#Course for Doctors
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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.
#chronic health tag#ableism in our medical system???#it's more likely than you think#I still remember having to inform the ER doctor that the reason MCAS wasn't in my file#was because the head of allergy for the hospital he worked at#'didn't believe in it'#this was one week into the pandemic#and this man touched his face out of exasperation#and muttered something that might have been 'dense mother fucker' under his breathe#anyway#there should be a screening process for people who want to go into medicine#if you think the only disability is a bad attitude#you should be jettisoned from your course and directly into the sun
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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.
#Medvantage#Fellowship Courses#Fellowship in Diabetes Mellitus#Fellowship in Diabetology#Diabetology Course after MBBS#Online Fellowship Courses#Course for Doctors#Fellowship Program for Doctor
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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
#capaldi’s right when he calls the doctor a folk hero. actually he says that the folk hero isn’t ‘the doctor’ the folk hero is the#time traveller named doctor who. he’s also right when he says that this show is about death. well of course it is. death and time and#change and memory. he gets it like no one else. well let’s hope russell gets it too#actually in way this is um#blog thesis#jamie.txt#dw#doctor who
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congrats on your success, doctor
#this is so them#they’re so annoying of course they fell for each other#doctor who#15th doctor#rogue dw#rogue doctor who#timerogue#uhh#dndoc#??#if we call it that then they’re gonna get so mixed in with dnd ocs 💀
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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 👍
#doctor who#doctor who spoilers#ruby sunday#as soon as she leaves the room 15 turns to the console like girl??? and the tardis beeps back like 😔😬😑 and he's ah. haha. yikes.#donna and amy have one too of course. good times
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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
#cw for all the messy ways that 19th century doctors wrote about queerness#of course#but it's a REALLY interesting source of first person accounts#queer history
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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
#doctor who#dw#dr who#tenth doctor#10th doctor#david tennant#the master#simm!master#john simm#there’s just so much silly stuff in such a weighty episode#i mean it’s par for the course for the master but still#the duality of this show knows no bounds#the end of time
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he's goofy he's silly he's wacky he's going to kill all life on this planet he's the love of my life. and did i mention he's silly
#first doctor#second doctor#third doctor#fourth doctor#fifth doctor#sixth doctor#seventh doctor#eighth doctor#the doctor#doctor who#more incoming. of course
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#mine#doctor who#dwedit#christopher eccleston#david tennant#matt smith#peter capaldi#jodie whittaker#ncuti gatwa#john hurt#jo martin#ok i really only started making this gifset for the last one of fifteen lmao#i did not expect to be sitting here making 9 more gifs but here we are!!!#the only one i really left out is david bradley as the first doctor#but that's because the scene where he says his line in tuat... i don't like the lighting#and you don't even really see his face until after he's said it#but i mean technically these are all the new who doctors :')#and of course dt is in 4/10 of these lol
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....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.
#Doctor Who#Fifteenth Doctor#............#Rose Tyler#listen okay listen fuck off fuck off fUCK?? OFF?? OF COURSE HE DID. OF COURSE HE DID.
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THE NEW DOCTOR WHO TITLE SEQUENCE
#dw spoilers#doctor who#dwedit#dwgifs#doctorwhoedit#timelordgifs#david tennant#catherine tate#fourteenth doctor#60th anniversary#thelvadams.gifs#it looks spectacular 😭#a lot of inspiration from both of eleven's intros#and of course the fourth doctor logo
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#said with love of course#tbf one time it was actually the master 😅#maybe this time lads#THIS time it’ll be the ra- *gun shots*#doctor who#spoilers#the church on ruby Road#oooo just seen another punter with the meddling monk#if we keep this up we’ll get through the whole deca#other names I’ve heard in the last 15 minutes#romana#rassilon#tecteun#iris#Brax#never change nerds
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dyou think he would idle. if he was video games
#star trek tos#star trek tos fanart#star trek fanart#leonard mccoy#leonard bones mccoy#doctor mccoy#he idles in the show so the answer is of course he would#don’t usually post anything This rough looking but it’s goofy and i’m not planning on finishing it so.
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House and his Ducklings 🐤
#house md#malpractice md#hatecrimes md#gregory house#dr house#doctor house#greg house#his duckies... he loves his ducklings... so much#its so hard to watch him miss cameronchaseforeman in early season 4#it feels like a mama cat who keeps looking for her kittens because someone took them away#someone in this case being himself... of course
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Me watching Midnight for the first time aged 8:
Me watching Wild Blue Yonder for the first time aged 24:
#apart from the last five minutes of course 🥹#the second i saw him i started sobbing#fourtenth doctor#fourteenth doctor#donna noble#midnight#wild blue yonder#doctor who#whoniverse#dw spoilers#i got the number wrong i was eight i cant see the right numbers for the life of me#this is why i failed my maths
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why are all doctors artiodactyls and why am I correct
im sane and normal
#furry artist joing a fandom and of course first thing he does is draw furry versions of characters#bro joins a platform and digs a grave for himself right away#doctor who#i guess#its kind of cringe isnt it#dw fanart#9th doctor#10th doctor#11th doctor#12th doctor#13th doctor#northernfire art#ninth doctor#tenth doctor#eleventh doctor#twelfth doctor#thirteenth doctor#new who#dr who#dw art#doctor who fanart
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