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Any neurologist from the US or Canada who has experience with AMX0035 ( Relyvrio)

 Hello.  a patient female 58 years old was diagnosed with ALS two  years ago .  The main symptoms are severe  spreach- and swallowproblems . She and her husband asked me about AMX0035 ... Its not available in Europe only in a phase 3 study but the recruiting ended allready  .  And it is   a doubleblind one . It is  on the market allready in Kanada und the US ,  They would do everything to get it ,,, all though they know that there is no cure for this terrible disease . But she could have more time to live.even if its maybe 6 months  They would, fly over there, use all  their savings for paying  the whole treatment all though they know about the costs   . The neurologists here advised her not to try a newly developed medicine but rather enjoy the time that is left . But  I would react the same as she does , just try  everything .... It would be nice If someone can tell me about the experience with patients on  this medicine   and even better tell me who I can contact for further details , all though I am not a neurologist just a GP on the countryside,   Thank you beforehand  .

Eating junk since starting specialty training..

Sorry for anonymous post, I am a little embarrassed. I started specialty training/residency just over two years ago and have been eating trash since.. Everyday I drink 4-5 coffees, have sugary snacks from the hospital and eat my children’s food when I get home (junk food – nuggets, pizza etc.). I stopped having lunch because my timetable is so busy, and when I get home, I don’t even have the energy to cook anymore. I feel like I am giving my patients one advice, and then following another.  

Does anyone else experience this? How do you eat healthily on busy schedules??  

Skin mottling in acute gastric dilatation??

A 55-year-old woman with known eating disorder was admitted with abdominal distention following a food binge the night before. On arrival, she was hypotensive (88/56mmHg) and tachycardic at (128bpm), all other vitals were normal. Physical examination showed a distended abdomen with rigidity. Mottled skin and distended veins were also observed from the lower abdomen down to both knees. CT chest, abdomen and pelvis showed food residues from the esophagus to descending duodenum, and stomach reaching down to the pubic symphysis. The patient was sent for an urgent gastroscopy and upper endoscopy. 

What are the differential diagnoses for skin mottling in this case? 

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G-Med Poll Results : Annual Physician Salary

Dear physicians, thank you for participating in our annual salary poll, here are the results:

The results of this poll of 629 physicians from 49 countries provide valuable insight into the income distribution of this profession globally. It is noteworthy that 50% of physicians earn an annual salary of $200K or less. This is followed by 24% of physicians who earn between $200K and $350K per year. On the other hand, a smaller group of 13% of physicians earn between $350K and $500K, while the remaining 13% earn an annual salary of $500K or above. These findings paint a picture of the financial landscape for physicians, highlighting the range of income levels within this profession. 

The distribution of income levels among physicians is not evenly spread, with certain ranges being more prevalent than others, why do you think this is the case?

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  •  · G-Med Desk
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G-Med's Medical Conference Insights - Exclusive Preview

Click here to read the full report

A Review on Multiple Sclerosis

How many people suffer from rare diseases?

Did you know that over 300 million people around the world suffer from rare diseases? Find out more about their conditions on the new G-Med Rare Disease Hub

How hard is it to receive a rare disease diagnosis?

The average rare disease patient will visit more than 7 doctors before being diagnosed. Be part of the change - join the G-Med Rare Disease Hub!

How rare are rare diseases?

Did you know that there are roughly 7,000 rare diseases? Join the G-Med Rare Disease Hub to learn more!

Physicians, which social media platforms do you use for medical consultations and assistance?

GMedPoll: Physicians, which social media platforms do you use for medical consultations and assistance?
G-Med observed a breakdown of the traditional circles of consultation since the Covid-19 era has begun. Physicians are turning to alternative platforms, one of the main ones being social media. We went out to check which are the social media platforms being used.

274 physicians from 45 countries answered this poll. See below for results:

42% physicians use Instant Messaging groups such as WhatsApp, Telegram and more.
33% physicians use online physician communities
25% physicians use Facebook, Instagram and Twitter for medical consultations and assistance.


 

Vaccinating 12-18 year-olds: Yes or No?

Here are some your the community's insights on vaccination for 12- to 18-year-olds

As we reach the next stage of the vaccine roll-out around the world, physicians are consulting with their peers on G-Med on all vaccine-related subjects. Over 3,000 physicians from 79 countries voted in the latest poll and thousands more joined ongoing discussions, where they continue to share their first-hand experiences, relevant publications and most troubling concerns. Do physicians worldwide recommend vaccination for 12- to 18-year-olds? Have physicians observed side effects? What about children suffering from comorbidities - should they be vaccinated?

Physicians in the G-Med global community are once again diving deep into the latest and most relevant medical issues.

Which medical conference format do physicians prefer? How does age influence that preference?

Over 1,000 Physicians voted on G-Med's latest poll regarding physicians' preference indifferent medical conferences format.

The results show that that the majority of physicians in all cohorts prefer different formats rather than physical conferences.


In addition, younger physicians prefer physical conferences compared to older physicians. One reason for this could be linked to the importance of networking for younger physicians in order to advance their careers. Another reason can be linked to younger physicians feeling less vulnerable to Covidー19 due to their younger age.

Another hypothesis is that the physician's home country has a huge impact on their decision to join physical conferences--in places with a solid  policy, they are more willing to travel again, given that they feel it is safer.

G-Med Pulse continues to follow and analyze today's evolving changes and effects by Covid-19.

Has Covid shaken the foundations of traditional circles of consultation among physicians?

Has Covid shaken the foundations of traditional circles of consultation among physicians?During the first wave, the community asked questions that went beyond each one's field of expertise on how to approach the virus. What was observed was a breakdown of the traditional circles of consultation--established networks to which physicians belonged became insufficient. Issues regarding medication, treatment and advice on how to approach specific patient cases could not anymore be answered by your immediate circle of medical colleagues.

G-Med came in to fill this gap: on the platform, the members were able to become part of a global community, broaden network and receive answers from different specialties and countries.

Of late, a new surge of engagement is taking place on the platform. This time, matters related to vaccine safety and post-Covid patients are at the center of the community's concerns. The community has already internalized important lessons from the first wave—the need of a global and multi-specialty cooperation.

G-Med is witnessing this phenomena not only once it comes to the pandemic, but also as members of the global community apply these lessons to their own field of expertise. As a result, here on the platform, one can expand their circle of influence, while sharing and receiving crucial information.

 

What's the future of Medical Conferences?

COVID-19 changed the way physicians are engaging with each other. Following a full year of virtual conferences, physicians in the G-Med community came together to discuss their impressions, likes and dislikes in comparison to physical medical events.


G-Med's interactive platform has become the place where physicians come to expand their network, to update themselves on the latest medical news, share the latest news from each of their specialties and to fill the educational gap left by physical conferences.


Over 1,000 physicians voted within 48 hours in the latest G-Med poll about which type of conference they prefer. From EU countries, North and South American, Asia and the Middle East, physicians from 56 countries shared their preferences and visions on the future of medical conferences.


 

Here are some of your thoughts on Vaccination

Should patients under immunosuppressive treatment be vaccinated against Covid-19? How about those who have recovered from Covid, when should they get vaccinated?

Over the past months, the G-Med community has been discussing vaccination decisions, its effects and advisability to patients suffering from different pre conditions. Immunodepression, diabetes, rheumatological issues, among several others, were some of the conditions debated in the G-Med community in light of the decision to vaccinate against Covid-19. Our physician-only community continues to debate this crucial topic, and to share their insights with their colleagues. 

Thank you for your thoughtful contribution. Here are some of the issues discussed:


Here are some of your thoughts on Post-Covid

How are physicians from the G-Med community preparing themselves for the Post-Covid Era? What are Covid’s real impacts on the health of patients after recovering from the initial illness?

Over the past months, the G-Med community has been discussing one of tomorrow’s most challenging medical issues: Post-Covid conditions. From endocrinological conditions, neurological concerns, rheumatological impacts, among others, physicians from over 128 countries are sharing cases and receiving great insights from the community. 

Thank you for your thoughtful insights. Here are some of the issues discussed:


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