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keplercryptids · 1 year ago

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common myths about migraines (AKA if you get headaches regularly, please seek treatment for migraines)

"i don't have migraines because while i get them several times a week, it's only when i am hungry or dehydrated."

those are probably migraines. thirst, hunger, sleep disturbances, or any disruption to routine are common migraine triggers.

"my headaches are specifically barometric related, i get them when the weather/altitude changes."

those are probably migraines. barometric pressure is a common migraine trigger.

"i get headaches all the time but ibuprofen gets rid of them so they can't be migraines."

that's not true. ibuprofen works great at relieving migraine pain for many people.

"my consistent headaches are tension headaches. i feel them originate in my neck/shoulders."

those are probably migraines. muscle tension is a common migraine trigger.

if you are regularly getting headaches (once a week or more), you are likely getting migraines. in fact, a good rule of thumb if you're consistently getting headaches is to treat them as migraines until you can rule out migraines. that's how common "chronic headache = migraine" actually is.

migraines are a neurological disorder wherein pain is one symptom. pain is often the MAIN symptom, and the most noticeable symptom, which can make diagnosis tricky. other symptoms of migraine include:

fatigue

nausea/vomiting

digestive issues

visual disturbances (auras)

sensitivity to light and/or sound

mood changes

brain fog/cognitive changes

ringing in the ears

dizziness/vertigo

numbness/weakness on one side of the body

this list is NOT complete, but is a starting point. i really like the comparison to a hangover. if you generally feel hungover when you get a headache (without having consumed alcohol), that's a classic migraine presentation.

so many people suffer from migraine and don't even know it, so they aren't able to advocate for themselves to get treatment. there are great new migraine treatments on the market! if you're able, please seek treatment for your migraines. a better quality of life is possible.

#migraine tag #migraine #chronic pain #chronic illness

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sinybird · 9 months ago

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MİDHEALT - PLATİN (2)

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accioprocrastination · 11 months ago

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One Day At A Time (Part 6/?)

Jake "Hangman" Seresin x reader

Summary: Hangman's fiancée is hospitalised and Jake waits for her to wake up

T/W: Anxiety, panic disorder, PTSD, POW, hints to torture, SA, abortion, pregnancy references, death

A/N: Sorry this got so much darker than I was expecting... Also as per I haven't proof read so ignore the grammar

Part 5 in case you missed it

Jake POV -

Jake wakes up stomach rumbling with a dead arm from clutching your hand as he sleeps. He momentarily breaks your hand hold to move his arm a bit, hoping to regain some feeling.

A consultant walks in smiling slightly at Jake as they make eye contact through the glass of the door.

"Morning." the doctor says walking in.

"Any news today?" Jake responds hopeful that you'll be coherent enough to talk to him soon.

The man proceeds to walk Jake through all of your bigger injuries - you arm and several ribs are broken; your ankle is sprained; they've operated on your shoulder to make sure it heals correctly. No haemorrhage from hitting your head but you might have a mild concussion.

"There's one other thing as well." The doctor says meeting Jake's gaze.

"I don't like that look doc, what is it?" Jake's nerves skyrocket from the doctor's obvious hesitation.

All of the colour in Jake's face drains as the doctor starts explaining to him what an ectopic pregnancy is. He shudders in repulsion as the doctor says the same thing in a slightly different way in an effort to fully express that it's not viable.

He cuts the doctor off when they start talking about treatment options. "I-I-I just need a minute." Jake says tears filling his eyes. "It's not about the abortion. I just need a minute to process that someone's done that too my Y/N." Jake tries to explain that this isn't a pro-life meltdown.

He doesn't see the doctor nod but he hears the man leave.

The second the door shuts Jake lets out a loud sob at the glimpse of what the last few years have looked like for you. He hunches over stomach clenching from worry - he knows that the minute you find that out that particular diagnosis, you're going to freak out.

Jake continues to cry he thinks back to the only other time you've been pregnant. The time that it was his kid and there were complications. Whatever bastard did this to you is going to unknowingly force you to relive that day.

Jake fruitlessly wipes his eyes on the sleeve of his hoodie then turns back to you face still wet from the tears silently falling down his cheeks. "This changes nothing with you and me sweets. I will be here every step of the way if you want me to." Jake says kissing your hand.

Having gone through a million emotions in the span of a few minutes Jake needs to step out of the room to try and let go of his rage.

Reader POV -

Every muscle In your body is tense in the knowledge that someone was nearby when you were trying to wake up earlier.

Wires and tubing press uncomfortably against your back. Why would they lie you over them that seems stupid?

You lie there controlling your breathing, eyes shut tightly just listening for signs of someone else.

I really don't want to open my eyes in case I'm not alone.

It's eerily quiet. All you can hear is the faint buzzing of tinnitus in your ears and a machine steadily beeping.

Okay, no one else is here, you tell yourself before gently opening your eyes. You scan the otherwise empty hospital room frowning in confusion. You're not sure whether someone was next to you or whether you dreamt that someone was in the vacant chair by your side?

There's fresh flowers and a card on the windowsill, so someone has been here.

A male nurse walks in as you try to disconnect from the machines behind you.

"Please don't do that! You're in the hospital." He says to you.

God my head is pounding.

"I got out?" you murmur in response, so drained that even talking is more of an effort than it has been recently.

"Yes you got out. You're okay." He confirms.

You nod slightly in recognition of what he just said, but mentally you completely disagree that you're okay right now.

"How's the pain on a scale from one to ten?" He questions.

Groaning in pain you shift slightly, you don't verbalise the feeling that you can only imagine is similar to being hit by a bus. Instead you ask "Can I self discharge?"

"It would be strongly against our medical advice if you were to self discharge right now. I would recommend that you stay here under observation and on the IV for a few more days." He grimaces at the prospect of you leaving this room.

"I'm not staying here." You exclaim, wincing slightly as you rip out a needle from your arm.

"Let me just go get a consultant to talk everything through with you and if you still want to leave after that, then you can." The nurse says hesitantly before jogging out of the room. I think he must be new to the role.

The door to your room opens and you suddenly understand the nurse's hesitancy as two police officers walk in.

You try to dart into an upright position to be more alert but whimper at your body's reluctance to move. The agony radiating from your left arm is unbearable. I can't imagine what sitting up would've felt like if that hadn't put my arm in this sling.

"Oh great you're awake!" The young police lady says standing pencil straight by the side of your bed ready to start questioning you.

"You're in the hospital, do you know what happened?" The guy questions you.

"What happened to Ghost?" You begin your own interrogation for answers.

"High on painkillers?" The female officer turns to the man who shakes his head.

"Was that your back seaters callsign?" He queries.

"Yeah. Is h-h-" You nod but you're cut off by the officer.

"It was instant. He wouldn't have felt anything." He answers without making you ask.

You cover your eyes with the palms of your hands fighting to regain a semblance of composure at how abysmal that news makes you feel.

The anxious ringing in your head eventually subsides and you remove your hands from your face. You're somehow still surprised to see that the officers stayed for however long it took for you to be able to fake okay.

"I need to go home." you admit quietly more to yourself than to them. You don't articulate that you just want to blanket cocoon on your sofa while Jake silently assures you that everything is going to be fine.

Your hands quiver slightly at the reality that he might not have waited for you; your home might not even be your home anymore.

Thoughts torrent your mind before you finally muster the courage to ask the room what date it is.

"April the 8th" The police lady answers.

"W-w-what year is it?" You speak up. The police man standing silently in the doorway looks horrified at the prospect that you might not know that but he interjects and answers you anyway.

"Shit." You respond in momentary disbelief that it's been that long.

I mean it felt like forever but I had convinced myself it had been a couple of months and i'll go home to everything the same.

"Jake thinks I've been dead for four years?" tears flood your eyes and your voice breaks, for the first time in years it's not from disuse.

How the fuck am I meant to go home after that amount of time?

If he hasn't moved onto someone else, surely he would've at least mourned you. If he's said goodbye to you like that how is it fair to suddenly reappear?

None of this is fucking fair.

Ghost should be here too.

Jake POV

Jake's heart drops to the floor as he carefully opens your room door to reveal an empty bed. From the haphazard sheets and wires flung across the room, he knows that no one has taken you into surgery without consulting him.

You're still in fight or flight mode.

He discards his unopened sandwich on the table and runs to the nurse's station.

"Room 26 - where is she?" Jake asks the guy behind the desk.

"She asked to self discharge; she's gone." he shrugs.

"She's gone?" Jake clarifies.

"Yep. If you can convince her to come back to hospital I think that would be in her best interest." He responds.

Five minutes - I was gone for five fucking minutes. Jake flings himself down the stairs, running at full speed to the exit.

He forces himself to stop when he's out of the hospital. He glances over everyone in the immediate vicinity.

You have to be here somewhere. And yet you're not here.

Where on earth would you go?

After all this time would you go home?

Home is fucking miles away - how would you get there with no phone and no money?

Jake's heart pounds in his chest as he walks to his car. He walks at a snail's pace so that he can check everyone that crosses his path isn't you.

I'll find you. I promise I'll find you.

Part 7

Masterlist

Tags:

@inthestars-underthesun

@rainy-darling

@emma8895eb

@tgmreader

@ems-alexandra

@djs8891

@els-marvelvsp

@lets-turn-and-burn

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covid-safer-hotties · 3 months ago

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Drs. Ziyad Al-Aly, Akiko Iwasaki and Eric Topol, along with other acclaimed researchers, have issued a position statement on Long COVID published yesterday in the journal Nature Medicine. This document provides a much-needed perspective on the continued dangers posed by the “forever COVID” policy enshrined in official public health policies.

This important review comes on the heels of the recent publication in the New England Journal of Medicine (NEJM) of a reference frame for the chronic disease. It was developed by the National Academies of Sciences, Engineering, and Medicine (NASEM) Committee on Examining the Working Definition for Long COVID.

The 2024 NASEM Long COVID definition is: “Long COVID is an infection-associated chronic condition that occurs after SARS-CoV-2 infection and is present for at least 3 months as a continuous, relapsing and remitting, or progressive disease state that affects one or more organ systems.”

Most importantly, previous documentation of a COVID infection is not required for the diagnosis. The NASEM report explains: “By now, most persons worldwide have had at least one episode of acute SARS-CoV-2 infection. A requirement for proof of diagnosis could wrongly exclude many patients …”

This closer approximation to a scientific definition of long COVID is an important step towards educating the public and issuing a call for action to address the viral assault on the global population.

The authors of the study, published in Nature Medicine, should be commended for giving urgency to an issue that Dr. Al-Aly has rightly called “the elephant in the room.” Yet as sincere as these appeals may be to take Long COVID seriously, they will not convince the bourgeois authorities who have already dismissed warnings about the acute stage of COVID-19.

The complex multisystem disorder that can affect nearly every organ system after a COVID infection spares no one across the age spectrum. It appears that even fetuses in utero are at increased risk of respiratory ailments if the mother was infected during pregnancy.

Considering our rapidly developing comprehension of the long-term health consequences of COVID, thanks to the exemplary work being done by these scientists, the policy of mass infection demanded by the financial oligarchy assumes an even more sinister and deranged character.

The “cardinal” symptoms of Long COVID include brain fog and memory changes, fatigue, rapid sudden onset of heart rate, significant sleep disturbances, and immense sense of discomfort and illness after exerting oneself. There are no cures and, worse, no diagnostic tools that can tell someone they have Long COVID. Only recently have healthcare workers and researchers begun to identify treatments for Long COVID, but there is an absence of randomized trials to guide these decisions.

The authors note, “Care for people with Long COVID varies widely across settings and practitioners. It is often challenged by lack of widespread recognition and understanding of Long COVID among medical professionals, constrained resources and competing demands on healthcare systems still recovering from the shock of the pandemic, lack of standardized care pathways, lack of definitive diagnostic and treatment tools, and a general pervasive pandemic fatigue with an urge to ‘move on.’” The last point is a byproduct of the impact of forcing the population to accept COVID as a permanent fixture of society.

On top of the horrific impact it has on an individual person, on a social scale, mass Long COVID leads to loss of productivity, disruption in the workplace and increased risk of occupational-related injury or fatalities. Cognitive impairment, even after mild infections, is common, and there can be dire consequences for workers in occupations where the slightest error or inattention can be devastating: truck drivers, electricians, airline pilots, first responders and more. To say nothing of the impact on the wider community.

The report makes reference to the 2022 US Brookings Institute estimates on the figure of 2 million to 4 million US adults who were out of work because of Long COVID. Add to this the Minneapolis US Federal Reserve Bank report from July 2022, finding that people with Long COVID had a 10 percent poorer chance of being employed, and when they were, worked 25 to 50 percent less than uninfected individuals.

On a global scale, the authors wrote, “On the basis of all the available data, a conservative estimate of the annual global economic toll of Long COVID could be around $1 trillion, amounting to 1% of the 2024 global GDP.” Other estimates are even higher: An economic study from 2022 placed the cost of Long COVID at $3.7 trillion, or $11,000 per capita for the US alone, amounting to 17 percent of the gross domestic product (GDP).

Most compelling in the Al-Aly et al. review was their assessment of the global cumulative incidence of Long COVID, which until now had been opaque.

Basing their estimates on meta-regression studies that pooled all the available evidence, they estimated that figure for the first four years of the pandemic at 409 million cases of Long COVID. The authors remarked, “It is crucial to emphasize that these estimates only represent cases arising from symptomatic infections and are likely to be conservative. The actual incidence of Long COVID, including cases from asymptomatic infections or those with a broader range of symptoms, is expected to be higher.”

By comparison, among the most common ailments afflicting the world’s population, heart and circulatory issues, affect around 620 million. This means that in only four years, Long COVID, as a disease, has risen nearly to the top of the global list. Furthermore, Long COVID, as a multi-organ disease process, will only exacerbate noncommunicable and communicable diseases that arise in the future.

Placing these figures into context, this week, based on wastewater data, infection modelers estimate that COVID infections have once again climbed above 1 million cases per day, a staggering figure, to which the CDC is completely indifferent. COVID modeler Dr. Mike Hoerger of the Pandemic Mitigation Collaborative, in a social media discussion with this writer, said that presently, on average, every American has been infected between three or four times.

In a rare show of concern, the World Health Organization (WHO) announced that COVID-19 was spreading across the globe, with positivity rates in Europe above 20 percent. In opening their August 6, 2024, news report on COVID, they warned, “The UN health agency is also concerned that more severe variants of the coronavirus may soon be on the horizon.”

The European continent is swimming in a river of infection, like the unfortunate Olympic athletes sickened by swimming in the polluted Seine. And as we have already noted, the Olympics themselves have been a superspreader event.

Knowing that reinfections, more severe disease, and remaining unvaccinated, all raise the risk of Long COVID, one can only watch the current wave of infections with alarm. These will be given further fuel as schools and universities begin to open their doors later this month. Furthermore, global COVID vaccinations have essentially come to a halt. Long COVID is the long tail of the ongoing pandemic that has no end.

Unique in the report by Dr. Al-Aly and colleagues is the raising of social issues affecting the global impact of Long COVID. In support of the UN Foundation’s Sustainable Development Goals (SDG), they raise the need to end poverty and hunger, improve access to health, provide quality education, improve working conditions and reduce inequalities. They also call for funding to support coordinated interdisciplinary research on Long COVID on a global footing.

The recognition of the social issues that need to be addressed is an important insight. However, the appeal to existing public health institutions and political processes to heed their warnings will not bear any fruit.

First and foremost, the “forever COVID” policy is not a misguided public health construct. It is a calculated and coordinated approach to ensure pandemic threats would not impede the unfettered accumulation of surplus value off the backs of the working class. If the sick and infirm fall by the wayside, these social losses are seen as financial gains by the class that seeks to extract from the working class every minute of their potential labor power and avoid the cost of their “lingering on.”

In this regard, Senator Bernie Sanders’ introduction of legislation titled the “Long COVID Research Moonshot Act of 2024” is simply political theater, aimed at deluding the public into thinking that the capitalist system is capable of reform. The bill would provide a paltry $1 billion in mandatory funding per year for 10 years to the National Institutes of Health (NIH) to support Long COVID research.

To think this legislation will see the light of day while social spending is being slashed to fund the forever wars is to look at the world through very thick rose-colored glasses. Those researchers and public health advocates who wish to promote the application of the scientific principles that guide their own work must recognize the necessity for a broader social perspective.

To address Long COVID, as the world Trotskyist movement has demanded, one must begin by eliminating COVID across the world. Despite the dismissal of such a perspective by capitalist governments and the corporate media, zero COVID is and remains the only viable solution.

Only one social class is capable of taking up and fighting for such a policy: the international working class. The fight against COVID and future pandemics, like the looming H5N1, must be integrated into the revolutionary mobilization of the working class against the capitalist system and the establishment of a socialist society, in which human needs, including the most basic concerns of healthy life, will be the basis of social policy, not private profit.

#long covid #covid #mask up #pandemic #covid 19 #wear a mask #sars cov 2 #coronavirus #still coviding #public health #wear a respirator

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nthspecialll · 2 months ago

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Cracks open an oyster shell to reveal a slimy half baked fetus esque Dutch van def linde inside

Do you think this sick little freak of nature is neurodivergent… or has any other disorders.. npd… bpd… etc… (no pressure to like. Actually diagnose or anything I’m assuming you aren’t a licensed psychologist, more for character analysis. Thank you so much, love your work!)

Oh he definately has something but yes I am not a psychologist and my experience with ND is limited to autism, ADHD, OCD and dyslexia because those are my family heirlooms, thus I would not feel comfortable diagnosing him but what I can do is present what fits and what does not fit about the most common diagnosises that people put on him as well as pointing out things others with more experience with these diagnosises says.

NPD- Narcissism

Dutch believes himself to be superior to others, which is very visible in many different ways, like his tent being the most luxurious to not allowing Molly, his girl to work. Which is also a big part of his entitlement, he expects others to look up to him, he expects people to treat him well, to cater his every need, and he gets angry when people doesn't.

He lives on admiration, which can be why he leans so heavily over to Micah late game when everyone else pulls their attention away from him, causing him to get angry. This time he is also very unable to handle any critisism thrown his way, reacting aggressively to it rather than listening.

One of the most obvious signs that makes people think narcissism is his willingness to exploit other, from the gang memebers to the native americans, using everything to his own advandage. He even says it himself, he is helping the natives because it helps him.

He created that friendship with Eagle Flies beacuse it boosted his confidence and his image, he lived in Micah's friendship because it fed his confidence and his image.

Narcissists tend to lack empathy and he does state in a camp event with Susan and Arthur "did you hear that Arthur? I am meant to consider feelings now!" and he is also quite arrogant, talking down to Arthur when he tries to come up with a plan in chapter 6.

Now, that said, narcissists cannot form meaning bonds which Dutch has done several times, for example with Hosea and with The Count. They are actually known for being terrible animal owners and are known for being able to fake friendships for a short amount of time while using others, not for thirty years.

Narcissits are also prone to bragging, which we do not hear Dutch nor does he belittle other people's achievements, and while he can seem like he doesn't show feelings and empathy, he does. He is genuiently sorry when Arthur gets kidnapped by O'Driscolls, he is sad when Hosea dies, he listens to John when Jack is kidnapped.

I also would not say he is fishing for compliments, which they are known for, there are also requirements for narcisissm which we don't have enough information on, such as fragile ego and requent self-doubt.

Bipolar

Dutch in the beginning of rdr2 is a very regular dude, he has signs but he seems okay, but as time goes on, especially in chapter 4-6 we see him go up into something that can look like mania.

He does not sleep, he can work without rest. He is easily irritated, his self-esteem is through the roog and he is impulsive. He constantly obesses, he leans over to people who feeds his ego, he is paranoid and he has a lot of grandiosity.

In the first couple of chapters it does also seem like we have some episodes. After settling in Horseshoe Dutch says sorry to Hosea about Blackwater, that he made a fool of himself and doesn't know what happened, similarly with after Arthurs kidnapping.

But then we come to chapter 5-6. What does not fit here however is the fact we don't see a crash, mania cannot go on forever and yet through the months of chap 5-6 there is no crash, he does not return to his regular state. We also see the same things in rdr1, again, no crash and it has been years.

"That said, I've yet to see his crash. The mania, which separates bipolar from major depression, can't just go on forever." which was wisely said by a player diagnosed with bipolar.

Borderline personality disorder

Dutch has a very strong fear of being abanonded, he does not like others leaving him, thus he is willing to leave them first, such as leaving John in jail before allowing him to get out and leave him.

He has a lot of paranoia and looses touch with reality, such as the situation in which he is standing, but also randomly yelling out or talking to himself in chapter 6, similarly he is prone to impulsiveness, doing things that aren't exactly thought through which ends people being harmed.

While he doesn't make threats of self-harm, he did die by suicide, though I would say it was more a powerplay than a fear of abandonment.

He is quickly angered, especially in the later chapters and acts out violently throughout the story

Now we have some other "critiria" like wide moodwings and "Quick changes in how you see yourself," I saw a redditor say this: "Although Dutch sees himself as an anarchistic Robin Hood-type hero during RDR2, he's clearly conflicted by RDR1, presenting himself as both a freedom fighter and a savage who can't fight his own violent nature." And while that is true, it does not fit the critira. It is not a quick change going back and forth but rather a steady but stable decline to that. A lot of people forget that it isn't just a change, but a back and forth we need for this diagnosis, and to me it is more that he is, as said, steadily moving, when he has reached one level of "madness" he doesn't go back.

Then we have a few critera I don't think fits, like unstable relationships, he has a lot of longer, fairly stable relationships such as with Hosea and Arthur and John, those were stable for 30 years before falling apart at the end. Again we are missing the movement back and forth.

End Note

As said, I am not a psycologist and if anything is worded wrongly in a way that may seem offensive, I appologice and please let me know.

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yuukei-yikes · 6 days ago

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is it ever explained anywhere in the kagepro media what is Haruka's condition? tried to look into the kagepro fanwiki what it was but it just says "[...] implied to be cardiovascular". You got any clue?

SORRY FOR THE SUPER LATE ANSWER i have been Crazy busy and Crazy going through it. hope it's still helpful!

anyway!!! neither haruka or takane's conditions are outright stated, and are only mentioned as a heart disease and a sleeping disorder. even haruka and takane themselves don't know much about each other's diagnosis, and seem to know the basics of it. i always liked this detail because it's like they didn't want to ask each other too much about it, since they know what it's like to be constantly interrogated about it.

yaaay ill talk about takane even if u didnt ask but i promise its to make a point

with takane, the general consensus is that she's got specifically narcolepsy, because her symptoms are described with enough details that narrow it down to what it could be. she randomly falls asleep, and is extremely tired/sleepy all the time. when she dies... supposedly kenjirou had... poisoned her? but that's not stated anywhere im pretty sure it was just a popular headcanon (im so lazy to go check gang sorry. but i am pretty sure it's not mentioned also when tf would he have done that) however takane was extremely accelerated from running and her epiphany, and as soon as she falls she says "no way im having an episode rn" like she immediately knew what was happening, so it seems like cataplexy is also something she experiences. basically narcolepsy is... like spot on described and shown.

instead, for haruka its much less clear. like you said, he's only described to have a heart disease that's very serious and sends him into cardiac arrest erm kind of often, and it's also genetic because his mom had it and died from it. that's... it! there's never been popular headcanons on what it could be. unlike a sleeping disorder, a heart disease can be caused by a million different things and still have the same result (heart attacks). meanwhile sleeping disorders are a little bit more specific so takane's is easier to deduce.

haruka's illness could be many things, but my personal headcanon has always been arrhythmia. to be honest i decided on this hc as a teen bc it was the only heart disease i knew at the time so i kinda ran with it LOL but ive done some more reading later on (not extensive studies of it... just random google searches) and ive still landed on arrhythmia being my headcanon because it's also genetic, and there are different types of arrythmia, some being really really scary... not that arrhythmia in itself isnt scary tbh. its the irregular beating of the heart, so a heart attack can literally happen any moment!! scary as hell. but that's also why i think it's fitting, like even a sneeze could make haruka jumpcut scene to an ambulance.

these are some old hcs of mine but a more recent one is haruka getting treatments and surgeries post str. despite awakening eyes keeps haruka alive, it doesn't Cure him, but makes him strong enough to stand these treatments he wasnt suitable for before, increasing his lifespan. so even if awakening eyes doesnt cure him, it definitely helps him live.

so post str haruka is still very much a regular patient to the hospital and both him and takane continue to be medicated for life

#ask tag #headcanons #haruka kokonose #takane enomoto

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wishcamper · 5 months ago

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On Nesta and Alcoholism

I’ve seen a couple takes recently saying essentially “Nesta is not an alcoholic bc xyz”. The spirit it’s said in is usually supportive of her and based in countering the way the IC dehumanizes and stigmatizes her, which is great AND there are some common stereotypes about alcoholism that can deter people from seeking treatment or realizing their alcohol use is hurting them. Alcohol is the 4th leading cause of preventable death in the United States, and ~11% of people over 18 qualify for an alcohol use disorder every year.

Creds: am a currently practicing counselor with specialization in addiction treatment

So a few basic points on problematic alcohol use:

Risk exists on a spectrum from no risk to imminent fatality. Most users fall in the middle. We have a very narrow portrait of what alcoholism looks like in popular media, especially in women, and it’s almost always the most severe end of the spectrum.

Use does not have to be 24/7 to be risky. Binge drinking, as defined by 4+ drinks for afab people and 5+ drinks for amab people in one drinking episode, has just as much potential for chemical dependency and damage.

A person does not have to be chemically dependent (“addicted”) or have cravings to have an alcohol use disorder, nor does everyone with an AUD go through withdrawal.

Using alcohol as a tool for emotional regulation, sleep, social anxiety, etc outside of rare occasions qualifies as problematic use. This kind of drinking is, unfortunately, very socially acceptable.

Problem drinking is progressive, and tends to get worse without conscious choice or effort to change

You can have a dysfunctional relationship with alcohol without having an AUD. You can have an AUD while still being a fully functioning person on the outside.

Risky or problematic use is often a symptom of a deeper emotional wound, which should be treated with care and seriousness even if someone doesn’t meet the criteria for an AUD.

They don’t have the DSM in Prythian obviously, but for us mere mortals here are the criteria. A person only needs TWO to qualify for a diagnosis:

As a clinician, I usually look for a few hallmarks.

Alcohol is one of or is the primary strategy a person uses to regulate emotion and stress, or is a common way someone rewards or incentivizes themselves

Alcohol is an important “character” in at least one sphere of someone’s life and they feel the absence when it’s not there, eg. social activities all center around drinking, essential part of dinner/sleep routine etc

The client has feelings of shame or guilt around drinking, choices they make while drinking, or the consequences it’s had in their life. oR they feel a defensiveness about their drinking and distress at the idea of stopping.

Anyway, that’s my PSA. I would diagnose Nesta with an AUD, but I would also diagnose her with PTSD, and also diagnosis is a horribly flawed system that allows people to access their insurance benefits. I guess I just want to say that you don’t have to look like the media version of alcoholism to be concerned about your drinking or to deserve quality treatment. If you’re concerned, help is available.

#nesta archeron deserves better #pro nesta archeron #prythian university #alcoholism

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percygranate · 4 months ago

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Hey, so I usually don't ever ask people for money, but I am kind of at the end of my abilities and cried too much today to care about it anymore:

My dog, who I rescued in Croatia in 2017 after he was found eating dirt in the forrest, Lu, is turning 8 years old next mont. He is the sweetest and softest fur baby, and look like an ice bear. He never ever has been in a fight with another animal and thinks everyone, no matter the species, is his best friend.

He is also my best friend, and I initially adopted him after starting therapy after moving out of home for Generalized Anxiety Disorder, Agoraphobia, and C-PTSD, which had me not leave the house for years. He is my best friend in fur and helped me to get back out into the world again after it had been nothing but awful to me.

I fixed myself, fixing Lu, when nobody wanted him and nobody wanted me.

For two months now he has been dealing with severe hip and back issues. It started abruptly, with him no longer wanting to play and be on long walk, suddenly struggling to get up, and as something our vet called “just a little muscle inflammation” and a one-week medication treatment that cost us 150€.

Lu felt better for 1 1/2 weeks and even started playing a little again before the pain came back. This time, we paid 100€ for a milder medication as the vet did wanna put him again on those string monster pills he was on before as it would’ve damaged his system. I gave him those pills every day (he, by now, is such good boy at taking them) and he did again better for a 1/2 week without daily medication.

Again, he couldn't get up, started crying at night, is no longer is able to sleep in my bed, no longer lay on his back, and he only lays on the floor, trying not to get up and walk around as he is in pain, he no longer plays… So we went to the vet again.

This time, we paid 80€ for a few of the strong medications he got in the first place. Diagnosis: “Old boy. Arthritis. Inflamed hip.” We were meant to give him two of those pills on days he is struggling more than the by now basic.

Two days ago, I was on a walk with Lu, just leaving my apartment complex, when he collapsed for the first time and fell down in the middle of a crosswalk. There was no chance of him getting up. Car drivers hated us, and I bagged for minutes that he would try getting up.

After I nearly started crying, he finally forced himself up, walked a few meters, and fell again. It was like his hips just couldn't carry him anymore. Watching him to try forcing himself up but struggling so badly is something that kills me every time I see it, but I am used to it by now, sadly.

He finally got up after 30 minutes and we walked home. I gave him his pills and after a nap we ran around pretty well, even the next day he was doing so much better. I should've not thought this was over.

Today my boyfriend took him on a walk. The same thing happened, but this time Lu screamed out in pain first. This time there was no getting up. Even after my boyfriend called me and I ran over in my pajamas as Lu is known to be a mama’s boy.

We called our vet, who told us we needed to go to the animal hospital. The animal hospital told us they would charge us roughly 2500€ for an X-ray and have Lu there overnight and treated.

The secretary from the animal hospital told us we were not allowed to pay it back at monthly rates when we asked.

We asked why it was so expensive; she replied, “We are the only ones doing this in the city, so we can choose our prices as we see fit.”

We asked how other people could afford that, crying in the middle of the street as our dog still lay there, unable to walk or even get up, and she told us, “Everyone can afford that.”

When my boyfriend told her he needed to talk to me about it, she replied, “Yeah, sure. Just call us if you actually need and want our help.”

I am disabled, suffering from Hypermobile Ehlers Danlos Sympton, am in the middle of getting a POTS diagnosis, and have Autism and ADHD. I am physically due to the chronic pain not able to work. I don't have that kind of money to just whip out like it is nothing.

For my boyfriend, this kind of money is more than his monthly loan.

There is no worse feeling than when your pet is in pain and needs to be medically treated, but you can't get them the help they need because YOU do not earn enough.

We cried and tried to get up Lu for an hour before calling my mother, who I am low contact with as she emotionally abused my for decates and is part of the reason I have C-PTSD. She drove us the a Animal Hospital outside the city, as they were the last suggestion our vet could give us and the told us they would charge less for the same kind of help and work.

There, we were prepared to pay the 300€ to have Lu no matter how, even if we needed to/manage to have my mother borrow it to us.

The vet was amazing, seeing the problem the moment Lu finally stood up and walked for the first time.

His hips are fucked, probably the back too, and he has Arthritis. But right now, they can't do any of the X-rays because first his fever and inflammation need to go down.

Today we paid 100€, Lu got a big shot, and for the first big pain and fever, starting tomorrow, he will regularly take two of those initially given strong pills once a day so he hopefully can have the x-rays next week.

My dog was mentally a puppy jumping around like a little deer until this started. He always wanted to play, always ran around and did something. This took all the joy in life for him.

I’m asking for help to pay for the X-ray and whatever treatment will follow for Lu after.

https://www.paypal.me/percygranate

UPDATE:

Today we had the X-Ray appointment and paid 352€

Hips and back are okay.

BOTH OF LU’S KNEES ARE FUCKED.

Cruciate Ligament Rupture & the knee joints are fucked.

The operation will be a two timer and cost us 4000€

I am currently not able to tell you how I am going to pay this. I barely managed to pay the X-rays today.

I amcurrently not even in possession of a life insurance that could help my dog if I kick it. /ifywim

Again:

I am BEGGING, if you have even a euro or dollar or whatever to spare, please help me.

https://www.paypal.me/percygranate

(paypal also uses my deadname, so please ignore that)

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seeingteacupsindragons · 3 months ago

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So I’ve been thinking a lot about mental health and mental illness lately (thanks, new psychiatrist) as I process a new diagnosis and what it means and reframing my image of myself, so I want to talk about some stuff.

So if you know all this already, just. Bear with me, okay, I’m processing a lot right now.

A lot of people on here get annoyed at advice to, like, go for a walk or do yoga or see sunlight or clean things up or meditate or whatever. And I get it, because I also get annoyed at people thinking that will solve my problems. I have had a boss try to get me to do a damn meditation app as if that would solve the work impact my mental illness was having, and it infuriated me.

But, that’s not because it doesn’t solve a problem. It just doesn’t solve the problem I have.

Meditation apps and all that other stuff are basically the mental health equivalent of eating a salad and jogging once a week. Someone who doesn’t do those things, even if they’re not otherwise sick, are not going to be very healthy and are going to feel kind of gross. It’s baseline health care.

But eating a salad isn’t going to cut it if you have a broken leg. You actually need medical care.

(Please go to a doctor if you have a broken leg. Thank you)

Now, if you get the mental health equivalent of a cold—something stressful is going on at work or with your friends, or a lot of small emergencies are popping up at once—you can probably still get by without a doctor. Increase the vegetables, get some soup, rest and sleep a lot. Do some extra mindfulness exercises, take a new yoga class, get a little TLC, clean your room. It will help you feel a lot better, and then the “illness/blip” will pass and you’ll be back to baseline in relatively short order, without needing to see a doctor.

But what if you have mental health bronchitis, or a broken leg? I would compare these to maybe some post-partum mental health issues, or grieving a death of someone, or a divorce, or something like that. You may actually need to see a doctor, get some care, see a therapist and get counseling, maybe briefly stop by on some antidepressants or anti-anxiety meds to help you recover. And then you’ll probably be mostly okay, with maybe some lingering issues and a good strong memory of that time you were Not Okay.

But you weren’t going to get okay without something a lot more than vegetables and cardio.

And then there’s the Chronic Mental Health issues, like many mood disorders or personality disorders, or PTSD/CPTSD, panic disorders, phobias…the lingering things that need serious help and you are very likely in fact to never full recover from, or even partially in some cases. These are where you get type one diabetes or Celiac’s or an amputation, or multiple sclerosis, or any of that. Stuff where you desperately need regular, often daily, medical care and management to stay healthy and functional.

And these ones are going to change your life even with medical care. A diabetic might need a medical device attached to them at all times, they are likely to need to check their blood sugar regularly, they’ll need to think about what they eat and how it will effect them, they’ll need to carry glucose tabs. They might have a medical ID bracelet! And sometimes mistakes might still happen and things go very badly. An amputee might have a prosthetic or might not, but either way it won’t do everything a biological appendage will, and they’ll have to adjust their lives to how to move and pick things up or whatever in a very different way to someone who has that body part. And someone with Celiac’s is just not going to be able to eat gluten. Not matter what medicine they take. It’s not going to happen.

And that’s the thing: even when you’re getting regular medical care and treatment, and you have a plan worked out and you’re used to it, if you have a mood disorder or PTSD or schizophrenia or something…you may very well never quite have a life that looks like someone who only needs yoga and meditation classes. You may always need other accommodations and lifestyle adjustments to function and manage.

But that doesn’t mean you can’t be happy. It means things are going to be so different for you that the people who manage with salad and a treadmill are just not going to be able to offer any useful advice to you. Your needs are way too different.

And then there’s getting into a car crash or catching meningitis. Sometimes, shit is just going to happen to people, and they are going to need to be hospitalized and watched very carefully for a while. I would probably categorize a lot of mental breakdowns, like the kinds that are at the onset of many mood or panic disorders, some levels of psychosis, sometimes the death of someone very dear to you—in fact, many of the things that might be broken legs to some might turn out here. Maybe someone else broken their leg with a nice clean fracture, but yours was a complicated shatter of a joint that started healing wrong and also got infected.

And the hospitalization isn’t going to be the end of your care, either. You’ll stay in the hospital until they can get you stable, until you don’t need medical professionals a button press away, until you can be assumed to recover the rest of the way on your own.

But, for people who know people who have come home from the hospital after a surgery or serious illness…it’s far from the end of the road, or even return to a new baseline. You’re going to need a lot of help and rest and recovery even after hospital discharge. Someone will probably have to watch you, might need to help you take your meds, might need to bring you food and drinks, or cook, or do chores.

And people who care should, maybe, understand, and send, “Get well soon,” and “Thinking of you” and flowers, and organize meal trains and otherwise show up for someone who is seriously ill.

Of course, a lot of that would be weird in the Chronic Illness space. But there, I think the understand would be, “Yeah, you know your friend can’t have gluten,” and “Why would you suggest they go for a hike with you when they’re in a wheelchair, you dick?” and “I made you low-sugar treats! I worked super hard on the recipe!” so people around you know that you have different needs and you care enough to accommodate them and make sure they are still cared for…differently.

I don’t think I’m going to edit this before posting.

But I’m thinking about it a lot, and I think I’m going from a place where I though I had a broken leg to realizing the leg was never actually going to heal without a limp, to realizing, in fact, that the leg didn’t break the way I thought it did and I need some physical therapy and a new doctor to get it working and see what happens then.

Maybe this was helpful to someone besides me. But it felt good to get it all into words!

#mental health #mental illness

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jamethinks · 3 months ago

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I mentioned before that Anya is epileptic in my hc. The seizures are not bad or harmful just to be clear, they are actually beneficial and help prevent actual damage to her brain. It's like having an outlet that turns itself off when it starts to over heat or too much current flows through it. Currently however it is main triggered by using her powers too abruptly or using them in crowded spaces, two things she doesn't have control over and therefore cannot prevent easily.

The primary danger of her epilepsy is when it happens. Like with most seizures she goes unconscious somewhat randomly and can be in a position to get injured. Normally she gets lightheaded and Loid would remove her from the area (assuming she's just overwhelmed as an orphan in a foreign environment).

The first time she has an actual shaking seizure (I forgot the name) is at school during an assembly. She begins to feel lightheaded and tries to get away from the crowd. While walking down the stairs, she suddenly starts seizing and ends up falling down. She gets knocked unconscious but thankfully someone saw her as she fell and was able to get help.

They take her to the hospital and Twilight is shocked and confused and of course worried about the mission. Anya reveals that yes in the past she has fainted before but it was always unclear why. In the end the doctor diagnoses her with epilepsy and that she should be monitored until an actual source is found.

(Note: Handler knows that's its actually because of her powers and it's caused by over usage but there is no way to explain that to anyone without confusing them so she had the doctor lie and secretly treat her properly. She gets placebo pills to take to help control them lol)

Neither of her parents have a sane reaction to this diagnosis and it creates a lot of strife between them.

Yor on one hand is mad at Loid for never noticing his daughter was epileptic, clearly unaware of her previous episodes. It's a dangerous disorder and she should have been relieving treatment since before. He is a doctor after all, how could he have let this fly under the radar. It makes her reevaluate her understanding of Anya and Loid's relationship and she begins to notice that he doesn't seem to know Anya all that well and Anya doesn't seem to know him that well. There's a weird disconnect in their relationship that makes it feel too distant to say they were alone together for 2 years.

Twilight on the other hand is an anxious mess because of this. He deeply related to Anya and her childhood as an orphan and at some point promised himself that he will work towards improving her life and experiences so that she is able to grow up and be a happy healthy functioning member of society. To discover that she has epilepsy really shock him to his core. When she had that first seizure she fell down a staircase and got severely injured and actually started choking. The entire she was practically alone before someone was able to get to her. He couldn't help but imagine the worse, like genuinely scared something bad was going to happen to her if she doesn't get treatment. Then he's thinking about how many times she would have fainted at the orphanage only to be ignored or worse have no one even notice. What if that seizure were to happen when she was somewhere other than he crowded school. What if she was just walking down the street or in the middle of an emergency. The whole thing just reminds hum of what it was like being alone on the streets and having his own medical emergencies only to have no one there to help him.

It gets very bad for him. Every night he's in her room watching her sleep just incase she doesn't have an episode. Every time anya seems a bit loopy he panics. He won't let he do anything that might trigger them. He's reading books about it and making himself even more paranoid. One day he comes home and Anya is passed out on the ground and he just absolutely let's it all go on Yor because he thinks it was a seizure and Yor just ignored it. Don't worry she screams right back at his ass because as it would turn out the reason Anya was passed out on the ground is because he was keeping her up all night constantly waking her up because he thought she was seizing. She was so tired and grumpy and was throwing a tantrum so Yor just let her sleep on the ground right where she was. And now since Loid was screaming down the house like a lunatic she woke up and was grumpy all over again.

Of course Anya's powers were slowly developing and getting strong which means she was far more intuned with her dad and his anxiety was really rubbing off on her and she kept having nightmares of all the horrible scenarios he came up with.

So yeah no one took that diagnosis very well lmao.

#spy x family #sxf #loid forger #twilight #yor forger #headcanon #anya forger #damian was the one that found her #he too is not taking it well #everyone is freaking out like she's gonna die #and its freaking her out too #dw twilight gets over himself and talks it out and finally learns how to manage his anxiety #kinda #hes still stuffing them placebos down her throat lmao #and he will check on her every 4 hours regardless of ehat yor says #this is supposed to be a fanfic but i dont wanna

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am-i-the-asshole-official · 1 year ago

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WIBTA for telling my friend that i'm frustrated with him self diagnosing himself?

weird title, but i don't know how else to describe this. TW for the mention of suicidal ideation.

my (early 20sF) friend (late 20sM) has this tendency to look up symptoms of a disorder and then self diagnose himself with having that disorder (ex he diagnosed himself with oppositional defiance disorder based on the fact that he doesn't like being told what to do and nothing else). i have absolutely no problems with self diagnosing (i did the same thing for my adhd) but the issue is that it stops with him at the diagnosis. he doesn't look up treatments or ways to cope, and often falls back on "well this is just who i am so deal with it". as someone with bpd, who fights with essentially non stop suicidal ideation and ridiculous stigma (people have stopped talking to me once i bring it up), i get incredibly frustrated with how he uses his diagnoses to excuse some pretty shitty things that he's done (he has a tendency to blame everyone else for his problems, and to then take out his frustration about his problems on the people around him by yelling at them. he then expects everyone to be fine with this).

reasons i think i'd be the asshole: sometimes people with disorders show symptoms of those disorders and i can't blame him for that.

reasons i don't think i'd be the asshole: he mocks other people for having mental health problems that interfere with their lives, but the moment he has a symptom all of a sudden it's serious.

i do want him to be alright, and part of that (to me) involves finding ways to cope and better yourself, diagnosis or not. WIBTA for bringing this up to him or should i let sleeping dogs lie?

What are these acronyms?

#aita #am i the asshole #suicide cw

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dazzlinglybitter · 1 year ago

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It's Disability Pride Month!! Let's talk about POTS!

Hello beautiful people. Since it's Disability Pride Month, I wanted to talk about my disability. I have a condition called POTS. It stands for Postural Orthostatic Tachycardia Sydrome, which is a very long name, and you can see why we just say POTS. Essentially, it means that when I change position or stand up, my heart rate gets too high. It is normal for your heart rate to go up when you change positions. But what makes POTS different is it changes too suddenly and much higher than average. The National Institutes of Health defines that a person with POTS has "an increase in heart rate of 30 beats/min or more when moving from a recumbent to a standing position that lasts more than 30 seconds". Which on its own doesn't sound all that bad. I would be a much happier human if that's all it was. However, POTS comes with its own host of symptoms. That swing in heart rate can cause dizziness, lightheadedness, blurred vision, and sometimes fainting. Other symptoms of POTS include:

Exercise intolerance

Headaches

Nausea

Fatigue

Anxiety

Dry mouth

Excess thirst

Leg pain

Blood pooling

Brain Fog

Swollen Extremities

Sleeping problems

Bladder problems

Digestion issues

Tremors

Shortness of breath or chest tightening

Memory issues

Poor temperature regulation

Chronic dehydration

Neuropathic pains

Increased sweating to the extremities

Loss of appetite

Light sensitivity

Dry eyes

Heart palpitations

Chest pain

Cold extremities due to poor blood flow

Heat intolerance

Hypovolemia (low blood volume)

And probably more that I've missed! Doesn't sound all that fun, and trust me, it isn't! POTS is a condition under the larger umbrella of Dysautonomia. There are several different types of dysautonomic conditions, POTS is only one of them. Here are some fun facts about POTS:

POTS effects around 0.2% of the world's population

It is most common in females, 75 to 80% of all patients are female

Though it can be diagnosed at any age, it is most commonly diagnosed between the ages of 15 and 25 (I was 19 when I got diagnosed!)

There is no cure for POTS and it's a chronic illness

Some teenagers will outgrow the condition in their 20s

The average time to diagnosis is 5 years and 11 months (took me almost a year, luckily)

According to Dysautonomia International, 25% of POTS patients are so disabled they cannot work or attend school

There is no singular cause for POTS, and many patients will likely not know what caused their condition

Research on POTS is incredibly sparse, making advocacy, treatment, and diagnosis even harder

The usual recommended treatment is increased fluid intake, increasing salt intake, wearing compression stockings, raising the head of the bed to conserve blood volume, reclined exercises like rowing, recumbent bicycle, or swimming, and a healthy diet

While there is no FDA approved medication for POTS, some medications such as beta blockers can be used to aid the condition

Though the heart is directly involved, POTS is not technically a heart condition. It is technically a nervous system disorder stemming from the autonomic nervous system

There's lots to be said about POTS! I don't think I could fit it all in one post if I tried. But if you made it this far into the post, thank you for taking the time to learn about it! Awareness is key, and the more people that know about the condition, the better we are. Happy Disability Pride Month!!

#potsawareness #dysautonomia #disability pride month #chronic illness

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