Sofia Gambetta

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To answer the question in this post, HRCT readers should be aware of two things. First, they need to understand the features of smoking-related interstitial fibrosis (SRIF). SRIF manifests in three main appearances: 1.Involvement of existing centrilobular and paraseptal emphysema by developing dense, definable walls and causing irregular, heterogeneous shapes and sizes, thereby disfiguring their usual appearance. 2.Cysts within reticulation. 3.Large irregular cysts. It’s important to note that the second and third appearances do not abut the pleura. SRIF typically occurs without other fibrotic features such as traction bronchiectasis, bronchiolectasis, irregular reticulation, or honeycombing. The second question to address is whether SRIF contributes to combined pulmonary fibrosis and emphysema (CPFE). The answer depends on the presence of fibrotic features such as traction bronchiectasis, bronchiolectasis, irregular reticulation, or honeycombing. If these features are present, SRIF is not the contributor to CPFE. Based on these guidelines, you can determine which of the four cases are CPFE due to SRIF.

"We are not ‘burned out.’ We have been gaslit." 🛑 After 15 years of training and $300,000+ in debt, Dr. Corina Fratila just published a blistering, unfiltered essay about why she is ready to drop her stethoscope faster than Big Pharma drops accountability. She argues that doctors are no longer allowed to be healers. They have been forced into becoming "glorified data-entry monkeys in a Kafkaesque insurance labyrinth," spending their days begging insurance companies for permission to save lives and timing their own bathroom breaks. Her shockingly honest comparison of modern medicine to a vastly different (and highly controversial) profession is breaking the internet today. It is raw, it is darkly hilarious, and it is a heartbreaking look at what is really happening behind the clinic doors. "Every day feels like a hostage negotiation between your soul and your malpractice insurance. The system isn't broken. It is working exactly as designed. For profit. Not for people." Healthcare workers and patients: Is Dr. Fratila right? Drop a 💯 in the comments if you feel this, or tag someone who needs to see the truth. 🗣️ Link to the full article in the comments below! 👇

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