#Hypertension Complications

[frannssey]

Blood Pressure Discovery Leaves Doctors Speechless (Try It Tonight)

[Scene: Dr. Smith's office. Dr. Smith, a middle-aged physician, is seated behind his desk. Sarah, a concerned patient in her 40s, sits across from him.]

Dr. Smith: Good afternoon, Sarah. How can I assist you today?

Sarah: Hi, Dr. Smith. I've been feeling really off lately. I've been getting headaches, feeling dizzy, and my heart seems to be racing even when I'm not doing anything strenuous.

Dr. Smith: I'm sorry to hear that. Let's discuss your symptoms. It's possible that what you're experiencing is related to high blood pressure, also known as hypertension. This condition is often referred to as the "silent killer" because it doesn't always come with noticeable symptoms, yet it can have serious implications on your health.

Sarah: High blood pressure? But I thought that was something older people worry about.

Dr. Smith: It's true that the risk of hypertension increases with age, but it can affect people of all ages. Our blood vessels, over time, can become less elastic due to factors like genetics, poor diet, lack of exercise, and stress. This can lead to increased pressure on the arterial walls, which in turn can damage organs like the heart, brain, and kidneys.

Sarah: So, what's happening inside my body?

Dr. Smith: Picture your circulatory system as a network of pipes carrying blood. When your heart beats, it pumps blood into these pipes, exerting pressure on the walls. If the pipes narrow or become stiff, the pressure increases. High blood pressure means your heart has to work harder to push blood through, which can weaken it over time.

Sarah: That sounds serious. Can it be treated?

Dr. Smith: Absolutely. Lifestyle changes play a crucial role. Incorporating a balanced diet rich in fruits, vegetables, whole grains, and lean proteins, along with reducing sodium intake, can help. Regular exercise also strengthens your heart and improves blood vessel elasticity. If necessary, medications can help lower blood pressure and reduce the strain on your heart.

Sarah: What can happen if I don't address this?

Dr. Smith: Untreated high blood pressure can lead to various complications. It significantly raises your risk of heart disease, stroke, kidney damage, and even vision problems. By managing your blood pressure, you're taking a proactive step toward preventing these potential issues.

Sarah: I had no idea how serious this could be. Thank you for explaining, Dr. Smith.

Dr. Smith: You're welcome, Sarah. Remember, understanding your body's signals and taking action early is key to maintaining your health. We'll work together to develop a plan that suits your needs and helps you regain control over your blood pressure.

[Scene fades out as Dr. Smith and Sarah continue their conversation.]

Can you connect the above dialogue between Dr Smith and Sarah to your situation. Please then read on

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[jacensolodjo]

What is with so many of the OG Addams Family (1964) cast passing early? :(

[vaidyaslaboratory]

Prioritize Your Heart Health: Recognizing Early Symptoms and Scheduling Check-Ups

Maintaining heart health is essential for overall well-being. Learn to identify early warning signs of heart issues to ensure timely intervention. This guide emphasizes the importance of staying informed about heart health and scheduling regular check-ups with your healthcare provider. Consider exploring a Heart Health Package to get a comprehensive evaluation and personalized care plan tailored to your needs.

[diabetesreversalprograminindia]

Is High Blood Pressure Really a Big Deal

This article is originally published on Freedom from Diabetes website, available here. High blood pressure (HBP), or hypertension (HT), is a common health issue that affects millions of people worldwide. We can say it is a silent killer. Here we will explore the significance of HBP, its potential consequences, and why it's essential to take it seriously. Even if you don't notice any symptoms, high blood pressure can still be harming your body.

Understanding High Blood Pressure

First lets understand, high blood pressure occurs when the force of blood against the walls of your arteries is consistently higher than normal. HBP measured in millimeters of mercury (mm Hg) and consists of two numbers: systolic pressure (the pressure when your heart beats) and diastolic pressure (the pressure when your heart rests between beats).

A normal blood pressure reading is usually around 120/80 mm Hg. Hypertension is generally defined as having a blood pressure of 130/80 mm Hg or higher.

Risks of Untreated High Blood Pressure

Heart Disease: HBP is a leading cause of heart disease. It can damage your arteries, leading to atherosclerosis (narrowing and hardening of the arteries), which increases the risk of heart attacks and strokes. Uncontrolled HBP can damage blood vessels in the brain, leading to strokes. Strokes can result in long-term disability or be fatal.

Kidney Damage

HBP can harm your blood vessels in your kidneys, affecting their ability to filter waste and excess fluid. This can lead to kidney disease or kidney failure.

Vision Problems

HBP can damage the blood vessels in your eyes, leading to vision impairment or blindness.

Cognitive Decline Some research suggests that HBP may contribute to cognitive decline and an increased risk of dementia.

Taking High Blood Pressure Seriously You have to be more careful about high blood pressure. So you have to follow some good habits.

You have to follow healthy routines such as maintaining a balanced diet, engaging in regular physical activity, reducing salt intake, and managing stress by doing mediatation. Your healthcare provider may prescribe medications to help control your BP if lifestyle changes alone aren't sufficient. Routine checkups with your healthcare provider are essential to monitor your BP and assess your overall cardiovascular health.

To read more about this, please visit our Article. In conclusion, high blood pressure is a significant health concern that can lead to severe complications if left unmanaged. Also please connect with me on my website, Facebook page, and YouTube if you want to stay in touch or give me any feedback!

[diabetes-health-corner]

10 Complications of Diabetes Mellitus

Diabetes is a metabolic disorder, caused by the body’s inability to use the insulin produced by its own pancreas or insufficient insulin production. As glucose begins to accumulate in the bloodstream, it begins to damage the blood vessels in organs large and small across the body.

Read more how to Reduce Complication of Diabetes: https://www.freedomfromdiabetes.org/blog/post/10-complications-of-diabetes-mellitus/2713

[fertilityhospitalindore]

Your Pregnancy, Your Way: Personalized Care and Support

[kahin]

SAVE A PALESTINIAN FAMILY NOW!

[pt: Save A Palestinian Family Now!]

Momen (vetted, no. 125) is quite a kind-hearted man. He and his brother Ahmad have contacted me several times through May and after, begging me to share their fundraiser. My heart breaks that they are nowhere near their goal.

Momen's family has over ten members. Momen's mother and father have heart disease and hypertension, and the father is diabetic. His brother's son has polio [pt: polio] and of the younger members has Hep C.

All of those are severe illnesses with dangerous complications and high risk of fatality if not given urgent medical care.

We need to reach 21,000 EUR by August 12, so by the next three days.

€10/3724. Donate and share as much as you can! We are on an urgent time limit here.

[pt: All of those are severe illnesses with dangerous complications and high risk of fatality if not given urgent medical care./We need to reach 21,000 EUR by August 12, so by the next three days/€10/3724. Donate and share as much as you can! We are on an urgent time limit here.]

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[macgyvermedical]

Hospital Lengths of Stay

I think people outside the USA severely overestimate how long hospital stays are here.

Like, appendectomy, right? That's maybe 24-36 hours door-to-door if there's no complications. If the appendix actually burst it might be 3 days, but only because they're giving you IV antibiotics and setting up home care to do that at home would take longer than just keeping you in the hospital.

A scheduled surgery like a hysterectomy, cholecystectomy, mastectomy, or anything else they can do laparoscopically (though small "keyhole" incisions)? You're probably not staying overnight at all.

Planned surgeries that need some kind of after care (like bariatric surgery, knee replacements, hip replacements, total vaginal hysterectomies, bladder lifts, etc...) would be usually 1-3 days.

Minor heart attack? 2-3 days.

Fracture and surgical repair of a large bone (like the femur)? About 2-3 days.

What about the exacerbation of a chronic illness like asthma, COPD, heart failure, or hypertension? IF they admit you (not just stabilize and discharge from the emergency department), it will be generally less than about 3-5 days.

Gunshot wound to the abdomen with surgery to repair things? 3-5 days.

And a stroke, sepsis, gunshot wound to the chest, or major heart attack? That would be somewhere in the 5-7 day range.

Severe trauma with multiple severely broken bones and relatively extensive surgery? This might be somewhat longer, but usually for nursing and pain control reasons rather than the surgery or injuries themselves. 1-3 weeks would be usual.

In the hospital for a mental health reason like decompensated schizophrenia or major depression? A little less than a week is normal, though some people stay several weeks if medications aren't working well.

The people who stay in hospitals for weeks or months typically have whole systems that don't work, or are waiting for a major organ transplant. For example, I had a patient once whose entire abdomen was open and couldn't be closed surgically. She was on TPN (IV nutrition) and IV antibiotics and needed massive amounts of wound care done every hour or so because her intestinal contents were spilling out of her open abdomen. She was there for months and ultimately didn't make it.

Are there people who stay longer than these cases? Of course! These are just averages pulled from medicaid data and personal experiences, based on patients who are coming in relatively healthy. Patients who have other significant health problems usually stay longer than patients who come in with a single problem.

But if you are otherwise healthy except for the reason you came into the hospital, unless you fell off a building or were in a massive car accident you are probably not staying in the hospital very long at all.

[heighpubsseo]

The prime aim of Annals of Clinical Hypertension is to publish research stuffs promoting a healthy lifestyle and preventive strategies to decrease the prevalence of hypertension in the general population.

Annals of Clinical Hypertension strives to publish research works on prevailing factors that contribute to hypertension such as obesity and diabetes. Annals of Clinical Hypertension also welcomes research reviews and literatures on primary prevention measures of hypertension.

url https://www.clinhypertensionjournal.com/

[karmaayurvedakidney]

Are you suffering from the problem of creatinine in the blood ? If yes, this is the right place to cure your kidney problem.

For kidney patients, Ayurvedic kidney disease treatment has always been beneficial. The Ayurvedic system of medicine focuses on overall health gain and maintenance with the use of healthy living tips instead of handling the symptoms of the diseases. Toxins removal, blood pressure removal, acid-base balance, management of solutes, and water transport in the body is managed by Kidneys. Therefore kidneys are the important organs in the human body. Ayurveda science is beautiful, as it provides a personalised treatment process designed for every individual. Ayurveda always works to cure the disease and always aims towards restoration of the health of damaged body organs. Herbal preparations are used to purify the system and then enhance the functioning of the body organs.

Now, ayurvedic principles are used worldwide for treating various kidney related diseases such as urinary stone, kidney failure, kidney infections, high creatinine levels etc. The treatment process in Ayurveda comprises following the right diet, lifestyle modifications along with the ayurvedic medicines.

Ayurveda approaches all diseases differently. Ayurveda is the science of life. The causes of kidney diseases are associated with the rakta or medha dhatu which eventually vitiates the Vata, Pitta or Kapha dosha. This vitiation of doshas creates kidney diseases. To treat the disease system purification and pacification of these doshas is necessary and ayurveda always works for it.  

In Ayurveda, a group of diseases, also inclusive of kidney disorders are considered as Prameha. It includes clinical conditions of obesity, prediabetes, diabetes mellitus, and metabolic syndrome.

Ayurvedic management of these kidney disorders have shown promising results. Prameha is a Tridosh Vyadhi and occurs due to predominance of Kapha.

Ayurveda is amongst the best options to cope up with kidney related disorders in a natural manner.

As per ayurveda, urine flow into or out of the kidneys occurs through Mutravaha srotas (channels carrying urine) and any blockage in these srotas results in improper functioning of the kidneys. The blockage of srotas creates kidney related disorders. Toxins start accumulating in the body when kidneys are not able to clear them from the blood. This improper functioning of kidneys creates imbalance of electrolytes and hampers red blood cells production. It is usually seen that the process occurs silently and the signs and symptoms are identified later.

At times unknowingly we promote the factors that cause kidney damage and alter its functions. Few mistakes are listed below:

 Alcohol and tobacco addiction

 Controlling the urge to urinate

Drinking  improper amount or cold water 

 Excess salt intake

Excessive intake of coffee, tea, cold drinks

High protein intake- pulses, non-veg products

Lack of vitamins and minerals

Cardiac disease, liver problem, paralysis, TB and psoriasis etc

Sleep disorders

 Polycystic kidney disorder

 Unprescribed and excess  use of painkillers, drugs, antibiotics etc.

Any kind of addiction or inclusion of above mentioned factors in your daily life leads to damaging the kidneys.

Kidney diseases manifests through the following signs and symptoms:

Bad breath-smell in breath

Blood in urine- hematuria

Burning micturition or Dysuria

Urine-pigmentation

Difficulty in breathing while walking

Early tiredness/lethargy

High blood pressure-Hypertension

Irritability in behaviour

Itching on body

Loss of appetite or Nausea

Proteins or Pus in the urine

Puffy face on waking up in the morning

Taste of the mouth changes

Tingling in the body-specially calf muscles and feet

Vomiting

With every passing day, kidney diseases are increasingly becoming a cause of concern  worldwide. Use of natural herbs, lifestyle management can have an effective impact on kidneys and can treat chronic kidney disease naturally. There are various ayurvedic medicines available for creatinine treatment:

1. Punarnava: It has anti-inflammatory action along with curative effects on kidney disease. It reduces the accumulation of the fluids in kidneys thus cures creatinine problems. It also treats oedema of feet and joints. 

2. Varun: Another powerful ayurvedic medicine used for creatinine treatment. It works to remove all the kidney ailments. It helps to improve urinary function and also provides strength to the prostate gland. It also prevents stone formation in kidneys. It is also helpful for other health ailments like intestinal bleeding, intestinal worms, and chronic migraines. It is considered a very effective ayurvedic medicine for creatinine problem

3. Kaasni: Kaasni is a wonder drug for all kidney ailments. It also has anti-inflammatory actions. This herb helps in relieving the inflammation in the kidneys. It is also helpful in respiratory troubles, chronic constipation, and for treating low haemoglobin also. It is also considered as a miraculous medicine for creatinine treatment in Ayurveda.

4. Palaash: When considering ayurvedic medicines for creatinine problems, palaash is considered as the best herb. It is used in all kidney problems. It is used to treat decreased liver functioning, if it is causing damage to kidneys. It has antimicrobial and anthelmintic action that eliminates the intestinal worms and parasites too. 

5. Gokshur

Gokshur has cooling effects; it relieves inflammation and treats chronic kidney disease naturally. Gokshura is helpful in treating renal infections. It is also helpful in enhancing the immunity of the body.

Few dietary and lifestyle changes are also found helpful.

Avoid smoking and alcohol consumption

Avoid seafood-rich source of sodium

Controlled consumption of sodium

Blood sugar, blood pressure and cholesterol levels should be in control

Low potassium intake

Low protein consumption. Check and avoid foods having high protein content

Fried, fatty food should be avoided.

Your health should be your top priority. Therefore, it must be taken into consideration that the use of the above mentioned herbs is not recommended without proper medical supervision. Know your creatinine.

[petew21-blog]

An apple a day...

21st January 2021

Dr. Mikhail Varshavski, or how many people know him - Doctor Mike, is a famous succesful physician and an influencer making money out of his YouTube videos etc. Still taking a bit of his time to examine patients between his videos and interviews.

But today an elderly patient was suppse to come for a visit. Mikhail decided to make it a tv spot where the satisfied patient would come to the hospital and thanked him for treating him.

The patient's name was Arnold Jefferson, a 71 year old man suffering many conditions, such as diabetes, arthritis, hypertension and many many more. Quite common in older people.

Mr. Jefferson arrived an unaware of the upcoming spotilight was greeted by am assistant and led to a room with cameras.

Mr. Jefferson:"I was supposed to come for a vistit with Dr. Varshavski."

Assistant:"Doctor Mike wants to speak to you in front of the camera if that's ok? I am sure you have already signed multiple forms considering your privacy, while in his care. So we won't keep you long and I will go get doctor Mike."

Mr. Jefferson looked around confused. He came for a one on one dialogue, not an interview. He had no interest in all of this.

Docotr Mike arrived to the room. His hair ready, wearing his best scrubs that were ironed that day.

Mikhail:"Good morning, Mr. Jefferson. How are we feeling today?"

Mr. Jefferson:"Good morning. I.. well just as I normally do." he spoke nervously, looking at the cameras and the crew.

Mikhail spoke loudly for the microphone above them to hear and smiled way more than usual. "Amazing. We will do a standard check up and then we will take a look at your blood tests together. Is that ok?"

Mr. Jefferson nodded and was then examined in front of the camera. But they also did many photos where they were wearing masks and touched each other with elbows just to prove how safe they were while handling the ongoing pandemic.

He felt uncomfortable. "Could I please be examined alone for the part where I get to undress?"

The smile from doctor Mike's face disappeared. "Sure. Yeah. Can all of you from the crew go and take 5? Thank you. We will finish with Mr. Jefferson quickly.

The crew left and Dr. Mike was left alone with the patient.

Mr. Jefferson:"You complicated things for me, you know? I would have done this much sooner."

Doctor Mike had his stethoscope in his ears listening to Mr. Jefferson's heart. "What do you mean by that?" he said confused by what the patient said.

Mr. Jefferson placed his hands on Dr. Mike's head. "This". Flashes of lights shined between the two of them. Mikhail wanted to run away, but the force from Mr. Jefferson's hands was so strong. He couldn't let go.

Mikhail's eyes closed by themselves. He didn't see anything.

The first thing he saw as he opened his eyes was his reflection. Nothing unusual. He saw his face everyday in the mirror. But he felt anxious as soon as his body started moving on his own and flexed.

His body spoke out loud:"Oh my. It feels great to be this young again. It seems you take a great care for your body, Mikhail. Or I should say Arnold now."

Mikhail was in disbelief. What was happening? Is this all real?. "What did you do to me?"

Arnold:"I didn't hear that question for a very long time now. It will be easier to show you." he handed him the mirror. In the reflection was the same old man that he trested seconds ago. He touched his face and the reflection did the same.

Mikhail:"How are you doing this?"

Arnold:"Couldn't tell you even if I wanted to. I am honestly not sure."

Mikhail:"Why me? I am a doctor. I am not someone you should steal life away from."

Arnold:"You almost answered your question. If I don't have the right to do that then why should you? Remember my wife you treated? How you misdiagnosed her?"

Mikhail:"This is medicine. Mistakes can happen. It's not an exact science. Sometimes we don't have the power to save everyone."

Arnold:"Maybe. But my wife was special, like me, you know. We did the same thing I just did for you for almost a century. But we fell in love with the life that these bodies had. The love they had for each other, the family. We even had a new young couple found to move over to, but you just had to fuck it up. So... let my face be a constant reminder of what you messed up."

Mikhail:"You can't do this. No one will believe you. Everyone will find out. I will tell them."

Arnold:"Yeah, not really my concern. Whenever one of you does this, they end up in a mental hospital. So I guess it's up to you now, if you want to finish the shooting quietly or get a quick ticket for mental hospital for the short rest of your life you have left. So what's it gonna be?"

They finished the spot and Mikhail in Arnold's body was escorted out of the hospital. He was old now. His body ached. Every step he took was like a needle. He was picked up by one of his family members. He had no idea who it was. His son? Grandson? Maybe they'll know more about the swapping. Maybe the clues will be inside the house. Or maybe none at all.

18th February 2021

Mikhail sat in his new arm chair and held a mug in his hands. It has been almost a month since he lost his body.

One of his grandsons played with a tablet next to him.

Mikhail:"What are you doing there, Joe?"

Joe:"You wouldn't understand, grandpa."

Mikhail:"Maybe I would. How about you show me?"

Joe gave him initial instructions he would normally give Arnold, but Mikhail already knew all of this and confidently asked for him to put up YouTube.

Joe was surprised that his grandpa now knew all this, but he did what grandpa asked him to do.

They found Doctor Mike's channel. There was only one new video from the last time that Mikhail has posted anything.

The video had a bad quality. The one who edited the video was definitely an amateur.

The name of the video was: Why I decided to quit medicine

Mikhail froze. His life was all about being in the medical field. And now Arnold ruined it all.

He played the video. Arnold seemed very happy with his new body, because he kept touching his arms, his pecs and hair even while talking about how unsatisfied he became while working as a doctor.

Mikhail took the tablet and searched for more information about his old body. He found information about a lawsuit for malpractice, that the new doctor Mike how faced.

But something kuch worse caught his attention. An Only Fans account.

Mikhail left the room with the tablet and his grandson screaming behind him. But he didn't care about that now. He opened the page and immediately subscribed while entering his credit card info.

The page unlocked.

Mikhail had tears in his eyes. There were videos of his old body pleasuring himself, embarassing himself, pleasuring others...

All of that for a bit of money from horny peopl, that wanted to see the famous doctor.

Mikhail decided to send a message that cost extra money.

He sat there for a while and thought about what it would say.

"Dear, doctor Mike. Or maybe you still remember your old name, Arnold. I wanted to say something mean about you ruining my life. But after watching the videos, I have to say I miss my body. Even though I would want it back I don't expect you'd give it like that for free. But maybe you could let me enjoy that body once again from someone else's view? What do you think? It might get a lot of views.

Sincerley,

Dr. Mike Arnold Jefferson"

On the other side of the screen sat Arnold in front of the computer, his dick hard. Reading the message from his old body.

"This might be interesting" he said, grinning mischievously.

Two woman called out behind him from the bed:"Coming to bed, honey?"

Arnold smiled and turned around. "Ready for round three?"

Anonymous request from inbox

Could you please write a body swap story where an elderly patient steals Dr. Mike’s body when he is seen by him for a visit?

[mistydeyes]

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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[moonspirit]

Angst time!

• Annie is pregnant, somewhat far along maybe 16-81 weeks

•Pollitical event

•Assassination attempts and Armin is badly hurt. Doesn’t wake up for days after

•the stress causes her to loose the baby

•has to go through this without armin and ends up spending ages by his bed size with out moving eating or taking care of herself, on top of this she is still in pain from the miscarriage

•Armin wakes up and immediately checks on her and the baby like he will do

•Annie doesn’t know how to react

I love this idea but I have no idea how it will play out especially with the others like how they will react to the situation.

Holy fuck anon 🥲 You're trying to destroy these two without the possibility of repair?!

tw: pregnancy, miscarriage, extreme angst.

Tbh a stillbirth at around 20 weeks along is an incredibly traumatic event. To humour this, we will say Annie begins to suffer from hypertension and develops placental complications that... eventually lead to a stillbirth.

She's by Armin's bedside after having cried her eyes red once again because he's so still, so cold, so... eerily quiet in his sleep. He just ran a high fever the night before and it took everything in her to not imagine him dying. Still, it's been a month and he hasn't woken up. The doctors say they can't tell if he ever will. It's like the world is broken in two, unable to breathe or function.

There's no sign. Nothing seems wrong with her other than the tremors in her hands when the fear of Armin never coming back overwhelms her.

Nothing's wrong... Except her baby's been really quiet for a few days now.

Until she begins to bleed in her sheets one day.

Just like that, it's gone. Her baby, gone. Dead in her belly. Cold and heavy and so so far away.

Annie breaks down.

For the past weeks ever since finding out she was carrying life within her, she's bonded. Bonded with he or she, an imaginary wisp of blonde hair, the picture of blue eyes and a small hand curling around her finger. Bonded with the expectation of a voice gurgling and babbling, eagerly looking forward to the time when she'll finally win her bet with Armin that their baby will say "mama" first.

And Armin... She remembers how he looked when she told him. She remembers how he cried. She remembers the tremble of his hands when they caressed her stomach, still flat then. She remembers how he began to call them Mama and Papa. How he kissed her everywhere. How he brought home cake and other sweets and watched her eat away with gusto. How he laughed into her neck and fell into a comfortable silence with her as the night progressed and they lay in each other's arms, thinking about their baby. How he'd kiss her stomach and talk to their child every single day.

But he's not a Papa anymore, and she, no longer a Mama.

Their baby's gone.

The others try to help. They comfort her and wipe her tears. They hold her as she shrieks in pain at the loss in her stomach and heart. They make her eat. They make her drink. They make her sleep, but only so much works; sleep doesn't come even to help forget the emptiness in her body for a few hours.

They don't tell Annie how much they were looking forward to welcoming a tiny baby into their big happy family.

Not Pieck, not Reiner, not Jean or Connie... They mean well, but they don't help rid her of the ache, not really.

When Armin finally wakes, it's like atleast one half of the world has been righted. But he wakes, and looks at her with those blue eyes, watery and moist, relieved to see her again. Relieved to see them again.

But there is no them. Only her.

Everything that cannot be said, he understands the moment he reaches for her stomach and finds it flat and devoid of life. Empty, where a cradle used to once be. Quiet, where a voice should've been.

All is still.

[diabetesreversalprograminindia]

How to manage Hypertension and Diabetes?

This article is originally published on Freedom from Diabetes website, available here. In this huge population, many peoples are suffering from the diabetes. It is good if you know the importance of controlling your blood sugar level properly. Uncontrolled diabetes is often a result of poor lifestyle choices. But you have to be aware about another problems also. Sedentary living, unhealthy diets, and high-stress lifestyles combine to trigger a condition known as insulin resistance.

This is when your body either produces insufficient insulin or the insulin produced doesn’t have the necessary effect, i.e. glucose from food is unable to enter the cells and accumulates in the bloodstream. Over time this high blood sugar level (BSL) damages almost every organ in the body. Like hypertension. You should know about the diabetes symptoms such as Frequent urination, Insatiable thirst, Fatigue, Excessive hunger, Slow healing of wounds, Blurring vision, Fatigue etc. If you notice any of the above symptoms, get yourself checked immediately. And try to get reverse from this asap.

Now lets discuss about what is the connection between Diabetes and hypertension.

High blood sugar can cause by plaque to build up in your arteries due to high LDL cholesterol. This makes the arteries narrower and harder, which makes your heart work harder, leading to high blood pressure. Diabetes and high blood pressure have a some same causes such as Inflammation, High oxidative stress, Weak immunity, Obesity, Smoking, Excessive alcohol consumption, Unhealthy diets, Imbalance in sodium & potassium intake. If you are suffering from both then it increases the risk of heart damage, kidney disease and other serious issues Vision problems, Kidney damage, Heart attack, Stroke etc.

Prevention & Treatment for diabetes and hypertension

1)Daily exercise:

Physical exercise has been seen to good effect on both BP and BSL. This exrcise include running, jogging, cycling, dancing, yoga, tai-chi. These types of exrcise will defenitly helpfull for both BP and BSL.

2)Clean up your diet:

Improving your food habits is very important to regulate both BSL and BP.

You have to eat variety of fresh vegetables and fruits. 2.More high-fiber foods

Less salt

Avoid foods with a high glycemic index (foods that quickly raise your blood sugar) and fried and fatty foods

3) Stop smoking:

Smokers with diabetes have been seen to be at high risk of developing a number of serious complications, such as Kidney disease, Heart damage. You have to Reduce alcohol consumption. Alcohol is high in calories. It triggers weight increase, causes thickening of arterial walls, and high BP. If you must keep it to a minimum or, even better, switch to sparkling water.

By following these treatment and prevention tips, you can manage diabetes and hypertension effectively. To read more about this, 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!

[diabetes-health-corner]

Hypertension and Diabetes: Risks, complications, and treatment

Diabetes & hypertension disorders are triggered by metabolic syndrome, which also puts them at high risk of heart disease and many other complications. So it is important to understand if you are at risk and what you can do to protect your health.

Read more to know risks, complications and treatment: https://www.freedomfromdiabetes.org/blog/post/hypertension-and-diabetes-risks-complications-and-treatment/2930