Latest news with #comments
Medscape
11 hours ago
- General
- Medscape
Medical Misogyny or Following the Differential Dx?
I recently presented a clinical scenario of a young woman who presented with fatigue and had a long history of nightmares. I was concerned that she might have posttraumatic stress disorder (PTSD), and I asked readers whether they agreed with my management of this patient. Thank you for the comments on this case. The majority of the comments focused on a workup for the patient's symptoms beyond mental illness, which is completely appropriate for this patient. First, a targeted history should be completed to include the following elements: Menstrual history to evaluate the possibility of anemia due to irregular menses and pregnancy Cold intolerance or skin and hair changes, as a potential sign of hypothyroidism Any alterations in appetite and diet, which could indicate disordered eating and/or a possible vitamin deficiency Medication use, including supplements Substance use I would also recommend the following basic laboratory evaluation: Other labs may be ordered, as needed, based on the patient's targeted history. But adding all those elements to this case would yield quite a lengthy document to read online! And of course, there are always more questions to ask of patients and more studies to be ordered, but the pressure of time in primary care dictates that we be judicious with our fact-gathering. Although my decision to ask the patient about past events that might relate to her fatigue and bad dreams was the most popular answer selected in the reader poll, some commenters disagreed with my approach. I was surprised by multiple comments that suggested my consideration of a potential psychological disorder would be considered patronizing or offensive to this patient, and one commenter recommended 'physiology before psychiatry.' I respectfully disagree. First, a mental health or sleep disorder is at the top of the differential diagnosis of an otherwise healthy young woman with fatigue. When a physician fails to address a potential mental health disorder for fear of offending said patient, they risk delayed diagnosis, worsening symptoms, diminished treatment options, and a breakdown of trust in her care, all of which could have devastating consequences. As mentioned in my original article, PTSD negatively affects multiple domains of function and is associated with an increased risk for suicide. I completely understand that patients can feel marginalized by the idea of a mental health diagnosis. And it's entirely understandable that a woman presenting with persistent fatigue might fear that a psychological explanation simply repeats historical patterns of medical sexism; after all, attributing women's health complaints to 'hysteria' is a real historical wrong. Yet when that same fatigue is coupled with a decade-long history of recurring nightmares — symptoms strongly suggestive of an underlying mood or stress ‐ related disorder — a thoughtful clinician must expand the differential diagnosis to include those possibilities. By transparently describing how each symptom fits into a broader clinical picture, the doctor honors the patient's concerns and makes a diagnosis based on comprehensive evidence, not gender bias. In responsible practice, a physician uses validated screening questions, explains the medical rationale clearly, and invites open dialogue with the patient (at their own pace). That way, mental health issues are assessed objectively, based on clinical need and symptom presentation. We, as a society, need to move away from stigmatizing mental health diagnoses, and that starts with the patient encounters we have every day. There is no reason that mental health diagnoses should be placed at some level below other diagnoses. Mental health diagnoses incur significant amounts of morbidity and are risk factors for other diseases, such as coronary heart disease. Patients who are diagnosed with mental health disorders should not feel any different from patients with a diagnosis of type 2 diabetes or rheumatoid arthritis. It is up to us, as clinicians, to lead insightful, evidence-based, empathic evaluations of our patients to accurately diagnose their conditions and treat them appropriately. I hope that this case reminds you of that calling.
The Guardian
29-05-2025
- Entertainment
- The Guardian
Racing cheeses, spicy birthdays and a fun celebrity gatecrash – take the Thursday quiz
The Thursday quiz has always been interested in fjords, not least since it was revealed in The Hitchhiker's Guide to the Galaxy that they were the design work of Slartibartfast. However, it is difficult to ask questions about them. What is the longest fjord? Well, where are you measuring from and how are you accounting for curves? How many fjords are there in Norway? Nobody has ever really added them all up, have they? And anyway, how big does an inlet have to be before it can be considered a fjord? So, no fjord questions this week. Instead, we have the usual: 15 questions on topical news, general knowledge and popular culture. There are no prizes, but let us know how you got on in the comments … The Thursday quiz, No 212 If you really do think there has been an egregious error in one of the questions or answers – and can show your working and are absolutely 100% positive you aren't attempting to factcheck a joke – you can complain about it in the comments below. Why not watch Three by Hello Mary instead?
Yahoo
23-05-2025
- Entertainment
- Yahoo
Bulldog Who's 'Had Enough' of Ducks on Her Property Proves She Means Business
Uh oh. Pancake's on patrol! The Bulldog was guarding her human's pool recently when she saw two invaders trying to weasel their way in — a pair of ducks! Well Pancake wasn't going to let that fly, nope, not at all. And now a video of the dog taking action has people cracking up online. The Bulldog was truly peeved when she came outside and realized the ducks were back. What gives! This is her home and she wasn't about to let these birds come and disturb her. The two birds were minding their own business, taking a swim in the water. Little did they know they'd be facing Pancake's fury soon enough. Pancake was really in a huff. She spotted the ducks immediately and decided that they had to leave — right now! First the Bulldog staked out her prey and then like lightning (or a Bulldog's version of lightning), she sprinted after them. Shoo, shoo! 'Pancake had enough of the ducks on her property,' the video's text overlay reads. 'So she decided to take action. Watch her predator instincts kick in.' Sadly for Pancake, she didn't get the ducks this time. But don't worry, pupper! Next time you'll get 'em good! 'What a close call,' the caption reads. People in the comments section couldn't help but laugh. 'Those ducks were almost pancakes themselves!!' joked one commenter. 'They weren't prepared for Pancake's sheer agility and speed,' teased someone else. 'We had ducks for the first time this year! Our dog chased them too! Pancake is so cute,' praised another person. 'She meant business! I can just imagine her muttering 'Yeah, you better…'' quipped another commenter. We bet those ducks won't be coming back anytime soon, not with Pancake with around. Looking for more PetHelpful updates? Follow us on YouTube for more entertaining videos. Or, share your own adorable pet by submitting a video, and sign up for our newsletter for the latest pet updates and tips. Bulldog Who's 'Had Enough' of Ducks on Her Property Proves She Means Business first appeared on PetHelpful on May 22, 2025
Forbes
19-05-2025
- Business
- Forbes
LinkedIn Commenting Is Your Secret Growth Hack. Here's How To Do It
Focus on your LinkedIn profile. Focus on content. That's what all the LinkedIn gurus and courses will tell you. But commenting brings advantages that posting alone never will. According to LinkedIn statistics, comments on LinkedIn are experiencing strong growth, with comment activity up 37% year-over-year as more professionals engage in high-value conversations. Some users report that comments can receive 30–75 times more views (impressions) than likes. When you comment on posts, you tap into massive visibility without creating original content. One thing common among LinkedIn influencers really in the know is that they comment magnitudes more than they post. While others focus only on content creation, smart founders build their influence one thoughtful comment at a time. Your dream clients already hang out on other people's posts. Meet them there with value. Your comments may put you in front of more people than your posts ever will. Find 20 accounts that share your target audience and save their profiles in a bookmark folder. These should be accounts that are 2-10 times bigger than yours, actively posting content your dream clients engage with. Spend 15 minutes each morning leaving thoughtful comments on their recent updates. Make this a non-negotiable part of your daily routine. Don't write a generic comment an AI bot could have written. Instead, share a story that backs up their point. Add extra tips their audience will love. Make your comment feel like a valuable addition to their post. Comments let you test ideas before committing to full posts. Share your strong beliefs in the replies section and watch how people respond. Which messages resonate? Which don't? This real-time feedback helps you refine your voice without the pressure of writing perfect posts. Consider comments your testing ground for future content. Write your comment like a mini-post. Use the original post as inspiration and comment using best practice guidance for LinkedIn posts: make the opening line strong, be clear and concise, make just one point. If a comment attracts significant attention, rework it into a full post later. Track what works and double down on winning messages. People whose posts you thoughtfully comment on will notice you. They'll check your profile, read your content, and often return the favor. This creates a flywheel of engagement that grows your visibility exponentially. LinkedIn engagement is built on relationships, and commenting starts those relationships from a place of genuine value. Give first, receive later. When someone gets consistent notifications that you've engaged with their content, they remember your name. When they're ready to engage with someone else's post, guess whose content they look for? This relationship-building strategy works because you've established yourself as someone who adds value. Take it one step further by DMing them to say you'll look out for their posts. They'll likely do the same. The LinkedIn algorithm pushes posts that amass comments fast. Assemble your tribe. Fifteen minutes before you publish your own post, comment on 10 relevant posts from your target list. This signals to LinkedIn that you're active and engaged. The algorithm notices this pattern and rewards you by showing your content to more people. Stay online for 15 minutes after posting to respond to early comments, creating momentum that attracts even more engagement. Block this time in your calendar. LinkedIn experts say you shouldn't schedule your posts, but you don't have time for that. Schedule your posts to make sure they go out, but aim to be online around that time each day. Post at the same time every day you post. Build relationships and authority in your niche. LinkedIn users spend an average of 7 minutes and 42 seconds per session according to recent metrics. Make sure you're visible during that time by showing up in comments sections where your ideal clients hang out. Deepen your brand identity through your comments. They should sound unmistakably like you. Share your unique perspective, tell personal stories, and maintain your brand voice in every interaction. Comments that stand out get remembered, while generic responses get scrolled right past. Keep your comments aligned with your content pillars to strengthen your overall messaging. The same personality that shines in your posts should shine in your comments. This consistent voice builds recognition and trust, turning casual observers into followers and followers into clients. Your growth comes from being unmistakably you in every interaction. People connect with people. Leaders stand out everywhere they show up. Stop focusing exclusively on your own content. Comments put you in front of more people, let you test messaging without pressure, and create reciprocity that powers your growth. They prove you're focused on serving, not just selling. Apply a real commenting strategy and maintain your unmistakable voice. Engage consistently with intention and authenticity. Turn your LinkedIn presence from invisible to influential.
The Guardian
15-05-2025
- Entertainment
- The Guardian
Papal beginnings, crowded islands and a rescued baby squirrel – take the Thursday quiz
The Thursday quiz has thoroughly overdosed on Eurovision preparations this week, but never fear, it still just about found time to put together the usual mix of 15 topical general knowledge and pop culture questions for your amusement. There are no prizes, but you can let us know how you got on in the comments. The Thursday quiz, No 210 If you really do think there has been an egregious error in one of the questions or answers – and can show your working and are absolutely 100% positive you aren't attempting to factcheck a joke – you can complain about it in the comments below. Why not watch Regicide by New Candys instead?
