cheap & generic medication that would not benefit the “big interests” financially.
Very interesting! Thanks for bringing that up. It seems to have a prevalence of up to 14% and you’re right about the protective effects. I think the best you can do is just improve on your already good cards you’ve been dealt.
I’m listening to Outlive right now. It seems his dietary advice has changed. He no longer endorses intermittent fasting or ketogenic diets. He thinks total calories is the most important, and enough protein. I’m guessing he would recommend a Mediterranean diet as long as there was enough protein, rather than a low carb / high fat diet.
Do not confuse the “colitis”, my children. The risk is of developing CDifficile associated colitis (toxin mediated infection). Basic med school USMLE question. The patient has inflammatory bowel disease (ie Crohns or ulcerative colitis). Autoimmune inflammatory condition.
Sinus tachy (p waves upright & same morphology in II) with RBBB. That’s it
Not a thing. We are workers. We do work. If you want a ladder start your own clinic, instantly at the top (or bottom as you get paid last) and then hire doctors to work for you.
This 👆🏻
There’s no such thing as a “longevity dose” of this drug.
That is the off label use for that dose. Please read published papers “Longevity, Aging and Rapamycin” by Ehninger D et al and “Rapamycin for longevity: opinion article” by Blagosklonny M.V. For further details. There are several other publications detailing what I just described.
I’m not going to read an opinion article. Waste of time. Is the first one an RCT?
How do you expect an RCT on a longevity medication? Longitudinal study for 80 years? IRB is not going to approve it. Who’s going to fund this for a generic inexpensive medication? The data available is on limited studies on animals, of course. After almost 20 years of medical practice, I learned to be a bit more open minded. I do not yet openly recommend it to my patients but I do have a conversation of pros and cons when asked about it.
This looks like SVT. AFib IS a type of SVT. However, this is NOT AFib. AVNRT, junctional tachycardia, focal AT? This is the time when you consult an EP physician for further evaluation. -Internal Medicine physician for 17 years
Noooooooooo. DO NOT. Have everything in writing. 6 months from now she’ll disappear and you won’t see them again and have no recourse. Are you dumb? Is this a real post??
😂🤣
What are you gonna name your cats?
Get help, dude. Psychiatric help.
Why are you still married and what kind of example are you setting for your children by staying with someone that has zero respect for you?
Good for you. She’s too old for you anyways
JC, I’m rolling my eyes so hard at this I can see my butt crack
Dude… run as fast as you can & don’t look back. Be grateful for the bullet you dodged. You don’t cater to that kind of behavior. Have boundaries & grow a pair.
I hope she likes cats
old people make up a majority of the population
👆🏻 This. I thought it was obvious
You realize you have a sister wife already, right?
They’re married. Do this and the court sees it as hiding money and can screw her over later. Just divorce and move on if you cant deal with it. Also not saying you SHOULD deal with it, just an option.
She’s a woman. The court will take her side regardless if she goes to the neighbor’s house, sets him on fire, and then tap dances on his corpse. She’ll get the kids, half of everything, alimony, child support. She’ll prevent the kids from seeing him and the courts will tell him “tough titty”. Keep paying child support and alimony, mate. The kids don’t know she’s the one not letting them see their dad so they hate him, start calling her new boyfriend “Dad”, and are certain he’s an absent deadbeat since that’s what mom keeps calling him on a daily basis. HE IS ROYALLY F…..ed!
Hit ya a little deep there aye bud?
🤣😂
En el caso de un medico lo que ganas va a depender de la especialidad. Por lo general, especialidades quirurgicas o subespecialidades que hagan procedimientos (gastroenterologos, cardiologos, intensivistas) ganan mas.
Habiendo dicho eso, una subespecialidad como las que tu estas mencionando son minimo 14 años de estudio y residencia. Comienzas tu primer trabajo como a los 34 años con 250k-500k de deuda en prestamos estudiantiles. Te lo digo yo, Cheo Feliciano
Si, delayed gratification for sure. Lo del prestamo va a depender de varios factores, el mio no se acerca para nada a eso.
Seguro. Derm, radiation oncology, radiology, ophthalmology, ENT. Ya sabes que tienes que ser el top 1% de tu clase, tener research, y matar los USMLEs. Suerte ahi.
How about NSAIDs? It’s not like you’re gonna hurt the kidneys any more with them.
Even if you have CKD but functional kidneys we are trying to keep working, topical NSAIDs are generally okay.
Obviously. I’m talking about ESRD.
I agree to a point. I am a dietitian, and read his book and listen to his pods. I actually do agree with much of what he says related to nutrition- there are many paths to eating healthy, people should do something sustainable and what aligns with their health issues and beliefs, and the research is not great… for all the reasons he outlines (hard to control, confounders, time…).
You’re not hurting my feelings. I agree, nutrition training for physicians is abysmal to nonexistent. Interesting because I didn’t get that from the book nor do I personally think nutrition is not important. I think nutrition is extremely important in longevity and health overall. He touches on calorie restriction but how do we translate that into a concrete diet plan is we’re lacking. I think (I’m probably wrong) that there are many ways to achive the same goal with different types of diets and it all boils down to what the patient will stick to. I’m opening up an outpatient practice at the end of the year and I’m planning on referring my patients to a dietician because I’m not competent in the nuances of the field of nutrition.
This is probably not totally true. He takes rapamycin for example, while the animal data looks great and it's obviously used in humans there's very little human research on it being used the way Peter and a few others are using it for longevity.
I’m glad you’re bringing this up. You are correct. No human studies. Please read the book to understand the rationale behind his belief in Rapamycin. In brief, studies done by different labs on different species of animals along the evolutionary line with positive results. It will be inherently difficult to do a longevity randomized controlled trial with human subjects (it would take close to 100 years to complete). I also personally believe there would be no funding for such study since Rapamycin is a cheap & generic medication that would not benefit the “big interests” financially.
Yes… keep doing it
😂🤣😂🤣… your education system has failed you 🤣😂🤣
Very interesting! Thanks for bringing that up. It seems to have a prevalence of up to 14% and you’re right about the protective effects. I think the best you can do is just improve on your already good cards you’ve been dealt.
No
I’m listening to Outlive right now. It seems his dietary advice has changed. He no longer endorses intermittent fasting or ketogenic diets. He thinks total calories is the most important, and enough protein. I’m guessing he would recommend a Mediterranean diet as long as there was enough protein, rather than a low carb / high fat diet.
👆🏻This