#Carotid Artery Ultrasound

[icelynodette]

Day In The Life Ultrasound Carotid Artery

[midascareclinic]

Carotid Doppler Ultrasound: A Non-Invasive Insight into Vascular Health

Carotid Doppler Ultrasound is a safe, non-invasive diagnostic procedure that evaluates the blood flow in the carotid arteries, which supply blood to the brain. This painless test helps detect blockages or narrowing in the arteries, offering early insights into potential stroke risks. By providing real-time images of blood flow, it aids healthcare professionals in making accurate assessments, ensuring timely intervention and better cardiovascular health.

[mavidin]

to

[not-poignant]

October 2024 Writing Round-Up

Here’s the monthly round-up of everything written and posted in October 2024!

Here’s the chapters that were released:

Underline the Black 98

Underline the Black 99

Underline the Black 100

Smoke in Autumn 08

Underline the Blue 20

Underline the Blue 21

Constellations 11

Constellations 14 (Gary+Efnisien Tier+)

Underline the Blue 22 (Gwyn+Augus Tier+)

Underline the Blue 23 (Gwyn+Augus Tier+)

Chapter Commentary - The Nascent Diplomat - 27 (Mosk+Eran Tier)

Chapter Commentary - The Nascent Diplomat - 28 (Mosk+Eran Tier)

FANFICTION

A Stain that Won't Dissolve 45

A Stain that Won't Dissolve 46

Palmarosa 29

Palmarosa 30

Palmarosa 31

~

All Patreon early access chapters are mirrored at Ream for those who prefer Stripe / other payment options.

~

Behind the scenes I wrote 31,851 words (9 chapters) in October across A Stain that Won't Dissolve, Palmarosa and Smoke in Autumn. It was definitely fanfiction month!

The appointments for health stuff will continue into November, where I need a doppler ultrasound of my carotid arteries (well, artery, I only have the one) and need a liver MRI. Our puppy Tobermory (now a year old!) also needs some appointments too. Keep an eye out for a lighter schedule for that reason, though I'm hoping to end the year with a bang in December. :D

I'll be sending merch out in the merch tier around mid November!

~

As always, you can support the stories you love by subscribing over at Patreon and Ream! You can also follow for free, and just get email notifications of news and other things that I release to everyone. :D

[black-arcana]

BATTLE BEAST's NOORA LOUHIMO Shares Message In Support Of Pride Month

BATTLE BEAST's Noora Louhimo has shared a message in support of LGBTQ+ Pride Month. Taking place in June, Pride Month is a time when the lesbian, gay, bisexual, and transgender community, their supporters, and allies come together to celebrate love, diversity, acceptance, and unashamed self-pride.

On Saturday (June 1),Noora took to her Instagram to write: "WONDERFUL PRIDE month for LBTGQ+ communities and everyone who agrees for equal love, self and sexuality. I hope that one day we could live in a world where equality would be the norm in all communities.

"As a woman, I unfortunately still face unequal treatment and a certain kind of sexism seems to be built into people's core behavior (which comes from home education) and some don't even realize they are sexist. Also women towards other women and themselves. For example, it is really sad to see/hear women criticizing other women and their sexual expression or showy appearance/dressing. EVERYONE'S OWN LOOK has been the only way for women to express themselves and their own values since time immemorial. The cloak of shame was not invented by women. But unfortunately, instead of encouraging self-expression, we bark and be mean. What one says about another comes from how you see yourself and your own fear.

"Let's take off those cloaks of shame and burn them at the stake. Let's be on each other's side. Let's be on the side of those who need it. Let's jump into other people's shoes and understand that equal treatment is not an everyday life for everyone, but a struggle for it every day.

"The fact that I dress the way I want, demand respectful and equal treatment, am strong-willed, ambitious and determined, speak up for others and myself does not make me a 'bitch'. Crying, talking about my feelings/thoughts and being emotional to everyone doesn't make me weak. It makes me strong and happy when I am openly myself. At the same time, I want to encourage and support others to do the same.

"THIS IS WHY I HAVE THE BATTLE VITCH HORNS OF COURAGE. And I will always continue to fight for equality. In this world, evil is putting oneself above others, narrow realities and being greedy.

"I hope that I can have at least a little influence on how people treat each other with my own example.

"LOVE AND PEACE AND PRIDE

"#pride #equality #humanity #goodvalues #selfesteem #thecloakofshame #proudtobeme #proudofyou"

Louhimo revealed in November that she had been diagnosed with a ruptured left carotid artery, causing the postponement the band's tour. The 35-year-old Finnish musician has since said in an interview that she has "definitely started doing more warm-up before any singing and warming down and taking care of my overall health even more than before." She added: "I really appreciate life more now. I'm thankful for each and every day and every moment that I get to live, I get to love, I get to see. I get to see people. I get to be with my loved ones and with my animals here at home. And now I get to tour in the places that I've always dreamed of. And it's not something that you should take [for] granted."

When Louhimo first revealed her diagnosis seven months ago, she wrote on her social media: "I went to be examined because of a weird pain in the left side of my neck, throat, ear and chin. At ultrasound examination the doctor found the rupture that had already started healing, and he saved my life. I was hospitalized for more exams and finally got confirmation of the situation. I was ordered to have a break on everything that might stress or increase my blood pressure for the next month. Otherwise, I could have a stroke. As you know how passionate I am as a singer and performer, the blood pressure getting high is a guarantee. So, I did not want to take the risk to die with my boots on, not quite yet".

Louhimo joined BATTLE BEAST in 2012 with no previous experience as a metal vocalist but quickly acclimated herself as the replacement for Nitte Valo (a.k.a. Nitte Vänskä).

Less than two years ago, Noora, who in 2021 released her debut solo album, "Eternal Wheel Of Time And Space", under the NOORA LOUHIMO EXPERIENCE banner, admitted publicly that she had been struggling with eating disorders and her weight since she was "a little child" and said that she was "still trying to find a balance." She added that she had "been depressed and anxious sometimes 'without a reason'."

[mcatmemoranda]

Asymptomatic carotid stenosis of 50%–70% should be treated medically to reduce atherosclerotic cardiovascular disease. Initiating statin therapy and smoking cessation will have the greatest impact on reducing his risk [the pt was a 63 y/o M with normal BP who smokes, whose internal carotid artery was 50% stenosed without symptoms]. Without past neurologic symptoms from carotid artery disease, surgical intervention would not be indicated due to the potential risks of surgery, but repeat ultrasonography is considered reasonable.

Extracranial carotid artery atherosclerosis is a risk factor for stroke and warrants risk factor reduction. Nonsurgical approaches that lower stroke risk include smoking cessation, hypertension management with a goal blood pressure of <130/80 mm Hg, management of diabetes mellitus if present, and initiation of high-intensity statin therapy with a target LDL-cholesterol level of <70 mg/dL. Regular physical activity regardless of BMI is associated with a reduction in stroke risk.

Surgical interventions for carotid disease, such as endarterectomy or stenting, carry a significant risk of mortality and disabling stroke. Because of the risks of intervention, screening of asymptomatic patients is not routinely recommended. Similarly, the benefits of intervention must be weighed against the potential risks. Generally, intervention is recommended if the patient has experienced significant symptoms from carotid artery disease such as stroke or high-risk TIA with stenosis >50%.

For asymptomatic patients, the average annual risk of stroke with stenosis ≥70% is about 1% and evaluation for carotid endarterectomy or stenting is recommended if the patient is considered to be at acceptable surgical risk.

Family physicians often see patients with diarrheal illnesses and most of these are viral. Patients sometimes have misconceptions about preferred fluid and feeding recommendations during these illnesses. The World Health Organization recommends oral rehydration with low osmolarity drinks (oral rehydration solution) and early refeeding. Low osmolarity solutions contain glucose and water, which decrease stool frequency, emesis, and the need for intravenous fluids. Soda and sports drinks contain a higher concentration of glucose, which may worsen diarrhea.

Half-strength apple juice has been shown to be effective, and it approximates an oral rehydration solution. Its use prevents patient measurement errors and the purchase of beverages with an inappropriate osmolarity. It is also more appealing to children than many oral rehydration solutions. Water increases the risk of hyponatremia in children. Refeeding on patient request has been shown to decrease the duration of illness.

This asymptomatic patient with mildly elevated transaminases most likely has nonalcoholic fatty liver disease (NAFLD), which is the most common chronic liver disorder in the United States. It is associated with metabolic syndrome. The initial evaluation should include studies to rule out less common causes of liver disease including viral hepatitis and hemochromatosis. Other laboratory studies that assist in evaluation include albumin and platelet levels. These values allow for the calculation of the Fibrosis-4 score or the NAFLD fibrosis score, which are validated to predict the risk of significant liver fibrosis. Patients with an elevated risk of fibrosis require further evaluation, typically with ultrasound-based elastography before considering liver biopsy. Medications and supplements may cause elevated transaminase levels, and a thorough history to elicit this information is important. Statin-induced liver injury is rare and not consistent with this clinical picture. Discontinuing statin therapy is not necessary with mild transaminase elevations due to NAFLD. Metformin is unlikely to cause elevated transaminases and is safe with this severity of liver disease. Liver fibrosis may be detected with CT but ultrasonography is more sensitive and thus preferred.

Biceps tendinitis causes pain with abduction and external rotation of the arm, and tenderness of the bicipital groove with palpation. Resisted supination of the hand with the elbow flexed to 90° is the Yergason test, and anterior shoulder pain with this maneuver is consistent with bicipital tendinitis. Anterior shoulder pain with cross adduction of the arm is more consistent with acromioclavicular arthritis. Axial compression with rotation to the affected side of the slightly extended neck is the Spurling test for cervical radiculopathy. Extension of the elbow would activate the triceps, and internal rotation of the shoulder with the elbow flexed would result in less activation of the biceps than resisted supination.

Doxycycline (100–200 mg daily or 40 mg once daily of a modified-release formulation) and minocycline (100–200 mg daily) are effective options for the treatment of papulopustular rosacea. The modified-release doxycycline, which is a 40-mg capsule, is FDA-approved but is more expensive out of pocket. Oral metronidazole or macrolides such as azithromycin and clarithromycin can also be considered for those who cannot take tetracyclines. Erythromycin would not be a first-line choice. Amoxicillin, cephalexin, and sulfamethoxazole/trimethoprim lack evidence to support their use in the treatment of papulopustular rosacea.

Office spirometry can be very helpful in narrowing the differential diagnosis of dyspnea. Of the options listed, only cystic fibrosis can cause an obstructive pattern. Other causes of an obstructive pattern include asthma, COPD, α1-antitrypsin deficiency, and bronchiectasis, among others. Common diseases or conditions causing restrictive patterns include adverse reactions to nitrofurantoin, methotrexate, and amiodarone. Chest wall conditions such as kyphosis, scoliosis, and morbid obesity can also cause restrictive patterns. Interstitial lung disease, including idiopathic pulmonary fibrosis, sarcoidosis, and asbestosis, also causes a restrictive pattern.

After percutaneous coronary intervention (PCI) for a non–ST-elevation myocardial infarction, the American College of Cardiology (ACC) recommends continuing dual antiplatelet therapy (DAPT) for at least 12 months in patients who do not have a high risk for bleeding. There are few consistent recommendations after 12 months because there is less consistent and high-quality evidence for outcomes beyond this time point.

The net benefit of dual antiplatelet therapy is highest in the first 12 months after PCI. After 12 months of therapy, the risk of bleeding increases. The risk-benefit ratio should be reassessed for all patients after 12 months of therapy. For most patients, discontinuing either the P2Y12 inhibitor or the aspirin is warranted after 12 months. A 2020 meta-analysis found that patients with newer generation drug-eluting stents treated with DAPT for >18 months had a higher all-cause mortality compared with those treated for <6 months.

The ACC indicates that continuing DAPT is reasonable for select patients. Point-of-care tools, such as the PRECISE-DAPT Risk Calculator, use clinical information to calculate the likely cardiac risk reduction and likely risk of bleeding to help inform shared decision-making after 12 months.

Aspirin is the most cost-effective option for long-term antiplatelet therapy. For this patient, who has indicated costs of care are a concern for him, discontinuing clopidogrel is the better choice.

In addition to antiplatelet therapy, control of elevated blood pressure and cholesterol also reduces cardiovascular outcomes in secondary prevention. This patient’s LDL-cholesterol level is at goal and currently <70 mg/dL, so atorvastatin should be continued at the current dosage. He has reached his blood pressure goal of <130/80 mm Hg and has no orthostatic symptoms, so his current blood pressure medication regimen should be continued.

Because patients with an acute ischemic stroke may require the increased perfusion pressure to limit ischemia, antihypertensive therapy should not be given during the first 48–72 hours as long as they are not candidates for, or recipients of, reperfusion therapy with alteplase or thrombectomy; do not have a comorbid condition requiring acute blood pressure lowering; and do not have a blood pressure >220/120 mm Hg. Patients with a history of hypertension can generally resume their home blood pressure medications once they are safely eating and drinking. Basically, you can allow HTN (permissive HTN) within the first 48 hours of having an ischemic stroke that wasn't treated with alteplase or thrombectomy with goal BP <220/120.

[renewhealthcenters]

The Best Heart Health Tests to Ask Your Doctor About

Heart disease remains one of the leading causes of death worldwide, making regular heart health screenings essential. Early detection through proper testing can prevent serious complications and improve overall health. But with so many tests available, how do you know which ones are right for you? Here’s a breakdown of the best heart health tests to ask about during your next doctor’s visit.

Essential Heart Health Tests You Should Consider

1. Blood Pressure Test

One of the simplest yet most important tests, a blood pressure check can reveal hypertension, a major risk factor for heart disease. Regular monitoring can help you manage lifestyle changes or seek medical intervention early.

2. Cholesterol Panel

This test measures your total cholesterol, LDL (bad cholesterol), HDL (good cholesterol), and triglycerides. High LDL and triglycerides increase your risk of heart disease, while higher HDL is protective. Knowing your numbers helps tailor your diet, exercise, and medication plan.

3. Electrocardiogram (EKG/ECG)

An EKG records the electrical activity of your heart and detects abnormalities like arrhythmias or previous heart attacks. If you experience chest pain or palpitations, your doctor may recommend this test.

4. Coronary Calcium Scan

A CT scan of your heart can detect calcium deposits in your arteries. Detecting early plaque buildup helps assess your risk of a future heart attack, allowing for preventive measures.

5. Stress Test

A stress test evaluates how your heart functions under exertion. It’s useful for identifying potential blockages and determining your heart’s ability to handle physical activity.

6. C-Reactive Protein (CRP) Test

CRP levels indicate inflammation in the body, which is linked to heart disease. Elevated CRP can be a warning sign even if cholesterol levels are normal.

7. Lipoprotein(a) Test

Lipoprotein(a) is a genetic risk factor for heart disease. Even if your cholesterol levels appear normal, this advanced test can provide deeper insights into your heart health.

8. Carotid Ultrasound

This non-invasive test evaluates the arteries in your neck for plaque buildup, helping assess stroke and heart disease risk.

When Should You Get These Tests?

The timing of heart health screenings depends on factors like age, family history, and lifestyle. Generally:

Blood pressure should be checked annually or more often if you have hypertension.

A cholesterol panel is recommended every 4-6 years, but more frequently if you have risk factors.

An EKG may be needed if you have symptoms like palpitations or shortness of breath.

Advanced tests like a coronary calcium scan or carotid ultrasound are suggested for those with a strong family history of heart disease.

Heart Health Tests to Ask About

During your next doctor’s visit, make sure to discuss the heart health tests that suit your medical history and lifestyle. Understanding your risk factors and early detection can help prevent serious cardiovascular issues.

By incorporating these tests into your routine care, you take a proactive step toward better heart health and longevity.

Check out: Heart health tests to ask about

[saigaldoagnostic]

Trending Medical Diagnostic Services in Sitapur: Saigal Diagnostics at the Forefront

Healthcare innovation is transforming how we diagnose and treat diseases, and Sitapur is no exception. At the heart of this transformation is Saigal Diagnostics, a trusted name offering cutting-edge medical diagnostic services. As health awareness rises, more individuals seek accessible, reliable, and advanced diagnostic centers. Here’s why Saigal Diagnostics is trending in Sitapur and why it should be your go-to choice.

1. Revolutionizing Diagnostics with Advanced Imaging

Saigal Diagnostics is equipped with the latest imaging technologies, making it a leader in Sitapur. From CT Scans to 2D-Echo, their services cover a range of imaging solutions essential for accurate diagnosis and treatment planning. Patients trust their precise and timely results.

CT Scan of Brain in Sitapur: Comprehensive scanning for brain health.

CT Scan of Chest in Sitapur: Detailed imaging for respiratory evaluation.

2D-Echo in Sitapur: Advanced cardiac imaging to assess heart health effectively.

2. Focus on Women’s Health: HSG Test for Infertility

Infertility diagnosis is an emotional and physical journey for many women. The HSG (Hysterosalpingography) test, offered by Saigal Diagnostics, is a minimally invasive procedure used to evaluate the uterus and fallopian tubes. This service ensures accurate results with the utmost care for patient comfort.

3. Rising Demand for Preventive Healthcare

Preventive health check-ups are trending, and Saigal Diagnostics is leading the charge. Regular ultrasounds, X-rays, and doppler tests help individuals detect potential health issues early. Their services include:

Abdomen Ultrasound in Sitapur: A detailed evaluation of the abdomen to identify abnormalities.

Lower Abdomen Ultrasound in Sitapur: Specialized imaging for specific diagnostic needs.

Carotid Doppler in Sitapur: A vital test to assess blood flow in carotid arteries, reducing the risk of stroke.

OPG in Sitapur and X-ray in Sitapur: Essential for dental and skeletal imaging.

4. Convenient Location and Online Access

In today’s fast-paced world, convenience matters. Saigal Diagnostics is centrally located in Sitapur and easily accessible via Google Maps. Online appointment booking and test result accessibility make it easier for patients to manage their health.

5. Affordable and Transparent Pricing

Affordability is a key factor in trending diagnostic centers. Saigal Diagnostics offers competitive pricing while maintaining high standards of quality and care. Patients appreciate their transparent billing system and no hidden charges.

6. Testimonials and Word-of-Mouth Popularity

Saigal Diagnostics has built a reputation for excellence, and word-of-mouth referrals are a significant reason for their growing popularity. Patients praise their professional staff, accurate reports, and quick turnaround time.

Final Thoughts

As healthcare trends emphasize early detection and prevention, Saigal Diagnostics continues to set benchmarks for quality and reliability in Sitapur. Whether it’s advanced imaging, specialized infertility tests, or routine health check-ups, they cater to all diagnostic needs under one roof.

Visit Saigal Diagnostics in Sitapur to experience the future of diagnostics today. Stay ahead in your health journey with a trusted partner by your side.

[healthpackageservicesatultrascan]

Ultrascan Diagnostics: Best Diagnostic Centre in Indore for Doppler Scans

Ultrascan Diagnostics is recognized as the best diagnostic centre in Indore, offering high-quality Doppler scans at affordable prices. Our expert radiologists and state-of-the-art equipment ensure accurate results for a variety of Doppler tests, including renal Doppler test in Indore, carotid Doppler test, and penile Doppler test.

Comprehensive Doppler Scan Services

We provide a wide range of Doppler scan services, including:

Renal Doppler Test: Evaluates blood flow to the kidneys and helps diagnose renal artery conditions.

Carotid Doppler Test: Detects blockages and abnormalities in the carotid arteries, reducing stroke risk.

Penile Doppler Test: Assesses blood flow in the penile region to identify erectile dysfunction causes.

Fetal Doppler Scan: Monitors blood circulation in the fetus during pregnancy.

Colour Doppler Ultrasound for Legs: Examines blood flow in the lower limbs to detect deep vein thrombosis (DVT).

Affordable Colour Doppler Ultrasound Price

At Ultrascan Diagnostics, we prioritize affordability without compromising quality. Whether you need a doppler test near me or want to inquire about the color doppler test price, we provide cost-effective solutions. Our pricing is transparent and competitive, ensuring that you receive the best value for your healthcare needs.

Importance of Doppler Scans in Healthcare

Doppler scans are crucial in diagnosing various medical conditions, including:

Pregnancy Monitoring: Color Doppler ultrasound in pregnancy helps monitor fetal health.

Vascular Conditions: Doppler tests detect blood flow issues in arteries and veins.

Cardiovascular Health: Assessing blood circulation to prevent heart-related complications.

FAQs About Doppler Scans

Q1: How much does a color Doppler test cost at Ultrascan Diagnostics? A: The cost of a color Doppler test varies depending on the type of scan required. Contact us for the latest pricing details.

Q2: How should I prepare for a renal Doppler test in Indore? A: It is recommended to fast for 6-8 hours before the test to ensure accurate results.

Q3: Where can I find the best diagnostic centre in Indore for Doppler tests? A: Ultrascan Diagnostics offers comprehensive Doppler scan services with experienced professionals and advanced technology.

Conclusion

Ultrascan Diagnostics is committed to providing the most reliable and affordable renal Doppler test in Indore. Whether you're searching for a doppler scan near me, a fetal doppler scan, or a specialized vascular assessment, our expert team is here to assist you.

If you are searching for a doppler scan near me, look no further than Ultrascan Diagnostics. Contact us today to schedule your appointment and experience top-quality diagnostic care.

Contact Detials rawatbrajendra@gmail.com Mon to Sat : 08:00 AM to 08:00 PM +91 78695 24599, 0731-4100544, 9131492914 Our Location 451-G Greater Brajeshwari,Near Kerala Bakery,Pipliyahana Road, Pipliyahana, indore, Madhya Pradesh 452016

[amitshahneuro]

Comprehensive Care for Brain Stroke Treatment in Goregaon

Brain strokes are among the leading causes of severe disability and mortality, demanding timely intervention and expert care. With advanced brain stroke treatment in Goregaon, facilities and specialists like Dr. Amit Shah ensure optimal treatment outcomes for stroke patients.

Understanding Brain Strokes

A brain stroke occurs when the blood supply to a part of the brain is disrupted due to a blockage (ischemic stroke) or a rupture (hemorrhagic stroke). Recognizing the warning signs early is critical to minimize complications.

Symptoms of a Stroke

Use the acronym FAST:

Face: Drooping or numbness on one side.

Arms: Weakness or inability to raise them.

Speech: Slurred or garbled speech.

Time: Seek immediate help.

Other symptoms include severe headache, vision problems, dizziness, and difficulty walking.

Advanced Diagnostics and Treatment Options

Diagnosis of Brain Stroke

Dr. Amit Shah employs advanced diagnostic tools, including:

CT Scan: Identifies hemorrhagic strokes.

MRI: Detects ischemic strokes early.

Carotid Ultrasound: Assesses blood flow in arteries.

Angiography: Evaluates brain blood vessels.

Blood Tests: Checks for clotting disorders.

Treatment Plans

Ischemic Stroke:

Thrombolysis: Clot-busting drugs like tPA.

Mechanical Thrombectomy: Removes clots using devices.

Antiplatelet Therapy: Prevents future clots.

Hemorrhagic Stroke:

Surgical Intervention: Repairs blood vessels.

Medication: Manages blood pressure and seizures.

Rehabilitation: Improves mobility and cognitive function.

Rehabilitation and Post-Stroke Care

Recovery requires a multidisciplinary approach, including:

Physical Therapy: Improves mobility and strength.

Speech Therapy: Overcomes communication issues.

Occupational Therapy: Restores daily activity skills.

Psychological Support: Addresses emotional challenges like anxiety and depression.

Preventive Measures

Dr. Amit Shah emphasizes prevention through:

Managing Hypertension: Regular monitoring and medication.

Controlling Diabetes: Maintaining optimal blood sugar levels.

Quitting Smoking: Reduces vascular damage.

Healthy Diet: Supports vascular health.

Exercise: Maintains healthy weight and circulation.

Stress Management: Reduces blood pressure risks.

Clinic Location:

26/204, Shalimar Building, Above McDonald’s, Goregaon West, Mumbai – 400104.

Easy Ways to Reach the Clinic:

For Patients Using the Western Line:

Take a Western Line train and alight at Goregaon Station.

The clinic is a 5-minute walk or a short auto-rickshaw ride from the station.

For Patients Using the Central Line:

Board a Central Line train and get off at Dadar Station.

Change to the Western Line at Dadar and proceed to Goregaon Station.

For Patients Coming from Outside Mumbai:

By Train: Travel to Mumbai Central or Bandra Terminus and switch to the Western Line to Goregaon Station.

By Air: From Mumbai Airport, take a taxi or app-based service for a 30-45 minute drive to the clinic.

[midascareclinic]

Early Detection for Stroke Prevention

Carotid Doppler Ultrasound is a crucial, non-invasive diagnostic tool that provides valuable insights into your carotid arteries. This advanced imaging technique helps detect blockages or narrowing of the arteries, which are major risk factors for stroke. By using high-frequency sound waves, the procedure generates clear, detailed images of the carotid arteries, allowing doctors to assess blood flow and identify potential threats to your health.

[akashbajaj123]

Expert Carotid Angioplasty Services in Jaipur for Best Outcomes

Carotid angioplasty is a minimally invasive procedure aimed at treating carotid artery stenosis, a condition where the arteries supplying blood to the brain become narrowed. If you’re searching for the best carotid angioplasty in Jaipur, you’ll be pleased to know that the city is home to advanced medical facilities and skilled specialists who provide exceptional care. This procedure plays a critical role in preventing strokes and improving blood flow to the brain.

What Is Carotid Angioplasty?

Carotid angioplasty involves the use of a small balloon catheter to open blocked or narrowed carotid arteries. Often, a stent is placed during the procedure to ensure the artery remains open, reducing the risk of stroke. It is an alternative to traditional surgical methods like carotid endarterectomy and is particularly beneficial for patients who are not ideal candidates for surgery due to medical conditions or advanced age.

The best carotid angioplasty services in Jaipur are equipped with cutting-edge technology, ensuring safe and effective treatment for patients. This city has become a hub for such specialized procedures, attracting individuals from across the country.

Signs You May Need Carotid Angioplasty

Carotid artery stenosis often doesn’t show symptoms in its early stages. However, as the condition progresses, it can lead to:

Transient ischemic attacks (TIAs), often referred to as "mini-strokes."

Weakness or numbness on one side of the body.

Difficulty speaking or understanding speech.

Vision problems in one or both eyes.

If you or a loved one experience these symptoms, it’s crucial to consult a specialist. Many hospitals in Jaipur offer diagnostic tests, such as carotid ultrasound, to determine if angioplasty is the right treatment option for you.

Why Choose Jaipur for Carotid Angioplasty?

Jaipur has established itself as a trusted destination for medical procedures, including carotid angioplasty. Here’s why you should consider getting treated in this city:

Skilled Specialists: The best carotid angioplasty in Jaipur is performed by experienced vascular surgeons and interventional cardiologists who are highly trained in minimally invasive techniques.

Advanced Facilities: Jaipur’s leading hospitals are equipped with state-of-the-art technology for accurate diagnosis and effective treatment. From imaging equipment to advanced stenting materials, these facilities ensure high standards of care.

Cost-Effective Treatment: Compared to other cities, Jaipur offers high-quality medical care at relatively affordable rates, making it a preferred choice for patients.

Focus on Patient Comfort: The medical professionals in Jaipur prioritize patient comfort and recovery, ensuring that each individual receives personalized attention during and after the procedure.

Preparing for Carotid Angioplasty

Before undergoing carotid angioplasty, you’ll need to undergo a series of diagnostic tests to evaluate the condition of your arteries. These may include:

Carotid ultrasound to assess blood flow.

CT or MRI angiography for detailed imaging.

Blood tests to check overall health and rule out any potential complications.

Your doctor will also review your medical history and current medications to ensure you’re a suitable candidate for the procedure.

What to Expect During the Procedure

Carotid angioplasty is performed under local anesthesia, allowing patients to remain awake but relaxed. The steps typically include:

Insertion of the Catheter: A small incision is made in the groin or wrist to insert the catheter into the artery.

Balloon Inflation: Once the catheter reaches the narrowed area, the balloon is inflated to widen the artery.

Stent Placement: A stent is placed to keep the artery open and maintain blood flow.

Completion: The catheter is carefully removed, and the incision site is closed.

The procedure usually takes 1-2 hours, and most patients can return home within 24-48 hours, depending on their recovery progress.

Recovery and Aftercare

Recovery from carotid angioplasty is relatively quick. Patients are advised to:

Avoid strenuous activities for a few days.

Take prescribed medications to prevent blood clots and manage cholesterol levels.

Follow a heart-healthy diet and exercise routine.

Regular follow-ups with your doctor are essential to monitor the success of the procedure and prevent future complications. Hospitals offering the best carotid angioplasty in Jaipur provide comprehensive aftercare services to ensure a smooth recovery journey.

Final Thoughts

Finding the best carotid angioplasty in Jaipur ensures that you receive top-notch medical care for a potentially life-threatening condition. With skilled specialists, advanced facilities, and a patient-centered approach, Jaipur’s healthcare system stands out as a reliable option for this critical procedure. Early diagnosis and timely intervention can make a significant difference in reducing the risk of stroke and improving overall quality of life. If you suspect carotid artery issues, don’t delay consulting a trusted medical professional in Jaipur.

[not-poignant]

Assumptions!

You are slow to friendships but you value the ones you’ve made greatly.

You are good with boundaries.

Thank you! You are amazing!

Oooo this is really interesting.

You are slow to friendships but you value the ones you’ve made greatly.

So, yes and no? I am very quick to spark up connections with people

(For example: the radiologist who did my carotid ultrasound: I know that she celebrates Christmas, that she has two children who are 15 and 11, the 15 year old is a really generous extrovert who loves her friends and wants to go to university, but she doesn't clean up after herself, and the Mum is frustrated because she was a 'good girl' growing up and doesn't quite know how to deal with a rebellious 15 yo. Her son is very empathetic and sweet, and asks how his Mum is doing when she comes home from work. She worries about him for that reason and doesn't want him to become burdened with her stuff.

She's married. Her family are back in Zimbabwe (I didn't ask because I think it's rude to ask, but she volunteered this), and she visits every two years, recently they came over for 3 months but had to cut the visit short by a month due to a family member with ill-health. They're doing better now. She misses her Mum. Her daughter goes to a private school that is a bus, train and bus to get there, her son will be going to a local high school and he's really nervous!! She recently moved to another suburb, and she likes it there.

She loves her job more than anything, and she finds it really interesting, but the hardest days or the most challenging days are the ones when she does pregnancy ultrasounds, and the baby has passed away, and the parents don't yet know, or even when they do know. She said it's hard for her to see that and be the first person in the chain of specialists/techs they will see. But she said conversely the happiest days are when she does new pregnancies, or scans in general for happy parents, and all is going well.)

(And this is what I do with new people. I can know you for 20 minutes, and many people will tend to fall into sharing a fairly significant part of their life story. Whether it's the broad details, or having a 80 yo man crying on my shoulder on the bus because he started talking to me about a war because I asked the right (or wrong, that day) questions.)

...So I am probably too quick to spark up connections with people (the trick honestly is that most people are struggling and most people want someone to listen to them, they like to feel heard on things that matter - it's extremely useful for character work when this is how you end up talking to people in all walks of life), and a lot of the time I really hold back because I sense it might be too much for the other person.

But I'm also very self-protective due to some negative experiences. So I used to be much, much faster at friendship online, and now I would say I'm just fast to make connections. For example, the sonographer didn't learn anything about me except that I have tumours, and the first year I had my tumour out / carotid artery resected, which was relevant to the ultrasound.

Irl, I can want to be friends with someone based off a single encounter, but I am very...unfortunately skilled at setting up one-sided friendships so that can be dangerous and I have to tread carefully.

but you value the ones you’ve made greatly.

I do, for sure, at least a little because I don't have many very close friends. I have a lot of people who hover in the acquaintance-friend space, people who I want to get to know better, people who I'm shy around, people who I don't know how to progress to the next level of friendship with, and people who I'm happy to let stay in that space, etc.

I'm a socially anxious shy introvert, so the reality is that while I know many people conversationally and think of them fondly, there's very few people I'd go to in a crisis.

Well actually there's no one I'd go to in a crisis, but that's something I have to keep working on lmao.

You are good with boundaries.

Ohhhh no. Oh boy, I am not good at boundaries. I've gotten better over time, in that I have them at all, except the ones I have now tend to be too rigid and not flexible/permeable based off shifting circumstances which can be very hard interpersonally.

I'm shit at boundaries. My nickname for a little while as a teen (i.e. many years) was 'the doormat.' There's a reason I keep writing about characters who need to learn how to stand up for themselves and/or stand up for themselves but in pretty intense ways! I think that's a pretty common problem for many people.

These days I tend to maintain a lot of boundaries by (and don't do this at home folks) not letting folks get close enough to me that I feel they can violate my boundaries at all. Which means I lose out because I push back connection, and other people lose out, because otherwise I can be pretty awesome to connect with!

But yeah, no, I've been in therapy on and off since 1997, and I'm still shit at boundaries. The pendulum just swung in the opposite direction.

~

From the Assumptions meme!

[black-arcana]

BATTLE BEAST's NOORA LOUHIMO Says Health Scare 'Was A Good Wake-Up Call': 'I Really Appreciate Life More Now'

In a new interview with Argentina's Global Legends, BATTLE BEAST's Noora Louhimo opened up about her recent health scare. The 35-year-old Finnish singer revealed in November that she had been diagnosed with a ruptured left carotid artery, causing the postponement the band's tour.

"Well, definitely it scared me a lot, and other people as well," she told Global Legends about the diagnosis and how it has affected her life (as transcribed by BLABBERMOUTH.NET). "And like the doctor said, this can happen to anyone. So if you are coughing too hard… I heard this example that there was a person who was coughing too much and both of the veins got ruptured. This can happen to anyone, but because I really want to — how do you say? — avoid having this again, I have definitely started doing more warm-up before any singing and warming down and taking care of my overall health even more than before. So, actually, the accident was also kind of — it was a good wake-up call for me, because even though I was already on a good path with the lifestyle and how to eat and how to do the sports and stuff like that. But still I noticed that there were some things that I need to concentrate more into and kind of put more effort. So this was actually a really good kind of wake-up call. And also I really — how do you say? — I really appreciate life more now. I'm thankful for each and every day and every moment that I get to live, I get to love, I get to see. I get to see people. I get to be with my loved ones and with my animals here at home. And now I get to tour in the places that I've always dreamed of. And it's not something that you should take [for] granted."

When Louhimo first revealed her diagnosis five months ago, she wrote on her social media: "I went to be examined because of a weird pain in the left side of my neck, throat, ear and chin. At ultrasound examination the doctor found the rupture that had already started healing, and he saved my life. I was hospitalized for more exams and finally got confirmation of the situation. I was ordered to have a break on everything that might stress or increase my blood pressure for the next month. Otherwise, I could have a stroke. As you know how passionate I am as a singer and performer, the blood pressure getting high is a guarantee. So, I did not want to take the risk to die with my boots on, not quite yet".

Louhimo joined BATTLE BEAST in 2012 with no previous experience as a metal vocalist but quickly acclimated herself as the replacement for Nitte Valo (a.k.a. Nitte Vänskä).

Less than two years ago, Noora, who in 2021 released her debut solo album, "Eternal Wheel Of Time And Space", under the NOORA LOUHIMO EXPERIENCE banner, admitted publicly that she had been struggling with eating disorders and her weight since she was "a little child" and said that she was "still trying to find a balance." She added that she had "been depressed and anxious sometimes 'without a reason'."

In an interview with Metal Divas, Noora explained how she ended up fronting BATTLE BEAST: "[In] September [2012], I got a call from [then-BATTLE BEAST guitarist] Anton [Kabanen] that they want me to join BATTLE BEAST. I had heard their music and loved the sound and the vocals, so the next day I called Anton and said I'm in.

"Anton found me by accident on YouTube when he was searching for the new vocalist," she continued. "He had been looking for a vocalist — male or female; [it did not] matter. The only thing that mattered was can that [he or she could] sing his songs without compromises.

"I've been singing since I was four years old," Noora added. "While being a huge fan of heavy metal of '80s and a teenager, I had some classical singing lessons when I was 16 years old. Then at the age of 19, I started studying music in pop/jazz line. At the same time, I started doing some jam sessions at bars. There I found my first band (ADMIRAL OCTOPUS) in the blues bar. We used to play rock and blues music from '60s-'70s and Janis Joplin was the reason I got the rasp in my voice. After ADMIRAL OCTOPUS, in 2011, I took part in a singing competition ('Wanna Be A Rock 'N' Roll Star') at Henry's Pub of Tampere and won it with Janis Joplin's 'Piece Of My Heart'. That's how my single 'Relax' was born."

Photo credit: Terhi Ylimainen

[mcatmemoranda]

●When to suspect giant cell arteritis – The diagnosis of giant cell arteritis (GCA, also known as Horton disease, cranial arteritis, and temporal arteritis) should be considered in a patient over the age of 50 years who has one or more of the following, particularly in the setting of an elevated erythrocyte sedimentation rate (ESR) and/or C-reactive protein (CRP) (algorithm 1) (see 'When to suspect giant cell arteritis' above):

•New headache or change in characteristics of preexisting headache

•Abrupt onset of visual disturbances, especially transient/permanent monocular visual loss

•Jaw claudication

•Unexplained fever or other constitutional symptoms and signs

•Signs/symptoms of vascular abnormalities (eg, limb claudication; asymmetric blood pressures; abnormal radial pulse; vascular bruits; temporal artery abnormalities such as tenderness to palpation, decreased pulse amplitude, and presence of nodules)

Any of these findings are of special concern in the context of a current or previous diagnosis of polymyalgia rheumatica (PMR) because of the association between GCA and PMR.

--------

Algorithm 1

GCA: giant cell arteritis; ESR: erythrocyte sedimentation rate; CRP: C-reactive protein; CDUS: color Doppler ultrasound; PMR: polymyalgia rheumatica; MRA: magnetic resonance angiography; CTA: computed tomography angiography; ACR: American College of Rheumatology; PET: positron emission tomography.

* While a high ESR and/or CRP increases the diagnostic significance of the above symptoms or signs, low or normal values do not exclude the diagnosis of GCA. However, an ESR and CRP should always be included as part of the initial diagnostic workup since they are almost always elevated in GCA. Refer to UpToDate content for additional details regarding laboratory data and GCA.

¶ A current or prior diagnosis of PMR increases the diagnostic significance of any of these symptoms or signs because of the association between GCA and PMR.

Δ High-dose glucocorticoids should be started once GCA is suspected. Refer to UpToDate content on the initial dose of glucocorticoids for GCA.

◊ For skilled operators, CDUS can be an acceptable alternative to the temporal artery biopsy as an initial diagnostic procedure. Scheduling of the temporal artery biopsy or CDUS should not delay initiation of treatment. Refer to UpToDate content for additional details regarding temporal artery biopsy and CDUS.

§ In a subset of patients with GCA, the disease is confined to the large vessels, and temporal artery biopsies in such patients are more often negative than positive.

¥ False negatives can occur with a temporal artery biopsy and CDUS. Refer to UpToDate content for additional details regarding the diagnostic accuracy of the temporal artery biopsy and CDUS.

‡ We routinely evaluate for large vessel involvement in all patients with newly diagnosed cranial GCA by performing CDUS of the epiaortic vessels (eg, carotid, subclavian, and axillary arteries). MRA or CTA is conditionally suggested by the ACR for evaluating for aortic involvement. Refer to UpToDate content on postdiagnostic imaging evaluation in patients with newly diagnosed cranial GCA.

† In some cases, GCA is confined to the large vessels (ie, the aorta and/or its first-order branches) instead of the more common form, which involves the cranial arteries. Imaging modalities include MRA, CTA, and PET. CDUS of the epiaortic vessels (eg, carotid, subclavian, and axillary arteries) can also be used to identify large vessel GCA. Selection of a given modality depends on the availability of local resources.** High-dose glucocorticoid therapy in individuals with negative temporal artery biopsies and large vessel imaging must be carefully considered and reserved for selected patients with a classic clinical presentation of GCA and no other plausible alternative diagnoses. Clinical improvement following a brief trial of high-dose glucocorticoids is nonspecific and should not be relied upon for establishing the diagnosis of GCA.

--------------------

●Initial diagnostic evaluation

•Laboratory data – Laboratory data can aid in the evaluation of GCA and its differential diagnosis, but they are not specific and cannot be relied on as definitive evidence for or against a possible diagnosis of GCA. Initial laboratory testing should include the ESR and CRP levels, which are almost always high in GCA. However, normal acute phase reactants do not exclude the diagnosis of GCA.

•Assessment of the temporal artery – A suspected diagnosis of GCA should be confirmed by temporal artery biopsy or temporal artery color Doppler ultrasound (CDUS).

Scheduling the temporal artery biopsy or CDUS should not delay initiation of treatment with the appropriate dose of glucocorticoids in a patient with a high likelihood of GCA, since delay can put the patient at risk for complications, particularly sight loss.

●Evaluation for large vessel GCA in patients with a nondiagnostic initial workup – When the diagnosis of GCA is still suspected in a patient who has had a negative temporal artery biopsy and/or CDUS, the possibility of large vessel involvement should be considered. The diagnostic procedure of choice for suspected large vessel GCA is an advanced imaging study of the aorta and/or its branches. CT or CT with angiography (CTA), MRI or MR angiography (MRA), and positron emission tomography (PET) or PET with CT are useful for the identification of large vessel GCA. CDUS of the epiaortic vessels (eg, carotid, subclavian, and axillary arteries) can also be used to diagnose large vessel vasculitis.

●Diagnosis – The diagnosis of GCA requires histopathologic proof or evidence from imaging examinations. Occasionally, clinicians are faced with the diagnostic challenge of a negative workup, which should include negative temporal artery biopsy or biopsies and imaging of the large vessels. In this situation, the clinician can choose to either:

•Conclude that the patient does not have GCA and pursue alternative diagnoses, or

•Make a clinical diagnosis of GCA and treat accordingly

Clinical improvement following a brief trial of high-dose glucocorticoids is nonspecific and should not be relied upon for establishing the diagnosis of GCA. Treatment with high-dose glucocorticoid therapy of individuals with negative temporal artery biopsies and large vessel imaging must be carefully considered and reserved for selected patients with a classic clinical presentation of GCA and no other plausible alternative diagnoses.

●Differential diagnosis – The differential diagnosis of GCA includes other vasculitides (eg, Takayasu arteritis, small- and medium-sized vessel vasculitides, primary angiitis of the central nervous system), nonarteritic anterior ischemic optic neuropathy (NAAION), and infection.

●Postdiagnostic imaging evaluation in patients with cranial arteritis – We routinely evaluate for large vessel involvement in all patients with newly diagnosed cranial GCA by performing CDUS of the epiaortic vessels (eg, carotid, subclavian, and axillary arteries). MRA or CTA is conditionally suggested by the American College of Rheumatology (ACR) for evaluating for aortic involvement.