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World Hepatitis Day
Hepatitis affects millions, but it's preventable & treatable. On World Hepatitis Day, let’s raise awareness about getting tested and support those battling the virus. Together, we can eliminate hepatitis and ensure a healthier future for all!
#worldhepatitisday#awareness#liverhealth#liverdisease#steatosis#steatohepatitis#fattyliver#esld#health
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Tragic: girl doesn't want to leave her bed to wash off her eyeliner but she has to
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https://www.instagram.com/reel/C5jam-ESlDE/?igsh=MzRlODBiNWFlZA==
I saw this and had to show you
Copia would absolutely have these and the rats would have free reign of the ministry
The ghouls don’t know what to make of
The siblings find it cute
-saturn
you’re the third person to share this with me and i love each and every one of you for it like copia’s rats just zooming up and down the corridors…i just know phantom goes full cat and starts chasing them on all fours
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How Much Does Liver Transplant Costs in India?
The liver is our body's second-largest organ. It aids digestion by breaking down all of the nutrients in food and can withstand a lot of stress and abuse, but it can only go so far before getting into a stage of severe liver disease or cirrhosis. In recent times, the increase in demand for liver transplants has increased. If you are on this page, then you might be thinking of getting a liver transfer. Here we have discussed the procedure of getting a liver transfer along with liver transplant costs in India and many more.
What is a liver transplant?
A liver transplant is a procedure in which a diseased or unhealthy liver is replaced with one from a living or deceased donor. When a person has ESLD (End-Stage Liver Disease), a liver transplant is a last resort effort to save a dying patient's life. continue reading
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tell me about some of your favorite plush toys that you have pleaseeee
Aaaaa thank you so much for this super fun ask!!! :D
Here's a big family photo of most of my guys! Some aren't pictured bc their setups are annoying to deal with and others are in a box at my parent's place lol
I have... a lot.. but here are some of my favourites under the cut! :D [this got long lmao]
Childhood Companions!
Albear - white teddy bear:
Gift for me as an newborn, I used to be so tiny that I could sit in his lap ;w; I don't have memories of ever playing with him, but he's such a comfort to have around, he's like a guardian angel <3
Snowball - white cat:
Found her at a chocolate factory gift shop when I was very small, [around 3-6 I think?] I remember taking here everywhere with me!
She's really floppy, lost half of her beans throughout her 2 decades of adventures, and has more than deserved her retirement <3
Egbert - chick egg:
Another infancy gift, and my first ever sensory aid <3
When I was born, I was very premature and very sick, so I spent my first many months in the NICU. My parents said what then the nurses would do their shift change, I would cry and cry and cry because I couldn't handle the loud sounds [hello autism], so they placed him on my head to help reduce the noise ;w;
Similar to Albear, he's another one of my angels <3
Ariel - orange + white webkinz cat:
Another constant-carry friend during older childhood! I fuckin LOVED webkins as a kid and she was my first one! :D
Her fur is all matted and she's lost a lot of her softness over the years, she's brought me so much joy! ;w;
She's in retirement with her snowy sister <3
Main Cuddlers!
Tito - Black + white cat:
Relatively new, got him last year! Named him after a concept in one of my comfort movies; "Puss In Boots: The Last Wish"!
I thought he looked similar to Kitty Softpaws, and named him Tito after her Gatito Blade :3
Last year I'd take him to work with me if I was feeling low, his name is also fun echolalia to me XD
"Tee-toh! Tee-toh tee-toh tee-toh! <333"
Essel - Small fox:
Another outside carry pal, the most portable of the bunch! [But he's currently taking a break from outings because his fur is crusty and needs a wash]
I got him at a nature museum, he's soooo baby ;w; Named him Essel because I initially called him my "Emotional Support Little Dude", which turned into "ESLD", then dropped the D and settled on "Essel"! :D I drew him too! He's so cute! X3
Simon - Grey cat:
Newest pal!! I love him!!! So much!!! I got him on amazon a week ago and he hasn't left my side since ;w; He's so soft, so cute, amazing snuggler <3
I take him with me most places too, like work [sometimes] or grocery shopping, even if he stays in my bag to preserve his cleanliness and softness, just knowing he's with me brings great comfort ;w;
He's on my lap as I make this post and he says hello! <3
Wilson - Red panda:
A gift from my wonderful Partner! We are partially long distance, but see each other every 2 weeks, and they bought him for me during one of those visits ;w; I snuggle him when I miss my partner, and named him after Wilson from House M.D. because I thought he had "soft kind eyes" and has similar kind energy to the character <3
Silly Smol Frends:
Hubert - Grey bunny:
Dollar store friend! He's real cheaply made and looks so wonk,y like he got ran over by a bus, and I fucking Love that about him XD He's so silly-cute, makes me happy to look at his smushy face X3
Unnamed tabby cat:
Literally me, my ideal form, when ppl are mean to me that's what they're being mean to, I'm just a lil silly kitty cat :3 It's very soft and very cute, but also very stiff and top-heavy, a beloved dust-collector <3
Unnamed red panda:
Also me but with more autism, extremely soft, fits in the palm of my hand and is surprisingly heavy for its size! Another beloved dust-collector <3
Happy To Have / Big Boys:
Kitty - Black cat:
Big super soft 5lb weighted plush!! I got her as a christmas gift 2 years ago, she's a wonderful lap cat to help ground me when I'm feeling Fucked Up
Cat Stolas - Grey cat:
CAT STOLAS!!! CAT STOLAS!! HE HAS FUCKING PAWBS!!
I fucking Love Helluva Boss, and when I saw this dude on Temu last year I knew I had to get him! I never expected myself to fall so deeply in love with a knock-off plush but his paws are so awesome XD Not the softest, for the most part tho he's a beloved dust-collector too =w=
Misha - Pink + white octocat:
So incredibly soft.. so incredibly baby,, so cute and wonderful,a little difficult to cuddle so for the most part she gets pets, and she brings me so much joy ;w; Got her from a cute lil gift shop a few months ago! X3
Thank you for the ask!! If you have more questions about any in the group photo or wanna see other angles I'd be more than happy to share! X3
#plushie#plushcore#plush collection#plush collector#plush community#infodump#actually autistic#actually audhd#shijuruiburning#ravon answers#weeee this was so much fun thank you dude!! :D#and thank u for your patience lol am sorry this took so long to get back to XD
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10/17/24 - Notes from Coaching
Anger = Protect
Expressing anger healthily = boundary setting
I struggle to set boundaries in nearly all aspects of social life, this is likely due to repression of anger/not allowing myself to express it.
I want to identify how I express each large emotion on the emotion wheel.
"Jungian shadow work"
ahamkara - "the undigested emotions", anger is a big one for me
QUESTION TO CONTEMPLATE: What has not being able to healthily express anger safely prevented me from doing in life?
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Post-Session:
Expressing some anger would've been useful with Tyler and Shayla in regards to setting boundaries and protecting my time and needs. I started smoking weed while working with Tyler because there were things I noticed that made me angry, but instead of being able to express that anger I turned to weed to numb myself to it. Just like nicotine suppresses appetite and caffeine suppresses fatigue, marijuana suppresses anger. None of these substances work at the root of the problem, they only hide the sequelae.
I also wasn't able to express anger towards my patient (47M, ESLD) for being rude to me, which made me unable to set my own boundary with him in order to protect myself; My preceptor ended up doing it for me. Something I should consider for my future nursing practice is that It's okay to express anger with your patient if they are treating you poorly.
IT'S OKAY TO EXPRESS ANGER. PERIOD.
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Exploring the Interplay Between Diseases and Liver Transplant
Understanding the Complexities and Implications
Liver transplant surgery is a life-saving procedure that offers hope to patients with end-stage liver disease and certain liver-related conditions. However, the decision to undergo a liver transplant is often influenced by the underlying disease or condition that necessitates the procedure. In this article, we delve into the intricate connection between diseases and liver transplants, exploring the complexities, implications, and considerations involved.
Liver Diseases Leading to Transplant: Liver transplant is commonly indicated for patients with end-stage liver disease (ESLD), a condition characterized by irreversible liver damage and loss of function. Chronic liver diseases such as cirrhosis, hepatitis B and C, alcoholic liver disease, non-alcoholic fatty liver disease (NAFLD), and autoimmune hepatitis are among the primary causes of ESLD. These diseases progress over time, leading to liver failure and ultimately necessitating a transplant to restore liver function and prolong survival.
Hepatobiliary Cancers: Hepatocellular carcinoma (HCC), the most common type of liver cancer, often develops in the setting of chronic liver disease or cirrhosis. In cases where the cancer is confined to the liver and has not spread beyond, liver transplant may be considered as a curative treatment option. However, stringent criteria and careful patient selection are essential to ensure favorable outcomes and prevent cancer recurrence post-transplant.
Metabolic Liver Diseases: Inherited metabolic disorders such as Wilson's disease, hemochromatosis, and alpha-1 antitrypsin deficiency can affect liver function and lead to progressive liver damage. For patients with severe and unmanageable symptoms, liver transplant may offer a chance for improved quality of life and long-term survival. However, the presence of underlying metabolic abnormalities may pose challenges during the transplant process and require specialized pre-transplant evaluation and management.
Acute Liver Failure: Acute liver failure (ALF) is a rare but life-threatening condition characterized by rapid onset of liver dysfunction and hepatic encephalopathy. Causes of ALF include viral hepatitis, drug-induced liver injury, autoimmune hepatitis, and acute fatty liver of pregnancy, among others. Liver transplant may be considered for select patients with ALF who fail to respond to medical therapy or develop complications such as hepatic coma. Timely referral and evaluation are crucial in optimizing outcomes for these patients.
Autoimmune Liver Diseases: Autoimmune liver diseases, including autoimmune hepatitis, primary biliary cholangitis (formerly known as primary biliary cirrhosis), and primary sclerosing cholangitis, are characterized by immune-mediated damage to the liver and biliary tract. While medical therapy is the mainstay of treatment for most patients, those with advanced disease and progressive liver failure may require liver transplant as a definitive treatment option. Careful management of post-transplant immunosuppression is essential to prevent disease recurrence and graft rejection.
Challenges and Considerations: Despite the potential benefits, liver transplant poses inherent challenges and considerations, particularly in the context of underlying diseases. Patient selection, pre-transplant evaluation, and post-transplant management require a multidisciplinary approach involving hepatologists, transplant surgeons, oncologists, and other specialists. Additionally, the shortage of donor organs, immunosuppression-related complications, and the risk of disease recurrence post-transplant are important factors to consider when weighing the risks and benefits of liver transplant in patients with underlying diseases.
The interplay between diseases and liver transplant is multifaceted and complex, with diverse implications for patient management and outcomes. While liver disease treatment in Bangalore, offers a lifeline to patients with end-stage liver disease, hepatobiliary cancers, metabolic disorders, acute liver failure, and autoimmune liver diseases, careful consideration of the underlying disease, patient characteristics, and transplant-related factors is essential in optimizing outcomes and ensuring long-term success. Through continued research, innovation, and collaboration, clinicians and researchers strive to advance our understanding of this intricate connection and improve the care and outcomes of patients undergoing liver transplant for various diseases.
Let’s know what are approaches taken to Liver transplant
Deceased Donor Liver Transplantation (DDLT) and Living Donor Liver Transplantation (LDLT) are two approaches to liver transplantation, each with its own distinct characteristics and considerations.
Donor Source:
Deceased Donor Liver Transplantation: Deceased Donor Liver Transplantation in Bangalore, the liver is procured from a deceased donor who has been declared brain-dead and has consented to organ donation either during their lifetime or by their family after death.
Living Donor Liver Transplantation: In Living Donor Liver Transplantation, the liver is donated by a living donor, typically a family member or close relative of the recipient. The donor undergoes a thorough evaluation process to assess their suitability for donation, including medical, psychological, and ethical considerations.
Timing of Transplantation:
Deceased Donor Liver Transplantation: The timing of Deceased Donor Liver Transplantation depends on the availability of deceased donor organs, which can vary depending on factors such as organ donation rates, waitlist prioritization, and organ allocation policies.
Living Donor Liver Transplantation: Living Donor Liver Transplantation offers the advantage of scheduling the transplant at a time that is convenient for both the recipient and the donor, minimizing the risk of disease progression and optimizing outcomes for both parties.
Graft Size and Compatibility:
Deceased Donor Liver Transplantation: The size and compatibility of the deceased donor liver may not always match the recipient's requirements, leading to potential mismatches in size or blood type. This can sometimes result in a longer wait time on the transplant waitlist or the need for additional surgical techniques to adapt the donor liver to the recipient's anatomy.
Living Donor Liver Transplantation: Living Donor Liver Transplantation allows for a more tailored approach to graft selection, as the donor liver can be selected based on size, blood type compatibility, and other factors specific to the recipient's needs. This often results in a better match and reduces the risk of graft rejection or complications post-transplant.
Waiting Time and Urgency:
Deceased Donor Liver Transplantation: Due to the limited availability of deceased donor organs, patients awaiting Deceased Donor Liver Transplantation may experience longer wait times on the transplant waitlist, particularly for those with less severe illness or lower priority status.
Living Donor Liver Transplantation: Living Donor Liver Transplantation offers the advantage of shorter waiting times, as the transplant can be scheduled based on the recipient's clinical status and urgency of need. This can be particularly beneficial for patients with rapidly progressive liver disease or acute liver failure who may not have the luxury of waiting for a deceased donor organ.
Risk to Donor:
Deceased Donor Liver Transplantation: There is no risk to the donor in Deceased Donor Liver Transplantation, as the liver is procured from a deceased donor who has already passed away.
Living Donor Liver Transplantation: Living Donor Liver Transplantation carries inherent risks to the living donor, including potential complications related to the surgical procedure, anesthesia, and recovery process. However, advances in surgical techniques and donor selection criteria have significantly reduced the risk of complications for living donors in recent years.
while both Deceased Donor Liver Transplantation and Living Donor Liver Transplantation in Bangalore, offer life-saving options for patients with end-stage liver disease, each approach has its own unique characteristics, considerations, and advantages. The choice between Deceased Donor Liver Transplantation and Living Donor Liver Transplantation depends on various factors, including the recipient's clinical status, urgency of need, compatibility, and availability of suitable donor organs. Ultimately, the goal of liver transplantation is to provide the best possible outcome for the recipient while ensuring the safety and well-being of the donor.
For details get the specialists for the Best Liver Transplant Center in Bangalore
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Liver Transplantation- Reviving Hope
Liver transplantation is a surgical procedure that involves replacing a diseased or damaged liver with a healthy liver from a deceased or living donor. It is considered the most effective treatment for end-stage liver disease and certain liver conditions, offering a chance for survival and improved quality of life. This comprehensive article provides an overview of liver transplantation, including the procedure, common causes necessitating a transplant, treatment options, and symptoms associated with liver disease.
Causes Necessitating a Liver Transplant
Several conditions may require a liver transplant:
1. End-Stage Liver Disease (ESLD): ESLD refers to the final stage of liver disease, where the liver's function is severely compromised. Common causes include chronic hepatitis B or C, alcoholic liver disease, non-alcoholic fatty liver disease (NAFLD), cirrhosis, primary biliary cholangitis (PBC), primary sclerosing cholangitis (PSC), and genetic disorders such as hemochromatosis and Wilson disease.
2. Acute Liver Failure (ALF): ALF is a sudden and severe deterioration of liver function. Causes of ALF can include viral hepatitis, drug-induced liver injury, autoimmune hepatitis, Wilson disease, and acetaminophen overdose.
3. Liver Cancer: Liver transplantation may be considered for patients with hepatocellular carcinoma (HCC) within specific criteria, as the transplant provides an opportunity for tumor removal and improved long-term survival.
Symptoms of Liver Disease
Liver disease can present a variety of symptoms, which may include:
1. Jaundice: Yellowing of the skin and eyes due to the accumulation of bilirubin, a yellow pigment produced by the liver.
2. Fatigue and Weakness: Persistent tiredness, weakness, and reduced energy levels.
3. Ascites: Accumulation of fluid in the abdomen, causing abdominal swelling and discomfort.
4. Weight Loss: Unintentional weight loss, often accompanied by a loss of appetite and malnutrition.
5. Itching: Intense itching of the skin, resulting from the buildup of bile acids.
6. Nausea and Vomiting: Persistent nausea, occasional vomiting, and loss of appetite.
7. Changes in Stool and Urine: Pale, bloody, or tar-colored stool, and dark-colored urine.
8. Abdominal Pain: Pain or discomfort in the upper right abdomen, often accompanied by swelling or tenderness.
Liver Transplant Procedure
1. Pre-Transplant Evaluation:
Patients undergo a comprehensive evaluation to determine their eligibility for a liver transplant. This includes medical history review, physical examination, blood tests, imaging studies, and various assessments to evaluate overall health and the severity of liver disease. Psychological and social evaluations are also conducted.
2. Donor Selection:
Donor selection is a critical step in liver transplantation. Donors can be deceased or living (usually a family member or close friend). Compatibility is determined based on blood type, size compatibility, and overall health of the donor. Cadaveric liver transplantation relies on organ donation from deceased individuals.
3. Surgical Procedure:
The liver transplantation surgery typically takes several hours and is performed under general anesthesia. The diseased liver is removed, and the healthy donor liver is implanted. The blood vessels of the new liver are connected to the recipient's blood vessels, and the bile ducts are attached to ensure proper bile flow. Surgical techniques may vary, including whole liver transplantation or living-donor liver transplantation (LDLT), which involves using a portion of a healthy liver from a living donor.
4. Post-Operative Care:
Post-transplant care is crucial for successful recovery. Close monitoring is performed to ensure proper graft function, early detection of complications, and management of immunosuppression medications to prevent organ rejection. Regular follow-up visits, laboratory tests, and imaging studies are conducted to monitor liver function and overall health.
Treatment of Liver Disease
1. Medications:
Medications play a crucial role in managing liver disease and post-transplant care. They may include antiviral medications for viral hepatitis, immunosuppressants to prevent organ rejection, diuretics to manage fluid retention, and medications to control symptoms and complications such as jaundice, itching, and portal hypertension.
2. Lifestyle Changes:
Lifestyle modifications can significantly impact liver health. These may include abstaining from alcohol consumption, maintaining a healthy weight, adopting a balanced diet, exercising regularly, and avoiding exposure to hepatotoxic substances.
3. Hepatitis Treatment:
Specific antiviral medications are used to manage hepatitis B and C infections, aiming to suppress viral replication and prevent further liver damage. In some cases,successful treatment of hepatitis may eliminate the need for a liver transplant.
4. Palliative Care:
In cases where a liver transplant is not feasible or when the disease is advanced, palliative care focuses on providing relief from symptoms, improving quality of life, and addressing the patient's physical, emotional, and psychological needs.
Liver Transplant Cost in India
The cost of a liver transplant in India is significantly lower compared to many other countries, making it an appealing choice for patients seeking cost-effective treatment options. The average cost of a liver transplant in India is around USD 12000–25000 which includes the surgery, hospital stay, medications, and follow-up care.
Liver transplantation is a life-saving procedure for individuals with end-stage liver disease or other liver conditions. The procedure, combined with appropriate medical management, offers a chance for improved quality of life and long-term survival. Early diagnosis, prompt treatment, and close monitoring of liver disease symptoms are essential for timely intervention and consideration of a liver transplant when necessary. Ongoing research and advancements in transplantation techniques continue to improve outcomes and provide hope for patients with liver disease.
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When the doc's progress note says "continue Q2h lactulose overnight"
#nurse#nursing#registered nurse#rn#nurblr#nurse humor#liver failure#esld#medblr#night shift#noc shift
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So over this crap. #insomnia #esld #sleep #painsomnia #melatonin #circadianrhythm #sickofthis (at Doncaster)
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Natural language processing helps evaluate electronic messages from ESLD patients
http://news.healthtipsblog.net/2019/11/natural-language-processing-helps.html
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Me brain no work
100 days of productivity
Day 2
RS/CVS:
Flecainide is highly arrhythmogenic in structural/ischaemic heart disease. Also like verapakill it's a strong negative inotrope and hence should not be used in HFrEF
Non-provoked DVT-PTE: 6 months of anticoagulation. Provoked, temporary cause of DVT-PTE (recent surgery, immobility, etc): 3 months anticoagulation. Provoked, sustained cause of DVT-PTE: depends on the cause but usu. lifelong.
Dipyridamole can be given lifelong in those who can't tolerate P2Y12 inhibitors
Endocrine/Repro:
Incretinoids (GLP-1as/DPP-4is) can trigger severe pancreatitis and also have to be renally dosed
Riedel thyroidits assoc. with retroperitoneal fibrosis. Also it mimics cancer (hard fixed lump in neck)
MODY: HNF-1a mutation
Renal/Biochem:
Thiazides induce the most pronounced hyponatraemia of most medications, and on top of that they can also cause SIADH
Gastro:
Urea breath test is the investigation of choice to confirm H pylori eradication after therapy
Liver detoxification: phase 1/redox reactions are impaired in early liver disease, but phase 2/conjugation reactions are only impaired in ESLD
Haem/Onc:
Anaemia with disproportionately low MCV for Hb: think spherocytosis and thalassaemia! Can differentiate with MCHC (high in sphero, normal/low in thal) or peripheral smear.
Macrocytic anaemia + normal haematinic parameters = myelodysplastic syndrome
Philadelphia chromosome is a poor prognostic marker in acute leukaemias
Methotrexate's anticancer activity is through inhibition of pyrimidine synthesis (specifically thymidylate: dUMP → dTMP) whereas its DMARD activity is through inhibition of purine synthesis
Alkylating agents are the only chemotherapeutics that can target cells in the G0 phase
When switching oral morphine to subcutaneous morphine, use 1/2 the total daily oral dose; when switching oral morphine to subcutaneous diamorphine, use 1/3rd the total daily oral dose (eg, 60 mg q12h oral MSO4 = 60 mg qDay subQ MSO4 = 40 mg qDay subQ diamorphine)
#studying#studyblr#medblr#medicine#this will be the death of me#mine#long post#100 days of productivity
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Life After Sms Logger Android Free
The Basic Facts of Sms Logger Android Free
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Ok, I Think I Understand Sms Logger, Now Tell Me About Sms Logger Android Free !
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What the In-Crowd Won’t Tell You About Sms Logger Android Free
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No complicated tracking application is important. It also contains a data system, and is both self- closed and self- operated. It offers ways to build the CDR data.
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Autumn
Summertime is hiking and golf season in the Great Pacific Northwest, so much of last week was spent in those activities at the Oregon Coast. I am fortunate that two of my favorite pastimes are safe in the time of COVID 45. I disconnect from the world when I am not working, and I am always amazed at the US approach to COVID when I return to life.
We are so doomed.
But this blog could be considered the ID equivalent of the band on the Titanic, playing while the ship went under. And a one and a two.
The patient has ESLD and is admitted with abdominal pain, fevers, and rigors.
The exam has ascites, rebound and guarding, and parameters from a paracentesis are consistent with SBP.
The ascites cultures are negative, but the blood grows a small gram-negative rod:
Continue reading at http://boards.medscape.com/forums/?128@@.2a8460a6!comment=1
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