#TAVI TREATMENT

[drviveka215]

Preparing for Your TAVI Procedure: What to Expect Before, During, and After

Transcatheter Aortic Valve Implantation (TAVI) is a minimally invasive procedure designed to replace a narrowed aortic valve that fails to open properly (aortic stenosis). With the growing demand for TAVI procedures, it’s crucial to understand what to expect at each stage of the process. Dr. Viveka Kumar, a renowned TAVI expert in Delhi, provides comprehensive insights into the preparation and recovery phases to help patients feel more informed and at ease.

Before the TAVI Procedure

1. Consultation and Evaluation

The journey begins with a thorough consultation. Dr. Viveka Kumar will review your medical history, perform a physical examination, and may request diagnostic tests such as echocardiograms, CT scans, or blood tests. This evaluation helps determine your candidacy for the procedure and identify any potential risks.

2. Pre-Procedure Instructions

Once you are deemed a suitable candidate, Dr. Kumar will provide specific instructions to prepare for the procedure. These may include:

Medication Adjustments: You may need to stop or adjust medications, especially blood thinners.

Dietary Restrictions: You might be advised to refrain from eating or drinking for a specified time before the procedure.

Transportation Arrangements: Due to sedation and recovery considerations, arranging for a friend or family member to accompany you is essential.

3. Psychological Preparation

Undergoing a medical procedure can be anxiety-inducing. Dr. Kumar emphasizes the importance of addressing any concerns or fears. Consider speaking with a mental health professional or joining a support group to help manage anxiety.

During the TAVI Procedure

1. Anesthesia and Sedation

On the day of the procedure, you will be taken to the catheterization lab. The team will administer sedation to keep you comfortable. Depending on your specific case, general anesthesia may also be used.

2. The Procedure

Access Site: The most common access point is through the femoral artery in the groin, though alternative sites may be used depending on your anatomy.

Catheter Insertion: A thin tube (catheter) is inserted and guided to the heart, where the new valve will be placed.

Valve Placement: The replacement valve, which is usually balloon-expandable or self-expanding, is positioned within the old valve and expanded to take its place.

The entire procedure typically lasts between one to two hours. Dr. Kumar and his team will monitor your vital signs closely throughout.

After the TAVI Procedure

1. Recovery Room

After the procedure, you will be moved to a recovery area where medical staff will monitor you for any immediate complications. This phase usually lasts a few hours, during which you will gradually wake up from sedation.

2. Hospital Stay

Most patients stay in the hospital for one to three days. During this time, the medical team will conduct regular check-ups, manage any pain, and ensure your heart is functioning well with the new valve.

3. Post-Procedure Care

Upon discharge, Dr. Kumar will provide guidelines for post-procedure care:

Medication Regimen: You will likely be prescribed medications to prevent blood clots and manage heart function.

Activity Restrictions: Limit physical activity for a few weeks, avoiding heavy lifting or strenuous exercise.

Follow-Up Appointments: Regular follow-up visits will be scheduled to monitor your recovery and valve function.

4. Lifestyle Modifications

Adopting a heart-healthy lifestyle post-TAVI is vital for long-term success. Dr. Kumar recommends:

A balanced diet rich in fruits, vegetables, and whole grains.

Regular, moderate exercise as advised.

Smoking cessation and managing stress.

Conclusion

Preparing for a TAVI procedure can be overwhelming, but understanding the process can alleviate much of the anxiety. With Dr. Viveka Kumar, a leading TAVI expert in Delhi , guiding you through each step, you can feel confident in your care. By being proactive about your health and adhering to post-procedure recommendations, you can look forward to improved heart function and a better quality of life. If you or a loved one is considering TAVI, don't hesitate to reach out to Dr. Kumar’s practice for personalized care and support.

[social-book]

[medanta57]

Transcatheter Aortic Valve Implantation (TAVI/ TAVR) Surgery - Procedure and Treatment | Medanta

[drrajivagarwal2]

Tavr Valve Replacement Treatment in Delhi

Dr. Rajiv Agarwal is a renowned name in the field of cardiology, specifically in the treatment of Transcatheter Aortic Valve Replacement (TAVR). He is considered as one of the best doctors for TAVR Valve Replacement Treatment in Delhi, with an experience of more than 30 years in the field. Dr. Agarwal is currently working at Max Smart Super Speciality Hospital, Saket, New Delhi, where he offers advanced treatment options for patients suffering from heart valve diseases. His expertise in TAVR Valve Replacement Treatment in Delhi has helped numerous patients regain their health and lead a normal life. TAVR, also known as Transcatheter Aortic Valve Implantation (TAVI), is a minimally invasive surgical procedure used to replace a damaged or diseased aortic valve in patients who are at high risk for traditional open-heart surgery.

[angstywaifu]

Orders Gone Wrong

Garrick Tavis x Reader Request: Garrick is giving her some orders she doesn't think are okay, but she still follows them? She gets hurt, but doesn't want Garrick to find out, giving him the silent treatment, but the Dragons tell him, and he comes so fast, and she's ignoring him, but then they start fighting? Masterlist

“I need you to do another run tonight.” Garrick tells me as my fist hits the punch bag he’s bracing for me.

”I went last night, not my turn to go.” I tell him sternly as I throw another punch.

Garrick’s hand snaps in front of me, my first landing firmly in his palm as he moves in front of me. It was pretty rare for Garrick to pull rank on me. Especially in the case of supply runs. But I knew as he looked down at me he was. The look in his eye was one I had seen plenty of times as he commanded riders and squads.

”I know, but we’re short a rider for tonight so I need you to step up.” The commanding tone slipping into his voice.

I rip my hand from his, crossing my arms across my chest. I was absolutely wrecked. I’d only gotten an hour or two of sleep after getting back this morning. Paired with a full day of classes and training, I was wrecked. Everything ached. My body screaming at me to rest.

”Can’t someone else step up? I know there are riders who didn’t go last night and aren’t scheduled to go tonight.” My voice almost pleading.

Garrick just scowls down at me. “You know I don’t like pulling rank, but I need you to go. It’s an order. I need a more senior rider on this run.”

I sigh and slowly nod. I knew there was no changing Garrick’s mind. It was clear he wasn’t taking no for an answer. And he’d only see my fatigue as an excuse or complaining. Something he would tell me to suck up and deal with like I’d have to in the field.

“Fine. I’ll go.”

I should have pushed back. I should have said no. I should have stood my ground. But I didn’t. Did what was asked of me. And I’d paid the price. I knew I was too tired, too fatigued to do the run. But I’d gone. Gone and fallen off my damn dragon mid flight due to exhaustion. Luckily they’d caught me before I’d hit the ground. But the impact of landing in my dragon's claws had caused some damage. The impact had left a massive bruise down my side, spreading down my thing. A hiss escapes my lips as I prod it with my finger. Today was going to suck.

I muffle a moan of pain as I slip my jacket on. Thankful today was cooler, meaning I could hide the bruises on my arms with the jacket. I’d also convinced the other riders not to say a damn thing to Garrick or Xaden about what had happened. They didn’t need to know. I just hoped I could get through the next few days without them noticing. I wasn’t scheduled for another challenge till next week at this stage, no flying today and it wasn’t uncommon for me to miss the optional training after classes. Easy.

Or so I thought. As I step into the hall pain flares up my side. The few steps I’d taken around my room this morning were bearable. But this was agony. Shit. It was going to take all my concentration to hide this today. A few riders look my way as I make my way slowly down the hall towards the stairs, a slight limp in my step. I was essentially walking like I was crossing the parapet. Each step thought out and planned to stop the pain becoming too much for me to bear.

A hand clamps down on my shoulder as I enter the dining hall, clamping my mouth shut to stop the gasp of pain that threatens to escape. “Thanks for stepping in last night, I heard it went well.” Garrick’s familiar voice says next to me.

”Yeah, it went great.” I say, my voice tense, before roughly shoving his hand from my shoulder before walking as fast as I can to grab some fruit before heading to my first class.

”Is everything ok?” He says, quickly catching up to me in a few steps.

I look up at him and give him a tight lipped smile as I grab the apples. “Everything’s great.”

Something in my tone or face must tell him not to follow me. Normally he would. But all I feel is his eyes staring at my back as I do my best to walk away normally. I know he knows something is up. Hell, we were sent to the same foster home after the rebellion. He knew me better than anyone else here. There’s no way he doesn’t think my behaviour is off.

The next time I see him is battle brief. His eyes lighting up as soon as I walk in. His hand waving me over as it always does. I don’t miss the scowl that forms on his face as I remove my eyes from his, instead choosing to stand at the opposite end of the room with some of my squad. A spot I never go to. Even my squad mates look at me funny as I join them, noting the unusual behaviour.

”He needs to know”. My dragon drawls in my head.

”No. It’s better he doesn’t. I’ll be fine in a few days.” I retort.

”You nearly died. If I didn’t catch you-”

”But you did. So he doesn’t need to know.” I say, cutting them off before slamming my shield up.

I feel their attempts to get through. Each attempt getting closer to breaking through, but I put all my focus into keeping them up. I feel them huff down the bond before their attempts stop. My shoulders sagging in relief as I can shift my full focus off keeping them up. But I quickly find out why my dragon's attempts stop. The feeling of being watched washing over me. I turn my head and meet the piercing gaze of Garrick. Garrick who is pissed. So pissed that the other third years around him take a step back. Even Xaden.

”You told Chradh?!?” I snap down the bond.

”Yes, because he needs to know.” They snap back.

”No he doesn’t.”

”Well he does now.”*

I curse at them down the bond, but it's too late. My anger hitting a very solid wall as they raise their own shields. Great. The rest of the class all I can notice is Garrick staring at me down the line of riders standing at the back of the room, even with me facing the front of the room. All I can feel is his eyes on me. His eyes assess me for the damage I know he’s been told about. As Devera calls the end of class I do my best to make a run for it as Garrick starts pushing down the line of riders. I hear him behind me telling other rider’s to move out of this way, no doubt shoving some of them too. I barely get a few steps outside the door before his hand grasps my bruised arm turning me around to face him, a loud yelp escaping my lips that has him releasing his grip on me instantly.

”Why didn’t you say anything?” He nearly yells at me, the riders leaving Battle Brief scurrying away as fast as they can.

”Because it’s noth-”

”It is not nothing!” His voice echoes off the walls as he cuts me off, everyone stopping to stare at us now.

Garrick and I just stare at each other. His chest heaving as he breathes heavily. I can tell it’s taking a lot of self control to keep himself from yelling at me. His tell tale jaw tick catching me eye. His eyes quickly scan the hall and all the cadets staring at us. This was not the place to be talking about what had happened. Yes third years were allowed out at night and often got sent out for patrols, but last night wasn’t exactly a sanctioned patrol.

He quickly grasps my hand in his, probably wanting to avoid grabbing a part of me that could be bruised before dragging me out of the building. I struggle to keep up with him. Pain flaring in my body as I stumble after him. Eventually we come to a stop in front of the Gauntlet. With all first years now bonded to dragons and flight classes today, there was no chance of someone finding us out here. Garrick releases my hand, pacing back and forth as he pinches the bridge of his nose between his fingers. Clearly still pissed and trying to process what he’s been told by Chradh.

”I’m f-”

Garrick comes to a sudden stop in front of me, his head snapping towards me, his gaze filled with such intensity that it has me taking a cautious step back.

”Don’t you dare say you’re fine!” He growls out as he takes a step towards me. “You nearly died last night and you didn’t think to tell me! You can barely walk!”

”But I didn’t. They caught me.” I say gesturing up to the flight field.

”And what if they didn’t!” His voice fuelled with an emotion I have never heard come from Garrick. An emotion that has my heart skip a beat.

Pain and fear. Garrick’s voice is laced with pain and fear. As are his eyes that have me pinned to the spot.

”We’re dragon riders. We die all the time.” I retort, my own voice shaking slightly with fear.

”I’m aware! But it doesn’t mean I’d be able to deal with you dying. Especially if it was because of me sending you out on a mission.”

”Every time you send one of us out we could die.” I say as I take a slow step forward, wincing as pain shoots up my side again. “Why is this time any different? Since when do you care what happens to a rider you send out?”

”Because it’s you! Because I couldn’t handle it if you died!”

I stumble backwards, my mouth opens to protest, but the words die on my tongue as Garrick's lips meet mine in a fierce, desperate kiss. My mind goes blank, thoughts scattering like leaves in the wind, consumed by the passion of the moment. I lose myself in the kiss, every thought, every worry evaporating in the heat of his touch. My hands come up to clutch at his shoulders, anchoring myself to him as he claims my mouth with a possessive fervour. I feel his fingers thread through my hair, tightening in a way that makes me shiver. A small whimper escapes my lip as pain shoots up my side, causing Garrick to break the kiss to make sure I’m ok. He’d clearly forgotten my injuries in the moment, and the guilt is evident on his face. But as a grin spreads across my face, a giggle escaping my lips, he breathes a sigh of relief before chuckling.

”Despite how long I’ve been wanting to do that, and how much I want to keep going, we’re getting you healed first.” He says, trying to be stern. But there’s a slight giddiness to his voice he can’t hide.

”I’ll be f-”

”I swear to gods if you say you’re fine I will carry you over my shoulder to the healers quadrant.”

The warning is loud and clear, and I know Garrick will not hesitate to do that even if it would cause me pain. There is nothing he wouldn’t do for me. I purse my lips and nod at him before motioning to lead the way. I definitely owed my dragon an apology after that.

”You’re welcome.”

[alexandia03]

Oh well, I thought it might be a good time to give you all a little snippet from one of the chapters I am working on when I take a break from Penelope and Odysseus (NOT the next chapter, bear in mind).

I will patiently wait for you all to come with pitchfork and torches after me for writing a Xaden POV where he is less than stellar now.

“You hurt him enough.” Quinn adds, her hand hovering over the handle of her labrys when I glare at her. “He doesn't need you barging in there right now – that would only make you feel better, not him.”

“Don't talk about things you know nothing about, Artan. This is none of your business.” I snap at her, trying to ignore the nagging tightening feeling inside of my stomach at her words. She doesn’t know what she is talking about – Bodhi needs me, whenever he was in pain, he always needed me.

“When was the last time something like that happened?” Sgaeyl's voice breaks through the cracks in my mind shield. “He hasn't sought comfort in you in a long time.”

“That is only because Imogen got between us. She inserted herself in his life and stole my role. But that ends today.” I argue, trying to at least convince my dragon that I am the wronged one here. That I am right.

To her credit, Quinn doesn't even blink at my outburst. However, she squares her shoulders and her upper lip pulls into an angry snarl. “No, Riorson! You are the one who has no fucking clue what he is talking about here! I am sick of you barging in as if you are entitled to everyone following your every command!” She yells back and I am taken aback for a second. I don't think I have ever heard easy-going, bubbly Quinn Artan scream at someone. Let alone at me. “You came to Basgiath every other week, yet not once did I see you so much as ask Bodhi how he is feeling or how his arm was healing! Not once! But what I did hear was you ordering him around on each and every one of your visits and complaining whenever he didn't meet your crazy high expectations! You were pushing him beyond the reasonable limit with the weapon runs, berating him whenever one of the marked ones still in the Quadrant was falling behind… and as if that was not enough, you made him responsible for Sorrengail’s ass too! You have been running him into the ground and biting his head off for every slight mistake, but that poor idiot never once complained or disobeyed you! All of that while he was in agonizing pain and had other responsibilities and problems on top of it all!”

“I didn't know that his arm was not healing properly.” At this point I am aware that I probably sound like a broken record, but it's the truth. Had I known he was in so much pain, I wouldn't have been so harsh with him when something didn't go according to plan. I am not a monster, I care about my cousin! “Had they told me –”

“Had they told you, you would have done what, Xaden?!” Garrick shouts, his face contorted with anger. “Stop fucking hiding behind that excuse! They shouldn't have said anything for you to notice if you truly gave a shit! But unless it concerned Sorrengail, you couldn't be bothered! I thought you learned your lesson after you almost got Imogen killed last year… after Liam fucking died! But no, when it comes to her, everything and everyone ceases to exist and no price is too high!” 

“Watch it, Tavis!” Brennan growls, peeling himself off the wall, but before he can take more than a step towards us, Garrick hurls a dagger towards him, manipulating its trajectory so it lands into the wall right by the mender’s ear. 

“No, you watch it, Sorrengail! I am sick and tired of your family fucking up mine!” Garrick explodes, but he doesn’t take his eyes off of me as he rips into Brennan. “I am not going to blame your sister for all this, but I am going to blame you two for the decisions you take in her name, effectively fucking all of us over! I am done putting up with your fucking preferential treatment, gods only know no one is going to keep any of us in a glass bubble like you try to do with her!”

[ms-hells-bells]

Hannah Barnes, BBC journalist, is publishing a book about Tavistock next week. The telegraph published some of the stats she found in her research. 97.5% of children at Tavistock had autism, depression, or 'other problems that might have explained their unhappiness,' 25% had been in care (0.67% for gen pop), 42% had a parental bereavement and 'Children referred to Gids were ten times more likely than the national average to have a registered sex offender as a parent'

i couldn't find any stats like that in the telegraph article, but if it's true, that's insane. and even with those stats, hannah is being as delicate and 'both sides' as possible, stating that many children CAN be happy transitioning. but the stats don't lie, and i believe the final collapse of at least transition of minors is upon us with this book. at least, for the uk (and multiple other european nations). i believe that the united states, new zealand, and others will follow in the near future.

(i had to freeze and copy this article to avoid the paywall, but i managed, so that everyone can view it)

whenever medical scandals happen, we look back and wonder how well-intentioned people ended up doing bad things. Do No Harm is surely the ethical cornerstone for medics. There will always be cutting-edge procedures or drugs but the trialed patients will be consenting adults. Not children.

This was not the case at the Gender Identity Development Service (GIDS) that became part of the prestigious Tavistock clinic. The “Tavi” was once considered the premier psychodynamic outpatient unit in the country. Many of the greats worked there, from Bion to Bowlby to Laing.

In 1994 GIDS became part of The “Tavi” and by 2009 had a new director, Dr Polly Carmichael. Yet by July 2022, following Dr Hilary Cass’s report, GIDS was deemed neither a safe nor viable option for young people with gender-related stress and it was closed down. 

This NHS service was said to be using “poorly evidenced treatments on some of the most vulnerable people in society”. As shocking as this is, the bigger shock is the number of people who knew about this and did nothing.

Hannah Barnes’s well-researched book delves into how this situation arose. She speaks to over 60 clinicians: psychologists, psychotherapists, nurses, social workers. It is this forensic approach that makes her findings so devastating. Barnes is not coming at this from an ideological viewpoint. Some of her interviewees are happily transitioned. Others are not. They feel that the risks of the medical pathway they were put on were never explained to them or that they were too young to understand the full implications. One girl asked if when given testosterone she would be able to produce sperm.

These patients were all distressed young people, often with complex problems: autism, eating disorders, self-harm, depression. Gender was often only one of their issues, yet somehow at GIDS, it came to override everything else. The clinic’s “affirmative model” meant affirming a child’s belief that they were transgender and giving them “time to think” by referring them for assessment for puberty blockers. The leadership of GIDS were following the “Dutch Protocol”, so-called as the Dutch had used these drugs since the late 80s, though the data was sketchy and did not support their use. There was no reduction in depression or self-harm. 

These drugs are not new; they had been used on male prisoners to chemically castrate them. As to the long-term effects on children, the research is poor. Some studies show they affect bone density, brain development and sexual function. France, Sweden and Finland have all paused their prescription until more longitudinal studies are done.

Dr Anna Hutchinson, one of Barnes’s main interviewees, became increasingly alarmed that children as young as 10 were being referred for blockers, which were spoken of as reversible – though they nearly always lead to the use of cross-sex hormones for life. 

The whole issue of gender dysphoria had by the mid-2000s become highly politicised. Stonewall declared in February 2015 that it was extending its remit to campaign for trans equality alongside lesbian, gay and bisexual (LGB) equality. The previous year GIDs moved to a “stage not age” approach on blockers so kids younger than 12 could be referred with a view to receiving a prescription.

In 2007, 50 kids a year had been referred to GIDS, but by 2020 there were around 5000. As a result, GIDS faced huge waiting lists, with junior shrinks having caseloads of 100, instead of 30 which would be the standard NHS practice. Many clinicians left. 

The workload was increasing so trainee psychiatrists were brought in. The atmosphere was said to be intense but familial, yet the problems presented were complex. If a girl had been sexually abused, for instance, she may have had good reason to hate her female body. Why would blockers be appropriate?

Concerns about autism or parental pressure were allegedly dismissed by Carmichael. Children were turning up identifying as other ethnicities such as Japanese. By 2017, three quarters of their patients were girls, a dramatic shift from the years up to 2010, when the majority were boys. Were they not asking why? 

Some who had come into the profession to do talking therapy did almost none, as patients were referred for drugs sometimes after two sessions. Meanwhile, some of the gay staff were wondering if this all just conversion therapy for gay kids. Some staff felt under surveillance; they had doubts but they were reticent as expressing them could lead to accusations of transphobia. To say that sex itself is immutable was clearly heretical.

Lone voices did speak. Someone darkly referred to the Mid Staffs scandal, where poor care had led to hundreds of deaths. Sonia Appleby whistle-blew. Dr David Bell whistle-blew. The silence began to break. Keira Bell – who was referred for blockers by GIDS at 16 and had a double mastectomy at 20, then regretted transitioning – took the Tavistock to court. The High Court’s judges were damning about the lack of long-term follow-up for patients and the lack of interest in detransitioners.

The court expressed its surprise repeatedly that GIDS could not say how many kids has been referred for blockers between 2011 and 2020 nor their ages. Data had not been collated on numbers of those with an autism diagnosis or those who progressed on to cross-sex hormones. The judges referred to “the experimental nature of this treatment and the profound impact it has”.

Though their judgement was overturned on appeal in 2021, the Tavistock’s image was irreparably damaged. It was almost as if this whole institution had been hijacked by the explosion of a dubious political ideology. Insiders simply described the situation as “mad”.

As someone who knew about this years ago, as people were writing to me asking my former newspaper to investigate it, it would suit my agenda to say this was all down to trans activism. But it’s not that simple.

Barnes illustrates that this was a massive institutional and leadership failure of safeguarding. Junior staff did not confront their blinkered managers. Some of the 10,000 children who went through GIDS were helped, for sure. As for the others? This incredibly important book shows that we still don’t know how many were damaged for life.

I want every institution and every politician who pontificates about gender to read this book and ask what happened to all those lost girls and boys – and why they were complicit.

[agent-oo-z]

We did it gang! Tavi officially beat the game! I think I may try to re do the final fight tho, it was all kinds of fucky and weird plus the patch dropped like. Just after I finished her playthrough lol. Tavi managed to fully dominate the brain(with the use of all her inspiration of course) and it felt so fuckin good. Anyways expect some cute epilogue screenshots of my beloved robin-hood girl boss murder queen ranger babe.

Some bonus little head canons below the cut 🖤

Karlach’s engine gives out before Astarion starts to burn. I refuse to believe Tavi doesn’t run after her beloved and set up an emergency shade shelter for him. She puts her ranger skills to use! She has her bears guard the entrance and stays inside with Astarion. Checks to see if the burns need treatment, and if they don’t just focused on trying to keep him from panicking. She blames herself because she should have prepared for this before hand.

Although she spends the night with Astarion, she gives him a moment alone to process his own feelings and takes the time to speak with Halsin. She’s mostly planning on telling Halsin that she still deeply loves him but she needs to stay with Astarion and try to find a cure/way for him to walk in the sun for now. Then Halsin is all like “I have so many orphaned kids to take care of and I need to go basically build a new community at moonrise” so it just kinda. Works out? Eventually she and Halsin head back to her room and explain everything to Astarion and are like “we’re not ending anything but we are acknowledging that things are gonna be weird and we’re going to be separate physically”

Atavia sleeps basically 24 hours straight after everything. I’m a firm believer in the “elves don’t need to sleep but they can if they’re super fucking exhausted or if they choose to” so I imagine she just. Conks out. Astarion is kinda stressed at first and panics and wakes her up. Once he realizes she’s just very tired he chills out. They end up properly “sleeping together” for the first time since they met. Astarion makes so many jokes about it.

Tavi talks to Gale about her and Astarion maybe staying with him in Waterdeep until they can get a lead on something to help Astarion and offers to help him search for the crown. Gale is like “of course you can stay, but I must find the crown on my own” and has Tara welcome them in and help them get settled. When Gale finds the crown and is freed of the orb he surprises the two by arriving and preparing a massive feast. Tavi is so happy for him she starts crying and kisses him and then the whole Tav-cule officially begins.

Atavia feels the need to fix all the problems/save all her fiends and so takes all the various infernal metals they collected(stole) on their journey to Damon so he can study them and work towards a solution. She eventually gets a way to get in contact with Wyll and Karlach so they know what progress is being made outside of the hells

[gwydionmisha]

Personal: The New Meds Turn On Me

The new meds side effect wave hit hard and dangerous Thursday, but I'm not sure it didn't start a lot earlier.  

Okay, so I had a viscous headache last Friday night for about three hours, which didn't particularly shock me, as my body just does stuff like that.  Same Saturday.  Normal.  Sunday.  Monday.  I made a note to mention it to the doctor Tuesday morning, but forgot.  I noticed Tuesday's headache at the same time was absolutely crushing for three hours, then shut off like a faucett as if it had never been.  Which is creepy and wrong.  So I'm now weighing if the new meds improvement is worth creepy three hour debilitating headache every day, and if I should call it in the next day.

So Wednesday I wake up to one of my body is very, very bad days.  which is a thing that happens sometimes, especially if my body's been to far which between the uncleaner and the extreme heat and this being the worse time of year for my allergies and assorted RL commitments including the doctor is not weird.  Plus I'm... I forget how many days in on struggling to type on Klaus Laptop because its hard to lift my arm the extra nine and a half inches, and i'm mostly having to drink with a straw because i go half my wake cycle not being ably to lift a full glass of water that high and I'm dropping things because my arms are fucked.  which happens.  All of it really stresses out my body though, you follow?  

So sometimes the alarm goes off because I have to go somewhere and my body nopes out of it, or tries to.  So I'm exhausted.  I have the shakes.  I end up way late to pick up Goth Millennial because it's just that hard to move.  So I drive Goth Millennial around and wait in the car while they do errands.  Goth Millennial goes outside to putter in the garden.  I lung, then take a nap, all with Tavy glued to my chest, because it's sometimes better after a nap.  Resets everything to a more acceptable level of crappy.  

I make it all the way up to minimally functional by the time the other Millennials arrive for dinner.  One of them had brought pre-marrinated and cooked tofu.  Me: I think we should make rice for it.  With coconut milk and saffron and Turmeric.  New Millennial: Oooo!  That sounds delicious!  Me: It's possible I'm edging up towards Indonesian happy rice except I don't have any lemon grass.  But I do have Bay leaves....  So it ends up with New Millennial Making Rice and the two of us keep consulting on spices until i have to lie down again.  The results we excellent.

Tavy is still clearly traumatized from the Uncleaner.  He loves techie Millennial.  Techie Millennial was the first visitor he let pet and play with him.  He hid from the Millennials when they arrived after nap time.  He did eventually come out and watch them for a bit and even rubbed against Techies legs, but ran if it even looked like someone might tough her.  I'm still so angry about the uncleaner traumatizing him like this.

Really, I just wanted to go to bed after they left, but I needed to stay up for the morning allergy treatment.  My body was really not moving well, but I dragged myself there and back, which nearly did me in.  I did manage to prep for bed and climb in, which really fucking hurt, at which point the first wave of hallucinations and fast heartbeat and arrhythmia hit.  So that was fun.  Me: Guess that's it for new Meds.  They were amazing while they lasted.

They must have been really busy at the doctor because they didn't get back to me until afternoon.  I left a message for my doctor's nurse, conveying that I was having severe side effects and needed to know if I should go to the ER.  No one ever got back to me.  The heart stuff got really bad for four or five hours, always with visual hallucinations.  I thought about calling for help, but my right arm wasn't working and my left wasn't great either, and it's usually eight hours minimum to get seen at the ER and they yell at you if you bring in chest pains that turn out not to be a heart attack, and the pain only happened when I moved so it was likely just torso muscles screaming about my arms.  

But the supper high irregular heart beat for hours can't be good.  I wrote this waiting for receptionist call back Friday morning.  I was 36 minutes in on the wait as I typed this sentence.  I really think they should check my heart, but if they are this busy... Yeah.  I'm assuming if it was really dangerous, they'd return my call from yesterday instead of continuing to ignore my message.

[thelaceylegacy]

Tavi: I'm just saying...this star treatment...I'm not sure it's good for the kids or the legacy.

Damion: come on...I turned out all right despite the growing up in the spotlight AND being raised by my parents. Our kids will be all right, they got us.

Tavi: I hope you're right.

[drviveka215]

Revolutionizing Heart Care: Delhi's Top Interventional Cardiologist – Dr. Viveka Kumar

Delhi, the bustling heart of India, has emerged as a leading hub for world-class healthcare, especially in the field of cardiology. Among the stalwarts of this domain, Dr. Viveka Kumar, a renowned interventional cardiologist in delhi , stands out for his pioneering contributions and unwavering commitment to heart health. With advancements in interventional cardiology shaping the future of heart care, Dr. Kumar’s expertise has been instrumental in revolutionizing treatment methodologies in Delhi.

The Role of an Interventional Cardiologist

An interventional cardiologist specializes in diagnosing and treating cardiovascular diseases using minimally invasive techniques. These procedures, such as angioplasty, stenting, and Transcatheter Aortic Valve Implantation (TAVI), are performed via small incisions, significantly reducing recovery time and improving patient outcomes.

In a city like Delhi, where cardiovascular issues are on the rise due to stressful lifestyles and poor dietary habits, interventional cardiology has become a cornerstone of modern healthcare. Leading experts like Dr. Viveka Kumar bring state-of-the-art techniques to ensure timely and effective care.

About Dr. Viveka Kumar

Dr. Viveka Kumar is a name synonymous with excellence in interventional cardiology. With extensive training, decades of experience, and numerous successful procedures under his belt, he has cemented his position as one of the top interventional cardiologists in Delhi.

Key Contributions and Expertise

Transcatheter Aortic Valve Implantation (TAVI): Dr. Kumar is recognized as a pioneer in TAVI, a life-saving procedure for patients with severe aortic stenosis who are unfit for open-heart surgery. His proficiency in this technique has provided a new lease on life for countless patients.

Complex Coronary Interventions: He excels in managing high-risk cases, such as chronic total occlusions (CTO), using cutting-edge technologies and innovative approaches.

Minimally Invasive Cardiology: Dr. Kumar is at the forefront of adopting advanced, minimally invasive procedures, ensuring faster recovery and better outcomes for patients.

Focus on Preventive Cardiology: Beyond treatment, he emphasizes lifestyle modification and early detection, advocating for a holistic approach to cardiovascular health.

Achievements and Recognition

Numerous awards for excellence in interventional cardiology.

Featured speaker at national and international conferences.

A trusted mentor for budding cardiologists, sharing his knowledge and fostering innovation in the field.

Why Choose Dr. Viveka Kumar?

Patients and families trust Dr. Kumar for his compassionate care, precision in diagnosis, and exceptional procedural skills. His ability to handle complex cases with ease makes him a preferred choice for those seeking an interventional cardiologist in Delhi.

With his state-of-the-art practice and commitment to patient care, Dr. Viveka Kumar has elevated the standards of cardiac treatment in the city. His work is a testament to how dedication and innovation can transform lives.

Delhi: A Hub for Advanced Cardiac Care

Delhi’s healthcare infrastructure boasts some of the most advanced facilities for cardiac care, attracting patients from across the globe. Specialists like Dr. Viveka Kumar are pivotal in making the city a global destination for heart health.

Final Thoughts

Heart disease remains a leading cause of mortality worldwide, but advancements in interventional cardiology offer hope for millions. In Delhi, Dr. Viveka Kumar’s expertise, coupled with his dedication to innovation and patient-centric care, has set a benchmark in the field. If you or a loved one is searching for an interventional cardiologist in Delhi , Dr. Viveka Kumar is undoubtedly a name to trust.

For consultations or more information, reach out to Dr. Viveka Kumar and take the first step towards a healthier heart.

[drrajivagarwal2]

TAVI Valve Replacement Treatment in Delhi

Transcatheter Aortic Valve Implantation (TAVI) and Transcatheter Aortic Valve Replacement (TAVR) are two minimally invasive procedures for treating aortic valve disease that are gaining popularity in the medical community. Dr. Rajiv Agarwal is one of the most experienced doctors in Delhi when it comes to these procedures. Dr. Rajiv Agarwal has over 30 years of experience in the field of cardiology and is currently practicing at Max Smart Super Speciality Hospital in Saket, New Delhi. He is considered one of the best doctors for TAVI Valve Replacement Treatment in Delhi & TAVR Valve Replacement in Delhi. If you need TAVI Valve Replacement Treatment in Delhi, Consult Dr. Rajiv Agarwal.

[crossborderscare]

A Cost Breakdown of Shoulder Replacement Surgery in India

The decision to undergo shoulder replacement surgery is not only a medical but a financial challenge as well. However, the life-changing treatment is beneficial for people dealing with chronic shoulder pain due to arthritis, rotator cuff tears, or other degenerative conditions. 

The cost of shoulder replacement surgery plays a significant role, especially for international patients from countries like Bangladesh, Kenya, Thailand, etc. If you are seeking affordable, high-quality medical care facilities, then replacement surgery in India can be your desired location. 

Let's explore why shoulder replacement surgery is more affordable than the cost in Bangladesh or Thailand. 

Understanding Cost: Choose the Right One

Shoulder replacement surgery involves replacing the damaged parts of the shoulder joint with artificial implants. The treatment can be expensive for many individuals, especially people from Western countries. In contrast, India has become a leading country for various medical services due to its cost-effective approaches. Here are some top hospitals for shoulder replacement surgery. 

Top Hospital Providing Shoulder Replacement Surgery in India

Some of the top JCI and NABH-accredited hospitals specializing in shoulder replacement treatment in India:

Indraprastha Apollo Hospitals, New Delhi - USD 9000

Medanta, The Medicity - USD 9500

Fortis Memorial Research Institute - USD 8500 to USD 9000

Max Super Speciality Hospital, New Delhi - USD 8500 to USD 9000

Artemis Hospital, Gurugram - USD 6000 to USD 8000 

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Visit Herer to any type treatment for best and top hospitals like, Best Hospitals for Brain Cancer in India, Best Doctors for Robotic Prostatectomy in India , Best Three Hospitals for Robotic Prostatectomy in India, Best Doctors For Deep Brain Stimulation Surgery in India, Best Doctors for Arrhythmia Treatment in India, Best Hospitals for TAVI Surgery in India, Best Doctors for Corneal Transplant Surgery in India , Best Hospitals for Corneal Transplant Surgery in India

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Factors Affecting the Cost of Shoulder Replacement Surgery

The cost of surgery may vary based on various factors, such as:

The type of shoulder replacement whether it is total shoulder replacement, partial shoulder replacement, or reverse shoulder replacement. 

Cost is also depending on the type of hospital chosen. Is it a seven-star or five-star? 

An experienced surgeon comparatively charges higher. 

The cost of pre-surgical consultations, diagnostic tests like MRIs or X-rays, and post-surgery rehabilitation are additional. 

Reasons to Choose Cross-Border Care

Consultation with Expert Surgeons: Orthopaedic surgeons with extensive training and expertise.

Advanced Facilities: Modern surgical and medical technology for treatment. 

Pre- to post-operative care, the holistic approach is used to complete attention. 

Patient-centered Approach: Care that is customized to meet the needs of each patient. 

Rehabilitation Services: Extensive physiotherapy and rehabilitation are provided for a quicker recovery. 

Cost-effective Pricing and Packages: Competitive, straightforward, and cost-free pricing. 

Positive Reviews: Several testimonies indicating successful outcomes.

Convenient Location: Patients can easily access the facilities. 

Accreditation: Acceptance of high standards of care on a national and worldwide level. The welcoming staff and a committed patient support team create a supportive environment.

Our Latest Post

Over to You! 

Undergoing shoulder replacement treatment is crucial and can be financially overwhelming, mainly in countries with high healthcare expenses. India provides an excellent alternative with its affordable pricing, skilled medical professionals, and high-quality healthcare infrastructure. 

If you are looking for surgery, Cross Border Care offers affordable packages that include hospital stays, prosthetics, and recovery care. With our assistance, patients can access world-class treatment while saving significantly compared to other countries.

For those considering shoulder replacement surgery in India, call us today for the best medical solution. 

Read Also This Blog

Best Hospitals for Bone Marrow Transplant in India

[angstywaifu]

Black Dahlia - 4. Third Squad.

One tragic day changes Dahlia's life forever. Despised by her father and brother, she's spent her entire life trying to be the child and sister she use to be. But nothing she ever does is good enough. She joins the Rider's Quadrant to prove them wrong. Garrick now in his second year has proven he is more than the mark on his skin to his fellow riders, and taken leadership of his own Squad alongside Xaden. Little does he know the girl walking across the parapet is about to send him on a rollercoaster of a year.

Garrick Tavis x OC (Dahlia Aetos)

Black Dahlia Masterlist | Masterlist

“What the hell was that?” Dain asks as he rushes after me.

I roll my eyes at him. “Just leave it be Dain.”

I shouldn’t have said it. But I did. Dain was most likely going to go running to our father about it, but I couldn’t care. I was my own person here. No one really cared who I was. I wasn’t going to get any special treatment.

”No, you heard what father said only a few hours ago. And here you are already blowing it.” He hisses at me. Grabbing my arm to turn me to face him.

I rip my arm from his grip and shove him back. Luckily there is enough going on around us for no one to notice. Not exactly a good impression to already be shoving other cadets around.

”I am not blowing anything. I highly doubt Fen Riorson’s son is going to go running back to father and tell him what I said. It will be fine.”

”He could say someone to something else, then word spreads and you get us both in trouble.”

I roll my eyes. “You need to learn that his opinion isn’t everything. Be your own person Dain, you might be surprised what comes of it.” I hiss back before walking off into the crowd, leaving Dain to ponder my words.

All his life Dain tried to please our father in any way he could. Which honestly was easy for him thanks to me. Dain could have gone off the rails and still been the golden child in his eyes. Part of me hoped that this would be a reality check for him. Father wasn’t here to sing his praises, look after him. He was on his own, and no one cared who our father was. If anything it would put a target on our backs.

Dain and I had waited till later in the day to walk the parapet, meaning the rotunda is full of cadets. From what I had heard before climbing the stairs, nearly three hundred cadets had walked the parapet before me. But a decent chunk of those would have fallen victim to the parapet. I had heard countless screams while waiting my turn. It’s easy to tell the first years from the other cadets, standing at the back in small groups or on our own as they stand in squads or friend groups watching us.

A hush falls over the crowd, and I turn to see the last of the cadets walk into the rotunda, followed by Xaden and the other guy who had questioned me about my name. They’re easy to spot in the crowd, both of them towering over the majority of the cadets. Though his friend was significantly taller. Also helps nearly every cadet gives them a wide birth as they walk by to join the second and third years closer to the front.

”Two hundred and ninety of you have survived the parapet to become cadets today.” The all too familiar voice of Commandant Pancheck says, his voice carrying across the rotunda as he gestures to us. As per usual he’s talking with his hands. “Congratulations. Because eighty of you did not.”

Damn. That’s one of the higher numbers I had heard. Clearly the wind had claimed a few extra victims today. Or we had a bunch of cadets willing to kill anyone who stood in their way. Which sadly was not uncommon. But I can tell I’m not the only one with these thoughts, as whispers pick up around me.

”As the Codex says, now you begin the true crucible! You will be tested by your superiors, hunted by your peers and guided by your instincts. Now amount of training or who you are will prepare you for this.” His eyes landing on me before moving elsewhere in the crowd where I know Dain is standing. Wonder if father told him to include that in his speech. “If you survive Threshing, and if you are chosen, you will be riders. Then we’ll see how many of you make it to graduation in three years.”

Three years. I could do this. Despite what Panchek said, my training would give me some advantages early on. I had spent countless hours training various weapons, weight training and running. Enough to prove myself. But after that, no amount of training could guarantee me a dragon at Threshing. Or take the target off my back once everyone knew who I was. The majority would not care who I was, but the marked ones would. And extra obstacle to overcome.

”Your professors will teach you. But it is up to you how well you learn and how you use that knowledge.” He gestures to the professors near the academic hall watching us all, before gesturing to the wingleaders behind him. “But your discipline falls to your units, and your wingleaders. And if I have to get involved…” The sinister smile I’ve seen too many times in my years spreads across his face, one that never fails to send a chill up my spine. “You don’t want me to get involved. But for now I leave you to your wingleaders. And try not to die.”

Easier said than done.

A male with blonde hair steps forward, eyes scanning the cadets in front of him. Just like the other second and third years, his uniform is altered to his liking. An upside to being in the riders quadrant, our uniform policy was on the looser side. His jacket is void of sleeves, in what I assume is a vain attempt to show of his muscles. Which honestly were nothing to talk about compared to some of the other cadets.

”I’m Damon, the senior wingleader of this quadrant and the head of the Fourth Wing. Section leaders and squad leaders, take your positions. Squads take your positions accordingly.”

The cadets before me start to move into formation. Four wings. Three sections in each wing. Three squads in each section. Without the first years, a lot of the squads look quite empty. Obviously taking a hit from last years third years graduating, or not many first years surviving last year.

”First years. When your name is called, take up formation behind your quad leader.” Damon instructs as another wingleader steps forward. A short brunette who barely comes up to his shoulder.

One by one cadets names are read out in quick succession. Each cadet quickly taking their place with their squad. Dain’s name is called for Second Wing, Flame Section, Second Squad. I look up to see him take his place next to a girl with bright pink hair. She immediately scowls at him before turning her attention back to the front. God I hoped she gave him a hard time. And something tells me she would.

I breathe a sigh of relief as they move onto the next squad. I wasn’t going to be with Dain. Part of me had been worried we we’re going to be paired together due to our last name. But apparently luck had been on my side today. But despite that I can’t help but be nervous about where I will be placed. With each name being called, my heart beating faster and faster.

”Tail Section, Fourth Wing.” The brunette calls out.

The last section to be filled. This is where I would be placed. I look over to see the last three squads remaining to be filled. I immediately recognise two of the squad leaders. Xaden and his friend from earlier. Maybe the odds weren’t in my favour. Dain or father where sure to blame me for somehow being placed in a squad run by a marked one. First and Second Squad fill up, leaving one squad left. And one squad leader. Xaden.

”And lastly third squad.” She calls out. “Bodhi Durran.”

A boy that looks so much like Xaden, they could almost be brothers steps forward. As he passes Xaden he gives Bodhi a pat on the back. Definitely family.

”Dahlia Aetos.”

I step forward, feeling majority of the eyes on me as I walk towards my squad. Even Xaden turning to look at me. He hadn’t even turned to watch Bodhi walk forward. In front of him his friend also turns to look at me before briefly looking at Xaden, almost like he was worried or concerned. But Xaden doesn’t look remotely phased by me being in his squad.

I join Bodhi in the formation, standing tall and trying to keep my expression neutral. It doesn't escape me that Xaden's gaze lingers on me for a moment longer before he turns his attention back to the brunette reading off the names. I let out a breath I didn't realise I had been holding, preparing myself for what's to come. Ready to prove that I belong here, no matter what my last name is.

@imtoanonymousforyou @simplyme-fornow @omalmal @lalaluch