#Diabetes and liver wellness
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Relation Between Fatty Liver and Diabetes
This article is originally published on Freedom from Diabetes website, available here.
Introduction:
Fatty liver and diabetes are common health conditions that often occur together, affecting millions globally. Both have major impacts on your health and lifestyle, making it important to manage them effectively. People with the diabetes, it's important to overcome fatty liver because these conditions will affect your overall health. Fatty liver, or hepatic steatosis, worsens insulin resistance, making blood sugar management harder. This can lead to poor blood sugar control and increase the risk of complications like heart disease, kidney disease, and nerve damage.
Why is it important to have a Healthy Liver?
You have to keep your live healthy because overall funtions depends on it. It detoxifies harmful substances, processes nutrients, produces bile for digestion, and stores vitamins and minerals. A healthy liver also helps regulate blood sugar, metabolizes fats and proteins, and supports the immune system. When the liver is damaged, these important processes can be disrupted, it will lead to health problems like diabetes, increased infections, and severe conditions like cirrhosis or liver failure.
But you no need to worry about it. The good news is that fatty liver can be reversed, especially if caught early. By making lifestyle changes, such as improving diet and exercising, individuals can reduce liver fat and restore normal liver function. But keep in mind you have to follow proper guidelines.
Tips for Reversing Fatty Liver:
Adopting a healthy life style.
Balanced diet : Fruits, vegetables, whole grains etc.
Exercise: Regular exercise need to be done. Regular physical activity.
Lower Your Intake of Sugar, Alcohol, and Other Substances.
Effective Weight Loss Enhances Liver Health
To support liver health, include foods such as beetroots, garlic, ginger, and green tea in your diet. Also beneficial are sources of essential fats like avocados, walnuts, and various colorful berries. This is the important note for you: Certain herbs, like milk thistle, ginseng, and licorice, may be beneficial, but should only be consumed under professional guidance. It's best to avoid deep-fried foods, trans fats, and red meat, as they can harm liver health. Additionally, steering clear of alcohol and alcoholic beverages is crucial for maintaining a healthy liver.
Choose Health, Happiness will come to you!
To read more please visit our Article. Also please connect with me on my website, Facebook page, and YouTube if you want to stay in touch or give me any feedback!
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Dr. Anchin Kalia is a renowned specialist in chronic diseases, including diabetes, hypertension, thyroid issues, and wellness management. With expertise in treating conditions such as asthma, arthritis, and more, Dr. Anchin Kalia is widely recognized as the best physician in Jaipur. If you're seeking top-tier medical care for chronic conditions, Dr. Anchin Kalia is the professional to trust.
#best physician in jaipur#best diabetologist in jaipur#doctor#best pulmonologist in jaipur#best rheumatologist in jaipur#best diabetes doctor in jaipur#diabetes dr in jaipur#best liver doctor in jaipur#chronic diseases#diabetes#hypertension#thyroid#wellness#asthma#arthritis#Tb
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#kickass healthy lada#jacqueline haskins#LADA diabetes#diabetes 1.5#well controlled diabetes#liver#LADA damaged reversed#pampering beta cells#pancreas beta cells#improve lipid panels#chronic inflammation
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two geniuses (don’t get along)
enemies to lovers;; spencer reid x fem reader!
masterlist!
note; in this fic lila’s episode happens after elle’s departure to make the story have more sense. (S1 E18). also there have been some changes :))
synopsis; spencer reid; doctor spencer reid. some of them (mostly of them), would say he’s a genius. but if he was, then so you were. maybe that’s why you hate each other. maybe that’s why you can’t stand him.
cw;; +18 content! minors dni!, reader and spencer’s competitive asses, talk of murder, graphic scenes, weapons, guns, blood, shots being fired, lila flirting, spencer kissing lila, lots of fighting, lots of tension, teasing, apologies, reader getting hurt (mentions of stitches), threats, murder of secondary characters, talk about kinks and trauma (spencer being a smartaas), mention of spencer’s childhood and her mom… ( i bet there’s so much more but i can’t remember rn) angst, fluff and smut in upcoming chapters!!!
“another coffee, pretty boy? you wanna die?” morgan inquired the puppy eyed profiler, whose right hand held a cup of freshly brewed coffee.
“actually, the caffeine in coffee has been found in animal and cell studies to protect cells in the brain that produce dopamine. in a large prospective cohort of more than 500,000 people followed for 10 years, an association was found between drinking higher amounts of coffee and lower rates of death from all causes.” he easily spat in less than a mere minute, making morgan scoff.
“it’s not considered coffee if a 99% of it is sugar, reid.” you barged into their conversation, taking a look at the files of new cases.
“sugar is one type of carbohydrate, as are fiber and starch. carbohydrates are essential macronutrients.” he defended himself, taking a sip of his coffee-sugar.
“wrong. although carbohydrates are essential macronutrients since the body uses them in large amounts, something wrong about your thesis is that sugar is not one of those macronutrients. the body doesn’t use it. in fact, the effects of added sugar intake which are higher blood pressure, inflammation, weight gain, diabetes, and fatty liver disease, are all linked to an increased risk for heart attack and stroke. so yeah. technically, morgan was right. you might die.” you nodded towards the man, who smiled at you, walking towards you and taking your face in between his hands.
“have i told you how much i love that brain of yours?” he inquired, leaving a kiss to your forehead. “brilliant.” he smiled, raising his hands in victory since for once he had won spencer and his extensive knowledge. the profiler simply rolled his eyes.
“thanks.” spencer spat at you, to what you smiled.
“you’re very welcome, agent.”
“it’s doctor.”
“yeah, yeah. whatever.”
spencer reid. with an IQ of 187, an eidetic memory, and the ability to read 20,000 words per minute, he was considered a real walking genius. maybe that’s why the two of you seemed to despise each other so much. people say geniuses actually like each other. well, you and spencer were the exception. it was easy to get on his nerves. he was not used to having someone smart enough to actually suppose a threat to his intelligence. yet there you were. you had been jumping your way up to college since you were twelve, and at the ripe age of 22, and numerous phds later, you had found yourself working at the BAU.
you had been hired after elle had left the team, and everyone had seemed happy greeting you. you had specially made quick friends of penelope and morgan. something reid didn’t seem to like. well… he didn’t exceptionally like you. something that seemed stupid ‘cause you two were the perfect pair. there was nothing the two of you didn’t know, nothing you wouldn’t catch or realize. maybe that’s why spencer despised you. ‘cause now they had you too, not only him.
it was actually a pity. you liked smart people. you liked to share opinions and learn new things you might not know with the help of others. but spencer was borderline narcissistic, and that made your body cringe in disgust. and worst of all, he was really attractive. curly caramel hair, hazel puppy eyes, full lips, small straight nose, tall stature, pretty hands… also his voice…
well, anyways. you were losing focus.
so you’d decided to match his energy. and that only seemed to make the situation worse. sure, you two worked together, but only because you had to, if you could you’d much prefer to do everything alone rather than have to share office with reid.
hotch caught your attention as he pushed a file on your table.
“and what’s this…?” you sung as you took it, inspecting it.
“training program in los angeles.” you looked at him. he was leaning against your table. “want you to go with gideon and reid.” you let out a single chuckle, tossing the paper on your table.
“no.” you simply said, watching the man sigh. “tell jj to go! or prentiss!” you offered.
“can’t. jj is helping penelope to trace an unsub and prentiss is new, need someone who has been on the ropes longer.”
“then what about morgan? he’s not doing anything.” you pointed at the man who played with a mini football.
hotch looked at you. “please? you are the only one who gets reid. you know how he can be…”
“a narcissistic, egocentric, babbling, childlike, fourteen looking mess? yeah, i know.” you smiled. “but what do i win in this situation? i mean i must gain something if i’m gonna spend more time than necessary with him.”
“a free weekend.”
“done.” you gave him your hand. “a pleasure doing business with you, sir.”
-
“spencer! spencer reid!” you hear someone call for your work-mate, a tall smiling man approaching him and shaking his hand just as the three of you entered an art exhibition. “look at you. you look just the same.” he chuckled as he gives him a quick hug. “nothing changed… spencer was the only 12-year-old in our graduating class. just the same.”
“thanks.” spencer awkwardly says, giving the man a tight smile. “these are special agents jason gideon and (y/n) (l/n). this is parker dunley. we went to high school together as you can probably gather.” he introduces all of you.
“hey. it’s a beautiful gallery.” jason gives him his hand in a shake.
“oh, thank you, thank you. parker smiles, later on turning towards you.
“contemporary art… right?” you inquire offering him your hand, to what he nods. “contemporary modern art includes a wide range of mediums and genres. it is often characterized by its use of new media, such as video and installation art, as well as its rejection of traditional art forms. contemporary modern artists often experiment with form and content, and their work can be highly conceptual.” you say, making the man chuckle.
“i see you brought your computers.” parker jokes with gideon about spencer and you. “another genius like spencer?”
“oh no, men are just smart. woman are the geniuses.” you smile, making him chuckle.
“and funny, huh? i see, i see.”
spencer coughs to grab the man’s attention. “jason’s a big contemporary art enthusiast.”
“well, we’re exhibiting four up-and-coming artists in this show. everything is for sale. and i could definitely swing a nice discount for a friend of…” he loses focus as a blonde beautiful woman enters the exhibition. “lila! hey. guys, come on.” he invites you three towards his friend, coming up to her to say hello.
“do i look 12-years-old to you?” spencer inquired gideon, to what you scoffed, thanking the waiter that offered and served you a glass of champagne.
“oh, totally.” you said as you took it, taking a sip as you heard spencer crack a fake laugh.
“real funny.”
you three made your way towards parker and… lila. she was a beautiful blue eyes-blonde young girl. the basic american beauty standard.
“spencer. you ever met a real movie star?” the man asks, to what the girl beside the blonde scoffs.
“movie star? please. she has a supporting role on a television series about beach volleyball. totally blue-collar.” your eyebrows slightly rise.
“what a friend…” you whisper to your glass, taking another sip of the champagne.
“i’m lila.” the girl gives a sweet smile to spencer, and you almost roll your eyes.
it’s only a matter of time.
“hi, im doctor spencer reid… i’m spencer. you don’t have to call me doctor.” he corrects himself.
lila chuckles. in 3… 2… 1… and tucks her hair behind her ear. there we go.
“cool.” you say, turning around without even introducing yourself, it’s not as if she’d pay attention to you. she’s too focused on spencer to care as you make your way through the gallery, taking the artwork in, trying to scape the probable flirting that was about to go down.
later on you found the two of them chatting in front of a picture in which the blue and green dominate.
“does it make you feel anything?” the blonde asked him, and you silently expect an answer from spencer.
“like what?” he asks. god he sucks.
“i can’t tell you how to feel.” lila chuckles at his frown.
“right now i feel pretty good.” he smiled and you roll your eyes.
“lila? can i talk to you for a moment?” parker interrupts their chatting and the girl nods, quickly glancing at spencer.
“excuse me.”
“sure!” he gently says, and you make your way towards him.
“feeling pretty good, huh?” you inquire him, teasingly, and he groans. “you totally suck.” you take a sip of your glass and he looks at you. “poor girl seems desperate.”
“desperate for what?” he inquires, frowning.
“oh come on, reid. and you call yourself a profiler? it’s obvious she likes you. she was trying to flirt with you.” you obviously state. “she was trying so hard and you were not catching on…” you laugh, and he sighs.
“you know ogling on other’s business is rude, right?” he questions you.
“we’re the fbi. we’re on everybody’s business. that’s our job, reid.” you ignore him, taking a look at the photograph lila and him were staring at. “calming, isn’t it?” you say and he looks at the photograph as well, taking it in.
“sometimes, the color blue is associated with loneliness and sadness. it usually happens when you combine it with specific elements, like rain.” he spits and you chuckle.
“i know that, genius. the thing is not how it’s supposed to make you feel, it’s how it really makes you feel.” he looks at you as you sip from your cup. “with lila, you might feel good, ‘cause you enjoy her company, with me on the other side, you might not even want to be here, staring at a photograph that you’ve probably seen before. that’s because you focus on everything too much. you need to see what the picture actually tells you, not focus on the person you’re staring at it with.”
spencer’s hazel eyes go back to the picture, trying to focus on it, not on your presence, or the amount of voices that surrounded him.
the exhibited photograph shows an empty gas station, lights of green engulfing it as the nightlight blue sky surrounds it. it takes spencer back to his childhood. to those days in which even if he loved his mother, he couldn’t spend another minute by her side and left his house late in the afternoon for a walk. it helped him get out of his head. he remembers watching the sun go down as the night took over the sky, studying and calling out the constellations above his head, trying to find a solution to his mother’s illness. the stars never worked, and he was always left…
“it makes me feel alone.”
-
“you know, we really can get ourselves to the airport.” gideon said, reid and you trailing behind him as the police officer guided you to his car.
“i didn’t invite the fbi here to let them make their own way around town.” he says, never minding gideon.
“we really appreciate it.” reid says and you whistle.
“so you have manners, huh?” to what he groans.
“oh, shut up.”
“hey, i can’t thank you guys enough for conducting the seminar.” kim smiles.
“well, don’t hesitate to call if there’s anything we can help with.” gideon offered, putting his bags on the trunk of the car.
you stretched your arms after having pushed in your own. “can’t wait for that free weekend.” you muster happily, to what spencer frowns.
“free weekend? what are you talking about?”
“a special thanks from hotch for coming all the way here and putting up with you.” his mouth falls open at your words.
“i didn’t get any free time and i had to put up with you!”
“that let’s you know who’s the problem in this equation.” you falsely smiled at him, patting her shoulder, and you relished on the way his jaw tightened.
your conversation ends as the three of you watch officer kim end a phone call with a not very enthusiastic ‘great’.
“everything alright?” jason asks.
“double murder at hollywood bungalow.” he informs. “a celebrity. a young movie star, natalie ryan, and her fiancé shot to death.”
“very romantic.” you mutter.
“it’s gonna be a major pain in the ass. hey, you guys care to take a quick look before i drive you to the airport? it’s on the way.” he asks, and gideon accepts the offer.
“absolutely.”
you sigh as you get on the back of the car along with spencer.
“seems like that weekend is gonna have to wait.” he happily and teasingly smiles and you send daggers in his direction.
“i’ll choke you with my bare hands.”
“did you get that kink by exposure or trauma?” your mouth falls and your eyes widen.
“what?” you almost yell, watching him ponder.
“maybe it’s because you like to have power and control. have you talked about this with a therapist?”
“you’re gonna have to see a therapist after the torture i’m gonna put you through if you don’t stop that fucking nonsense.” you warn him, and he raises his hands.
“i’m just saying, there’s nothing bad about seeking mental help-”
“spencer!”
-
“no sign of forced entry.” reid points out as the four of you enter the murder scene.
“same weapon.” gideon informs watching at the two bodies.
you stare at the female, getting closer. “the girl was shot execution style, once in the head. the male three times in the torso.”
“so you have two different MOs.” jason wonders before going back to officer kim, talking about the case. you crouch down to take a better look at the man’s corpse.
“what? you found anything?” spencer inquired from behind you, to what you shook your head.
“nah. just fantasizing.” he frowns.
“fantasizing. what the- what would you possibly be fantasizing about in a murder scene?”
“oh you know… you… in that position… you know? it’s really sexy, you should try it. here don’t move let me get my gun.” you offer while getting up, and he just rolls his eyes, leaving you behind.
“what do you think?” gideon asks the officer about the case, wanting his insight.
“i’ve had a couple other cases recently, past few months. same type of weapon, 22 caliber handgun, both shot in the head.” you look at the bodies. “the first was an established film producer, wally melman, and the second was chloe harris, another young actress. though not as well-known as natalie here.”
“any forensic evidence?” reid asks as you step away from them, taking in your surroundings.
“no, and the guys have been going through this place all morning and haven’t come up with anything.”
“so he clearly knows how to cover his tracks.”
“or hers.” you mutter to yourself.
“twenty-two’s are small but efficient. they bounce around inside a person like a pinball.” jason said.
“preferred weapon of the mafia.” spencer added. “you know, there’s no obvious sexual component to these crimes, which is usually the case with serial murders.”
“so you’re thinking this is a serial killer?” kim asks.
“well, it’s certainly a series of murders. we don’t know enough yet to call them serial.” you step into the conversation.
“would you consider hanging out in LA a little while? let me lean on your expertise until we do figure out what we’ve got?” the officer inquires and gideon nods.
“yeah, just cancel the flights. we’ll have the rest of pit team out here ASAP.”
-
the unsub seemed to follow his victims, since he knew their schedules. there was not a single witness, he knows how to blend in and hide in plain sight. he’s meticulous.
and everybody is watching.
just like everybody was watching spencer and lila.
after finding out that the unsub was actually stalking the blonde, and killing people to help her with her career, she had somehow scurried her way under spencer’s protection. it actually bothered you. ‘cause spencer seemed so distracted. and it was totally unprofessional to get involved with a target being their agent.
you were on her studio, studying everyone surrounding her. but it was one person that caught your attention.
“who’s that?” you question prentiss.
“that’s maggie, maggie lowe. for what i know she just works here.” she answers you. “why?”
“they seem pretty close, don’t you think?” you ponder, watching her physical language. “she also seems nervous, she avoids lila’s eyes.”
“maybe she’s just shy.” she shrugs, but knows what you’re pointing out.
“maybe…” then, jj appears.
“what are you guys talking about?”
“lila and possible unsubs.” emily fills her in, accepting the coffee she offers her, you take the one she handles you too with a thanks.
“talking about lila… look who’s approaching her.” she devilishly smiles. you almost groan at the sight of spencer talking to the blonde. “they seem to have hit it off.”
“ugh don’t start. he’s so focused on her when in reality he should be focused on his job…” you sip at your coffee, not realizing the shared look the other two girls send each other. “so unprofessional.” you shake your head.
“are you really mad because he’s distracted from his job or by the fact that a pretty girl is distracting him?” jj asked you, taking in your frown and confused expression.
“what?”
“oh come on, really? do you really not feel it?” emily pushes in too, and you look at them.
“feel what? i-i don’t understand.”
“there’s this weird tension in between the two of you.” the brunette explains, being backed up by the blonde.
“it’s like when two little kids like each other and they don’t know how to show it so they just mess with each other.” you scoff.
“you’re saying that spencer and i are attracted to each other?” you inquired them both and they looked at the other. “come on guys, have you seen him? have you actually worked with him? he’s a fucking narcissist, he makes my life impossible just because i’m as smart as him. i don’t like him. at all. i can’t even stand him!” you rant. “he does this thing when he’s focused, playing with his hands and pencils, it’s so distracting. and when i state a fact, he just has to find something to actually make it wrong. every single time. and let’s not talk about how fucking childish he is, if you guys had been here for the training program, i swear to god he said this stupid things about kinks and me having trauma, oh my god i wanted to fucking kill him. he diminishes me, and thinks he’s better than me. and it just makes me sick…” you take a deep breath when you notice how much you had actually talked and your friends’ looks. “what i mean to say is, no. i don’t like spencer reid. and if he wants to fuck his job up, i’d be more than happy.”
morgan suddenly appeared, hotch right behind him.
“guys. there’s something you have to know…” the first talked.
“michael ryer’s dead.” the second finished.
“oh shit.” emily cursed.
“does lila know?” jj asked.
they shook their head.
“she’s gonna be devastated.” jj said to what you sipped at your coffee.
“well at least she has spencer, right?”
“oh, yeah. can we talk about that real quick?!” morgan inquired, astonished.
“no, morgan!” the girls stop him and he raised his hands.
“okay… but the kid has game.”
-
“woah. i like your house.” spencer said as you two entered lila’s house.
how had you managed to end up with the two of them alone, you didn’t know, and you didn’t like.
“i rent it.” the girl smiled.
“nice.” he nodded.
“lila, you should probably change all your phone numbers.” you said, messaging your team, they’d found something concerning nude photos of the young artist.
“i’m unlisted.”
“anytime you call an 800 or an 888 number your phone number’s put into a data bank that’s then sold to telemarketers. if someone gets your phone number they can go online and research all your records.” you actually responded.
“woah, are you a genius like spencer too?” spencer.
“no. i’m actually smarter.” you gave her a small smile, making her chuckle.
“uh… you should probably carry a piece of paper and pen with you wherever you go in case you see any suspicious license plates that often reappear.” spencer tries to change the conversation as you two followed the blonde towards her kitchen. “and a security dog too.”
“allergic.” she simply answered. “do you guys want some tea?”
you shrugged. “yeah, sure. thanks.” spencer nodded as well. it was already getting late, the sun leaving the city’s sky.
“i’m gonna go change while the water boils, make yourselves comfortable.” she said while making her way upstairs.
you went back towards the salon, your eyes wandering towards a collage on lila’s wall. spencer got your left side, his white stripped button up shirt’s sleeves rolled up to his elbows.
“feel anything yet?” you asked him.
“there is something definitely appealing about this one.” he said and you nodded.
“like lila?”
he looked at you, his mouth falling open to say something, but just as the words were to fall from his lips, the blonde returned in a a more comfortable outfit, making her way towards the patio of her house, beside the pool.
“what are you doing?” spencer inquired her.
“i just need some air. the tea is on the kitchen.” she responded.
“what? no, lila…” your eyes rolled to the back of your head as you watched him go after her.
you could hear them talk and spencer beg her to come inside since there was a psychotic killer aiming at her. you made your way back to the kitchen just as fast as you saw the blonde lean into him, one of her hands tugging at his tie to pull him down. great.
your hands took the cup of steaming tea that lila had prepared you, your eyes on spencer’s as you took a sip. but the warm liquid was poured all over the floor of the kitchen, your head spinning at the blunt trauma that stroke you. your hands went to the side of your forehead as you fell, taking in the sight of your blood. you groaned as someone took you from your hair, pulling you and dragging you across the floor, your hands getting cuts from the smashed cup of tea.
“come here.” the unsub said, taking away your gun, and… you knew that voice. your eyes met the blonde’s.
“maggie lowe?” you muttered to yourself. so you were right. she was the killer and stalker.
you got dragged all the way to the salon, where you could see lila and spencer kissing from the distance. but the kiss quickly broke when maggie fired a shot up into the ceiling, capturing their attentions. spencer quickly pulled out his weapon, pointing at maggie, whose gun’s barbell was right against your head.
“maggie?” lila inquired as they slowly made their way towards you two.
“why’d you have to bring these people here?” she asked lila. “put down the gun.” she ordered spencer, clocking the weapon that kissed your skin. he quickly lowered it, calling out for the killer. “don’t call me maggie! you don’t know me!” “come on lila, let’s go. we gotta go baby, let’s go.” she ordered the actress in a soft yet hurt voice.
“maggie don’t hurt her, you don’t need to hurt her.” you didn’t know if he was talking about lila or you. or maybe both.
“you don’t know anything. i would never do anything to hurt lila. i created her.”
“no, you didn’t.” lila said.
“yes, i did!” you closed your eyes when the barbell dug harsher against your temple. “i did everything for you! and you betray me by bringing these people here… to our house!!!”
“so ungrateful…” you say, loud enough for maggie to hear you. “look at you… you gave her everything and you saw what she did to you… she kissed him. she told him she loved him.” you lied, looking at spencer. he caught on.
“what?” maggie incredulously said.
“i heard them. i saw them kissing each other like animals!” you yelled. “he abandoned me… and now i’m here. about to be killed because of him!” you spat, meeting maggie’s eyes. “you don’t have to hurt me. they don’t deserve us. i’m on your side maggie… i know how you feel. i know how it feels to be betrayed like this…” you nodded, seeing her eyes change. “give me my gun… i’ll kill him for you. and then you can have lila back. i’ll let the two of you go.” you promised, slowly rising up to your feet, extending your hand.
and just as she pointed her gun down, you tackled her, taking the weapons from her and throwing them aside as she fought against your hold.
“reid!” you called out for your work mate, who quickly came to you and handcuffed maggie, who just started crying and begging for you to kill her.
“i gave her everything…”
you looked at spencer, wiping off the blood from your eyes.
“and that’s why we need to stay professional.”
-
“are you okay, pretty girl?” morgan came to you as the paramedics wiped clean your wound.
“yeah, they say i have a light concussion. a couple of stitches and i’ll be alright.” you gave him a small smile.
“what happened in there, huh? we only got what the paparazzi had on camera, which is…” you nodded.
“yeah. well, maggie got into the house with lila’s spare keys, and basically almost killed me. it was good luck that spencer kissed lila, or else i don’t know what i would’ve done.” the rest of the team had gathered around you.
“you did good. spencer told me how you got into her head.” gideon said.
“thanks.” you responded.
“make sure you’re on the clear before getting up. we’ll be right back, gotta fill in the other officers.” hotch informed you, to what you nodded.
they all left except spencer, who silently looked at you.
“i’m sorry.” spencer said, looking at his feet. “this shouldn’t have happened, if i hadn’t…”
“… played barbie?” you finished off for him, catching his attention. “look spencer. i don’t really care about it. it’s your life and you make your own decisions, just… make sure to not put any of us in danger while doing it. even lila. one of us three could have died tonight.” he nodded. you reached on your back pockets, pulling out the films of the paparazzi’s camera. “i guess this is yours.” he called out for you once again, probably to apologize one more time, but you were still pretty shaken up and you were still pretty mad at him. “would you mind? my head is killing me.” you asked of him and he nodded, silently turning around and walking its way towards morgan and emily. your mind went back to her words the moment the needle punctured your skin. oh ‘come on, really? do you really not feel it?’ ‘there’s this weird tension in between the two of you.’. and then back to jj’s. ‘it’s like when two little kids like each other and they don’t know how to show it so they just mess with each other’. you couldn’t help but chuckle.
you liking spencer? no way.
if there was anything you felt for spencer reid that was hate.
-
a/n; im so excited for this series!!!! so much angst and fluff and smut yet to come!🤭
#enemies to lovers#criminal minds#spencer reid#spencer reid imagine#spencer reid angst#spencer reid smut#spencer#spencer reid fanfiction#spencer reid fanfic#spencer reid criminal minds#dr spencer reid#spencer reid x reader#spencer reid x fem!reader smut#spencer reid x self insert#spencer reid x y/n#spencer reid x fanfiction#spencer reid x you#spencer reid x fem!readr#spencer reid comfort#criminal minds fanfiction#criminal minds fic#criminal minds fluff#criminal minds angst#criminal minds smut
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Info time: Diabetes and related issues [this is long but I highly suggest reading]
Do you ever see something and you go "that doesn't sound right, but I don't know enough about diabetes to dispute it"? Well, I can help you there. I can help you know enough about diabetes to dispute it if need be. Especially because well, there are seemingly a lot of scams going around where people claim to be diabetic [in my experience it's maybe 3 scammers that just remake] and the information is not very correct in most cases. Not to mention this type of scam pisses me off because I am in fact diabetic, and not only are people preying off of others' lack of information about the chronic condition, but it's also trivializing a serious lifelong condition that can be fatal. If you have now or have lost a loved one to diabetes complications, you are already aware of how dangerous it can be as well as how dangerous misinformation is as well.
What is diabetes? Diabetes is a chronic condition related to the endocrine system- the pancreas specifically. However, if complications get serious enough other parts of the body will be affected. In type 2 diabetes, the body's cells have become resistant to insulin, which is a hormone produced by the pancreas that allows cells to use glucose from the blood- your body's energy it needs to function. When someone is 'type 2', the food that person is eating is not able to fuel them, regardless of caloric content. Glucose is commonly called "blood sugar". It's a type of sugar that is processed and then transported via the circulatory system to your cells where it's needed. With type 1 diabetes (which used to be called "juvenile diabetes"), the pancreas does not produce any/enough insulin for some reason or another, generally because of autoimmune or other damage. [For me personally, I was diagnosed as an adult and had to have it confirmed as type 1 due to the presence of autoimmune antibodies, also apparently my pancreas hadn't quite given up at that point.] As we've seen before, insulin allows your body to use the food you are putting into it. As a double whammy, you can have type 1 with resistance, so not only is your body not producing any/enough insulin, what's there can't be used properly. [RIP Spider who has this] So to explain the effects, think about what happens when you're literally starving. Now imagine that's happening no matter how much you eat. Your body may go into starvation mode and store fat. This can be misleading, which when combined with fatphobia has people concluding that "well, you have diabetes because you're fat, duh". Heck, I have/had diabetic relatives who believed that eating too many carbs will automatically cause the condition because that's what everyone is told/assumes. Eventually, you'd starve and your body would start deteriorating as so. HOWEVER because you would have so much glucose that just sits there because it can't be used, your kidneys are going to work overtime to try and correct this- and they can't do it alone. Your liver can also suffer severe damage. That's not to mention a whole host of other complications that can occur.
So what about it? Well, obviously there are treatments. Insulin injections have existed since the 1920s. There are also medications that can help your body actually use the insulin it's being provided, be it naturally or artificially. So yes, people with diabetes are dependent on prescriptions to survive. My grandma lost a sister in childhood due to insulin treatments apparently not being available in the extremely rural area they were living in at the time. More recently, the israeli occupation has banned insulin from being distributed to Palestinians. [Insulin has also been used historically in psychiatric hospitals to force low blood sugar in psychiatric patients, but that's a whole other rabbithole about psychiatric abuse.] There are resources for the US and beyond if you or someone you know and/or love are in dire straits financially and need help with insulin or other diabetes medications/ related medical help. That's only one aspect of treatment, though. Because pain, stress, hormone changes, other medical issues, and plenty of other factors can raise your blood sugar to dangerous levels, other kinds of treatment to manage other factors may be necessary.
Now that that's out of the way, let's get to specifics. So the most common problem you're going to see mentioned is high blood sugar. We've already covered what the effects are, but what is considered high? For the most part, "high" is 200 milligrams per deciliter. My CGM (continuous glucose monitor) lists "high" as anything 181 or higher but stops giving an exact number after 350. This is why I had a good laugh that time I saw a scammer using an image of a meter reading glucose in the 120s- that's good blood sugar. If you're going to get even more specific you want your pre-breakfast blood sugar to be 80-130. So when you see an accompanying image reading in the 500s, that's extremely dangerous. That's "you're in danger of going into a coma" dangerous.
Insulin pricing? How come I'm seeing people saying they need $300? In the US, pricing cap was set to $35 somewhat recently. What this means is that per insulin pen (as far as I've experienced, the above-linked resource post should have links with better clarification) it's $35. Can't be more than that for one pen. How many doses that provides is very up in the air. It absolutely varies from person to person. I have relatives with type 2 that have to inject a dose of very long-acting insulin weekly, one has gone back and forth with daily doses on top of that. I'm type 1 and have to take one dose of long-acting nightly with injections of a short-acting insulin before every meal, with the exact dosage amounts varying per meal. Insulin is measured in units (there's probably an actual mL amount, both of mine are 100 units per mL with a 3mL pen). How many units someone needs is determined with their medical provider (or care team? When I went to 'diabetes education' after diagnosis I was set up with a "care team").
Edited:
["...pharmacies can refuse to split boxes of insulin pens depending on company/store policy. so if someone lost their insulin and needed to get a replacement because insurance wont pay for more, the pharmacy could make them get a full box of three or five pens."]
via: anon ask (thank you much!!!) So it turns out that yes, with $35 being a cap it would very much likely be for EACH pen, with 3 being $105 in this case and 5 being $175.
But at any rate, if someone is in an emergency situation in the US should be able to get an insulin pen for $35 pretty much when they get to a pharmacy [again, from edit: no, not every pharmacy]. Yes, I get that this can be difficult in some situations, but that's outside the concept of insulin prices.
If someone's blood sugar is over 500 though, they almost certainly need a hospital more than they need an insulin pen. Yes, alright, the actual real single mother on twitter who was the source of the profile images/meter images that whatever the current url for vero-og has stolen and been using for months... that was actually months ago and I'm sure she doesn't need to be told to go to the hospital right now. [That said, if you get an ask from someone and the url is a variation off of 'vero-og' that is a confirmed scammer.] And then on top of that, yes, why would you block people that can get you free or discounted insulin? If someone was offering to save your life for free or find you what you need for far less than what you were expecting to spend, why wouldn't you take it? Unless what you're actually after is money.
SO TO RECAP: Insulin does not cost $300, $350, $370, whatever someone is sending you an ask about. In the US, it is federally capped at $35 per pen, with further resources available, as well as further resources being available internationally. If you need help, please be honest about it. I promise there are people who care, you don't have to try and explain yourself- but it absolutely does not cost that much and if it did, there are ways to lower the cost by quite a bit if there aren't resources to make it free. Diabetes is a lifelong chronic condition that is not caused by "being fat" or "eating too much", it is caused by your body not functioning right and your body can starve no matter how much food you eat. Unfortunately, people have been lying on this site for months if not years claiming to have type 1 with an insulin emergency. These people cannot possibly have diabetes, or they would be well aware that they do not need hundreds of dollars to get their insulin. They are counting on you not knowing this so you will donate to them. The 'vero-og' scammer had been harassing someone who donated and threatening them with the intention of bullying more money out of the donor.
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Please help this family survive in Ghazzah.
Haya is a dentist and mother from Ghazzah. Last year, her life was changed forever when her home and the clinic where she worked were both destroyed by Israeli bombs.
She and her 3 sons were forced to flee and ended up displaced in Rafah. Their daily struggles were brutal and inhuman, and they lived many months in filth and scarcity.
Tragically, during this time Haya's son Youssef fell extremely ill. Due to the combined effects of type 1 diabetes, a vitamin D deficiency, kidney issues, and liver issues, he became comatose.
To help save her son's life, Haya and her family fled to Egypt where they are now still struggling. Haya desperately needs support to be able to afford Youssef's treatment and save his life.
In order to afford an insulin pump for Youssef as well as other essential treatments, Haya needs to raise €25,000. So far, she's only raised €1,670 with her last donation being 1 day ago.
Please help her however you can; donate if you're able and share the campaign. Youssef's life depends on your support.
VETTED HERE(170)
TAG LIST (DM me for removal)
@whisperingmedows @e @rykerpuppy @renmemberme @t0w0bey @teddycuba @yogurtcake2000 @uchorusa @imp-panada @irunkefir @insufferablepilled @ichor-arrows @passion2lovvers @awesomepeoplehangingouttogether @dirkcapitationn @fatalbloomsinmoon @nabulsi @90-ghost @el-shab-hussein @aria-ashryver @northgazaupdates2 @sar-soor @flower-tea-fairies @palestinegenocide @gazagfmboost @palestine-info-uncensored @heba-20 @aces-and-angels @fairycosmos @greenpinkstraw @ibtisams @radicalgraff @r4ms3yy @thestrugglerrr @shug888 @decolonize-the-everything @fototingobug @gaza-evacuation-funds @g3wgaw @greydrits @gainnecorpse @gasfuzbj @hamsterdads @himbo-noxx @heijegerkannibal @juliccardi @jvstcallmespade @kk3o2 @katylokk @keff-fr @literallyneurodivergentandaminor @lenaeeessshhh @la7ma-mafrooma @lutielutik @certified-dentist @cemetaryvampire @chemautopsy @cryptid-catnip @vetted-gaza-funds @vantisanjo @blu-berriez @neptunerings @neatleaf @meit1
@fancysmudges @brokenbackmountain @mothblossoms @aleciosun @fluoresensitive @khizuo @lesbiandardevil @transmutationisms @schoolhater @timogsilangan @appsa @buttercuparry @sayruq @malcriada @palestinegenocide @sar-soor @akajustmerry @feluka @tortiefrancis @flower-tea-fairies @tsaricides @riding-with-the-wild-hunt @visenyasdragon @belleandsaintsebastian @ear-motif @kordeliiius @raelyn-dreams @troythecatfish @theropoda @tamarrud @4ft10tvlandfangirl @queerstudiesnatural @northgazaupdates2 @skatezophrenic @awetistic-things @baby-girl-aaron-dessner @nabulsi @sygold @junglejim4322 @heritageposts @chososhairbuns @palistani @dlxxv-vetted-donations @illuminated-runas @imjustheretotrytohelp
(sorry for the randomness of the tags, I just used what popped up. If anyone has advice on how to make a good taglist please tell me)
#free rafah#save rafah#rafah#gaza genocide#gaza#gaza strip#palestine#free palestine#gazaunderattack#free gaza#palestin#viva palestina#support palestine#palestine news#palestinian art#palestinian genocide#i stand with palestine#save palestine#all eyes on palestine#gaza news#palestine resources#gaza under siege#the gaza strip#save gaza#falastine ask#help gaza#rafah border#rafah news#rafah crossing#rafah gaza
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Have you ever felt like you were gonna pop you were so stuffed?
*record scratching*
yeah, that’s me. You’ll wonder how i ended up in this situation… let me explain.
Tonight my gf and feeder (with which i live since 2021) was a bit stressed and nervous… so, being me a good gf and feedee, i let her stuff my gut so much i actually was short of breath at the end of it.
Since i am also diabetic, having eaten that much, in half a hour my blood sugar skyrocketed and i was SO THIRSTY.
I… kinda thought by myself that my gf, which was now delightfully falling asleep in our bed, would have appreciated tomorrow morning to find photos and videos of me bloating my gut to the moon and over all for her (also encouraged by some online feeders, whoops?)
So i started chugging, and… oh boy.
Oh. Boy.
I was not prepared to confront the consequences of my own actions (who is, after all?). After 2 liters i started feeling painfully aware that my stomach was somehow pushing into my ribcage, because… dude… my ribs started HURTING. And my liver too??
I shit you not, when i reached the goal (4 liters of plain water) i literally thought something like “so that’s how i’ll go. my stomach is gonna burst open from inside pressure and i’m about to die… nice”.
Well i did not die, after all… but it surely was a journey.
(best. feeling. ever.)
#feeding kink#gaining weight on purpose#immobile#death feed#death feedee#fat girl#fat girls#feedisn#gaining fat#obese feedee
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if you try to police disabled peoples' diets INCLUDING how they spend their money on food: i just want to ask why? what do you gain from this? like seriously, what do you actually gain from displaying holier-than-thou behavior toward another person's spending and dietary habits? who cares if you would spend your money "better"? you're not them. this is a form of abuse. you literally have no idea what the disabled person can safely digest and actually gains nutrients and energy from. you have no clue, even if you share the same disorder, you are not that person, nor are you their gastroenterologist or other specialist.
telling disabled people to "eat healthier," "eat more salads," "eat more fresh fruits," "eat more fresh vegetables," "eat more grains," and so on can not only be outwardly dangerous for people who have digestive issues like inflammatory bowel diseases, gastroparesis, irritable bowel disease, acid reflux, a history of ulcers, gastritis, and a long list of other digestive health issues, it can outright kill someone if they form a blockage. this can also injure, sicken or kill diabetics, people with non-diabetic low or high blood sugar, blood pressure issues, kidney and liver issues, and many other people.
not only that but you're potentially forcing a neurodivergent person to eat foods that nauseate, sicken, or disgust them, and for what? autistic people know what foods are safe for them to eat. adhd people need to find finds they can manage to keep in their homes without spoiling. dissociative people, people with ADHD, head trauma, develeopmental disorders, other people with memory issues, dementia, alzheimers, psychotic people, and other mental and cognitive health issues need foods they can prepare safely, because many mentally ill and neurodivergent people can't safe;y cook without risk of injury or damage to their home.
people who deal with allergies and intolerances are constantly struggling with being told how to eat when they are the ones who know their experience the most. NOBODY gives a fuck about people with allergies and literally nobody takes food intolerances seriously. i can't digest animal products OR byproducts anymore. i lost the ability. but sometimes i question "maybe i can try it again because this food is cheaper." well. i decided i was spending too much on groceries due to inflation and bought cow's milk instead of almond milk and got so sick it was something i had never seen before. i do NOT need to prioritize "saving money" over eating foods i can safely digest. i had an IBS attack early this morning because i ate some cheese- because it is a "cheap, easy source of protein."
some disabled people need to use certain services like pre-prepared foods being delivered to their homes, be it meals on wheels, or hello fresh. guilting these people for using the services because they could "just cook at home" is insulting to say the least. many of these services have tailored meals with consistent ingredients with limitations on contaminants with allergens.
here's the big one that everyone fucking hates but needs to accept immediately: some disabled people are too exhausted, in pain, dissociated, psychotic, unable to focus, unable to follow instructions, or in other ways unable to cook for themselves and need to use food delivery services like doordash and uber eats.
some disabled people can't or don't want to drive due to their disabilities! blind disabled people exist! para- and quadriplegics exist! people with hand tremors exist! working disabled people exist! amputees exist! disabled parents exist! disabled people who care for partners and family exist!
this one is sooooooo taboo and i'm sick of it. first of all, dashers and uber drivers are every day people who need to earn income. these are people's jobs and their lives are in fact on the line because this is a lot of drivers' primary income. enough with guilting people on this one. i'm fucking sick of it. y'all hate independently employed people and it shows. this isn't a luxury just relegated to rich white moms: disabled people need to have prepared, easy to eat foods delivered to our homes too. y'all need to leave people the fuck alone when it comes to takeout.
the second someone poorer and more disabled than you does something you do regularly, suddenly you're sending articles and giving paragraphs and paragraphs of advice on how to spend money better and how the disabled person "just needs to eat rice, beans, ramen, and frozen vegetables" because disabled people are not allowed comfort NOR convenience in your eyes. this is absolutely asinine. stop it. EATING is not relegated to the privileged
disabled people are people and need to eat. why you are prioritizing money over a literal human need is beyond me this is sick behavior. why do you care so much more about the money than the person ?why is money more important than someone's safety to you? why would anyone rather see someone "spend money the right way" over a human being EATING FOOD and especially foods they KNOW won't make them sick. policing how any disabled person spends their money on food is also unnecessary and abusive. it serves nothing to gain and everything to lose. so what if you think a disabled person spends too much money on food? you do too- we all do: food should be fucking free. get over yourself and let disabled people eat. leave your greed at the door, stop feeling entitled over other peoples' finances and spending habits.
telling a disabled person how to "eat healthier" will not make you healthier, and it will not do them any good, either. all it does is serve to stroke your ego because you believed you ""helped"" someone but all you did was give unsolicited advice that will be forever moot because you do not live in that person's body. don't care if you know them personally: you ain't them. so back off, let disabled people eat. food ain't just for the rich. food ain't just for the abled. let people access food in ways that are safe for us or get the fuck out of our way because all you're doing is causing problems and making disabled people's health problems WORSE.
#cripple punk#fibromyalgia#disability culture#crip punk#chronically chill#cripplepunk#disabled culture#chronic pain#cpunk#actually disabled#disabled rights#ibs#ibd#crohns disease#crohns#irritable bowel syndrome#inflammatory bowel disease#autism#adhd#mental illness#neurodivergence#neurodiverse#psychosis#schizophrenia#our writing
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Health impacts of obesity, death feedee edition
TW: this is dark and very real, do not read if you are not ready to understand the consequences of feedism. And I really mean it. It may be f* scary.
You know I study physiotherapy at med school. And Im also a feedee, feeder, FA... Which means that mine internships in hospitals are pretty heavy and hard for me. I see all the impacts of obesity, or even morbid obesity on people and their health. On their life.
We are all talking about heart-attacks. Sure, your arteries getting clugged, atherosclerosis growing in your body and getting you closer to an early grave. But atherosclerosis does not cause only heart-attacks. It would be nice, wouldn’t it? Feeling your heart struggling, pain in your chest (which you deserve for being the pig you were), and pretty soon there is the end. Death.
But atherosclerosis can also cause strokes. And I don’t think you want that. Part of your brain gonna die, part gonna live. It can affect your motor functions, your ability to feel by touch, your ability to know where and how placed your limbs are, your speech, of course your ability to think. You may die, sure. Or you gonna survive and live way way worse life fully dependant on people around you… Did you know that?
You also might ruin your pancreas. Im sure that many of you already have insulin tolerance way higher than you should. Well diabetes mellitus is incoming if you will not change your lifestyle. It does not only mean that you will need to take insulin! It will also damage your nerves. Neuropathies are very common. DM can lead even to amputations of legs. And also an impact on eyes is very well known, you can become blind. Over all diabetes is a metabolic disease and it has huge impact on your whole body – nerves, organs, veins, everything.
Another effect of our feedee diet - your liver become fattier making it work less. And liver are very important organ! Liver steatosis can become cirrhosis, the organ will be very damaged. Btw it also gonna increase your blood pressure which has significant impact on probability of heart-attacks and strokes. Another thing – there can appear stones in your gallbladder. That is mainly caused by eating too greasy and fatty food. And this also can be very painful situation needing a surgery.
It is proved that obesity increases the risk of cancer, especially cancer in gastro-intestinal tract and urogenitals. One more thing that people do not want.
Not to mention your musculo-sceletal system. Arthrosis in joints (another painful thing restricting your daily life), unfit and stiff muscles, bones easier to break by your weight if you fall… And it will not hurt only when you move. But also when you lie in your bed getting stuffed to the brim once again. Who of you have never ever had back pain, mainly lower-back pain? It is not comfortable, is it? And it only gonna get worse if you don’t exercise.
There are also impacts on your skin but i'm not good in this field so can't say much about it.
I know it is a lot of fun to be a feedee. To gain, get fatter, heavier, softer. Getting out of breath easily? Oh f* yes please, it makes you so horny. But there is a huge impact on your health. Im sure you know it. But maybe you don’t know all the specific things that may happen. This is just a brief list of health complications that obesity brings. So if you are a death feedee, go on! Eat yourself to these diseases if that’s what you want. But be aware that your life probably will not end by a sudden quick heart attack. You will suffer many months and years due to many comorbidities till your body will give up on you. Are you ready for that long pain?
Wanted to let you know so that I can feel better when I actually encourage you to gain. You know, consent means that you agree while being aware of the consequences. If you want me to help you get morbidly obese I wanna be sure I warned you. And maybe (hopefully) this gonna help someone to stop gaining so much if they find out that they would not be happy. Because babes – I don’t want you fat in the first place. I want you happy.
That’s the reason why im drinking 700 kcal hot chocolate made of heavy cream while writing this article. It makes me happy to gain. It makes me happy being fat even though I know all of these things. And it also scares the s*it out of me. I fear it so much. I want it so much. Im not a death feedee in real life, will not let the kink kill me (I hope). But I definitely am a death feedee in fantasies, deep inside and sometimes it is really hard to find the difference between having fun and ruining your body.
••••••••••••••••••••••••••••••••••••
I warned you it gonna be dark and real 🖤
Enjoy your life as you wish 💕 Give fully into hedonism or enjoy the parts of feedism that don't kill you - that is your choice. Your body. Your life. Your death.
~ Tessie
#dark feedism#dark feederism#death feedism.#death feedee#feedism health#health consequences#health concerns#feedee.#feeder.#feederism.#feedism.#feedee girl#gaining#fatter#getting fat#gaining weight on purpose#feederism health#feedism consequences
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141 and what their patient file looks like
┊ ⋆ ┊ . ┊ ┊┊ ⋆ ┊ . ┊ ┊┊ ⋆ ┊ . ┊ ┊┊ ⋆ ┊ . ┊ ┊┊ ⋆ ┊ . ┊ ┊┊
summary: This is what I imagine everyone's favorite pharmacist as well as medics see when they look at 141's medical file.
Based on this pharmacist and 141 interactions
pairing: Task Force 141 x pharmacist!Reader
warnings: medical/pharmacy terminology, medical inaccuracies, swearing, depiction of wounds, mention of substance use disorder and abuse
Terms
PMH - Past medical history - the total sum of a patient's health status prior to the presenting problem
FH - Family history - contributing family history, generally parents and siblings
SH - Social history - contributing social behavior and routine
a/n: not canon at all! this is just a reference for me
┊ ⋆ ┊ . ┊ ┊┊ ⋆ ┊ . ┊ ┊┊ ⋆ ┊ . ┊ ┊┊ ⋆ ┊ . ┊ ┊┊ ⋆ ┊ . ┊ ┊┊
Price
PMH
Height: 1.88 m (6' 2'')
Weight: 93 kg (205 lbs)
Blood type: O+
Extensive physical injuries
21+ stab wounds - 2 required antibiotics for recurrent infection
9x bullet wound - 5x in the extremities, 4x in the chest (no perforation of vital organs), healed without complication
5x abrasion collar - 1 near right eyebrow became infected following medical eval and stitches
3x diagnosed concussion
Aspirin-sensitivity
Previously evaluated for tinnitus and hearing loss
FH
Father - deceased at 76 from liver disease - 50 pack years, mycardial infarction (x2)
Mother - deceased at 84 due to chronic heart failure (CHF) -Glaucoma, asthma, CHF
Sister - Sports induced asthma, hypothyroidism
Negative family history of diabetes, hypertension, and cancer
SH
Smokes - 30 pack years
Drinks regularly - 4-5 hard liquor each weekend; 1 glass of whiskey occasionally
Physically active - Enjoys recreational activities such as hiking, swimming, and biking
Has 1 dog, currently under the care of pt's younger sister
History of monogynous long term relationships, currently single
Medication list + indications
Amoxicillin/Clavulanic acid 625mg - Infection
Morphine 15mg + Ketamine 3mg - IV - Pain
Paracetamol 750mg - Pain
Buproprion SR 150mg - Smoking cessation - not-taking est 2004
Allergies
Aspirin allergy - Reaction: hives and asthma - ONLY PRESCRIBE PARACETAMOL
No environmental, food, or animal allergies
Notes
Patient has denied smoking cessation options
Soap
PMH
Height: 1.88 m (6' 2'')
Weight: 91 kg (200 lbs)
Blood type: O+
7x stab wound - 6 required antibiotics for recurrent infection, 2 MRSA resistant
2x bullet wound - 2x in lower extremities, healed with no complication
6x abrasion collar
2x broken collar bone - healed, with no complication
Lactose sensitivity - Recurrent IBS if ingested
Chipped first left molar following opening a beer with teeth
FH
Father deceased at 68 due to heart failure - Type 2 Diabetes Mellitus, high cholesterol
Mother - Stage I HTN (hypertension)
Sister #1 - Postpartum depression, generalized anxiety disorder
Sister #2 - Elevated cholesterol/triglycerides
Brother - No known chronic health issues
Positive family history of diabetes and hypertension, but no cancer
SH
Drinks regularly and heavily - 8-12 beers and 2-3 glasses of hard liquor each weekend; 1 glass of scotch occasionally
Smokes socially - 5 pack years
Physically active
Close relationship with family, has 4 dogs at home under the care of pt's mothers
Avid fan of The Glasgow Football Club
Medication list + indications
Clindamycin 300mg with ciprofloxacin 400mg - Infection
Amoxicillin/Clauvanic acid 625mg - Infection
Vancomycin 18mg/kg - MRSA resistant infection
Paracetamol 500mg - Pain
Morphine 15mg IV - Pain
Doxycycline 100mg - Acne discontinued in 2004
Allergies
Insect stings - Observed anaphylaxis to childhood bee sting
Notes
Patient demonstrates medication non-adherence, counsel ESPECIALLY with antibiotics
Scored 6 on Alcohol use disorders identification test for consumption (AUDIT C)
Gaz
PMH
Height: 1.86 m (6' 1'')
Weight: 93 kg (205 lbs)
Blood type: B-
3x stab wound - healed, no complications
1x broken collar bone
2x broken femur
Diagnosed concussion - evaluated in Oct. '19
FH
Father - Type 1 Diabetes, high cholesterol
Mother - Vitiligo, Stage 3 breast cancer
Positive family history of maternal cancer and diabetes, but no hypertension
SH
Social drinker - 3-4 beers each weekend
Does not smoke
Physically active - Enjoys morning and evening runs
Enjoys spicy food and tries to introduce into diet
When on leave, enjoys attending concerts and music festivals
Medication list + indications
Piriteze 10mg - Allergic rhinitis
Fluticasone Propionate - 93 mcg/actuation - Allergic rhinitis
Paracetamol 500mg - Pain
Allergies
Seasonal - Pollen and pet dander
β-Lactam allergy - Reaction: anaphylaxis evaluated in '19
Notes
Organ donor
Ghost
PMH
Height: Weight: 1.93 m (6' 4'')
WeighT: 100 kg (220 lbs)
Blood type: AB-
Extensive cuts and scarring to entire body
4+ stab wounds - healed, no complications
Gun shot to lower abdomen - healed, no complications, evaluated in Nov. '22
13+ collar abrasion
2x broken nose
Childhood injury of broken tibia and large toe
Psych eval - History of depression and post traumatic stress disorder, childhood history indicates emotional and physical abuse
FH
Father - status unknown Diagnosed alcohol use disorder
Brother - deceased, cause of death non-contributory - Substance use disorder
Mother - deceased, cause of death non-contributory - Hypertension, thrombophilia (blood clotting disorder)
Positive family history of hypertension, but no diabetes or cancer
SH
Social drinker - 3-4 glasses of hard liquor each weekend
Smokes socially - 10 pack years
Physically active - Enjoys nightly walks
Psych eval - Other squad members act as his emotional support
Expressed interest in cats and tattoo art (FLAGGED: Further input and comments from other medical professionals would be appreciated)
Medication list + indications
Paracetamol 1000mg - Pain
Amoxicillin/Clavulanic acid 625mg - Infection
Morphine 20mg + Ketamine 4.5mg IV - Pain
Mafenide acetate 5% topical - Antimicrobial, burn wounds
Fluoxetine 20mg twice daily - Depression - not taking est 2001
Allergies
NKDA - No known drug allergies
No environmental, food, or animal allergies
Psych recommends evaluation of a pet, such as cat, for pt while on leave
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#task force 141 x reader#task force 141#cod x reader#call of duty modern warfare#cod mwii#modern warfare 2#simon riley x reader#simon ghost riley#call of duty#john soap mactavish#kyle gaz garrick#gaz x reader#soap x reader#price x reader#kyle garrick x reader#john price x reader#Johnny mactavish x reader#mw2 imagine#madebyizzie#mw2#izzie is writing#pharmacist! series
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Hi. I don't normally post here. I do a lot of reblogging but I desperately need help. My best friend, Norman has been hospitalized since Saturday 3/2. I took him to the emergency vet for loss of appetite, sudden weight loss and extreme lethargy. They diagnosed him with diabetes. They hospitalized him and we've struggled getting him well ever since. I got multiple calls at the late hours of the night on Sunday night. He had a really rough night, they had a hard time keeping him alive, they told me he had hard damage to his liver and it could possibly be shutting down. The vet doesn't want to give up on him, but that means I'll have to pay another night of hospitalization including insulin, boarding, IV, medications, and round the clock care from staff. I have already fitted a $12,000 bill for Saturday 3/2-Monday 3/4 and do not have much more to give. This cat means the world to me and has given me a reason to wake up everyday and try. I have and will continue to empty my bank account for him. I don't like asking for help and have done so on any kind of platform but he is so important to me amd I could never live with myself if I didn't try everything possible. Please consider donating if you have any extra and are feeling generous, I appreciate every bit of help more than you'll ever know. Please I just want my baby boy to come home.
I understand a lot of people are going through a lot now days and I'll understand if you can't donate. If you can reblog please do, I really need the help.
https://gofund.me/50fec199
#help#cat#kitty#vet#gofundme#i'll love you all forever#please help me#please#pleeeeease#donate#donations#love
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Writing Notes: Color Blindness
Color blindness, also called color vision deficiency (CVD), is a group of conditions that affect the perception of color, characterized by the inability to clearly distinguish different colors of the spectrum.
The difficulties range from mild to severe.
Color blindness is a misleading term because people with color blindness are not blind. Rather, they tend to see colors in a limited range of hues; a rare few may not see colors at all.
There is no treatment or cure, and cannot be prevented.
Most color vision deficient persons compensate well for their abnormality and usually rely on color cues and details that are not consciously evident to persons with typical color vision.
Risk Factors
A family history of color blindness increases the risk since most color vision problems are inherited.
Another risk factor for color vision deficiency is aging:
The eye’s lens can darken and yellow over time, which can impair the ability of older adults to see dark colors.
Certain medications can also increase risk:
For example, the drug hydroxychloroquine (Plaquenil), used to treat rheumatoid arthritis, can cause color blindness.
Causes
Mutations in the CNGA3, CNGB3, GNAT2, OPN1LW, OPN1MW, and OPN1SW genes are known to cause color vision deficiency.
Color blindness is sometimes acquired.
Chronic illnesses that can lead to color blindness include Alzheimer disease, diabetes mellitus, glaucoma, leukemia, liver disease, chronic alcoholism etc.
Some medications such as antibiotics, barbiturates, anti– tuberculosis drugs, high blood pressure medications, and several medications used to treat nervous disorders and psychological problems may cause color blindness.
Industrial or environmental chemicals such as carbon monoxide, carbon disulfide, fertilizers, styrene, and some containing lead can cause loss of color vision.
Occasionally, changes can occur in the affected person’s capacity to see colors after age 60.
Symptoms
The inability to correctly identify colors is the only sign of color blindness.
It is important to note that people with red/green or blue varieties of color blindness use other cues such as color saturation and object shape or location to distinguish colors. They can often distinguish red or green if they can visually compare the colors. However, most have difficulty accurately identifying colors without any other references.
Most people with any impairment in color vision learn colors, as do other young children. These individuals often reach adolescence before their visual deficiency is identified.
Source ⚜ More: Writing Notes & References
#writing notes#color blindness#writeblr#dark academia#spilled ink#literature#writers on tumblr#writing reference#poets on tumblr#writing prompt#poetry#creative writing#writing inspiration#writing ideas#light academia#winslow homer#writing resources
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Hey babe, wanna hear something hot? *whispers* history of metformin
Ok okay I'll talk
So metformin is commonly thought of as the most boring of diabetes drugs. Like, everyone who has ever thought about maybe having type 2 diabetes is taking it unless it gives them diarrhea, and even then their doctor still probably wants them to take it. But it's a first line because it's old, it's cheap, it doesn't often cause hypoglycemia, and it has relatively few side effects compared to other diabetes drugs. Also, like a lot of older drugs, it does way more than it says on the packaging. And a lot of stuff we're still learning about.
In order to talk about metformin, we have to talk about a plant called goat's rue. Goat's rue is a plant native to Europe, Africa, and Asia, and currently grows just about everywhere. In ancient times it was used as an anti-parasitic, a plague remedy, and to relieve the excessive urination caused by what might have been diabetes. In 1918 it was found to contain a chemical called galegine, which did lower blood sugar. Galegine as an anti-diabetes medication is probably too toxic to use long term. However, with a few chemical tweaks, it could become a drug that lowered blood sugar without the toxic effects. Metformin was born.
Metformin came out in 1923 and is a type of drug called a biguanide. it's actually the only type in it's class still available as an anti-diabetic agent, because the other drugs in it's class that came out in the 1920s and 30s caused lactic acidosis and liver problems (similar to the types of reactions seen with galegine), and were taken off the market.
Metformin (and pretty much all oral antidiabetic agents in development at this time) didn't do well initially, probably because they came out the same decade as insulin, and insulin was a lot more effective at treating any kind of diabetes.
It fell out of use extremely quickly, and didn't get picked up again until the 1940s, when US access to antimalarial drugs was cut off, just as a war in the pacific was ramping up. Metformin was evaluated as an antimalarial during WWII, and while noted to have some anti-malarial properties (particularly as a malaria preventative) it also was noted to significantly lower blood sugar in diabetic patients- while not lowering blood sugar very much at all in non-diabetic patients.
This effect, rather than it's antimalarial properties, was what got scientists really interested. Unfortunately, it would not be until 1957 in France that metformin had its first major studies to determine that it did, indeed, work against diabetes. Metformin lost the race to the "first" (successful) oral antidiabetic agent by a year, to a different drug that was found while looking for a new antibiotic- Diabenese.
Metformin became a commercial success in France, while Diabenese became successful in the United States. Metformin would actually not be approved for use in the US until 1995.
But now we get to talk about what metformin does and why it's so freaking cool.
Type 2 Diabetes- lowers A1C (a measure of blood sugar control) by 1-2 full points
Prevents/reverses weight gain due to antipsychotics
Prevents and treats malaria
Makes the flu shot work better
Decreases severity of respiratory illness and complications related to the flu
Changes gut microbiome for the better
Regulates periods and reduces other symptoms in people with PCOS
Lowers risk of breast, colon, and prostate cancer
Lowers risk of dementia
Lowers risk of stroke
May increase lifespan
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New Gaza fundraiser asks I've received (22 October)
Sahar & Issam (@esamadnan94): Sahar and Issam were newly married and had just moved into their new home when they became displaced. Issam used to be a lawyer but is now unemployed. They are fundraising to evacuate and buy basic necessities. (https://gofund.me/06e95d5d) (#205 on @/gazavetters vetted list, shared by 90-ghost)
Basma Al-Ghoul (@basmaalghoul): Basma and her husband have 3 children: Toleen (8), Malak (6) and Kamal (4). Basma used to be a makeup artist. Her husband is also responsible for Houria, an aunt of the children who has lost her parents. Houria suffers from gallbladder disease. (https://gofund.me/2f9b40b9) (#780 on Butterfly Effect Project vetted list, vetted by nabulsi)
Haya Jouda (@haya-jouda, @haya-jouda-1): Haya worked as a dentist and has 3 children: Jameel (14), Bahaa (12), and Youssef (7). Youssef is suffering from type 1 diabetes, a severe vitamin D deficiency, and dysfunction in his kidney and liver. They have managed to evacuate to Egypt, but now they lack the money for Youssef’s medical treatment. (https://gofund.me/25f8b108) (#170 on @/gazavetters vetted list)
Ahmed Al-Mashaal (@bird-of-paradise7, @najah-tamim, @save-my-daughter-najah, @save-my-daughter): Ahmed has lost his son Tamim due to the lack of medical resources in Gaza. He does not want to lose his 1-year-old daughter Najah too. Najah is currently trapped in Northern Gaza with her mother. Ahmed is in southern Gaza caring for his sick father (who suffers from heart attacks), his injured brother and his younger siblings. One of his brother suffers from partial memory loss and a skull fracture from an explosion, and is in urgent need for medical treatment to remove a sharpnel stuck in his head. (https://gofund.me/d1edc0bf) (vetted by @/gaza-evacuation-funds, shared by 90-ghost)
Yousef, Hassan (@hasanamasi22, @virushasanhh): Hassan is in the southern part of Gaza while his wife and 2 children, Yousef and Malak, are in Northern Gaza with his parents. Their house has been bombed and they are struggling to buy basic necessities. They wish to evacuate out of Gaza. (https://gofund.me/eea040f7) (#196 on @/gazavetters vetted list)
Fatma Kuhail (@fatmakuhail22): Fatma is 22 years old. She and her husband Tariq have 2 children: Masoud (4) and Masa (1). They have lost their home and are currently displaced and living in a tent. (https://gofund.me/2b3d706f) (#227 on @/gazavetters vetted list) ($150 CAD raised of $15,000 goal)
Click here for my Google Doc with my complete masterlist of all the Palestinian gfm asks I've received, updated daily (along with other verified ways to send aid to Gaza).
How are gfm campaigns vetted? See here, here, here and here.
See post here for other verified ways to send aid to Gaza.
Don't forget your Daily Clicks on Arab.org, it's free!!! and Every click made is registered in their system and generates donation from sponsors/advertisers.
See links below for my Masterlists of Vetted Fundraisers from the Palestinians who sent me asks for if you want to help more people! As well as resources for palestinian students if you are a palestinian student!
Masterlists of Vetted Fundraisers
Click here for my Masterlist for fundraisers from 13 - 25 July.
Click here for my Masterlist for fundraisers from 26 -29 July.
Click here for my Masterlist for fundraisers from 30 July - 1 August.
Click here for my Masterlist for fundraisers from 2 - 5 August.
Click here for my Masterlist for fundraisers from 6 - 10 August.
Click here for my Masterlist for fundraisers from 11 - 14 August.
Click here for my Masterlist for fundraisers from 15 - 18 August
Click here for my Masterlist for fundrasiers from 19 - 21 August
Click here for my Masterlist for fundrasiers from 22 - 24 August
Click here for my Masterlist for fundraisers from 25 - 28 August
Click here for my Masterlist for fundraisers from 29 August - 1 September
Click here for my Masterlist for fundraisers from 2 - 5 September.
Click here for my Masterlist for fundraisers from 6-10 September.
Click here for my Masterlist for fundraisers from 11-14 September.
Click here for my Masterlist for fundraisers from 15-18 September.
Click here for my Masterlist for fundraisers from 19-22 September.
Click here for my Masterlist for fundraisers from 23-26 September.
Click here for my Masterlist for fundraisers from 27-30 September.
Click here for my Masterlist for fundraisers from 1-4 October.
Click here for my Masterlist for fundraisers from 5-9 October.
Click here for my Masterlist for fundraisers from 10-14 October.
Click here for my Masterlist for fundraisers from 15-21 October.
Resources for Palestinian Students!
Initiatives and resources to support Palestinian students, academics and universities:
This is a list of initiatives and resources for Gazan students seeking to complete their studies, including initiatives, resources, training and scholarships. See list here.
Scholarships for Displaced Palestinian students:
Putting this here for the palestininans who follow me: If you are a displaced Palestinian student looking to fund your education, this document lists the scholarships available around the world for displaced Palestinian students.
#palestine#gaza#free gaza#free palestine#post has been vetted and verified#verified#gaza genocide#vetted#donations#fundraising#vetted gfm#vetted campaign#vetted fundraisers#vetted gofundme#verified fundraiser#verified gofundme#gaza fundraiser#gaza gofundme#palestine gofundme#palestine fundraiser#gaza gfm#palestine gfm#new ask#new asks#22 october
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Learned I'm pre diabetic today and my liver isn't doing well (probably due to diet but getting it checked)
I'm really discouraged and really hate myself and have such bad self control so prayers are soo appreciated
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Deaths Are Up Post-Covid, and So Are Funeral Stocks: Prognosis - Published Aug 19, 2024
The Business of Death Aussies, Americans, and Brits — and no doubt people in many other nations — are dying faster than before the pandemic.
Even though Covid waves are becoming less deadly, thanks mostly to increased immune protection from vaccinations and prior infections, the coronavirus remains a significant killer. And stubbornly high all-cause mortality rates indicate that its direct and indirect effects are helping drive a sustained increase in death and disease around the globe.
It’s depressing news, I know.
With death comes bereavement, and there’s been a lot of that since SARS-CoV-2 began spreading widely in late 2019. The number of officially reported Covid fatalities (7.1 million worldwide) doesn’t fully explain the trend in excess deaths. (Neither do Covid vaccines, since body bags were piling up months before the shots were released, and multiple studies show the immunizations protect against severe illness and death).
There’s no silver lining to the tragic loss of life. But if one group sees an upside, it’s those providing funerals, cremations, and burials. Publicly traded companies handling funerals and related services have handed investors an average 79% return since Jan. 1, 2020 — outpacing the 60% gain in the MSCI All Country World Index, one of the broadest measures of the global equity market.
The US highlights the morbid picture. In the two decades before the pandemic, the number of deaths had been climbing at an average clip of almost 1% a year — reflecting population growth and aging, and the devastating opioid epidemic — for a crude rate in 2019 of 869.7 deaths for every 100,000 Americans.
Covid catapulted the rate well beyond 1,000 in 2020 and 2021 before the rate dropped back to just over 984 in 2022. Last year, there were 927.4 deaths per 100,000 people in the US — almost 12% above the 20-year average — for nearly 3.1 million deaths all up.
The coronavirus directly and indirectly contributed to many of them. For instance, a jump in drug overdoses and alcohol use–related diseases during the pandemic likely added to fatalities from unintentional injuries and chronic liver disease in 2023, according to a study this month. Covid also led to more cardiometabolic disease, and age-adjusted mortality rates for diabetes, heart disease, and stroke were above pre-pandemic levels.
Last month, researchers reported similar findings in Australia, where emergency departments have taken longer to hospitalize patients arriving in ambulances — a sign of health-system stress associated with a greater risk of patients dying up to 30 days after their initial medical encounter.
Mortality rates in England have also stayed persistently high since Covid hit, likely reflecting the direct effects of the illness, pressures on the National Health Service, and disruptions to chronic disease detection and management, researchers said in a study in January.
“The greatest numbers of excess deaths in the acute phase of the pandemic were in older adults,” Jonny Pearson-Stuttard and colleagues wrote. “The pattern now is one of persisting excess deaths, which are most prominent in relative terms in middle-aged and younger adults.”
Almost five years into the pandemic, dodging SARS-CoV-2 still remains one of the best ways to avoid adding to the toll — and the frequency of funerals. —Jason Gale
#covid#mask up#pandemic#covid 19#wear a mask#coronavirus#sars cov 2#still coviding#public health#wear a respirator
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