Always look at imaging yourself. Always, always, always. I was called for an admission. Young adult, no medical problems, lives in US, no travel, pets, tobacco/drugs/alcohol, no incarceration, periods of homelessness, lives at home with wife and kids and paints for a living.
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I may have intentionally left out the aggressive back and forths-ing that went into my decision making

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still a great catch. pretty decent chance a pt like this feels better from IVF and placebiotics and goes home with a course of levo the next day with a poor history.
End of conversation
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