#med ed

[gigayak]

Unlocking Uveitis mysteries - History, Examination, or Lab Tests?(Pingu X Indiana Jones X Fast Show)

All three of history, examination and lab tests have important roles to play in diagnosing Uveitis. 

This short (featuring a league of extraordinary defectors including Pingu, the Fast Show tailor, Indiana Jones and Sherlock Holmes) focuses on the importance of uncovering the patient's history to identify potential underlying triggers or associated diseases

[neonbodyache]

tis the season

[inthepalmofmyhand]

trying to stay productive so bad >.<

but I'm getting there...

Today I'll go study in the library, then I'll take part in a study for one of my psychology courses and finally in the evening I have schedualed a dance class with one of the most famous dance teachers in my country. Hope it will turn out good :3

[choixsimple]

Hey you with the chronic hypermobility and/or orthostatic intolerance issues

If you have a menstrual cycle, has anyone told you how it affects your chronic illnesses?

Probably not so I'm gonna!

First here's a basic chart showing the large fluctuation in hormones during your cycle:

If you have hypermobile joints, the level of estrogen in your body will heavily impact the stretchiness of your connective tissue. During ovulation, estrogen has a huge spike, which will make you extra stretchy! You are more prone to injuries, subluxations, dislocations, and general joint issues during this time. There's also a smaller increase in the week before your period, which can also affect joint laxity.

If you have orthostatic issues (or even if you don't, tbh), you'll be interested to hear that both estrogen and progesterone affect your heart rate. Generally your resting heart rate will be higher in the days before your period due to rising progesterone levels, and then drop back to normal after your period starts and progesterone levels fall. Estrogen is also at its lowest level during your period, and with low estrogen levels comes a higher number of heart palpitations and potentially a higher heart rate, depending on the person.

This combo of low estrogen and high (and then low) progesterone, plus the whole bleeding thing, means you're extra susceptible to dizzy spells, presyncope, and fainting in the few days right before your period and the first couple days of your period (and if you have a heavy flow, this can continue longer). It also means you might feel a lot more stable, less dizzy, have less heart palpitations etc around ovulation due to the extra estrogen.

There are a bunch of other bodily functions, chronic illnesses, etc that are affected by hormone levels during our cycles, and there are some good resources online about what these hormones do — I didn't even talk about FSH or LH, the two other big hormones that are part of our cycle! But I didn't want to get too far into the weeds in this post.

PS there's a theory that the reason more AFAB people (even many without a uterus or menstrual cycle, AFAB hormones are Kind Of A Bitch) get diagnosed with things like chronic fatigue syndrome, hypermobile disorders w/chronic pain, POTS etc is because we have a built-in flare up every month (sometimes two, if you flare up at both your period and ovulation). So it's just much more noticeable in AFAB people because AMAB folks don't have to deal with those built-in flare ups every 2-3 weeks.

[entropyvoid]

Golden Hour (+ lineart below cut)

I took a picture of the lines for once and did some basic crappy photo editing on my phone, so you could probably print this out and use it as a coloring page or something if you so wish lol. Do with it what you will.

[okaybutmakeitgayer]

Frost usually wakes up in the morning early. It gives him time to meditate, to think in the quiet. He has a routine set and everything. Yet sometimes that routine is interrupted when he wakes to his pain acting up. Sometimes it’s cramps. Sometimes it’s that pain in his legs. Sometimes he just feels like crap. Instead of getting up, Frost will stay there in his bed. Gricko will come find him after a certain point if they aren’t already in the same space. They barely talk, few words exchanged between the two, as Gricko moves to be beside Frost, offering a healing spell for some relief. And they’ll just stay there for a while.

[dkettchen]

[rigormortisangel]

when youre disabled youre not allowed to have dreams without everyone shoving your disability in your face fuck you fuck all of you

[jezunya]

Anyone with experience taking trazadone (and/or with POTS)

Do you have tips on handling lightheadedness? I don't mean occasional dizziness when getting up, but like I've been sitting here all day, feeling fuzzy and dizzy and vaguely nauseous even when unmoving

My doctor added 25mg of trazadone at bedtime to my meds a few weeks ago, and it was okay at first, but the lightheadedness is getting out of hand. I'm trying to eat salt and drink electrolytes and plenty of water, but I can't seem to get ahead of this now

Any tips from other spoonies, dietary or otherwise, would be much appreciated

[gigayak]

Don't let this be a cat-astrophe 

[lavendarneverlands]

One of my favorite things about chronic illness is not realizing your sick because you just always feel like shit and assume it’s normal 🙃

[redactedshapes]

Alright let's go - Ramblings regarding Saga, in comparison to Jesse and "The World"

if anyone feels like expanding on any point please do, I'm gonna leave this text as it is because otherwise it's gonna torment me for weeks

I don't recall in which interview, a couple writers said Casey was developed because Saga needed someone to bounce ideas off of and/or because she needed something to externalize her personality without relying on awkward exposition (or something along those lines).

And that's kind of noticeable if you compare Saga's and Jesse's treatment from a writing/presentation stand point:

Jesse as a character is far more obscure and details about her inner life are limited, while Saga is established and very detailed without relying on exposition.

Jesse, from a technical standpoint, suffers the "new character introducing an audience to a new IP" syndrome if you will.

Jesse's past is presented in vague details and a general sense of direction: finding Dylan who is a stranger to the audience. Her inner monologue is to Polaris and it works as exposition but by Polaris' nature there's no back and forth.

When Jesse talks to a character it is always a one-to-one conversation, and an important portion those are about the history of the FBC, asking questions that require exposition. Not to mention there's no interaction between the main cast other than with Jesse.

Some information can be inferred from Jesse's "epilogue" lines after the end of the game. But that's about it regarding the main text.

And that goes in line with the thematic difference I feel between Control and Alan Wake games - the former (heh) is about The World, the later, about the people in it.

Overall it can feel quite isolated and lonely, or well, mechanical. You have to fill in a lot of info yourself. And I believe the writers identified this and tried to change where they could with Foundation and AWE - with the way Jesse and Emily are far more comfortable with each other as they joke and tease during their dialogue, and getting a deeper look into my beloved Langston's personality (which is quite self-aware because lmao, finally it's Jesse who's at the end of a one-way "conversation").

But Saga's has an already established and rich life before the story and details bleed all through the text.

A partner and friend she's known for years and their history is spoken and written, there's no need to infer and fill in details yourself that much.

Their relationship is detailed enough in "side tidbits" (all of her Mind Place stuffs) and in actual conversations, which often enough involve a third party.

Casey works as exposition for Saga's character but, by virtue of Casey being character apart from Saga, the information is introduced far more organically (and arguably, in a more detailed way).

Remedy also gave Saga a huge advantage Jesse didn't have: The Collectible and Missions menus are hers.

So not only we get to hear Saga's thoughts on the current situation, we also get a sneak peek into her mind and inner life.

Some people in Saga's life also have a detailed enough history that they stand on their own rather than solely working as Saga's motivation because the story requires them to be at stakes.

Dylan is, technically, a stranger to Jesse, she's clinging to the past idea of him: we are motivated to find Dylan because we're told to care about him. While Logan and Casey are present in Saga's life and we get more details upfront to care for them.

Saga got curious, shit started to go down and we want them to be safe because otherwise it'd be painful for Saga.

Unlike the ghosts that Trench and Darling were to Jesse, Saga gets to actually talk to Tor and Odin. And well, the entire plot of the game is her undoing and confronting Alan's work on her life, rather than cleaning the mess done by the previous administration that are now gone and cannot be held accountable for.

And I suppose that's another improvement in the writing: the Hiss as the antagonist force is basic (and if you've played Mass Effect they're nothing new, and to me they're the least interesting part of the wolrdbuilding). There's not much room to maneuver, so Jesse's got one way to fight them (so far).

Saga could've gone several ways in dealing with Wake, and we see her struggle when she's about to give the Clicker to Alan/Scratch, she didn't mince her words in that confrontation and she had all the right to go even further. And yet she kept it together, unwilling to fully give herself to despair.

AND!

She chose compassion in the end!

And, honestly? Their final conversation is such a good and rich detail.

Saga's motherhood could've remained as basic reminders to the player that she has a daughter who's the victim and that's your motivation girl! As well as her silly jokes because parents do that sometimes teehee.

Saga's compassion is informed by her motherhood but not limited to it. As a mother she knows that everyone needs someone who believes in them unconditionally, as a daughter she knows how good a reminder of your good qualities can be, and as a detective she knows how to gather, read and act on information.

So when she reminds Alan that he had defeated the Dark Presence before and that he can do it again, she's not saying it because she's desperate, and she's not being patronizing due to Alan's loneliness and isolation.

She's saying because it's true.

And she doesn't rub his missteps and mistakes on his face. She knows how to get the point across without being mean.

She needed very little guidance: information to fill in the blanks of her life from Tor and Odin, short and vague phone calls from Alice, and a portal to the Writer's Room from Ahti. (Rose's lunchboxes were technically not necessary but she gets a honorable mention.) I don't know if there's enough information to conclude whether the reminders that helped her find a way out of the Mind Place were sent by someone else or came solely from her own resilience, and either would be neat, but I would like to think there's someone who's been looking out for her the same way she's been looking out for other characters.

And she's not flawless, but in working her flaws I believe the writers treated her with well deserved respect. She's not a caricature and the story has enough characters being tortured, any more and it'd feel cruel and it'd be permission granted by the horror genre anyways (although, to be honest, I believe Cynthia's treatment was a tiny bit too cruel and that's mostly due the last stage of her boss fight).

I love her first conversation with Norman because she's being a bit patronizing (I believe that's the correct word?), but he's like, nope! No dementia here! Not cool you brought it up :]

Her Nightmare Mind Place is as explicit as it gets. And the few times she loses it are not unearned. I love it when she gets frustrated with Rose and her "Oh fuck this", as well as her pained "My daughter is dead because of you. What is wrong with you?" to Alan in the holding cells.

Her biggest flaw is being a fed.

She's an extremely well put together person and integral, rich character. Her pain and suffering are palpable and the developers did an excellent job in showing it without being cruel (or well, knowing where to place the cruelty *cough* the white man *cough*).

And that's, in general, where I'd call attention to the leaps in improvement to Remedy's writing, right alongside the development and treatment Alice got, and the departure that is from Marshall in Control (the one character of color of any sort of relevance to the story, who got the least dialogue or details about her life and involvement despite being part of the old guard, and that gets killed in the end).

-

I have the same criticism (affectionate) with Control and Quantum Break: the world, its history and other characters are more interesting (to me) than their protagonists.

I wanted to get far deeper into the inner lives of Beth Wilder, Paul Serene, William Joyce and Martin Hatch than Jack's. William's and Beth's specifically, the one who ruined everything and the one who's struggling with the fact it can't be fixed, respectively. Sure I got my fix from the novel, but that is not part of the main text, so my comment still stands.

Ahti and Polaris/Hedron's goals, The Oldest House and all the places and events and phenomenon it connects to is what makes my mind wander. Jesse's involvement with all of them and her relationships with other characters remain only as possibilities at the end of the game.

I would feel far less affection or attachment to either Jesse and Jack if it weren't because of the sibling element. That's my huge bias/weakness there I'll admit.

But with Saga, I do care about her entire world, everything and everyone that surround her. She likes weird, morbid stuffs and romance stories, she's extremely curious which got her in trouble but was responsible enough to go deal with it.

As a new protagonist character that stands right next to a well established one as Alan Wake, I think there's very little Remedy could've done to make her better.

She's just amazing, Remedy and Melanie Liburd deserve so much praise for her.

-

The only gripe I have about her treatment is extremely petty and it's the same I've had in previous games, which is technical - she could've had more animations that showed her body language given she didn't have as many live action scenes (and also watching some of previous Melanie's work, she's got an incredible voice range for certain emotions that weren't explored in the game). But that's a matter of presentation and technical development.

AND

Remedy flexed the leaps in improvement they've gone through already! I mean, Saga's animation of picking up things anyone???.

So here's hoping they got more plans for her and they include more live action.

[ofmdee]

🍒

[peculiar--princess]

Here’s your reminder to not only take your meds daily but also remember to keep up with your refills and inventory of medication you have left.

[kattythingz]

OKAY OKAY everyone hear me out: An edling spy x family au. Starring Ling as Loid, Ed as Yor, and Nina as Anya. And ofc Alexander as Bond. Ling plays the fool just looking to marry so his overbearing father can get off his back, while Ed says it's to soothe his little brother's worries about him being alone forever; Al would believe it if Ed got a queerplatonic partner (aroace ed ftw). And Nina just wants a family. Cue the hijinks.

Al acts as a barrier with less of a brother complex (tho the elrics are still kinda co-dependent) and moreso majorly worried that Ed was forced into amatonormativity. He thinks Ling pressured Ed into this somehow or that Ed's holding some internalized aphobia.

Ling, of course, is too down bad to do any of that. Something that Ed slowly finds himself warming up to.

DO YOU SEE THE VISION???

[yuribeam]

idk how I feel about providers constantly saying to me I'm sorry you're in so much pain / are so medically complex when you're so young

like yeah. im in mourning. it doesn't feel real. this is only half of it. it feels more like a sentence every time. thank you for trying.