#Diabetes complications care

[britneyshakespeare]

Another Thing Wrong With The Former Gifted Kid Discourse, Since I Can't Stop Thinking About It:

people have such an unhelpful tendency to universalize their own experience when talking about the plights and struggles about Gifted Kids™—and what they are talking about is not necessarily invalid, but they're more often talking about their individual responses to their particular schools' policies. This Is Not A Systemic Analysis. it's helpful; i sympathize with you. But You Are Not Dismantling The Inequities by saying this or that happened At Your School when you were a child, and it affected you this or that way because of Who You Are.

example. i always see people talking about neurodivergence in this conversation, which is actually helpful in spotlighting how the Gifted Kid discourse often glosses over such complex intersectional issues. you can talk about how you were Gifted & Neurodivergent and how those experiences lead you to future disappointment. this is, i must stress, valid. but your analysis of your own life Is Not A Systemic Analysis. your experience alone will never speak for how the educational system and trends in policy among schools across the united states affect ALL neurodivergent people negatively because there are neurodivergent people who are Different From You. not to mention that when people point out that very often "Gifted Kid" usually correlates with some degrees of privilege, people push back and go nooooo I'm neurodivergent. people across all other marginalized identities who are systemically disadvantaged by the educational system can be neurodivergent. this does not make you, initially, when you were as a young Kid determined to be Gifted, NOT also in fact privileged.

if you are not ready to discuss experiences that were different from your own growing up, you aren't really engaging in the discourse of how to improve public education in the united states. it's a diiii-verse country we live in. not only in the ways we traditionally think of. when we think of "marginalized" or "oppressed" people, some specific and historically significant groups come to mind. when it comes to advantages that set up a child for future educational success, these broad categories often leave gaps because they lead people to generalizations, and ultimately, fatalism.

but there's really so much hope in early childhood education if we were to make things more equitable, ie like i always say UNIVERSAL PRE-K. these kids who are determined as "gifted" more often than not were just from more enriched home environments that prepared them for learning how to read, write, and do math. it's often not special innate abilities that leads to differences in outcomes for different students, but That's How The Kids Interpret It When Some of Them Are Called "Gifted." they're more often than not, not doing something that's truly exceptional or precocious for their age. they're displaying signs of age-appropriate development, when often, the kids who may be lagging behind them skill-wise just Haven't Practiced Those Skills As Much.

so yes, that's why there's a correlation in things like upper- and middle-class white kids being seemingly more successful in school (and more commonly deemed "gifted") at a young age. it's from privilege. it's not even just the implicit biases of their educators already working in their favor for their race and class. it's the fact that being more privileged, generally, means their family and parents had all of their basic needs provided for. they had more time to read with you. they could buy more development-promoting toys. they probably had better mental health to cope with the demands of child-rearing. if they suffered chronic or sudden physical health issues, they were insured. privileged children are usually less exposed at a younger age to the harshnesses of this world, as every child should be. ALL of these little advantages build up, in terms of what a child can be provided with before they go to school. anything that's going wrong in a child's family system can negatively impact them without them even being old enough to understand it.

you may not think of yourself as Privileged. you might prefer to think of yourself as Gifted. Gifted is so nice, even if it's demoted to Former Gifted. at one point you were told you were superior and it felt really good. and You, reader, i do not know You. i'm not calling You privileged, even if you are! hell, everyone's privileged in some way. i am at the point in the post where for transparency's sake i think i should say I Could Be What Some People Call "Former Gifted". i was called smart as a kid and given special homework sometimes etc. i'm not calling any Former Gifted people stupid for not realizing this either. what i mean is that this kids Are Not Usually Actually Gifted. this is a compliment given overwhelmingly to children who were just simply not deprived. when people say they were once Gifted, they're more often than not saying I Had The Early Opportunities To Learn Everyone Should Have, But Doesn't. this doesn't make you an outlier. It Might Just Be A Sign of Privilege.

[hrpdfrisco]

Pregnancy Doctors Near me

When you’re expecting a child, you need experts on your team to help guide you every step of the way. At High Risk Pregnancy Doctors in Frisco, Texas, Maternal-Fetal Medicine specialist Violetta Lozovyy, MD, and her team provide high-quality care with a hands-on approach.

High-Risk Pregnancy Doctors practice is dedicated to the highly-accessible, patient-centered experience. The team understands that whether you are low risk, the low risk that can become a high risk, or have prior risks associated with a high risk pregnancy, you need expert care. As specialists in Maternal-Fetal Medicine, High Risk Pregnancy Doctors offer a wide range of services including extended hours for your flexibility to access the care you need.

Preparedness is essential when you’re expecting a child – make sure you have the best team behind you to help you succeed. Call High Risk Pregnancy Doctors to make an appointment or book one online today.

[healixhospitals24]

Diabetes Care at Healix Hospitals: How We Help You Manage Your Condition

Managing diabetes can be challenging, but with the right medical support and lifestyle strategies, you can live a healthy, fulfilling life. At Healix Hospitals, we take pride in offering comprehensive, patient-centered care designed to help you manage your condition effectively. Our multidisciplinary team provides tailored treatments, diabetes education programs, and the support necessary for long-term blood sugar control. This blog will explain how Diabetes Care at Healix Hospitals can guide you through managing your diabetes and improving your overall health.

Understanding the Importance of Comprehensive Diabetes Care

Diabetes is a chronic condition that requires ongoing management to prevent complications. Effective diabetes management involves a combination of medical treatment, lifestyle changes, and continuous monitoring of your blood sugar levels. Without proper care, diabetes can lead to serious complications, including heart disease, kidney damage, and nerve issues.

At Healix Hospitals, we believe in taking a holistic approach to diabetes care by offering patients a wide range of diabetes treatment options, nutritional counseling, and ongoing support. Our goal is to help you achieve better blood sugar control, make informed lifestyle decisions, and live well with diabetes.

Personalized Diabetes Care at Healix Hospitals

At Healix Hospitals, we understand that every patient’s diabetes journey is different. That’s why we offer personalized care tailored to each individual’s unique needs. Our diabetes care team includes endocrinologists, dietitians, diabetes educators, and support staff who work together to provide comprehensive diabetes management services.

1. Comprehensive Diabetes Management

Diabetes care at Healix Hospitals starts with a comprehensive evaluation of your health. Our doctors assess your current blood sugar levels, lifestyle habits, and medical history to create a personalized treatment plan. We focus on long-term blood sugar control to help reduce the risk of complications and maintain overall health.

We offer various diabetes treatment options based on the type of diabetes you have and your individual needs. These may include:

Medications: Depending on your condition, you may need oral medications or insulin therapy to control your blood sugar levels. Our team will guide you in selecting the best treatment option for your situation.

Lifestyle Changes for Diabetes: A significant part of diabetes management involves making lifestyle adjustments. We work with you to develop a sustainable plan that includes healthy eating, regular exercise, and stress management techniques.

2. Monitoring Blood Glucose

Regularly monitoring blood glucose is critical for managing diabetes effectively. At Healix Hospitals, we provide the tools and education needed to help you monitor your blood sugar levels at home. Whether through continuous glucose monitors (CGMs) or traditional blood sugar testing devices, we ensure you have the knowledge and resources to stay on top of your health.

Our healthcare providers will also schedule routine check-ups to track your progress and adjust your treatment plan as necessary. By keeping your blood sugar levels within a target range, you can reduce the risk of developing long-term complications.

3. Diabetes Education Programs

At Healix Hospitals, we place a strong emphasis on patient education. Understanding how diabetes affects your body and knowing how to manage your condition are key components of long-term success. Our diabetes education programs cover a wide range of topics, including:

How to monitor and interpret blood sugar levels

The importance of nutrition for diabetes

Safe physical activities for diabetes patients

Recognizing and managing hypoglycemia and hyperglycemia

Preventing long-term complications like neuropathy, retinopathy, and heart disease

These programs are designed to empower you with the knowledge and skills you need to manage your diabetes independently. Our diabetes care team is always available to provide guidance, answer your questions, and offer ongoing support.

Continue Reading: https://www.healixhospitals.com/blogs/diabetes-care-at-healix-hospitals:-how-we-help-you-manage-your-condition

[diabexy]

If you're looking to avoid complications and gain a better understanding of diabetes management, join our urgent workshop on "How to Avoid Complications in Diabetes" in association with the International Diabetes Federation. This workshop is set for World Diabetes Day, November 14, 2024. It's a unique opportunity to gain insights and actionable tips from leading experts on managing diabetes effectively. Don't miss this last chance to empower yourself with knowledge for a healthier future! SignUp Now

[gamzees-bignaturals]

Hi! I'm still having high blood pressure and fever. Being diabetic is awful .Help me get what I need so when I leave I can stay healed and get better today. #Type1Diabetes 😭. I'm a disabled mom so can't work after I had an accident. I've a spinal cord problem ..my blood sugar is high and I'm last to my pen, i need insulin to save my life and medical care for the past 2 months.

This is a life-threatening situation.share widely & donate 🙏

,

[diabetesreversalprograminindia]

Understanding the Link Between Diabetes and High Uric Acid Levels

This article is originally published on Freedom from Diabetes website, available here. Are you suffering from the uric acide problem and also you have diabetes. Is there any connection between both. Lets understand the all details here. How uric acid levels relates to diabetes? If you have diabetes, you may be at risk for developing high uric acid levels. Uric acid is a waste product that is produced when the body breaks down purines. Purines are found in many foods, including meat, poultry, and fish. When uric acid levels become too high, it can lead to gout or kidney stones.

Doctor always check uric acide level, if people with the diabetes. So To control it, you should follow proper diet, medication, avoid Purines base food etc. To prevent high levels of uric acid in diabetics, first lets understand their causes.

First, high blood sugar levels can cause the body to produce more insulin, which in turn can lead to increased uric acid production.

Diabetes can cause damage to the kidneys, which may lead to reduced uric acid excretion and increased uric acid levels in the blood.

Avoid Alcohol. So lets understand their symptoms.

Diabetes and high level Uric Acid symptoms

Joint pain

Swelling in the hands or feet

Numbness or tingling in the extremities

Kidney stones

Gout (a type of arthritis that causes sudden, severe attacks of pain)

How to Treat Elevated Uric Acid in Diabetes?

There are a few different treatment for diabetic patients with high uric acid levels.

Firts is focus on lowering the level of sugar in the blood.

This can be done through proper diet, exercise, and medication. Patients should focus on eating a healthy diet, exercising regularly, and managing their diabetes with medication. These include allopurinol and febuxostat.

The third option is to have surgery to remove the excess uric acid from the body.

Impact of High Uric Acid Level on Kidneys

High uric acid levels put pressure on the kidneys and cause them to work harder to filter out the excess uric acid. This can lead to kidney damage and/or failure.

The link between diabetes and uric acid is an important one to understand, as it can signify potential health concerns. Fortunately, with the right knowledge of diabetes and regular monitoring of conditions such as uric acid levels, actions can be taken to prevent or manage health problems related to these factors.

So monitor and treat diabetes and uric acid for better health. Choose Healthy life, 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!

[savage-kult-of-gorthaur]

WHEN THE HOLLYWOOD LIFE, LOOK, & GLAMOUR ABSOLUTELY LEAVES YOU FOREVER.

PIC INFO: What the late, great Shelley Duvall really looked like at the time of her passing, so, cherish your gradually fading looks now, ladies -- Spotlight on the last known photo of Shelley Duvall, taken on her 75th birthday by a visitor, 4 days before she died in her sleep due to diabetes-related complications.

This post goes out to all the fake-ass, processed cheese dickheads on here who probably never even bothered to look into some of her last images on this Earth, but instead chose to parrot the same 10 images of Shelley ad nauseum from equally inspid Tumblr blogs. Fuck you all, you twats.

Source: www.reddit.com/r/lastimages/comments/1e0t184.

[cuidadoscomocorpo]

How Diabetes Affects Your Feet (Diabetic Foot) - Identifying Diabetic Foot Symptoms - Healthy Feet!

In this video, we delve into what diabetic foot problems really look like and provide valuable insights on how diabetes can affect your feet. Learn about common foot issues that can arise from diabetes and discover essential tips for maintaining healthy feet. If you or someone you know is living with diabetes, this video is a must-watch to ensure proper foot care and overall well-being.

Share This Video: https://youtu.be/t2bze6P7vtY

diabeticfootproblems #diabeticfootissues #diabeticneuropathy

[andreiamat]

How Diabetes Affects Your Feet (Diabetic Foot) - Identifying Diabetic Foot Symptoms - Healthy Feet!

In this video, we delve into what diabetic foot problems really look like and provide valuable insights on how diabetes can affect your feet. Learn about common foot issues that can arise from diabetes and discover essential tips for maintaining healthy feet. If you or someone you know is living with diabetes, this video is a must-watch to ensure proper foot care and overall well-being.

[bemestaresucesso]

How Diabetes Affects Your Feet (Diabetic Foot) - Identifying Diabetic Foot Symptoms - Healthy Feet!

In this video, we delve into what diabetic foot problems really look like and provide valuable insights on how diabetes can affect your feet. Learn about common foot issues that can arise from diabetes and discover essential tips for maintaining healthy feet. If you or someone you know is living with diabetes, this video is a must-watch to ensure proper foot care and overall well-being.

[wellhealthhub]

Diabetic Sores on Legs: A Comprehensive Exploration of Complications and Treatments

Discover in-depth insights into the complexities of diabetic sores on legs, also known as diabetic ulcers, and foot-related complications associated with diabetes. Unravel the multifaceted causes, symptoms, and highly effective treatment approaches meticulously detailed in this all-encompassing article on diabetic wound care, prevention, and management. Introduction The global impact of…

[mostlysignssomeportents]

Epic Systems, a lethal health record monopolist

Epic Systems makes the dominant electronic health record (EHR) system in America; if you're a doctor, chances are you are required to use it, and for every hour a doctor spends with a patient, they have to spend two hours doing clinically useless bureaucratic data-entry on an Epic EHR.

How could a product so manifestly unfit for purpose be the absolute market leader? Simple: as Robert Kuttner describes in an excellent feature in The American Prospect, Epic may be a clinical disaster, but it's a profit-generating miracle:

https://prospect.org/health/2024-10-01-epic-dystopia/

At the core of Epic's value proposition is "upcoding," a form of billing fraud that is beloved of hospital administrators, including the "nonprofit" hospitals that generate vast fortunes that are somehow not characterized as profits. Here's a particularly egregious form of upcoding: back in 2020, the Poudre Valley Hospital in Ft Collins, CO locked all its doors except the ER entrance. Every patient entering the hospital, including those receiving absolutely routine care, was therefore processed as an "emergency."

In April 2020, Caitlin Wells Salerno – a pregnant biologist – drove to Poudre Valley with normal labor pains. She walked herself up to obstetrics, declining the offer of a wheelchair, stopping only to snap a cheeky selfie. Nevertheless, the hospital recorded her normal, uncomplicated birth as a Level 5 emergency – comparable to a major heart-attack – and whacked her with a $2755 bill for emergency care:

https://pluralistic.net/2021/10/27/crossing-a-line/#zero-fucks-given

Upcoding has its origins in the Reagan revolution, when the market-worshipping cultists he'd put in charge of health care created the "Prospective Payment System," which paid a lump sum for care. The idea was to incentivize hospitals to provide efficient care, since they could keep the difference between whatever they spent getting you better and the set PPS amount that Medicare would reimburse them. Hospitals responded by inventing upcoding: a patient with controlled, long-term coronary disease who showed up with a broken leg would get coded for the coronary condition and the cast, and the hospital would pocket both lump sums:

https://pluralistic.net/2024/06/13/a-punch-in-the-guts/#hayek-pilled

The reason hospital administrators love Epic, and pay gigantic sums for systemwide software licenses, is directly connected to the two hours that doctors spent filling in Epic forms for every hour they spend treating patients. Epic collects all that extra information in order to identify potential sources of plausible upcodes, which allows hospitals to bill patients, insurers, and Medicare through the nose for routine care. Epic can automatically recode "diabetes with no complications" from a Hierarchical Condition Category code 19 (worth $894.40) as "diabetes with kidney failure," code 18 and 136, which gooses the reimbursement to $1273.60.

Epic snitches on doctors to their bosses, giving them a dashboard to track doctors' compliance with upcoding suggestions. One of Kuttner's doctor sources says her supervisor contacts her with questions like, "That appointment was a 2. Don’t you think it might be a 3?"

Robert Kuttner is the perfect journalist to unravel the Epic scam. As a journalist who wrote for The New England Journal of Medicine, he's got an insider's knowledge of the health industry, and plenty of sources among health professionals. As he tells it, Epic is a cultlike, insular company that employs 12.500 people in its hometown of Verona, WI.

The EHR industry's origins start with a GW Bush-era law called the HITECH Act, which was later folded into Obama's Recovery Act in 2009. Obama provided $27b to hospitals that installed EHR systems. These systems had to more than track patient outcomes – they also provided the data for pay-for-performance incentives. EHRs were already trying to do something very complicated – track health outcomes – but now they were also meant to underpin a cockamamie "incentives" program that was supposed to provide a carrot to the health industry so it would stop killing people and ripping off Medicare. EHRs devolved into obscenely complex spaghetti systems that doctors and nurses loathed on sight.

But there was one group that loved EHRs: hospital administrators and the private companies offering Medicare Advantage plans (which also benefited from upcoding patients in order to soak Uncle Sucker):

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8649706/

The spread of EHRs neatly tracks with a spike in upcharging: "from 2014 through 2019, the number of hospital stays billed at the highest severity level increased almost 20 percent…the number of stays billed at each of the other severity levels decreased":

https://oig.hhs.gov/oei/reports/OEI-02-18-00380.pdf

The purpose of a system is what it does. Epic's industry-dominating EHR is great at price-gouging, but it sucks as a clinical tool – it takes 18 keystrokes just to enter a prescription:

https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2729481

Doctors need to see patients, but their bosses demand that they satisfy Epic's endless red tape. Doctors now routinely stay late after work and show up hours early, just to do paperwork. It's not enough. According to another one of Kuttner's sources, doctors routinely copy-and-paste earlier entries into the current one, a practice that generates rampant errors. Some just make up random numbers to fulfill Epic's nonsensical requirements: the same source told Kuttner that when prompted to enter a pain score for his TB patients, he just enters "zero."

Don't worry, Epic has a solution: AI. They've rolled out an "ambient listening" tool that attempts to transcribe everything the doctor and patient say during an exam and then bash it into a visit report. Not only is this prone to the customary mistakes that make AI unsuited to high-stakes, error-sensitive applications, it also represents a profound misunderstanding of the purpose of clinical notes.

The very exercise of organizing your thoughts and reflections about an event – such as a medical exam – into a coherent report makes you apply rigor and perspective to events that otherwise arrive as a series of fleeting impressions and reactions. That's why blogging is such an effective practice:

https://pluralistic.net/2021/05/09/the-memex-method/

The answer to doctors not having time to reflect and organize good notes is to give them more time – not more AI. As another doctor told Kuttner: "Ambient listening is a solution to a self-created problem of requiring too much data entry by clinicians."

EHRs are one of those especially hellish public-private partnerships. Health care doctrine from Reagan to Obama insisted that the system just needed to be exposed to market forces and incentives. EHRs are designed to allow hospitals to win as many of these incentives as possible. Epic's clinical care modules do this by bombarding doctors with low-quality diagnostic suggestions with "little to do with a patient’s actual condition and risks," leading to "alert fatigue," so doctors miss the important alerts in the storm of nonsense elbow-jostling:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5058605/

Clinicians who actually want to improve the quality of care in their facilities end up recording data manually and keying it into spreadsheets, because they can't get Epic to give them the data they need. Meanwhile, an army of high-priced consultants stand ready to give clinicians advise on getting Epic to do what they need, but can't seem to deliver.

Ironically, one of the benefits that Epic touts is its interoperability: hospitals that buy Epic systems can interconnect those with other Epic systems, and there's a large ecosystem of aftermarket add-ons that work with Epic. But Epic is a product, not a protocol, so its much-touted interop exists entirely on its terms, and at its sufferance. If Epic chooses, a doctor using its products can send files to a doctor using a rival product. But Epic can also veto that activity – and its veto extends to deciding whether a hospital can export their patient records to a competing service and get off Epic altogether.

One major selling point for Epic is its capacity to export "anonymized" data for medical research. Very large patient data-sets like Epic's are reasonably believed to contain many potential medical insights, so medical researchers are very excited at the prospect of interrogating that data.

But Epic's approach – anonymizing files containing the most sensitive information imaginable, about millions of people, and then releasing them to third parties – is a nightmare. "De-identified" data-sets are notoriously vulnerable to "re-identification" and the threat of re-identification only increases every time there's another release or breach, which can used to reveal the identities of people in anonymized records. For example, if you have a database of all the prescribing at a given hospital – a numeric identifier representing the patient, and the time and date when they saw a doctor and got a scrip. At any time in the future, a big location-data breach – say, from Uber or a transit system – can show you which people went back and forth to the hospital at the times that line up with those doctor's appointments, unmasking the person who got abortion meds, cancer meds, psychiatric meds or other sensitive prescriptions.

The fact that anonymized data can – will! – be re-identified doesn't mean we have to give up on the prospect of gleaning insight from medical records. In the UK, the eminent doctor Ben Goldacre and colleagues built an incredible effective, privacy-preserving "trusted research environment" (TRE) to operate on millions of NHS records across a decentralized system of hospitals and trusts without ever moving the data off their own servers:

https://pluralistic.net/2024/03/08/the-fire-of-orodruin/#are-we-the-baddies

The TRE is an open source, transparent server that accepts complex research questions in the form of database queries. These queries are posted to a public server for peer-review and revision, and when they're ready, the TRE sends them to each of the databases where the records are held. Those databases transmit responses to the TRE, which then publishes them. This has been unimaginably successful: the prototype of the TRE launched during the lockdown generated sixty papers in Nature in a matter of months.

Monopolies are inefficient, and Epic's outmoded and dangerous approach to research, along with the roadblocks it puts in the way of clinical excellence, epitomizes the problems with monopoly. America's health care industry is a dumpster fire from top to bottom – from Medicare Advantage to hospital cartels – and allowing Epic to dominate the EHR market has somehow, incredibly, made that system even worse.

Naturally, Kuttner finishes out his article with some antitrust analysis, sketching out how the Sherman Act could be brought to bear on Epic. Something has to be done. Epic's software is one of the many reasons that MDs are leaving the medical profession in droves.

Epic epitomizes the long-standing class war between doctors who want to take care of their patients and hospital executives who want to make a buck off of those patients.

Tor Books as just published two new, free LITTLE BROTHER stories: VIGILANT, about creepy surveillance in distance education; and SPILL, about oil pipelines and indigenous landback.

If you'd like an essay-formatted version of this post to read or share, here's a link to it on pluralistic.net, my surveillance-free, ad-free, tracker-free blog:

https://pluralistic.net/2024/10/02/upcoded-to-death/#thanks-obama

Image: Flying Logos (modified) https://commons.wikimedia.org/wiki/File:Over_$1,000,000_dollars_in_USD_$100_bill_stacks.png

CC BY-SA 4.0 https://creativecommons.org/licenses/by-sa/4.0/deed.en

[avpoly]

BEST CHILDREN DOCTOR IN AUNDH

specialization in treating people with complications and systemic illnesses. Patients with diabetes, heart disease, kidney disease, liver disease, cancer, and skin diseases sometimes require complicated dental procedures including wisdom tooth extractions or dental implants. Best Children doctor in Aundh Additionally, we provided care for patients with particular needs or varied abilities. Modern general, periodontal, orthodontic, and family dentistry are the focus of our clinic. with the goal of giving our patients the most cutting-edge, comfortable, and technologically sophisticated dental care possible. Our holistic approach to dental care will benefit our patient’s entire health and subsequently, raise the caliber of their lives. We work hard to provide cutting-edge, painless dental care at competitive pricing.