dr_cl_aphra
dr_cl_aphra t1_jdqhf2c wrote
Reply to comment by HotPurplePancakes in I’m going to swallow this after prepping for my colonoscopy unless someone comes up with a better salutation by tomparker
My partner (another surgeon) had his wife write “do not enter” on his ass before his colonoscopy. I wrote back “LOL nope.”
dr_cl_aphra t1_jdoc459 wrote
Reply to comment by pnw_southern_bell in I’m going to swallow this after prepping for my colonoscopy unless someone comes up with a better salutation by tomparker
This is the Way.
I’m a surgeon who does colonoscopies, literally this is the way to do silly shit. That and having someone write funny shit on your butt.
We do appreciate it. You will live on in our memories and the tales we tell our residents. :)
dr_cl_aphra t1_jaagn5s wrote
Reply to comment by Sugarloafer1991 in I present to you; the Northeastern Winter Backup Cam by AndiWhyte
dr_cl_aphra t1_jaaf1io wrote
Reply to comment by Coffee-FlavoredSweat in I present to you; the Northeastern Winter Backup Cam by AndiWhyte
… I want the rear-view bidet so much that I looked up prices for Range Rovers.
And, uh… Anyone in the market for a gently used kidney?
dr_cl_aphra t1_jaaaszw wrote
Reply to comment by DrMcMeow in Traffic Alert: Bison still on the Loose by DrMcMeow
Grew up in western South Dakota, and I know what giant bastard-covered bastards with bastard filling buffalo can be.
DON’T APPROACH THEM. Buffalo, even human-raised ones, are very fast, huge, powerful, and dangerous. Whoever owns these needs to get their shit together and keep them contained, or someone will get killed.
dr_cl_aphra t1_jaa94fz wrote
I want someone to invent a bidet for the rear camera lens. That can’t be hard, right? Just a little thing plugged into the rear window washer line, with enough pressure to hose off all that crap?
If you make and patent it that’s fine, I don’t need credit I just need it installed on my car like yesterday.
dr_cl_aphra t1_j8et5mz wrote
Reply to comment by dustinkoller in Anybody know what type of flower this is? by dustinkoller
Those are lupins and given that those are empty seed pods, you’re likely to start seeing a boatload more. But they’re very pretty when they bloom in the early summer.
dr_cl_aphra t1_j6jos8k wrote
Reply to comment by [deleted] in I think its sad how hard it is to find a therapist. by SameProfession254
Don’t know why you’re getting downvoted for this. I use it and it’s great.
I had to go through a couple of therapists there before I found someone I clicked with, but it’s been a very good match. I don’t have a flexible schedule, nor can I go physically to an office in my small town, so online therapy was the only option.
dr_cl_aphra t1_j65f6m9 wrote
Reply to comment by another_one_1886 in Maine Side Hustle by [deleted]
Right? Commercial mostly tho.
dr_cl_aphra t1_j655oaw wrote
Reply to Maine Side Hustle by [deleted]
Chicken farm, mushroom farm, 3D printing, landlord
dr_cl_aphra t1_j4nv7nl wrote
Reply to Two Nerds Seeking Elvish Officiant by stacybettencourt
Y’know what, fellow nerds… I’m in.
I live in the County, but I’m willing to travel. I’ve done cosplay and wedding dresses for over twenty years.
I can absolutely do the service in Tolkien Elvish, or anything else you give me enough time to learn. Already an officiant through the Universal Life Church.
dr_cl_aphra t1_j1urwvd wrote
Reply to Four Seasons at our Homestead by sexy__waluigi
Amazing!
dr_cl_aphra t1_iv2n4f9 wrote
Reply to Ukraine suffered a comms outage when 1,300 SpaceX satellite units went offline over funding issues by thatoneguy889
You killed people with this, Musk. You knew you would when you did it, same as if you’d flown a drone over a city and dropped the payload. And you did so knowing (and because) there’d be no consequences for you.
What level of psychopathy is it to hoard wealth like a fucking dragon, and take pleasure in the power to cause the deaths of random people (you’d say you have no reason to care about them, because that’s what a monster says)?
dr_cl_aphra t1_itiif2p wrote
Reply to comment by acfox13 in Found in Bangor near Hudson. Torn down of course, because if anyone can help with “sexual orientation confusion” it’s definitely not evangelists. by Soggy_Requirement617
Thinking is for assholes! Let us do it for you!
dr_cl_aphra t1_iti1tcb wrote
Reply to Found in Bangor near Hudson. Torn down of course, because if anyone can help with “sexual orientation confusion” it’s definitely not evangelists. by Soggy_Requirement617
Also… be set free from finding purpose? Wtf does that even mean?
dr_cl_aphra t1_irzlhna wrote
Reply to comment by IeMang in Need Help with Lyme Disease by cathar_here
Very nice, thank you for adding some nuance. I was writing mine off the cuff.
dr_cl_aphra t1_iry74qb wrote
Reply to comment by Designer-One-7210 in Need Help with Lyme Disease by cathar_here
Unfortunately it’s not great. But there’s a huge spectrum that really depends on how long the spirochetes were in there actively raising hell.
I have a friend with very bad tertiary Lyme. He’s a super hairy dude and completely missed the tick bite and the rash (if he even had one—not every does). So it took a long time before he sought attention and got a blood test proving it was Lyme.
Here in Maine, and New England in general, Lyme is super common so most PCPs and ER docs are pretty attuned to looking for it. Once he actually sought help, he got treated appropriately with antibiotics but it was too late and a lot of his symptoms now are permanent.
He has peripheral neuropathy (numbness in his hands and feet) that makes it hard to walk or do any fine motor tasks with his hands, so he’s on permanent disability. Gets fatigued very easily. But for him Lyrica was super helpful.
A good Neurologist, combined with therapies (cognitive, speech, physical, occupational) can help. I hope your friend recovers well.
dr_cl_aphra t1_irxyifs wrote
Reply to comment by cathar_here in Need Help with Lyme Disease by cathar_here
If you’ve been treated with doxycycline then you don’t have active Lyme anymore. The spirochetes are dead.
If you think you’re still having issues like fatigue, muscle pain, neurological changes, etc. then you probably had the active infection long enough to develop Tertiary Lyme—as in, the spirochetes caused potentially permanent damage before the doxy killed them.
In this case you don’t need ID. They aren’t going to do anything about it because there are no more bugs to kill.
You need to see a Neurologist to help manage the long-term consequences.
Do not drink the koolaid of the “Lyme literate” people. There is no such thing as chronic Lyme disease.
Source: am surgeon who works in New England and have seen a ton of Lyme disease.
Edit: Have gotten some private messages asking more questions so will put this here to further clarify.
The initial Lyme disease infection from the tick bite is like if your house has a termite infestation. You find it and call the exterminator (the provider who gives you antibiotics).
The antibiotics are like the pesticide that kills the termites. The termites are now all dead.
But the termites did damage to your house before they were killed. The extent of the damage and whether or not it can be fixed completely depends on how long the termites had to do their thing.
That damage is Tertiary Lyme. It is a very real thing that is recognized by real physicians, and there are ways to help it.
“Chronic Lyme” is a bullshit, made-up pile of quackery that basically pretends that the termites’ ghosts are still haunting your house and causing more damage (blood tests are negative for spirochetes but you don’t feel good so by golly they must still be there!).
The quacks tell you the termite ghosts must be exorcised with continued IV antibiotics, essential oils, or whatever else the quack wants to sell you.
dr_cl_aphra t1_irj53we wrote
Reply to Ooooh Auburn Walmart! You done it again! by grc207
Just how…
dr_cl_aphra t1_je5sfjm wrote
Reply to People who work in weed stores, are you friends with the people who work in the weed shop next door? by needfortweedIII
…Dave’s not here, maaaaaaaaan