Anemia nursing diagnosis

Fibromyalgia - An Optimistic but Realistic Support Group

2009.04.18 10:29 LisaHellen Fibromyalgia - An Optimistic but Realistic Support Group

An optimistic but realistic support group.
[link]

2012.02.06 07:43 khal_ Oncology: medicine and science

A subreddit for the discussion of cancer medicine and cancer biology
[link]

2009.05.21 10:56 bsimple Myelodysplastic Syndromes

Myelodysplastic syndromes subreddit (/MDS) is place for news, discussion and information related to myelodysplastic syndromes.
[link]

2024.05.14 00:59 Nichard ADHD screening

I'm a 35 year old woman living in England and have struggled with my MH all of my adult life. I do have a diagnosis of depression, anxiety and PTSD and I have long suspected I have ADHD also.
I've been back and forth to the GP more times than I can count and I was always just told I had depression, anxiety and more recently PTSD. So the last time I saw my GP she told me to make an appointment with the practice Mental Health Nurse which I did but before our appointment she sent me an Autism AQ test and an ADHD ASRSv1.1 screening test. At our appointment we went through my answers in more detail and she carried out a full assessment of my mood and we talked a lot about my childhood linking with my current MH situation.
The outcome of the Autism screening was what I expected in that there aren't any obvious traits right now so I scored low risk, however the ADHD one I scored 5/6 points on part A and 6/12 on part B which she said indicates that I "probably" do have ADHD but that the waiting list on the NHS for a formal diagnosis is around 10 years. So she basically said if I wanted the diagnosis in writing and on my health records to push for it or if I was coping okay and managing then she suggested to just keep going as I am but know myself that it's probably ADHD.
I just didn't think one screening test would be enough to diagnose? Am I wrong?
submitted by Nichard to ADHDUK [link] [comments]

2024.05.13 23:38 Worried_Value_648 Asthma? Copd?

Hello! Please, whoever has the patience to read would help me enormously, as I have been suffering for 7 months. Sorry for bad english!!! I'm only 18 years old, I don't want my life to end or be like this. I had my first panic attacks around October 2023. I didn't know how they felt, I had them from calcium drops but they manifested differently. I went to the psychiatrist where I received Serlift 0.5 mg per day, but after 5 weeks I abandoned them because I could hardly tolerate them, I had nausea, constantly dilated pupils, imbalance, etc. On top of that, I also had swallowing difficulties which were quite rare but became more and more frequent. In December, I had already reached the point where I could no longer swallow solid food, and in January (2024) I started not being able to feed myself even with mashed things, purees, etc. I was eating somewhere around 2-3 teaspoons of soup per hour, somewhere around 2 bowls of clear soup. I went to a gastroenterologist where they did a digestive endoscopy, without a biopsy, and there was a wound caused by acid on the esophagus at the bottom, so their diagnosis was reflux + a hiatal hernia. I received treatment with Nexium (one pill in the morning) but I did not feel any improvement. At the same time, I went to the ENT because I felt like I couldn't breathe and they said that I have hypertrophic chronic rhinitis, which doesn't go away, so if it continues like this I will have to have laser surgery, it's quite an easy operation and minimally invasive, but they are worried back the nasal turbinates. The difficulty in swallowing decreased for a while, but it appeared again, stronger that I could not even swallow saliva and water without drowning. I then went to the doctor in Cluj where they redid my endoscopy and manometry. The manometry came out normal, but at the endoscopy, this time with a biopsy, I had reflux esophagitis. I received nexium treatment in the morning and in the evening and in addition to that I also did acupuncture and everything is almost back to normal, I still have a difficulty with bakery products and with seeds, meat. Rather, the problem remained that I feel how it slowly flows down my throat, but it's ok. During the investigations I went to the lungs and the heart. They discovered adult asthma in my lungs (I didn't have asthma as a child but I had many pneumonias) and since then I received treatment with foster and an antihistamine in the evening (Aerius). I felt that I was breathing hard (that I was inhaling hard), but I quickly understood that this is also anxiety, because many times my oxygenation was good. I haven't given up smoking since I have asthma, I've reduced it but now I want to quit because I feel that it's hard to EXPIRE the air outside, or I feel that when I want to inhale, I exhale. Or when I exhale deeply forcefully (because I have to force myself) I feel a pressing pain like a punch between the chest and the neck but rather towards the neck. The therapist said that these are NOT signs of anxiety, but the doctor I go to knows my problems with anxiety and often leaves it to her. I went to the heart because I had low blood pressure, but I also had anemia and that was also a cause (I have a very white face and palms). He said it could be a sinus tachycardia. But more recently, I feel as if my left breast is trembling or aching. The problem with breathing worries me the most, I'm afraid that there might be some hidden pneumonia. I had lung x-rays almost 2 months ago, but then I did NOT have those symptoms. I'm not saying that it's not possible for something to have appeared in such a short time? I keep thinking why do I have these moods? The therapist says that she does NOT think it's anxiety because even in the neurofeedbeek device (the one that measures the stress delta wave) I have low waves after the therapy. I don't want to feel like this anymore, I want to live my life because I don't have any worries or stress. If this time too everything looks good on x-rays and ultrasounds, what tests should I do? What lack of minerals/vitamins or what deficiency can cause such ugly conditions? Note: I think I know how to explain batter. I feel like i keep the CO2 in my lung instead of letting it go out.
submitted by Worried_Value_648 to Asthma [link] [comments]

2024.05.13 19:48 CRDLEUNDRTHESTR Need advice on my next steps for an unexplained chronic illness that has been getting worse

Maybe about two years before covid hit (either 2018 or 2017), I started experiecing a chronic cough. It was pretty bad at the time,
I went to the doctor back in 2018 to figure out what was wrong, at the time they just concluded that it was allergies, which was strange. I knew I have bad seasonal allergies, but a cough has never been a symptom of mine. It's usually always sneezing and a runny nose, or itching. Why would a cough suddenly appear?
For years I pushed this off as just allergies until around 2021. I still felt like it wasn't allergies and the current medicine I was using wasn't helping. I went through extensive testing at the time from some of the top specialists in NYC. I got a chest x-ray which came back negative, there were no issues. I also had a pulmonary function test then at the time which actually came up strange to the doctors. I was told my breathing was irregular and that was it. I also had a blood test which didn't show anything at the time other than I had anemia (which was also unexplained. I used to always think it was an iron defeciency, but my doctor told me my iron levels seemed to be normal but I still was anemic)
We tried a bunch of different inhalers, none of which worked including:
We ended up running into a dead end again and they sent me to an allergy specialist who concluded the obvious, that I had allergies. Again my cough was just written off as allergies. and I was given a perscription allergy pill (cetrizine) which of course helped my allergies but the cough was still there. I trusted this judgement for years even though the cough never disappeared.
Which brings us to last month-
My cough only rarely appears these days, I don't take allergy medicine, and surprisingly even though it is still a reoccuring symptom, it's not the main symptom anymore. Now as of last week I've been expericing really bad moments where I can't breathe. I used to have these moments last year and I just thought I was having a panic attack without panicking (no my life isn't stressful at all), now suddenly they've become a LOT more frequent and noticeable which ended up worrying me. Now my breath feels like it's only at 70-80% what it used to be, my chest started hurting a lot more (stinging feeling in the center and the heart area, and occasionally burns. This has happened every day almost since around this time last month.
This prompted me to go to a local doctor who ran a chest xray, which showed up normal, no dark spots etc, and a simple lung function test. The doctor noticed from the PFT that my breathing was off and there were slight signs of inflamation. The doctor concluded that it was bronchitis, which also made sense. I was perscribed Serentide which really helped a lot with my breathing although it didn't stop random flare ups where I couldn't breathe which happened after I ate and laid down.
My breathing was fixed but the random flare ups worried me still so I wanted to go to a doctor to see how I could manage them. Since I'm in a new country now, I went to another doctor, showed them my results from the previous tests, and for some reason, had another chest x-ray. They told me that it didn't really look like bronchitis and everything was relatively normal. At first they thought it could have been asthma, but I told them asthma treatment didn't really work for me so they also decided to test out allergy treatment. It has been about a few days since they've perscribed Singulair and they told me to stop using the inhaler I was given.
Currently I feel like my breathing has slightly gotten slightly worse since dropping the inhaler and the flare ups haven't stopped, but maybe the effects haven't set in yet.
What are my next steps? What tests should I get? Does anyone have any idea what possibly could be wrong? I don't want to push this off as just allergies again and then have an even worse symtpom years ago because the allergy diagnosis was wrong.
Tl;dr symptoms:
Additional symptoms that may or may not have anything to do with my condition:
Notes:
submitted by CRDLEUNDRTHESTR to AskDocs [link] [comments]

2024.05.13 19:34 _o_lurokk_o_ What should i do?

So im 16 f with diagnosed cfs (since i was 14) which is continuing to get worse. A few weeks ago i had a consultation with a cfs consultant after my doctor referred me to them, it was an online call over the nhs website that my mum mostly did all the talking cuz im rlly shy. They mostly asked abt my life, how school was handling my condition, things i can do, things i cant do, and how i am overall taking this, pretty standard stuff. They also asked about my family history, most of my medical problems come from my mums side such as anemia and poor immune system but from my dads side he has clear undiagnosed autism and my little brother has high to medium functioning autism, this is relavant because towards the end of the consultation, they got onto the topics of my mental breaks and struggle to regulate emotions (usually outburts of anger or sadness when im tired especially after school), this is where the consultant made a statment which rlly has me questioning whether all of this is because i have cfs at all, he asked my mum that going of family history and the information hed been given, whether shed ever questioned if i was autistic too. This was revolutionary, sure there had been times she said things like “im sure ur autistic” after i do things that may be classed as on the spectrum but i always brushed them off cuz shes no doctor but this rlly had me thinking. Especially after 2 years of processing ill never be normal like everyone else is because of my cfs this was like i got slapped in the face, rlly not sure how to feel abt this but i am going to ask for a referral for a proper diagnosis.
submitted by _o_lurokk_o_ to cfs [link] [comments]

2024.05.13 16:51 misanthrope247 Please help! Input on real world health assessment needed

I am a frustrated nursing instructor who hates the way health assessment is taught in our program. Tons of focus on PRECISE technique without teaching when and why an assessment actually matters. For example, second year students can perfectly demonstrate how to assess pupil response but none can tell you when it makes sense to do this or what an abnormal response even means. Heart sounds are also a big deal with a lot of time spent on landmarking for those. Are full heart sounds something done routinely (like Q shift) in your practice? If yes- what type of unit is it? I worked acute internal medicine and it just was not something we did routinely. Of course we often assessed apical Hpulse deficit [esp in pts with a fib]. I can easily rationalize when doing an apical makes sense vs not to students.
I reviewed an older post on this sub related to the topic of heart sounds but it seemed like people were mixing together the laying of a stethoscope on a chest for ANY reason with actually assessing for heart murmurs/extra sounds. There is a big difference between assessing for rhythm and rate and assessing for SOUNDS. So, in what situations would a new grad be expected to do full heart sounds every shift? What changes are you looking for from shift to shift? Is hearing an S3 really more sensitive for fluid excess in a pt with HF than daily wt/BNP or other assessments? If we already know a pt has a valve disorder like regurg or stenosis...are we able to pick up an acute change to that diagnosis that would require acute intervention? I want to be able to explain when taking the time to assess full heart sounds matters and when it doesn't in real life for a new grad nurse. HELP!
submitted by misanthrope247 to nursing [link] [comments]

2024.05.13 16:47 misanthrope247 REAL WORLD purpose of assessing heart sounds every shift?

I am a frustrated nursing instructor who hates the way health assessment is taught in our program. Tons of focus on PRECISE technique without teaching when and why an assessment actually matters. For example, second year students can perfectly demonstrate how to assess pupil response but none can tell you when it makes sense to do this or what an abnormal response even means 😒. Heart sounds are also a big deal with a lot of time spent on landmarking for those. Are full heart sounds something done routinely (like Q shift) in your practice? If yes- what type of unit is it? I worked acute internal medicine and it just was not something we did routinely. Of course we often assessed apical Hpulse deficit [esp in pts with a fib]. I can easily rationalize when doing an apical makes sense vs not to students.
I reviewed an older post on this sub related to the topic of heart sounds but it seemed like people were mixing together the laying of a stethoscope on a chest for ANY reason with actually assessing for heart murmurs/extra sounds. There is a big difference between assessing for rhythm and rate and assessing for SOUNDS. So, in what situations would a new grad be expected to do full heart sounds every shift? What changes are you looking for from shift to shift? Is hearing an S3 really more sensitive for fluid excess in a pt with HF than daily wt/BNP or other assessments? If we already know a pt has a valve disorder like regurg or stenosis...are we able to pick up an acute change to that diagnosis that would require acute intervention? I want to be able to explain when taking the time to assess full heart sounds matters and when it doesn't in real life for a new grad nurse. HELP!
submitted by misanthrope247 to nursing [link] [comments]

2024.05.13 16:45 ToEmpathyAndBeyond Wife’s numbers are scary high

Wife’s numbers are scary high
Tl;dr: My wife (38F) was diagnosed last week with BG 458 and A1c 13.7, started metformin 500mg extended release 2x/day, got a CGM, no finger sticks, numbers are 200-400 but mostly stayed in 250-350 range over past 40 hours. Looking for support, and wondering if anyone else was diagnosed with numbers this high, how long did it take to get them controlled?
My (39F) wife (38F) was diagnosed last week after a routine PCP visit with labs (first PCP visit in many years, but she had a gynecologist/nurse midwife visit in January and we saw a reproductive endocrinologist in March). Next morning the doctor sent this message. In hindsight I think her approach (incremental change, avoid info overload) is smart and probably works well for MOST people. But my wife and I freaked out, started Googling and asking our med pro friends, and immediately made a same-day appt. I left work 3 hours early and we arrived at the dr office 45 mins before the appt (unheard of for us 😂).
To the dr’s credit, she got us back to see her right away, quickly shifted gears to share lots of info and options, and took time to listen and answer our questions. She prescribed a CGM (Libre 2) which my wife got on Saturday. (Wife is terrified of needles and doesn’t want to do any finger sticks. I had to apply the CGM for her.) Over the past 40 hours, her numbers have ranged from 200 to 400+. She’s taken 8 doses of metformin 500mg extended release (2x day since Thursday night), and I know it can take 4-5 days to really see effects. I also know that her numbers have likely been this high for months and months, but I’m so worried about long-term damage. 😞
My wife is taking this super seriously and has already overhauled her diet (no added sugar, low carbs, extra protein and healthy fats), and started exercising more. We’ve both dieted before and know the drill. Emotionally she’s devastated by the diagnosis, especially because we were planning to TTC next month, and that’s likely delayed now. She’s motivated to get this controlled ASAP so that having a baby is still an option. And, I know this is a marathon and not a sprint, and I’m worried about burnout. She has a long history of (likely but undiagnosed) PCOS, obesity, binge eating, and avoidance of preventive medical care. (Ironically her weight is currently almost in a healthy range, thanks to 2 years of previously-unexplained weight loss, which no one besides me questioned - if you’re fat, weight loss is always the priority. 😑) I’m doing this with her, both to be supportive and because I’m concerned about my own IR (weight gain in the past year, fasting insulin was 17.5 in March despite having good FG and A1c, and last year my A1c was 5.7 so barely pre-D).
I know this is long, so I appreciate anyone who read this far. It’s been very overwhelming the last few days, and I feel like I need a “T2D spouse support group” already. I’m really hoping we can get her numbers down in the next few weeks and without having to add insulin.
submitted by ToEmpathyAndBeyond to diabetes_t2 [link] [comments]

2024.05.13 14:06 Odd_Bison392 Might have Pots but unsure where to go from here

This weekend I had went to the ER for a possible concussion that I don’t remember falling or hitting my head, but just swelling and a bruise. As I was there, we discussed symptoms I’ve had for years, but I had never got answers and never pushed further doctor wise on it. Going over my many symptoms my doctor at the ER did the Poorman table test and EKG and several other test for both the concussion and she also discussed pots. She never said how my results looked from either of those test, but both her and the nurse brought up pots and all they said is “we can’t diagnose anything in the ER but to go to a primary physician” this has me nervous I never had considered pot, but also we have been trying to figure out what has been wrong with me for years ever since high school and we had gone between anemia, thyroid issues, diabetes, and more but nothing lined up. This seems to line up perfectly and explains a lot of issues I’ve had, but I am nervous because I know it’s hard sometimes to get diagnosed and also nervous for this stage of my life. What are the steps they will take at the doctors and is there anything I need to do in the meantime, like tracking symptoms?
submitted by Odd_Bison392 to POTS [link] [comments]

2024.05.13 13:34 SporksOrDie What's up with the garage door?

What's up with the garage door?
Hi, my name is James Eric Waugh, and I live at the house that has "Edward Snowden was hiding in Yarmouth" plastered on his garage door.
https://preview.redd.it/mr4g0ig9970d1.jpg?width=680&format=pjpg&auto=webp&s=49b155667705624893e791ebb68ba4ec0005b707
Why did this start? Well, I asked my Veteran Affairs doctors for a medication that costs $9 a month without insurance in July 2023, it was previously given to me by the Army. My "psychiatrist" at Veteran Affairs had talked to Yarmouth Police in 2015, and since then, Veteran Affairs believed I was stolen valor. Yarmouth Police where abusing a mentally ill person with Munchausen syndrome. One of the Doctors at Veteran Affairs in Hyannis actually used to be that persons doctor at Duffy, and the first thing their new doctor told them was they had Munchausen syndrome. I would have to defend myself from many unfounded accusations with this person, including Rape, which I defended myself Pro Se in a Jury trial and was declared not guilty. The opening statement by "prosecutor" at the Cape and Island District Attorney's Office said that there was "no evidence", her testimony on the stand contradicted the police report, but I didn't bring that up in court as I had no idea how to present evidence , just like the Cape and Island District Attorney's Office.
I told Yarmouth Police and a Barnstable Court Clerk that she had Munchausen syndrome, but Yarmouth Police don't care about the truth, they are corrupt, which is probably why the CIA or whatever organization wanted to hide Edward Snowden here.
Around this time in 2015 is when I realized I was being monitored by someone on Facebook. I even told my awesome psychologist who retired that someone started watching me during one of our appointments.
But I moved on with my life, and would quit drinking in 2017ish after the state legalized Cannabis. My family had to deal with both our parents and two grandparents passing away during this time.
July 2023 is when my life started to really turn upside down. I suspect they had me wiretapped for 10 years, since they started monitoring my Facebook. I was hit by a heavy truck in July, and the trucker with car trailer tried to take off, but I thankfully was able to overtake them (they must have weighed 20 tons). Progressive insurance represented both sides of the claim, but they tried to screw me over by finding me at fault instead of the truck that hit me while i was stopped at a red light. The recommended insurance collision shop would hide the face from me that my car was vandalized and was sent to a Falmouth dealership for repairs, and for a period of time, was not in the possession of that shop or dealership. (I would find out later they bugged my car too).
After my back started to get worse after the truck accident, i was forced to return to VA healthcare. After submitting my congressional complaint to the Patient Advocate about them refusing to prescribe me anything for anxiety. One of the doctors, AFTER this, got a bigger office, and the one who originally talked to police in 2015ish retired a few weeks after filing my complaint. Unbeknown to me at the time, Veteran Affairs would only accept I was bipolar, to the point where the doctor who got the bigger office would telll me "I don't have PTSD". That really really hurt. I'm already 100% P&T rated at 100% for PTSD by VBA, but they don't care about facts like Yarmouth Police, they only care about what they can get away with.
So they prescribe me Lithium and hydroxyzine pamoate. I know I'm not bipolar, and the people who live with me and know me best believe that as well. So I only take the hydroxyzine pamoate. I asked for a supply from Stop and Shop, and when I had the 50mg of hydroxyzine pamoate, i had some really good sleep. I was even able to dream for the first time in years. But that was only a 7 day supply, VA would mail me more, but the VA issued ones despite being labled hydroxyzine pamoate would not be hydroxyzine pamoate. My Medical Records show that it was changed to "unspecified".
https://preview.redd.it/l2e2guzu970d1.jpg?width=962&format=pjpg&auto=webp&s=b556d34ef522e4e0dcfcd8f1e14e0825103ae016
After starting the VA issued drugs, i started acting weird. I would become more agitated than normal and would flip off a cop and got a ticket for it. Towards October 2023, i was become very unstable. I accused my friend of being a fed (he is), and left my cell phone at home and started driving to see what would happen. I was followed from Yarmouth Port to Long Island and back. One of the cops following me i told him my story and he said "that'll be hard to prove". I asked them to arrest me, and then drove off and followed. I would eventually come back home after these at least 10 law enforcement undercovers and Amazon Prime trucks where trying to run me off the road and incite an accident. One of them crashed into a NYC bus at a intersection.
I day or two later, i would bring out my "VA Killed My Dad" sign and start calling my neighbors Russians and traitors. I would eventually call 911 on myself saying my neighbors where Russian spies, and my house was bugged. The ambulance had 3 people, 1 yarmouth police officer, 1 paramedic, and 1 guy who said he was a fireman then said he wasn't, he was nice. When i was asked about my medication, the YPD officer said Lithium. I had to correct the officer and tell him despite being prescribed lithium, I was only taking the hydroxyzine pamoate. The ambulance would stop and they kicked the officer out of the ambulance. The paramedic was getting texts and probably finding out about my medication change. When I arrived at the ER, the nurse was like a 40 year old hulk hogan. HUGE. I told him he could cut off my arm if he wanted while he was doing tests. Eventually he would say the word "lithium" again. But after that, i could not find any record of the word lithium in my medical records from Cape Cod Hospital. The same hospital that would claim "bipolar" on paper as hard as Veteran Affairs and Duffy soon would. No one would admit on paper i have PTSD, and would only lie and make up bipolar diagnosis.
I would try VA issues medications stupidly twice more and despite driving to the ROI and asking for my complete medical records, i can only find out that my hydroxyzine pamoate was changed with something "unspecified". I fired VA healthcare on January 2nd, 2024, after finding out my PTSD therapist wrote down that I told her I went to Bosnia, which is absurd, we weren't even talking about military or trauma yet, and I only was deployed to Iraq. She also said she would continue to write bipolar in her notes no matter what . Even VBA VR&E wouldn't let me go to school unless i agreed on paper i was bipolar.
I tried Duffy for 3 months hoping someone would listen to me and help me with Anxiety. My primary gave me hydroxyzine pamoate and i was doing well until I ran out. The Duffy psychiatrist who kept making excuses not to setup an appointment would declare me bipolar as my only diagnosis without ever seeing me. My undercover fed friend tried to convince me not to go to Duffy. They probably have some sort of secret office there, but I'm just guessing.
I tried posting about my theories and experiences online, but I would find out I was being censored and gaslight by some agency. They really really want to keep the lie of Edward Snowden going.
I gave up on healthcare on Cape Cod, something corrupt and horrible is going on here. I'm hoping I'll be able to get a doctor eventually that'll help me with my PTSD and not make up lies or be corrupted by our government.
The government has been screwing me over for years. My garage door is just me hoping to set the record straight.
submitted by SporksOrDie to DisabledVeteransHelp [link] [comments]

2024.05.13 12:52 Blood_Oleander A chronically ill youtuber

Well, I have the idea to write a chronically ill character who details her trials, tribulations, and goings with her illness(es).
That said, I'm not sure as to what exact chronic illness/es would have a person hospitalized on a regular enough basis. For more context on that, the story opens with her recording from the hospital.
To list, she has Hashimoto's thyroiditis, a possible lung condition, anemia, endometriosis, fibrinogen deficiencies, and some undefined symptoms (that aren't related to the others but aren't enough for a diagnosis).
How might this go?

ETA

After much thought, I've decided to scrap this idea. Thanks for the advice though.
submitted by Blood_Oleander to KeepWriting [link] [comments]

2024.05.13 12:08 bestlesbiandm What Can I Do To Improve?

In February I was laid off due to “fund mismanagement” at a non-profit. The old Executive Director “mismanaged funds”, left, and new Executive Director told me in January to file unemployment or find something by the end of February.
Luckily, a mental health hospital was trying to recruit me as a tech, so I took that job even though I’m not super passionate about that level of work right now. I’m trying to get less junior roles to make ends meet better. It was supposed to be a temporary thing, is what I’m getting at. But now I’m four months in, many applications deep, and I think I’ve maybe had an interview a month? I always make it to the last round when I do get an interview, but I never get the job. :/ Help?
submitted by bestlesbiandm to resumes [link] [comments]

2024.05.13 08:53 GayGuerilla telling doctor I may have CPTSD

going to tell my doctor I'm pretty sure I have CPTSD tomorrow. so anxious cause i know it's not recognized in the DSM and worry I'll be invalidated or something idk 😵‍💫. I also absolutely have childhood trauma and pretty sure i meet the diagnosis criteria but I always have this weird feeling where its like maybe im lying to myself or exaggerating my symptoms or trauma, which makes talking to her about it even harder. how did it go for yall? I go to a free clinic for low income people and my doctor is just the nurse who diagnosed and prescribes me for anxiety / depression so im not sure if she's even qualified for things like cptsd.
submitted by GayGuerilla to CPTSD [link] [comments]

2024.05.13 08:41 hereiam58 Available - Ackley and Ladwig’s Nursing Diagnosis Handbook: An Evidence-Based Guide to Planning Care, 13th Edition - Authors - Mary Beth Flynn Makic, Marina Reyna Martinez-Kratz - ISBN - 0323776833 9780323776837 9780323811170 9780323811156 0323811159

I have this book available immediately in original publisher pdf form for $7.
https://drive.google.com/file/d/177caUWckDIAZnwKhjW5gbIPklIzyJNuJ/view?usp=sharing
I offer a book-finding service for $7 for the first book and $3 for each additional book in the same transaction, as long as I have them, so if there are any others, I will do them cheaply if I can find them Upon your agreement that you will pay the $7, I will create a sample that includes the cover up to the first page of chapter 1, and then pages 100, 200, 300, 400, and 500. You can then pay via PayPal, Venmo, Cash App, Wise, or debit/credit card.
Upon payment, I will provide you with the book in a permanent Google Drive folder.
Just contact me if interested.
submitted by hereiam58 to Textbooks_for_CHEAP [link] [comments]

2024.05.13 07:30 bioleaguesseo Exploring Emerging Technologies in Cardiology at Cardiology Conference 2024

With the development of new, faster, smarter technology, the field of cardiology continues to evolve significantly and attending any Upcoming Cardiology Conference 2024 offers an amazing learning platform to keep up with emerging state-of-the-art technologies in this field.
A Cardiovascular Conference can help you understand and use these trends in your profession. These are great events for researchers, cardiologists, doctors, nurses, medical students, other medical professionals, and cardiovascular device manufacturers who want to stay abreast of the trends.
This blog highlights the top emerging technologies that you will learn about at a good Cardiology Conference in 2024. So, let us get started:

Artificial intelligence (AI) for faster and more accurate diagnosis

Many manual devices, especially those equipped with obsolete technology, may fail to diagnose a patient's heart conditions accurately. This is because older technologies had many limitations that required much innovations to help patients.
AI diagnosis is a brilliant way to understand and analyse medical images faster and more accurately. This technology is helpful in body scans, ECGs, and thoroughly breaking down minute details of patient data. In addition, AI is extremely helpful in determining the heart's working patterns, allowing doctors to provide the best treatment and medications for their patients.
If you attend an International Cardiology Conference 2024, the role of AI in cardiology is one of the most common topics of discussion. At these events, you can learn from esteemed doctors and world-famous medical professionals from around the globe.
3D Imaging and Printing
Having an exact-size model for patients during heart surgery is critical for its success. The technology provides easy-to-understand details of complicated spatial relationships between the heart and vascular system. This understanding is helpful for cardiac surgeons, cardiac radiologists, and cardiologists to successfully manage complex heart diseases.
By attending Cardiology Conferences 2024 India, you will learn how 3D imaging and printing is shaping the cardiology field. Experts, session speakers, industry professionals, researchers, and influential cardiologists attend the Cardiology Conferences 2024 India.

Nanotechnology for cardiovascular disease

Nanotechnology involves working with devices and materials on a nanoscale level, and nanomedicine refers to the use of nanotechnology in healthcare. Nanomedicines are showing huge potential in various cardiac applications because of their unique properties. In simple words, nanomedicines are made of active pharmaceutical ingredients (API) packaged into nano-sized carriers made of excipients.
In addition, Nanotechnology may stimulate angiogenesis from pluripotent or vascular stem cells, resulting in various implications such as wound healing, cardiomyocyte regeneration, and organ recellularization. Similarly, the technology has shown great promise in cardiovascular surgery.
You can learn all about the role of nanotechnology in cardiology health by attending a Cardiology Conference India. These events showcase practical skills and help you gain a clear understanding of nanotechnology in cardiology.

Telecardiology

There are many circumstances where doctors cannot physically check the patient due to remote locations. Telecardiology is a modern medical practice that uses telecommunications for remote diagnosis and treatment of heart patients.
So, telecardiology is a hot topic of discussion at any well-planned International Cardiology Conference. Case studies from cardiologists and researchers will give you exposure to this fastest-emerging cardiovascular technology.

Implantable Cardioverter-Defibrillators (ICDs)

ICDs is a small battery-powered device put in the chest by heart surgeons. The device uses remote monitoring, personalised therapy, and algorithms to detect and prevent arrhythmias. You can learn all about this technology at the Upcoming Cardiology conference 2024. The practical exposure from live workshops and seminars can help you try this technology and learn how to use it in Cardiology.

Final Words

As you see, attending a Cardiology Conference can help you learn about all the latest emerging trends and technologies in this field. Attending these events not only provide knowledge but also give you endless network opportunities with world’s leading cardiologists and researchers. Attend a Cardiology Conference in 2024 today.
visit now - https://bioleagues.com/cardio-metabolic-conference.php
submitted by bioleaguesseo to bioleagues [link] [comments]

2024.05.13 03:41 No_Treacle6842 Dr. Froilan Paez review - My traumatic experience

Unlike most doctors there must be a reason why this one barely has any websites where he allows his patients to share their experience.
No Google reviews, no Realself, no Yelp...
Well, he is not the kindest person and at least to me I felt like he was really dishonest. I scheduled my rhinoplasty with him almost 1 year ago and the whole process was REALLY NEGATIVE, after waiting all this time to talk about my final results I can now say that they're not favorable, I have SO MUCH trouble breathing and my nose has collapsed from one side...this has truly had a bad impact in my life so that's why I decided to share this post.
After talking to many other professionals I believe I was victim of something called "ghost surgery"
Due to his perfectly looking Instagram page and the large amount of marketing I decided to have my surgery with this doctor, initially I paid 150 USD (and unlike what's advertised) there was not really a real consultation, all they ask you to do is sent pictures and in response all you get is a price estimate.
Obviously I found this really sketchy since I wanted to have a proper diagnosis, but his assistant refused saying that all consultations are done one day before to the surgery, so basically you have to commit and pay for the procedure in advance without ever meeting the doctor priorly.
Probably the first red flag, but unfortunately I got carried away by his social media and all these "influencers/models" that promote him and I scheduled surgery regardless...
Consultation
Since you barely have direct contact with the doctor, all the communications you have are just with his staff and oh boy, they are really good at promising and telling you everything you want to hear so that way you proceed and pay for the procedure (BTW I PAID 13,000 USD).
Reality kicked in once I traveled to Colombia, many more irregularities and things that I didn't expect came up, of course at this point I've already invested 7000 USD (everything you pay in NON REFUNDABLE) so I couldn't really say anything or change my mind.
Consultation with Dr. Paez was quick, It was the first and only time I would see him during the whole process and just like every surgeon he persuades you and tells you everything is going to be okay, although I wanted to address my symptoms by bringing different nasal exams he told me it wasn't necessary.
Day of Surgery
Once at the hospital, they make me sign a few waivers, nurses get me ready and take me to my operating room, at this point i'm expecting to see Dr. Paez at any minute but this would never happen, next thing I know, i'm already in a recovery room.
I'm discharged and they sent me home.
After becoming a little suspicious by the high number of people being operated the same day I start doing some research...and to my surprise I find on on social media videos of ANOTHER DOCTOR doing my nose surgery, all while Dr. Paez wasn't even in my operating room.
This other doctor was there as a student and is someone who I NEVER authorized.
https://twitter.com/joelval24657885/status/1717374925021794444
I posted the footage and proof of surgery on this website, you can clearly see how they run 2 operating rooms at the same time.
So what was their response?
I already did my research, what happened here is considered really unethical but highly profitable for the surgeons, I was used for some type of medical course and this was never disclosed in my informed consent.
At first when I asked for an explanation his staff downplayed everything, saying things like "this other doctor is part of the team" and "he only performed the first half of your surgery".
I looked into this other doctor and he doesn't have any type of affiliation with Dr. Paez since he works as a plastic surgeon in Brazil.
Besides the fact that I now have so many breathing problems, I feel completely cheated, it is nearly impossible to get in contact with Dr. Paez so I flew back to Colombia just to confront him...and unsurprisingly he refused to watch the footage of my surgery and prefered to stayed silent.
Final thoughts.
Since I have evidence of what im talking about I decided to file a formal complaint to the medical board in that country, although they took my case months ago, judging how things run in Colombia I highly doubt any disciplinary action will be taken.
I want to clarify that I am by no way the only person who has raised complaints about this doctor, If you want some more unbiased opinions I advice to do your research on Twitter.
Lastly, for reference I'll attach the odd documents he makes you sign where you surrender many rights if things go wrong. I'm fully aware that any surgery has risks but I find it extremely unfair how they show you this only after you have paid.
https://twitter.com/joelval24657885/status/1789497378849816825
My advice?
Avoid Instagram at ALL COSTS when choosing a surgeon, there is absolutely ZERO transparency on that website.
submitted by No_Treacle6842 to PlasticSurgery [link] [comments]

2024.05.13 03:30 DrChickon Hospice vs. Home Care

My father-in-law is currently in the hospital following a colostomy surgery. We believe he is in the final months of his life due to his diagnosis and progress.
Following the surgery, we were told he would need home health and they would order that. Then they said he would need 24x7 nursing care at home and a family member living with him and asked when that would be in place so he could be discharged. Well, no one was prepared for that- he lives alone and who can afford 24x7 nursing care? (Spoiler- we can’t.)
After much research and negotiation with his insurance, he is now being released to rehab. I was told he could have hospice visit him at rehab, but then another person said that if he is on hospice, he can’t have rehab. She also said that if he’s one hospice, he can’t have home health. She said home health is to help him recuperate and hospice is comfort care and you can’t have both.
I wanted to know- so if his wound from this surgery gets infected, he won’t have home health to help with wound care? And she said no, hospice would give him pain meds and make him comfortable while he dies. He decided to die on hospice from untreatable cancer- not easily preventable things like infections.
I guess I don’t understand- does hospice really just let every health condition go untreated and just give people pain meds until they die?
submitted by DrChickon to CancerCaregivers [link] [comments]

2024.05.13 03:12 Nyc12331 3 month review of rare cancer

Hello Reddit i am a 36 year old endometrial cancer patient. I am stage 4 like most people that have had the pleasure of dealing with this. I have a Carcinosarcoma. Both a carcinoma and sarcoma! How fun! This diagnosis is so me, very unique lol I constantly have shit happening and I’ve learned to laugh my way through life as a cope.
Got diagnosed- my boyfriend freaked out and I was just a stoic weirdo because I’m emotionally stunted 3/10
Waited mad long to start treatment #healthcareinamerica 2/10
Started chemo Nurses are SO nice at the infusion center, have to be there for 9-10 hours. Neuropathy,bone pain, nausea SUCK but being cold all the time is the WORST. Keeps me from doing a lot. Kills my cancer maybe? We don’t know but it’s not looking good! 6/10
Anxiety sets in every time I’m about to get new labs/before my next infusion 1/10
Listening to people tell me I need to eat plant-based to cure my cancer 0/10
Chemo brain is keeping me from remembering everything else I wanted to bitch about
Cancer-while it has definitely changed me into a more patient, grateful person really is so whack. The gene mutation I was born with that makes me prone to cancer sucks and the fact that I might die before I have a chance to really live my life is just unfair.
Solid -2/10 fuck you cancer
Okay I’m done feeling bad for myself
submitted by Nyc12331 to cancer [link] [comments]

2024.05.12 22:22 eliteember25 Unsure if HSV (+) 1.5 years out. Any advice?

Had a possible exposure from a supposedly negative person. However, the same week of initial redness around the skin, I ingested a soy milk that I am very mildly allergic to (usually itchy throat, puffy lips, etc.), along with eating apples which I am also very mildly allergic to. This all while I was doing a indoor tournament in a hot uniform with tight facial protective gear. So lots of factors.
I met an online nurse practitioner and she diagnosed with contact dermatitis even after me mentioning that an oral exposure was possible along with showing something between a rash/blister (lacked pain though). I fully recognize the diagnosis, but I am currently considering getting in more relationships and it's always nagged me that I never felt fully comfortable with the diagnosis. Ironically, I'm planning on entering medicine and research with a focus on infectious diseases, so I really don't want to give someone something without fair warning.
It's been 1.5 years and never had a recurrent presentation. I was wondering if there were any tests that could identify this condition, and if not how do yall deal with the uncertainty of having vs not having it. Id much prefer just to know what I have rather than never being sure about it. Sorry for the long talk, but it's clearly something that's been dragging me down for a long time.
submitted by eliteember25 to Herpes [link] [comments]

2024.05.12 20:42 s0zza Infliximab question (UK based)

I started on infliximab infusions in late Jan/early Feb of 2024 after being hospitalised from a flare up.
On Wednesday 8th of May i had my first infusion after an 8 week period since my last dose. It was all going well but at around 5-6 weeks i noticed smaller symptoms related to stomach pain, bloating, and slightly looser stools. By weeks 7-8 it had worsened with added symptoms of needing the loo 10 minutes after eating, diarrhoea, and blood in stools. I was about a week away from the 8th of May infusion, kept going and thankfully once i got 'topped up' symtpoms cleared by about 90% within just 2 days.
So my question is, has anyone else exprienced a similar time frame of infliximab not working?? I assumed i would have needed to be on it for a long time to suddenly have it not work, not just an 8 week period between the last dose. It seemed so promicing throughout the starting dose infusions and slowly adding more weeks inbetween until we got to 8.
I have an appointment with my IBD nurse Monday (13th) to discuss what to do. Trough stool samples and blood tests were done just before the infusion as well so hopefully they have the results. I am aware of other treament methods and we will go more in depth about them then. Previous stool sample in march showed my inflammation had gone up from 138 to 477 so i'm expecting the trough results to be higher.
This is the 4th treatment in around 2 years since diagnosis that i've tried now. So as you can imagine i'm losing more and more hope and trust every time one stops working.
TIA
submitted by s0zza to CrohnsDisease [link] [comments]

2024.05.12 19:48 Slow-Cause Altered Mental Status 21F

21F No medical hx however 3 months ago something just didn’t feel right, my bloods were checked and my folate was >2.0 so i take folic acid 400mcg a day. I’m a trainee Nurse by profession. (Folate is now 9.0) in Europe.
In the last four months, on and off i’ve been battling with bouts of confusion. Moreso disorientation i should say. I got my bloods rechecked two weeks ago because it got so bad that i was really concerned. But everything was within range. I did not get my Magnesium checked? Some things i’ve done that i can recall:
Left the doctor office without paying. Multiple times putting items in the wrong places, phone in fridge, teabag in sink and spoon in bin. Driving somewhere and completely forgetting where i’m driving too. Putting stuff somewhere and immediately forgetting and going to do the same action immediately again. Shaving one leg and forgetting the other. General Brain fog. There is probably a lot more things that are happening i just feel really off. It’s out of character.
This evening i’m finishing my 13hr shift and i feel it again this brain fog. My Blood sugars are fine, ketones fine. My o2 sats never increase above 97% ? never smoked, vaped anything.
I will say i’m also clumsy since birth, but lately everything is off kilter. I seem to lose my balance even just standing. I’m constantly wobbling or leaning over.
I’m getting concerned as it did clear up last week and now it’s back, there’s a noticeable difference.
As for anyone else noticing a difference. My boyfriend said to me i wasn’t making any sense one of the days i felt it really bad. I got quite upset because at the time it made sense to me. When i feel slightly more disoriented then usual, without prompting my mom usually says i look flushed in my face.
Any advice? or just a quick diagnosis of hypochondria maybe !!!
submitted by Slow-Cause to AskDocs [link] [comments]

2024.05.12 15:50 breezychuu Bradycardia during tilt table?

Hi guys! A few weeks ago I finally had a tilt table test done after experiencing POTS symptoms and frequent fainting for almost 15 yrs. The nurses said my tilt table was the quickest positive result that they'd ever seen- my heart rate dropped to 22 before I was even all the way up to 70 degrees, and I was up for less than a minute before they had to put me down due to my heart stopping. They didn't even have enough time to measure my blood pressure at 70 degrees, but it had already dropped to 60/30 before that point. I had fainted very briefly during the test and felt like ass for a good while afterward, lol. Anyway, the hospital staff confidently told me that I have POTS, but when I had the followup with my PCP (which was required for a proper diagnosis), I was referred to a cardiologist instead because he said he couldn't say for sure- he said it was unusual that I experienced bradycardia rather than tachycardia.
I'm going to see a cardiologist early next month about this, but has anybody else here had a similar experience during their tilt table? I know tachycardia is in the name for POTS, but the hospital staff seemed to imply that bradycardia was a normal reaction to the tilt table. In daily life I have pretty standard POTS symptoms- dizziness, weakness, brainfog, low blood pressure, relatively high heart rate and frequent fainting spells. Would love to hear anybody else's thoughts! Thanks for your time!
submitted by breezychuu to POTS [link] [comments]

2024.05.12 11:04 Classic_Wave_7579 Has anyone given birth at a hospital they weren’t supposed to be at through the ER?

Hello everyone! FTM 37 weeks + 4 days. So, since the first visit with my OB I’ve known I do not want to deliver with them. They make me uncomfortable, brush off my concerns (even when they’ve turned out to be legitimate) talk over me, rush me, and the hospital they deliver at has terrible ratings and is known for a bad maternity ward. There is NO way I’m delivering there/ with them! I have been trying to change my OB for literally 6-7 months at this point with no luck, bad insurance and being led on wild goose chases trying. Our most recent attempts were at 32 ish weeks and we were basically told it’s too late at that point, so we began looking into midwives and having a birthing cente home birth but that will not be feasible right now due to lack of flexible financing options.
The hospital I’m supposed to deliver at is 15 minutes away, but there is a hospital 24 minutes from us with universally AMAZING reviews for the maternity ward, they’ve won many awards, have tens of thousands of good reviews, and have extensive pages on their website with birth and postpartum resources and explaining what they do during and after birth all for the benefit of mother and baby, things that I agree with such as delayed cord clamping, skin to skin until at least after the first breastfeeding, and encouraging the mother baby bond. They seriously seem amazing and the only bad review I could find said their labor experience was a dream but they were low on postpartum diapers/pads- I’ll take it! So our current plan is for me to labor at home for as long as possible and then to show up at the ER there. I know that even though I will be with complete strangers, I will be in better hands and more comfortable than I would be with my OBs. I have had a pretty complication free pregnancy, I had slight anemia and a vitamin D deficiency that resolved themselves, and pneumonia that I recovered from. I have had no issues like gestational diabetes, no GBS, no hypertension, no risk factors, baby is healthy, good fluid levels, head down, so I’m not very concerned about not being registered there/ them not having my medical info?
Does anyone have experience doing this? Any nurses who can chime in?
I am SO afraid of doing this. I’m scared that the doctors and nurses may be mad at us and treat us worse for essentially “cheating the system?” I’m afraid that I may have to wait for a long time while in active labor at the ER before being admitted, ideally I’ll be pretty dilated at this point after having labored at home. I’m afraid that they may question us and ask why we didn’t go to the hospital I’m supposed to be at? Maybe even ask us to leave and go there if I’m not very dilated? (It would be a 30 min drive from hospital to hospital) I do truly feel that this is our safest and best option given our circumstances, but I really don’t want my fear and anxiety about the situation to stall my labor. Any input would be greatly appreciated, thank you!
submitted by Classic_Wave_7579 to Mommit [link] [comments]

http://activeproperty.pl/