#is because he still suffers from chronic pain due to the multiple organ failures he went through as a baby | Explore Tumblr posts and blogs

piasservicedogfund · 4 years ago

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Dear Ellen,

I hope all is well with you!

I know you are busy but I wanted to take a moment to try and share my story with you - as I have said before on this blog, I know there are causes more worthy than mine but I think my story is important nonetheless because I’m sure there are many women other who have a similar story. So here I go...just to give you a quick idea of who I am, my name is Pia and I am a 28 year old German / American citizen who lives in a tiny German village on my own (well not completely, I do have a 10 year old rescue pug named Benny & a 19 year old rescue persian named Emerald Anastasia von Cuddlesworth - aka Aunna or Aunna Banana). I grew up a military brat and don’t really have a home town, I was born in Lebanon, TN but didn’t stay there long -- in fact, I’ve never lived anywhere longer than four years so I don’t really have a ‘home town’. My family and friends are spread out around the world, with my closest relatives being an hour and a half away and my parents being at least two flights away in Gallup, NM. I originally started this blog only as a fundraiser for a service dog to help me with my newly diagnosed auto immune disorder but as time has gone on I hope to have it serve a higher purpose as well; I want to raise awareness for a couple of things...

1. I want to help spread the word about the rare auto immune disorder that I was diagnosed with (more on that below) so that others who might be suffering with this disorder can get answers too. I also want to talk about life with an invisible disability / chronic pain or chronic illness. So many people suffer silently or face back lash when dealing with something that others can’t see. It’s time to end the stigma against invisible chronic illness / chronic pain. Just because you cannot see it doesn’t mean it isn’t there - we must all remember to be kind for “everyone we meet is fighting a hard battle”. 2. I am also a domestic abuse survivor and I want to let anyone else who is stuck in an abusive relationship (whether it is verbal abuse and manipulation, physical abuse, or both) know that no matter what life throws at you - you deserve to love yourself, to protect yourself and to fight for yourself... 3. I want to talk about Gender (and other) Bias in medicine because it is a VERY real issue that needs to be addressed! So here is a little more of my story... On June 5th 2020, after 2+ years of searching for an answer as to why I was sick and in pain all the time, I was finally diagnosed with a rare auto immune disorder called ANCA Vasculitis, or antineutrophil cytoplasmic antibody-associated vasculitis. ANCA Vasculitis is the name of a group of autoimmune conditions characterized by the inflammation of the blood vessels caused by the immune system mistakenly attacking them. There are several types of ANCA vasculitis and the exact cause (genetic / environmental / etc) is unknown, so patients diagnosed with ANCA vasculitis may display varied symptoms. The disease affects about 1 in 50,000 people. Due to the generic symptoms many of us have (chronic pain, sore throat, cough, cold and flu like symptoms, headaches, etc.) this disorder is often over looked. Many people don’t receive a diagnosis until something major has happened (organ failure for example). This disorder can be deadly if left untreated and too many women (and men) have symptoms like the above brushed off...especially if they have a history of mental illness or are dealing with a lot of stress as I was;

I first started searching for answers to my growing health concerns in 2018. I had just moved from Germany to Scotland to start my life over - I was finally leaving my abusive spouse with the help of my amazing parents - I had my first “grown up” job with Hilton Corporate and was going to work and get my Masters Degree (I have a BA in Anthropology and was hoping to get my MSc in Animal Welfare Science, Ethics & Law at the University of Glasgow or at the University of Edinburgh). I was so excited to start over! So excited that I may have pushed the trauma and emotional scarring of my abusive marriage down for the first few months I was there and everything was peachy. Of course, those moments of bliss could not last forever. Still, I was settled in a new country (which BTW I had never even been to Glasgow prior to moving there) and I felt relatively safe for the first time in over a year - here my spouse could not find me or hurt me. I began seeing a therapist to help me unpack the trauma of my past. Of course, I was worried what people would think - as I’m sure you can imagine my spouse’s version of why we were getting a divorce was very different from mine so I tried to keep everything as quiet as possible. I didn’t want to deal with any backlash because, in his eyes, as always, everything was my fault. It wasn’t the fact that he had wanted to kill me at one point - nooo that certainly wasn’t why I was leaving (sarcasm) - In his eyes it was because I wanted an older man or because I just wasn’t willing to try to fix things...(even though I was the one who had suggested marriage counseling in the first place). It wasn’t the fact that he’d isolated me or cut me off from our finances. No, nothing was ever his fault... Even now, when I no longer have contact with him or his family I am afraid... This is the first time I have openly spoken about our marriage and divorce and as I have begun to tell my story I’m terrified that he’ll try to contact me or that I will receive backlash from him or his family (I am sure many of them would take his side and call me a liar...). I am speaking out now for two reasons - the first was because I only think it is fair and right to be completely honest about who I am and how I ended up where I am now if I’m going to be asking my family and friends for financial assistance and two because I want to help others who are or were victims of abuse. When I finally came out with my story a friend contacted me and told me she had been through the same type of situation with her spouse and it was a really lovely moment - we’d both been suffering in silence for fear of back lash but had now found each other. Anyway, back to the matter at hand... The first symptom I had was pain, chronic pain all over my body. My back, legs, arms, knees, ankles, feet, wrists, you name it - it hurt - and it kept getting worse and worse. I was having to take pain killers every day just to get to work and come home. I was extremely tired, no matter how many hours of sleep I got (6, 8, 10...) I was always tired. Then I started having headaches that would last for hours, then for days, then for weeks. I started to feel like I had a cold (on good days) or the flu (on bad days). My throat was sore, my voice was hoarse, I was congested and then I started having night sweats or trouble controlling my temperature (freezing even though the heat was on and the electric fire place was going). When I spoke to my doctors about my concerns it was written off as stress, depression, or anxiety. Whenever someone in the office I worked in got sick (you know how it goes around in an office environment) I would get sick too... my co workers would feel unwell for a few days, I would feel unwell for weeks. I then got strep throat but the doctors said I’d be fine with a few days rest. A few days went by and it turned into bacterial tonsillitis. I had to have multiple rounds of antibiotics. Then I had a stomach infection that lasted for over a month, a cough that lasted for months (November 2018 - March 2019). At one point I was coughing so hard I thought I would pass out. I coughed till I puked. I coughed till I pulled a muscle. My blood work kept showing elevated levels of inflammation / signs of an infection but since doctors didn’t know why they told me it was probably just fibromyalgia (something which shouldnt’ be diagnosed until all other possible causes have been ruled out). The rheumatologist in Scotland said there was no cure but I could do yoga, meditate, and maybe take an anti depressant... I felt like I was dying - I didn’t understand how I could feel so sick and no one seemed to take me seriously or care. A year and a half later (June 2019) I decided to move back to Germany - Brexit was looming and I just wasn’t happy in Glasgow anymore. Everyday was a struggle, my bus commute to and from work often took an hour and would leave me in so much pain I could barely get up off the couch at the end of the day. Plus work was not happy with all of the sick days I’d had to take. Keeping in mind that I felt sick everyday and I only took sick days when I had a high fever or wasn’t able to talk or walk. My parents lived in Germany at the time so I found a job where I could work at home in Germany and moved back in hopes of finding answers. A few months after moving back to Germany my parents sadly had to go to the US so I was once again alone in a new area. In November 2019 my cough returned and I was sick again with an unexplained “upper respiratory infection”. Once again I was put on multiple rounds of antibiotics which didn’t help - To make things worse I am allergic to almost all cough syrup and since I was working in a call center I was off work sick. The cough lasted till mid January this time and I lost my job. Work “understood” that I was going through a tough time and “felt horrible” for letting me go - they said I could reapply when I was “healthy”... and to top things off, my emotional support animal of 8 years, my baby girl Biene (a 11 year old Australian Cattle dog), my rock and constant companion, was then diagnosed with cancer and passed in December of 2019. I have to admit that these have been some of the hardest moments of my life... I have felt like such a failure and disappointment. I was an adult, I was supposed to be married and adopting kids (I’ve never wanted biological children due to my health issues), I was supposed to be getting my masters degree and leading a successful career, I wanted to travel and I wanted to be a source of positivity and happiness in the world... but instead I was broke, alone, grieving, depressed, anxious, and continuously sick... I have had to rely on my parents financially and have felt like a burden...I wanted to give up...but I kept fighting. Life gives us new reasons to keep living. I had a few great moments, I was blessed with a few opportunities for travel and have enjoyed those moments. I have great friends and family who continued to support me and who told me I was not a burden on their lives, so I kept fighting. I felt like my new German doctor wasn’t taking me seriously and once again was chalking everything up to stress and then later to grief (over losing my dog). So I found a new doctor a little further away and she listened to me - for the first time in a long time I felt like I had seen a doctor who actually cared. She helped me get in with a rheumatologist and she advocated for me. She agreed that my blood work constantly showing elevated levels of inflammation / infection - for over a 2 year period - along with me constantly feeling unwell wasn’t something to just be ignored but was an important symptom. While she had no idea what was wrong with me she was determined to help me find answers. In May I finally went and saw the rheumatologist - at first I thought all hope was lost, in our very first meeting she said to me “ I don’t think there is anything wrong with you”. She had barely looked at my paperwork and had barely listened to my symptoms. They sounded too generic for her...she didn’t think ti could be anything “rheumatic”... I was so young... It was probably stress... I’d heard it all before; but still she did her job, she ran the tests and a month later I was suddenly called back in for another appointment. My blood work showed what I had known all along - that I was sick - that I needed help and she admitted that she’d been wrong. It’s only been 12 days since I was finally diagnosed but its been a roller coaster of emotions for me - relief and validation - fear and anger and sadness... my life has so not gone to plan. I have struggled with depression and anxiety since I was 12 and the added stresses of the instances above, and the near constant pain (both emotional and physical) have not helped, but I refuse to give up. I’ll be completely honest with you, some days I don’t even know why - some days I only fight because I love my dog and cat and friends and family and cannot leave them. Other days I fight because I have dreams not yet realized. So, yeah, I started this blog because I hope to raise enough money to get a service dog (and this is still a major goal of mine) but I hope it will become something more. My friends and family have been so generous during this difficult time for all of us and have donated what they can. So far we have around 700.00 raised of the 10,000.00 euro goal. Reaching the 10,000 euro goal seems nearly impossible ... at least it seems impossible without help...but I have faith. If you have taken the time to read all of this I want to say THANK YOU. I know your time is precious (as is everyones and I appreciate it). I was wondering if you could share my story? Help me raise awareness about ANCA Vasculitis and other Chronic Illness? Help me raise awareness about domestic / emotional abuse and how it may seem impossible to overcome, but it is not and help me raise awareness about Gender (and other) bias in Medicine? I have a few posts here on my blog that talk about bias in medicine and I could provide you with a 100 different stories from men and women who are constantly battling against this bias to try and get help... and maybe , just maybe you could help me save up enough money to get a service dog? Within my blog everyone can find information on how a service dog could help me, how to donate, and more information about ANCA Vasculitis / Gender Bias in Medicine & I will soon be posting information for victims domestic abuse. Thank you so much for your time. I know that was a lot. Lots of love from Germany, Pia

P.S. I promise to pay it forward someday when I am in a better place. In case you’d like to know what some of my dreams and goals for my life are: To adopt / foster / rescue / help animals in need. To adopt or foster children one day (If I can). To help further civil rights movements like BLM and to help LGBTQ+ youth. To help further clean living and reduce waste. To be a light for others who are suffering. To perhaps one day own a bed & breakfast or cat cafe.

#ellen #ellendegeneres #pleaseread #getthistoellen #chronic fatigue #chronicillness #chronicpain #thisisme #mystory #domesticabuse #survivor #fundraiser #ellenshow #this is my life

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greatestlcve · 4 years ago

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Stablon Tablets Reviews Uses, Dosage, Side Effects,Warnings and Precautions

Drug Online

stablon drug >> Generic drug of the therapeutic class: Neurology – psychiatry active ingredients: Tianeptine

what is stablon ?

This drug is recommended in depressive states of mild, moderate or severe intensity.

Stablon Tablets indication and Uses

Major depressive episodes (ie characterized).

stablon drug Dosage

The recommended dosage is 1 tablet at 12.5 mg three times a day, morning, noon and night, at the beginning of the main meals.

In chronic alcoholic, cirrhotic or non-cirrhotic, no dosage modification is necessary.

In patients over 70 years of age and in case of renal insufficiency, limit the dosage to 2 tablets per day.

Contraindications

Tianeptine hypersensitivity

Child under 15

Teenager aged 15 to 18

Fructose intolerance

Glucose malabsorption syndrome

Galactose malabsorption syndrome

Sucrase-isomaltase deficiency

Hypersensitivity to the active substance or to any of the excipients listed in section composition.

Children and adolescents under 15 years old.

How it works Stablon Tablets

Pharmacotherapeutic group: OTHER ANTIDEPRESSANTS.

ATC Code: N06AX14.

Tianeptine is an antidepressant:

In animals, tianeptine has the following characteristics:

Tianeptine increases the spontaneous activity of pyramidal cells of the hippocampus and accelerates their recovery after functional inhibition,

Tianeptine increases serotonin reuptake speed by neurons of the cortex and hippocampus.

In humans, tianeptine is characterized by:

A clear activity on somatic complaints, in particular digestive complaints related to anxiety and mood disorders.

Tianeptine also has no effect:

On sleep and vigilance,

On the cholinergic system (absence of anticholinergic manifestation)

Stablon Side Effects

Stablon Tablets Side Effects

Summary of the security profile:

The adverse effects seen with tianeptine in clinical trials are of moderate intensity. They consist mainly of nausea, constipation, abdominal pain, drowsiness, headache, dry mouth and dizziness.

Table of adverse effects

The following adverse reactions have been observed in clinical trials and / or the post-marketing use of tianeptine and are classified according to their frequency:

Very common ( ³ 1/10); frequent ( ³ 1/100, <1/10); uncommon ( ³ 1/1000, <1/100); rare ( ³ 1/10000, <1/1000); very rare (<1/10000), undetermined (can not be estimated from the available data).

Organ-Class System (SOC)

Frequency

Side effects

Metabolism and nutrition disorders

Frequent

Anorexia

indeterminate *

hyponatremia

Psychiatric disorders

Frequent

nightmares

Rare

Abuse, addiction, especially in subjects under 50 years of age with a history of drug dependence or alcohol dependence

indeterminate *

Idiosyncratic cases and suicidal behavior have been reported during treatment with tianeptine or shortly after discontinuation (see section 4.4).

Confusional state, hallucinations

Nervous system disorders

Frequent

Insomnia

Drowsiness

Dizzying sensations

headaches

presyncope

tremors

indeterminate *

Extrapyramidal disorders

dyskinesia

Heart conditions

Frequent

tachycardia

premature

Chest pain

Vascular disorders

Frequent

Hot flashes

Respiratory, thoracic and mediastinal disorders

Frequent

Dyspnea

Gastrointestinal disorders

Frequent

Gastralgias

Abdominal pain

Dry mouth

nausea

vomiting

Constipation

flatulence

Skin and subcutaneous tissue disorders

Rare

Maculopapular or erythematous rash

itching

Urticaria

indeterminate *

Acne

Exceptional bullous reactions

Musculoskeletal and systemic disorders

Frequent

myalgia

Low back pain

General disorders and administration site abnormalities

Frequent

Asthenia

Sensation of discomfort in the throat

Hepatobiliary disorders

indeterminate *

Increased liver enzymes

Hepatitis can be exceptionally severe

* Post-market data

Stablon Tablets Interactions

Associations advised against

Irreversible MAOIs (iproniazid): because of the risk of collapse or paroxysmal hypertension, hyperthermia, convulsions, death.

Stablon Tablets Warnings and Precautions

Special warnings

Prolonged use and high doses can lead to a state of dependence.

Do not exceed the recommended dosage.

Suicidal ideation and worsening of your depression or anxiety disorder

If you suffer from depression and / or anxiety disorders, you may sometimes have ideas of self-aggression (aggression towards yourself) or suicide. These events may be increased at the beginning of antidepressant treatment, as this type of medication does not act immediately but only after 2 weeks or more of treatment.

You are more likely to exhibit such events in the following cases:

if you have ever had suicidal thoughts or self-aggression in the past.

if you are a young adult. Clinical studies have shown that the risk of suicidal behavior is increased in adults under 25 with psychiatric illness and treated with antidepressants.

If you have suicidal thoughts or self-aggression, contact your doctor immediately or go directly to the hospital.

You can get help from a friend or relative, tell them you’re depressed or have an anxiety disorder, and ask them to read this leaflet. You can ask him to tell you if he thinks your depression or anxiety is getting worse, or if he’s worried about a change in your behavior.

Due to the presence of sucrose, this drug should not be used in cases of fructose intolerance, glucose-galactose malabsorption syndrome or sucrase-isomaltase deficiency (rare metabolic diseases).

Precautions for use

Do not stop treatment abruptly, but decrease dosage for 7 to 14 days.

If you have to have a general anesthesia, you should tell the resuscitator anesthesiologist who will be able to stop the treatment 24 or 48 hours before the procedure.

Tell your doctor in case of kidney failure.

IF IN DOUBT, DO NOT HESITATE TO ASK YOUR DOCTOR OR PHARMACIST FOR ADVICE.

Drive and use machines

In some patients, a decrease in alertness is likely to occur. Attention is therefore drawn to the risk of drowsiness associated with the use of this drug, especially for vehicle drivers and machine users.

stablon drug and PREGNANCY / BREAST FEEDING / FERTILITY

stablon in Pregnancy

Maintaining a good maternal psychic balance is desirable throughout pregnancy. If medication management is necessary to ensure this balance, it should be instituted or continued in an effective dose throughout pregnancy and if possible in monotherapy.

The animal data are reassuring, but the clinical data are still insufficient.

Given these data, it is best to avoid using tianeptine during pregnancy, regardless of the term. If it is essential to initiate or maintain treatment with tianeptine during pregnancy, consider the pharmacological profile of the drug for monitoring the newborn.

Breastfeeding

Tricyclic antidepressants are excreted in breast milk, so breastfeeding is not recommended for the duration of treatment.

Fertility

In rats, one study showed a decrease in reproductive performance in females (increased preimplantation losses) at maternotoxic dose.

The clinical impact is not known.

What happens if I overdose from Stablon Tablets ?

sYMPTOMS

Experience with cases of acute tianeptine intoxication (maximum quantity: 2250mg, ingested in a single dose) mainly highlights vigilance disorders that can go as far as coma, particularly in cases of multiple intoxications.

To behave

Tianeptine has no known specific antidote. In cases of acute intoxication, symptomatic treatment and routine surveillance should be established. Specialized medical monitoring is recommended.

What is Forms and Composition?

FORMS and PRESENTATIONS

12.5 mg coated tablet (white): Box of 28, in blister packs.

Hospital model: Box of 100, in blister packs.

COMPOSITION

p cpTianeptine (INN) sodium salt12.5 mg

Excipients: D-mannitol, corn starch, talc, magnesium stearate. Coating:ethylcellulose, glycerol oleate, Sepifilm SE 700 white (povidone, carmellose sodium, anhydrous colloidal silica, talc, sucrose, polysorbate 80, titanium dioxide, sodium bicarbonate), white beeswax.

Excipient with known effect: sucrose.

NOT’s

Edrug-online contains comprehensive and detailed information about drugs available in the medical field, and is divided into four sections:

general information:

Includes a general description of the drug, its use, brand names, FAQs, and relevant news and articles

Additional information:

General explanation about dealing with the medicine: how to take the medicine, the doses and times of it, the start and duration of its effectiveness, the recommended diet during the period of taking the medicine, the method of storage and storage, recommendations in cases for forgetting the dose and instructions to stop taking the drug and take additional doses.

Special warnings:

For pregnant and breastfeeding women, the elderly, boys and drivers, and use before surgery.

Side effects:

It treats possible side effects and drug interactions that require attention and its effect on continuous use.

The information contained in this medicine is based on medical literature, but it is not a substitute for consulting a doctor.

The post Stablon Tablets Reviews Uses, Dosage, Side Effects,Warnings and Precautions appeared first on Drug Online.

from Drug Online https://bit.ly/32XeKrM via Edrug Online from Faculty of Medicine https://bit.ly/32h0EPP via Internal Medicine

#medicines #including Allergy Medicines #Anemia #Antibiotic Medicines #Colds & Flu Medicines #Cough Me

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sere22world · 5 years ago

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modern life causes tooth decay, and care is unaffordable

Light gently touches the town on the morning of fall Friday: farmers and miners Bank, grocery store

Letteredsignboard is a yellow brick court that advertises sugar for sale.

In many ways, this is Jonesville, the county seat of Lee County, the poorest county in Virginia, and the farthest Appalachian county here.

On this day, all the attention is focused on the suburbs, where the preparations for the free health clinic will be held on the weekend at the small airport are in progress.

The first group of patients will begin to arrive in a few hours.

They will come from roads and highways, nearby towns and valleys further away from southwest Virginia and Kentucky.

Some people hardly have enough gas to go to Jonesville.

A woman drove from Tennessee with her broken glasses in her arms.

Truck and chestx-

Raymachine has stopped at one end of the runway.

When the sky is a little clear, an old plane will fly on the mountain, bringing folding dental chairs, medical equipment, surgical gauze and glove boxes from Knoxville.

The clinic is organized by the medical volunteer team in remote areas (RAM)

This is a non-profit organization that has led hundreds of missions since its inception in 1985 and has brought medical aid to some of the poorest places on Earth.

This will be Ram\'s first visit to Jonesville.

But health problems in the Appalachian region

Cancer, diabetes, joint injury

Nothing new.

Bad teeth are nothing new.

Toothache is nothing new. In LeeCounty —

Remote, isolated and poor

The shortage of various health care is a long-term problem.

Insufficient staff in main and mental health care.

The shortage of dentists is the worst.

According to federal estimates, about 49 million Americans live in communities designated as dental specialty shortages --

One of them is LeeCounty.

If there is a shortage of local dentists like Li county, there is also a shortage of money to pay them.

\"These people are not forgotten,\" explains John Osborne, head of dental at RAM, a Knoxville dentist.

\"The system has passed.

\"At these free weekend clinics, hundreds, sometimes even thousands of sore teeth are pulled out.

Loss of teeth due to illness may indicate other loss of quality of life.

In terms of oral health, complete tooth loss or tooth loss is called \"the ultimate sign of the burden of disease \".

This is a symbol of failure.

The teeth after tooth extraction will not grow back.

However, when routine care is delayed for a long time, when more complex procedures cannot be realized or selected, the extract meets the urgent need to relieve infection and relieve pain.

The news of the Li County RAM clinic program captured headlines in local newspapers.

People talked about it in churches, gas stations and coffee shops in the United States for a few days. S. 58 bypass.

At the airport this Friday, as volunteers struggled to build a field hospital with tents and folding tables, excitement filled the air.

Volunteer doctors, nurses, dentists and health workers are from out of town \".

A man with a \"friend of coal\" bumper sticker on his truck came here with a pizza.

A member of the high school football team, General Li county, is waiting in a red-numbered jersey to help unload the plane and eat pizza on the runway quietly and hungry.

Then there\'s a deep one.

You can hear the roar of throated, and everyone looks up at the sky.

\"Here comes the plane!

Shouted someone.

WarII-vintageC-World

47 freighters landed smoothly, then glistening on the narrow runway at the foot of the mountain.

Stan Brok, founder of Ram, a skinny, charismatic Englishman

Bornadventurer greeted the crowd in a calm, serious way.

As usual, he was wearing a rustic shirt and trousers, all brown.

Block was known for its water dragon fish in the 1960 s-wrestling co-

Star of Omaha Wild Kingdom TV show mutual aid.

When he launched RAM, his initial goal was to provide health care to people living in remote areas

He visited the third world during his trip.

But when he found out that the United States had someone in urgent need of help, he began organizing clinics closer to home. (

Block died in August 29, 2018 after the book was published. He was 82.

The organization he created, \"Medical in remote areas\", is continuing his work. )

Brok told the football players that the plane they saw was used to invade.

One day, young people of their own age parachuted out of the plane at June parach6, 1944.

\"A lot of young people didn\'t come back,\" he explained, as the football players listened with a shy attention.

Then it\'s time to go to work.

These actions honed by Brock over the years are military-accurate and help convey their urgency.

In the direction of Brok, football players began to transport carefully organized boxes of materials from the plane.

Slowly and methodically, the hospital finally took shape on the weekend.

Areas are set up for medical tests and exams.

Glasses are provided free of charge.

Airport waiting room transformed into asix-

President of dental clinic

When the cold of the evening fell on the mountain, a row of cars and pickup trucks were already formed on the way to the airport.

In the darkness before dawn on Saturday, about 400 people were waiting. Worn-

Out-of-town miners, old farmers, tired housewives, and unemployed workers all took their numbers at the door, wrapped in coats and blankets.

Charlton Strader, a retired construction director with tremor and chronic blocked lung disease, said he had dental benefits in the past, but he lost them.

He said his teeth had begun to \"break \".

\"I have always had a problem that bothers me,\" he said . \".

Randy Peters, a former miner and bed-pad worker with multiple hardening, also suffers from his teeth.

\"I have several broken and several bad tooth decay,\" he said . \".

\"So I can\'t eat.

Ernest hodeway, a disabled miner, said he was here to pull his teeth.

\"It won\'t hurt you, but it will,\" he predicted . \"

When he had to leave the coal mine, his dental insurance was over.

Now his teeth are beginning to disappoint him.

\"My teeth have been fine until I start taking arthritis drugs,\" he explained . \".

\"No one wants to lose their teeth.

I heard you have a good life for a few years.

\"He said he had just paid off the $1,500 he owed for pulling out three bad molars teeth, and he was told to pull out these bad molars teeth before knee surgery.

He is still fighting to save his leg. He showed it.

Terrible swelling.

\"I\'m a good person, but I\'m sure I \'ve been tested,\" he said . \".

When the sun rises completely, the city center of Jonesville is empty.

\"Everyone was pulled out of their teeth at Ram,\" said the waitress at the coffee shop . \".

Throughout the day, the patient came out of the dental clinic and clenched the gauze between the remaining teeth.

They sit in the folding chair under the tent to recover, or wait for friends and relatives who are still in service.

\"I \'ve been pulled twice,\" said unemployed nurse Emma Marcy . \".

\"One was infected under the filler.

Marsee\'s daughter, a waitress, is also waiting to be taken care of in the tent.

Marsee says her financial security depends on her smile.

\"It\'s all about appearance,\" said Marsee, a strawberry blonde with golden eyes.

Who wants a waitress with bad teeth \"if you\'re not healthy --

Look at the individual ,[customers]

Don\'t want that person to take care [them].

Everyone in that big tent is struggling.

\"It\'s hard in this area because there\'s no work,\" Marsee said . \".

Even if people are sitting in folding chairs, some people\'s behavior shows fatalism and they are tired of themselves.

Destruction: The girl with her teeth badly rotted drank another Coke.

A thin mother holds a cup of sweet juice waiting for the baby to see the dentist.

The woman who smoked the cigarette coughed so badly.

A study by the Southwest Virginia Federation of graduate medical education found that \"nerves\" are a common complaint in the region.

\"The neural cause that is often reported is that there are too many problems and too few solutions,\" the authors of a study on the problem found (

Southwest Virginia Federation of graduate medical education, \"Report to the Virginia Parliament, January 2008).

The consortium concluded that residents in the area were more likely to commit suicide than people living elsewhere in the state.

Marsee is also familiar with the dark side.

\"Drug abuse in this area is terrible,\" she said . \"

It\'s shown in some hopeless drugs. Black Teeth

The region has long been poor, but people hate to move on.

\"Your roots are here,\" Marsee said . \".

\"It\'s hard to leave it.

\"There is an ancient and beautiful theme --

The green woods are shrouded in the mountains.

The love of family, the good of neighbors, the good of strangers.

When they die, the teeth burn.

This is a very old pain.

There is silent evidence on the human fossil record: the unearthed ancient mummy with a parcel on the lower jaw.

Alaska\'s front teeth, tired of a simple tool, sometimes between 1300 and 1700. D.

Apparently to relieve the abscess.

The teeth of the Danish people in the Middle Ages have a rosary (

Charlotte Roberts and Keith Manchester, Archaeology of diseases, 82).

Decay is a progressive disease that, if not controlled, causes extreme pain and tooth shedding.

There are many factors.

Diet plays a major role.

In a very old age, when there is less and less exquisite food, toothache is a curse of privilege.

When sugar becomes cheaper, tooth decay, the main cause of toothache, becomes more common.

The habit of drinking sweet soda has been widely influenced.

A stable bath of sugar will never allow the teeth to be repaired and remineralised on their own.

Now, hundreds of ordinarythe-

Prescription drugs taken by millions of Americans make teeth more prone to illness.

One of their side effects is dry mouth, which reduces the natural flow of saliva to clean and buffer teeth, helping to protect teeth from decay.

If there is no fluoride to strengthen the teeth, there is not enough regular home care, and there is no timely professional care, the process of the disease will progress.

Severe toothache is not uncommon.

Millions of Americans experience toothache.

A study by the American Dental Association found that economic factors were the main reason why Americans delayed access to the required professional dental care.

Private or even public dental benefits can help pay for services.

But in 2014, it was estimated that there was a complete shortage of Americans.

While the national health care reform plan, which signed into law in 2010, took significant steps to expand access to dental services for children, it did less in addressing the system of adult fragmentation.

Even many working adults with private health insurance do not have adequate dental insurance.

While regular preventive visits can be covered, beneficiaries typically need to pay a percentage of the cost of surgery such as filling, Crown, root canal and implants, which can run to hundreds, thousands of dollars. Among U. S.

A 2015 survey found that for adults struggling with unpaid medical expenses, 12 u202f % of dental bills accounted for the largest share of the bills they paid for the problem.

The researchers concluded: \"Insurance is not a panacea for solving these problems . \"

Most people with dental benefits will lose them after retirement.

Health insurance is a health care program in the United States that covers about 55 million elderly and disabled people, but does not include regular dental services.

Of the more than 1 million residents in nursing homes in the United States, many have particularly severe dental problems.

Since 1987, when federal law sets new standards for institutions receiving health insurance and Medicaid funding, nursing homes are required to provide oral health care services.

However, in the daily cycle of cleaning, turning over and replacing bedridden and disabled patients, simple brushing and dentures care is often overlooked.

The authors of a survey note: \"Clinical studies in most nursing home residents report that oral hygiene is generally inadequate and that related dental, gum, and periodontal conditions are also prevalent . \".

\"Medical and care services are provided almost uniformly, while dental and mental health services are rarely provided.

\"Visits by dental professionals are also rare in many institutions.

Many patients at Louis Anna State dentist Gregory Falls say he has been in his rounds of nursing homes and has not been cared for years.

When he looked at the mouth of a new patient, he was not surprised to find rotten, rampant infections, broken limbs in his teeth, and even cancer in his mouth.

As the dental director of these families, he was given an allowance.

Most patients receive Medicaid, but there are very few adult dental benefits in the state.

Folse estimated that he donated more services than he charged for Medicaid.

He said that he travels 40 to 50,000 miles through the jungle and the Bay every year, drives a pickup truck, carries portable tools and instruments, sets up facilities in nursing homes, community rooms and beauty salons to repair false teeth, tooth extraction.

\"900 patients with severe gum disease or abscess.

Half my patients.

I took all the swollen ones away.

Everyone is in pain.

All the loose teeth

I help them as much as I can.

No money, no money.

Families pay some, nursing homes.

Nobody pays sometimes. I do it.

\"It\'s a challenge for some patients to have dementia and let them open their mouths.

The work is rewarding, he said.

\"I have a patient in a wheelchair.

She had a stroke.

She was happy to have her dentures.

She reached out and grabbed her wallet.

She got inside.

She found a piece of bread. ‘Here doc. Take it.

\"I don\'t want to eat her last piece of bread,\" FRES said with a smile . \".

\"I don\'t know how long it took to put it at the bottom of her wallet.

We have to give up because we are rich.

She gave me her poverty.

\"The rate of tooth damage is a serious economic indicator.

The poor are more likely to suffer from toothache.

Their oral health is worse and it\'s hard to find a dentist who will treat them.

The lack of funding to pay for health care is a major hurdle: one out of every five Americans is covered with Medicaid, a huge federal

The national health care program for the poor.

However, since only a small number of dentists see Medicaid patients, insurance does not guarantee access to treatment.

Under Medicaid, children are entitled to dental care, but often face difficulties in accessing services.

Less than half of dentists see any Medicaid patients in most states included in the 2010 study in the United States. S.

Office of Government Accountability

A 2016 study by the American Dental Association found that in the program\'s database of insured children, the proportion of dentists registered as Medicaid providers nationwide was 42.

But this percentage does not necessarily reflect the percentage of dentists actually participating in this program.

\"That doesn\'t mean you see a child with Medicaid.

That doesn\'t mean you have an open date, \"said Marko Vujicic, an economist who helped lead the study.

\"Think of it as what it is.

This is the best data we have.

\"This is more difficult for adult beneficiaries of Medicaid.

Adult dental benefits are an optional part of the state Medicaid program.

They are the first line of projects during the fiscal tightening period and will eventually become the chopping board for the budget.

Toothache is the destroyer of sleep.

They make it very painful to eat, work and raise children.

It is the poor who are most likely to pray to heaven for relief.

They resort to legal and illegal drugs and civilian remedies.

Some even pulled their teeth out of despair.

In the free clinic in Li county, in the solid, stoic mountain people, Tabitha Hay, her fragile face and dark eyes looked like a lost Tropical was blown away by the storm.

She and her motherin-

Lao and her husband arrived at the clinic after the 13 th.

Bellevue, Florida is an hour\'s drive away. They were self-employed.

They clean the house and take care of the pets. off retirees.

After work on Friday night, they drove all night to Jonesville.

All three of them need to be taken care of, but Tabitha, twenty

Six, the most needed.

She was hurt by a molar tooth that rotted under the filling.

\"I feel like my chin is squashed,\" she said . \".

\"Sometimes the pressure is like an explosion.

I\'m hungry, but I can\'t eat it.

In order to sleep, I have to put a heating pad on it and nothing can eliminate the pain.

\"After missing a week of work, she tried to get back to work the day before her trip.

\"I try to work.

I can\'t do anything.

I cried in the back seat.

A dentist in Florida told her that the cost of the withdrawal would reach $500, she said.

That\'s the money she didn\'t have.

She arrived too late to receive care at the free clinic on Saturday.

She was told to wait until Sunday.

At night, she slept in red Kia with her husband and mother --in-

Face another night of pain.

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yeskraim · 5 years ago

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Shut out: China virus pushes seriously ill to back of queue

Chengdu, China – Authorities in China are stepping up efforts to contain the coronavirus outbreak in the central city of Wuhan, deploying thousands of nurses and doctors to the outbreak’s epicentre and building new hospitals at breakneck speed to treat the tens of thousands infected.

The virus, which has killed more than 1,100 people, has stretched China‘s healthcare system, leaving not only those who have the virus, but also those battling even more severe and life-threatening diseases without access to medical care or even the drugs they need.

In Wuhan, whose 11 million residents are living under a virus-related lockdown, many people requiring treatment for conditions such as cancer and kidney disease say their medical needs have been neglected because of the focus on containing the outbreak. The virus, officially named Covid-19, can cause pneumonia and, in some cases, multiple organ failure and death.

Ruyi Wan is among those shut out from the system.

The 20-year-old woman was diagnosed with leukaemia in May last year, and was unable to beat the disease despite undergoing three rounds of chemotherapy.

“Her symptoms persisted: the treatment made her vomit, develop ulcers, and lose hair,” her mother Juan Wan said.

“She’s not afraid of all these, but she is terrified of the pain. Her legs hurt, her chest hurts, her stomach hurts … She is in too much pain to even stand straight or go to the bathroom by herself.”

In December, doctors recommended Wan try chimeric antigen receptor (CAR) T-cell therapy, in which a patient’s immune cells are altered to attack cancer cells, followed by a bone marrow transplant. But in January, the doctors came with the bad news: the bone marrow bank in Wuhan had been closed because of the viral outbreak.

Treatments on hold

Wan’s parents tried to seek help in neighbouring Hebei Province, but were told that no hospitals were accepting patients from Wuhan.

Her mother said the news was devastating for Wan.

“Please let me die! I can’t bear this pain anymore!” her mother recalled the young woman telling her last week.

Wan’s case is not uncommon in Wuhan, where 28 of the 146 hospitals in the city have been designated to treat patients infected with the new virus.

A doctor at Wuhan’s Tongji Hospital, who requested anonymity, told Al Jazeera that the outbreak has affected treatment for most other ailments.

“Most surgeries have been postponed due to the large number of unconfirmed coronavirus cases, [and] we have to be wearing full gear to do the normally basic surgeries, and we simply don’t have enough supplies,” she said.

“As a result, it’s unfortunate that many patients, including cancer patients, are not getting proper treatment.”

Other patients who are struggling to obtain medical treatment include people who need dialysis for late-stage kidney disease.

Xiaohong Min, a diabetic woman who contracted the coronavirus while also receiving treatment for kidney failure, messaged a support group set up on WeChat on February 8 saying she did not know “how long” she could last, according to messages seen by Al Jazeera.

The group, one of a number that have appeared on the app, is called “non-pneumonia patients seeking help” and includes about 200 people.

It was not the coronavirus that was killing her, according to the 42-year-old woman, who described her symptoms as mild. She said she feared for her life because no hospital could give her dialysis treatment.

“No hospitals are accepting coronavirus-infected patients except for the designated hospitals, but all of those are so packed and I’ve been waiting for six days to get hospitalised,” Min wrote to the group.

“My pneumonia symptoms are not severe, but because I haven’t had dialysis for so long, the toxin has been building up in my body for almost a week, and I haven’t eaten for four days … I don’t even need to get admitted to hospitals; I just need to get dialysis once and that will help me get through another three or four days.”

After almost nine days without dialysis, Min said on Tuesday that she had finally received treatment for her kidneys at the Wuhan Red Cross Hospital.

Medical workers at several hospitals in Wuhan told Al Jazeera that there were a large number of dialysis patients who have not been getting proper treatment since the coronavirus outbreak.

“I have been constantly trying to link my patients to other hospitals after our dialysis centre was closed due to the outbreak,” said Ling Ding, head nurse at the dialysis centre of Wuhan’s Hanyang Hospital. “But all places are packed, so it’s an incredibly difficult situation.”

Hoping for a miracle

Al Jazeera contacted Wuhan’s health commission for comment, but officials had not responded at the time of publication.

Jianhua Wang, deputy chief physician of the nephrology department at Wuhan Central Hospital, told Al Jazeera the “government had closed off the dialysis centres in all the designated hospitals to treat fever patients for the purpose of avoiding cross-infection.”

He added: “We are aware of the large number of dialysis patients and are working around the clock to make sure they get treatment while minimising risk of infection.”

The decision to shut down public transport has also affected those with chronic diseases who need regular medication, including people with conditions such as HIV [human immunodeficiency virus] .

“I haven’t been able to get my drugs for three days because of the suspension of public transport, and I don’t know where I could get the drugs,” wrote one person with HIV in a WeChat group using the the pseudonym Xiaohui.

People with underlying conditions are also those with more vulnerability to the virus, and the WeChat groups are a way for them to find the support – medical, emotional or financial – that they need.

“When a grain of ash of the age falls on the shoulder of one person, it becomes a mountain,” Shing Di, who started the group where Min posted her plea, told Al Jazeera, quoting an old Chinese saying. “People are suffering and it’s not only unethical but also impossible for me to look away.”

While Min, was finally able to get dialysis, leukaemia patient Wan Ruyi continues to wait.

“Ruyi is too weak to be transported now,” her mother said.

“But we are still waiting – I hope for a miracle because Ruyi is so young and has so many dreams. We can’t let her die.”

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greatestlcve · 4 years ago

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Stablon Tablets Reviews Uses, Dosage, Side Effects,Warnings and Precautions

Drug Online

stablon drug >> Generic drug of the therapeutic class: Neurology – psychiatry active ingredients: Tianeptine

Important to know about stablon drug ?

This drug is recommended in depressive states of mild, moderate or severe intensity.

Stablon Tablets indication and Uses

Major depressive episodes (ie characterized).

stablon drug Dosage

The recommended dosage is 1 tablet at 12.5 mg three times a day, morning, noon and night, at the beginning of the main meals.

In chronic alcoholic, cirrhotic or non-cirrhotic, no dosage modification is necessary.

In patients over 70 years of age and in case of renal insufficiency, limit the dosage to 2 tablets per day.

How it works Stablon Tablets

Pharmacotherapeutic group: OTHER ANTIDEPRESSANTS.

ATC Code: N06AX14.

Tianeptine is an antidepressant:

In animals, tianeptine has the following characteristics:

Tianeptine increases the spontaneous activity of pyramidal cells of the hippocampus and accelerates their recovery after functional inhibition,

Tianeptine increases serotonin reuptake speed by neurons of the cortex and hippocampus.

In humans, tianeptine is characterized by:

A clear activity on somatic complaints, in particular digestive complaints related to anxiety and mood disorders.

Tianeptine also has no effect:

On sleep and vigilance,

On the cholinergic system (absence of anticholinergic manifestation)

Stablon Side Effects

Stablon Tablets Side Effects

Summary of the security profile:

The adverse effects seen with tianeptine in clinical trials are of moderate intensity. They consist mainly of nausea, constipation, abdominal pain, drowsiness, headache, dry mouth and dizziness.

Table of adverse effects

The following adverse reactions have been observed in clinical trials and / or the post-marketing use of tianeptine and are classified according to their frequency:

Very common ( ³ 1/10); frequent ( ³ 1/100, <1/10); uncommon ( ³ 1/1000, <1/100); rare ( ³ 1/10000, <1/1000); very rare (<1/10000), undetermined (can not be estimated from the available data).

Organ-Class System (SOC)

Frequency

Side effects

Metabolism and nutrition disorders

Frequent

Anorexia

indeterminate *

hyponatremia

Psychiatric disorders

Frequent

nightmares

Rare

Abuse, addiction, especially in subjects under 50 years of age with a history of drug dependence or alcohol dependence

indeterminate *

Idiosyncratic cases and suicidal behavior have been reported during treatment with tianeptine or shortly after discontinuation (see section 4.4).

Confusional state, hallucinations

Nervous system disorders

Frequent

Insomnia

Drowsiness

Dizzying sensations

headaches

presyncope

tremors

indeterminate *

Extrapyramidal disorders

dyskinesia

Heart conditions

Frequent

tachycardia

premature

Chest pain

Vascular disorders

Frequent

Hot flashes

Respiratory, thoracic and mediastinal disorders

Frequent

Dyspnea

Gastrointestinal disorders

Frequent

Gastralgias

Abdominal pain

Dry mouth

nausea

vomiting

Constipation

flatulence

Skin and subcutaneous tissue disorders

Rare

Maculopapular or erythematous rash

itching

Urticaria

indeterminate *

Acne

Exceptional bullous reactions

Musculoskeletal and systemic disorders

Frequent

myalgia

Low back pain

General disorders and administration site abnormalities

Frequent

Asthenia

Sensation of discomfort in the throat

Hepatobiliary disorders

indeterminate *

Increased liver enzymes

Hepatitis can be exceptionally severe

* Post-market data

Stablon Tablets Interactions

Associations advised against

Irreversible MAOIs (iproniazid): because of the risk of collapse or paroxysmal hypertension, hyperthermia, convulsions, death.

Stablon Tablets Warnings and Precautions

Special warnings

Prolonged use and high doses can lead to a state of dependence.

Do not exceed the recommended dosage.

Suicidal ideation and worsening of your depression or anxiety disorder

You are more likely to exhibit such events in the following cases:

if you have ever had suicidal thoughts or self-aggression in the past.

if you are a young adult. Clinical studies have shown that the risk of suicidal behavior is increased in adults under 25 with psychiatric illness and treated with antidepressants.

If you have suicidal thoughts or self-aggression, contact your doctor immediately or go directly to the hospital.

Due to the presence of sucrose, this drug should not be used in cases of fructose intolerance, glucose-galactose malabsorption syndrome or sucrase-isomaltase deficiency (rare metabolic diseases).

Precautions for use

Do not stop treatment abruptly, but decrease dosage for 7 to 14 days.

If you have to have a general anesthesia, you should tell the resuscitator anesthesiologist who will be able to stop the treatment 24 or 48 hours before the procedure.

Tell your doctor in case of kidney failure.

IF IN DOUBT, DO NOT HESITATE TO ASK YOUR DOCTOR OR PHARMACIST FOR ADVICE.

Drive and use machines

stablon drug and PREGNANCY / BREAST FEEDING / FERTILITY

stablon in Pregnancy

The animal data are reassuring, but the clinical data are still insufficient.

Breastfeeding

Tricyclic antidepressants are excreted in breast milk, so breastfeeding is not recommended for the duration of treatment.

Fertility

In rats, one study showed a decrease in reproductive performance in females (increased preimplantation losses) at maternotoxic dose.

The clinical impact is not known.

What happens if I overdose from Stablon Tablets ?

sYMPTOMS

To behave

Tianeptine has no known specific antidote. In cases of acute intoxication, symptomatic treatment and routine surveillance should be established. Specialized medical monitoring is recommended.

What is Forms and Composition?

FORMS and PRESENTATIONS

12.5 mg coated tablet (white): Box of 28, in blister packs.

Hospital model: Box of 100, in blister packs.

COMPOSITION

p cpTianeptine (INN) sodium salt12.5 mg

Excipient with known effect: sucrose.

NOT’s

Edrug-online contains comprehensive and detailed information about drugs available in the medical field, and is divided into four sections:

general information:

Includes a general description of the drug, its use, brand names, FAQs, and relevant news and articles

Additional information:

Special warnings:

For pregnant and breastfeeding women, the elderly, boys and drivers, and use before surgery.

Side effects:

It treats possible side effects and drug interactions that require attention and its effect on continuous use.

The information contained in this medicine is based on medical literature, but it is not a substitute for consulting a doctor.