Does hiv rashes hitch

The logic of grid-down medicine

2024.05.14 10:13 prmssnz The logic of grid-down medicine

Last week in a post-deleted by the OP, there was discussion about how there is no point in stockpiling antibiotics and any attemps for lay people to practice any form of health care in a widespread grid down disaster.
Myself and some colleagues wrote: Survival and Austere Medicine https://corom.org/survival-austere-medicine/ . We are slowing working on a 4th edition with some new material and minor corrections - but it is taking longer than we thought!
But I thought given the above post, I would take the opportunity to post the introduction - which address the "why bother" question for a major long-term grid down situation. Apologies for the formatting and length
"There is a sense, when considering the issues around survival medicine practice, that everything is overwhelming, that it is impossible for lay people to provide a high level of medical care and maintain a high level of population health.
We don’t think this is the case at all. We believe that intelligent lay people with some basic medical knowledge, skills, and equipment can deliver high quality health care. While it is obviously impossible for lay people to safely and competently deal with every medical problem, and there remain many complicated diagnoses requiring equally complicated or technologically advanced treatments, for 80- 90% of the health problems afflicting humanity, simple things done well are all that is required to preserve life and limb and help alleviate suffering.
Consider the following:
1. Remote Medicine Practice:
Below are the results of one of our author’s experience in the provision of health care in various remote and austere locations (some third world, some first world) to nearly four thousand people over a cumulative 30-month period (spread over 18 years) – with more data there are few minor changes from the 2005 2nd edition, but the list is essentially the same – which is interesting. The record keeping was a bit unreliable at times, but the following summary is reasonably accurate.
Top 20 presentations (representing > 95% of consultations):
1. Minor musculoskeletal injuries - ankle sprains most common, included many minor fractures which didn’t require more than diagnosis and simple care
2. Upper respiratory tract infections
3. Allergic reactions/Hay feveAnaphylactic reactions/Rashes
4. Minor open wounds – included a mix of lacerations needing closure, many needing
cleaning and advice only, and some infected wounds
5. Gastroenteritis/Vomiting/Diarrhoea
6. Mental health problems
7. Sexual health/Contraceptive problems
8. Skin infections/Cellulitis
9. Dental problems
10. Abdominal pain - 4 confirmed acute appendix (2 treated with IV antibiotics and
subsequent delayed appendix removal / 2 required evacuation) + 1 gangrenous gall bladder. Many were "no cause found". Of the remainder with a clear diagnosis the most common were renal or biliary colic)
11. Fever /Viral illness
12. Chest infections
13. Major musculoskeletal injuries (fractures/dislocations)
14. Asthma
15. Ear infections
16. Urinary tract infections
17. Burns – mostly partial thickness within the realms of management in the environment the
patient was in. Several required evacuations. Several required rehabilitation due to location and sub-optimal initial treatment.
18. Chest pain
19. Syncope/Collapse/Faints
20. Early pregnancy problems
Major trauma was uncommon but was seen including several fractured femurs and a dozen cases of multi-system severe trauma resulting in a mix of in-country surgery and evacuations
Top 12 prescribed drugs (representing >90% of medications prescribed):
1. Paracetamol (Acetaminophen)
2. Loratadine (and other assorted antihistamines)
3. Diclofenac (and other assorted antiinflammatories)
4. Combined oral contraceptive
5. Flucloxacillin
6. Throat lozenges
7. Augmentin (Amoxycillin + clavulanic acid)
8. Loperamide
9. Nystatin (and other antifungals)
10. Hydrocortisonecream
11. Ventolininhalers(Salbutamol/Albuterol)
12. Morphine
What is of note here is that the clear majority of problems dealt with are simple and straight forward – there is still potential for serious consequences but there is scope for a well-informed lay person with a basic knowledge and access to a reasonable collection of reference books to provide reasonable care. Equally the vast majority of medication prescribed are from a very narrow well defined list – despite the fact 1000’s of drugs are on the market – the list of core lifesaving or comfort preserving ones is relatively brief.
2. Why children die
The World Health Organization (WHO) has identified the following conditions as having contributed to >75% of worldwide deaths in the under 5-year age group (in no particular order):
Pneumonia Pneumonia is an infection of lungs. Prevention of this condition is somewhat limited – although good nutrition, clean and warm housing, and a reduction in the exposure to respiratory irritants (smoke) all can help. However, the most common bacteria which cause pneumonia are frequently sensitive to penicillin – which is discussed later in the book and can be produced in a low-tech environment.
Diarrhea Death from diarrhea (dehydration) is almost 100% preventable with appropriate use of oral rehydration therapy. Dirty water or poor food handling causes much diarrhea – this can be virtually eliminated by proper hygiene practices and care with drinking water.


Pre-term delivery While we are limited in the direct interventions available in an austere environment to mitigate this problem contributing factors to early labor are young age, malnutrition, smoking, poor maternal health, so there is scope for indirect intervention based on optimizing mum’s health and environment. For babies who are born prematurely the necessities of life are warmth and breast milk. With attention to detail for both things, it is possible for infants as young as 33-34 weeks to survive without high-tech intervention.
Malaria. Prevention is better than a cure, knowledge about clearing stagnant water, mosquito nets and long sleeved clothes can significantly reduce the risk. Equally quinine is derived from the bark of the Chincona tree and the Chinese have been using the herb, Artemisinin, effectively for the treatment of Malaria for years. So, while not as easy to treat or prevent as diarrhea, there is still scope for significant reduction in death rates in low-tech ways.
Blood infection Blood infection or septicemia is rapidly fatal. The ability to intervene depends on the cause of the infection and antibiotics available. Broadly, infections causing septicemia can originate from the skin, the lungs, the kidneys or bladder, and the abdominal contents. While specific treatments for these may be lacking in an austere environment – all have prevention strategies and basic low-tech treatments that can be lifesaving when applied appropriately.
Lack of oxygen at birth Of these problems, this is the one with probably the least scope for impact. Unfortunately, even if foetal distress is detected during labor (with heart beat monitoring or signs of distress like meconium), without the ability to deliver the baby quickly options are limited. That said, a caesarian section is not a massively complicated operation (and discussed in Chapter 10), and in parts of the third world is performed by trained lay people with safety and success.
Measles Again, there is limited scope to intervene directly with the disease. Measles is always around and while vaccination reduced the incidence of epidemics, sporadic cases still occur. In the absence of vaccinations epidemics of measles every few years will be inevitable. There is however some scope to minimize the spread during an epidemic with isolation and respiratory precautions during outbreaks. While some of the serious neurological complications are unavoidable in a
Prevention is better than a cure, knowledge about clearing stagnant water, mosquito nets and long sleeved clothes can significantly reduce the risk. Equally quinine is derived from the bark of the Chincona tree and the Chinese have been using the herb, Artemisinin, effectively for the treatment of Malaria for years. So, while not as easy to treat or prevent as diarrhea, there is still scope for significant reduction in death rates in low-tech ways. small number of patients, basic care such as maintaining hydration can also prevent complications such as dehydration.
Neonatal tetanus The prevention of neonatal tetanus is easy. You don’t let the site where the umbilical cord attaches to the baby get dirty. It is as simple as that.
HIV/AIDS Prevention of maternal infection is the key to prevention of infection of newborns. The steps required to prevent exposure to the HIV virus are widely known: abstinence (not undertaking sexual activity), monogamy (maintaining a single sex partner rather than multiple) and if neither is a palatable option, then safe sexual practices.
Most the conditions above have an element of either preventability or the ability to be treated to some degree in an austere environment and significant improvements in mortality and morbidity can be made.

3. The greatest advances in medicine
Several years ago the British Medical Journal ran a poll trying to identify top medical advances of the last 200 years. The following is the top 12 from that poll:
Sanitation 1st Antibiotics 2nd Anaesthesia 3rd Vaccines 4th DNA 5th Germ theory 6th = The oral contraceptive 6th = Evidence based medicine 8th Imaging 9th Computers 10th Oral rehydration therapy 11th Smoking cessation 12th =
Just as with our discussion above about the causes of childhood deaths, this list is introduced to show just how much impact a very basic health care knowledge can have in terms of optimising health in a post-disaster or austere situation.
Of the biggest advances of medicine in the last 200 years, between 7 to 9 (depending on your knowledge and available resources) of the 12 can be applied to care in a austere situation. In particular, the knowledge of sanitation, germ theory, oral rehydration therapy, and simple manufactured antibiotics and anaesthetic agents all have the potential to be able to be continued to be applied in a post-disaster situation and to continue to contribute to a high quality of low-tech health care. In the same way that we can substantially reduce childhood death rates in a low tech post-disaster situation, we can still continue to have access to some of the biggest advances in medicine even at the end of the world.
4. Surgery in the third world
A non-specialist surgeon working at a isolated bush hospital in Papua New Guinea published his experience of Emergency Surgery over a 14 month period (similar articles have been published with similar data):
Emergency Surgery 243
Tendon repair 33 Open orthopaedics 32 Dilation and curettage 31 General surgery 29 Incision and drainage 26 Laceration repair 26 Obstetrics 23 Manipulation under anaesthesia 15 Urology 15 Gynaecology 9 Ear, nose and throat 2
Emergency anaesthesia 243
Ketamine – spontaneous breathing 166 Local anaesthesia 33 Ketamine – ventilated 16 Spinal anaesthesia 12 Propofol / thiopentone 10 Epidural 5 Epidural / GA 1
The point of this reference is to help illustrate what someone can achieve in primitive conditions with no formal surgical training and no dedicated anaesthetist. We are not suggesting that the average layperson can safely practice to this extent or breadth of surgery, but it does demonstrate that a non-surgeon can achieve much. It also shows that most anaesthetics for surgery in an austere situation can be done under local or ketamine anaesthetics.
Why this is relevant?
Each of these four references gives you insights, one way or another, into low-tech austere health care. First, it gives you an insight into the likely clinical problems that you may see in a survival situation, and how much can be dealt with in that sort of austere environment. Second, it demonstrates how medically speaking it is the small things and simple knowledge which save lives and some of the biggest killers can be mitigated with these relatively low level interventions or strategies.
In our opening summary – “Medicine at that end of the world”, we describe a pretty bleak medical reality post-SHTF. Will million’s really die from lack of access to modern heath care as we have alleged?
The short answer is yes – many will die much sooner than they otherwise would have, from disease and injury, which currently are not immediately fatal. But the answer is not nearly that simple nor bleak. The reality is that while cancer, diabetes, malnutrition or serious injury may claim many of its victim’s sooner than with today’s health care, most health problems can be treated or mitigated to a degree in a low- tech environment, with a narrow range of medications and interventions – including some cancers, non- insulin requiring diabetes and many major traumatic injuries.
Most medical problems are relatively mundane and not life threatening. Truly catastrophic problems in medicine are fortunately rare. You should focus on learning and preparing to deal with the common problems, and doing common procedures well, and you will save lives, and possibly also improve the quality of those lives.
There will be a significant change to health care but with knowledge and some preparation it isn’t quite as dire as many (including our own opening paragraph) predict. "
submitted by prmssnz to preppers [link] [comments]


2024.05.13 16:18 No_Brain4559 Symptoms and contacting partner.

So I’ve already made a post about the fact I had unprotected sex and the symptoms but I’m still non the wiser as to whether it’s HIV as the first test I took too early and my gp just advised me to take another test through the same sexual health health charity so I won’t get the results for another 2 weeks. I know I shouldn’t get ahead of myself but I think hiv is the most likely outcome as I had most of the early symptoms: flu, headache, nausea and diarrhoea and a mild rash. However I have also had period like cramps but no period and discomfort down there so think I could also have gonorrhoea or something similar- I am also going to take a pregnancy test soon to rule that out.
My main concern is the fact that I think the guy who has potentially passed something onto me often has unprotected sex as although I also should’ve remembered to use protection, it was my first time and I was nervous so it slipped my mind, were as it wasn’t his and the fact it didn’t even seem to cross his mind suggests he often does this. In which case it would be even more likely he has an sti and so I feel responsible for letting him know what my test results are. However, when I messaged him concerned about my symptoms he at first said it’s probably nothing as it’d been too long afterwards for them to show up (it had only been about 10 days when I had the first symptoms) and then blocked me. He’s actually from a different country and was only in England for that week and as we only had that night together I know barely anything about him so have no idea how to contact him if it is something as serious as hiv. I don’t want to get a head of myself but I guess I’m lucky that hiv is liveable now, especially if found early, yet I’m worried that he could have it for years and not know and be passing it around.
submitted by No_Brain4559 to hivsymptoms [link] [comments]


2024.05.08 18:51 Aggravating_Pin4977 Am I at risk of HIV infection? I’m seriously freaking out sending myself into a panic!

So 9days ago I received a human bite at work this did break the skin slightly however I’m unsure if there was any blood. so I got it checked out by a walk in centre prescribed antibiotics just to stop the infection. They said although it was a extremely low low risk about getting anything such as HIV or HEP B or C and as far as I’m aware the person does not have anything like this but I’m still freaking out! What if they had blood in their mouth Please help any advice/support would be greatly appreciated. I feel itchy however there is no apparent rash or anything and I’m wondering if me thinking about a rash is causing me to be itchy and it’s not sore or anything. I also haven’t noticed any symptoms no fever or fatigue no sickness or diarrhoea and no sore throat or swollen lymph nodes I’ve got a telephone appointment with my doctors in a few days as well as a home testing kit coming too. Thank you
submitted by Aggravating_Pin4977 to STD [link] [comments]


2024.05.08 17:56 Startanus Nosophobia

Sorry for the long post.
Does any of you here with any of the anxiety disorders tend to be jealous of those who don't seem to have anxiety? I honestly believe all forms of anxieties are bad but I personally believe the worst of all the anxiety disorders is the combination of OCD and health anxiety (nosophobia). The level at which my brain makes up scenarios just to look for the "worst case scenario" of every event sometimes makes me feel like I am going mad. How I miss my old self, which was prior to 2019, where I had no problem with anxiety at all.
Nosophobia has made me develop irrational fears about visiting the barbershop and hospital because I am afraid I might be injected with HIV (I even feel silly while typing this out). One of my recent panic attacks about HIV began when I received an IV injection (to treat a skin infection I had) from a nurse and a church member. Initially I had no issues at all until my brain began to create scenarios that the nurse might be "evil" and that she intentionally or unintentionally injected me with an HIV infected blood in a very minute quantities. Initially this sounded ridiculous because, I had checked the needle and syringe during the time of injection to see if I could see anything odd in the solution or vial, and it was as clear as it could get. The fear was based on the fact that I received this injection at the nurse's home instead of the hospital. I eventually got scared and did an HIV test which obviously came back negative.
At the time I didn't know much about HIV and stumbled upon the information that 3rd gen HIV tests are able to detect antibodies from 23 to 90 days post-exposure so I became scared again and began to panic for a while, even had some of the symptoms for HIV like mild fever, headache and pimple-like rashes on my face, neck and chest, and runny nose and watery eyes, which cleared after taking some over the counter cold medication. This made things even worse for me. I waited for 77 days to pass to get tested again. The funny thing was that as I was going to get tested I knew the test was going to come back negative and was never worried about the results at all.
The following day, which was the day I got the results, I got this irrational fear that because I did not receive the results the same day I went for the test, there might be a mix up by the lab scientist which would make my results to not be the actual results I should have gotten. The results eventually came back negative and my brain has started making up worst case scenarios again, now I am wondering if the results I received were actually from tests that were done on my blood and not someone else's. I have decided not to take any tests again because I have gone through an HIV scare in the past and eventually overcame the fear by identifying the scare as an irrational fear. (I thought a barber I frequently visited had infected me with HIV)
At this point I feel so depressed and even embarrassed to the extent that I can't even talk to anyone about it because I feel and know that all these thoughts are irrational and the most painful part of all these is that, these fears though irrational and very unlikely actually feel very real. I just needed a place to vent out my feelings and I have just been crying every now and then since. Any advise is welcomed!!! :{
submitted by Startanus to Anxiety [link] [comments]


2024.05.05 19:11 No_Brain4559 Stressed waiting for test results.

Just over two weeks ago I went on a night out with some friends and towards the end of the night met a man who I decided to go back with. Now this was actually my first time and although he was very respectful I felt very awkward and embarrassed so did not realise he wasn’t wearing a condom. Looking back the first thing I should’ve done is got some PeP to reduce the chance of me getting HIV but all I did was order an sti test kit from a sexual health charity which I haven’t had the results back from yet. For the first week after I had no symptoms at all however this last week I’ve been having pretty every symptom it seems. (Sorry if some of this is a bit tmi). Around Tuesday I started experiencing flu like symptoms and the first thing Google suggested was hiv and since then I’ve been teetering between convinced I have it and thinking it’s something else. The flu symptoms went away within about a day but I also had a headache for a couple of days and then began experiencing discomfort down there. The headache has gone the discomfort hasn’t and my mouth has been consistently dry. Today I woke up with the start of a rash that has spread across my chest throughout the day, which is another hiv symptom so now all I can think about is the fact that my first sexual experience has probably lead me to catch HIV. To make things worse the guy was only here on a trip and has blocked me on instagram since I asked him the other day whether he often has unprotected sex and is he’s ever been tested. He said he does use protection and has no symptoms but no indication of whether he’s ever actually had a test since a lot of stis can have no symptoms, like HIV. I don’t know if the fact he’s blocked me indicates he knew he had something because why else would he block me straight after I message panicking about having an sti? The worst thing is I’m supposed to be starting my dissertation and preparing for a job interview but all I can do I constantly look up the same sti information in the hopes something’s magically going to tell me it’s not HIV and it’s all in my head.
submitted by No_Brain4559 to STD [link] [comments]


2024.05.01 00:05 Artistic_Caramel_695 Super worried about this rash.

So I had a gay expirence a few months back with a trans. They gave me oral for a few minutes and I nutted in his mouth. Couple weeks after I started noticing this rash on both arms. Should I be worried for a certain std or hiv? Rash doesn't seem to be itchy and has stayed the same and has not got worse. I do not have any other symptoms but this rash is freaking me out. Does anyone have a clue?
https://ibb.co/Nydj1nK https://ibb.co/0jPvhZQ
submitted by Artistic_Caramel_695 to STD [link] [comments]


2024.04.29 16:11 Physical_Salad_2505 Does it looks like hiv rash ? I have it on my shoulder, back and today appear on my neck plus severe headache and joints pain

Does it looks like hiv rash ? I have it on my shoulder, back and today appear on my neck plus severe headache and joints pain submitted by Physical_Salad_2505 to u/Physical_Salad_2505 [link] [comments]


2024.04.27 00:49 k3ekzzxox super scared??

I (21F) had unprotected sex with the same person (24M) 3 times in march and I'm now having a bunch of symptoms that I'm not sure are STD related or not.. specifically worried about HIV.
I wanted to start a casual sex situation with someone because I had always been monogamous and I thought it would be fun to be in a "no strings attached" situation... after getting to know him a bit more (after we already had unprotected sex the first time), he told me that he has had way more sexual partners than I in his past, which is fine, but I'm sure that increases his risk of STDS. Also since we aren't monogamous, I can't be sure that he isn't sleeping with other people, which is why I am nervous about my symptoms. I got a full panel test in July 2023, and then again in January 2024, both of which were negative for everything. I've never had an STD so I'm just really scared and I don't know what could be causing my symptoms. We haven't slept together again since the end of march. I asked him to share with me his most recent test results, which he did, and he was negative for everything. His last test was in January as well, but since I don't know who else he's been sleeping with, I'm not sure if it can be trusted.
My symptoms started early April, about 3 weeks after we first hooked up. My tonsils were swollen, I had white patches on them, it hurt to swallow, and my lymph nodes in my neck and armpit were swelling up. I went to the doctor for strep, because my sibling whom I live with had strep and these same symptoms. I tested negative for strep, but I was prescribed penicillin and these issues subsided. I also woke up one night with night sweats, and suddenly have a rash on the side of my face. I'm thinking it's HIV because of the lymph nodes but does anyone know what else it could be? I've been crying and anxiety ridden for weeks since the symptoms started. I have an STD test scheduled for next week, but from what I've read, HIV won't show up right away anyway which makes me even more nervous.. I can't blame anyone else but myself as it's my own bad decision making but I'd like to know if anyone has any idea what's going on
submitted by k3ekzzxox to STD [link] [comments]


2024.04.26 22:27 Physical_Salad_2505 Does this by any chance look like HIV rash?

submitted by Physical_Salad_2505 to u/Physical_Salad_2505 [link] [comments]


2024.04.26 03:43 Soggy-Notice5329 Std

Does any std cause heart racing with sweating, dry mouth/ bleeding gums, itchy skin all over body but no rash, frequently urinating/ burning that comes and goes, pain in pubic area or lower abdominal . I received oral from chick at club with no condom. I tested negative for hiv, gonorrhea, chlamydia, hep c, trichomonas, syphillis at 6 week and not experiencing any outbreaks from herpes or any warts in my genitals. Possibly from something bacterial like ureaplasma or mgen?
submitted by Soggy-Notice5329 to STD [link] [comments]


2024.04.25 15:26 Physical_Salad_2505 Does this look like an hiv rash or different std rash

Does this look like an hiv rash or different std rash submitted by Physical_Salad_2505 to u/Physical_Salad_2505 [link] [comments]


2024.04.25 15:24 Physical_Salad_2505 Does this look like hiv rash? So worried as had unprotected sex 😢

Does this look like hiv rash? So worried as had unprotected sex 😢 submitted by Physical_Salad_2505 to u/Physical_Salad_2505 [link] [comments]


2024.04.24 23:58 Physical_Salad_2505 Does this look like hiv rash? So worried as had unprotected sex 😢

Does this look like hiv rash? So worried as had unprotected sex 😢 submitted by Physical_Salad_2505 to u/Physical_Salad_2505 [link] [comments]


2024.04.24 11:22 Physical_Salad_2505 Does this look like a hiv rash?

Does this look like a hiv rash? submitted by Physical_Salad_2505 to u/Physical_Salad_2505 [link] [comments]


2024.04.23 17:08 Physical_Salad_2505 Does this look like hiv rash? So worried as had unprotected sex 😢

Does this look like hiv rash? So worried as had unprotected sex 😢 submitted by Physical_Salad_2505 to u/Physical_Salad_2505 [link] [comments]


2024.04.23 17:08 Physical_Salad_2505 Does this look like hiv rash? So worried as had unprotected sex 😢

Does this look like hiv rash? So worried as had unprotected sex 😢 submitted by Physical_Salad_2505 to u/Physical_Salad_2505 [link] [comments]


2024.04.23 17:07 Physical_Salad_2505 Does this look like hiv rash? So worried as had unprotected sex 😢

Does this look like hiv rash? So worried as had unprotected sex 😢 submitted by Physical_Salad_2505 to u/Physical_Salad_2505 [link] [comments]


2024.04.23 17:07 Physical_Salad_2505 Does this look like hiv rash? So worried as had unprotected sex 😢

Does this look like hiv rash? So worried as had unprotected sex 😢 submitted by Physical_Salad_2505 to u/Physical_Salad_2505 [link] [comments]


2024.04.23 12:11 Physical_Salad_2505 Does this look like a hiv rash?

Does this look like a hiv rash? submitted by Physical_Salad_2505 to u/Physical_Salad_2505 [link] [comments]


2024.04.23 09:26 Physical_Salad_2505 Does this look like an hiv rash or different std rash

Does this look like an hiv rash or different std rash submitted by Physical_Salad_2505 to u/Physical_Salad_2505 [link] [comments]


2024.04.22 21:21 SalamanderForever Ultimate Red 2024 Santa Fe Calligraphy - First 250 miles experience

Ultimate Red 2024 Santa Fe Calligraphy - First 250 miles experience
Note: Also posted to Facebook Santa Fe group
A write up of my buying experience and first 250 miles in my 2024 Santa Fe Calligraphy AWD. I won't repeat all the points from my Santa Fe Limited AWD write up from February as the majority of the caexperience is the same.

Ultimate Red changes color from almost burgundy to vibrant red depending on cloud/sunshine

Partner's White Limited recap
As a number of you know we bought a 2024 Santa Fe Limited (White/Black AWD) in February for my partner when their Land Rover Discovery Sport was totalled by the insurance company. This was our first Hyundai as we typically have driven Land Rovers, Audis and Mazdas. To keep this section short, the Hyundai transition occurred as I am planning on getting the Ioniq 5 N as my daily driver, and as a result was determining what to replace my 2011 Mazda CX-9 with as my family hauler. I ended up deciding on a 2024 Santa Fe Calligraphy AWD since I liked the exterior styling and the key aspects of the interior were similar enough to the Ioniq 5 N that switching between cars would be easy. When my partner's Land Rover was totalled I encouraged them to take a test drive in the 2024 Santa Fe and they ended up buying the 2024 Santa Fe Limited (White/Black AWD) rather than a Land Rover Defender. If the Calligraphy had been available back in February then they likely would have gone for the Calligraphy due to the Captain's Chairs.
My partner's white Santa Fe now has > 6,000 miles on it. There have been no significant issues, although the car alarm has unexpectedly gone off a couple of times this month for no apparent reason. There are a couple of exterior trim/sensor fitment issues that will be raised with the dealer at the first service, and should be fixed under warranty. I have posted about these previously and we didn't notice them when we did our original inspection of the car when purchasing.
My White->Red Calligraphy Journey
My journey for getting my own Santa Fe has been longer than I would have liked. Although I wasn't in a rush so I was fine to wait. While I found a great dealer to work with, we were at the mercy of Hyundai's ordering/allocation process. My original Calligraphy White/Black AWD had a tentative delivery date in March, but kept slipping. By early April the delivery date had moved into May and no VIN was allocated. There was an Ultimate Red/Black AWD Calligraphy due in April which did have a VIN allocated so I switched my order. My original preferred color was Ecotronic Gray Pearl, but that color wouldn't be released until May, and so White was my 2nd choice. However with the higher risk of paint peeling, the delays, and seeing that Ultimate Red looked really nice on the Calligraphy trim it was an easy decision to change to the Ultimate Red.
Purchasing Experience
The Red Santa Fe was due to arrive on 4/27, but on the morning of 4/19 the delivery date changed to 4/19! Both the dealer and I were surprised, but the dealer was able to confirm that the car did arrive on a transporter at 3pm and there was no obvious visible damage/issues. I had a chaotic afternoon cleaning the Mazda CX-9, heading to CarMax to get a trade-in appraisal price, and then starting the 3.5 hours drive to Virginia Beach so I could buy the Santa Fe first thing in the morning on 4/20 and then take my 10 year old to the nearby aquarium before driving the 3.5 hours back home.
The actual purchase experience was very positive, the dealership has a nice operating model that you just work with one sales person for the entire transaction and are not sent to a separate finance person for the 'upsell of add-ons' etc. The prices are also what they are with no mark-ups or haggling which removes the stress and games, unless you like to haggle. I did buy the tire/rim protection since the 21" black rims can easily suffer kerb rash. The pre-purchase inspection went well with no exterior issues, paying special attention to trim fitment, sensors etc. The interior was also good without any scratches/marks etc. The test drive went fine, with my 10 year old wanting to walk between the Captain's Chairs and sit in the 3rd row. Because I was already familiar with the car, settings, controls etc it made things go much easier. I also liked how the Forward Attention Warning, Smart Liftgate and some other settings were already set to Disabled.
Jumping forward, with the sales transaction completed we drove to the Virginia Beach aquarium and had a great time. As we were leaving the aquarium to walk back to the car I used the BlueLink app to remote start the Santa Fe with climate control on to cool the car. It worked flawlessly. Then when back at the car I spent 5 minutes fitting the 4 mud flaps I had purchased from Amazon and brought with me. It was straightforward and I just used a trim removal tool to pop out the plastic push retainers.
Initial WOW
The Ultimate Red exterior looks great with the gloss black exterior trim. Even more so than the Ultimate Red exterior on the other trims. It is more of a burgundy color when it is cloudy, and a vibrant red when it is sunny.

Ultimate Red looks even better on the Calligraphy with the gloss black trim
With wireless Apple Car Play setup, our route home programmed (I-264W, US-58W, I-95S, US-64W) we started our journey back to North Carolina.
In terms of performance/acceleration the Calligraphy has the same powertrain as all ICE 2024 Santa Fes so no real differences there. I will do some back to back driving of my partner's Limited and my Calligraphy at some point to see if I can notice anything. While I know the chance of a DCT transmission issue is very low, I will remain vigilant for the first few hundred miles.
HDA1/HDA2
For the 220 mile journey back home, I drove with LKA/LFA/HDA for around 200 miles, and the driving technologies worked flawlessly. Other than exiting/entering junctions, there were only a couple of times on the highway where I took over which was more due to vehicles merging and I had the HDA set to 3 car lengths so it was being somewhat conservative, and I just wanted to zoom around the merging cars. Most of the journey was at 60-75 mph depending on the speed limits. I averaged 26 mpg, and I used the paddle shifters to change gears while using the cruise control etc just to prevent the engine revs remaining the same for the entire journey.
I was also able to try HDA2 for the first time since much of the route was HDA2 enabled. My 2nd biggest positive surprise of this trip was the Auto-Lane Change ability. While I thought it would be a gimmick, I actually ended up using it 35-40 times. I had seen reviews from 2023 Ioniq 5s that found it too conservative and slow, however Hyundai seem to have improved it for the 2024 Santa Fe as I had no issues at all. It worked fine for switching lanes to overtake and then return back to the right lane. It worked fine for switching lanes when the road was curving left or right, and also when pulling out just after another car had passed me. Would I use this feature for my daily commute, no... however I can see me using it on longer highway drives.
It is easy to see that HDA2 has the capability to also figure out and do the lane changes itself if Hyundai enable it. I envisage that there may be software updates that continue to improve HDA2. Whether Hyundai actually enable the feature in our existing 2024 Santa Fes or wait for a future model/refresh will have to be seen.
So overall the semi-automonous driving aids really help reduce driver fatigue on long journeys and the drive back from Virginia Beach in the Santa Fe was much easier than my drive to Virginia Beach in my Mazda CX-9 which didn't have any driving aids e.g. not even lane keep assist, smart cruise control etc. Note: I cannot tell yet whether the other aspects of HDA2 make any difference.
Not all roads are HDA2 enabled, you can see when it is available by the green left/right arrows in between the speed and steering icons on the dashboard (see photo)


HDA2 icons show HDA2 enabled for auto lane change
I also commuted to the office today so enabled HDA and followed the car ahead of me by 3 car lengths. The dual carriageway has traffic lights and we were going 50 mph. The lights changed to red and the car ahead of me slowed to a stop. I kept my foot off the brake medal and while I was nervous, the car did what it was meant to do and also slowed to a complete stop without my interaction. When the lights turned green and the car ahead moved away again the Santa Fe accelerated away, once again without any interaction or pressing of the accelerator pedal by me. It worked!
Admittedly, a little later down the road the car ahead of me was doing 25 mph as it was moving away and then changed lane. There were no cars ahead of us although I could see the traffic lights were red about 500 yds ahead. The Santa Fe therefore began to accelerate up to 50 mph based on the smart cruise control due to there being no cars ahead, and it cannot tell that there was a red traffic light ahead. So in this situation I did take over as a normal human being would not accelerate up to 45 mph to then have to brake quickly for the red light.
HUD
While I have driven cars with a HUD a few times this is the first time I have owned a car with a HUD. The quick summary is that after my first 250 miles I never want to drive a car without a HUD again! The HUD was very easy to see once I had adjusted the vertical position it was showing at on the windshield. It presented all the key information to the point that I found I almost never looked down at the dashboard or the navigation screen - that alone was very beneficial. I liked how the Apple Car Play Maps navigation showed on the HUD, it showed the other cars (HDAs), the curvature of the road, my speed, my cruise control setting, and the speed limit.
The only real constraints were that the navigation instructions are truncated and it doesn't show the junction number for the exit you need to take - however this is no different than what is seen on the dashboard. So I did sometimes glance at the proper navigation screen to confirm the junction number I was exiting at.


HUD and HDA2, a gamechanger compared to Limited trim
My biggest frustration with Hyundai is that they decided to not include the HUD in the US spec Ioniq 5 N even though it is available in other countries.
Camera-based Rear View Mirror
I thought this would be great for when having things in the back of the car. My initial trial of using it though was a bit blaeh as my eyes could feel more strain on focusing. I will do some more testing in the coming days/weeks. Since my Ioniq 5 N in the US doesn't include the Digital Rear View Mirror I don't think I will use it a lot due to switching between cars and having to get used to it.
Suspension/Road comfort
Overall I find the Santa Fe to be a little bit soft in the suspension compared to what I would like, however this is true of the Limited as well. This is just a personal preference.
However, I did find 2 short sections of road, both several hundred yards long that created a very weird oscillation in the suspension. There was a bump in the road that made the suspension compress, and then the resulting road surface conditions created a sea-sick like up/down oscillation for at least 30 seconds as if their is insufficient damping. As soon as the road surface changed again it stopped, so this was some weird and unexpected interaction between the road conditions and the suspension. Clearly Hyundai can improve here a bit.
I was also curious to see if the 21" wheels and low profile tires resulted in a harsh ride and I was pleasantly surprised to say they did not. The VA roads were in far worse condition than the NC roads, however in both cases I couldn't notice any real obvious difference between the Limited 20" and my Calligraphy 21" - although this wasn't back to back testing. I didn't notice any unexpected harshness in the ride.
Seats
The Calligraphy has the Nappa leather seats compared to the normal leather of the Limited. The leather is a little softer and feels slightly more comfortable. I didn't have any issues with seat comfort on the 3.5 hour drive back. I like the 4 way lumbar control, although the Limited has this as well.
I did stop in a touchless car-wash just before I got home to get the squashed insects of the car, and this gave me a chance to use the Relaxation Seat. The driver's seat reclines back and allows you to rest. I can see this as being something a parent uses while waiting in a car park to pick up their kids. On an Electric Vehicle it would be even better as you can keep the Air Conditioning running without needing to have an engine-on.
I am not going to focus on the Captain's Chairs since for some it is a must have, for others the bench is the must have and hence the Calligraphy is a non-starter. I like them, as do my kids.
Hyundai Key
The Hyundai car key is stupid! There you go, nice and simple. It is too big and clunky, and doesn't fit the physical key inside it. For normal use this isn't a major issue since it fits in my pocket, but I drive to a trail and jog 6 miles most days and the key is just too bulky to carry. I have set up the digital key on my iPhone, and also plan to get a NFC digital key card for when I am out running.
Digital Key (updated)
I have just got back from my 6 mile jog this morning. I had programmed my iPhone 15 Pro Max to be a digital key (takes about 5 minutes and is easy enough) and wanted to see how well it worked. Just in case of issues, I put my real key in a Faraday pouch and confirmed that the car could not sense it.
When approach the car with my iPhone in my pocket the side mirrors flash and open, indicating that the car can sense the digital key on my phone. I then just pull open the drivers door as usual and it auto-unlocks. There is maybe a 1 second delay but was more than fine.
I then could then start the car with my iPhone still in my pocket. I thought my iPhone might need to be on the NFC/Wireless charger pad but that was only for programming it the first time.
Driving is no different than normal.
When exiting the cars and locking the doors it works as normal, just press the lock button on the door handle.
I also stopped at the grocery store on my way home and was able to unlock/open just the trunk with the iPhone NFC/Digital Key without unlocking the front doors.
Overall, for the use case I have of not wanting to take my car key when driving to the trails to jog the iPhone as a digital key worked well. I will also buy the credit card style NFC/Digital Key Card to test for the few times where I don't want to have to carry my phone.
Auto-Lights:
Not specific to the Calligraphy trim but they don't work in the same way as all my other cars, but maybe that is just the auto-high beam assist. I will need to re-read that section of the owner's manual
Forward Attention Warning (FAW) / Driver Distraction Monitoring System (DDMS)
On my 3.5 hour drive I had a chance to 'play' with this a bit. I can 100% confirm that turning off the warning setting in the Infotainment System DOES NOT disable the FAW WHEN using features that need Emergency Stop (e.g. Smart Cruise and Lane Following Assist are turned on); however it DOES disable FAW for normal driving. This could be why there is confusion as to whether the FAW can be disabled. While it could be written better in the Quick Reference Guide that comes with the car, it does state the above as being how the feature works and when it can/cannot be disabled.
If you block the FAW sensor e.g. putting hand actually over the sensor, or by holding the steering wheel in an inadvisable way then it beeps the obstruction message very quickly.
The FAW sensor also complained quite a few times during my drive that my eyes were not on the road, and it was correct, I was changing settings and looking at my new car. So it did its job. Only once did it complain when I was actually looking at the road during the entire 3.5 hrs and that was the time I had rested my head on the head rest and it probably thought I was not looking ahead.
So how do I feel about the FAW sensor? Mixed... I have seen too many drivers texting on their phones while driving etc so unfortunately I do believe it is necessary for the safety of others. However I can also see it beeping too aggressively or as others have found out being triggered by the wrong pair of sunglasses etc. I assume Hyundai may fine tune it as time goes on.
Other things:
Note: I do need to look more in-depth at some of the other Limited->Calligraphy differences, e.g. the premium seatback panel, the extra ambient lighting to see if there is anything really different. I do like the darker eco-suede headliner and the dark finish grille, alloys, sill plates etc, and the gloss black exterior trim looks nice although we will have to wait to see how durable it is.
I will be tinting the front side windows and windshield with a ceramic coat tint to reduce heat build up as I park outside when at the office. I will also be ordering and fitting the Hyundai tow hitch (ordered), and fitting LED reversing lights (now fitted). Other than that I don't currently plan on any other real changes. I would like a black roof, but don't think it financially makes sense to wrap the roof and spend the money for just a cosmetic benefit.
In Summary:
I'm very happy with the Calligraphy. The Ultimate Red color works well on this trim level. The interior remains nice. For the price increase over the Limited Trim then I do like the Calligraphy - especially the HUD, Captain's Chairs and unexpectedly the HDA2 - in addition to the cosmetic improvements.


submitted by SalamanderForever to HyundaiSantaFe [link] [comments]


2024.04.18 02:41 halfpasthopeful Please help - 6 months of systemic symptoms and I’ve exhausted all local resources

25F, about 200lbs. History of endometriosis (surgically diagnosed) and Hydradenitis Suppurativa. Only known allergy is to Bactrim. Otherwise healthy - no medications/supplements, using Mirena IUD. Located in the Midwest USA.
Symptoms: Swollen cervical lymph nodes (tender, fluctuating in size/exact location) - this is the first symptom I noticed.
Full body itching, including bottom of feet and palms of hands. I wanted to scratch my literal eyeball the other day - this is the second symptom I noticed. At the onset, all the skin on my palms and bottom of my feet peeled off. It healed and has not happened again. Itching does not respond to topical lotions and only slightly responds to OTC antihistamines. A low grade tingly feeling almost hums under my skin - comparable to having the chills.
Dry, pinkish skin with no discernible rash pattern all over body. More obvious symmetrical face rash comes and goes (spans cheeks, forehead, jawline, and spares nasal folds).
Pins and needles feeling (comes and goes in quick waves down my body)
Chest pain/ shortness of breath.
Constant fatigue, occasional mental confusion.
Joint pain, severe and most noticeable in larger joints (hips, shoulders, knees). Itching symptoms go away when joint pain is present. I was prescribed two rounds of steroids which helped very little.
Occasional fevers and night sweats. Trouble sleeping due to itchiness or pain.
Longer term and possibly unrelated, but I’ve also noticed sensitivity to heat - my skin turns a blotchy red and swells when exposed to heat outdoors or after a shower. This is accompanied by a tingly, itchy feeling and a runny nose. I sometimes also get an odd metallic taste in my mouth during or after a shower.

Completed labs: Full biopsy of cervical lymph node. Results noted the lymph nodes are reactive but did not clarify any possible cause. Ruled out cancer and Sarcoid concerns.
Skin biopsy showed basic eczema.
Extensive blood tests always come back normal except for my CRP and ANA. CRP normal range is 0-1, my results have been 1.5-4.5. PCP tested my ANA and results were positive, but the confirmation with titer came back negative. Rheumatologist later tested my ANA again and results were totally negative.
CT of head and chest - showed enlarged lymph nodes in neck. Also enlarged in my chest and armpits, but within normal range.
Echo and EKG - both normal.
Infectious disease, including HIV, Epstein-Barr and other mono-related illnesses, tuberculosis, Lyme, bartonella, COVID, etc. Anything that specialists thought was slightly possible was tested and came back negative.

At this point, I’m open to any ideas or possibilities. My PCP thinks we are in the territory of something rare or possibly the beginning of something that must evolve over time before it can be diagnosed. I have been referred to Mayo Clinic, but they haven’t contacted me yet. I feel like I’m going insane. Please give me your crazy hunches.
submitted by halfpasthopeful to AskDocs [link] [comments]


http://swiebodzin.info