207 conversations
Health tracking, optimization, and medical research conversations.
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All Conversations (140)
140 conversations found
i think this ob is very good for me Full Stack Developer - work from home...
Mordechai is exploring a Full Stack Developer role focused on healthcare AI automation at The Hershman Group, an oral surgery practice. Initial attempts to create a generic application were rejected in favor of a more subtle, conversational approach that highlights Mordechai's existing, complex projects, particularly his 'Tier-4 Prosthetics Platform' and a dental imaging analysis app built for his
sparkii-command-center
Rabbi Elimelech Gartner, whom Mordechai refers to as 'RabbiG' or 'Rabbi G', served as Mordechai's weekly therapist starting in August 2023. The peak of their engagement was in October 2023, with 47 mentions, indicating active weekly therapy. While engagement became sporadic in 2024, there was a brief spike in January 2025. The initial session focused on 'Balancing Creativity & Authenticity'.
Sarah Assessment Summary
The conversation shifted to estimating scores on the Social Responsiveness Scale-2 (SRS-2) for Sarah, based on her previously discussed behaviors and the PDF document. The goal is to simulate how a 70-year-old child psychologist might score the form, item by item, to provide a detailed assessment of her social responsiveness and potential ASD traits. This involves mapping Sarah's observed difficul
Expert Inquiry: Neurology & Psychology
The conversation focused on extracting and verifying information about various experts and their association with autism research. Initially, the goal was to create a CSV file with expert details. This evolved into a deep dive to verify each expert's credentials and specific research contributions, particularly concerning autism. Online searches were conducted to confirm affiliations and research
Dosage Adjustment Guidelines
The conversation explored the interaction between citric acid and stimulant medications like Vyvanse, particularly concerning its impact on absorption. It was established that citric acid can significantly reduce Vyvanse effectiveness by increasing stomach acidity. A hypothetical bell curve was used to estimate the potential range of absorption reduction, with a mean estimate of 40%. The discussio
Managing Hyperfocus with Vyvanse and Other Medications
The user is refining outreach emails to 7 Israeli experts regarding autism, hyperfocus, and cognitive inflexibility. The conversation has evolved to include crucial personal details such as a misdiagnosis of bipolar disorder, dyslexia, and ongoing difficulties with the Hebrew language. The goal is to craft highly personalized emails that authentically convey the user's complex lived experience and
Pareve cake recipe
Mordechai is seeking to understand and address several health concerns, including low iron, vitamin D deficiency, mild inflammation, elevated prolactin, stomach pain, leg cramps, dry mouth, and high cholesterol/triglycerides. He has received advice on supplements and dietary changes to address these issues, focusing on a structured, evidence-based approach to improve his health markers and allevia
Medication Options for Cognitive Patterns
Mordechai is exploring medication options for his suspected ASD, ADHD, and dyslexia, having been previously misdiagnosed with bipolar disorder. He has experienced positive effects with Ritalin, noting it enhances his 'autistic functioning' and improves reading and social interaction. He is seeking to understand the best-case scenarios, stable doses, and potential combinations of Ritalin, Atomoxeti
Correcting Errors in Doula Fees Tables
Mordechai is refining a doula fee calculator and price list for Hadassah Hospitals, focusing on accurate reimbursement data from Israeli Kupot Holim (Clalit, Maccabi, Meuhedet, Leumit). The goal is to create an interactive tool where users can set their desired out-of-pocket cost (0-2000 NIS) and see the total fee, and a supplementary fixed price list. Previous iterations struggled with accurate d
Sarah's Math Struggles
The user is refining an email to Morah Merav and the principal of Beit Yaakov Ha-Rama to secure daily math support and a psycho-didactic evaluation for Sarah Potash during her final three months of Grade 8. The email needs to be polite but firm, referencing specific Ministry regulations and outlining the desired support (30-minute daily math session, one-page mini-IEP summary) and the need for the
Improving ADHD Medication Guidebook
The user is seeking a compelling title for a comprehensive guide on ADHD management, drawing from Dr. William Dodson's work. Previous suggestions have focused on 'thriving' and 'advantage,' highlighting the unique aspects of the ADHD brain and empowering readers to harness their wiring for success. The current stage involves refining these concepts into a final, impactful title.
mental-health
Mordechai is developing a novel framework for understanding mental well-being, moving away from traditional diagnostic 'buckets' towards a personalized 'fingerprint' model. This involves defining 7 core, universally experienced characteristics (HEAD, GUARD, HEART, GUT, GRIP, GROUND, REACH) that exist on a spectrum. The goal is to create a self-assessment tool that empowers individuals to understan
Kupat Cholim Doula Reimbursement
The conversation focused on understanding doula reimbursement processes in Israel through Kupot Cholim and hospitals. Initial research identified reimbursement amounts for Clalit and Maccabi, with specific coverage percentages and maximums. The discussion evolved into optimizing doula fees to maximize client reimbursement and minimize out-of-pocket expenses, leading to the creation of a structured
Communication method clarification
The conversation centers on developing a communication protocol for visiting an ICU patient recovering from surgery and sedation. Mordechai is concerned about information overload and the patient's phobia of being incapacitated. The discussion evolves from understanding the patient's state to establishing practical, evidence-based guidelines for family visits. Key decisions involve a 'one-voice-at
IIH Overview
The conversation focuses on understanding the management and patient experience of Idiopathic Intracranial Hypertension (IIH), particularly concerning symptom variability and when to seek emergency care. Key areas explored include the correlation between symptom severity and vision loss, the nature of vision loss (sudden vs. gradual), and the discrepancy between medical advice for ER visits and pa
ADHD Autism Dyslexia Interactions
Mordechai is exploring a comprehensive medical strategy for his complex presentation of ADHD, ASD traits, and potential dyslexia. He has found Ritalin helpful for executive function, social interaction, and eye contact, but experiences side effects like cognitive scattering and a 'hangover' effect. He is considering combining stimulants with non-stimulants like Intuniv, and is also open to discuss
Pediatric Health Expertise Offered
The conversation has focused on a 16-year-old experiencing chest and shoulder pain. Initial tests including ECG and echocardiogram were normal, and blood work was ordered. The doctor has requested a repeat troponin test, which is a standard procedure for chest pain evaluation, even without trauma, to rule out heart muscle injury. The user was confused about the need for fasting for certain tests,
ADHD Perspective and Myths
The user wants to improve and expand the 'Practical Guide to ADHD Medication Dosing' by incorporating insights from new transcripts. The goal is to maintain the established practical and readable style, focusing on actionable advice for dosing strategies. The existing book structure and title will be retained, with a focus on integrating the latest information to enhance the guide's comprehensiven
About Mordechai's Profile
Mordechai is looking for actionable suggestions to improve his ADHD coping toolkit, specifically focusing on tech-driven scaffolding. The suggestions include implementing an automated daily 'brain-dump' Notion template and a hyper-personal focus timer with ZScore gamification. These ideas leverage his strengths in technology and automation to manage focus and productivity.
Medical Anatomy Diagram Discussion
The user is seeking clarification on their mother's post-operative condition after emergency surgery. The surgery, an ileocolic resection, lasted from 7:30 am to 11 am. The surgeon stated the patient is 'not stable,' and she is awaiting transfer to the ICU, but a bed is currently unavailable. The user wants to understand what 'not stable' signifies in this context and what the standard post-operat
Strep Tonsillitis Diagnosis Challenge
The patient, a 16-year-old in Israel, presented with severe throat pain and white patches on tonsils after a positive strep test. Initial assessment leaned towards Group A Strep (GAS) pharyngitis with potential necrotizing/anaerobic tonsillitis. Despite persistent severe pain, the patient's ability to swallow liquids and absence of fever since the previous night are reassuring signs, suggesting th
Hormonal or IIH Issues
The user is experiencing a cluster of symptoms including hot flashes (neck, feet), sleep disturbances, bone/joint pain, and a recent burn. The conversation explored potential causes, initially focusing on perimenopause given the user's age and history of a hysterectomy with one remaining ovary. The user's pituitary adenoma and IIH were also considered as contributing factors, particularly regardin
Sleep Discussion Intro
The user is seeking to understand their lifelong snoring issue, which is exacerbated by medication but not solely caused by it. They experience mouth breathing due to nasal obstruction and occasional gasping for air. The conversation is shifting towards exploring advanced and 'out-of-the-box' solutions beyond standard clinical evaluations, focusing on rapid domain education and current research, i
Cannabis for Social Anxiety
The conversation shifted to the practical steps for adults with Autism Spectrum Disorder (ASD) in Israel to obtain medical cannabis. This involves consulting with a Ministry of Health-certified specialist, providing a documented ASD diagnosis and medical history, and clearly articulating symptoms such as anxiety and social difficulties that may be addressed by cannabis. The process requires demons
Headache from lifting heavy
Mordechai requested two versions of a kosher, thyroid-supportive meal plan: a base version and a family-inclusive version that accommodates vegetarian and gluten-free diets. The AI generated both plans, incorporating the specified dietary restrictions and ensuring the plans support healthy weight loss and energy balance. Finally, the AI compiled these plans into a downloadable PDF, cleaning up for
meds analysis
Mordechai is exploring medication options for his ADHD and social anxiety, specifically comparing Vyvanse, Ritalin, and Intuniv. He has experienced some benefits from Ritalin LA but also side effects like sleep difficulty and moodiness. He is considering a strategy of trying Vyvanse and Sertraline together before adding Intuniv, aiming for a best-case scenario that balances executive function impr
ADHD Medication Resource Pathway
The user is developing a printable guidebook for adults with high IQs on optimizing ADHD medication success. The guide is designed to be innovative and well-formatted, incorporating elements of self-help, practical guidance, and research. The current focus is on drafting Chapter 1 (Understanding ADHD and Its Medication Landscape) and Chapter 2 (The Science of Medication Optimization), with specifi
Blue Checkmark Request
Mordechai is refining the visual representation of dyslexia, specifically focusing on the confusion of similar-looking Hebrew letters rather than jumbling or transposition. The goal is to create a side-by-side comparison image that clearly shows this subtle visual difference between normal reading and a simulated dyslexic experience, using Hebrew text with specific letter confusions like ב/כ, ד/ר,
Medication Options for Cognitive Patterns
Mordechai is exploring medication options for his co-morbid ADHD, dyslexia, and suspected ASD. He has had negative experiences with Sertraline but found Ritalin to be significantly beneficial, improving focus, social interaction, and reading comprehension, leading to a feeling of enhanced 'autistic functioning'. He is now investigating Atomoxetine and Intuniv, seeking to understand their potential
Hyper Fixation Medication
The user is seeking guidance on pharmacological interventions for hyperfocus, specifically comparing cannabis and stimulants. They are presenting a patient scenario involving a 40-year-old male with ADHD who previously experienced aggression with Strattera and limited success with low-dose Ritalin. The user is asking about starting dosages, titration schedules, the impact of diet on medication eff