Today I was cleaning under the bed in an awkward semi-upside-down position when I started to feel woozy.
I decided to check my BP, expecting my usual slight drop in numbers. My BP tends to run low.
What happened next was really weird. Over 20 minutes, my BP started to rise to 140, 150, 160, 170/100.
I had not eaten anything in over 4 hours other than my dose of Nardil. My BP came down as fast as it went up, and I did not really have any symptoms other than fatigue during and after the event.
Any theories about what happened here?

https://aidevmd.com/sildenafil-versus-placebo-for-early-pulmonary-vascular-disease-in-scleroderma-sepvadis-protocol-for-a-randomized-controlled-trial/
“`html

Sildenafil Versus Placebo for Early Pulmonary Vascular Disease in Scleroderma (SEPVADIS): Protocol for a Randomized Controlled Trial

BackgroundPulmonary hypertension (PH) is a leading cause of death in patients with systemic sclerosis (SSc). Early detection and treatment of PH is crucial for SSc patient management. The SEPVADIS trial aims to investigate the potential benefits of PH-specific therapy in SSc patients with mildly elevated pressure (SSc-MEP, mPAP 21-24 mmHg).
MethodsThe SEPVADIS trial is a randomized, double-blind, placebo-controlled phase 2 trial of sildenafil in SSc-MEP patients. The primary outcome is the change in six-minute walk distance after 16 weeks of treatment. Secondary endpoints include changes in pulmonary arterial compliance and right ventricular function, as well as measurements of echocardiography, serum N-terminal probrain natriuretic peptide, and health-related quality of life at 16 and 52 weeks.
DiscussionThe SEPVADIS trial will be the first randomized study of sildenafil in SSc-MEP patients. The results will inform a phase 3 study to investigate the efficacy of treating patients with mild elevations in mPAP.
Trial RegistrationClinicalTrials.gov Identifier NCT04797286.

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https://aidevmd.com/sildenafil-versus-placebo-for-early-pulmonary-vascular-disease-in-scleroderma-sepvadis-protocol-for-a-randomized-controlled-trial/
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Alors, j'ai utilisé de la Ritalin pendant environ un an en 2020, en essayant différentes versions (LI, LP, Concerta...). J'ai eu tous les effets secondaires possibles, mon corps a totalement rejeté la substance :
Syndrome des jambes sans repos (impossible de rester debout longtemps, j'ai mal aux pieds) Douleurs thoraciques Hypertension artérielle de 14 à 15 (les urgences étaient perplexe) Je génère des décharges électriques sur tout objet métallique que je touche.
Récemment, après avoir perdu espoir de trouver un médicament adapté en France, un ami américain m'a donné une pilule d'Adderall. Que puis-je dire, mes amis, à 34 ans, c'est la première fois de ma triste vie que je me suis senti moi-même, calme, concentré sur mon travail, sans aucun effet secondaire, juste concentré et motivé. J'ai accompli en une journée ce qui me prend normalement une semaine, avec ma tendance habituelle à procrastiner et à faire tout sauf ce qui est productif.
Pardon pour ce coup de gueule, mais ce soir, je me sens triste, triste parce qu'il existe une solution pour moi, mais il faudrait changer de pays pour y accéder...

3 weeks before the exam, my mother had a hypertensive urgency (almost everyday so we decided that she needed more care). My mom refused my offer to take care of her in the hospital because she was worrying about my review.
A week before the exam, my aunt had a heart attack.
And finally, my grandmother had a stroke the day before my weakest subject= PrevMed, and our hometown was really far (3hrs away) from a tertiary hospital.
I was crying so hard the night before (while reading ofc di tayo magpapatalo, intermittent iyak~highlight, breakdown-basa) but I prayed and told the Lord that if it is Your will, then let your Will be done.
I did not receive any updates because my family was protecting my peace of mind.
After I finished prevmed, I walked out of the room, not worrying about anything (even if I only know 10 items haha). I told myself, I might really fail but still, I was just happy it was done and I can finally get some decent sleep without an alarm after 3 months. I told myself, ngayon lang, ayokong mag-alala sa kahit anong bagay.
So when I got home, I immediately called my family, and lo and behold, it was just a mild stroke and I thank God for not letting me be depressed during that day even when I do not know anything.
Pass or fail, I know that God has a plan for me. I was never a religious person, but it really helped me pushed through my review, even when at times it was too depressing, and even when at times I so tired even just to sit down and read. Because really, aside from our kapwa reviewees, no one would understand fully our fears and stresses during the review. On my part, I can feel the sympathy but not the empathy. I needed Someone who would just listen and not say anything because during the review, no words can describe how we feel, and no words can make me feel a 100.1% better, right? (Or baka ako lang).
My prayers have always been, if it is Your will, then let Your will be done. But if this is not for me, please help me stand up again when I fall and give me the courage to fight again. And if I got angry at you again (because it eas really hard to control), please help me see what is right again. He did when I never asked, and I know He will again.

42 M Area of concern? The organ formerly known as my appendix
I had my appendix removed two months ago, and the pathology report was just uploaded into mychart. I tried to look up what this all meant, but it was very much beyond my understanding. Can someone translate this into layman's terms? When I saw "periappendicitis" and the first thing Dr Google shows is "difficult diagnosis and high morbidity" it makes me wonder why there wasn't more urgency at the ED to get me with a surgeon.

FINAL DIAGNOSIS:
Appendix: Acute appendicitis and periappendicitis.
CLINICAL INFORMATION: Appendicitis. ICD code(s): K35.80.
GROSS DESCRIPTION:
A: Specimen: Received in formalin labeled with patient's name and "A. Appendix" Size & Integrity: Intact and 10.5 cm long by 1.2 cm in diameter
Appearance: Serosa = pink-tan, dull with mild scattered adhesions; lumen-diffusely dilated, up to 1.0 cm; wall-pink-tan, 0.1-0.2 cm and unremarkable
Perforation: Absent
Additional findings: None
Summary of sections: A1. Representative sections with inked margin en face and bisected tip.(rla VR)
MICROSCOPIC DESCRIPTION: Sections examined.

Hello everyone,
I first began having panic issues in July 2018. Since then it's been quite a journey and I'm happy to report that a lot of things have improved.
I was especially concerned about my heart. Cardiophobia if you're familiar with that. Well, after extensive therapy that seems to be gone. At least for the most part. Sometimes I have to guide my mind away from thinking about it.
When I've gone to medical appointments it isn't uncommon to have "white coat" anxiety. I don't have any history of heart issues at all. I went through an Urgent Care clinic last weekend. The nurse who measured my blood pressure remarked, "Oh, 187/90. Boy, if you hadn't told me about your anxiety..."
I really wish they wouldn't even mention these things. I'm able to reason myself out of the frenzy it used to put me in for months at a time. Nonetheless I thought that sounded rather high. So I looked it up and am seeing hypertensive urgency and crisis. Yikes, that doesn't sound good.
Here's my question: It's okay to be that high during a panic attack or escalated anxiety, correct? What can really concern my mind is wonder if because of the panic I could then have such high blood pressure that I'd have a heart attack or stroke. But to the best of my understanding this is perfectly healthy, and could even go on for hours. It's more the prolonged high blood pressure for years (or however long) that leads to heart issues.
Thanks, fellow panic sufferers. No pun intended, but my heart goes out to you. I can say that it gets much, much better. I have found so much freedom compared to where this started. This is me resolving a lingering thing that I'd like to not think about ever again.

Stollen from residency. I’ll go first: a spine.
So many spineless pharmacists out here rolling over as soon as someone gives a hint of attitude. No doc, I don’t think carvedilol is a good first option for hypertensive urgency.

I have ocular hypertension and my optometrist thinks it’s the meds. GI says it probably isn’t but said I can try tapering down to 6mg.
Taper schedule is alternate between 6 and 9mg every day for two weeks then stay at 6 if all goes well. I started this on Sunday.
I have noticed I am getting VERY gassy. I feel ok otherwise. Still have an appetite, no diarrhea, nausea, bleeding, urgency.
Could the gas just be a coincidence or could it be a flashing sign to not go down to 6? I’ll happily go back to 9, my eye doc wasn’t overly concerned and honestly I’ll roll the dice for now when it comes to the eye pressure.

Bonjour,
Je fais ce post sur un coup de tête. Je vais essayer d'être aussi synthétique que possible même si ce n'est pas mon fort et surtout aussi clair que possible.
Je suis fille unique. Je n'ai pas de famille proche en dehors de mes parents. Mon père, vieux et à la retraite à près de 80 ans et commence à être au bout du rouleau et pour cause.
En effet, ma mère, debut soixantaine, lui fait vivre un enfer depuis aussi loin que je me souvienne (j'ai 27 ans). Et à moi aussi durant toute mon enfance ainsi que depuis mon retour récent dans leur maison.
Les comportements violents et plus que problématique de ma mère ont toujours été cycliques, dans une même journée on ne pouvaient jamais savoir à l'avance si elle serait sympa, sadique ou mielleuse dans l'heure ou la minute.
Elle a arrêté de travailler vers mes 5 ans et vit depuis comme une recluse, collé à la tv toute la journée. Elle a des tendances liés au syndrome de diogene et toute la maison est dans un triste état, malgré les efforts de mon père pour que ça ne prenne pas de trop grandes proportions.
J'ai enfin eu une explication à tout ses comportements aberrants l'an dernier. J'étais alors très loin car je suis partie à mes 18 ans pour échapper à cette ambiance toxique. J'ai reçu un appel des urgences qui m'ont dit être à la maison devant mon père et ma mère. Mon père leur disait qu'elle était prise de paranoïa depuis plusieurs jours et ma mère disait que c'était un coup monté, des mensonges de la manipulation. Mon soutien sans condition envers mon père a tranché, elle a été embarqué aux urgences psy (elle n'a jamais su que j'y avais participé et à accusé mon père de complot pendant toute l'année suivante).
Bref, c'est vraiment dur d'être synthétique dans une histoire aussi compliquée...alors où en étais-je ? Donc oui, l'hôpital. Ça a été très compliqué de soutenir mes deux parents, aussi dépassé l'un que l'autre par la situation. J'ai pris sur moi pour jouer les diplomates entre les deux, mais aussi envers les infirmières et les secrétaires (ma mère se vantait au tel de ne pas prendre ses médicaments, j'étais bien embêté de jouer les rapporteuses).
En fait, je n'ai compris que très récemment que par essence, une des principales caractéristiques de la maladie diagnostiqué à ma mère qu'est la bipolarité est que ceux qui en sont atteints sont absolument persuadés de ne pas être malade. Je croyais qu'avec de la patience elle finirait par comprendre, par accepter de se remettre en question.
Résultat ? Un an plus tard, ma mère vient d'arrêter son suivi psy auprès de l'hôpital et a donc complètement arrêté de prendre des médicaments qu'elle ne prenait déjà qu'à moitié.
Elle fait phase maniaque sur phase maniaque, crise sur crise. Comportement abusif, insulte, hyperacousie, chantage et insulte, propos délirants et décousu, paranoïa, violence verbale et tout le toutim.
On a appelé l'hôpital avec mon père. Ils ne peuvent rien faire. Si on veut agir il faudrait appeler le samu, avoir un certificat médical et la signature d'un membre de la famille.
Au delà que cette situation me brise le cœur, elle me semble surtout être un cul de sac.
Je ne vois pas comment on pourrait trouver de solution viable à long terme si elle refuse un traitement, si elle refuse d'admettre qu'elle est bipolaire, si elle refuse d'admettre qu'elle a diogene.
Mon père à parfois rêver de prendre le large mais il a peur : peur qu'elle lui "prenne" son argent me dit-il. (Je peux comprendre, il a travaillé toute sa vie tandis qu'elle se prelassait devant la tv en nous insultant). Il a peur que si le divorce dure 3 ans il soit à sa merci dans la maison. Il a peur qu'elle essaie de se venger d'un divorce en abimant ses affaires ou que sais-je encore. Il a même peur et d'ailleurs j'ai eu la même peur toute mon enfance à cause de son comportement et de certains de ses propos, qu'elle essaie de le tuer.
Je ne suis pas toujours assez patiente avec mon père. J'ai toujours trouvé ridicule de rester avec son bourreau. De ne pas profiter des voyages de ma mère dans son pays natale pour prendre les affaires qui comptent et décamper.
Il me dit qu'ils ont un compte joint ou encore que des lois l'empêche de laisser tomber une épouse atteinte d'une maladie.
Mais vraiment mon père est-il coincé ? Alors que ma mère représente un tel danger? Mon père a eu un un cancer de la prostate il a quelques années, de l'hypertension, il a parfois des crises de gouttes... pourtant c'est lui qui fait les courses, qui conduit la voiture, qui coupent les haies ( ce qu'il ne peut faire que quand elle n'ait pas là). C'est lui qui fait les tâches ingrates comme déboucher les canalisations. Je répète qu'il a 80 ans et elle à près de 20 ans de moins.
Ma mère a toujours interdits les travaux dans une maison achetée dans les années 90. Il n'y a pas de double vitrage et absolument tout est vétuste. Les notes de chauffages sont salés. Le jardin c'est pas beaucoup mieux : pas le droit de couper certains arbres. Donc il ressemble pas à grand chose derrière la maison.
Moi, bah je ronge mon frein. Je suis revenue pour aider et aussi parce que après l'obtention de mon diplôme, je galerais et je galère toujours d'ailleurs, à trouver un travail. Ma branche n'est pas celle qui recrute le plus et je ne veux pas m'éloigner trop de mon père au vue de la situation. Mais mes galères n'ont rien d'original et correspondent à d'autres problématiques. Après je trinque pas mal. Je dors dans le salon car c'est la seule pièce sans moquette et donc supportable malgré mes allergies. Et le cumul de m'inquièter pour mes parents avec mes propos inquiétude ce n'est pas un bon cocktail.
Il faut bien comprendre que j'aime vraiment ma mère mais sa maladie nous met tous, elle y compris, dans une situation inextricable. Je ne sais plus quoi faire. Sachant que lorsque mon père ne sera plus de ce monde, c'est sur moi seule que retombera une charge mentale que nous n'arrivons pas à gérer à deux.
J'avais encore un peu d'espoir naïf, ma mère disait qu'elle devait se faire suivre par un psy en ville sauf qu'elle m'a annoncé que "rien ne presse" et que de toute façon "elle n'a pas cette maladie". Je precise que de base, ma mère est quelqu'unde très intelligent et donc doué pour la manipulation(J'ai un peu perdue mon calme à ce moment là, j'avoue)
Pour essayer d'aider mon père je l'ai mis en contact, cette semaine, avec une famille dont la mère à la même maladie. La bonne nouvelle c'est qu'on a retrouvé le même pattern de symptômes : diogene, aversion des travaux et du bruit, paranoïa, conviction total d'être en parfaite santé et incapacité à se remettre en question + des poussés de sadisme et logorrhée verbale. La mauvaise c'est que même si on se sent moins seul et on voit que c'est vraiment lié à la maladie, on ne sait toujours pas quoi faire.
Mon père veut passer voir la police demain. Je ne sais pas trop à quoi ça nous avancera. La jeune femme à qui j'ai parlé au tel à dit sur sa propre mère : il n'y aura jamais de mieux.
Je ne sais pas trop ce que j'attends de ce post, je suis pessimiste mais peut-être (sûrement) y a t-il des choses que j'ignore sur la loi française...?
Merci par avance pour ceux qui auront lu jusqu'la. C'était impossible de faire court malheureusement.
Edit : je tiens à preciser, malgré le tableau particulièrement négatif que je dépeint, qu'il y a des moments où ma mère est capable d'être sympa, avenante, etc. Mais ça n'efface en rien le mal qu'elle fait et la rapidité de ses changements d'humeur.
PS : je m'excuse des fautes d'accord dans mon texte, c'est mon talon d'Achille, ne m'en tenez pas rigueur svp

I had a patient's husband accompany her to the visit today. I had to recheck my patient's blood pressure because it was high. Immediately after, her husband requested that I also check his BP. He is not my patient, and had never been seen by my clinic before. I declined to do it, explaining the liability and awkward position it would put me in if it was high (i.e. hypertensive urgency). They were aghast, as if I was being totally rude and unreasonable. Would you all have checked his BP?
Happily, she requested to only be seen by an MD in the future, so I shouldn't have to deal with her again ;)
Edit:
Wow, did not expect this to gain so much traction, and such a variety of responses. To clarify a few things:
-I work in sleep medicine. I am not in charge of managing anybody's BP.
-My MA is hearing impaired and can only check BPs using the automatic cuff. Yes, it stinks. In this case, the patient and her husband were already late, and I'd already manually checked my actual patient's BP, so I really didn't have time to also check the husband's.
-I'm sorry that I offended so many ER PAs with the phrase "hypertensive urgency." Though I'm in sleep med now, I worked urgent care for two years prior, and this is a commonly used phrase (though NO I do not send people to the ER for this). I'm going to leave you with a quote from UpToDate: "...an asymptomatic patient with a blood pressure in the "severe" range (ie, ≥180/≥120 mmHg), often a mild headache, but no signs or symptoms of acute end-organ damage. This entity of severe asymptomatic hypertension is sometimes called hypertensive urgency". So...

I’m 1 day post-op total hysto laparoscopic and it’s been a time. I ended up having to stay the night because it took me 5 hours to wake up from the anaesthesia, and another 5 to have my first pee. I finally got discharged and sent home today. While my bladder is doing better and not burning, I still feel like I have to go every hour or so. And when I do, I empty 99% of it then I have to wait for a few more bits because of the urgency. I asked my team if this should go away, and they said within I week, approximately. I hope so… it’s the most frustrating thing so far.
While I was in recovery, I’f I laid down too long, I got intense pain. They said it would be gas pain, but and soon as I got up to walk around , i felt better. Still not feeling hungry and still no bowel movement. I am taking Miralax. I hope it happens soon. I haven’t farted, but I am burping…
My wounds look ok, and right now the pain just feels like a bad cycle.
Any words of wisdom would be much appreciated, especially on dealing with pee problems. I just want it back to normal.
I also had a reaction to some drug (think a narcotic) when I was under. My face swelled and I went hypertensive. But it’s fine now. My pupils are still dilated, and I hope that goes away soon, too.

In recent years, the omnipresence of microplastics in our environment has emerged as a pressing concern. These tiny particles, less than 5mm in diameter, are not just a menace to marine life but also pose a significant risk to human health. This article delves into the insidious effects of microplastics on our well-being, highlighting the urgency of addressing this global issue.
​
The Hidden Threat: Microplastics' Impact on Human Health

Understanding Microplastics

Microplastics are derived from a variety of sources, including the degradation of larger plastic debris, cosmetic products, and synthetic textiles. Their small size allows them to evade filtration systems, leading to widespread contamination of water bodies, soil, and air.
Sources and Pathways

1. Cosmetic Products: Microbeads used in exfoliants and personal care products are a direct source of microplastics.
2. Synthetic Textiles: Washing synthetic fabrics releases fibers into water systems.
3. Plastic Degradation: Larger plastic waste breaks down into microplastics under environmental stressors.

​

Health Risks Associated with Microplastics

Research has increasingly shown that microplastics carry toxic substances such as heavy metals and endocrine-disrupting chemicals. These particles can enter the human body through ingestion, inhalation, and dermal absorption, potentially leading to a range of health issues.
​
Cardiovascular Diseases
Microplastics have been found in human blood, where they can cause oxidative stress and inflammation, leading to an increased risk of heart disease, stroke, and hypertension.
​
Digestive System Impact
Ingested microplastics can accumulate in the gastrointestinal tract, leading to inflammation, gut microbiota imbalance, and potential toxicological effects from leached chemicals.
​
Respiratory Health Concerns
Inhalation of airborne microplastics, particularly in urban and industrial areas, may contribute to respiratory conditions such as asthma and lung inflammation.
​

Mitigating the Risks

Addressing the microplastics crisis requires a multifaceted approach, encompassing policy changes, innovative research, and public awareness.
​
Policy and Regulation

• Ban on Microbeads: Implementing strict regulations against the use of microplastics in consumer products.
• Waste Management Improvements: Enhancing recycling programs and reducing plastic use to decrease environmental contamination.

​
Research and Innovation

• Biodegradable Alternatives: Developing environmentally friendly materials to replace traditional plastics.
• Removal Technologies: Creating methods for efficiently removing microplastics from water and soil.

​
Public Awareness and Action

• Educational Campaigns: Increasing awareness about the sources of microplastics and encouraging responsible consumption.
• Community Initiatives: Promoting clean-up efforts and plastic waste reduction at the community level.

​

Conclusion

The pervasive nature of microplastics and their potential to harm human health necessitates urgent action from individuals, communities, and governments worldwide. By understanding the sources and pathways of microplastic pollution, we can mitigate their impact and safeguard our health and the environment for future generations.

It's not my text,this one is from my doctor-
Burning in the urethra for 2 years, there is a constant desire to urinate, treated with doxycycline - without effect. Cystoscopy in the anamnesis - trigonitis. LPL denies. Consumes little water per day, but a lot of herbal teas. She also notes that the condition improved in the spring and summer. Consulted Dr. urologist on an outpatient basis, recommended cystoscopy, biopsies. Mirabegron was also prescribed - without effect. Urine cultures are sterile. Denies other diseases, medicinal allergies.
The tests were performed on an outpatient basis - within normal limits, there are no contraindications for surgical treatment. Urine culture: No bacteria. Histological examination answer: diagnosis: reactive urothelial hyperplasia. The fragments are covered with thickened urothelium without showing atypia, there are no mitoses. In the post-epithelial layer, fibrosis and slight infiltration by lymphocytes. ICD: N30.9
THEY DIDNT FOUND ANYTHING,AND NOT SUGGESTING ME ANYTHING TO IM 18 YEARS OLD FEMALE WITH EVERYDAY REALLY BAD URGENCY AND BURNING TO PEE,NEVER HAD PAIN ONLY URGENCY FOR 2 YEARS AND TERIGONITIS DIAGNOSE,I FEEL WORSE THAN BEFORE PLS HELP...
ALSO IF YOU ARE INTERESTED MY URINE CULTURE TEST ANSWER-
Automated urine test, 2023.10.24 Glucose in urine: Not found, mmol/l 0 - 0 Bilirubin in urine: Not found, mmol/l 0 - 0 Ketone in urine: Not found, mmol/l 0 - 0 Ratio volume: 1.027, 1.010 - 1.030 Urine pH: 5.5, 4 - 8 White urine: Not found, g/l < 0.10 Urob. urine: 16, mmol/l 0 - 17 Nitr. in urine: Not found, 0 - 0 Erythr.in urine: Not found, erythr./mkl 0 - 0 Leukoc.in urine: Not found, leuk./mkl 0 - 0 Urine color: Yellow, YELLOW (Yellow) Urine clarity: Clear, Clear Urine sediment microscopy (pathology), 2023.10.24 Flat epit. from: 0, points 0 - 3 Transitional epit.: 0, points 0 - 2 Renal canal: 0, r.l. 0 - 0 Leukocyte sediment: 3-4-5, r.l. 0 - 5 Erit. (unchanged): 0, r.l. 0 - 2 Erit.(changed): 0, r.l. 0 - 0 Erit.(akantoci): 0, r.l. 0 - 0 Hyal.cil.: 0, r.l. 0 - 2 Bacter. dep.: 0, points 0 - 0 Mucus sediment.: 3, points 0 - 0 Grain cil.: 0, r.l. 0 - 0 Waxk.cil.: 0, r.l. 0 - 0 Fat cyl.: 0, r.l. 0 - 0 Leukoc.cil.: 0, r.l. 0 - 0 Erythroc.cil.: 0, r.l. 0 - 0 Bacter.cil.: 0, r.l. 0 - 0 Other cyl.: 0, r.l. 0 - 0 Yeast fungi: Not found, Not found Oval fat body: Not found, Not found Spermatosis: Not found, Not found Macrophages: 0, r.l. 0 - 0 Crystals from: Oxalates-2, points 0 - 3 Atypical. cells: Not found, Not found Determination of glucose concentration in serum (plasma).

It's not my text,this one is from my doctor-
Burning in the urethra for 2 years, there is a constant desire to urinate, treated with doxycycline - without effect. Cystoscopy in the anamnesis - trigonitis. LPL denies. Consumes little water per day, but a lot of herbal teas. She also notes that the condition improved in the spring and summer. Consulted Dr. urologist on an outpatient basis, recommended cystoscopy, biopsies. Mirabegron was also prescribed - without effect. Urine cultures are sterile. Denies other diseases, medicinal allergies.
The tests were performed on an outpatient basis - within normal limits, there are no contraindications for surgical treatment. Urine culture: No bacteria. Histological examination answer: diagnosis: reactive urothelial hyperplasia. The fragments are covered with thickened urothelium without showing atypia, there are no mitoses. In the post-epithelial layer, fibrosis and slight infiltration by lymphocytes. ICD: N30.9 THEY DIDNT FOUND ANYTHING,AND NOT SUGGESTING ME ANYTHING TO IM 18 YEARS OLD FEMALE WITH EVERYDAY REALLY BAD URGENCY AND BURNING TO PEE,NEVER HAD PAIN ONLY URGENCY FOR 2 YEARS AND TERIGONITIS DIAGNOSE,I FEEL WORSE THAN BEFORE PLS HELP...
ALSO IF YOU ARE INTERESTED MY URINE CULTURE TEST ANSWER-
Automated urine test, 2023.10.24 Glucose in urine: Not found, mmol/l 0 - 0 Bilirubin in urine: Not found, mmol/l 0 - 0 Ketone in urine: Not found, mmol/l 0 - 0 Ratio volume: 1.027, 1.010 - 1.030 Urine pH: 5.5, 4 - 8 White urine: Not found, g/l < 0.10 Urob. urine: 16, mmol/l 0 - 17 Nitr. in urine: Not found, 0 - 0 Erythr.in urine: Not found, erythr./mkl 0 - 0 Leukoc.in urine: Not found, leuk./mkl 0 - 0 Urine color: Yellow, YELLOW (Yellow) Urine clarity: Clear, Clear Urine sediment microscopy (pathology), 2023.10.24 Flat epit. from: 0, points 0 - 3 Transitional epit.: 0, points 0 - 2 Renal canal: 0, r.l. 0 - 0 Leukocyte sediment: 3-4-5, r.l. 0 - 5 Erit. (unchanged): 0, r.l. 0 - 2 Erit.(changed): 0, r.l. 0 - 0 Erit.(akantoci): 0, r.l. 0 - 0 Hyal.cil.: 0, r.l. 0 - 2 Bacter. dep.: 0, points 0 - 0 Mucus sediment.: 3, points 0 - 0 Grain cil.: 0, r.l. 0 - 0 Waxk.cil.: 0, r.l. 0 - 0 Fat cyl.: 0, r.l. 0 - 0 Leukoc.cil.: 0, r.l. 0 - 0 Erythroc.cil.: 0, r.l. 0 - 0 Bacter.cil.: 0, r.l. 0 - 0 Other cyl.: 0, r.l. 0 - 0 Yeast fungi: Not found, Not found Oval fat body: Not found, Not found Spermatosis: Not found, Not found Macrophages: 0, r.l. 0 - 0 Crystals from: Oxalates-2, points 0 - 3 Atypical. cells: Not found, Not found Determination of glucose concentration in serum (plasma).

How does elevated troponins/myocadial injury occur on chf exacerbations? sepsis? and hypertensive urgency episode?

Cardiac care refers to the medical care and services provided to individuals with heart-related conditions and diseases. This encompasses a wide range of preventive, diagnostic, therapeutic, and rehabilitative services aimed at maintaining heart health, managing heart conditions, and preventing complications. This involves measures taken to prevent heart disease and maintain heart health. It includes lifestyle modifications such as a healthy diet, regular exercise, smoking cessation, and managing risk factors such as high blood pressure, high cholesterol, diabetes, and obesity.The cardiac care ohio involves various diagnostic tests and procedures to evaluate heart function, diagnose heart conditions, and assess cardiovascular risk. Common tests include electrocardiography (ECG or EKG), echocardiography, stress testing, cardiac catheterization, and coronary angiography.Cardiac care includes medical, interventional, and surgical treatments aimed at managing heart conditions and improving heart function. Treatment options may include medication therapy (e.g., for hypertension, high cholesterol, or heart failure), interventional procedures (e.g., angioplasty, stenting), cardiac surgery (e.g., bypass surgery, valve repair or replacement), and implantation of devices such as pacemakers or implantable cardioverter-defibrillators (ICDs).This is a comprehensive program designed to help individuals recover from heart-related events or procedures, such as heart attack, bypass surgery, or angioplasty. Cardiac rehabilitation typically includes exercise training, education on heart-healthy living, dietary counseling, stress management, and psychosocial support.Cardiac care involves ongoing monitoring of heart health and regular follow-up visits with healthcare providers to assess treatment effectiveness, adjust medications, and address any new or evolving cardiac issues. Educating patients about their heart condition, treatment options, and lifestyle modifications is a crucial aspect of cardiac care. Providing support and resources to help patients make informed decisions, adhere to treatment plans, and maintain heart-healthy habits is essential for long-term success.Overall, cardiac care is a multidisciplinary approach that involves collaboration among cardiologists, cardiac surgeons, nurses, rehabilitation specialists, dietitians, and other healthcare professionals to optimize heart health, manage heart conditions, and improve patients' quality of life.

Hello. Question regarding my wife’s recent condition
32 y/o female, type 1 DM that’s well managed, recent diagnosis of hypertension, taking losartan 100mg daily and fairly controlled now 3 weeks ago had an endometrial ablation with no complications
1 week ago had urinary urgency, was given Rx for Bactrim
4 days ago began having severe LLQ pain and dark urine. Went to local clinic and urine was cola colored. That was so concerning we went to ER, we were concerned to hx of DM and HTN there could have been some kind of kidney injury
Thankfully in ER her creatinine was fine (0.89). UA showed 105 wbc, +1 Leuko, no nitrite, 2000+ rbc, and negative culture.
CT scan also negative, no stone, no hydronephrosis, no acute abnormality
Urine cleared up with fluid and placed on keflex for mild uti
Still today having LLQ pain now like radiating into suprapubic area and occasionally to L flank, straw to amber colored urine
We plan on calling a urologist for appointment tomorrow
Any ideas? the symptoms sound like a kidney stone or UTI with hematuria. But seeking ideas making sure I’m not missing anything major or obvious or common
Thanks in advance

I'm 18, male , average physique(slightly muscular), 180cm, 75kg
So I take
Fluoxetine 60mg - morning Loxapine 20mg - night Lorazepam 1mg -night Armodafinil 150mg- morning
I haven't had any problems so far with these
I also take medications because of symptoms of OAB well as BPH ( frequency, urgency, incontinence) Mirabegron 50mg - morning Solifenacin 5mg - morning Tamsulosin 0.4mg - night
I'm also hypertensive, I've been prescribed
Telmisartan 40mg- morning Ivabradine 10mg - night
Please help me out with any significant interactions or adverse effects