u/The_Dragon_Whisperer

We are digging deep searching for a dx for this pt. Consulted ID, rheum, Cards has the pt. Details below.

30yo male from Africa originally. Hasn't traveled OOC in past 2 years. Field exercise in the south tested positive for Rickettsia, Typhi, and Lyme (May 25). Pt has had recurrent episodes of myocarditis since then. Pertinent negative ANA. CK readings upon working out were 800-2000 (any exercise at all). Ibuprofen/Colchine were of no benefit. The only thing we are thinking of next is absolutely zero walking etc for 2 weeks and then re-run the CK. Pt was an exceptional runner and powerlifter prior to this all starting. Only thing we can think of now is maybe MD?

Sent to EMG, EMG was done but needle EMG was not done... Sent a new referral back for a needle EMG. Pending appt now. Thoughts from neuro land? Thank you!

I work in the healthcare industry and wear almost exclusively long sleeve shirts as they look more professional. I’ve found that I can wear 125gsm wool with a vest (most hospitals/clinics are kept cool) and still be happy. I’d like to add a few new pieces to the rotation but I’m having the most difficult time finding lightweight. Absolutely nothing over 150gsm. Icebreaker has one that I own, and another from a brand called Alpine fit.

Does anyone else have good recs?