As we have said before, we do recognize there is always room to improve and that there is a need to improve. Together we are creating a new model, one that traditional sports media have not yet recognized, in order to give fans a fresh, independent voice. We have to continue developing it and evolving it based on feedback from the people who make it strong. There isn’t a roadmap for this type of modeling, but we are committed to building on the unique success of the SB Nation model in a way that continues to allow creativity to thrive. Please continue to give us your feedback. We have been working diligently on changes and will be following up with more details on that soon.
I just posted a response to this same event on another site. In essence, I said: We as nurses experience abuse from MD’s, patients, family members, and non essential medical staff on a daily basis. There is no doubt why there is a Nursing Shortage in this country. I have been in the profession 20 years and this may well be my last year. No longer will I be cussed by a doctor I have to call a critical lab to in the middle of the night. I think the public would be very surprised and quite saddened by the treatment nurses endure simply for advocating for the well-being of their patient’s.
For many years proximal neuropathy has been considered a component of DN. Its pathogenesis was ill understood (46), and its treatment was neglected with the anticipation that the patient would eventually recover, albeit over a period of some 1-2 years and after suffering considerable pain, weakness and disability. The condition has a number of synonyms including diabetic amyotrophy and femoral neuropathy. It can be clinically identified based on the occurrence of these common features: 1) primarily affects the elderly (50 to 60 years old) with type 2 diabetes; 2) onset can be gradual or abrupt; 3) presents with severe pain in the thighs, hips and buttocks, followed by significant weakness of the proximal muscles of the lower limbs with inability to rise from the sitting position (positive Gower's maneuver); 4) can start unilaterally and then spread bilaterally; 5) often coexists with distal symmetric polyneuropathy; and 6) is characterized by muscle fasciculation, either spontaneous or provoked by percussion. Pathogenesis is not yet clearly understood although immune-mediated epineurial microvasculitis has been demonstrated in some cases. Immunosuppressive therapy is recommended using high dose steroids or intravenous immunoglobulin (47). The condition is now recognized as being secondary to a variety of causes unrelated to diabetes, but which have a greater frequency in patients with diabetes than the general population. It includes patients with chronic inflammatory demyelinating polyneuropathy (CIDP), monoclonal gammopathy, circulating GM1 antibodies, and inflammatory vasculitis (48) (49) (43) (44).