Blood pressure and international normalised ratio

All Things Monoamine Oxidase Inhibitors

2018.08.04 00:54 Jim_Laheyistheliquor All Things Monoamine Oxidase Inhibitors

Are you taking an MAOI? Going to? Want to but don't know how? Informed and want to help others? Something else MAOI-related? Well boy, have we got the place for you! (It's this sub) Please note: Do not take ANYTHING on here as medical advice. Talk to a doctor! If you're new (or not), check out the welcome post & Wiki for MAOI resources and information!
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2024.05.14 12:00 Epicentrist I hate the detachment, and the army rule is too strong

So I finally played my first game of eldar in 10th now that they aren't oppressively strong in the meta, I've been having a fun time with my blood angels, they're really fun atm, strong enough to compete but not meta strong (with my skill level)
So it was a 1k game on tts against my friend trying out the tyanids, I know the nids are very sad to i tried to take a toned down list.
Bike farseer with windriders, guardian defenders, storm guardians with autarch, wraith lord and some scorpions and banshees
With the sheer ammount of free rerolls and fate dice I just blasted his poor monsters in the first two turns, the scorps ranked tanked a hormagaunt charge and wiped them the next turn. All very sad.
I ADORED eldar in 9th, my fave units were scorps banshees spears and avengers, I like fragile but killy elite melee and shooting. Fate dice were strong but didn't seem oppressive
And I've realised what my issues are, the horrific internal balance between jumpy shooty units and melee, they've had to make the hyper elite melee blender units 65 and 75 points to make them usable.
And the detachment is both very very strong and very boring for me personally. Just 300 cp rerolls for free, and strong movement shenanigans. No effective damage strat, and nothing for melee.
Basically I just want a fluffy Biel tan detachment, even if it's weaker than the current one.
I don't understand how they've messed up this index so bad, literally broke the game for months with wraith shooting. While having banshees and spears as some of the worst units in the game?!
Dejected former elf player rant over
submitted by Epicentrist to Eldar [link] [comments]


2024.05.14 11:53 help_needed234 Is a dermatologist's diagnosis of skin cancer through photographs a reliable diagnosis?

So my mom isn't ready to go to a doctor for diagnosis of skin cancer whom I strongly suspect, so what I did was to take photographs of her hand where there is the mole and showed it to the doctor, she said it's nothing but seboherroic keratosis. But i wasn't satisfied so should i go for biopsy or can i just rely on her diagnosis??
Age: 55,
weight:84kgs, height :5'1
race: south asian
country: India
no smoking , no drinking
prior health condition: thryroid, high blood pressure
primary concern: suspection of melanoma
submitted by help_needed234 to AskDocs [link] [comments]


2024.05.14 11:49 Pilzwichtel Is it true that magnesium is a catabolic mineral?

Yesterday i stumbled over a hyped physician or something like that on youtube. First it seemed hes very knowledged and explains several myths in nutrition in health. But i wondered if thats true what he explains, as science often says otherwise.
One thing mentioned was that magnesium is the most catabolic mineral and one should NOT take it before sleep,as it "activates" the catabolic state and hinders the anabolic sleep state.
He explained that just people who are already stuck in an anabolic state (eg. Low blood pressure and fatigue) benefit from it maybe, as magnesium pulls them out more to the catabolic side.
People who are hypercatabolic (stressed, cant calm down etc.) shouldnt take it before sleep, as it shall sabotage their switch to anabolic sleep and rest state.
Whats your experience and opinion?
submitted by Pilzwichtel to magnesium [link] [comments]


2024.05.14 11:48 Frog_Shaped Top Surgery Process Journal

The EXTREMELY detailed, mega-anxiety edition!!! Major events like consult and surgery day are labeled like this:
——— EVENT TITLE ———
Surgeon was Dr. David Whitehead and I saw him on Long Island (New Hyde)
Summarized list of major dates:
Consult: July 19 2023 Mental health letter acquired: August 9 Dates discussed: September 12 Pre-op appointment: December 18 Surgery day: January 8 2024 Post-op: January 17
November 11th 2022: Emailed northwell health for the first time, they emailed back saying to call. I was too anxious so I avoided it for a few months.
Called northwell a few months later but got too anxious talking to the person who picked up. They were being normal and talking normally, it was just personal anxiety on my part.
October 2022 - Early March 2023: Spent time talking to trans friends and family members about their timelines and processes for top surgery.
Looked into Penn medicine for a bit but wasn’t happy with the surgeons there, specifically as a nonbinary person. The patient navigational team however is lovely.
March 2: emailed Penn health patient navigation
March 3-10: correspondence and phone calls w patient navigation (absolutely wonderful people, some of the easiest phone calls I’ve ever had) Got lots of into on surgeons, things I’d need, processes etc.
Date unknown: phone call to Penn medicine asking about surgeons and possibly setting up as a patient (v long wait time on phone) Surgeon I had heard good things about only works w CHOP program and I’m was too old for that program. Other surgeons I was v iffy on.
March 23rd: Back to square 1. Called northwell again to set up an appointment. Everyone I spoke to was really nice. Could have set up an appointment within the week but decided to wait till the end of the semester. Scheduled a trans care and primary care appointment for May
Couple of calls In between for confirmations. Trans care appointment got moved around a bit and ended up being moved to a phone call.
May 8th: Trans care call: Basic preliminary questions like: Emergency contact, what you’re looking for, are you thinking of looking into hormones, experience w dysphoria or dysmorphia, mental health, and eating/nutritional concerns, things you might want doc to know, piercings or tattoos, do you do any drugs or drink often, etc. total call time was about 20 minutes. Doctor was incredibly kind, I still experienced a good deal of anxiety but the call was super easy, welcoming, and friendly. Got sent contact referrals for the surgeons, as well as trans-friendly therapists under my insurance.
May 9th: started looking at list of therapists and making respective emails and calls. Checking per session costs and double checking insurance. Most charge 100-150 per session. Got in contact w one.
May 10th: Called w first therapist talking about what I’m looking for, where I am in this process, if parents are supportive, and talking about costs. She was very friendly and affirming, wants to have a few sessions to get to know me and my situation before writing a letter. Understandable and expected, but frustrating.
May 15th: Primary care appointment: Went to northwell health primary care, parkinglot was a little scary (just a large lot with a lot of cars) but everyone working there’s is super kind. Office is incredibly affirming, pride flags and lgbtq+ art everywhere. Gave my insurance card, filled out some paper work, got called in pretty quickly. I have a needle phobia and medical trauma so I was panicking a bit in the office, nurse was good w me about it and doctor was very kind, I just requested to not have any blood work done that day and that was totally fine, so I could schedule that at a later date and go w a friend. Recommended to get blood work done before scheduling a consult w a surgeon. Also prescribed me a single dose anxiety med for the bloodwork which I was very happy about. I found over time that the anxiety meds unfortunately do little to nothing for my panic attacks personally when it comes to needles but regardless having a doctor acknowledge and respect that fear and listen to me was incredibly helpful and reassuring.
May 30th: Got blood work done in a different lab, went w a friend. Scheduling for that is super easy, I think I did it online actually I don’t entirely recall. they do take walk ins but I made an appointment to minimize complications and make sure I could prepare properly. Front desk/lobby area was a little spooky, but I think that is mainly just bc of my social anxiety. They take a urine sample, you give them your prescription, eventually they call you over for blood work. Quick and easy, tech was v nice and having a friend with me was incredibly helpful. Probably the best I’ve ever done with a needle despite the fact that I did still panic and get very lightheaded lol.
Got blood work results back within the next couple days, all looks a-okay! Neat :)
June 15th This day was incredibly difficult. I had my first session with a therapist to establish some ground knowledge around my dysphoria and the way that I view myself. Top surgery is something that I know from research and related experience Can be difficult and expensive to get and can take time, so much of my prep work has been on the understanding of taking things a step at a time and just knowing that the current way things are doesn’t have to be forever. It allowed me to be able to live with myself while prioritizing my health better. This read to the therapist as “not having the level of dysphoria [she’s] come to expect and look for in someone who is trans” and was largely based off the fact that I don’t want to go on hrt. Past that point I started to break down because now my method of learning to live with myself felt like it was actively going to work against me and prevent me from getting top surgery. I’m not good at talking about my dysphoria, I can’t imagine it’s easy for anyone, especially to a stranger I just met. It was rough, and I felt incredibly mentally drained after ending the session.
June 19th Called it quits with the first therapist, I felt incredibly disrespected and the one session we had put me in a mental spiral for days. It can feel some times in this process like the people you have to get permission from need you to be severely depressed and unable to wait another second for this procedure just in order to take you seriously.
After I left that therapist, I immediately got back to the list to find someone new. Spoke to a new therapist via email, but my insurance is kinda weird (Blue Cross Blue Shield out of state) so its off putting to some people. This therapist recommended I go through the office she started out at (Heart and Soul Counseling)
————- Time Skip ——————
IM BACK its time for some record keeping. Got super overwhelmed and lost the energy to document my process for some time so here goes.
HEART AND SOUL COUNSELING: My experience w/ this therapy office was mostly good. The person in charge, Jesse, was absolutely lovely and responsive. Never spoke in person, but any text/email interaction was prompt, respectful, and kind. The office is stellar with email/text communication, so I only ever had to call them once when I was initially inquiring about the office. This is something I wish all therapy/counseling centers did better, eliminated a ton of my anxiety and hesitation to speak to therapists.
I got set up w someone as quickly as possible and established what my goal was (to acquire letter document for my surgery team). I attended multiple session w the therapist, she was a kind lady but the sessions were unfortunately p miserable for me. We didn’t fit well, but I was willing to stick it out rather than backtrack on my process. She also did not invalidate me or accuse me of not being trans which was a major step up from my first therapy experience. Once I acquired my letter I did stop therapy there, I kindly explained to the therapist that it wasn’t a good match, but I may honestly explore my options at the office in the future. Receptionist there was also lovely and they had a cool fish tank.
———- CONSULT STARTS HERE —————
July 19th: CONSULT!!! My mama and I went to Dr. David Whiteheads office for a consult. Parking was a nightmare so I’m super glad I didn’t have to drive for this one (ty mama). Consult went really well, and the staff were all super friendly. Dr. Whitehead is cool, very chill energy and a bit intimidating, but I’m scared of everyone so that’s nothing new. First question he asked me is what I wanted/what he could do for me which caught me more off guard than it should have? I didn’t realize going into this process how many times people ask you what you’re having done even if it’s already written down, because there’s so much variety in what you can look for in the results.
We talked about the procedure, went through a slideshow n stuff, and discussed how I wanted a flat chest w/ no nipple preservation. They made sure to specify that my mental health professional letter had to include that I did not want nipple preservation because thats technically a “non-standard” appearance. Also had the first breast exam I’ve ever had in my life. Can’t say i’m a fan (not that I need to worry about that anymore!) Took pictures n measurements n such, and also discussed recovery supplies and care w me and my mom.
August 9th: After a plethora of painfully awkward therapy sessions, a decent amount of crying, and a couple breakdowns in friends cars/backyards, I got my therapist letter and sent it to the surgeons office. It ended up needing minor revisions to which I contacted Jesse from Heart and Soul and he got me the revised letter immediately. Unfortunately the surgical coordinator was out of office for the rest of the month the next day ;w;. Is how it be.
September 12th: Got a call from Surgical coordinator mid-painting class that I stepped out to take. Started discussing surgical dates!! She was kind enough to email the dates to me which was lovely because I was absolutely shaking/mind blank haha. There was an option for January 8th which felt like an absolute miracle the way it would work with my school schedule. It would give me a solid two weeks recovery time before spring semester began. Because it would be a couple months out, I was asked to contact her in the second week of October to submit documents to insurance.
(Timeline note: earliest date offered was in early December)
October 10th: Documents sent to insurance, predetermination started
October 30th: Received mail from my insurance approving my procedure as medically necessary (YAY) But! This is also where things get,,, fun! Dr Whitehead’s surgical coordinator, Alyssa, is a blessing and was very helpful and prompt with me despite the fact that I had to email her pretty constantly during this general time which I still feel bad about.
Around this time, my mom got diagnosed with breast cancer, which I reported to the surgical coordinator because it influences my family history (grandmother also had breast cancer). It was asked that I get genetic testing done because this could impact my surgical procedure. Now I’m handling the setup on this between helping my mom in her process setting up consults and considering her options because there of course is a lot of crossover to the steps I’ve already completed and am familiar with.
November 1st: Very kind person at cancer genetics calls me, sends me a family history questionnaire to fill out before I can be scheduled to see a genetic counselor. Filled out the questionnaire the same day.
November 8th: Called cancer genetics to check about scheduling, office was not open so left a message. Got a call back later in the day. I have a virtual appointment with a Genetic counselor Tuesday the 14th. Current plan is a mailed saliva genetic test but I’m going to ask if theres anything I can do to get results/materials quicker. If I can’t get results/feedback by December 8th my surgery date may get deferred.
Trying not to stress too much because there is little to nothing I can do about this, and I just don’t want to be sad. I’ve kept telling myself throughout this process to not get excited and not let myself believe anything is solid because something could happen at any time that might mess up my schedule or plan, and If I convince myself I’m in the clear, those changes will hurt a lot more. So far I think thats been a good move, because this really sucks.
My surgery date is still officially scheduled as of now as well as my first post-op. I will also ideally have pre-surgical testing done December 18th should I be cleared by genetics in time (Fingers crossed!)
ALSO! Def lean on friends if/when you can during this process. It can absolutely be challenging, and having a support system is incredibly important and helpful. I’m super lucky to have really lovely and supportive friends that are around to listen to me and send me pictures of stupid little animals.
November 9th: My mama is scheduled for her double mastectomy on December 4th
November 10th: Did some shopping with my mama for recovery supplies for double mastectomy/top surgery. Having watched a million and a half transition/top surgery videos and tiktoks and having read all the blogs and posts and tweets makes you a great support for someone suddenly faced with an upcoming double mastectomy! We might go shopping this weekend for some button ups and zip ups for her, clothes shopping is better done when you can try stuff on
November 14th: Meeting w genetic counselor: Victoria Webb, one of the loveliest medical care workers I’ve ever met. Had a virtual appointment with her to discuss and set up genetic testing. I explained to her about my situation w the proximity of my surgery and tight deadline as well as my willingness to do a blood test instead of a saliva kit to get results quicker. She was so incredibly kind and good with me, ended up being able to do a saliva kit and get results in time she deserves every good thing in life.
December 18th: pre-surgical testing: This was at the main hospital, everyone was really nice but I had a really bad panic attack despite being on Xanax.
The process is sort of like getting a physical. Measurements like weight and blood pressure get taken, lots of preliminary health questions. The people working with me were really kind and I was very open with them about my anxiety, it was visually apparent though anyway because I started crying the second we even started talking about the blood draw.
Once the equipment was actually brought into the room I started to panic. Both of the women working with me were really kind and helpful and tried to distract me and keep me talking the entire time, but I did still have a really horrible panic attack. Every muscle in my body locked up and I lost all my color, took a bit to get back to a spot where I could move and talk properly because my speech was affected too. It was a bit scary but funny to think about in post. Thanked the medical staff for being patient w me as always, a good portion of the anxiety is also guilt about making things harder for them. Got through it tho. Def eat before presurgical if allowed, I didn’t and that probably didn’t help!!
———- SURGERY DAY ————-
January 8th:
Ok so surgery day:
This day was very scary. Got my phone call the Friday prior for my surgery time which ended up being 1pm and I was asked to arrive around 11. Got there at 10 and went in at 10:30.
Called up to check in then in waiting room till someone brought me back to change. I told her right away about my anxiety with the iv bc that’s legit all I could think about. Got changed right after. I was generally shaky and a little disoriented the entire time because I was panicking but everyone was very patient with me. Clothes and belongings go in a bag in a locker and you get two gowns one that faces back and one that faces front. I was given underwear and a pad as well because lucky me I got my period a couple days before my surgery.
The pre-op area is a lot of little cubicles with curtain divider things, blue soft chairs, and medical equipment. Everyone I met and spoke to was very kind, but any time someone even suggested starting my iv I would panic. I was informed it would have to be placed in my hand and that terrified me, I’m especially anxious and sensitive about my hands and fingers. I think doctors and nurses tend to misunderstand exactly where my fear is with needles and ivs. It isn’t the pain that scares me, but the concept of veins and and anything being in them. Even writing this right now is horrible so I’m going to stop w any further detail. I spent the entire two-ish hours of pre-op absolutely terrified about this iv.
I wasn’t really keeping track of time but dr whitehead came in to do markings for surgery. They had cool rainbow socks on,big fan. Having your chest drawn on and just like, moved around n shit is such an experience. Felt bad because I kept losing my balance but doctor Whitehead is cool and I am 98% less scared about them now.
Probably my most favorite person I met during my entire hospital experience was the anesthesiologist. I know he told me what his name was but I couldn’t focus on or retain information at the time. He told me we could essentially put me to sleep with gas before putting the iv in and for the first time in probably a solid week I felt like I could calm down a little. He took a look at my hand and arm to check my veins which always does freak me out a bit but I’m more used to that kind of thing at this point and I know nothing bad is going to happen. One of the nurses came in with the iv equipment and he let her know that were going to wait till in the or which was also incredibly helpful because I absolutely panicked when I saw that little supply kit again.
V nice lady brought me into the or, I’d never been in one before it was cool. They had a little music speaker which was really cool. Took off blue jacket gown and they helped me onto the table. They put a warm blanket over my legs and my chest to help me calm down. Before long they gave me a mask w fun happy sleepy time gas, they let me keep my arms on my chest for a while which was really nice because I was still scared. I started getting loopy pretty fast but I still heard when someone mentioned where the iv equipment was and panicked a little because of that. I remember feeling them take my hand for that but never actually felt anything happen. Just some fear but the gas was v helpful obvi. Someone said they would see me in a little bit, and then I was groggily waking up in recovery.
Recovery was a little rough bc the iv was still there (fully wrapped up so I couldn’t see it though which was rad) but I was still really anxious about it until it was taken out and when it was taken out. For anyone that struggles w this i did not feel them remove it, just the tape. Everything was mentally much easier after that. After a while, going over instructions w parents, a cracker , some ginger ale and some juice, my dad helped me Get dressed and I was helped out to the car in a wheel chair. Ride was smooth bc of remaining numbness and meds except a few Bumps in the road
TOP SURGERY GOTTEN
My post op date was scheduled for Jan 17th and that’s the day I got my drains out followed by several post op check-ins. First week of recovery was miserable but things exponentially approved each day past that, and I went back to school in person two weeks post-op with driving and item-carrying assistance from friends!
Will upload recovery notes at a later date! Feel free to message me with any questions, more than happy to answer and give info! I’m a bit over four months out from surgery now and thriving 🥳
submitted by Frog_Shaped to TopSurgery [link] [comments]


2024.05.14 11:41 Sachiya_steel Quick Release Coupling Manufacturer in India

Sachiya Steel International is a trusted name in the industry for manufacturing and exporting Quick Release Coupling. The offered coupling is used in various industries including aeronautics and auto-mobiles. It is robust, resistant to high pressure, non corrosive and dimensionally accurate. This coupling ensures hassle free operations of the air assisted sprayers and prevents leakage of fluids.

Quick Release Connectors Suppliers in Mumbai at low price according to -40* C TO 300*C media temperature

Quick Release Hose Couplings at times improve the efficiency of the application due to their custom design and compact size. The design of Pressure Washer Quick Release Coupling is such that the male end fits into the female socket that creates a secure and leak proof seal. high pressure Quick Release Coupling is used for hydraulic wrench, emergency cutting tools, construction equipment, and industrial machinery. Quick Couplings are used in machinery that displays high pressure and vibration. Quick Disconnect Coupling that is designed to work under high pressure has a flat face design with a patented locking sleeve. Qrc needs to be connected between the locking pin and the release notch. Push Pull Couplings are made up of plastic or metal and are said to be light in weight. They can be produced in disposable material for cleanliness and hygiene purposes.

​Quick release couplings are fitting are used to mate fluid lines with system equipment that requires frequent connecting and disconnecting. They are used in both pneumatic and hydraulic applications to build or discontinue the connection of a fluid pipeline. ​

It is well known as quick coupler, quick coupling or quick connect coupling. Quick coupling can be made of stainless steel SS316, carbon steel and brass material for practically every application contingency. ​The fittings size is available from 1/4” to 2”. The working pressure will be determined depending on the body size.

Hydraulic Quick Release Coupling is found in air, water, steam, and vacuum distribution system. The disconnection of lines leads to a rapid loss of fluid and hence they are connected with Qdc Coupling to prevent the rapid loss during disconnection. Stucchi Italy Quick Release Coupling is used to speed up the work and reduce cost. Din Couplings have made it easy to connect electrical equipment for operation. Holmbury Uk Couplings are well known to increase the output and reduce the downtime of the application. Nitto Interchangeable Series Qrc has eliminated the need for valves and screws in the pneumatic and hydraulic system. Female X Female Qrc is known to prevent the loss of expensive hydraulic fluid.

For More Info Visit us at: https://steeltube.co.in/quick-release-coupling-manufacturer-in-india/

Email Us: sales@sachiyasteel.com

Contact Us: 9769056007
submitted by Sachiya_steel to u/Sachiya_steel [link] [comments]


2024.05.14 11:38 apps-1 The Rapid Adoption of Low-Code Development Platforms

In recent years, low-code development platforms have witnessed a meteoric rise in popularity, transforming the way organizations build software applications. This rapid adoption can be attributed to several key factors, including the growing demand for digital solutions, the need for faster development cycles, and the increasing shortage of skilled developers. In this article, we'll explore the reasons behind the rapid adoption of low-code development platforms and the implications for businesses in today's digital landscape.

The Need for Speed and Agility

In today's fast-paced business environment, organizations are under constant pressure to innovate and respond quickly to changing market demands. Traditional software development methods often involve lengthy development cycles and complex coding processes, which can hinder agility and slow down time-to-market. Low-code development platforms offer a solution to this challenge by enabling developers to build applications quickly and efficiently using visual interfaces and pre-built components. With low-code platforms, organizations can accelerate development cycles, iterate rapidly, and deliver new features and functionalities to end-users at a fraction of the time and cost.

Bridging the Skills Gap

The global shortage of skilled software developers is a well-documented challenge facing organizations across industries. As demand for digital solutions continues to rise, the gap between supply and demand for developers is widening, making it increasingly difficult for organizations to find and retain top talent. Low-code development platforms address this challenge by democratizing the software development process and empowering citizen developers, business analysts, and other non-technical users to build applications without extensive coding knowledge. By lowering the barrier to entry and expanding the pool of potential developers, low-code platforms enable organizations to scale their development efforts and tackle a broader range of projects.

Empowering Citizen Developers

One of the most significant drivers of low-code adoption is the rise of citizen developers—non-technical users who possess domain expertise and a deep understanding of business processes but lack traditional coding skills. Low-code platforms empower citizen developers to participate actively in the application development process, allowing them to create and customize enterprise applications to meet their specific needs without relying on IT departments or external developers. This democratization of development enables organizations to unlock the full potential of their workforce, drive innovation at the grassroots level, and accelerate digital transformation initiatives across the enterprise.

Meeting the Demands of Digital Transformation

Digital transformation has become a strategic imperative for organizations looking to stay competitive and thrive in today's digital economy. However, traditional software development approaches often struggle to keep pace with the rapid pace of technological change and evolving customer expectations. Low-code development platforms provide a flexible and agile framework for driving digital transformation, allowing organizations to modernize legacy systems, build customer-facing applications, and innovate rapidly in response to market dynamics. By harnessing the power of low-code platforms
, organizations can accelerate their digital transformation journey, unlock new revenue streams, and deliver exceptional experiences to customers and employees alike.

Conclusion

The rapid adoption of low-code development platforms represents a paradigm shift in how software is built, deployed, and maintained in today's digital age. By offering speed, agility, and accessibility, low-code platforms empower organizations to innovate faster, bridge the skills gap, and drive digital transformation at scale. As low-code adoption continues to grow, organizations that embrace this transformative technology will gain a competitive edge, adapt more quickly to market changes, and unlock new opportunities for growth and innovation in the years to come.
Read more:
Wave maker
Rapid application development platform
Low-code Enterprise application development platform
Low code application development platform or Low code development platform
What is Low code app development platforms
Composable low code isvs
Java-based low-code platform
Composable isvs
RAD studio-Rapid application development software platform
APAAS-application platform as a service
Cloud application development platform
Legacy application modernization services
React-native cross-platform mobile application development platform
Compare Wavemaker vs Outsystems vs mendix vs power apps — low code alternatives and its pricing
New application development platform
Rapid application development model
Low-code for consumable Banking and financial Low-code platform solutions
Internal api vs external apis
Rapid application development vs SDLC
Custom application development platform
Embedded banking and Finance, Low-Code and the Emerging Face of Adaptability
BAAS-Banking as a service
Composable Low-code banking solutions
Telecom low code platform
Alternative to Xamarin and Cordova
Wavemaker
Legacy application modernization platform
Cross-Platform React Native Mobile App Development
submitted by apps-1 to developLowcode [link] [comments]


2024.05.14 11:37 Sachiya_steel Stainless Steel Long Weld Neck Flanges Manufacturer in India

Stainless Steel Long Weld Neck Flanges Manufacturer in India. Leading suppliers dealers in Mumbai Chennai Bangalore Ludhiana Delhi Coimbatore Pune Rajkot Ahmedabad Kolkata Hyderabad Gujarat and many more places. Sachiya Steel International manufacturing and exporting high quality Stainless Steel Long Weld Neck Flanges worldwide. We are India's largest Stainless Steel Long Weld Neck Flanges Exporter, exporting to more than 85 countries. We are known as Stainless Steel Long Weld Neck Flanges Manufacturers and Exporters due to exporting and manufacturing on a large scale.

Types of Stainless Steel Long Weld Neck Flanges-

Sachiya Steel International manufacture a wide variety of Stainless Steel Long Weld Neck Flanges. There is a different types of Stainless Steel Long Weld Neck Flanges used for different needs.Our Stainless Steel Long Weld Neck Flanges are available in different sizes, grades and shapes. Sachiya Steel International manufactures and exports high-quality industrial Stainless Steel Long Weld Neck Flanges. We are Exporters of the following Stainless Steel Flanges -Stainless steel Slip On Flanges, Stainless steel Weld Neck Flanges, Stainless steel Blind Flanges, Stainless steel Long Weld Neck Flanges, Stainless steel Companion Flanges, Stainless steel Lap Joint Flanges, stainless steel Socket Weld Flanges, Stainless steel Orifice Flanges, Stainless steel Threaded Flanges and more.

About Stainless Steel Long Weld Neck Flanges -

Sachiya Steel International is one of the largest Stainless Steel Long Weld Neck Flanges Manufacturers in India. These types of flanges are normally used in high pressure and temperature application. It is costly but gives high reliability and reduce fabrication efforts as compared to normal pipe to flange type nozzle. ASME B16.5 covers the dimensions of the long weld neck flanges. We also known as Stainless Steel Long Weld Neck Flanges Manufacturers in India.

For More Info Visit us at: https://sachiyasteel.com/stainless-steel-long-weld-neck-flanges-manufacturers-in-india.php

Email Us: sales@sachiyasteel.com

Contact Us: 9769056007
submitted by Sachiya_steel to u/Sachiya_steel [link] [comments]


2024.05.14 11:35 Sea_Independent_3831 Working with a disability

Hi, I'm 23, I live in the UK, and I have a laundry list of physical and mental health issues that are still largely undiagnosed due to our failing healthcare system, so I'm also being left to completely self manage. Now the government is trying to push disabled people back into work without actually providing the necessary health care and support and I don't know what to do. I'm estranged from my family so I have no support that way and have no choice but to live independently, I have to be able to pay my bills and living costs, and I also have no idea if a job even exists that I'd be suitable for.
I dropped out of secondary school because my health was so poor my school attendance was 34%, I am unqualified to do pretty much anything. I'm considering going back into education hoping that it will open some doors but even that would be a monumental task so here are my limitations:
I would need a minimum of 3 days a month in sick days just to manage my endometriosis flare ups, I would not even be able to work from home on those days as they are mostly spent on the bathroom floor somewhere between consciousness and unconsciousness in unmanageable pain.
I have joint and mobility issues that have a flare/remission pattern and are wildly unpredictable, I wake up with dislocated shoulders frequently and randomly, I could go 6 months with my knees being fine and then have recurring patella dislocations that leave me wheelchair bound as crutches cause my elbows problems. I might be able to work from home on days this is an issue.
I have social and sensory issues that are thought to be undiagnosed autism (my brother and father are autistic, I showed all the same signs as my brother, I was just punished for my traits while he was accommodated.) This affects me in work profoundly because I frequently misunderstand instructions or feedback, take things very literally, am seen as overly pedantic and difficult to instruct, and get very burnt out by any kind of customer facing roles, and things like work uniforms, jobs involving unpleasant sensory tasks, can all cause me to experience periods of verbal shut down, self injuring behaviour, repetitive motion (pacing, rocking) and become intolerant of lights, sounds, and temperature. This is a constant issue that I don't know how to manage.
I have chronic pain that also has flare ups, baseline pain, and somewhat remission, it affects my muscles and joints and is unpredictable, baseline pain I'm somewhat functional but limited, flare ups have me bed bound and unable to concentrate. I may be able to work from home on some of these days but not others.
I have digestive issues that cause nausea, alternating bowel movements between cant go and going too much, episodes of passing blood, mucus, extreme painful bloating, severe nausea and weight loss, but there are brief periods of remission. I probably wouldn't be able to do a full day of work from home during a flare up due to the time constraints of actively being in flare up.
I have been coughing up mucus to a point of bleeding from the back of my throat for about a year, I also have episodes of air hunger with pain and wheezing. Again, thank you NHS for no diagnosis or treatment. I could work from home during a flare up of this issue most of the time.
I have some kind of blood pressure or fainting issue, when I stand, I'm close to fainting, its worse when standing still, sometimes walking just about keeps me going but sometimes it ends with my faceplanting the floor, loosing consciousness and fitting. This is unpredictable and I've done everything I can to manage symptoms (cutting out nicotine, caffeine, sugar, pushing fluids and gentle floor based exercise when possible.) I would not be able to go anywhere during a flare up, I'm dubious about my ability to work from home during a particularly bad episode as post faint/fit I'm usually confused and out of commission for hours.
I also struggle with depression, getting out of bed, showering, making food (when physical issues allow) can be a struggle. I also have CPTSD, anxiety, agoraphobia, PMDD, derealisation and depersonalisation. So on bad mental health days, I don't feel real, the world doesn't seem real, I'm reliving traumatic events, can't leave my home, and have back to back panic attacks while having no energy or inclination to care for myself.
All in all, I don't think anyone would want to employ me, and I'm very uncertain about my ability to work, but seeing as my government has created an environment where I can't get adequate healthcare to manage any of my conditions, doesn't believe that I'm that severely disabled due to lack of formal diagnoses for the physical health problems despite my medical record reflecting me seeking help since age 10 for most of these issues, and therefore is now trying to force me back into work or else stop all my payments leaving me homeless and penniless, I'm not sure what to do. I can't stay with family, and they would not financially support me regardless, I've got no safety net. I don't think any jobs exist with the flexibility I need, AND the certainty I'd need of income.
Any advice would be appreciated, I'm really trying to rack my brain for any workable solutions but it's looking bleak.
TLTR:
Physically disabled, mentally ill, unable to access adequate health care, no family support, and possibly being forced to work despite not being able.
submitted by Sea_Independent_3831 to disability [link] [comments]


2024.05.14 11:21 karishma91 Breathing Exercise Machine for Healthier Lungs & Better Life

Deep breathing has the ability to heal various ailments and transform one's life, but it is often overlooked by many. In fact, it's so effective that even patients recovering from surgery in hospitals are prescribed a breathing exercise machine to help them recuperate faster. It's time we recognized the therapeutic power of our own breath.
There are numerous items that can greatly improve our lives, and luckily, we can purchase many of them at the convenience of an online store. From a hernia support belt to an enema kit, a neti pot, eye cups, and various health and fitness essentials, the options are endless. However, the real challenge lies in finding the perfect online retailer that offers authentic and top-notch products.
A Brief Overview of the Breathing Exercise Machine:
A breathing exercise machine, also known as an ‘incentive spirometer’, is medical equipment designed to restore a healthy breathing process. It is handheld equipment that has three chambers made of compact and break-resistant plastic material. Each of the chambers has a small plastic ball inside it. The three chambers are designed in a way to allow for different inhalation rates, ranging from 600cc/sec to 1200 cc/sec. The device has a flexible pipe with a mouthpiece to enable straight posture while using it. The chambers, the pipe, and the mouthpiece can be easily detached, cleaned, and stacked away after each use.
How does Breathing Exercise Machine Improve Breathing?
People breathe differently. Often, we are unaware that we are not breathing properly. Also, we do not always breathe at the same pace. There are different kinds of breathing that normal people do:
Irregular breathing can lead to various health issues as it disrupts the proper exchange of oxygen and carbon dioxide in the body. Consequently, this can result in flawed blood circulation and blockages in the veins. Numerous individuals suffer from lung-related ailments such as chronic bronchitis, asthma, emphysema, pneumonia, and more. Additionally, people who have undergone a significant surgery might be at an increased risk of lung collapse.
In such instances, doctors often recommend the consistent use of a spirometer to help patients restore normal breathing patterns. It helps in improved ventilation of the lungs and also helps to prevent the built-up of excess mucus and fluid in the lungs.
Conclusion
If you are planning to buy a breathing machine from an online marketplace, you need to take precautions, as not all spirometers are medically approved or have standard calibrations. We highly recommend that you purchase all your health and wellness products from a trustworthy online store that has a dedicated international clientele. Whether you are buying a neti pot, eyewash cups, a hernia support belt, or a yoga mat, always go with an online retailer that insists on eco-friendly, cruelty-free, and sustainable products.


submitted by karishma91 to u/karishma91 [link] [comments]


2024.05.14 11:14 Apprehensive_Piece80 New to POTS

I just got diagnosed with POTS a couple days ago after about a year of high heart rates and almost a dozen almost fainting episodes. I wanted to know some weird symptoms that come with POTS. I’m currently dealing with the “fake heart attack” It feels like my chest is being attacked right now, and the pain is radiating down my left arm. i’m trying to tell myself that i’m okay, but it’s not really working. Even know i know i’m okay after 3 blood pressure monitor takes, an EKG done just 2 days ago, and i’m still having anxiety. I just worry so much about my health and I try my hardest to be the healthiest i can be, but it’s hard when POTS is slowing me down because i’m so anxious about every single pain or weirdness i feel.
submitted by Apprehensive_Piece80 to POTS [link] [comments]


2024.05.14 11:08 PowerfullyWeak What has been your experience with Guanfacine for ADD symptoms?

I'm just looking for experiences from people who have used Guanfacine for ADD symptoms.
Guanfacine is a unique blood pressure medication which apparently helps strengthen attention and memory in individuals with ADD.
I was just curious if anyone has taken this medication and what your personal experience has been with it?
submitted by PowerfullyWeak to ADHD [link] [comments]


2024.05.14 11:06 greydorothy A brief discussion of violence in Fire Emblem

Intro

It’s not much of a stretch to say that violence is the primary form of interaction in video games. With a handful of exceptions, most video games involve guys whacking other guys, with varying degrees of brutality. Even chill games fall into this - Stardew Valley has sections with combat in them! Considering the pervasiveness of violence in video games, there has been a ton of amateur and academic commentary on the topic. However, while this is a well-established school of thought, I haven’t seen people try to apply this to Fire Emblem specifically.
So, let’s do that now! In this post, I’ll be exploring how violence in Fire Emblem is implemented - what limitations are placed on violence, how it warps wider game and narrative design, and what it implicitly says and does not say. I hope this post doesn’t come off as too early-2010s “makes you think”-y, but I do think there are multiple interesting things worth talking about here!
Despite the length of this post, "a brief discussion" is an appropriate title, as we won't be able to go into depth on everything. After all, video games are holistic works, so the attitude towards violence is relevant to every aspect of their design. However, I have managed to wrangle some of these threads into the following structure: first a discussion on the fundamental mode of interaction in Fire Emblem, then how stories are constructed with regards to violence, and ending with the aesthetics of violence and how they relate to characters. Also, as FE is a huge series, be aware that I am gonna be making some broad statements which may not apply to each individual plot point of every game. I actually planned to write 3 case studies around Thracia 776, Fates, and Three Houses (which have the most interesting attitudes to violence in the series IMO) which point out these deviations, but this post is way too long and full of tangents already. If people are interested, I’ll make a followup to this post which goes into them in more detail. Also also, because of the nature of this post, I’ll actually give a useful TL;DR for once:
TL;DR: Nintendo games must be fun mechanically, and they can’t be too uncomfortable narratively. If you try to provide a counterpoint by saying “oh this Kirby final boss is super dark it eats 100 morbillion galaxies”, you do not deserve rights. IntSys has to keep to this as a 2nd party publisher, but they also have to deal with the fact that their games are at least nominally about ‘war’ (or at least they put their toes into that particular thematic pool). This conflict between making a fun video game for children/teens and the wider framing of the narrative leads to interesting narrative and aesthetic tensions. also fun is cringe, misery is based

“Do you like hurting other people?” (or The Fundamental Mode of Interaction)

OK LISTEN I KNOW I LITERALLY JUST SAID THAT I DIDN’T WANT TO COME ACROSS AS A EARLY 2010s “VIOLENCE IN VIDYA BAD :O????” PERSON BUT I SWEAR I’M GOING SOMEWHERE WITH THIS
The best place to start when talking about violence in video games is to think about the primary form of interaction in said game. In the case of Fire Emblem, this is in the in-chapter gameplay. Sure, in objective terms the player moves arbitrary objects across a 2D grid which perform subtraction on arbitrary objects controlled by the computer, but this is always framed as controlling a squad of soldiers to engage in (typically lethal) combat with enemies (who are normally also soldiers). When you’re not doing this in-chapter gameplay, you are preparing for the next chapter of combat. This involves surveying the area of combat, preparing weapon loadouts, etc, however more recent entries also include light life-sim-esque elements. To summarize, Fire Emblem’s interactivity involves ordering violence as well as the preparations to order said violence.
For players, this strategic thinking is extremely fun and is the primary draw of the series! You have all these tier lists of who’s better at killing, discussion of the maps where you do the killing, complaints about the length of gameplay sections where you don’t do killing, etc. This is by design, as while I don’t know the core brand tenets of Nintendo, I imagine the Reggie quote “If it isn’t fun, why bother?” is carved into a solid gold statue of Mario in the office lobby. This then is enforced on all associated studios, including IntSys and so Fire Emblem. While I would disagree with that Reggie quote (especially the bit where he says “If it’s not a battle, where’s the fun?” which is a wild statement to make about an entire medium), this approach to making games is ultimately fine, and so IntSys tailored the strategic gameplay to be satisfying to your dopamine receptors. You could analyse what the normalisation of violence even in ‘just for fun’ games says about wider gaming culture, but I won’t get into that here. In any case, let’s dig into a few specifics of FE’s interactivity.
One thing that’s interesting with regard to strategy games is the detached perspective of the player. You order units and observe the resulting violence, but it’s not tactile, you don’t directly swing the sword or shoot the bow or cast the spell like with action games. This adds a layer of separation between the player and what fundamentally happens, at least within the framing that the game provides. It’s not like Call of Duty, where your relationship to the violence is very visceral, where you view everything down the barrel of a gun. OK, I probably shouldn’t use a series that I have very little personal experience with (I only listen to the supplementary lore material, so let’s talk about Sekiro: Shadows Die Twice. While you’re not directly in the driver’s seat, John Sekiro reacts to your every input with extreme responsiveness, so overcoming the game’s challenges i.e. stabbing people is incredibly visceral and satisfying. While this violence is fantastical in nature, there is sufficient blood and explicit sword-action to clearly say “oh yeah you are violently killing all of those bozos with a katana”. Coming back to FE, not only are you far more detached from the violence, it is presented in an extremely cartoony manner… but let’s not get ahead of ourselves here, we’ll get to the aesthetics later. Point is, Fire Emblem gives the viewpoint of a stoic commander, who Does What Needs To Be Done™, and not the viewpoint of an actual soldier who has to do the actual killing.
Now let’s view the player’s perspective on violence from a different angle. Fire Emblem intends for its combat to be relatively relaxed on the player side of things - the turn-based nature allows the player to calmly think through all of their moves, and you typically have perfect information on the enemies. The only exceptions to this are Fog of WaSame Turn Reinforcements, which are rare and typically unpopular amongst the fanbase. This leans into ‘combat as sport’, where (going back to the Reggie quote) you have a fun time picking apart a puzzle with the tools you have, and we all collectively enjoy this! This is a valid way of designing strategy games, and I like what IntSys has done. However, it’s not the only way of making these games - for example, in Total War you have to juggle all your battalions in real time whilst the enemy is bearing down on you, and the XCOM games always have Fog of War and limited information on the enemies, with you never knowing what kind of awful new monster is going to suddenly charge at you. Don’t get me wrong, neither of these follow ‘combat as war’, the principle that violence should properly mimic the stress, tension and unfairness of actual conflict. Hell, neither of them are particularly mature either - Total War is the strategy game equivalent of smashing action figures together, and XCOM emulates a pulp sci-fi alien invasion story. However, the additional pressures these games have make them hew slightly closer to actual conflict, putting you more in that mindset in a way that the clean fun Fire Emblem doesn’t really do. Again, I want to say FE’s approach to violence in in-map gameplay is fine, but when all three of these franchises have an explicit narrative framing of ‘warfare’, it does make Fire Emblem’s narrative a little more… stretched.
Finally, I want to briefly mention the maps. To steal from a brilliant Jacob Geller video, these are Worlds Designed For Violence. At least outside of the Kaga games, the maps you fight on are primarily designed around how the player interacts with them, i.e. fights on them. While I imagine the narrative designers and artists at IntSys are involved throughout the map design process, the gameplay flow probably takes precedence most of the time. Maps are not designed to resemble realistic places that you have to fight through, they are instead designed primarily to provide fun gameplay experiences before being dressed up by the artists to look realistic/fit the specific story beat. This is a more consistently entertaining approach to map design - heaven knows we have a lot of Kaga castle assault maps which are as fun as actually assaulting an entrenched position IRL - but this lack of friction could potentially take the bite out of the intended vibe, neuter any commentary on violence throughout the story.
You may have noticed that we’ve only talked about the “in-map” gameplay for now, when there’s an entire second half of these games, i.e. all the gameplay between the maps. Don’t worry, we’ll get to all of that, but this may fit better in:

Something something “ludonarrative” something something (or Narrative Implications)

(To clarify, here I’m going to talk about the wider plots and narrative structure as opposed to characterisation, as that fits more into the aesthetics of the series)
It’s not bold to say that the narratives of games have to warp around the core gameplay structure. Especially in AAA video game production, the narrative designers usually have to take a back seat to the systems and level designers, at least outside of the initial rough outline they provide in the original game pitch. In this case, the job of the writer is to form vaguely coherent connective tissue between individual levels, setpieces and expensive pre-rendered cutscenes. This must be a very difficult job, and is probably the reason why most video game stories are the way they are. I am not privy to IntSys internal meetings, but I imagine they abide by this paradigm, trying to give a reason for why you fight 20 battles which roughly align with plot beats that were decided years ago.
Put another way, the writers of Fire Emblem must contrive a reason why the characters fight a vast number of violent battles in a strategic manner. This has a pretty easy solution - war! We have found something it’s good for, as whenever the gameplay designers decide that an extra map is required, the writers can just insert “oh no there’s a blockade of enemy soldiers in the way, guess you gotta kill them all”. This is the case for almost all the games and is a fair enough narrative choice, as it’s frankly one of the few scenarios where you could reasonably contrive so many battles, but it’s worth examining this in a bit more detail.
Even in the framing of warfare, there are still a lot of skirmishes, which sometimes the narrative or tone fails to support - or at least, their presence means that violence isn’t taken that seriously. Let’s take an example from early in Awakening: Emmeryn sends the Shepherds to negotiate an alliance with Regna Ferox. On the way, they are ambushed by Risen on the Northroad (1), have to fight the border guards who think Chrom is a bandit I think??? (2), and then after arriving they need to take part in Regna Ferox’s ritual combat to secure their alliance (3). These beats aren’t necessarily bad, and I actually think Awakening uses these opportunities quite well: the Risen are established as a constant threat to the world (except not really in the main story but that’s a whole other thing), “Marth'' gets more development, we set up Regna Ferox as fighty people who like to fight, and while the middle encounter is very tenuous it does set up a funny joke in Cynthia’s paralogue. However, I want to communicate that if the map/encounter designers need X maps between plot points A and B - in this case, needing low-stakes trials in the tutorial period - then there’s gonna be a fair bit of narrative filler. That is to say, there must be multiple combat encounters that kinda just happen, which makes violence a lot more casual in the narrative. See also the myriad examples of “oh shit random bandits attack!”, used to have a lower stakes map, with bandits appearing and vanishing as needed. This works fine enough in the context of ‘combat as sport’, allowing your favourite scrunglo to build up a triple-digit body count, but this casual attitude circumvents potentially interesting ideas with regards violence. Taking the example further, banditry and its causes are never seriously explored, as bandits are just treated as a filler enemy (except in Based As Hell Thracia 776).
Another narrative consequence of needing so many fights is that… you need to fight. That is to say, any anti-war sentiment or appeal to diplomacy in the series is fundamentally undercut by a) strategic combat being a core appeal of the series and b) narrative beats needing to be structured around fighting enemies. It’s a struggle to have moments of diplomacy and reconciliation when you had a fight within 3 minutes of said moment, lest some people start screaming that things are getting boring. This also makes any appeals to pacifism kinda moot. Xander’s quote about “war bad” in Conquest is utter bullshit, as a huge part of the marketing around that route focuses on the coolness of the tactical combat and its challenge. Eirika and Ephraim can never be equal, because Ephraim’s “fighting is fucken awesome” is encouraged by the gameplay, and Eirika can NEVER save 11037 because we need a final boss and no-one else fits the bill.
Speaking of, in video games it’s best practice to have a big bad guy you fight at the end of the story, the toughest mechanical challenge coinciding with the narrative climax. In Fire Emblem, you have one grand final battle which decides the fate of the war and/or world, before cutting to a brief wrap-up and then credits. This is an attempt to make these games satisfying, which is fine, but this is at odds with an anti-war message (which FE often gestures towards) - that is, actual wars tend to be deeply unsatisfying in a narrative sense! Oftentimes, after a decisive battle, things just kinda keep going for a little while afterwards with casualties continuing to pile up until peace terms are agreed. In the few cases where there is a final battle, it’s more of a formality as the decisive moment occurred months ago. See World War 1 and… World War 2 for examples of each, not to mention a whole host of war-related books and films. The problem with doing this in a video game is that it would require having multiple one-sided fights past the most climatic fight, which would be unfun, and we return to that fucking Reggie quote again. While video games can effectively explore this anti-war narrative space - This War of Mine is a fantastic example - it just doesn’t gel with the fun games that IntSys wants to make. I bring this up in the context of FE because Fire Emblem has such an aesthetic focus on warfare compared to other video games, so it sticks out even further. Even in FE6/FE9 where the war is effectively over in the final few maps, the enemies still remain extremely challenging, because if they didn’t things would be boring.
A few minor things that didn’t fit in above before we wrap up this section. First of all, in making an action packed story, Fire Emblem neglects an important aspect of army life in warfare - the “hurrying up and waiting”. In the majority of cases, the breaks between fights is under 10 minutes, it’s just glossed over. Fire Emblem Three Houses is the exception to this, but there it’s more framed as school life. Some people may say “what’s the point in having large amounts of timewasting where nothing happens in my game about war” and to that I would say fuck you, I want to play Jarhead Emblem. Next, Fire Emblem involves fighting people AND monsters, but these targets are typically given equal narrative weight, outside of maybe a funny line of dialogue about someone being afraid of monsters. In 99% of cases, enemy soldiers you fight have no more humanity than literal monsters. The death of any of your beloved soldiers is a tragedy with big sad death quotes, the death of those poor fuckers is quite literally a statistic which is proudly used to rank how well your guys have done at the end of the game. Finally, the limited scope of the violence the series can show limits the potential impact of scenes. In some cases, this is good as the implication is enough, e.g. the ‘Monica’ scene in Sacred Stones is wonderfully grim and would be weakened by anything explicit. However, a number of other scenes are neutered by the limitations on violence. This fundamentally relates to the aesthetics of the series:

insert prozd tweet/skit here (or Aesthetics, Tone, and Characters)

I’ve been talking a lot about ‘the violence committed’, and this might have seemed a bit weird to you. It’s a true statement, but because the violence is mostly cartoony and abstracted - bad guys disappear into nothingness, there’s no blood, etc - it’s hard to think of it in that way. It’s basically impossible to place Fire Emblem in the same artistic sphere as, say, All Quiet on the Western Front. This aesthetic sense was partially tech-limited in the early NES and SNES games, which was grandfathered into the more graphically complex titles, but it’s also related to how the aesthetics unavoidably warp the tone of the work. IntSys needs their games to be relatively lighthearted and unconcerned with the consequences of its violence, as one of the core appeals of these games is the charming cast of characters. As you would expect, it would be a lot harder to appreciate your goofy blorbos and their lighthearted chats about nothing if you could see the brutal consequences of their triple digit body counts. If violence was more realistic, there would be a lot less “ooh I like training and/or this one hyperspecific food” or “I like peace, but I guess violence may be possibly needed sometimes” and there would have to be a lot more trauma and dourness. There are also age rating concerns, as you can’t exactly sell Come And See Emblem to pre-teens. And once more, to clarify: Fire Emblem as it exists now is fine! I like the lighthearted tone of this series, and I like the characters that reside within it. However, a few problems do arise from IntSys’s approach to violence, as occasionally they brush up against darker ideas but (due to similar reasons to the above) they can never commit to them, which neuters their potential impact. This is especially troublesome with regards to characterisation, as the little dudes are a core appeal, so if something is off that could cause problems. In a sense, at points we have severe aesthetic tension.
A fairly useful case study to see how this affects characterisation is with Mozu in Fire Emblem Fates. Mozu is a charming character, a genial country bumpkin with a bit of an edge at times, who has fond memories of her hometown. This lines up with the lighthearted tone of her recruitment paralogue, where (checks notes) her entire village gets massacred by inhuman monsters, with her mother literally being murdered right in front of her, and she joins up with Corrin’s party because there is literally nothing left of her old life. I understand that people who experience extreme trauma do still manage to live meaningful lives, and that IntSys wouldn’t want to have a character who is a barely functional traumatised mess for 90% of the campaign. However, this doesn’t explain the sheer dissonance between the relatively normal and well-adjusted Mozu who quietly remembers her lost loved ones, and the fact that her village got My Lai’d a handful of weeks ago in the game’s timeline. IMO this would work a lot better if there were a few survivors (instead of literally everyone else dying), with Mozu actively choosing to leave her old life to help others instead of being forced to leave by circumstance. This reduction in scope would mitigate the dissonance between the character and what actually happens to her. This is by far the most extreme example in the series, however I’m sure you can think of others. My issue here is not with having ‘normal’ characters, or with them suffering tragedies, my issue is the dissonance between the two when viewing the scope of said tragedies. This is just one way the series wants to get into darker territory, then swiftly backing off instead of delving into the consequences.
This aesthetic restriction also affects the potential impact of dramatic scenes in the main story, limiting what the focus of these scenes can actually be. This little bit will involve heavy spoilers for Genealogy of the Holy War and Spec Ops: The Line (I KNOW THESE GAMES ARE VERY DIFFERENT WITH VERY DIFFERENT INTENDED DEMOGRAPHICS IN VERY DIFFERENT CULTURAL CONTEXTS, SHUT UP). Both have a very important narrative moment around their midpoints, involving fire magic/white phosphorus respectively. In each game, the deaths that occur are utterly horrific when you think about them. In FE4 the focus is on the drama of the plot twist and effects on the characters, with the actual effects of the violence being left to implication. We don’t know if this was the original intent of Kaga and the team, or if this was enforced by various tech- and publisher-related restrictions, but in either case we do not see anything explicit. In any case, in Spec Ops: The Line, the horror and graphic nature of the violence is completely inescapable, and therefore forms the core of the turning point of the story. The specifics of the violence itself are crucial - the game does not work if you don’t see the consequences of the white phosphorus - and it leads beautifully to the complete descent of its endgame. You may be saying “of course you couldn’t show that violence in FE, it’s a kids game” which is true, and in any case the scene in Genealogy is very good, even without showing the violence. I imagine if we get a remake in the year 202X we wouldn’t see anything explicit anyway, partially due to the publisher but also because the scene doesn’t necessarily need it. The point I am trying to make is that the aesthetics form a limitation on what Fire Emblem can explore, narrative space that the series fundamentally cannot reach.
One more thing, and this isn’t really about the games themselves but the impressions leading into them, and how the aesthetics can affect that. Do you guys remember when the intro cutscene of Three Houses was released a few weeks before release? I do, and I also remember the collective shock of the community when seeing the early previews. It was so drastically different to everything that had come before, and consequently was really intriguing - you can see a lot of speculation in the above comments. To clarify, I don’t want to pretend that 3H is some kind of super mature ultra gritty war story, or that blood = good game, but that beginning cutscene gave one hell of a first impression. Even though the game isn’t that much darker than any other FE game, the sheer unexpectedness put people off-kilter in a kinda awesome way. Does the game actually deliver? YMMV, but I think this (and some of the later cutscenes, such as the mid-game Dimitri one) work quite well. Sometimes, a little injection of harsher violence can go a long way.

Conclusion

Frankly I don’t really have a conclusion, sorry. As you can see, there are so many disparate strands, I can’t possibly make one grand thesis statement. Maybe the inherent contradictions of having warfare in a family friendly video game weakens the potential end result? I guess, but I don’t want to imply that what we have now is bad, as it is pretty good tbh. So, uhh…

OK, if I had to say something, it’s more about the process of making this. Having to try and think about how violence intersects with a video game you like takes you in a number of different directions. Ultimately, this process was really fulfilling for me, and I would recommend that you do the same (for FE or anything else)! Trying to analyse something you enjoy from a perspective not usually applied is pretty neat. If you guys have any thoughts (on the points above or your own), I’d be very interested to hear them!
Also, if people are interested, I’ll try to make a few case studies. I would focus on Thracia 776, Fates, and Three Houses, as (when thinking on this topic) I found that these games were consistently the most intriguing, with the most interesting relationships to violence. This would probably take a while though, as I am gonna be very busy in June, and I probably won’t have time this month either.
submitted by greydorothy to fireemblem [link] [comments]


2024.05.14 11:02 Fast-Cash1522 Looking for a new watch, which should I get?

Hey everyone,
I'm looking for a new watch to replace my current very old Huawei Watch GT 2 e. Been watching and reading many reviews but so far haven't found the best for me as there simply is so many different brands and models, and what looks good on paper might turn out later something not for me. This happened to me with Fitbit Sense 2.
What I'm looking for:
I got my self Fitbit Sense 2 some time ago and I was aboltely disappointed with it. Ended up returning it. Sleep tracking results took a long time to come available after waking up, sp02 measurements were only showing some kind of overall guesstimate of the night instead of actual multiple percentages / results what was going on during the night. Software was imo simply bad, user experience and user interface were done rushing.
Thanks! :)
submitted by Fast-Cash1522 to smartwatch [link] [comments]


2024.05.14 11:00 OliveApprehensive366 No salary raise in a year, getting discouraged but I like the perks of this company

Looking for some tips on how to mentally handle this situation.
I’m a mid level dev, 6+ YOE, I don’t have a great manager he even already explicitly said that he was put on that position, but he is not a people manager. Since I joined this company almost two years ago I’ve been working on my promo to senior dev but each day that pass this day seems to be very far due to some restructuring on compensation and promotion at the company.
I was so fed up with this manager that I asked to work on this other project that had another manager ( all in the same team and of course he doesn’t know I changed projects because of him, but because I was interested in the tech stack) . And I’m impressed what a good manager can do with my mental health, this other guy is great. Great communicator, trust the team, know what we can deliver in a week and protect us. Very different from the other that is literally mean in PR comments, very rude and don’t let other people talk.
The sad part is, the last is still my manager and it’s with him that I do my 1:1. And I don’t see him promoting me to senior anytime soon. Or even a comp increase
I have a few options: start studying and applying for new jobs or just accept that this is going to be my salary and literally stop “over working” because of promises that I’ll be promoted one day. My company has this terrible thing that “you are promoted once you already act as the next level” and this is what I was doing.
The benefit of the last is that I like my team, the perks are great, my salary is also ok around 150k TC ( I’m the lowest in my team only above the intern haha) , it’s remote and I can take 20-25 days PTO and be abroad for 90 days a year.
One part of me just want to stay at this company, forget about my aspirations , ignore the “pressure” coming from my manager and just do what I’m being paid for. Focus on my growth by studying what I want. And if the company doesn’t like that, they will fire m. That’s ok for me as I would love some time to rest as I’m very exhausted.
The other part thinks that is better to move to a more chill non tech company if I’m going to be “underpaid”.
And the other thinks that the best move is to apply for jobs with better TC and be better paid.
Looking for some experience devs thoughts on what would you do.
submitted by OliveApprehensive366 to ExperiencedDevs [link] [comments]


2024.05.14 10:47 milmani Double vision, aura, vertigo, tinnitus, headaches, numbness, muscle twitches, memory loss

25F, BMI healthy range, no smoking, no drugs, low alcohol consumption. Physical job, good shape. Medications beclometasone (asthma), sertraline. North Europe.
EYES: For the past month I have had nonstop visual problems which feels like a migraine aura. My vision is grainy like TV static noise. If I look at a geometric pattern, it starts moving: if I stand on our geometric rug and look down, my feet disappear from my vision. If lighting changes, I see white and black spots and patches moving around. If I close my eyes, I also see patches moving, even flashing lights sometimes. I struggle to focus on looking at things, other thigns around the focus point start moving or then I have double vision. I have occasional pain behind my **left eye**, a feeling of pressure, sometimes tingling and goosebumbs in the eyesocket. One night red spots (petechiae) appeared around this eye.
VERTIGO/EARS: I have vertigo on and off. At worst I couldn't stand straight without swaying and even crawled on the floor cause everything was spinning. If I close my eyes and try to walk or stand on one leg, I fall down. (Normally I do sports that require good balance and am able to eg. go up and down a rope on one leg and jump onto obstacles and slide while downhill skiing.) I have tinnitus, mainly low noise like holding an ear against a seashell, sometimes periods of loud beeps. Once I lost hearing in my **left ear** for a period of time.
COGNITIVE: I forget things a lot and struggle to focus. I've always been absentminded but never this featherbrained. Before in my life I had never lost my bank card, and only once left the house while forgetting my keys inside. Now in a short period of time I have lost my bank card twice and keys twice and only got them back with the help of strangers. I have also felt just generally disorientated at times, asking stupid questions and misunderstanding what I'm told and just having very absurd thought chains that leave me acting like an idiot over something that could be done simply.
NUMBNESS: My legs, hands from elbow down, and mouth went numb last Saturday and still remain a little bit numb. I struggled walking, had to sit down a lot, and my grip wasn't as tight as normal. I felt lightheaded standing. I could speak and smile, though, and my face wasn't and never has been droopy. When I smile, though, the muscles on the left side of my mouth tense up unusually with wrinkles that used not to be there.
SWALLOWING: I struggle swallowing at times, threw up water once and just keep coughing at other times. (The petechiae I mentioned earlier happened after I threw up, so it could also be a result of that.)
EXHAUSTION: One day I was able to stay awake for just five hours (granted I was in the ER the past night for numbness), another night I slept for like fifteen hours. I am tired a lot, some days all I can do is lie in bed or sit on couch, other days I have to take more breaks and just go to bed right after work (if I've been even able to get to work.)
Tests so far: EKG normal. CBC normal. Blood pressure within normal range, a little elevated in one test but could have been just me worrying about not being able to stand at the time. Blood sugar and culture normal.
Tried so far: Headache does not respond to ibuprofen or paracetamol. I tried Epley manoeuvre for two weeks as a doctor suggested it, either that or rest from sick leave days might have improved the vertigo from "unable to stand without swaying" to "just annoying." Eye strain helps somewhat when I take off my glasses.
I feel like doctors aren't taking me seriously, even brought up my mental health history out of the bush like I'm imagining things even though I'm all gucci on that end. I get that my symptoms are unusual as a whole and they find it unlikely it's anything acute, but my life is so hellish with this shit, it's like flipping a coin if I'll be lying in bed all day with a headache and nausea and numbness and what not, or when I do drag my ass to work, if I gotta drag a chair around cause I struggle standing, and keep pushing myself to the end of the shift telling myself "just one more hour." It's also annoying I haven't seen properly for a month, even now writing this hurts my head. It's like they are hiding referrals like government secrets lol.
Background information: I have asthma and alfa-1-antitrypsin-deficiency (MZ alleles). I have also been on sertraline for years. (I did stop it last autumn when a doctor suggested it wasn't necessary anymore. I have family history of bipolar, and experienced a two week period of hypomania like symptoms after stopping. Soon after, a stressful life event triggered a depressive episode, which lasted for two months, but subsided as I started the medication again and got over the stressful life event. For the past four months I have had less stress than normally, I have been happy, I love my new work, I have friends, etc. When starting and ending sertraline I had mild side symptoms such as a feeling of vertigo for a second or two when moving my head quickly, but I would find it quite strange that a medication that has worked well for me for years would suddenly be behind all these strange symptoms that started about a month ago.)
submitted by milmani to AskDocs [link] [comments]


2024.05.14 10:40 wisteria_town Day 14 post SCT + A little storytime

Hi! Just wanted to thank everyone for all of the support on my last post, the days have been passing by easier since then. 🥹🫶🏻
Day 14 today, my counts started going up a few days ago! Neutrophils pranked me a little (0,00→0,05→0,00→0,02→0,04 today) but otherwise, everything else has been going up pretty well, hemoglobin and platelets especially! Still got pain obviously, and god awful issues with my bowel movements, but I'm managing! Optimistic for once in my life.
I realized that the only people who know my story are my doctors and part of my family. I love reading other people's stories, it makes me feel less alone (feel free to share yours if you want!), so I figured I'd share. I'll keep it brief.
Everything started with a cold that took a suspiciously long time to heal which left me with a really bad cough (that took 3 months to go away, my doctors tried everything 😭). Tiredness (5h naps during the day wouldn't cut it) turned into faiting episodes. Wounds wouldn't heal, bruises would appear. Swollen lymph nodes and gums. My last memory before getting the blood tests that changed my life was helping kindergartners (Vocational HS section where I'm basically learning to be a daycare teacher) explore a forest. In heels, without water and with no food in my stomach... Man, I really thought I could do anything. Sweet memory I cherish though.
After I got a few blood tests (I only remember my iron being 4x the amount it should've been, WBC 24k + 60% blasts) done we got a call from the lab to go to the hospital and re-do them. The hospital wouldn't re-do them because they said the results are clear, I've leukemia. The poor doctor started crying. I remember my reaction, “Leukemia? But I'm only 16.” (And now I'm turning 17 at the end of the month, how time flies) Saw a pediatric onco-hematologist on Monday. Said it looked like AML (later on found out it's "high risk, M4" but I don't exactly know what that entails) there's treatment available, said my dad can't stay as my caretaker (which I didn't understand then but I thank her for now), and then she left. She's not exactly very talkative...
Next day I got a portacath, and started investigations pre-chemo. Thankfully everything looked fine, hadn't spread to my brain, my lungs and heart were fine, basically everything was okay otherwise. Started chemo. Didn't go into remission after induction (I think I was at around 11% blasts) but went into full remission after second round. Two more rounds of chemo, then a SCT with my mom as the donor.
Now I'm looking forward to the future (although I'm also terrified of it and of the long term effects that I know I'll have to deal with). If everything goes well, my doctors have said I could maybe return to school at the start of September, which would be perfect for me since that's when the school year starts. It's genuinely my only wish. I value school so much, I know it seems ridiculous, but I studied a lot, got pretty good grades, even went to the national English olympics in 9th grade. My teachers have been very understanding too. I hope I'll be able to return, but I'll do whatever my doctors say. I don't want to set my expectations too high. I miss my teachers a lot. Also my cat, but she's having fun on the countryside! Meet Șoarec
The only thing I haven't been able to cope with is the less understanding people, haha. It really be your own family sometimes. Mom is my caretaker and although she's super sweet, she can be very rude about my pain, and pressuring me to eat/drink. Dad told me “God punished me and that's why I got leukemia” which left me stunned, I've been thinking about that for a month. Also the occasional “Oh, what's leukemia? Is it like, gamer over for you?” or “RIP” reaction when I tell someone my diagnosis. I'm gonna work these issues out in therapy though...
Hope this isn't too long or trauma-dumpy haha! Just wanted to share, this community has been very kind & helpful and I definitely wish I would've joined sooner.
submitted by wisteria_town to leukemia [link] [comments]


2024.05.14 10:37 CopperKettle1978 Odd feelings on left side of body; lesion on MRI scan, in tectum area - associated or not?

Hi! I'm a male, 46 yo, 1.68 meters tall, 65 kg. In 2000, while preparing for a corneal transplant due to rapidly declining vision acuity caused by keratoconus I was feeling bad (pulsating pain in left arm, headaches, numb small finger on left arm). Going through different doctors, I was diagnosed with diabetes (marked as "probably MODY"), and put on a diet. Each time I ate too much, I started feeling bad again, but my blood sugar remained normal. In 2003 I was hospitalized again in the endocrinology ward, and again discharged on diet with 'diabetes', despite normal sugars; also was sent to geneticists, but they found nothing.
In 2010, while studying at courses (preparation for an institute), I went off the diet and ate more, because I was feeling tired; basically it was not overeating in normal person's terms; my blood sugars were okay. This overeating caused a kind of stressed stuporous state, but I persisted; I started having weird sensations in my left arm again.
After some days I had a "stroke-like episode" with dizziness and a kind of numbness in the left half of the lips, left arm, left foot. I was afraid and went back to my strict diet, took some cardio aspirin, resumed taking an ACE inhibitor, despite normal pressure. This was when I first had an MRI scan of the brain, and it revealed only an unrelated tumor of the trigeminal nerve (1 by 2 cm, invading a bit into the left orbital cavity), described as "probably a schwannoma" - this tumor has not grown a bit ever since, it has the same size on all scans since 2010. Except this tumor, located in the left cavernous sinus, nothing was found.
After this stroke-like episode, I could not properly read texts - upon reading, I was having attacks of dizziness and sudden strong ear blockage, a kind of 'airplane ear', and sensations of heaviness in my left arm. The same happened upon starting each meal. I was afraid of subsequent episodes, so I went on a really strict diet.
I then had myself hospitalized in the same endocrinology ward and asked the docs there to finally discover what this so-called "diabetes" was, with neurological symptoms and with normal blood sugars. They instead decided to put me on insulin therapy, on tiny doses, only 3 units of ultra-fast Apidra insulin per meal, with no long-acting insulin. Their reasoning was that I was having "anorexia nervosa" and that the insulin would "make me eat more". No amount of describing my neurological symptoms would dissuade them.
I signed an informed refusal to start on insulin, and they discharged me with a diagnosis of "diabetes, probably MODY" again. I then nearly starved myself, being afraid of overeating and having a new stroke-like episode. I could not read, so I spent time listening to audiobooks. Then, half-starved, I had myself voluntarily hospitalized there again and consented to start on this microdosing insulin treatment in November 2011.
Surprizingly, on this microdosing insulin regimen my strange left-sided sensations gradually diminished, over the course of the next 6 months, and I could read again without sudden attacks of "airplane ear" and dizziness and feelings of "my left arm is weirdly heavy/stiff all of a sudden". By the end of 2012, I was working as a translator, studying for a university again, jogging and bicycling.
On 20 April 2018 I had an attack of lower back pain after a bicycle ride in the cold; had some etorixocib prescribed for it; the pain went away in mere days, and bouts of severe fatigue set in. After each bicycle ride, however light, I was having 2 to 3 days of not being able to do anything. I could not translate, I was mentally too slow. My total urinary 24h cortisol was constantly at about 150% of the upper range and my blood potassium was slightly elevated. Doctors found nothing, I went to the psychiatry hospital and they found "sub-depression" (their tests showed that I was 1 point short of being in "light depression). We decided to try out escitalopram, and it worked - my cortisol normalized, I could work again.
In November 2020 I started having bouts of heavy feeling in my left flank some 1 hour after each meal, accompanied with extreme fatigue which lasted for many hours, until the food went completely through the GI tract. I could not work again: slow thinking, tiredness. In the summer 2023 I was hospitalized in the gastro ward of the same hospital, but they found nothing.
While in the gastro ward, I was asked to undergo a planned hospitalization for my diabetes, since they noticed that I had no such hospitalization ever since 2011. I said that I would only consent to that if during my stay I would be re-tested for the presence of diabetes, because I was highly suspicious on whether I actually had it. They agreed, and during my stay in the endo ward, I had a glucose tolerance test accompanied with two measurements of C-peptide. This revealed that my pancreas was producing insulin and I had no diabetes.
I still had several days to remain in the endo ward, so the doc and me decided that I would eat a lot of carb-rich food, and track my blood sugars with the Bluetooth sensor they put on my upper arm. I treated myself to cookies and honey and stuff, and my sugars were just fine - but I suddenly had the same neurological feelings that had vanished in 2012 upon starting on the microdose insulin regimen.
So I was discharged from that unit for the fifth time since 2000, only this time with "no diabetes" in my discharge paper instead of "diabetes, probably MODY" -- but I go on injecting micro-doses of insulin before meals, because otherwise the 'airplane ear' and 'heavy left arm' and 'numb left part of lips/external fingers on left foot/hand' reemerge. Stopping insulin increases these sensations, restarting insulin brings them gradually down.
I was sent to the geneticists again, and as a condition for seeing me they had me take another MRI scan. This time, to my amazement, the radiologist's impression contained a mention of a "lesion in the right part of the corpora quadrigemina area, probably an area of gliosis". The geneticists did some dry blood spot testing and found nothing.
I went to my neurosurgeon and asked what this lesion in the tectum (corpora quadrigemina) could be. She took all the MRI scans dating back to 2015 which I had with me, and after perusing them for a long time said that the same spot is visible on all previous scans; and that she has no idea what it is, but the spot is of the same size, so she indends to pursue watchful waiting, with follow-up MRI scans every 2 years.
I went home and managed to find the rest of the MRI scans dating back to February 2010, shortly after my "stroke-like episode". I can see the lesion there.
I have these questions: 1) Why would radiologists not mention a midbrain lesion in their impression papers for years? Is it clinically insignificant? 2) Could a lesion there be somehow related to my odd sensations? 3) What could have caused the lesion to arise there in the first place, while I was only 32 years old, or even 22 years old (if it arose there in 2000)? 4) Why insulin treatment diminishes these sensations, while going off insulin and eating a lot of carbs makes them worse?
What can I do to research my condition further? I have little confidence in local doctors in Russia, having been treated for a non-existent diabetes for 23 years. Recently I had some stress at work (my attention is flagging, so I had to go from being a translator to being a food delivery person), and my left arm is feeling heavy sometimes, despite the insulin, and I have weird sensations of being a little clumsy, despite not being clumsy in reality.
I'm ready to provide additional information. I'm currently taking 150 mg venlafaxine, 75 mcg thyroxine, 5 mg rosuvastatin, and 1600 to 2000 mcg methylfolate daily. I visit a psychiatrist for a follow up and to renew drug prescriptions. I'm trying to save for a psychotherapist, but my salary is peanuts, so I haven't been able thus far.
I have MRI scans from 2010, 2012, 2013, 2015, 2016, 2018, 2022 and 2024 - the lesion is visible on each of them, but is described only on the radiologist's impression from the spring of 2024. I can upload the scans somewhere if necessary. The lesion is described as "a T2-enhancing area, 6 by 6 by 8 mm in size, with no mass effect".
submitted by CopperKettle1978 to AskDocs [link] [comments]


2024.05.14 10:28 SnooDucks6631 Anyone suffering from chronic dizziness?

I naturally have low blood pressure, but I've never felt dizzy in my life except when I stood up abruptly from laying down until I experienced my first panic attack (early February of this year).
Since then, I'd randomly experienced dizziness doesn't matter if I'm sitting down, laying down, or walking, and I'm constantly getting low BP every time I get to use the measuring device at hospital. I'm not that stressed anymore since I've been seeing my psychiatrist and psychologist.
My range would go 56/97, which is insane.
I don't know if I have to keep living like this. I got my blood work done very recently, but I have to wait two weeks to find out more about it.
I also got brain MRI and MRA, and they found nothing.
Do you guys also experience the same thing after your first panic attack?
submitted by SnooDucks6631 to PanicAttack [link] [comments]


2024.05.14 10:17 easterbunni Calorie budget increased when weight lowered

I'm not really looking to lose anything so I have my profile set at maintain with fairly active.
I use the height/weight/blood pressure machine at the doctors occasionally and yesterday it told me my weight which was lower than 4 months ago, so I decided to add it to Loseit. Loseit has now increased my daily calorie budget by about 20 calories. Is that right? I didn't change anything else.
Apparently my word count isn't enough so just adding some extra waffle here??
Thinking about it maybe it's telling me to eat more because I lost weight...
submitted by easterbunni to loseit [link] [comments]


2024.05.14 10:03 Devil-Wears-Nada- Pain in arms when coughing

Hello,
This sounds stupid but I’m going to ask it anyway. 25F for reference. Sometimes when I cough especially hard, it is like a radiating pain from my chest to my forearms. It’s difficult to describe but it’s like I can feel it in my bones, like I’ve literally rattled my skeleton in my arms and hands. It’s quite painful, and it lasts for about 5 minutes at a time. Every once in a while I will actually lose sensation in my hands and wrists, and lose grip strength for those 5 minutes. My hands shake and it is just a deep, sharp pain that slowly ebbs.
For context I do have high blood pressure, but that’s the only condition that I think would be applicable in this case.
I don’t have health insurance, so can’t go to the doc and I’m honestly thinking (and hoping) this is just a weird body quirk and not a medical problem but figured I’d ask. Hopefully someone says my skeleton is just telling me to stop coughing and that’s that. Lol.
submitted by Devil-Wears-Nada- to AskDocs [link] [comments]


2024.05.14 09:58 emergency1202 What statistical test should I use?

Hi AskStatistics,
I'm quite the amateur when it comes to stats, so hoping to get some advice. This is for a paper in the medical field.
I'm analysing some data to determine what factors predict a positive finding of a particular CT scan (0=no, 1=yes). I have data on age, blood pressure, heart rate, etc., and yes/no data (coded as 1/0) for if they are taking a particular medication, have a history of collapse etc. I'm using SPSS currently. How do I analyse this to determine if a factor such as taking a medication is statistically significant in predicting a positive outcome of the CT scan.
I initially thought a univariate analysis with the CT scan being the dependant variable and all my other 20 or so variables as fixed values (analyse -> generate linear model -> univariate), but I don't seem to be getting what I'm looking for. I was (ideally!) hoping there would be something I could do on SPSS to generate a single table that tells me the mean/median/interquartile range for all my variables (or % of 1/0 for the yes/no variables) and the associated p value for statistical significance in predicting a "YES" (i.e 1) value for the CT scan.
Thanks in advance!
submitted by emergency1202 to AskStatistics [link] [comments]


2024.05.14 09:49 destuck Ding Dong the Witch is GONE!

Day 0!
5/13, total lap, took uterus, cervix, tubes, and did a bladder check. Edit: both ovaries intact.
I checked in about 840, surgery about 1040. One final pregnancy test. The staff was amazing (except the anaesthesiologist was a bit of a dick to one of the nurses, I didn’t like that-I think I might be reporting that… but he was fine to me). Even my gyno who I wasn’t a fan of during our appointments, I could tell surgery is where she was meant to be. I met my OR nurse, anaesthesiologist, and my gyno/surgeon in pre-op where every single person (plus surgical day care nurse) went over everything with me again and again, and ensured I was comfortable with what we were planning to do, and confirmed that barring any issues, my catheter would be removed during surgery, and then a camera check up the urethra and into the bladder. There was a slight hiccup in something in the lab with my pre op blood work where they listed me as a c section (ABSOLUTELY NOT) and something in the test regarding transfusion expired within 3 days and I did my pre op Thursday. I was worried it was going to delay things but since I have been fortunate and never had a transfusion (and the surgeon believed me and didn’t want her day messed up, plus they had the Thursday results) they called the lab, they were there super quick, and it was drawn up then I was wheeled in to the OR. Once in the OR they had me transfer onto the table, got me situated, introduced the surgical team, and my surgeon went over everything one last time while I was still conscious and made sure everyone was on the same page and ready to go. I was given oxygen and told to take a few deep breaths, and then they started pumping meds into my IV and I was out.
From what I hear (my surgeon called my mom/pickup person) it all went like clockwork. I was out in under two hours, into recovery to wake up and when I came to, three nurses (or health care workers, whatever their role, but I think RNs) were chatting about me near my bedside on how I had a lack of requirements before I could be discharged. I don’t think they realised or expected me to be awake so quickly but I said I had been told that as soon as I could walk to the bathroom and pee on my own, I could leave. They looked a little shocked. Not sure if because I was awake or because I knew what I needed to do.
I did say in recovery to my nurse that I felt like I needed to pee, but they wanted me to wait until the hour was up in recovery and I was transferred back to surgical day care.
Once I was in day care I was given juice, digestive cookies and my phone and started texting my mom, who was right outside, and said I was back to where she could come see me. The person at the desk at the front tried not to let her in and said I wasn’t back yet (not sure if there was a lack of communication or no) but mom insisted I was texting her and telling her I was back, and the woman from the desk had to come in and check for herself that I was back… and asked my nurse-who was again nearby-and I heard the front desk woman muttering and said something about “her mom”. I piped up and said don’t try to stop her from coming in, she won’t go away and she would get in either way, I’m texting with her now. The woman didn’t like that much, but my nurse laughed and okay’d her coming in.
Nurse back in day care listened to me pretty quick, did her checks and made she I could sit/stand and disconnected my IV line. She walked me to the bathroom to make sure I was okay. I peed without issue-it was a bit tender coming out but no burning… but man. Maybe bring your own toilet paper. That rough stuff is even rougher when you’re sensitive😳
I felt immediately better cause now I knew they could let me out once my final hour in recovery was complete. Another glass of juice, some more post op checks done, and I was able to get my IV out. (I know most people wouldn’t like IVs but it was a huge hang up for me… my veins suck and it was tender and once they confirmed I could leave I wanted it GONE.
Passed the rest of the time chatting, going over discharge paperwork/instructions, then I was given the official go ahead to change and leave. Slow going, changing, and man the hospital pads are atrocious (and no wings?!). I peed once more, hating the toilet paper but loved the mesh ish shorts they gave me and asked for a couple more, and they gave me two or three more. I was allowed to leave just after 230pm.
I was able to walk out of the hospital on my own two feet. Slowly, but walking and being upright felt much better than sitting. The nurse said it was allowed as long as mom was right there (which she obviously was) in case I got dizzy. We walked out to the front entrance (elevator, no stairs of course), and I stood at a safe spot where I could sit if I needed to, while she went and got the car from the far side of the lot. I probably could have walked it, but it was slow and didn’t want to chance anything.
The ride home was a bit rough-I forgot my pillow and I think that would have helped. Held my hands/palms onto my lower belly for some support. It was manageable, I wasn’t crying out in pain or anything, but definitely internally felt every little bump despite mom trying her best to avoid them.
I’m staying in my own apartment, (parent’s offered me to stay at theirs but I’m far more comfy in my own place, and no stairs) my dad’s sleeping on the couch while my pup is at the house with my mom and their two dogs. So far I’ve been able to manage on my own but it’s nice knowing he’s here incase I need something. When I got home, much to my dad’s chagrin (he wanted to do it for me), I made myself buttered toast, had an ice cream sandwich, some arrowroot cookies, a Tylenol and after eating upright and walking in circles a bit, I went to my bed with my heating pad, pregnancy pillow and about 8462619 other pillows I adjusted as needed. I’m very happy I had a pregnancy pillow. I was debating getting the wedges but decided with the option of Amazon same day/next day delivery, if I changed my mind it wouldn’t be long without it.
Obviously there’s more internal room now, but a heads up-I’ve peed a few times since getting home (it’s near 1am) I have noticed that “hmm I need to pee” turns quickly into “YUP GOTTA GO” when I stand up. I think that little bit extra gravity assist hits when I stand. No burning, still just a bit sensitive, but I bought a peri care bottle with a nozzle on it and is it a game changer. The hospital gave me one but it didn’t have an angled nozzle, which to me is useless unless I want to climb in my shower every time or end up with water all over my floor. First time I used it, I just rinsed with cool water multiple times as it was soothing (not going into the vagina).
There’s been very little blood so far-some spotting but not much.
The pain? Feels like a concentrated day 2 of my usual bad periods, with low back pain (helped greatly with heating pad). Like most of us here… we’re used to heavy pain so it’s not all that unbearable.
I was given tramadol, and didn’t take my first one until 9pm. Didn’t love the feeling. And my limbs started tingling which was weird. That’s supposed to be a withdrawal effect. But my body doesn’t handle drugs well so could just be me. I’ll see what happens later in the night if I need something else, I’ll take it. But so far the pain/discomfort is reminding me not to sleep how i normally do-on my side with my leg up toward my abdomen.
I’ve got my naproxen and Tylenol that the pharmacy okay’d me to take instead of Advil and Tylenol.
Forgot to mention-my throat is a bit sore, but not nearly what I expected. Feels like I just spent some time around a campfire where the smoke randomly followed me. One Halls seemed to help, and of course, ice cream sandwiches 😂.
And now to wait for meeting the real me after 20+ years of being on oral birth control… should be some definite hormonal swings during recovery plus that, but can’t wait😂🤦🏻‍♀️
Edit: one thing I did that I haven’t seen posted otherwise in this subreddit is that I put a cooling cloth, soaked in water, in a ziplock bag, and stuck it laying down flat in my freezer before surgery. I don’t think I really needed to, but I had that laying (with clothing on and a tea towel wrapped around it) on my lower belly and it molded perfectly as it melted a tad, and felt great. I wasn’t told not to ice it, I wasn’t told to ice it, but I figure as long as it feels good, it’s not damaging anything or getting anything wet. Might be something for others to consider! I wouldn’t want the weight of a large ice pack or anything on me right now, but just that in the ziplock with a light pillow overtop was perfect.
submitted by destuck to hysterectomy [link] [comments]


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