#Meals for Kidney Patients

[hypothalamusmumbai]

Discover personalized cancer diet meals in Mumbai designed to support and nourish patients. Explore the best healthy food for cancer patients, tailored for optimal well-being during their journey to recovery.

[comingdownwithme]

Can we see more of Jeff and Toby also is Ben and Ej I’m the comic of not what are your headcanons for them??

Jeff and Toby have always been my favs since I was a kid, so you'll definitely be seeing more of them!

As for the comic, the whole thing is more of snippets and peeks into my interpretation of Creepypasta instead of a solid, sequential storyline, so not a whole lot is concrete, and I won't be posting a whole, fleshed out comic since it's very time consuming. I'm definitely sure Ben and EJ would show up though, especially during Jeff's directionless wanderings

Anyways, Woe! Headcanons be upon ye!

Eyeless Jack

Jack Nyras is a man just trying to survive after he had been left disabled and transformed from putting his trust in the wrong people. Even as the demon contorts and shapes it's host as if it were trying to fit itself it's host's own flesh, Jack remains conscious, all too aware of what is happening to him and the dizzying, maddening hunger that drives him forward

He's gone from a 5'6"-ish guy to a whole 6 foot something of a man after the incident. The demon disfigured and stretched his body to "make itself at home", though it isn't too obvious with his shitty posture and what he wears

He used to go to medschool and was about to graduate as a Valedictorian.

He carries a roll of surgical knives in his hoodie pocket! (My best friend gave me this idea :)))

Burn scars over his eyes! Hot tar does that to you ig, and it harmed him enough to last despite his new form's accelerated regeneration

He's still sane enough to have morals (or at least, he believes he's sane enough), so though he isn't exactly picky, he prefers kidneys since his victims would usually survive with only one, and he strikes at night when his "patients" are sleeping

He's good friends with Jeff (even if neither would admit it, ESPECIALLY not Jeff). They first started out as seeing each other as nothing more than "easy body disposal" and "free meal provider", but each time they bump into each other, they've began to get along past their perceived usefulness

BEN drowned

An angry, vindictive spirit that's been freed from the confines of where he had been sealed. Even still, he can't remember his own face, so despite his newfound freedom, he had taken the form of the model he had been using during his digital imprisonment to manifest. He now wanders the world, vengeful and curious, yearning for a peace he might never get.

His face is stuck between 2 expressions: the calm, neutral look of the elegy of emptiness (which is his usual), or a more expressive- albeit heavily distorted face- during moments of heightened emotion like anger, sadness, etc. Nothing changes from his expression, not even his mouth moves.

The latter is also a reference to how fans usually drew Ben, along with just... .EXE characters in general-

His clothes are always soggy :(

He can manipulate and change his physical form, but the binary scarred into on his calf stays no matter what he does, whether that be changing forms entirely or removing the limb from his "model", in which case the binary moves elsewhere.

Ben is telepathic. He can choose who can understand him at any given moment, whether it be a group, a pair, or a singular person. Everyone else outside of the conversation could hear only gargling, wheezing and coughing.

Avoids areas where water is usually found in large amounts. I.e, lakes, rivers, bathrooms, etc.

[createdbytragedy]

MY GIRLFRIEND (2)

(1)

Pairing: Choi Beomgyu x reader

Genre: Fluff, crack

Warning: Established relationship, cursing , idol! au, Hueningkai is referred to as only kai because I didn't know his spelling (lol), a brief mention of Yeonjun's gf

"Me and (y/n)'s going on a date this Saturday," Beomgyu announced, entering the room with eyes on his phone where he was probably texting his girlfriend.

"This Saturday? I thought we were all going out together to get ramen at the old shop again," Soobin chimed, looking up from his phone.

"Yeah," Yeonjun added, " we haven't been there in a while. You remember how we used to go there when we were trainees?"

"With sweat and bruises on my knees, yes, I do remember." Taehyun added, earning a few chuckles from the boy beside him.

"The owner invited us. Who knows, we might get a free meal," Kai resorted.

"We're not saying you should cancel the date but -," Yeonjun said and grinned," unless you wanna miss the heavenly ramen."

"No, it's okay," Beomgyu said, flopping beside Soobin," (y/n) would be mad if I cancelled with you guys. "

"Wouldn't she be more mad that you cancelled on the date?" Taehyun questioned, raising a brow. Beomgyu shook his head, picking up his phone to send you a text.

"No, actually, " he said, eyes on the phone and fingers typing, " She actually got more mad when I cancel on you guys. Says I should bond with my "boys" often. " He chuckled, mind wandering back to the moment.

"She's so sweet. Such an angel." Kai added, resting his head on Beomgyu's shoulder to peer at his phone.

"So you mean she doesn't get angry often?" Yeonjun asked, looking pretty surprised at the statement.

"No, she's really patient," Beomgyu smiled," she usually tolerates everything."

"Unlike you." Soobin snickered followed by the others.

"So, like, you guys don't argue? " Yeonjun questioned, now looking really shocked as if Beomgyu had suddenly asked for both of his kidneys, " Me and my girl argue over the smallest of things. She hasn't talked to me in 3 days and maybe I should apologize."

Beomgyu turned off his phone and looked at Yeonjun, " Me and my girl don't argue. She tells me to shut the fuck up and I do," he added, pointing his phone towards him.

"You never shut up when we tell you to," Soobin countered, "That's cause she's my girlfriend. She gets privileges, " He replied, getting up to walk out the door.

"Your corny. Get out of my sight. " Taehyun mocked, pushing Beomgyu out by the shoulder.

"I don't wanna be with singles like you people either. I'm gonna go face time with (y/n)!! " He exclaimed, shoving Taehyun off his shoulder.

"Tell (y/n) noona I said hi," Kai adds, peeking over Taehyun's shoulder.

"Get out already," Soobin shouted earning a glare from Beomgyu.

"Fine! I am going to my room," He shouted angrily, loud enough to wake up a person sleeping if there were any," don't you dare come in at midnight to snatch your charger or snacks or socks or I'm gonna lock you in the closet till morning, get it?!" His voice was still clear even though he was out of the room and was walking in the hallway.

"Goodnight, hyung!," Kai shouted from the door.

And from the other side of the room they could hear Beomgyu yell," I'm only wishing a goodnight to (y/n), rest of you can have nightmares!!"

And with that, a door slammed shut and laughter erupted in the room.

"Gosh, he's down so bad," Soobin laughed, slapping his hand on Yeonjun 's shoulder.

"He wouldn't survive a day without (y/n). " Taehyun said, shaking his head.

"We wouldn't survive a day without (y/n). Apparently, she's the only one who can keep his ego in check and make him shut up without having to stuff tissue papers into his mouth," Yeonjun concluded, the other nod.

"But, they look so happy," Huening smiled.

"Yeah, sure they do. Maybe I should also start shutting up when my girl tells me to," Yeonjun said, earning a laugh from everyone. Then they heard another laughter joining them from the other room.

"Only (y/n) can make Beomgyu laugh like that. "

[elaemae]

The premium version of human is here to wreck house, mfs.

[Twst x Obey Me!AFAB!reader]

CHP.3

CW: Same as before.

PREVIOUS CHAPTER: PROLOGUE 2

FUN FACT: You were just about to remove your unbelievable amount of jewelry and go to sleep when the dark carriage appeared in the middle of your room.

You didn't notice because you were busy tryna reach for your bangles but then you were suddenly yanked by the hair into the carriage where you quickly lost consciousness from the strong sleeping magic inside. That horse got no chill, wtf..

This is one of those times where you need to channel out your inner Belphegor.

Be loveably infuriatingly bratty and murderous at the same time.

Turns out, you were yanked by the hair and shoved into the carriage by that creepy looking horse because you were "chosen" by the dark mirror to attend their oh-so-prestigious college. (Move out the way Harry Potter, there's a new chosen one in town—)

So you decided to stress these fuckers into bringing you back to where their unhinged horse first took you.

You don't have to be a genius to know that if any of the brothers notice your disappearance, there can either be a war or a bloodbath. It's either one of those things or both of them.

So as you were freed and guided in front of the mirror by the bird-man who you've come to find out was the headmaster of this oh-so-grand college that you've never even heard of.. you side-eye the Mr. Boutta-sell-yo-kidneys guy that tried to take your bangles before you faced the mirror.

'...Hmm? Who's this?' You think, as you look at the person half-hiding behind the mirror.

They seemed to be quite nervous as they gave you a small wave, earning them a smile from you.

The headmaster seemed to be confused about them for a second but quickly remembered something as they called upon that person.

It seems that Yuu, quite a confusing name they've got also desires to be sent back to their home as they said they had responsibilities they must fulfill.

Nice.

Twinning with your problems fr.

It's like you two looked at each other and something just clicked.

Like, Omg we're both kidnapped by a school filled with hot men and forced to be their unpaid therapists, Slay gurly~ 💅🏼 sry it's your inner asmo talking.

You decide to let Yuu be the first to face the mirror so that they'll get home first.

Ah, aren't you so kind and patient?

You don't know anything about that mirror, so it's best that you let someone else have a go first to see if it's safe.

Sorry Yuu, we may have clicked but I don't know if I can trust any of you right now.

It's too risky.

If we ever meet again, I'll treat you to a meal in hell's kitchen as compensation.

Thank Belphie for my trust issues.

...

...Huh.. The place that Yuu belongs to "doesn't exist"?

What a strange response... This damn mirror better not give you the same words lest it wants to be melted out of existence via hellfire.

You can see the dudes behind y'all who turned out to be the housewardens of the dorms of this school start whispering to each other like some nosy aunties on a regular sunday morning.

You gave reassuring pats on Yuu's shoulder after they went back beside you, getting a shaky smile in return.

"I'm sure that it'll be okay.. Their dark carriage took you so it must have the capabilities to take you back, right?" You whispered to Yuu, trying to keep them from panicking as you notice their breaths starting to quicken.

"People in distress are prone to being exploited and manipulated by others. Breathe slowly and calm your mind." You lean closer to their ear, rubbing small circles on their back.

Panicking won't help anyone. You had to learn that from experience. Now you just want to make sure that Yuu doesn't have to.

You may be alright with using this new acquaintance of yours to verify the safety of the mirror, but you won't stand by and watch them expose their vulnerability to a group of people that haven't really made a show of good morals they might possess.

As the headmaster guy started going on a rant about how "tHiS hAvE nEvEr hApPenEd bEfoRe" you keep an eye on the five housewardens dudes, seeing as those guys were eyeing you and Yuu lmao💀 like they were looking at some weird... thing.

Except for the shady mf who's looking straight at you with his weird-ass smile.

Really giving you the impulse to sock him in the face again.

(Oh, and also that tablet that kept taking pictures of you thinking that they were slick when you can hear the click every time a pic was taken.)

The headmaster then guided you to the mirror, mumbling pleas for the reflective object to work properly.

"I... I seem to be unable to reach the place that you call home.."

The mirror spoke, troubled and seemingly confused.

Yuu peeks at your face, before paling and trying to get closer to comfort you the way that you did for them, only to full on try to tackle you when you bring out your staff to try and break the damned thing.

If you can't bring me home then maybe I can take your power and do it myself.

MEANWHILE...

"There are traces of what seems to be teleportation magic as well as a smidgen of sleeping magic mixed in, on center of MC's room."

Solomon stated, glancing at the people sitting around the big oval table inside Diavolo's castle.

If anyone else saw the attendance in this little meeting of theirs, they'd have a heart attack.

I mean, when will you ever see representatives of the celestial realm mingling with those of the devildom, the human world and the grim reaper in such a serious manner?

You'd think there's an intergalactic threat on the loose if you ever see their expressions..

But that's the thing.

You weren't there to see them.

That's the problem.

Someone or something took you away from them.

Those connected to you via pact can still feel your emotions and connections through your pact marks but nothing more.

At this rate, they worry that you're too far to reach because they couldn't get to you through their pacts. Where could you be?

The only reassurance they have that you're fine, is your candle in Thirteen's hands.

The last string of reason they have that is keeping them from drowning in their grief and anger.

The burning flame of your candle gave them comfort and fueled their determination to bring you back into their arms.

Don't worry MC, we'll bring you back.

No matter what it takes.

← Pr. 2 | Chapter List | Pr. 4 →

I'm tryna sketch my MC, but it's taking a long-ass time.

Elae: Hope y'all enjoyed this chapter y'all😊

Don't forget to like, comment, and reblog guys, it really helps me out :3

See y'all next time~

(still tryna figure out tagging)

@leviathans-tail-scales

@f0uerleafedcl0ver

@a-traveling-void-human

@pumafiredraw

@lunasakuravalentine

I tried to tag all of y'all but it won't work for some reason :c

[ridiasfangirlings]

I see a lot of patient x therapist in sarumi but it's illegal, so I propose a much more interesting plot: Urologist!Yata x Patient!Fushimi.

Could Yata even handle being a urologist XD Maybe he initially started studying when someone suggested it as a way to deal with his girl issues, like hey maybe you’ll be less nervous around girls if you think of them only in clinical terms (this backfires though, Yata can now handle seeing a girl with her pants off but he only thinks about health things, and meanwhile women in low cut shirts still make him blush and stutter). Fushimi is also the type who definitely avoids doctors and normally would never see a specialist, he probably had to be forced into it. Like Fushimi works for a private detective force and due to his bad diet he has frequent health issues. At some point he’s dealing with significant issues going to the bathroom and having pain, all of which he’s blithely trying to ignore, until his boss Munakata makes him an appointment and gives him no choice but to either go to the doctor or be fired (and while Fushimi would love to be like good I quit he does need this job, because he’s not going groveling back to his parents for money and his bad personality makes it hard to be hired by anyone besides someone who is in their own way equally twisted).

Fushimi ends up in the urologist office all hunched and grumpy on the examination table, waiting for the doctor to show up. When Yata walks in Fushimi’s all ‘I thought I was seeing a doctor, not a shrimp who’s still in high school.’ Yata’s immediately like shut up I’m a med student in college asshole, and I’m totally capable of handling your problems. Fushimi finds it pretty funny that his doctor is being so foul mouthed, like does your school know you talk to patients like this. Yata stutters and quickly tries to move on, like can we just discuss your medical history. Fushimi’s much more relaxed now, he doesn’t particularly want to discuss any of his medical issues (mainly because he never goes to a doctor so he doesn’t actually know what most of those are) but he can at least have some fun with this. Poor Yata is having trouble keeping up, he’s doing his best but this guy keeps being such an asshole it’s hard to maintain a professional demeanor. He does manage to get some info from Fushimi about the problem and assumes it’s a urinary tract infection, he prescribes some medicine and is happy to get that jerk out of his office.

Except the medicine doesn’t work and Fushimi reluctantly shows back up at Yata’s office mocking him for being such a shitty student that he couldn’t fix the problem. Yata grumbles like well if you weren’t being such a jerk maybe I could have examined you properly. Fushimi’s like you’re shirking your duty Misaki, Yata covers his name badge with a hand all that’s doctor Yata you bastard. Yata threatens Fushimi with a rectal exam and Fushimi’s like oh are you that interested in me. For the first time in a long while Yata gets all red, he thought he’d gotten over being embarrassed about doing this kind of thing but Fushimi just keeps throwing him off balance. He does need to do some examinations that require Fushimi to take his pants off though and it’s suddenly so awkward, like normally Yata always sees this as just medicine but now for the first time he feels like he’s really looking at another guy’s dick and he’s flustered.

It eventually turns out that Fushimi has like kidney stones, Yata can remove them but of course this requires more of Fushimi lying down with no pants on. Yata manages to fumble his way through the whole thing and afterward he’s trying to be professional again, discussing diet and such, and that’s when he finds out that Fushimi eats like a four year old. Yata starts lecturing him on proper nutrition and Fushimi clicks his tongue all ‘don’t want to,’ without even thinking Yata slips out a ‘if I have to I’ll go over to your place and make you healthy meals myself.’ Fushimi responds with ‘fine, come over then,’ intending to say it in mocking tones but it just comes out as a blunt acceptance of Yata’s inadvertent invitation. The two of them stare at each other, both thinking they should take that back but of course neither one is willing to swallow their pride and go back on those words, so Yata’s like ‘o-okay…where do you live?’. After Fushimi leaves Yata’s immediately freaking out like did I just ask that total jerk out on a date, and meanwhile Fushimi is outside the office all irritated at himself and thinking about how stupid he is, why would he want that shrimp to come over and make him dinner. He tells himself well maybe I can just tease him and it will be entertaining, not willing to in any way think further on why for once he’s actually showing interest in another person.

[cleverwordsandotherstuffilike]

The Mediterranean diet contains nutrients that are known to enhance longevity and has other health benefits that are backed by peer-reviewed, scientific studies. Broccoli is one of nature's most nutrient-dense foods, with only 30 calories per cup and contains fibre and polyphenols — antioxidants that detoxify cell-damaging chemicals in your bodying.

A Spanish study found a Mediterranean diet supplemented with extra-virgin olive oil reduced the incidence of major cardiovascular events among patients with a history of heart disease.

Quinoa contains a good dose of protein to help build muscle. Yet including any type of whole grain in your diet — from barley to brown rice — will aid in weight loss by filling you up for fewer calories.

Blueberries is a kind of superfood because studies have shown they aid in everything from fighting cancer to lowering cholesterol. But all berries, including raspberries, strawberries and blackberries, contain antioxidants and phytonutrients.

Studies show that eating a handful of nuts several times a week can prevent heart disease and ultimately help you shed pounds since they fill you up and stop you from snacking on other things. Almonds, in particular, contain lots of monounsaturated fats and fibre.

Salmon is also a good source of lean protein. With this diet, doctors suggest eating fish at least two times a week. Salmon provides a high dose of omega-3 fatty acids, which studies show significantly lower the risk of heart disease. Omega-3 fatty acids fight back by reducing inflammation and slowing the rate of plaque buildup in blood vessels.

Black, kidney, white and garbanzo beans (also known as chickpeas) are good for fibre and protein. They fill you up and provide muscle-building material without any of the fat that meat can add to your meal.

Eating a breakfast high in protein is a good way to keep hunger at bay throughout the day. Eggs are full of choline, a nutrient that helps block fat from being absorbed in the liver. Choline may also help in preventing memory loss.

Spinach is a great source of iron, which is a key component in red blood cells that fuel our muscles with oxygen for energy. But researchers in Sweden identified another way in which these greens might keep you charged: Compounds found in spinach actually increase the efficiency of our mitochondria, the energy-producing factories inside our cells.

Walnuts are packed with tryptophan, an amino acid your body needs to create serotonin. They're digested slowly which contributes to mood stability and can help you tolerate stress.

Asparagus is one of the best sources of folate, a B vitamin that could help keep you out of a mental slump. Folate is important for the synthesis of the neurotransmitters dopamine, serotonin and norepinephrine; all of these are crucial for mood.

[mcatmemoranda]

I never use sulfonylureas. I just know they can cause hypoglycemia. So I would stop it if I were going to start a pt on a GLP-1 receptor agonist. From UTD:

Mechanism of action – Sulfonylureas bind to the sulfonylurea receptor on the adenosine triphosphate (ATP)-sensitive potassium channel (K-ATP channel) of the pancreatic beta cells, leading to inhibition of the channels with subsequent alteration of the resting potential of the cell, calcium influx, and stimulation of insulin secretion.

•Clinical use – Sulfonylureas usually lower glycated hemoglobin (A1C) by 1 to 2 percent.

-Initial therapy – A short-acting sulfonylurea (or one with relatively lower risk for hypoglycemia) is a reasonable option for initial therapy (along with lifestyle intervention) in patients without established cardiovascular disease (CVD) who have contraindications to or intolerance of metformin, particularly if cost is a concern.

-Combination therapy – Sulfonylureas are most often used in combination with other oral hypoglycemic drugs in patients with persistent hyperglycemia after lifestyle intervention and metformin. They are generally not used in combination with insulin.

-Choice of sulfonylurea – When a decision has been made to treat with a sulfonylurea, we suggest a shorter-duration sulfonylurea or one with relatively lower risk for hypoglycemia, such as glipizide, gliclazide (not available in the United States), or glimepiride (Grade 2C). Glyburide (glibenclamide) and other long-acting sulfonylureas have a higher incidence of hypoglycemia.

•Side effects – The most common side effects of sulfonylureas are weight gain and hypoglycemia.

●Meglitinides

•Mechanism of action – Meglitinides are structurally different from sulfonylureas and exert their effects via different pancreatic beta cell receptors, but they act similarly by regulating K-ATP channels in pancreatic beta cells, thereby increasing insulin secretion. The clinical efficacy of meglitinide monotherapy is similar to that of the sulfonylureas.

•Clinical use – Meglitinides are most commonly used as add-on therapy for patients who do not reach glycemic goals with metformin, particularly if there are contraindications to sulfonylureas or patient preference limits the use of insulin or other agents. Meglitinides are pharmacologically distinct from sulfonylureas and may be used as initial therapy in patients who have an allergy to sulfonylurea medications. For patients who have highly variable diets (eg, inconsistent timing, size, and/or carbohydrate content of meals) or substantial postprandial hyperglycemia with large meals, but do not need additional medication the rest of the time, repaglinide may be taken at those large or carbohydrate-rich meals only.

•Choice of meglitinide – When a decision has been made to treat with a meglitinide, we suggest repaglinide (Grade 2B). Repaglinide has slightly superior glycemic efficacy compared with nateglinide. Repaglinide is principally metabolized by the liver, with less than 10 percent renally excreted. Thus, it can be used safely in patients with chronic kidney disease. Nateglinide is hepatically metabolized, with renal excretion of active metabolites. It should be used with caution, if at all, in patients with chronic liver or advanced kidney disease.

•Side effects – Meglitinides have a similar risk for weight gain as sulfonylureas but possibly less risk of hypoglycemia.

[deadmomjokes]

oh wow I am so sorry to hear about your daughter having EOE - that sounds really rough. How do you navigate that?

At this point, with a lot of flailing.

It took 3.5 years to even get her properly diagnosed, not through lack of trying-- it's just a hard thing to differentiate, and the specialists that can actually do the test are dealing with a huge number of patients so they're always backed up. We're lucky: we live only an hour from the state children's hospital where they can do the diagnostic procedures, and it has a dedicated EOE specialty clinic that's one of the best in the country. It still takes 2 months to get an appointment as an established patient, and it took even longer to get her in on the initial referral. We're also lucky that she was able to explain to us what she was experiencing in a way that a doctor could take seriously and act on, and we're lucky that her primary care doctor did so.

But generally speaking, things suck spectacularly for pediatric EOE and GERD patients right now, at least in the US. The best medicine for treating it is omeprazole (prilosec), and there was exactly one manufacturer that made it in a suspension that small children could take. Well, that manufacturer decided it wasn't profitable enough, so they quit making it altogether. So now the next best, lansoprazole (prevacid), is on national back order for months because every child that was on the other one is now needing to switch.

So my daughter is currently on the next next best thing, because it was that or nothing, and it's just not working great for her. It keeps her from the worst of the pain, but she's back to not wanting to eat anything but bagels, one specific brand of cereal, and string cheese.

Back when she was officially diagnosed, her doctor gave us the option of going on a super dose of PPI meds, jumping straight to the steroids, or doing a full elimination diet with a nutritionist. For a kid, none of those options are great.

The PPIs reduce absorption of nutrients, which are already few and far between for a growing person with only a few tolerated foods. The steroids may have effects on a growing liver and kidneys, and also make you more prone to fungal infections and upper respiratory illnesses. Both have to be routinely dose-adjusted because the child is growing constantly, but you have to get an official weight/height check at the specialist to do so, which is always backed up. Then the elimination diet is...well, it's hard, to put it mildly, and it takes a really long time because of how delayed the reactions can be. Plus when you already don't like eating and only have a few 'safe foods', it's hard to cut back. Most people with EOE also have more than one trigger, so you have to eliminate a ton of things and hope you get them all, and you can't be on any medication while you're doing it because you have to be able to identify the point at which symptoms get better and then return.

In short, all the options suck.

We eventually decided on trying to get it under control enough with the meds to hopefully expand the foods she was willing to eat, in preparation for doing the elimination diet. It was working. Then the forced medication switch blew that all up. So we're just gonna grit our teeth and go with the elimination diet unless her specialist has another option for us.

But aside from that, it's been a lot of phone tag and appointment waiting, and a lot of readjusting the way we look at food and eating.

For her, whatever she will eat is a win. We've taken pressure off her to try new things. We still offer it, but we don't press if she's not feeling up to it. Reducing stress around the concept of trying new foods is super important, because she's already up against the stress of wondering whether it'll 'get stuck' or feel yucky or make 'the fires' worse.

We've also had to make sure we don't fall into the trap of trying to dictate how much she eats and when. Unless a meal is coming within the half hour, we let her have a snack when she's hungry-- wait too long, and she's in pain. Plus we want her to kind of train herself to respond to those hunger cues because her appetite can get so drastically reduced at times, every instance of her listening to an 'I'm hungry' is a win.

We also had to abandon the idea of the 'perfectly' balanced diet. Proteins are a struggle for her. Leafy greens are a struggle. So are other calcium containing foods like dairy and dairy alternatives. She really only likes carbs, mostly bread and fruit. But it's not like she can help it. Nobody purposefully restricts their diet just to be difficult-- a "picky eater" is someone who is struggling and needs accommodation, not judgement.

So we let her eat what she will eat, and work to find options that can get her the stuff she needs. Protein bars are a big hit with her right now, for example. A better texture than meat, they come in 'treat' flavors, and there are options that don't have all the added sugar that's gonna trigger the acid flareup. We make sure we get enriched flour and bread products so she gets at least some iron. We pick varieties that have added protein and calcium. We get juice with added vitamins and minerals. We stock the pantry with things that cater to her capabilities and needs wherever the two overlap. The goal is nutrition, whatever form that takes and whatever it looks like right now. Getting it "right" will come later. For now, we just need her to be comfortable with food and to learn how to work with her body.

This has also meant teaching her about nutrition, so we can help her take charge of her body's needs and help us think of ways to meet them. That's hard for a 3 year old, but there's a show called Storybots on Netflix, and they have a great episode on nutrition called "Why can't I eat dessert all the time?" Super accessible for kids, and has a catchy song describing macronutrient categories and why we need lots of different kinds of food, not just one kind. It was a perfect starting point, and we just kept at the explanations. Like when we would eat an apple with breakfast, we'd talk about how it has Vitamin C to help her cells be strong, fiber to help her tummy and intestines work well, and carbohydrates to help her have energy. Every time we try a new food, we talk about what's in it to help her body. That includes things like chips and cake--we're big on the concept of "all food has value, it's just some has more than others, so we eat the most of those."

So now, when she's had a "just bread" day we remind her that her body needs more than just carbs, and we can't get all our protein, fats, vitamins, and minerals from bread, so we should probably have something else too. 9 times out of 10, she'll add something to her request, like some blueberries or carrots. She might not eat a ton of it, but she tries, and that's what counts.

I know this is a mile long and probably way more than you were asking, but it's just one of those things that I have a lot to say about. I could talk all day about accessible eating and nutrition, as well as Going Off on our current medical system in the US, so if anyone has further questions, feel free to reach out.

[anger-anon]

I absolutely want to see them

Okay! Okay I gottem! I gottem! Alright, alright, check it!

*he pulls out 3 very high definition photographs, the horrific sights depicted on them enough to make one’s stomach churn*

These ones are my- my favorite ones! I have like, a ttonn more of em but it’d take like, fooreverr to show you guys all of them!

*he taps on the first one*

Okay, okay, this- this is my first evver serious one! Like, I’d done bad things to my patients before but I never properly like, kidnapped them or anything!! Anyways, I like, kept him alive like this for- for months!! 

*the image depicted a completely nude ‘man’ in a practically pitch black room, only illuminated by the flash of a camera. His eyes were milky and unseeing, violently red around the edges and brimming with tears, staring straight into the camera lens. Upon closer inspection, one could see the scars above his eyes where his eyelids had been cut off. His mouth was held unnaturally wide by bulky medical equipment, the divots in his gums where teeth should be bleeding profusely , his lack of tongue evident as the wound gushed blood. His face was smushed into the ground as he had no arms to keep such from happening, his legs tied together by a long strand of rope.*

I’d- ha! I’d make him use ‘echolocation’ to- to find his meals! It was fuckin hilarious seeing him squirm around on the floor, screaming like- like a total idiot to find his next meal!

*💢 bursts into giggles for a moment before pointing to the next picture*

This one- oh! I didn’t - didn’t even plan on doing this one! Was supposed to be just- just a kidney transplant! But she was such a bitch to me the whole f-fuckin time! And you know the saying ‘kill them with kindness’? Well I decided to take that to heart for once! 

*The photograph depicted a woman propped up against the wall with a gaping hole in her gut, her innards and an uncomfortable amount of kidneys spilling out of it. Her eyes were rolled up back into the back of her head and her cheeks were a sickly green, her entire front coated in vomit and blood.*

47 kidneys. That’s - that’s how many I managed to stuff in her before like, her stitches popped and it all came spilling out of her! It was - oh it was just so mmuch fun! She’s where I got my passion for like, being so generous and helpful from! Ha!

And- and last but not least!

*He held out the final photograph, and it might’ve been the worst one yet. A woman stood in the middle of a room, well, not really ‘stood’ considering she had no legs, more like held up by 4 metallic poles that stabbed into her legless torso. She had no arms either, just a stick jabbed into one of the bloody wounds where an arm should be. Her mouth was stitched shut and her head was shaved, hot spiking wires peaked from her various wounds, and most prominent was the large hole in her chest, in which the display of a slot machine was. At the bottom of the photograph there was a message, scribbled in angry red pen was the words ‘happy fucking 2 year anniversary’*

Poor little miss Amber Marrie! Couldn’t keep her hands off- her hands off of my ‘boyfriend’! Lluckily for her, I was never the jealous type! So I helped her become the ppperfect girl for him! Aren’t I just the kindest gal you’ve ever met?

The best- the best part? She was completely rigged! Each- each slide thing had- had completely different drawings on it! There was no way to win her!!!

*💢 bursts into laughter, unable to stop as xe doubles over. His manic laughter quickly turning into a coughing fit, the pictures spilling from his hands and onto the floor as he beat his chest with his fist*

[hypothalamusmumbai]

Hypothalamus is the best diabetic food delivery service with our personalized diabetes diet meals in Mumbai. We provide diabetic meal service and home delivery meals designed specifically for managing diabetes.

[letters-from-the-4077]

3x11: Adam's Ribs

Dear Dad,

Remember that flu season back in ’32? When it felt like you were gone every night jumping to every single household with a kid in it because everyone all got sick all at once? And how it was after mom died but you decided that I was old enough to stay home alone, only for you to come back on that Tuesday to find me throwing up my guts all over the floor?

Good times. Terrible times, actually, but despite my pacifistic tendencies, I’d fucking kill to go through that again than the fresh hell that is my current hell. I nearly wrote you this letter from the latrines, which is terrible on multiple levels, especially considering I was actually looking forward to write to you this time.

I’ve said before that one of these days I’m finally going to snap, and even though I’m still in one piece, I’m not convinced that it’s an uncracked one. Eleven days. Eleven straight days of liver of fish, making our own damn never ending season of seafood up in Maine truly dwarf in size. Eleven straight days and I’m half convinced that each subsequent day was just the previous one’s leftovers! The fact that they’re serving us kidney at all blows my fucking mind, and over a week and a half of it for every meal has me half convinced that I’ve dreamt it all up.

They don’t tell you about how every grueling day feels like a dream, same motions, same food, same jokes, just different supporting actors underneath my scalpel. 

On the seventh day God rested, and on the eleventh day Hawkeye Pierce fucking cracked. Like I said, there’s only so many days where a man can eat liver of fish. Trap and I made this ridiculous plan—honestly, dad, I didn’t think about it working or not. I just needed something to break up the monotony. Anything. ANYTHING.

You know the place in Chicago I told you about however many years ago? The one that had the best barbequed ribs in the entire country? Couldn’t remember the name at first, but it’s Adam’s Ribs. 

Adam’s Goddamn Ribs.

A couple of pulled strings and a hell of a lot of favors somehow managed to bring us back to Chicago. Or I guess Chicago to us. It doesn’t matter- the only thing that mattered is that we somehow fucking managed to get Adam’s Ribs in the worst corner of all of Korea and Igor cooked them up and hell dad, they were the best damn things I think I’ve ever smelled in my life. 

Course, ambulances poured in the second I had my hands on them, but it made for a hell of an OR session. That’s how they should be teaching speed for MASH surgeons. Nevermind the live rounds and constant shelling, just put the idea of tantalizing, edible food on a stick right above a surgeon and you’d get the fastest cutters in the West. East.

But, oh father, I know what you’re thinking now: why the reminder of the great flu season of 1932 when so far the only thing your dear child has spoken about has been spare ribs from the great state of Illinois?

Here’s where the story gets good. And by good, I mean fucking terrible.

Great OR session, by the way. Took out enough shrapnel out of intestines to build a full new bomb, and not a single patient lost. Igor reheated the ribs for me and Trap and we had what could only be described as the greatest midnight snack in the history of the entire war. Or not just in the war, but in the history of the entire world. We headed back to our bunks more full than after a Thanksgiving spread, and not even Frank’s sniveling could change a thing.

That is before a solid and conscience five minutes had passed.

Five minutes. Five lousy minutes of euphoria that just nearly made me forget about the terrible place that I’d been forced into. And then I spent the next hour and a half, throwing up every single bit of edible food. Made the worst flu pale in comparison, I’ll tell you that much. Couldn’t even make it to the latrine the first time, and I think I scared the wits outta Trapper since it probably sounded like I was vomiting up my organs right outside his side of the tent. 

He’s a good man, Trap. Picked me up off the ground like you would’ve and helped me stumble to the latrines where I could continue throwing up every bit of goodness that I had managed to make for myself in this camp. Practically held my hair back like I was his girl, believe it or not. 

I’m writing this letter from post-op, you know. Trap’s got himself convinced that I managed to get food poisoning from the long trip that the ribs made in order to get from us. Not sure how he’s reached that conclusion given that he has exactly zero symptoms, but hell, I’m not volunteering any other explanations to him.

Between you and me, I think I’ve become a bit of a cuckoo, if you can read between the lines there. 

I mean, what sane person would practically stage a mutiny just to get food from a specific restaurant that he couldn’t even remember the name of in the first place? If Henry was just 2% more done with my shit, he could’ve gotten me in real trouble. Hell, if Henry was any other CO, I’d probably be on trial with a death sentence looming over my head for the shit I pulled just to get the first real food I’d have since stepping foot on that plane. 

All that just to throw it up a few minutes later. I may not have snapped quite yet, but I’m cracking, dad. 

I hope next flu season is kind to you up there.

Love, Hawkeye

Previous | Next

[artsy-hobbitses]

How does Ratchet React to People (Especially Drift) Calling him floofy?

ALSO I love that your Ratchet is the embodiment of Kind caring medic but will absolutely shoot a bitch if someone messes with his patients or family

Drift doesn't call Ratchet fluffy though :'3

It's usually Doc, Ron or occasionally Higuma (Bear, specifically the Ussuri Brown species due to Ratch's brown salt/pepper hair. This is as close as he'll get to a nickname like 'fluffy')

Ratch would probably be a bit baffled by anyone calling him fluffy like sure, it's cute! But boy he's just come off a 72hr shift, his last three meals have been Count Chocula cereal bars and coffee, the bags under his eyes can carry groceries and he ain'f feelin' cute but he appreciates the thought? He thinks???

Man classifies himself as a Battlefield Medic for a reason! And he will weaponise scalpels and kidney dishes to do damage if you fucking try him and get within striking range!

[nephrox]

Nephrox: Your Trusted Partner in Kidney Health

Nephrox is a leader in providing excellent kidney care options by combining cutting-edge medical knowledge with patient-centered methods. Nephrox has become a beacon of hope for patients looking for reliable and complete care because it is dedicated to handling the rising number of kidney diseases.

About Nephrox

Nephrox knows how hard it is for people who have problems with their kidneys. Our team of skilled nephrologists and other healthcare workers is dedicated to providing complete care that combines medical knowledge with individualized treatment plans.

Comprehensive Kidney Care Services at Nephrox

Kidney Function Screening and Diagnosis Early diagnosis is crucial for effective treatment. Nephrox provides advanced diagnostic services to detect kidney conditions at the earliest stages, including blood tests, urine analysis, and imaging studies.

Chronic Kidney Disease (CKD) Management For patients with CKD, our team develops customized treatment plans to slow disease progression, prevent complications, and improve overall quality of life.

Dialysis Services

Hemodialysis: State-of-the-art facilities with the latest machines to ensure efficient and safe dialysis.

Peritoneal Dialysis: A home-based solution for patients seeking flexibility and independence.

Kidney Transplant Support Nephrox offers a full spectrum of care for kidney transplant patients, from pre-transplant evaluation and donor matching to post-operative monitoring and recovery support.

Nutritional Counseling Nutrition plays a vital role in managing kidney health. Our dieticians create personalized meal plans tailored to the specific needs of each patient, helping to maintain optimal kidney function.

Preventive Care Programs Prevention is better than cure. Our wellness programs educate patients on lifestyle modifications, hydration, and dietary habits to prevent kidney-related issues.

Why Nephrox Stands Out

Specialist Group: Our team of nephrologists, nurses, and support personnel comes with immense experience and commitment to kidney care.

Modern Technology: We ensure our facility has the latest in medical innovations to aid in proper diagnosis and treatment.

Focus on Patients: Every patient has his or her uniqueness, and we draw up our plans to meet specific needs and requirements.

Available Care: Nephrox is a preferred provider because of easy-to-get appointments, clear pricing information, and caring service.

Workshops and online resources: nephrox raises awareness about kidney health and disease prevention actively.

Understanding the Importance of Kidney Health

Your kidneys play a vital role in maintaining overall health by filtering toxins, balancing electrolytes, and regulating blood pressure. At Nephrox, we believe that educating our patients about kidney health is the first step toward effective care.

Common Signs of Kidney Issues:

Swelling in the legs, ankles, or face

Unexplained fatigue or weakness

Difficulty urinating or changes in urine color

High blood pressure

Persistent nausea or loss of appetite

If you experience any of these symptoms, it’s essential to seek professional advice.

Our Vision for the Future

Nephrox envisions a future where kidney disease is preventable and curable. We undertake pioneering research, collaborate with leading medical experts worldwide, and provide patient-focused care to transform the standards of kidney healthcare.

Join the Nephrox Family

When you choose Nephrox, you’re not just choosing a healthcare provider — you’re joining a community that values your health and well-being. Together, we can create a healthier future, one kidney at a time.

Contact Us Today!

Visit us at https://nephrox.in/ to learn more about our services or schedule an appointment. Let Nephrox be your partner in achieving optimal kidney health.

[thehealthfirstcenter]

Why Dr. Sanchayan Roy is the Best Diabetes Specialist for You?

Introduction

When it comes to managing diabetes, having the right medical guidance is crucial. Dr. Sanchayan Roy is a highly experienced Diabetes Specialist known for his expertise in diagnosing, treating, and managing diabetes with a patient-centric approach. If you are searching for a trusted Diabetes Specialist, Dr. Roy stands out as a leading expert in Delhi, offering comprehensive diabetes care tailored to individual needs.

Who is Dr. Sanchayan Roy?

Dr. Sanchayan Roy is a distinguished Sugar Specialist Doctor with extensive experience in managing both Type 1 and Type 2 diabetes. His in-depth knowledge, coupled with a compassionate approach, has helped countless patients achieve better control over their blood sugar levels. With years of medical practice and continuous research in the field, he has established himself as a trusted name in diabetes care.

Why Choose Dr. Sanchayan Roy as Your Diabetes Specialist?

1. Extensive Experience in Diabetes Management

Dr. Roy has a proven track record in treating diabetes patients effectively. His expertise covers a wide range of diabetes-related conditions, including:

Type 1 and Type 2 Diabetes

Gestational Diabetes

Diabetic Neuropathy

Diabetic Retinopathy

Diabetic Foot Care

His holistic approach ensures that each patient receives personalized care tailored to their specific health needs.

2. Advanced Diagnostic and Treatment Methods

Dr. Roy uses cutting-edge diagnostic techniques to assess diabetes progression accurately. His treatment plans incorporate:

Comprehensive Blood Sugar Monitoring

Insulin Therapy and Medication Adjustments

Customized Diet and Lifestyle Modifications

Preventive Measures to Reduce Complications

With these strategies, he helps patients maintain stable blood sugar levels and prevent long-term complications.

3. Patient-Centric Approach

One of the key reasons patients trust Dr. Roy as their Diabetes Specialist is his personalized approach. He takes the time to educate his patients on managing diabetes effectively, ensuring they are empowered to take charge of their health.

4. Expertise in Managing Diabetic Complications

Diabetes can lead to severe complications if left unmanaged. Dr. Roy specializes in treating and preventing conditions such as:

Heart Disease and Hypertension

Kidney Disease (Diabetic Nephropathy)

Diabetic Foot Ulcers and Infections

Vision Problems Due to Diabetes

With his guidance, patients can reduce their risk of these complications significantly.

Comprehensive Diabetes Treatment Offered by Dr. Sanchayan Roy

1. Personalized Diabetes Treatment Plans

Dr. Roy designs individualized treatment plans that focus on:

Medication Optimization – Adjusting insulin and oral medications for better blood sugar control.

Dietary Recommendations – Developing balanced meal plans to regulate glucose levels.

Physical Activity Guidelines – Encouraging appropriate exercise to enhance insulin sensitivity.

Stress and Sleep Management – Addressing lifestyle factors that impact diabetes.

2. Innovative Diabetes Care Solutions

Dr. Roy stays updated with the latest advancements in diabetes treatment, integrating modern techniques like:

Continuous Glucose Monitoring (CGM)

Advanced Insulin Pump Therapy

Telemedicine Consultations for Remote Patients

Use of AI-Based Diabetes Management Tools

These advancements enable patients to manage their diabetes efficiently and improve their overall quality of life.

How to Book an Appointment with Dr. Sanchayan Roy

Booking an appointment with Dr. Roy is simple. He is available for consultations at leading medical centers in Delhi. Patients can also opt for online consultations to receive expert advice from the comfort of their homes.

Conclusion

For anyone seeking expert diabetes care, Dr. Sanchayan Roy is the best Sugar Doctor Near Me to consult. His experience, patient-focused approach, and use of advanced treatment methods make him a leading name in diabetes management. Don’t compromise on your health—consult Dr. Roy today for the best diabetes care in Delhi.

Get more information:

Name: Dr. Sanchayan Roy

Phone No.: 7838384440

Address: B - 404, Lower Ground Floor, Market No 1, Bipin Chandra Pal Marg, next to Bangiya Samaj close to, Block B, Chittaranjan Park, New Delhi - 110019

Website: https://healthfirstcenter.in/

Direction: https://maps.app.goo.gl/VW7PqGovVpt8yRJEA

[edrugstore]

How Long Does Viagra Last? A Comprehensive Look at Efficacy and Duration

Erectile dysfunction (ED) can be a challenging condition, potentially affecting emotional well-being and intimate relationships. Viagra (sildenafil citrate) remains one of the most popular and well-known ED medications on the market. While its overall purpose is to help achieve and maintain erections, many patients wonder how long Viagra lasts and what they can do to optimize its effectiveness. Below is an in-depth look at Viagra’s duration, factors that influence how long it remains effective, and helpful tips for safer usage.

Mechanism of Action and Onset

Viagra is a phosphodiesterase type 5 (PDE5) inhibitor that boosts blood flow to the penis during sexual stimulation. It works by blocking the enzyme responsible for breaking down cyclic guanosine monophosphate (cGMP), a molecule that relaxes blood vessels. As a result, blood can circulate more efficiently, helping men achieve and sustain an erection.

Onset: Most men find that Viagra starts working within 30 to 60 minutes after ingesting the pill. Some individuals may notice an effect sooner, especially on an empty stomach. Conversely, taking Viagra immediately after a high-fat meal can delay its onset.

How Long Does Viagra Last?

On average, Viagra stays active in the body for up to four to five hours. During this window, men typically experience an enhanced ability to achieve and maintain an erection when they become sexually aroused. However, this does not imply continuous erections for four hours—instead, Viagra makes it easier to get and keep an erection when sexual stimulation is present.

Peak Effect: The medication typically reaches its peak concentration in the bloodstream about an hour after ingestion. You may notice the strongest effects between one and two hours after the dose.

Variations: While four to five hours is a general guideline, some men find that the effects last longer or shorter. Age, metabolism, dosage, and personal health history can contribute to these variations.

Factors That Influence Duration

Dosage Strength

Viagra is commonly available in 25 mg, 50 mg, and 100 mg tablets. Higher doses may lead to a more pronounced effect and, in some cases, a slightly longer duration. Your doctor will recommend the dosage that best suits your situation.

Metabolism and Overall Health

A faster metabolism may cause Viagra to be processed more quickly, resulting in shorter-lasting effects. Additionally, those with certain medical conditions (e.g., liver or kidney issues) might metabolize the drug slower, prolonging its presence in the body.

Age

As we age, our body’s metabolism generally slows down. Older men may, therefore, find that Viagra stays effective slightly longer than the four-to-five-hour window.

Diet and Alcohol Consumption

Taking Viagra right after a large meal—especially one high in fat—can delay absorption. Drinking excessive alcohol can also reduce overall effectiveness, making it more challenging to achieve the desired results.

Drug Interactions

Other prescription medications you take can influence how long Viagra remains in your system. Always talk to a healthcare provider about potential interactions, particularly if you’re on heart medication or blood pressure drugs.

Best Practices for Usage

Follow Your Prescription

A healthcare professional’s guidance is essential. Taking more Viagra than recommended won’t necessarily extend its duration and can increase the risk of side effects.

Plan Ahead

Since Viagra typically begins working within 30 to 60 minutes, plan accordingly. Taking it too early may mean it wears off before you’re ready; taking it too late could lead to a rushed experience.

Limit Alcohol Intake

While a small amount of alcohol may be acceptable, heavy drinking can interfere with both erection quality and medication absorption.

Stay Hydrated

Being well-hydrated supports optimal blood circulation and may help you feel more energetic, which could indirectly enhance the drug’s effectiveness.

Monitor Side Effects

Common side effects include headache, facial flushing, and mild indigestion. Seek medical attention immediately if you experience severe complications, such as chest pain, vision changes, or an erection lasting longer than four hours (priapism).

Wondering how long Viagra lasts a common concern for men is seeking reliable ED treatment. While the typical window is around four to five hours, that time frame can differ based on health status, dosage, and lifestyle factors. Always follow your doctor’s recommendations and purchase medications from credible sources to maximise safety and effectiveness.

Ready to discreetly and confidently purchase your ED medication? Visit eDrugstore for a convenient and secure experience.

[diplomatnursinghome]

Treat your kidney disease with the best nephrology unit in Bardhaman

Kidney problems should not be neglected; proper diagnosis and treatment should be sought. Diplomat Nursing Home has the best nephrology unit in Bardhaman, which can be your ultimate choice for solving any kidney problems. Here we proudly provide high-quality kidney care. Our expert nephrologists ensure personalized care and treatment by specializing in diagnosing and treating various kidney disorders.

Role of the nephrology unit in Bardhaman:

The kidneys play a vital role in maintaining the normal fluid and electrolyte balance in the human body. Nephrology is the study of the kidneys and kidney-related diseases. In the nephrology department of the hospital, doctors use important nephrology tests to assess kidney function and determine appropriate nephrology treatment options. These tests include blood tests, urinalysis, and imaging studies. Through this, it is possible to accurately diagnose the underlying kidney problems. Equipped with all kinds of advanced services and medical facilities, Diplomat has the best nephrology unit in Bardhaman.

Facilities of the best nephrology unit:

The best nephrology unit in Bardhaman, Diplomat Nursing is committed to providing homeopathy and patient-centered care. The medical facilities at the best nephrology unit are:

Diagnosis:

Chronic kidney disease.

Acute traumatic kidney problems.

Kidney stones.

Glomerulonephritis.

Treatment:

Providing hemodialysis and peritoneal dialysis to patients suffering from kidney failure.

Plasmapheresis services for renal, neurological, and other patients.

Percutaneous renal biopsy with ultrasound.

Renal histopathology studies

Help to manage essential and secondary hypertension.

Patient support:

Personalized dietary advice and meal planning services.

Patient education and support services, including counseling sessions and support groups.

Participation in research and clinical trials to access cutting-edge treatments.

Why our nephrology unit stands out:

Diplomat Nursing Home's Nephrology Unit is equipped with the latest medical technology and modern dialysis units. Our team of highly qualified nephrologists is skilled in managing all types of kidney diseases. Be it chronic kidney disease or acute renal failure, we are always committed to providing the best medical solutions. We aim to provide speedy recovery to the patients through the best treatment in a comfortable and hygienic environment. For all these reasons, we claim to be the best nephrology unit in Bardhaman. For more information visit Diplomat Nursing Home.