#how is pleurisy diagnosed

[adhdstudybitch]

Can disability side of tumblr help me out? Particularly physical and autoimmune-related disabilities.

I got hit with a bunch of symptoms a little over a month ago that none of my care team can figure out. I'm going to list then below, and if you have any ideas for what I could suggest my care team look into, I'd really appreciate it! Disclaimer: I'm not asking to be diagnosed. I'm working closely with my doctors. Please don't reply/reblog with something like "no one here can tell you what this is, you need to see a medical professional." I am. I just want suggestions.

Anyway, list of new symptoms:

Chest tightness/pain (triggered by: standing, bending, walking "too fast," climbing/descending a short flight of stairs)

Shortness of breath (same triggers as above)

More fatigued than usual

Brain fog

Dizziness

Dry cough

Heart palpitations

Anxiety, not triggered by outside situations

Trouble focusing or staying present (even when my adhd meds are at what is typically their most effective time of the day)

This all began after I'd gotten the covid booster. Because of the timing, my doctored looked into, and ruled out, myocarditis and pericarditis, pleurisy, and general lung issues. Doc has now put me on an acid reflux medication for two weeks. I've been on it almost a week and nothing has changed (big surprise, I know). I did some digging, and I want to throw out the possibility of POTS to my doctor. That being said, is there anything else folks think would be a good idea to look into? Again, not asking to be diagnosed, but yall know how doctors are.

Even if you don't have suggestions, pretty please reblog this! Whatever this is has made it very difficult for me to do...well, most physical things. I could really use some suggestions!

[handlebarstiedtothestars]

Apologies for this mental health rant but this is the only social site where my family don’t follow me and I feel like I could burst into flames I’m so angry so I need to get it out somewhere. I guess TW mental health, angry at parents, health stuff. Take care loves and scroll if you need to.

Now where was I - oh yeah -

It’s amazing how much one “well meaning” phone call from a parent can derail your day.

Apparently I’m “low” and “flat” and “I know you and when you’re focusing constantly on your health and staying in bed for weeks that means you’re depressed.”

Um no. Fuck right off. That was me 10 years ago when you were telling me exactly the same shit and it turned out I was genuinely chronically ill and in SEVERE and REAL pain, but you and others gaslit me into thinking it was in my head and made my life a fucking misery. Cheers for that.

So clearly, it won’t occur to you this time, that perhaps my mental health is, yes, a little down BECAUSE I’M SICK. That I spent over 2 weeks in bed not by choice and not because of my mental health but because I AM SICK. NOT THE OTHER WAY AROUND.

I was just coming out of this horrendous virus, JUST starting to piece my head back together from the cabin fever trauma horror of being so ill I was basically bedbound with the exhaustion of coughing and surviving and am still not quite well and have actual diagnosed-by-a-doctor pleurisy - like the lining of my ribs is INFLAMED WHAT MORE DO YOU WANT FROM ME?? Would you believe I was genuinely sick if I’d gone to hospital and wasted their resources just to prove how sick I was??? Is that what you want??

And the sad answer is even then it wouldn’t have been enough. I would’ve been being dramatic and overreacting and it would’ve still “clearly” been stress and depression caused, not literal actual illness.

Fucking parents man. You can be in your 30s and they still see you as the anxious gaslit 17 year old who died a long time ago.

[bansalhospital]

What Are The Common Signs Or Reasons For Pleurisy?

Have you ever experienced scary chest pain that occurs with every breath? This could be a sign of pleurisy, a condition that affects the thin lining of the chest and lungs called the pleura. 

Although pleurisy is often misdiagnosed and misunderstood, it is a common condition. If you seek a high-quality physician, consider contacting Bansal Hospital in Bhopal. Check out our blog to learn more about pleurisy.

What Is Pleurisy?

The pain felt in the thin tissue of the chest wall (pleurisy pain location) that joins both lungs after breathing is referred to as pleurisy. Sharp chest pain that worsens with breathing is the result. 

What Are Pleurisy Causes?

Pleurisy, or a lung infection resulting in inflammation and chest pain, is brought on by bacteria or viruses. Pneumonia can be caused by

Trauma or surgery

Rheumatoid arthritis

Blood clots in the lungs

Lung cancer

Sickle cell disease

Lupus

Pneumonia

Mediterranean fever

Tuberculosis

Fungal infections

What Are Pleurisy Symptoms?

Individuals with pleurisy experience distinct pleurisy symptoms. Some of them are:

Fever

Cough

Sneezing

Coughing

Heavy breathing

Some significant symptoms of Pleurisy are:

1. Pleural Effusion 

Pleural effusion is the medical term for the accumulation of fluid in the lung tissue and a relatively narrow area. The tissue swells when there is a buildup of fluid, but when there is significantly less fluid, there is no swelling. Thus, there is no friction, which causes considerably less pain.

2. Atelectasis 

Excess fluid accumulation can cause lung collapse because it puts more strain on the lungs and makes breathing complex and laborious. As the pulmonary pressure rises, the coughing gets worse.

3. Erythema

Empyema is a disorder where pus forms in the lungs as a result of an excessive buildup of fluid and feverish symptoms.

How Is Pleurisy Diagnosed?

The significant methods to diagnose pleurisy are:

1. Thoracoscopy 

A tiny tube with a camera on it is inserted into the body during a thoracoscopy to examine the condition of the lungs and determine the best course of treatment.

2. Echocardiogram 

The ECG is performed by applying electrode patches to the body to examine the heart's condition and determine that the seat should not be the source of chest pain.

3. Blood Test

The blood test is carried out to determine the parameters and examine any blood infections or signs of autoimmune illnesses.

4. The Fluid Is Tested

A tiny needle extracts the accumulated fluid from the lungs, after which the fluid is examined for signs of infection or pleurisy.

5. Imaging Test

The lungs and heart are examined using an MRI and CT scan to prevent severe repercussions.

How Is Pleurisy Treated?

The pleurisy treatment involves taking over-the-counter medications, such as aspirin, ibuprofen, or anti-inflammatory pharmaceuticals, for momentary relief. The majority of the time, pleurisy symptoms subside on their own with time, but severe cases necessitate medical attention and medication.

Your doctor might advise pleurisy medications such as nonsteroidal anti-inflammatory drugs (NSAIDs) or corticosteroids for your pain. The symptoms and illness of pleurisy can be treated with antifungal and antibiotic drugs.

What Are The Natural Treatments For Pleurisy?

Some primary treatments for Pleurisy are:

1. Tobacco Seeds

The anti-inflammatory effects of caraway seeds lessen the pleurisy symptoms. The natural analgesic properties of caraway assist in alleviating the cold and cough symptoms of pleurisy.

2. Ginger Tea 

Ginger tea has anti-inflammatory properties and can limit the release of prostaglandin, a powerful anti-inflammatory spice.

3. Using Basal Leaves

Basal leaves or Tulsi treat the symptoms of coughing and fever. It is an excellent home remedy for pleurisy.

4. Turmeric Milk

Because of its potent antibacterial and antifungal qualities, turmeric helps to relieve pleurisy and chest congestion by reducing the likelihood of infection in the lungs and throughout the body.

5. Garlic

The anti-inflammatory properties of garlic can help to alleviate the symptoms of pleurisy. In sabji or any other recipe, incorporate 1-2 garlic cloves.

5. Say No To Smoking

Smoking should be put to an end because it can make lung infections worse and make breathing difficult. Smokers need to be aware of the harmful effects of heavy smoking.

When Should You See A Doctor? 

It is recommended that you schedule a consultation with your doctor to discuss your symptoms and obtain an accurate diagnosis. However, certain symptoms may require urgent attention. This could indicate a more serious condition, and receiving prompt medical care is crucial to prevent any potential long-term effects on your well-being.

The Final Say

Understanding the usual pleurisy symptoms and causes is essential for early diagnosis and effective management of this ailment. Regular signs of pleurisy include a severe chest ache that worsens when breathing, coughing, or sneezing. Other symptoms, such as a fever, cough, and shortness of breath, might be used to detect it. 

You can also contact the pulmonary department at the Bansal Hospital in Bhopal for any medical advice or care.

About Bansal Hospital

Bansal Hospital is a multispeciality hospital and is one of the leading, reputable and reliable healthcare providers trusted by patients and their families across the region. It has all the major departments, including cardiology, neurology, oncology, orthopaedics, gastroenterology, urology, liver transplant, bone marrow transplantation, nephrology, gynaecology and more. The hospital is equipped with state-of-the-art facilities and technology. It has a team of highly qualified and experienced doctors and medical staff who provide round-the-clock care to the patient.

Visit Our Website

[derrickwildsun]

I saw that AI bro thread claiming that AI could “help poor people with medical advice,” and this is a profoundly stupid statement to make. We already have a real-life point of comparison: “Doctor Google.” Anyone who has ever googled their symptoms can tell you how much search engines lead them to erroneous and often ridiculous diagnoses; I once felt a sharp pain in my chest when I sneezed, and Google search results told me I had pleurisy (I didn’t). Who would be legally liable if an AI misdiagnosed someone with an ailment?

[b3k1720]

Analysis of Jacob’s, Evie’s and Henry’s trauma before Syndicate

TW: Suicide warning!! Death!! Sickness!!

Throughout Syndicate we don’t get much information on Jacob and Evie’s lives apart from the data entries/diary entries from Rebecca and Evie. But even then we don’t even know much about Henry either as he is outshined by his father Abaaz who was a legendary assassin.

But by reading underworld by Oliver Bowden we get a clearer picture of the trauma Evie, Jacob and Henry have faced from early childhood up until the events of syndicate.

Spoilers ahead, I highly suggest reading the book!

First off the book is mainly based in Henry’s point of view we do however gets a some chapters from Evie’s perspective as well, from a young age Henry was trained by Ethan ( after the death of cecily ) to be an assassin, but after six years went back to England to raise Evie and Jacob. Skipping forward we have Henry failing to kill a target on his first mission therefore being imprisoned even though Ethan did warn his father that he wasn’t fit to kill, he didn’t have what it takes to take a life.

Henry would have been executed by the order if it weren’t for Ethan Frye stepping in and offering exile/banishment as his second option, to come work for him as an undercover agent in London.

When Henry arrives in London Ethan gives him the important task of getting a job as a digger to build London’s first underground railway and spying on Templars who are overseeing the construction ( while looking for a piece of eden ). Within those months of the book Henry Is forced in to life or death situations becoming “the ghost” while also essentially being homeless and doing his best to help the homeless while living in the sewers of London.

Many times he had to go against his nature and personal morals to survive and gather intel for Ethan, even at one point being admitted in to the Templar order!!

Now for Evie’s perspective we get to see the twins as teenagers at age fifteen, six years before the events of Syndicate.

From what information we receive in the brief chapters mentioning Evie and Jacob you can see they live pretty well off in a large house but with no servants as Ethan believes it is against the creed to have them, ergo having a position of power over another person in a way they rely on you and you can manipulate them.

From what I have seen from the conversations between Henry and Ethan, Jacob is very much like his old man! Before reading Underworld I used to have a fixed idea on who Ethan was ( a strict disciplinarian who abandoned his children and was abusive towards his son ) but after reading underworld I now know this just wasn’t the case. Ethan was a charming charismatic man who could definitely joke about but more importantly he was a kind and caring mentor and father who wasn’t afraid to be vulnerable ( he doesn’t show it much ) and stand up for others. As much as Jacob would probably hate to admit it he’s also got these traits from Ethan.

Towards the end of the book a man comes to the house and leaves a message with Evie pertaining a code and saying an apology “ajay said he is sorry and will see him in the next life”

I won’t go in to what the message was or why he left it ( the man was an retired assassin from India who Ethan knew well ) but quickly Evie notifies her father who in turn has both her and Jacob run out of the house with their weapons to go after the man, they chase him, Ethan and the man fight, Ethan gains the upper hand and asks why the man attacked him.

Without answering the question apologised and took his own blade to his throat.

Jacob and Evie witnessed what happened, being only fifteen years old they watched a man kill himself out of shame, this most likely being the first person they’ve ever seen die and definitely not their last, later George jokes about this by saying,

“I suppose on the bright side, it prepares the twins for their blooding”

( aka their first confirmed assassin kill )

At the very end of book we have a time skip to five and a half years after the events of underworld so both Jacob and Evie are in their early twenties.

This part of the book especially broke my heart as we learn the circumstances of Ethans death in great detail.

First becoming sick with the flu then being diagnosed with pleurisy.

Ethan knew he was running out of time… and so did the twins as they watched their father waste away, wishing his suffering to end.

One night after talking both men fell asleep, Ethan in his bed and his friend George in the chair beside him. Mr Westhouse wakes up to find Ethan had passed away in his sleep without his children by his side.

The twins were downstairs awake in the kitchen and they just knew their father died…

It was only a few weeks after he passed away, probably still grieving the Frye twins headed off for London.

Evie, Jacob and Henry have gone through so much trauma in their lives, it’s unfathomable to me how their mental states are during the game, it gives a totally new and heartbreaking perspective to their characters and stories.

I love these characters so much, if we claim to love them without truly knowing their hardships then we are completely ignoring a crucial part of them.

- Thank you

[little-misses-lee]

Assumptions

So people make assumptions, based on what you do or don't tell them, based on what they see, based on your diagnosis regardless of how much they actually know.

People see how you act, how you move, they listen to what you may say, work on the assumption that you would mention all of your symptoms any time you feel them.

When you mention a type of 'headache' condition, they feel they understand, start talking about what works for them, or saying 'I had one of those headaches once'. What they don't realise is people commit suicide every year because of that 'headache'.

So I am going to list my diagnoses, and then list most of the symptoms that I have had in the past few years.

Diagnoses: Episodic Cluster Headache, Chronic Migraine, Temporomandibular Joint Dysfunction, (possible) Trigeminal Neuralgia, Myalgic Encephalomyelitis, Fibromyalgia, Functional Neurological Disorder.

Symptoms:

Chills

Fever

Light Headed/Dizziness

Struggle recalling words

Fainting/Loss of Consciousness

Difficulty Swallowing

Parasthesia

Electric shock type pains in face

Palpitations

Struggle forming sentances

Confusion

Headache (tension)

Nausea/Vomiting

Fatigue

Neck pain

Weakness

Shortness of Breath

Chest pain

Migraines

Sensitivity to sound

Loss of use of a limb

Sore throat

Pleurisy

Shoulder Pain

Tachycardia

Eyelid Tremors

Cold hands and feet

Blurred/Double Vision

Subluxation of Jaw

Back pain: nerves.

Insomnia/Lack of Sleep

Swelling

Muscle Cramps

Hip Pain

Earache

Urticaria

Electric shock type shooting pain in back and legs

Painful glands

Memory Loss

Mottled skin

Fits/Seizures/Convulsions

Regular infections such as common cold, throat infections, chest infections, shingles

Leg Pain

Excessive Sleep

Jaw/dental pain

Blackouts of time and memory

Cluster Headache (very severe focused pain)

Temperature Sensitivity

Struggle Regulating Temperature

Abdominal Pain

Hair loss

Tremors

Back pain: muscular

I am sure there are still some I haven't mentioned.

The point in writing this, was to make people see just how much conditions can impact a persons health and wellbeing. Someone may hear fibromyalgia and just think of some pains, someone may hear M.E and just think 'tiredness', when in reality my conditions cause a multitude of symptoms.

Some days I will say if my symptoms are bothering me, I may tell someone that I am in a lot of pain that day, but I may not tell them that I fainted, or that I have been vomiting or just blacked out and am confused. I don't discuss all my symptoms, sometimes I don't discuss any at all, that does not mean they are not there. It doesnt mean I am having a good day or I am 'better'.

Never make assumptions about how someone is feeling or how things affect them. If you want to know, or want to understand, IF YOU KNOW AND GET ALONG WITH the person, you can politely ask if they mind discussing it or if they mind educating you about it.

If they say no, don't be offended, it's their body and their decision, but often we are happy that someone would want to understand.

So I will leave you with the wise word of Ms Lady Gaga, "Til it happens to you, you don't know how it feels."

[hirvitank]

hey i hope its ok to ask but i saw your post about lupus and i had some questions. 2 years ago i found out i was super anemic and i also got a positive ANA test but i didn't have enough symptoms for it to be concerning at the time..but now i'm experiencing more and more lupus symptoms but mildly. maybe im overthinking but was wondering how your stuff started? was it immediately kind of evident or very very slow? thanks and good luck with all. i hope you are able to get the care you need💛

(Omg I typed a whole-ass long story and then my phone died, AAAAAA! Here’s attempt 2...)

It’s absolutely fine to ask! I’m not too sure if my symptoms progressed slowly or fast, since originally my health declined at 13. Back then I suffered from fatigue, joint pains and depression. I got better at dealing with it through the years, and I honestly don’t know if it could have been early onset Lupus, or just depression.

Either way, my ‘severe’ symptoms started about 9 months ago, after I had probably caught a virus. It started with the frequent swelling of my lymph nodes, vague joints pains, and extreme fatigue. Those symptoms spanned several months, then disappeared. I also started noticing the skin in my face looked weird, and I remember fearing I’d developed rosacea like my dad, or that I was perhaps just getting old and ugly.

When the symptoms returned after a while, they were much more frequent and more severe. I couldn’t use the affected joints, and there were usually multiple affected at a time. Then the breathing issues started. I had pain breathing in, as well as pain all across my chest. I had heart palpitations, my heartbeat was always elevated, and I started having fevers every single day. My inflammations markers were over a 100, and it was then I got referred to an internist.

I tested positive for ANA, and after several examinations it was determined I have inflammatory fluid in both my lungs and heart. I have pleurisy, as well as pericarditis and myocarditis. I urinated blood, and I felt pain in my lower back. I have frequent headaches, brain fog, as well as difficulty concentrating and separating dreams from reality. I often feel dizzy, with a strange static within my skull. I also have frequent sores in my mouth and nose. I was then diagnosed with Lupus by a rheumatologist.

If the disease started at 13, then its development has been very slow. I did have really bad hair loss several years ago, and I have urinated blood without a bladder infection before. If it started at 27, then it’s been an absolute wrecking ball and it has developed very fast in my case. All in all, it’s very serious, and if you recognise any of these symptoms I think it’d be a good thing to try and get a diagnosis. The faster you get one, the better. I already have organ damage, and it’d be great if you could prevent that. I wish you all the best, and I really hope this helped. 💜

[inanawesomewave]

SELF DIAGNOSIS

You can’t diagnose yourself. 

I know it’s really cool right now to see self-diagnosis as a very empowering way to kick against the pricks in government who are stopping you from getting access to an affordable and reasonable psychiatrist, but you can’t diagnose yourself. You have a cough? You can’t diagnose yourself with emphysema, or pulmonary fibrosis, or metastasising cancer of the lungs, or pleurisy, or upper respiratory tract infection, or heart failure, or consumption, or whatever lung related complaint belongs to a fictional character you admire. 

It is impossible to be objective about the self, this much we know. We can think we know ourselves and to some extent we do -- we can largely predict our reactions to things, our relationships to people, our feelings about events, and though there will be moments of outlying behaviour, thoughts and feelings, we can usually understand ourselves enough to know why we did or said something that we did or said. But we can’t know everything, because of COGNITIVE BIASES. This is when our interpretation of something becomes distorted owing to our long-held beliefs that have been formed over our lives because of our unique life experiences and social factors and biological factors that all come together in an idiosyncratic whole, and that whole is you, the person, who nobody else is like. But there are parts of yourself you have no idea about, and that’s totally normal. There’s no sociopath out there who knows everything about themselves and whilst we have a tendency to introspection and self-analysis, doesn’t mean we’re also highly trained psychologists, or that we even have the impossible ability to dissociate to such an intellectual degree that we can sit opposite ourselves, understand ourselves from the outside, apply that knowledge to ourselves, and give ourselves a diagnosis. You can read all the online literature and you can even feel a sense of recognition and identification with the thing you are reading, and once in a blue moon you may even be correct about yourself, but the chances are, you’ll miss some things. 

And psychologists miss things too! That’s why there are self-report scales designed to work out what your intentions are without asking directly, because you may have a bias that confirms how you want to be seen, or how you want to feel about yourself (quick hint: when a psychologist asks you if you get more headaches than the average person, they don’t really care at all about your headaches). Malingering scales exist not to catch people out or humiliate people, but to see if someone’s perception of themselves matches up with what they tell to psychiatrists and psychologists. Personality measuring scales can be anything from a 250 question yes or no self-report, but then that progresses onto a structured clinical interview, a whole history of who you are and what made you, what illnesses are in your family, what formative experiences did or didn’t you have, what age were you when these things happened, who else was in your life, what were your friends like, what did normal look like to you and what does it look like to you now? And psychologists may not even agree. They most likely won’t. Your doctor will ask colleagues, higher-ups, may even write to the person who devised the test for more information. It takes years of schooling to even begin to diagnose a personality disorder, and even then, nobody can really fully agree what a typical personality disorder looks like. There’s no unique formula for sociopathy, you could have two twins raised in the exact same environment, doesn’t mean both or either or neither could become sociopaths. Because it’s hard to diagnose, and you cannot diagnose yourself. 

And you may be friends with antisocials, you may identify with antisocials in your life, you may have a diagnosis already that you don’t agree with, but then what you may find you’re doing is altering the aspects of who you really are to fit into the bias you’ve created with an aspirational diagnosis. If you find yourself vehemently justifying behaviours you feel are not concomitant with ASPD so that they become excusable within the framework of ASPD, then you probably don’t have it. If your attachments in relationships and friendships and otherwise don’t stack up with antisocial attachment styles, then you maybe don’t have it. Yes, even if your manipulative behaviours are manipulative because of reasons that don’t apply to ASPD, then there’s a chance you don’t have it. Because you can’t diagnose yourself. You can’t sit with us. And honestly, why on earth would you want to? 

[heliocharis]

How am I, you ask? Well, in the last week, my coworker has attempted at various times to diagnose me with measles, pleurisy, bronchitis, and the plague

[medicalreference-blog]

New Post has been published on Medical Reference. All of the diseases and ailments of the human body. How to recover from various diseases

New Post has been published on http://bit.ly/2FyCBQ2

Back pain emphysema - the world health org

[tramadolovernightus]

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What is Pleurisy and how to treat it with Tramadol Opioid?

Pleurisy is an inflammation layer that covers the lungs called the pleura.

Therefore, the most common symptom of pleurisy is chest pain while breathing deeply. Or sometimes the pain is also felt in the shoulder like someone is throwing a stone.

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Also, Other symptoms can include shortness of breath and a dry cough.

What causes pleurisy?

Therefore, Such as pneumonia and viral infection as flu are the main causes of pleurisy.

Moreover, in rarer cases, pleurisy happens by conditions. Such as blocking the flow of blood into the lungs or lung cancer.

However, pleurisy can affect people of all ages. But people above 65 years are most at risk because they're more likely to develop a chest infection.

Besides, the pleura are two thin sheets of tissue that separate the lungs and ribcage. One is a link to the ribcage and the other is a link to the lungs.

Alongside, Between the pleural sheets is a thin layer of liquid. That lube the pleura, helping to reduce friction when you breathe in and out.

Although, When there's inflammation. The surfaces of the two layers become rough.

This can cause the layers to rub together, the conclusion is pain and discomfort.

Furthermore, If you have an infection with a germ. Take painkillers regularly until the pain eases. Your doctor may prescribe stronger painkillers if the pain is serious.

What are the symptoms of pleurisy?

The most characteristic symptom of pleurisy is a sharp pain in the chest or shoulder. Hence, Some people report aching or burning pain.

The pain can get worse when the person is:

breathing deeply

coughing

sneezing

moving their chest or trunk

What is the Diagnosing of pleurisy?

Your doctor will discuss your symptoms with you. To examine your condition. Furthermore, Doctors use chest x-rays or CT scans to look at your pleura, lungs, and chest area.

just in case of any other conditions that have symptoms similar to pleurisy.

However, they may also do a blood test to check your white and red blood cell counts. indicating whether you have an infection.

Lastly, your doctor may remove some of the fluid from your pleura with a needle for testing.

What is the treatment of pleurisy?

However, the best treatment for treating pleurisy is taking a Tramadol opioid. However, we all are already aware of that, Tramadol is a strong painkiller.

Thus, which helps to reduce your pain. Also, manage your physical and mental health to handle this pain.

Alongside, this medicine you can manage your pleurisy chest pain. Thus, this medicine tramadol can help you reduce your chest pain.

Also, and make you assure that you would not get any problem while coughing.

Moreover, this opioid is a pain management opioid. It makes you feel relief from your pain.

And, this medicine also helps you to distract your mind that can move you to feel from messages.

Conclusion:

Besides, Pleuritis is caused by viral or bacterial infections. The coronavirus is a viral infection of the lungs. That can cause pneumonia and another bacterial infection in your lungs.

Moreover, It's important to get medical care if you think you have pleurisy. Making sure the cause is a viral infection, and get treatment from a doctor. Moreover, untreated pleurisy can lead to serious complications

References:

https://www.nhsinform.scot/illnesses-and-conditions/lungs-and-airways/pleurisy#causes-of-pleurisy

https://www.nhsinform.scot/illnesses-and-conditions/lungs-and-airways/pleurisy#:~:text=Pleurisy%20is%20inflammation%20of%20the,chest%20pain%20when%20breathing%20deeply

https://www.medicalnewstoday.com/articles/158813#symptoms

https://www.medicinenet.com/is_covid-19_one_of_the_causes_of_pleurisy/article.htm

https://www.aafp.org/afp/2017/0901/p306.html#:~:text=after%20initial%20treatment.-,Pleuritic%20chest%20pain%20is%20characterized%20by%20sudden%20and%20intense%20sharp,to%20the%20neck%20or%20shoulder.

[asryakino]

Fucking ignore this

When I was about fourteen, I began having these incidents. Where I would be laying in bed, scrolling through the internet and my heart would suddenly start going nuts. My chest would hurt, I couldn’t breathe, my skin would get clammy and I’d get sweaty. The incident would last about ten minutes, and things would calm down...

After the first few, I told my mother, who took me to the doctor. A new pediatrician took over my file from my old and immediately declared the incidents were panic attacks. My mother suggested it might be related to the asthma I had been diagnosed with as a baby, and the doctor announced that no, it absolutely was NOT asthma, it was PANIC ATTACKS and she had EXACTLY the medicine for that. Where I would have developed asthma she had no idea. All those doctors from years past had no idea what a PANIC ATTACK looked like and she knew. I didn’t have words to ask if it was my heart. I was 14, I had been getting my period, I was scared of the world, I hated everything and I couldn’t breathe right or play because I was allergic to pretty much everything in the world. Why would I know how to ask someone to look at my heart? She demanded we go to a therapist and be diagnosed for my OBVIOUS anxiety and panic attacks, and she refused, outright to look for any other solution. So we went ot hte therapist I had been going to since I was 8... and he wrote a not-so-kind letter back to the doctor requesting she kindly not diagnose his long time patients with conditions they did not have, and to look for a PHYSICAL reason as she was NOT a psychology doctor she was a physical doctor and to kindly stay in her lane in the future and take a look for a medical reason for these incidents.

The incidents continued, after being told off by the psychologist, she reluctantly admitted the incidents COULD possibly be asthma, and I just needed to take my asthma medication when they happened.

Except, I had been. the medication made them worse, and I would end up shakey, disorientated, and uncomfortable because my heart would thud in my ears.

Side effects of the asthma medication, you’re having asthma attacks. You have asthma, so it’s nothing but that.

I learned to hate my asthma medication. It made my chest hurt worse, I could breathe, but my head would pound I felt like the world was caving in around me, I was paranoid (I didn’t know the word) and jittery...

The incidents continued. Every doctor would take a look at my medical history and announce it was asthma.

Not one ever looked at my heart.

The incidents get worse under stress, physical or mental. Most times I won’t be doing anything though. I’ll get excited, and happy... and it’ll happen. I’ll be mostly calm and see something that makes me superbly happy... it happens. When I get stressed my heart feels like it’ll jump from my chest, like it’s beating against my ribs and I feel choked. My lungs tighten up, my blood rushes and pounds in my ears, and my body goes clammy and cold and then I begin coughing and choking because there isn’t enough air. I black out sometimes, because there’s no air. It turns into an asthma attack. I take my inhaler. I can breathe, but the thudding heart remains, the headaches change, but stay, my skin doesn’t get warm, and I shake.

Every medical professional declared the same thing. It’s just your asthma. You don’t have anything else wrong with you. It’s allergies and asthma. When I got older, I got overweight. Now the diagnosis is that I’m too fat. I need to lose weight, and everything else is nothing but asthma. You have asthma, so that must be it.

I learned control. When the incidents begin, I stop, I control my breathing, I close my eyes. I force my breathing to go a certain way so the muscles push against my heart and force it to stop beating so hard. I breathe, I take deep breathes and concentrate on which parts of my lungs to inflate most, to squeeze my heart for seconds at a time, to make it stop feeling as if it’ll burst out of my chest. I flex my pec muscles to squeeze everything down, I rotate my shoulders to align my ribs so I can push against my own chest and stop my flighty organs from going haywire.

I got electorcated at work, twice in the same day. My boss was forced by OSHA to take me to the hospital. He dropped me off at the ER door and drove away. The ER nurses declared I hadn’t been electorcated, because they couldn’t find K in my blood. By the time OSHA forced my boss to take me to the ER, it had been nearly an hour, my back was locked up, and I had felt the electricity go through my heart. The ER said my heart was fine, my lungs were clear. But I had asthma, so breathe this nebulizer. The chest pains were nothing but asthma.

My dad pushed a factory job on me, the stress of being on the assembly line caused it again, I passed out that time. I whited out. I was fine and looked away from the line, but everything wouldn’t stop moving and I couldn’t concentrate on my method for stopping it. My dad insisted it was dehydration and undernourished. The doctor said it was asthma. We paid 200$ for the doctor to ignore my pleas to check my heart. Something was -wrong- would they please just LOOK at my heart... something was WRONG. You have asthma, this was nothing but an asthma attack. You need to keep your inhaler on you and take it. That’s all.

I’ve had “walking pneumonia”, and I’ve had lower pneumonia. I’ve had pleurisy... I’ve had lots of respiratory illnesses over the years. My mother, father, grandparents, great grandparents, several uncles and aunts, and even great aunts and uncles have all had heart issues. My mother has 3/4 of a heart, one chamber doesn’t beat properly, particularly when she gets stressed.

My father’s had two bypass surgeries already.

I continue to have incidents. And I’ve been sick for over a year, never -really- getting better. Only a week or two of good days.

My lungs feel like when you try to blow a balloon up underwater, and when I do get air in them, it feels like there’s only half as much as there should be.

I saw a doctor about 6 weeks ago, he heard me coughing. It was bad, a hard barking cough that threatened to make me pass out again. I’ve had it on and off for a year. If I laugh too much now, I start coughing and then I have an incident.

I told him that.  I told him I’ve been sick for a while, but can’t do anything about it, I told him my chest hurts, if I laugh or get stressed I start coughing, and I told him sometimes I’ll just get excited and my heart will start going weird and wild, then I start coughing.

“Have you been tested for asthma, that breathing problem sounds like asthma”

“I’ve had asthma since I was a baby.”

“Oh well there you go, it’s just asthma attacks.”

Now. Covid-19 is around, everyone is going off. “You should get that checked out, it sounds bad.”

“You should go to the doctor”

“You should get ot the hospital”

Why?

all they are ever going to tell me is that I have asthma. Because after 36 years of very distinctively different feelings when I have an asthma attack and ~an incident~ and now this sickness. I clearly don’t know what my own asthma attacks feel like. But every fucking doctor out there will know it in thirty seconds from looking at my health records.

I’m fat. I have asthma.

They will never check to see why asthma meds don’t help. They will never check my heart. They will never test me for a virus. They will never test me for pneumonia, or flu, or anything else.

I have to INSIST for a strep test when I get strep because:

“You have asthma”

“It’s just an asthma attack”

“Take your inhaler”

If I go to the doctor I pay for the privilege of being told, for the millionth time, that I have asthma.

Because if it was ever anything else, they would have to do actual work.

I have NEVER had a stress test, I have only ever had one EKG (when I was electrocuted) and since becoming an adult I haven’t had a single chest xray.

[thepoliticalpatient]

CIPO awareness

Seems like every day I learn about the new ways in which fellow patients are suffering. It always provides a healthy dose of perspective.

I just learned about this condition, CIPO (Chronic Intestinal Pseudo Obstruction) today. What happened was that I stumbled onto a link to this article at crohnsdisease.com and was struck by how similar this woman’s experience with Crohn’s disease was to mine. Other than the fact that she had her colon removed on an emergency basis and a brief mention of a motility disease, our experiences seemed so similar that I could almost have written this article myself.

I then clicked into her website/blog, which is called @inflamed-and-untamed. Here I quickly learned that this woman - her name is Sara - is living an actual nightmare due to her other condition, CIPO.

What I have gathered about this condition is that, for various reasons, patients with CIPO do not have peristalsis, the motions in the intestines that move food and waste along. This means that they cannot eat, as whatever they consume will just sit inside of them indefinitely. Sara is on TPN (IV nutrition) full time. I’ve been through 2 months of TPN, and even that short period was miserable because 1.) not eating, obviously, sucks ass and 2.) for me, those two months ended in a sepsis infection in my IV site that nearly killed me.

Even more horrifyingly, CIPO produces the symptoms of a bowel obstruction in its patients 24/7. They essentially are always obstructed, since food, fluids, and gas don’t move through them - they just lack the mechanical explanation for an obstruction such as scar tissue wrapped around the intestines that tends to be the culprit for obstructions in patients without CIPO.

My heart aches just imagining this. I have had 4 small bowel obstructions caused by scar tissue in my abdominal cavity. The first time it happened, I didn’t know what was happening and thought I just had a really bad stomach ache. As a result, I waited an entire day before going to the emergency room, and then I had to wait awhile for treatment at the ER, and by the time I got seen, I was in so much pain that I was writhing and making whining noises involuntarily just to cope. It was horrible, the worst pain I have ever experienced by miles, much worse than passing kidney stones, or having sepsis, or having pleurisy, or having IBD cramps, or any of the other very painful things I’ve been through. Even intravenously administered morphine did not mask this pain.

Patients with CIPO can have the symptoms of obstruction 24/7. While for most of us an obstruction is an acute episode in which you go to the emergency room, you receive treatment to alleviate the blockage at its source, and you go home feeling much better a few days later - which is itself a traumatic experience - these patients have this pain all of the time with very little hope of ever having it go away.

Worse, because CIPO is a very rare condition, it does not have many treatment options. Nobody seems to be researching it, very few doctors know what it is or have ever met a patient who has it, and it can be a struggle to get diagnosed in the first place.

I’m having trouble focusing or even breathing today after learning that this is a life that some people in this world have to live. My heart aches for Sara and others like her. Please consider spending some time today reading about CIPO and becoming aware of this little-known disease. I highly recommend visiting Sara’s site, Inflamed and Untamed, and reading her own words about her life and her experiences with CIPO and Crohn’s. Also, please let me know if you find any resource where one can donate to support CIPO patients or research. I was unable to find anything.

[erikunmasked]

The Long Literary Haul

I suppose its time to vent about the subject that I probably keep the most closed off. I'm not afraid to discuss many things, from sexual health and gender identity all the way to masculinity and emotional barriers... and I pride myself in that. When it comes to my own illnesses, however, it becomes very uncomfortable for me.

I grew up in a single parent house. My mom busted her ass as a machinist, house cleaner, you name it all to keep us going. When she was diagnosed with Lupus, she kept working until she felt she couldn't anymore. (In her forties was her diagnosis timeframe) For my diagnosis, I had just returned to college that September. Had a relatively new job. Was cast in my first male role of any consequence. I had been having trouble breathing, had back pain and was generally just feeling sick. Eventually, I knew I had to at least go to the doctor. They sent me straight to the ER where I was immediately admitted. I had double lung pneumonia and pleurisy, quarantined to a room for 8 days. I wasn't getting better. I had huge red patches on my legs. My temperature was 104s. I didn't want to eat anything. I was quite literally dying. They finally gave me the diagnosis of Lupus, Rheumatoid Arthritis and Sjogrens. I was only 23. Being the person that I am, all I wanted to do was get back to rehearsals. So after I was discharged I went home, slept for 24 hours and went right back to college. That sets up the scene for how I am.

Flash forward to now, almost 10 years later. I'm on an injectable low dose chemo medicine called methotrexate, which isn't doing enough for me. The next step is infusion therapy. I've been putting it off for about 2 years for a variety of reasons.

I'm hurting.

The way we Lupies best describe our condition is to imagine you have the flu. That run down, exhausted, ache in your bones, feverish stuff we all know and loathe. Now picture being told that's a good day for the rest of your life. That's this autoimmune disorder. I consider myself lucky in that my RA is more active than my Lupus. I'm not currently showing organ damage, which is what tends to happen. (Kidneys are usually the first) But I feel like I'm 80 most days. There is always something bugging me. Tendonitis, stiffness, movement/flexibility pain... you name it. Its exhausting.

It compounds when I factor in having Raynaud's (which is a circulation problem in your extremities), IBS and panic disorder. I never know what I'm going to get on any given day. The panic is the newest and something that has mangled my life. I'm far better than I was when Celexa first brought on the start of my panic cycles (I had a very rare reaction to it that essentially brought on PD where I'd never had it before in my life) but I still deal with dizziness, shortness of breath, vision disturbances and disassociation at random.

I've gotten really...autobiography here, but I feel like it needs stated for backstory.

Where I'm at now with trying to heal mentally and make my life better is...I don't know how. I am overwhelmingly stuck. For the past 6 months or so, I feel myself getting worse. My lupus butterfly rash looks like a sunburn on my face constantly now. I'm having new symptoms I've never had before (like mouth ulcers) and just....generally feel myself slipping. I power through every day because I know its what I have to do. I cannot afford to live off what disability would offer. I help my mom pay for her house. But I'm tired. Its something that doesn't get better with sleep. (A fun fact of Lupus is that sleep is not restorative like in healthy people. I recharge probably 25% to someone else's 100%) I mentioned my mom in the first part because as loving and amazing as she is, she always compares my journey to hers. She uses her experience to tell me why I'm not doing enough. That its not enough. That I'm essentially letting her down. I've told her so many times that its hurtful and unfair. I can't get it to stick. I'm thankful her illness is not as severe as mine. She has enough other shit on her plate. But when I am entirely honest with myself about how I feel daily... I'm terrified to keep living. I don't want to be that old man gnarled over his walker in agony. To need to be in assisted living. I couldn't even afford that anyhow. I don't have kids or a partner. Who will look out for me? I'm already getting forgetful. I'm so behind on some medication plans because I simply cannot remember to take them. I forget to change laundry over when its in the same room as me. It is scary stuff that I just push out of my head and wall off. My anxiety makes me terrified to die and my body makes me not want to live. Its a vicious mingling in my soul. Maybe that's why my emotions have shut so far down. I live now to make sure my mom is taken care of in her golden years, because she did it so selflessly for my grandparents. What after? What purpose, to what end, for me?

I don't expect to feel healthy and "normal" again. I just want some hope. I'm just not sure where to find it. I'll keep looking for as long as I am able, though. Keep working until you cannot.

[theresidentnews]

LOS ANGELES – Amy Holden Jones isn’t exactly a household name in Western New York.

But the 1971 Buffalo Seminary graduate’s medical series set in Atlanta, “The Resident,” has entered more WNY households than any other Fox scripted drama series this season.

“Really, I did not know that,” Jones said at a Fox party last month.

The success of "The Resident" here is understandable since Buffalo loves hospital shows. ABC’s “The Good Doctor” and “Grey’s Anatomy,” and NBC’s “New Amsterdam” and “Chicago Med” are among the most-watched programs here.

“Of course, it has a lot of hospitals, right,” Jones said.

Jones co-created the Monday series starring Matt Czuchry (“The Good Wife”), Emily VanCamp (“Everwood”) and Bruce Greenwood that focuses on the good and bad practices in medicine.

Her medical expertise is partly the product of being the daughter of a late Roswell Park cancer researcher, Dr. Ralph Jones.

Jones also credits Buffalo Seminary – her best friend there was Lauren Belfer (“City of Lights”) and they keep in touch – with having an influential impact on her life.

“Buffalo Seminary was a fantastic place for me,” Jones said. “It was almost a salvation for me. It was very good for me to go to an all-girls school and in that era – the 70s – it was really hard for women. ... It provided a world we could run and control.”

She was the photography editor of the yearbook, the head of the court of conduct and vice president of the student council.

“We did a lot of stuff that was very empowering,” she said. “I still feel very attached to some of the people at the Seminary.”

Missed diagnosis

The missed diagnosis of her own back problems more than 15 years ago also had a big influence on her writing medical shows. She said her internist sent her to physical therapy. After six months, the pain got so bad she couldn’t lean back. She headed to Google, read there was no such thing as mid-back pain, had an X-ray taken that revealed there was nothing wrong with her back and sought another opinion from “a great diagnostician.”

“He quickly figured out I had pleurisy – which is an infection of the lining of the lung, which is very painful – that caused back pain,” she explained. “Following that, I became interested in how common missed diagnosis is. The realization all the first doctor had to do was listen to my lungs, but doctors don’t do much anymore besides write a prescription and send you to a specialist.”

She read several books about medicine that emphasized the field is driven more and more by expensive tests rather than face-to-face time.

“My father had always said diagnosis comes from the physical exam and taking a very careful history with the patients,” she said.

She concluded that if her first doctor had asked, she would have told him she just had a bad flu and he might have realized it lingered in the form of an infection of the lining in the lung.

A successful screenwriter with a resume that includes “Mystic Pizza,” “Indecent Proposal” and “Beethoven” (one of her favorites), Jones decided she wanted to write a medical series around 2003 when the film business was changing, and television was becoming more interesting.

She was asked if she’d like to write a show in one of the four most popular TV genres – a detective show, a cop show, a medical show or a lawyer show.

“I said I’d like to write a medical detective show,” Jones said. “It was because my father had a floor at Roswell Park with other doctors as they did cancer research. He was a very good diagnostician. … He dealt with people who nobody could find a diagnosis, which is more common than people realize.”

Breaking through

Her first TV pilot was called “The 17th Floor,” a floor designed to diagnose impossible diseases. She said she sold it to CBS, which didn’t want to make it, but wouldn’t let it go to NBC when it tried to buy it.

When the medical drama “House” premiered in 2004 with a similar concept, Jones said her show became obsolete.

She learned some lessons in the process of her medical show being declared dead.

“The game of getting a show on the air is heavily rigged in favor of people who already have shows on the air,” she said. “They know those people can deliver. There is a male-female quality to it, too. At least there was at that time period. Very few shows were created by women on the major networks. So I kept fighting that fight.”

She wrote a medical series in 2008, “HMS,” about Harvard Medical School for the CW that didn’t make it past the pilot stage.

“They picked up a different pilot that did not test well that was about cheerleaders,” she lamented.

She did get a 2014 ABC summer series, “Black Box,” on the air about a brain doctor who was bipolar that was “somewhat inspired by stuff related to my father.”

“My father was bipolar and it was controlled with lithium very well,” she explained. “I think people didn’t realize bipolar is a very treatable form of mental illness.”

'The Resident'

“The Resident” came about after a representative of film director Antoine Fuqua (“Training Day,” “The Equalizer”) called and said Fuqua wanted to do a show about a big city hospital “where there are things that go bad as well as things that go well.”

Jones’ response: “I’m the person for you.”

She sold the concept for “The Resident” to Showtime, but the pay-cable network passed. The show was immediately picked up by Fox.

“It has evolved somewhat since the pilot to be much more – it was originally about the young residents who were trying to change medicine and the good doctors trying to make it better,” Jones said. “I’m very aware of how many wonderful physicians there are who want this situation to change.”

A big story line over the first season involved the reluctance of Greenwood’s character to admit his surgical skills were declining while Czuchry’s character felt Greenwood’s character was jeopardizing the lives of patients.

“This year’s second season became much more about the corruption of money in medicine,” Jones said. “The first season was more about this problem that does exist … there are very bad doctors out there and there is almost nothing to stop them, which is kind of ridiculous.”

“Bruce’s character was not unremitting evil, but he was bad,” Jones said. “He is still bad, but not quite as bad as he was. Now he is more money driven. We made him the chief executive officer to make it more about the money, which is a much bigger problem than individually bad doctors. Those are more rare, though they do exist.”

Buffalo memories

Jones has lived in Los Angeles for 35 years, having met her husband, cinematographer Michael Chapman, when they were both working on Martin Scorsese’s “Taxi Driver.”

She remains a big fan of Buffalo, having moved here when she was 11 years old and living on Cleveland Avenue in the city.

“I think it is one of those cities that I would personally love to live now,” Jones said. “It doesn’t have an over-the-top population, but has an out-sized arts scene, university scene, symphony, art gallery, music. Everything happening without being an overwhelming size.’”

Is there any chance she’d throw something in a script about Buffalo?

“I certainly can try,” Jones said. “We are about to do a snowed-in episode. I could probably mention, ‘What is this, Buffalo?’”

That probably would be greeted as happily as back pain.

[oneandonehalf]

Day 27: It Wasn't A Pinched Nerve

After waking at 4:30am with bad chest pains and an inability to take a deep breath without very painful consequences, after a morning in Urgent Care, followed by an afternoon in the hospital to rule out a blood clot in my lungs, I've been diagnosed with Pleurisy, which is an inflammation of the membranes on my plural cavity. Essentially, my lungs are rubbing against my inflamed lung cases and it feels like someone is stabbing me in the chest when I take a deep breath, and like someone is sitting on my chest when I'm just sitting here being alive. Apparently the cure for this is NSAIDs and rest. Right now it means a lot of pain and a complete inability to exert myself in any real way. I'm gonna lay low for a couple of days and hope to recover, but this may spell the end of my travels for the moment. I'm feeling sad, but most of that is being in pain and alone and nearly 3,000 miles from everyone I love and who might take care of me if I were with them. Then again, part of the point of this trip was to be able to handle the hard shit on my own, and I'm pretty sure I did that today. When they told me I needed to go to the hospital, that I could have a pulmonary embolism from the hiking I did in high altitudes, I didn't panic. I ovaried up, took my broken self to the hospital, and made sure to joke with all the staff to get the best possible care. I didn't cry, or get down on myself, or get full of self-pity because I was alone. I just went about my business. I'm not gonna lie, I cried a little afterward, but to be fair I really hadn't eaten all day and I was exhausted and in pain. So that's where I stand right now. Tomorrow I'll lay low in my Airbnb in nowheresville, which at least has a sweet full soaker tub. Friday I move onto my 'splurge' hotel, which is a Holiday Inn with a pool. I'll see how I'm feeling from there, and start to make decisions. I know I've said it a lot, but thank you to all of you who have kept up with me. It's been really fun knowing that there are people out there who have been living vicariously through me. I hope I can continue to be your vassal.