#Consultant Radiologist

[jobsnotices]

Hetauda Hospital Vacancy 2081 for Various Health Positions

Hetauda Hospital Vacancy 2081 for Various Health Positions. Bagmati Province Government, Ministry of Health, Directorate of Health, Hetaunda Hospital are going to fill up the posts on contract according to “Procedures for Management of Doctors and Health Personnel Service 2078”. And notice has been invited to apply for the following positions within fifteen (15) days. CAREER…

[wallabywannabe]

I called the ENT office to leave a message to ask if I could get started on antibiotics or something because the pain is getting worse and I don't want to wait 6 days until my appointment, and the front desk person was like, "ok what's you're date of birth?" and I gave it to her and she kept trying to tell me happy birthday! And I was like oh yeah thank you that's very sweet but really not what I care about right now!

A diagnosis for my birthday? Could I be so lucky?

[ppth-staff]

PPTH Staff Directory

Administration

Hen Nenaginad, Dr. Cuddy’s personal assistant (@toplessoncology), ask blog @ppthparttimer

Cardiology

Sydney Forrest, Head of Cardiology (@wilsons-three-legged-siamese), ask blog @ask-head-of-cardio

Custodial

Bruce N. Valentine (@ghostboyhood), ask blog @the-cleaning-guy

Diagnostics

Haven Ross House (@birdyboyfly), ask blog @ultimate-diagnostician-haven

Teagan Sinclair, Gynecologist (@robbinggoodfellows), ask blog @ask-teagan-sinclair

Cosmo Anderson, House's personal assistant (@cupofmints), ask blog @underpaid-assistant

Emergency Medical Services

Dr. Kadee Montgomery, Head of Emergency Medical Services and Infectious Disease Specialist (@privatehousesanatomy), ask blog @kadeejeanmontgomery

Anji Foxx-Knight, Ambulance Operator and Automotive Technician (@rainismdata), ask blog @technician-para-driver

Fritz Litte, ER Doctor, ask blog @erdocfritz

Dr. Rylan Hopps, ER Physician (@dndadsbara), ask blog @nervous-physician

Endocrinology

Ev Price, Head of Endocrinology (@sillyhyperfixator), ask blog @ppth-endocrinology-head

Dr. Katherine “Kate” Rooke, Endocrinologist (@katttkhaos), ask blog @drkrooke

Epidemiology

Dr. Arwen Callejas, Head of Epidemiology (@addicbookedout)

Emilie Martin, Epidemiologist (@picking-dandelions-and-tunes)

Forensics

Stevie “Bird” Corcoran, Forensic Scientist and Teacher (@1mlostnow), ask blog @head-of-forensics

Melvin Rideau, Forensic Technician (@datas-boobs), ask blog @ppth-forensic-technician

Hematology

Ivan Andrews, Hematologist (@kleinekorpus)

IT

Andrew Hayes, Software Engineer (@tired-and-bored-nerd), ask blog @ask-ppths-it-guy

Lab

Anatol Dybowski, Head Lab Scientist (@tino-i-guess), ask blog @ppth-lab-head

Legal

Valerie Carr, Legal Consultant (@writing-and-sillies), ask blog @ask-ppth-legal

OB-GYN

Dr. Fluoxetine Pearl, Head of OB-GYN (@asclexe), ask blog @ppth-obgyn-dept-head-real

Dr. Katherine Rhodes, Head of NICU and ICU (@privatehousesanatomy), ask blog @katherineelainerhodes)

Danny Begay, Gynecologist (@hemlocksloadofbull), ask blog @ask-danny-in-gynecology

Oncology

Dr. Francesca Scott, Head of Oncology (@birdyboyfly), ask blog @ask-head-of-oncology

Leo Fitsher, Nurse (@asclexe)

Mat Hulme, Ongologist (@evilchildeyeeter), ask blog @ratfather-oncologist

Dr. Gavin Maxwell, Hematologist (@worldrusher), ask blog @dr-maxwell-hemaoncol

Ophthalmology

Maddox “Maddie” N. Jagajiva, Ophthalmologist (@rainismdata), ask blog @dr-visionary-counselor

Pediatrics

Dr. Nanette “Ninny” Amesbury, Head of Pediatrics (@desire-mona)

Eddie Sting, Head of Pediatrics (@cherrishnoodles), ask blog @ask-head-of-pediatrics

Romeo "Vinny" Vincent, ENT nurse (@wilsons-three-legged-siamese), ask blog @earsandthroatnursey

Melanie Byrd, Pediatric Orthopedist (@tired-and-bored-nerd), ask blog @ppth-baby-bone-doc

Marie, Pediatrician (@marieinpediatrics-stuff)

Dr. Sophie Baker, Pediatric Neurosurgeon (@privatehousesanatomy), ask blog @sophieeloisebaker

Plastics

Gabriella “Gabi” Kramer, Plastic Surgeon (@1mlostnow), ask blog @plastic-surgeon-gabi

Psychiatry/Psychology

Lena Ehris, Head of Psychiatry (@jellifishiez), ask blog @head-of-psychiatry

Dr. Venus Watanabe, Head of Psychiatry (@chocovenuss)

Dr. Madlock, Head of Psychology (@sushivisa)

Domingo Estrada, Social Worker (@robertseanleonardthinker), ask blog @ppth-socialworker

Dr. Kieran F. Campbell, Psychiatrist and Geneticist (@kim-the-kryptid), ask blog @consult-the-geneticist

Caitlin, Psychologist (@littlelqtte), ask blog @caitlin-interrupted

Pulmonology

Reina Linh Rivera, Head of Pulmonology (@prettypinkbubbless)

Dr. Milana Walker (@evilchildeyeeter), ask blog @dr-redbull-addict

Radiology

Dr. Eneko Ruiz-Arroyo, Head of Radiology (@katttkhaos), ask blog @headoradiology

Beth Klein, Radiology Tech (@emptylakes)

Steven Sandoval, Radiologist (@endofradio)

Patients

Ilja "Illusha" Vancura, Head Archivist at Rutgers Med (@scarriestmarlowe), blog @vancurarchivist

Francesco Cage, Best girldad patient (@dndadsbara), ask blog @francesco-cage

Joey Abrams, Forensics Student - kind of (@1mlostnow), ask blog @joey-is-fine

OOC: Hi, I'm Birdy, and I run this PPTH blog! I'm 19, agender, aroace, and use they/them pronouns.

If you have an OC or a post that you would like for me to add to the blog, please feel free to send me an ask/message! If I follow you back, it'll be at my main blog, @birdyboyfly.

[octuscle]

We need more chavs, is there a factory to make them?

2028: The use of artificial intelligence has eliminated vast numbers of well-paid jobs. Tax consultants, defense lawyers, radiologists… All of them were suddenly out on the street, completely unprepared for this new situation. Thanks to the gushing tax revenues of the tech giants that are increasingly dominating the planet, the government had the financial means and the technical possibilities to better familiarize the new mass of unemployed with their situation. In large institutions, the men were better prepared for their future as street cleaners, supermarket assistants or welfare recipients in order to better meet the new requirements.

The results of the morning shift leave the factory floor. Instead of thinking about their lost future, they are constantly horny and edging, their hands almost permanently in the pockets of their training pants.

Now they are on their way to delivery, where they are supplied with fake Gucci hipbags and an initial supply of fags and lighters. When they go back to their council apartments or the dormitories of the homeless shelters tonight, they will wank themselves to sleep with satisfaction.

[kickthecan-revolution]

After 11 biopsies, three MRIs, four ultrasounds, 40 hours in the chemo chair, one surgery, I’m cancer- free. Lymph node is clear, clear margins, the atypical cells biopsied were non-cancerous and they even sent tissue from both breast pulled from the reduction. All negative for cancer.

The chemo shrunk the tumor from 28mm to 11mm which is called an incomplete response, the chemo often reduces all of it, but this result is typical for triple positive breast cancer I have, it’s not a big deal. She was surprised it had shrunk that much and was very happy with that.

When she said that I started to cry, so proud of my body for beating this.

Now I have 3 1/2 weeks of radiation which I think is 23 sessions, I have a consultation with the radiologist next Monday to learn more. After that, just infusions. My five year survival rate just jumped to 98%.

This is now really close to being over. Now the rest of my precious and beautiful life.

Thank you all so much for your love and support along this journey, I can’t tell you how much it meant to me.

[thisisthinprivilege]

Did you hear about the new healthcare and insurance guildlines that are supposed to replace BMI? Basically instead doctors are encouraged to "evaluate weight-related risks" by: Body Fat percentage, waist circumference, "measurements of visceral fat", body composition, genetic and metabolic factors, and in some cases bone density test. So now in order for doctors to tell us all our problems are because we're fat, we'll have to pay thousands more dollars in testing first.

My wife is a doctor and has told me many stories about the corruption, money-grubbing behavior, laziness, and outright incompetence among her fellow doctors. "All they need," she said, "is some sort of plausible deniability to treat their patients poorly."

Unfortunately, it is acceptable in the medical profession to blame everything on a patient's weight and effectively refuse care or provide a lower standard of care to fat people. Instead of treating with a high quality of care on the first visit, spend five minutes haranguing the patient about weight, sign them up for a barrage of tests, require they lose X lbs, then schedule another visit (with another consult fee) in Y months to "follow up" (that is, kick the can down the road again).

I just read my wife your submission. She said, "Money-grubbing lazy doctors dislike BMI because it's too simple to measure. But stuff like bone density requires consulting with a radiologist. And for doctors, referring every fat person to radiology is a nice kickback to your radiologist friend."

Everyone, but fat people in particular, should treat doctors with an abundance of skepticism and caution. Practice demanding care before pointless tests and behavioral interventions. Refuse getting your blood sugar tested for the umpteenth time if you're weight stable. My wife wants to add to this: Remind doctors that respect is not freely given, but earned.

-ArteToLife

[lonelynpc]

The Batfam as Medical Specialties

bruce wayne is an anaesthetist: you might say, “but, lonelynpc, bruce wayne would be a paediatrician,” to which i would say, "no". this man can pay attention to 1000 things at once. he’s writing in the anaesthetic record while listening to the monitors, singing his favourite song and listening out for close. he knows exactly what the patient's heart rate, sats, etc are from sound alone. he can recognise the most minute changes in the monitor’s sounds and will know exactly what it is that’s dropping or increasing without looking up. if he's standing up, you know there's something to be worried about. (brings cakes in from alfred for his team every day, don't @ me)

dick grayson is a trauma surgeon: this is because i am afraid of him and i am afraid of trauma surgeons. he’s terrifying and he works fast. he's an inexpressible comfort to people in his care, he regularly gets flowers or chocolates from families and patients. he’s lovely outside of work but at work, jfc can you stop glaring at me over the drapes? (also treats his entire team to dinner at the end of every month)

jason todd is a paediatric surgeon: i don’t wanna hear it. he definitely pimps his students, interns and residents for sport but the second he’s around his patients? he's "doctor jay". he’s got stickers in every pocket, fun scrub caps, a dragon stephoscope cover, a jelly finger monster on the end of his penlight and an endless supply of teddy bear tegaderms. he's got toy stephoscopes and teddy bears in his pockets at all times to give to the kids. he puts a bandage, wristband, hospital gown, mask and hairnet on patient's toys before they wake up as well.

barbara gordon is a cardiothoracic surgeon: she’s serious, intimidating and calculating. people look at her and wither. she’s yelling at interns for talking, pimping her med students about everything including her surgical playlist. you get a question wrong? “do some research. i’ll ask you again when i see you next,” and she will not forget so you better do that research. she's strict with patients because she cares and gets so excited when she sees/hears improvement.

tim drake is a radiologist: he’s glued to that damn screen and pounding back black coffee. he’s seeing the problem before you even know there is one. “oh, you don’t see that tiny hairline fracture with your novice eyes? you're pathetic, get out of my way. i’m getting you an ophthalmology consult.”

stephanie brown is an orthopedic surgeon: she’s a jock. i can’t explain it. she is a jock. she’s blasting the most absurdly mixed playlist, singing along and wearing her space suit and lead. she's fun and can tell you the exact injury and the severity just by hearing the mechanism of injury. no filter though smh, she'll tell her intern that they should get their back looked at after seeing their posture.

duke thomas is a neurosurgeon: can’t explain it but he is. he’s got the lights out and that headlamp on, nobody talk to him, he’s Looking™, did somebody breathe? who did that? own up so i can kick you out, you should be ashamed of yourself and your family.

cassandra cain is a general practitioner: i think she’d love being a general practitioner (family medicine). she’d like having regular patients, she'd like the variety and the payoff. alternatively, i'd say she'd like pallative care and providing comfort in end-of-life care.

damian wayne is an ob/gyn: look, let’s be real, he’s probably a vet but in human medicine? ob/gyn. he chews out residents but he also chews out partners in the room for being annoying during delivery. he has a chaperone with him 24/7 and will kick all non-essential personnel out of the room during an exam. also has mastered the old "oh, could you go sign the discharge forms at reception?" to get a partner out of the room so he can ask if the patient is safe going home.

[pinkestlittlebutterfly]

Here’s what I’d do if I made a Servamp hospital AU except that I have no plot, only vibes. 

Mahiru – head nurse in charge of one of the wards, often working the shifts no one else wants. He’s beloved by some patients for being genuine and kind, annoying to others for his no-nonsense-attitude, and adored by young doctors for providing useful advice. In his locker there’s a stash of necessities for patients with no one to bring them – toothbrushes, phone chargers, a small selection of candy…

Kuro – nursing assistant, unwillingly provided with a job by his housemate and head nurse Mahiru. He spends most of his work day either complaining or hiding in the bathrooms, but is kept on the team for the soothing aura he exudes. Sometimes he lets terrified kids borrow his Nintendo Switch. 

Hugh – cardiothoracic surgeon. He is absolutely brilliant at his job, but struggles with the parts of surgery that require a bit of physical strength. Though he cares deeply for his colleagues he’s known for his very specific demands regarding surgery preparation, and occasional bouts of arrogance that are rumoured to be an attempt at compensation. Working with Tetsu has made him mellow out.

Tetsu – surgical nurse, and everyone’s favourite. Among the surgical team he’s deeply appreciated for the help he provides with physically demanding tasks, like positioning patients, and being gentle and careful despite his strength. Hugh insists on having Tetsu assist him whenever a challenging surgery is coming up, even if he has to stand on a step to mitigate their height difference. 

Lily – paediatrician who excels at handling fussy children and difficult family members. Outwardly he appears sweet and saccharine in advocating for those in his care, but he knows his rights well and will happily manipulate, lie or go behind a parent’s back should he find it necessary. He’s often called in for patients with suspicious bruises or injuries, and works closely with Misono from clinical forensics. 

Misono – specialist in clinical forensics. He’s known for his meticulous, court-proof documentation, which not a single lawyer has managed to get dismissed yet. Though he can’t work long shifts and used to be called in for consultations only, he has recently campaigned to establish a small outpatient department he can run some days of the week. He works closely with Lily from paediatrics. 

Mikuni – former member of the security team, now working in administration. Thus, he spends most of his days annoying anyone unlucky enough to catch his attention, preferably Jeje from radiology or Shuuhei from hygiene management, and seems to know everything about everyone. Sometimes Lily or Misono still call him to handle issues they’d rather not involve the actual security team in. 

Jeje – radiologist who has not seen the sun in months. He chose his job specifically to avoid contact with others, but must frequently leave the dark, little room he likes to stay holed up in to help out with punctures and other interventions since no one else has hands as steady as his. He’s often visited by Mikuni from administration or Lily from paediatrics, who bring him vitamin d supplements. 

Tsurugi – leader of the security team, infamous and mysterious to anyone who hasn’t witnessed him in line for lunch at the cafeteria yet. He only answers to one of the higher-ups among the administration team. Whether it’s a problem that security lies entirely in the hands of the administration is an ongoing discussion among the medical staff, but no one knows whether Tsurugi is aware of it. 

Shuuhei – head of hygiene management, living off coffee from spill-proof reusable cups. He’s said to be pedantic, but that’s what makes him good at his job. Though it’s a thankless endeavour, he works tirelessly to make sure everyone knows when to use which disinfectant and how to properly put on rubber gloves. Only the resident microbiologist seems to take him completely seriously. 

[daidi-dragan-glas]

Gmornin Sunshines and happy Monday

Some of you know, I've been fighting stage 4a Colon cancer with extensive mets to liver, lungs and lymph nodes for the past little while.. (since my diagnosis in Sept of 2022). To begin with, I was told I had about a year and a half, well, I've obviously passed that little mile marker by a few months. There for awhile, it seemed as if the systemic chemo was gonna kick it, I was down to just one or 2 small lesions in my liver that were shrinking. But October of last year, I had new spots in my lungs, lymph nodes and liver, so we kicked up the chemo a notch(about as aggressively as possible) and they began shrinking again by December. My oncologist pointed out a month or so ago that it looked like I might actually be a candidate for surgery to remove a portion of my liver and that it might even be a curative procedure, so scheduled consults with a hepatic biliary surgeon and an interventional radiologist to look into it. I got my hopes way up, only to essentially get a kick in the teeth. Seems I didn't only have one or two lesions in my liver (that were growing by the way), I have 6 or 7 that are growing pretty quickly, and I am NOT a candidate for that surgery.

So at this point my only option is still just continuing the course of a systemic chemotherapy, stay as aggressive with it as possible, constantly having to harp at my oncologist that I would much rather put up with more side effects than to "keep my quality of life" high... I would much prefer to feel like absolute shit for awhile and have a good chance of beating this shit, than to live only 6 months or a year as if little is wrong.

So, I'm putting this out there, not for sympathy, but for added good thoughts and energy my way, and just to prepare those I care for, that there may come a day when I disappear.

I've worked and practiced my whole life to become the BEST dirty old man that I can be, and now that I'm on the cusp of achieving that, fucking cancer wants to take it away from me... Well, fuck that noise! I'm not done yet 😉

[blackbackedjackal]

What was the underlying diagnosis for Lobo? I didn't see it if you already said, sorry. Regardless, sending good thoughts and hoping for lots of tasty treats for Pitiful Beast, and would love to see any extra pictures! (And of course, if you don't end up answering this, that's fine)

I'm still waiting on the radiologist's report, but it looks like pacreatic cancer. All his vitals are good for now, and he's stable and other than the fluid build-up in his abdomen, which we can hopefully have drianed as it builds up to keep him comfortable. Gonna get some follow-up consultations to see how we can make his transition as easy and painless as possible through the progression of the disease.

Always happy to post more photos of him 💕! The last two are when he was in the ER possessed by the Princess Anesthesia 👸! Tonight I'm making him some chicken, rice, and veggie soup for him to have for the next few days 💖💖

[allthecanadianpolitics]

Nova Scotia has launched a screening program for people at very high risk of developing lung cancer. For Dr. Daria Manos, it was an announcement years in the making. "What a momentous day," she said during a news conference in Halifax on Friday. "We need this program. Lung cancer kills more Nova Scotians than colon, prostate and breast cancers combined." Manos, a radiologist and medical director of the lung screening program, said the news follows years of research, consultation, planning and advocacy.

Continue Reading

Tagging @politicsofcanada

[silicacid]

List of healthcare workers killed by Israel attacks on Gaza since October 7, 2023

Physicians:

Dr. Omar Ferwana, a Professor and former Dean of the Islamic University of Gaza Medical School and an andrologist, Gaza

Dr. Aya Ferwana (Dr Omar Ferwana’s daughter), a family medicine specialist, Gaza

Dr. Medhat Saidam, a senior burn and plastic surgeon, Shifa Hospital, Gaza and MSc in Burn Care alumnus from Queen Mary University of London

Dr. Mohammed Dabour, a consultant pathologist and dean of pre-clinical medicine at the Islamic University of Gaza Medical School

Dr. Tamer Al-Khayyat, an anesthesiologist and intensivist, European Gaza Hosptial, Rafah

Dr. Mahmoud Al-Khayyat, an internist in Rafah and Dr Tamer Al-Khayyat’s father

Dr. Razan Al-Rakhawi (Dr Tamer Al-Khayyat’s wife), an obstetric and gynecologist, Emirati Women’s Hospital, Rafah

Dr. Sereen Al-Attar a consultant obstetric and gynecologist at Nasser Hospital, Khan Younis and an Assistant Professor at the Islamic University of Gaza Medical school

Dr. Saeed Drabieh, a urology resident, Shifa Hospital

Dr. Mohammed Al-Samarai, Iraqi volunteer intern physician

Dr. Rafat Abou Foul, radiologist, Beit Hanoun Hospital

Dr. Amal Al-Maqadma, family medicine specialist, Rafah

Dr. Ibtihal Al-Astal, intern doctor, Khan Younis

Dr. Duaa Awad, emergency medicine doctor, Al-Aqsa Hospital

Dr. Moath Nabaheen, emergency medicine doctor, Al-Aqsa Hospital

Dr. Youssef Jadallah, intensivist and anesthesiologist (based in Germany, from Gaza but was visiting his family)

Dr. Inas Yousef, emergency medicine doctor, Al-Aqsa Hospital

Dr. Israa Al-Ashqar, anesthesiology resident, Shifa Hospital, Gaza

Dr. Abdallah Ashour, emergency medicine doctor, Nasser Hospital, Khan Younis

Dr. Hamam El-Deeb, orthopaedic surgery resident, Shifa Hospital, Gaza

Dr. Munther Abu Sariya, consultant pediatrician, Mohammed Al-Durra Pediatric Hospital

Dr. Doaa Shammout, pediatric resident, Rantisi Hospital, Gaza

Dr. Baraa Abu Elaish, intern doctor, Gaza

Dr. Abdlallah El-Helou, general practitioner/internal medicine doctor, Indonesian/Beit Hanoun Hospital

Dr. Muhannad Ezzo Afana, general practitioner, Gaza

Dr. Mohammed Refaat Mekki,

 

Dentists:

Dr. Ahmed Al-Hourani

Dr. Nada Mahdi

Dr. Ibrahim Al-Dali

Dr. Bilal Lubbad

Dr. Marwa Swelim

Dr Areej Eid

Dr. Tawfiq Al-Farra

Dr. Abdallah Baghdadi

Dr. Jameel Tarazi

Dr. Maysoon Al-Nuweiri

Dr. Mona Dughmush

Dr. Noha Dughmush

Dr. Mamoun Afana

Dr. Mohammed Afana

Dr. Anis Mekki

Dr. Tasneem Abdulnabi

 

Medical/dental students:

Bisan Halasa

Shaimaa Saydam

Abedelrahman Abu Shammala

Nour Al-Ashqar

Yaseen Al-Akhras

Osama Abu Safia

Duha Dughmush

Haneen Al-Shannat

Abdallah Abu Jayab

Zainab Azzam

Mohammed Abu Jiadan

 

Medical Scientists:

Prof. Salah El-Din Zanoun

Prof. Ahmed Al-Dalo

Prof. Ameed Mushtaha (Head of laboratories department and blood banks

Nurses:

Mohammed Lubbad  

Mohammed Al-Azzaiza  

Ahmed Moshtaha  

Rami Lubbad  

Somaya Temraz  

Mohammed Rafat Gomaa  

Osama A'eed Abu Safiya  

Saber Al-Nimnim  

Mohammed Hamad  

Mohammed Al-Baz  

Suleiman Abu Zour  

Badr Mohammed Abu Daqah  

Shaimaa Rayan (Midwife)

Maryam Abou Daher

Kefah San’allah

Walaa Adwan (Midwife)

Rawaa Al-Thalathini (Midwife)

Samah Rasheed (Midwife)

Rida Al-Masri (Midwife)

Ibrahim Abou Isaac

Amjad Abou Ouda

Ibrahim Al-Farra

Aya Al-Shrafi

Tamer Al Efesh

Momen Mansour

Asmaa Al-Asar

Feras Ftaiha

Diaa Bardaweel

Rana Shalaby

Itemad Miqdad

Zainab Al-Sharafi

Hamdan Malaka

Suheer Jbara

Hassan Al-Hennawi

Sabha Al-Sherafi

Azmi Al-Jamal

Yousef Al-Shareef

Hadeel Fanqa

Emad Esleem

Enas Al-Zeen

Heba Salamah

Nuha Esleem

Amro Masoud

Hanya Qudaih

Mohammed Al-Moqayyed

Ali Nasrallah

Tariq Abu Obaid (cardiac perfusion specialist)

Ahmed Al-Nuweiri

Abdulrahman Shaheen (Ziada) 

Ahmed Mahmoud Alrann

Dr. Yahya Abduljawad Juda (Public Health, nurse) 

Haytham Tawfiq Alnabih 

Loai Alzuhairi (Nursing student) 

Saleem Abu Zour

Waleed ElMahalawi

Rola Althalathini (Midwife)

Duaa Ashour

Amer Elramlawi

Safa Zeino

Saja Doghmosh

Moayad Ezzo Afana

Ramadan Doghmosh

Moemen Arab (Nursing student)

Oun Nofal Ashour (Nursing student)

 

Paramedics (EMS providers):

Marwan Abou Raida

Hatem Awad

Khalil Al-Sharif

Ahmed Al-Dahman

Yousri Al-Masri

Ahmed Abdel Rahman

Mohammed Al-Ghaliz

Mohammed Ali

Iyad Salim

Abdelrahim Abou Baid

Alaa Abou Ghanima

Naji Al Fayoumi

Mohammed Qateet

Tareq Ashour

Mahmoud Abou Mashayekh

Nafeth Al-Natour

Mahmoud Othman

Mohammed ElOmour

Ibrahim Matar

Yasser Alnaseri

 

Physiotherapists:

Ahmed Al-Masri

Ahmed Sameh Abou Herbeed

Shaimaa Sbaih

Mayar Al-Wahidi

Ahmed Ashraf

Shahrazad Al-Akhras

Nour Ibrahim

 

Pharmacists:

Ahmed Al-Jerjawi

Aziz Elfarra

Afnan Al-Astal

Shereen Abou Jazar

Eman Abu Al-Jalil

Safaa Hasouna

Ibraheem Meqdad

Mohammed Ali

Maysaa Khader

Nisreen Al-Dammagh

Sally Al-Aydi (Pharmacy student at AlAzhar University)

Mohammed Al-Shannat

Lina Abu Mualaileq

Noor Ibean

Haneen Albasyouni

Amira Dahman

Rawand Albanna

Khaled Abu Ma’ala

Amal Mekki

Abdullah Altartori (Pharmacy student at AlAzhar University)

Asmaa Abu Salah (Pharmacy student at AlAzhar University)

Mohammad Alshami

 

Lab technicians/clinical microbiologists:

Natheer Shaban

Asmaa Hijazi

Rawan Yassin

Alia Al Hinnawi

Maryam Kabaja

Nahid Abdullatef

Mohammed Abu Karsh

Mohammed Shabaan

Riham Elkahlout

Ismail Sharaf

Taiseer Alghouti

Abdulmohsin Abu Alrous

Duaa Jad Allah  

Optometrists:

Omar Khorsheed

[mollybecameanengineer]

Qualifying Life Events

Summary: Set in 2007, when Mulder finds a concerning lump, he and Scully discuss health insurance. 

Word count: 1405

This was insipred in part by this post by @unremarkablehouse

@today-in-fic

Read on AO3 or continue below

2007

Mulder was soaping up his balls when he felt it. 

A lump.

On his testicle.

It was pea sized. Hard. And in forty-six years of ball soaping, he’d never felt it before. 

The edges of his vision darkened, and he leaned against the cold tile of the shower wall. He took deep breaths, trying to bring his panic under control. 

It could be anything. 

It didn’t have to be cancer. 

Right? 

He would have shouted for Scully, right there and then, if she’d been home. But she was at work. Mulder rinsed off, and in nothing more than his boxers, headed to his office to consult Doctor Google. 

.

When Scully arrived home, she was annoyed she didn’t smell dinner. They had discussed this: on nights she got home after seven, he needed to cook dinner. How hard was this to remember? She’d even put a schedule on the refrigerator to remind him. 

“Mulder!” She knew she sounded annoyed. She didn’t care.

“In here,” he called from his office. Scully put down her stuff and stomped across the living room. If he tried to explain to her how some shit about aliens had kept him from cooking dinner, she was walking right back out the door and going to her mom’s. 

She slammed open the door and paused. He was sitting there, in only his boxers, looking at the computer. If that wasn’t strange enough, when he turned to face her, she saw his panick face. 

Her anger dissolved and she crossed the room. “What’s wrong?”

He grabbed her hand. “I need you to look at something.” He stood, and started pulling down his shorts.

“Mulder, I’ve seen that before,” she said, trying to lighten the mood.

He grabbed her hand and placed it on his balls. “There’s a lump.”

Scully’s stomach dropped as she started palpating his testicles. She felt it. 

“Well?” Mulder asked. “I’ve been looking things up on the internet. It seems like the likelihood it’s nothing or I’m dying is fifty-fifty.”

“The internet isn’t good for you,” Scully murmured, continuing to feel the lump. Louder, she continued, “I’m not an expert, but I think it’s more likely a cyst than a tumor. But you need an ultrasound and a consult with a urologist.”

“Can you do the ultrasound?”

Since Mulder had been in hiding, Scully had been doing his physicals at home. A few times she’d brought him to the hospital for a blood draw, wanting to keep an eye on his cholesterol. But this — this she couldn’t do herself. 

“No. I’m not a radiologist. I’m not confident in my ability to tell a cyst from an early stage tumor.” She let go of his balls and stepped back. 

He pulled his shorts back up. “What do we do?”

She had long feared something like this would happen — that Mulder would need medical care and would have to come out of hiding for it. 

“We make you an appointment for an ultrasound.” She tried to keep her voice calm. Detach herself from this situation. He was a patient. Don’t think about anything else. “You can go with your Anthony Blake ID and pay out of pocket. It should be less than $500. It should hold up if no one tries to run it for insurance.”

“Then what?” 

“Then we will know what it is.”

Mulder started pacing. “What if it’s not just a cyst? What if they need to do a biopsy or something?” 

She grabbed his hand and pulled him to her. “Let’s not get ahead of ourselves. If the ultrasound isn’t conclusive, we’ll figure it out. Ok?”

He grunted. She patted him on the back before pushing away. “I’ll order some pizza. Go put something on the TV.”

.

“What if it’s not nothing?” he whispered to her. He’d been lying in the dark, unable to quiet his mind and sleep. 

She rolled towards him and put a hand on his chest.

“I know you want to wait and see,” he said, still staring up at the ceiling, “but my mind is going crazy and I need to know we have a contingency plan.” Mulder had looked up how much it cost to treat cancer. Sure, they could afford a $500 ultrasound, no problem. Even a $30,000 biopsy would be fine. Not how he wanted to spend 30 grand, but fine. A couple million for cancer treatment? They didn’t have that. “I’ll need health insurance.”

“I know.”

“Can we get me health insurance?”

She sighed. “I think the Gunmen could have figured something out, but I’m not convinced your I.D. will hold up. Plus, we need to get you the insurance before there is any record of this lump, or else it will be a pre-existing condition.”

“So ‘Fox Mulder’ needed health insurance yesterday?”

She stroked his chest. “This is why I want to wait. If it turns out ‘Anthony Blake’ needs treatment, then we can start the process of getting ‘Fox Mulder’ insurance. And then none of the diagnostic work will be on your chart.” 

He grabbed her hand, the one that was stroking his chest. “So, what will bring me down is a mass on my balls. Not the government, not the aliens… mother fucking cancer.”

“We don’t know it’s cancer. It’s likely a cyst.”

He rolled his eyes. That had to be the twentieth time she’d said ‘likely a cyst.’

“Well, I guess if I do come out of hiding and get arrested, the government will pay for my treatment in jail.” 

She sighed. “Mulder, they aren’t going to arrest you. If they wanted to, they would have already.”

He let go of her hand and scrubbed his face. “You keep saying that.”

“They know where I live. Yet they have never been out here to search for you. They. Don’t. Care.”

What she was saying was logical, even reasonable. But he couldn’t shake the fear. But he could shove it aside, for the moment. “Ok, assuming they really don’t care, how do I get health insurance without a job? Just call an insurance company?”

Scully retracted her hand from his chest. “We’ll get married and add you on my plan as a dependent. That will be significantly cheaper than purchasing individual insurance.” 

He froze. Slowly, he turned his head to look at her. He could just make out her face in the moonlight. “Did you just propose?” 

“I proposed a plan to get you health insurance. And anyway, you’ve already proposed to me half a dozen times.”

“Do you want to get married? Other than for the insurance?”

“I… I don’t know that getting married would change anything for us. I’m committed to you, and I think you are to me.”

“I am.”

“So,” she took a breath, “the main difference it would make is in health insurance and taxes. But none of it matters if you’re in hiding, so it didn’t make sense to bring it up.”

He reached out, taking her hand again. “I want to marry you. And not just for the health insurance.”

A smile tugged at the corners of her mouth. “That’s very romantic.”

“What can I say? I’m a romantic guy.”

They settled into bed, him wrapped around her. His mind felt more at ease, now there was a plan. He drifted off to sleep, thoughts of their wedding displacing fears of cancer. 

.

A year passed. ‘Anthony Blake’ had his ultrasound, and it came back conclusive that the lump was only a cyst. Thoughts of weddings and coming out of hiding were put on the back burner, until one day the FBI approached Scully. They needed Mulder’s help, and all would be forgiven if he assisted them. 

It turned out coming out of hiding involved a lot of paperwork. New driver’s license, access to bank accounts. Setting up retirement crap again. Trying to figure out what to do with his life, now that he could do anything. 

One night, when he knew Scully wouldn’t be home too late, he cooked her favorite meal (that he could make) and put a cloth on their old table. He lit candles, and put on what could only be described as ‘make-out’ music. The table set, the food ready, he added the final touch. 

A print out. The form to add a dependent to a health insurance plan, due to a qualifying life event. And on top of the form, Mulder placed a ring. 

[houseofbrat]

Submission: Chemotherapy

What lay people don’t seem to realize is that you don’t go into chemotherapy like it’s a day of drug shopping. Chemo SHORTENS your lifespan. Google it and you’ll bring up a ton of websites confirming this. Which begs the question: either Catherine has a much more serious cancer than they are letting on, hence, the decision to have chemo is not even a discussion point; OR she’s not having chemo and there’s another reason why she’s missing in action, OR she and William are panicking and she’s receiving chemo regardless. If that IS the case, then I find it incredibly irresponsible to state this as preventative chemo. Chemo KILLS cells. It’s not a preventative measure like a vaccine. This is serious shit, people, and they are making it sound like she’s adding extra fluoride to her toothpaste. THIS is why a lot of oncologists are shaking their heads. The message from KP is not adding up, and I think that the sympathy train is overwhelming what is basic common sense. I think it’s entirely possible to feel the utmost sympathy for the Wales family and, at the same time, condemn the messaging. It’s sloppy and disingenuous. 

—————————-

This is why I made mention of what Dr. Reiner said. 

Kensington Palace wants everyone to believe that Kate found out on 27 February, the day of Constantine’s memorial service and then started her “preventative chemotherapy” right afterwards, as in less than 48 hours afterwards.

Apparently she didn’t need a consultation with a hematologist-oncologist to ask and discuss about treatment options, and apparently she didn’t need a port placement by either a vascular surgeon or interventional radiologist for her “preventative chemotherapy.”

Kensington Palace wants everyone to believe that they found out about Kate’s “cancer” diagnosis the same day William skipped out on that church service less than an hour before and still had enough time in the month to start “preventative chemotherapy.” 

It’s not a remotely believable timeline, but plenty of people believe it. 

I’ve seen rumors that the UK press has known about the “cancer” diagnosis since January; however, what stage of cancer was it? Was it just in situ or stage 2 or 3?

It’s widely assumed that it was a colon cancer diagnosis; however, in the US, they typically do not do adjuvant therapy, aka “preventative chemotherapy,” for stage 0 or 1 colon cancer.

It’s pretty clear that KP is lying with their timeline. She most certainly did not find out on 27 February and also start her “preventative chemotherapy” in “late February.” There are not 31 days in February, and that timeline possibility isn’t even remotely plausible.

To me, it’s either they are outright lying that her diagnosis is more serious, which means Kate sat on that bench and lied to everyone. Or they thought they could hide the “preventative chemotherapy” treatments with their original statement, hoping that they would never have to admit she did anything more than surgery because they are ridiculously extreme about their “privacy.” 

I don’t exclude Kate doing “preventative chemotherapy” to kill in situ/stage 0 cancer cells because as you can see, most people’s attitude can be summed up as, “So what you want Kate to not get chemotherapy so that she gets even more worse and more unwell?” Not realizing that the treatment is likely worse than the disease if she really does have stage 0 colon cancer. They don’t know how to do a cost-benefit analysis. There does not seem to be proper risk analysis going on, which is typical of people who have a lot of money and can get whatever kind of treatment they want. 

[honeysuckle-venom]

Discussion of weight, BMI, medical fatphobia, weight loss medications, ed triggers, internalized fatphobia, desire to relapse, and other related content. No numbers, ultimately recovery oriented but pretty honest about the relapsey feelings

Overall the hepatologist appointment a week ago was good. She said mostly the same thing as the surgeon; it's good to be off the birth control, I'm not in danger currently unless I go back on any estrogen based medication or become pregnant; I need another MRI in a few months to monitor the tumors. She didn't have time to look at the MRI images before the appointment as they take a while to upload, but promised to look at them with the radiologist and surgeon there and call me once she'd looked.

She did mention weight loss could be the one other factor that might help shrink the tumors. Going off the birth control is the biggest thing by far, but she said weight loss might help. I tried to make it fairly clear that I wasn't interested in that, that I had a history of anorexia and was not looking to pursue weight loss at this time. She backed off, and it was okay. But then when I was leaving they handed me a paper with information about the visit, and in big font on the first page it listed my height, weight, and BMI. I'd resigned myself to knowing my weight a few months ago bc of all of these doctor's appointments, but it's been at least 5 years since I've known my BMI, and that was a very conscious choice on my part. I know BMIs are bullshit, but I used to be dangerously obsessed with them and it's an even bigger trigger than weight or calorie numbers are for me. So that was really distressing, and has been bothering me and making food even more difficult than normal for the past week.

Today, thankfully during my therapy session, the doctor called back to discuss the MRI images and her consultation about them with the other doctors. And she again brought up my weight, said that the other doctors all suggested weight loss, and that there was a new type of weight loss drug she could put me on. I lost it, and my therapist stepped in and explained why that was a bad idea. It was one of the most triggering conversations I've had in a very, very long time.

I used to be quite thin, but gained an extreme amount of weight very quickly when I was put on psychiatric medication (esp seroquel) as a teenager. My psychiatrist tried to counteract this by giving me incredibly fucked up advice about what to eat and by putting me on diabetes medication (I'm not diabetic) for its off-label use as an appetite suppressant/weight loss drug. When that had bad side effects she tried to put me on weight loss shots, but I refused. But she spent years pushing various forms of weight loss medication, and it was honestly somewhat traumatic bc of the way it was done/tied up in my ED history.

I stopped seeing that psychiatrist a few years ago, and my current therapist knows I still have an eating disorder, even though it's no longer strict anorexia, and that pursuing intentional weight loss would be incredibly detrimental for me. She's worked to communicate this to my current PCP, and overall I've been fortunate enough not to have people constantly pushing weight loss like I used to expect. So today just really, really took me off guard and upset me. Someone telling me I needed a weight loss medication brought up sooo many triggered thoughts and feelings. I'm very skittish about medication in general, have a lot of medical and medication-based trauma, and have been trying to recover from decades of disordered eating and shame about my body. It was honestly one of the worst, most destabilizing things that could have happened to me.

I'm doing a bit better this evening, but I'm still really upset. I can feel all the different parts of my brain fighting. Part of me wants to cling to recovery and intuitive eating and anti-diet work and all of that stuff, and I know that's the right thing. But so many other parts of me are telling me that it's wrong and weak and bad and dirty and ugly and selfish and lazy and and and and. That I should listen to doctors, that I should diet, that I should relapse, that I should take the pills, that I should get weight loss surgery, that I should never allow myself to be okay with being fat. And I know that's wrong. I know. But the internal fighting and conflict between different world views is vicious right now. It makes me feel dizzy and sick and psychotic and desperate and scared and angry. It's awful. It's just really awful.