#Course for Doctors

[thebibliosphere]

Still not over the head of cardiology, who said she wouldn't formally diagnose me with dysautonomia because she didn't want me to think of myself as disabled.

As if good vibes and a can-do attitude can stabalize autonomic dysfunction.

[medvantagesolution]

Diabetes Mellitus: A Comprehensive Overview of Etiology, Classifications, and Therapeutic Approaches

Introduction

Diabetes mellitus, a ubiquitous metabolic disorder, is characterized by perturbations in glucose homeostasis, posing significant challenges to both patients and healthcare practitioners. This article endeavors to provide an in-depth analysis of the etiological underpinnings, classifications, and medical management strategies associated with diabetes mellitus.

Fellowship in Diabetes Mellitus comprises of :

I. Etiological Determinants

1. Genetic Predisposition: A hereditary proclivity remains a significant contributory factor in the genesis of diabetes, underlining the importance of family history assessments.

2. Insulin Resistance: Type 2 diabetes mellitus primarily emanates from the presence of insulin resistance, whereby peripheral tissues exhibit diminished responsiveness to insulin's metabolic signaling.

3. Autoimmune Pathogenesis: Type 1 diabetes ensues due to an autoimmune phenomenon resulting in the selective destruction of pancreatic beta cells, culminating in absolute insulin deficiency.

4. Lifestyle Factors: The precipitating role of sedentary lifestyles, obesity, and suboptimal dietary choices cannot be understated in the pathogenesis of type 2 diabetes.II. Classification of Diabetes Mellitus

1.Type 1 Diabetes Mellitus: Typically identified in pediatric and adolescent populations, type 1 diabetes is marked by the autoimmune-mediated destruction of insulin-producing beta cells, necessitating exogenous insulin administration for life.

2. Type 2 Diabetes Mellitus: This variant, the most prevalent, primarily afflicts adults and is typified by insulin resistance and progressive beta-cell dysfunction, requiring various therapeutic interventions, including pharmacological agents.

3. Gestational Diabetes Mellitus: Occurring during pregnancy, gestational diabetes necessitates vigilant monitoring and, in some cases, medical interventions to ensure maternal and fetal well-being. It also portends an augmented risk of developing type 2 diabetes later in life.

III. Medical Management Strategies

1. Pharmacotherapy: Tailored pharmacological regimens may encompass oral antidiabetic agents, incretin-based therapies, and insulin formulations, depending on the type and progression of the disease.

2. Dietary Modification: A pivotal aspect of diabetes management entails implementing individualized dietary plans, emphasizing glycemic control, carbohydrate regulation, and balanced nutrition.

3. Regular Physical Activity: Incorporating routine physical exercise enhances insulin sensitivity and assists in weight management, essential components of type 2 diabetes management.

4. Blood Glucose Surveillance: Regular monitoring of blood glucose levels informs therapeutic adjustments, ensuring glycemic targets are met and averting complications.

5. Lifestyle Optimization: Smoking cessation, prudent alcohol consumption, and stress mitigation are integral aspects of comprehensive diabetes care.

6. Patient Education and Support: Empowering patients with comprehensive education and fostering a supportive network are paramount to enabling informed self-management.Conclusion

Medvantage offers Diabetes mellitus Fellowship courses, that makes you proficient in recognizing etiological factors, classifying the disease, and implementing multifaceted therapeutic approaches is indispensable in the pursuit of ameliorating the patient's quality of life while averting potential complications. Consequently, clinical vigilance and patient-centered care are indispensable to confront the challenges posed by diabetes mellitus.

[dandelionjack]

on tumblr you can say words such as ‘doctor who is like mythology to me. it’s like an ongoing cosmogonic folktale’ and you will recieve 5 notes from people that are willing to indulge your insanity. in real life you say things like how are the kids and was your holiday fun and the weather’s lovely this morning. and i think that’s beautiful. autism.com/careers

[rystiel]

congrats on your success, doctor

[yesokayiknow]

ruby walking into the console room one day holding a shirt that says 'i went through the Horrors in an alternate timeline and all i got was this lousy t shirt' like hey what the fuck does this mean and why was it in my wardrobe and fifteen's like don't worry about it 👍

[foolishlyzephyrus]

the end of time is so funny because while the doctor is grappling with his impending mortality and immense loneliness, the master is just a feral rat man that’s shooting lightning out of his hands and eating people

[expelliarmus]

[contact-guy]

I'm reading a bunch of self-reported case studies of queer people in the 19th century (Psychopathia Sexualis by Krafft-Ebing, for those who are curious) and I REALLY love that the impulse to immediately share life stories when you meet another gay person is timeless and universal

[wintermoth]

....the Doctor invented gloves to help the wearer hang on to anything. To negate everything that would force you to have to let go even when hanging on for dear life.

[thelvadams]

THE NEW DOCTOR WHO TITLE SEQUENCE

[buildoblivion]

[forecast0ctopus]

dyou think he would idle. if he was video games

[heph]

House and his Ducklings 🐤

[witchofthemidlands]

Me watching Midnight for the first time aged 8:

Me watching Wild Blue Yonder for the first time aged 24:

[northernfireart]

why are all doctors artiodactyls and why am I correct

im sane and normal

[genderqueerpond]

We don't talk enough about the fact that Amelia Pond, s5 Amelia Pond, before the timeline is reset, isn't just a normal orphan. Her parents didn't die, didn't abandon her, and didn't send her away. They never existed in the first place.

And if her parents never existed, then Amelia cannot exist. She is a causal impossibility.

"People fall out of the world sometimes, but they always leave traces." A photograph. A face carved into an apple. Yes. Sure.

A child.

Now that's too big, surely.

But that's what she is. She is exactly the same as these things. A trace. An echo of something that could never be, never was, never could have been.

And the universe should never allow it. A whole person, that's just too much. She could not have continued to exist indefinitely, in normal circumstances, after her parents never existed.

In normal circumstances.

Because the Doctor didn't just save her from things coming out of the crack in her wall. He saved her from going into it. And he didn't just save her from the threat of going into it simply because of its vicinity.

No, by arriving when he did, he interrupted a process that was probably already in motion. And then by arriving again only moments later on a cosmic relative timestream (too quickly for the process to complete) and yet in the local relative timestream, years later --- years of a potential future caught midway through the process of rewriting -- he solidified that existence. Amy is a creature from another timeline, caught in amber. The Doctor prevented her from never existing, but only after she could already never exist.

And so, no one around Amelia thinks about it. Neither does she. There's some kind of consciousness block, because if you thought about it, really thought about it, for two seconds you'd realize she cannot exist. And the human mind can't deal with that. So, to protect itself, everyone's brain simply slides off it before ever noticing. They just assume that her existence makes sense, and don't question it, and don't notice what they don't question, that is staring them in the face.

But of course, to some extent they do notice. They can't think it, but they notice subconsciously that there's something they can't think. They notice there's something wrong with her, something uncanny. And they don't like it, and they alienate her even more because of it.

"Does it ever bother you Pond that your life existence doesn't make any sense?"