Blood thickeners
Post Fever, Inflammation, Pain, and Rashes After Appendectomy
2024.05.21 13:21 BenightedLight Post Fever, Inflammation, Pain, and Rashes After Appendectomy
My fiancé had an emergency appendectomy about 4 weeks ago. The surgery went well, and the appendix did not burst during or before removal. Prior to the surgery, the CT also showed he had an unobstructed kidney stone and an unobstructed gallstone. The surgeon offered to remove the gallbladder too (in case there would be issues later) but he declined, as unnecessary gallbladder removal can cause a lot of complications (I myself have some of those, as does my brother. Surgeon said these complications are about 1 in 3 patients. His gallbladder has never bothered him, so why roll the dice?)
He was really sore after surgery but was doing better each day and on track for recovery. He went back to work after 2 weeks. His job is more physical and requires walking several miles, so post-pain we initially chalked up to all the walking. At about 3.5 weeks, the pain got much worse, and he was in as much pain as he had been after the end of week 1. The pain was on his left lower abdomen/side, and the pain stretched toward his belly button. They had gone in laparoscopically on that side, so figured it was his incisions bothering him.
His incisions all looked good and still do. No redness, drainage, etc. Then he spiked a fever of almost 103. We went to the ER and they saw in his chart that he had had an unobstructed gallstone. The ER team focused on that gallbladder hard and was trying to get him to have it removed before they even got any testing back. They did a blood panel (his WBC count was a little elevated, but nothing insane), an x-ray, a CT, a urine test, and an ultrasound. They lied and told him they did Murphy's Test on him and that his gallbladder had thickening walls and was inflamed. But they never did the Murphy's Test and he has and had no pain in that area. They really scared us, saying he could die etc. In the end, they called another surgeon to look at the scans and they said to cut us loose if he wasn't having pain. They gave him no antibiotics and just told him to follow up with his doctor.
He called the surgeon that had done the surgery and the surgeon said he did not see any wall thickening or inflammation in the scans. He said the gallbladder looked like it had before his surgery. He also said the CT did not show any abscesses or infections. So on top of everything else, we feel like the ER scared us for...What exactly? Money from an unnecessary surgery?
Over the weekend, his pain worsened, and he kept teetering between elevated and low-grade fever. He has been very constipated. His pain also began to stretch lower into his pelvis, and now into his balls. He seems to have some sort of lump on his pelvis - I'm not sure if its a lymph node or what it is.
He went in to see his primary care doctor yesterday who ordered more blood tests and then scheduled an ultra sound for today. His blood tests were pretty normal, except for a 13.1 mg/L high sensitivity CRP. Today, he also now has a rash developing on his arms and legs. We're just really worried and have no idea what is going on. Has anyone else experienced something like this or have any ideas?
submitted by BenightedLight to DiagnoseMe [link] [comments]
He was really sore after surgery but was doing better each day and on track for recovery. He went back to work after 2 weeks. His job is more physical and requires walking several miles, so post-pain we initially chalked up to all the walking. At about 3.5 weeks, the pain got much worse, and he was in as much pain as he had been after the end of week 1. The pain was on his left lower abdomen/side, and the pain stretched toward his belly button. They had gone in laparoscopically on that side, so figured it was his incisions bothering him.
His incisions all looked good and still do. No redness, drainage, etc. Then he spiked a fever of almost 103. We went to the ER and they saw in his chart that he had had an unobstructed gallstone. The ER team focused on that gallbladder hard and was trying to get him to have it removed before they even got any testing back. They did a blood panel (his WBC count was a little elevated, but nothing insane), an x-ray, a CT, a urine test, and an ultrasound. They lied and told him they did Murphy's Test on him and that his gallbladder had thickening walls and was inflamed. But they never did the Murphy's Test and he has and had no pain in that area. They really scared us, saying he could die etc. In the end, they called another surgeon to look at the scans and they said to cut us loose if he wasn't having pain. They gave him no antibiotics and just told him to follow up with his doctor.
He called the surgeon that had done the surgery and the surgeon said he did not see any wall thickening or inflammation in the scans. He said the gallbladder looked like it had before his surgery. He also said the CT did not show any abscesses or infections. So on top of everything else, we feel like the ER scared us for...What exactly? Money from an unnecessary surgery?
Over the weekend, his pain worsened, and he kept teetering between elevated and low-grade fever. He has been very constipated. His pain also began to stretch lower into his pelvis, and now into his balls. He seems to have some sort of lump on his pelvis - I'm not sure if its a lymph node or what it is.
He went in to see his primary care doctor yesterday who ordered more blood tests and then scheduled an ultra sound for today. His blood tests were pretty normal, except for a 13.1 mg/L high sensitivity CRP. Today, he also now has a rash developing on his arms and legs. We're just really worried and have no idea what is going on. Has anyone else experienced something like this or have any ideas?
2024.05.21 07:00 bershia Cat coughs a week after anesthesia
My cat had a dental cleaning on May 9th, and he developed a cough starting around May 12. I'm wondering if this can be related to the irritation by the tube from the anesthesia?
Species: cat Age: 16 Sex/Neuter status: male/neutered Breed: domestic medium hair Body weight: 5 kg/10lb
History:
Vomiting: my cat has been vomiting liquid with some hair about 1-2 times a week for the past 5 years. I did blood test for him with 3 different vets, and abdominal ultrasound, and no one could clearly determine why he does it. He is on a vet protein diet, I also tried to give him probiotics but that didn't make any difference.
Sneezing: The cat has been sneezing 1-3 times a week since November and stopped around mid April. Video in the link.
I took him to a vet this year for a checkup, everything came out fine besides 2 things: 1. Vet suspected a heart murmur. I had an appointment with cardiologist who said that what sounds like a murmur is just cat being worried at the vet, his heart seems fine, just very light thickening, but no concern. 2. Vet also suspected that cat's fang needs to be removed because of the black discoloration. The cardiologist above approved the anesthesia.
On May 9th the cat had his dental appointment, the dentist told me that all his teeth look fine and he was expecting much worse due to the cat's age. He also said that based on the x ray the fang doesn't need to be removed and they just did the cleaning.
Cat seemed normal when got back home, was happy to eat his food. He still seems fine, drinks water, maybe eats a little less (but he hates his dietary food so it's hard to judge). Also, when he got back home, he chose a closet (hidden, dark) as his new place to sleep, he doesn't sleep there all the time, but maybe once a day.
Clinical signs: around May 12 the cat started coughing with his tongue out. He does it 6-8 times a day. Sometimes he ends up vomiting few drops of liquid, sometimes not.
Duration: 1 week Your general location: Philadelphia PA, USA
Link to the combined vet report and video of his cough and sneeze (stopped a month ago): https://drive.google.com/drive/folders/1ElLcfBKKAynMMA_QoZ2JwCa3nd41yfH6
I'd appreciate any advice!
submitted by bershia to AskVet [link] [comments]
Species: cat Age: 16 Sex/Neuter status: male/neutered Breed: domestic medium hair Body weight: 5 kg/10lb
History:
Vomiting: my cat has been vomiting liquid with some hair about 1-2 times a week for the past 5 years. I did blood test for him with 3 different vets, and abdominal ultrasound, and no one could clearly determine why he does it. He is on a vet protein diet, I also tried to give him probiotics but that didn't make any difference.
Sneezing: The cat has been sneezing 1-3 times a week since November and stopped around mid April. Video in the link.
I took him to a vet this year for a checkup, everything came out fine besides 2 things: 1. Vet suspected a heart murmur. I had an appointment with cardiologist who said that what sounds like a murmur is just cat being worried at the vet, his heart seems fine, just very light thickening, but no concern. 2. Vet also suspected that cat's fang needs to be removed because of the black discoloration. The cardiologist above approved the anesthesia.
On May 9th the cat had his dental appointment, the dentist told me that all his teeth look fine and he was expecting much worse due to the cat's age. He also said that based on the x ray the fang doesn't need to be removed and they just did the cleaning.
Cat seemed normal when got back home, was happy to eat his food. He still seems fine, drinks water, maybe eats a little less (but he hates his dietary food so it's hard to judge). Also, when he got back home, he chose a closet (hidden, dark) as his new place to sleep, he doesn't sleep there all the time, but maybe once a day.
Clinical signs: around May 12 the cat started coughing with his tongue out. He does it 6-8 times a day. Sometimes he ends up vomiting few drops of liquid, sometimes not.
Duration: 1 week Your general location: Philadelphia PA, USA
Link to the combined vet report and video of his cough and sneeze (stopped a month ago): https://drive.google.com/drive/folders/1ElLcfBKKAynMMA_QoZ2JwCa3nd41yfH6
I'd appreciate any advice!
2024.05.21 05:40 Alarmed_Income_6426 Weird Pee Sediment - Am I okay?
Hello,
Since February 17th, I’ve had these episodes of white sediment in my urine (images). The first time it was a lot as you can see but we said it was likely because we were traveling and I was dehydrated. The second time was a tiny bit which is when I got referred to urology, the third one my doctor asked me to bring it in for pathology and the last one happened on Friday. When this happened it just stops the stream for a second and continues. No burning,
So, dates of occurrence: 2/17/24 - a lot, travelling 3/8/24 - individual string 4/11/24 - individual, more formed, jellylike cylinder. This one was 5/17/24 - same as 3/8 and 4/11
Background: Male, 30, has lost ~ 40 lbs in 10 months (210>173lbs), pretty normal lifestyle, slightly sedentary but exercising more over last few months.
My piece of sediment from 4/11 had pathology done which read:
FINAL DIAGNOSIS: URETHRA, EXCISION: 1. AMORPHOUS EOSINOPHILIC DEBRIS, HISTOLOGICALLY MOST CONSISTENT WITH BLOOD CLOT. 2. NEGATIVE FOR MALIGNANCY AND ATYPIA. 3. NO EPITHELIUM PRESENT FOR EVALUATION.
My CT with contrast showed nothing (results from kidneys, etc):
Kidneys, ureters, bladder: Normal enhancement of the kidneys with no focal mass, visible nephrolithiasis, or hydronephrosis. No filling defect in the renal collecting system. Where opacified, the ureters are normal. The bladder is thin walled, without focal lesion Reproductive organs: Prostate is normal in size. Gastrointestinal tract: No obstruction. No bowel wall thickening or inflammatory change. Prior appendectomy.
Had an abdominal ultrasound with no findings as well.
Cystoscopy today - nothing abnormal found. Notes from doc “Cystoscopy and CT IVP were unremarkable. There is no findings that would explain the abnormal debris that the patient has seen his urine several times. This problem is idiopathic and not causing any symptoms. The patient was reassured that everything was normal on the workup. If the problem persists or worsens, the patient will contact the urology clinic.”
Labs were generally normal. Had high liver enzymes at one point but went back down. That is what caused the abdominal ultrasound that came back fine. Retested and came back down to normal range.
I’ve had other labs as well that come back generally fine.
Should I get a second opinion or am I likely fine with those tests and shouldn’t worry? Can’t find anything like it online and urologist said he hadn’t seen anything like that so figured I’d come here.
submitted by Alarmed_Income_6426 to AskDocs [link] [comments]
Since February 17th, I’ve had these episodes of white sediment in my urine (images). The first time it was a lot as you can see but we said it was likely because we were traveling and I was dehydrated. The second time was a tiny bit which is when I got referred to urology, the third one my doctor asked me to bring it in for pathology and the last one happened on Friday. When this happened it just stops the stream for a second and continues. No burning,
So, dates of occurrence: 2/17/24 - a lot, travelling 3/8/24 - individual string 4/11/24 - individual, more formed, jellylike cylinder. This one was 5/17/24 - same as 3/8 and 4/11
Background: Male, 30, has lost ~ 40 lbs in 10 months (210>173lbs), pretty normal lifestyle, slightly sedentary but exercising more over last few months.
My piece of sediment from 4/11 had pathology done which read:
FINAL DIAGNOSIS: URETHRA, EXCISION: 1. AMORPHOUS EOSINOPHILIC DEBRIS, HISTOLOGICALLY MOST CONSISTENT WITH BLOOD CLOT. 2. NEGATIVE FOR MALIGNANCY AND ATYPIA. 3. NO EPITHELIUM PRESENT FOR EVALUATION.
My CT with contrast showed nothing (results from kidneys, etc):
Kidneys, ureters, bladder: Normal enhancement of the kidneys with no focal mass, visible nephrolithiasis, or hydronephrosis. No filling defect in the renal collecting system. Where opacified, the ureters are normal. The bladder is thin walled, without focal lesion Reproductive organs: Prostate is normal in size. Gastrointestinal tract: No obstruction. No bowel wall thickening or inflammatory change. Prior appendectomy.
Had an abdominal ultrasound with no findings as well.
Cystoscopy today - nothing abnormal found. Notes from doc “Cystoscopy and CT IVP were unremarkable. There is no findings that would explain the abnormal debris that the patient has seen his urine several times. This problem is idiopathic and not causing any symptoms. The patient was reassured that everything was normal on the workup. If the problem persists or worsens, the patient will contact the urology clinic.”
Labs were generally normal. Had high liver enzymes at one point but went back down. That is what caused the abdominal ultrasound that came back fine. Retested and came back down to normal range.
I’ve had other labs as well that come back generally fine.
Should I get a second opinion or am I likely fine with those tests and shouldn’t worry? Can’t find anything like it online and urologist said he hadn’t seen anything like that so figured I’d come here.
2024.05.21 04:45 Raidvn Question on ultrasound findings
I went for an Ultrasound after giving birth. Just trying to understand what this means and if I should be worried because my OB doctor hasn't contacted me (i also don’t have a family Dr. Small city, very limited) My Dr was never good with communication and never brought this up. I got this done a month ago but Imm just reviewing my results now as I got access to view it. Is this a sign of endometriosis? Cancer? No idea but not resorting to google haha! Should I be worried?
ENDOMETRIUM: THICKENED UP TO 3.6 CM. NO VASCULARIZED RETAINED PRODUCTS OF CONCEPTION. THERE IS COMPLEX, HETEROGENEOUSLY HYPOCHOIC, AVASCULAR MATERIAL WITHIN THE MID TO LOWER ENDOMETRIAL CAVITY SPANNING APPROXIMATELY 2.5 X 3.0 X 5.0 CM (AP X TR X CC) SHOWING MULTIPLE ANECHOIC CYSTIC SPACES WITHOUT INTERNAL VASCULARITY.
IMPRESSION: THERE IS AN APPROXIMATELY 2.5 X 3.0 X 5.0 CM FOCUS OF AVASCULAR, COMPLEX HETEROGENEOUS MATERIAL WITHIN THE MID TO LOWER ENDOMETRIAL CAVITY FAVORED TO REPRESENT BLOOD PRODUCTS. THE POSSIBILITY OF ENDOMETRITIS CANNOT BE EXCLUDED SONOGRAPHICALLY. RECOMMEND ONGOING CLINICAL AND BIOCHEMICAL FOLLOW-UP, THE NEED FOR FURTHER IMAGING TO BE DETERMINED CLINICALLY. Current-Disaster8702
submitted by Raidvn to AskDocs [link] [comments]
ENDOMETRIUM: THICKENED UP TO 3.6 CM. NO VASCULARIZED RETAINED PRODUCTS OF CONCEPTION. THERE IS COMPLEX, HETEROGENEOUSLY HYPOCHOIC, AVASCULAR MATERIAL WITHIN THE MID TO LOWER ENDOMETRIAL CAVITY SPANNING APPROXIMATELY 2.5 X 3.0 X 5.0 CM (AP X TR X CC) SHOWING MULTIPLE ANECHOIC CYSTIC SPACES WITHOUT INTERNAL VASCULARITY.
IMPRESSION: THERE IS AN APPROXIMATELY 2.5 X 3.0 X 5.0 CM FOCUS OF AVASCULAR, COMPLEX HETEROGENEOUS MATERIAL WITHIN THE MID TO LOWER ENDOMETRIAL CAVITY FAVORED TO REPRESENT BLOOD PRODUCTS. THE POSSIBILITY OF ENDOMETRITIS CANNOT BE EXCLUDED SONOGRAPHICALLY. RECOMMEND ONGOING CLINICAL AND BIOCHEMICAL FOLLOW-UP, THE NEED FOR FURTHER IMAGING TO BE DETERMINED CLINICALLY. Current-Disaster8702
2024.05.21 02:56 Mysteriousgirl98 Can somebody please help me with this report reading, freaking out
Hello everyone, I'm around 4-5 weeks. Wednesday, I had my first blood draw at the ER and it was 639. They did a transvaginal ultrasound sound but said the uterus was empty. Friday, I got my blood drawn and my hcg levels was around 1542, did another transvaginal ultrasound. My ob also said she didn't see anything but my uterus was thickening. So obviously my level are doubling.
On my report: Is the patient pregnant? No Indication: PREGNANCY Reason for Exam Comment: Pregnancy of unknown location
Can anyone tell me why they would say I'm not pregnant? Also, correct me if I'm wrong but if it was too early (3w-4w) to see anything on the ultrasound it'll be PUL?
submitted by Mysteriousgirl98 to pregnancy_care [link] [comments]
On my report: Is the patient pregnant? No Indication: PREGNANCY Reason for Exam Comment: Pregnancy of unknown location
Can anyone tell me why they would say I'm not pregnant? Also, correct me if I'm wrong but if it was too early (3w-4w) to see anything on the ultrasound it'll be PUL?
2024.05.21 02:54 Mysteriousgirl98 Can somebody please help me with this report reading,
Hello everyone, I'm around 4-5 weeks. Wednesday, I had my first blood draw at the ER and it was 639. They did a transvaginal ultrasound sound but said the uterus was empty. Friday, I got my blood drawn and my hcg levels was around 1542, did another transvaginal ultrasound. My ob also said she didn't see anything but my uterus was thickening. So obviously my level are doubling.
On my report: Is the patient pregnant? No Indication: PREGNANCY Reason for Exam Comment: Pregnancy of unknown location
Can anyone tell me why they would say I'm not pregnant? Also, correct me if I'm wrong but if it was too early (3w-4w) to see anything on the ultrasound it'll be PUL?
submitted by Mysteriousgirl98 to pregnant [link] [comments]
On my report: Is the patient pregnant? No Indication: PREGNANCY Reason for Exam Comment: Pregnancy of unknown location
Can anyone tell me why they would say I'm not pregnant? Also, correct me if I'm wrong but if it was too early (3w-4w) to see anything on the ultrasound it'll be PUL?
2024.05.21 02:51 Mysteriousgirl98 Can somebody please help me with this report reading, freaking out
Hello everyone, I'm around 4-5 weeks. Wednesday, I had my first blood draw at the ER and it was 639. They did a transvaginal ultrasound sound but said the uterus was empty. Friday, I got my blood drawn and my hcg levels was around 1542, did another transvaginal ultrasound. My ob also said she didn't see anything but my uterus was thickening. So obviously my level are doubling.
On my report: Is the patient pregnant? No Indication: PREGNANCY Reason for Exam Comment: Pregnancy of unknown location
Can anyone tell me why they would say I'm not pregnant? Also, correct me if I'm wrong but if it was too early (3w-4w) to see anything on the ultrasound it'll be PUL?
submitted by Mysteriousgirl98 to AskDocs [link] [comments]
On my report: Is the patient pregnant? No Indication: PREGNANCY Reason for Exam Comment: Pregnancy of unknown location
Can anyone tell me why they would say I'm not pregnant? Also, correct me if I'm wrong but if it was too early (3w-4w) to see anything on the ultrasound it'll be PUL?
2024.05.21 02:50 Mysteriousgirl98 Can anyone tell me what this part of my report means please???? Kinda freaking out
 | Hello everyone, I’m around 4-5 weeks. Wednesday, I had my first blood draw at the ER and it was 639. They did a transvaginal ultrasound sound but said the uterus was empty. Friday, I got my blood drawn and my hcg levels was around 1542, did another transvaginal ultrasound. My ob also said she didn’t see anything but my uterus was thickening. So obviously my level are doubling. submitted by Mysteriousgirl98 to obgyn [link] [comments] Can anyone tell me why they would say I’m not pregnant? Also, correct me if I’m wrong but if it was too early (3w-4w) to see anything on the ultrasound it’ll be PUL? |
2024.05.20 19:54 No_Note6947 When did you see anything on the ultrasound?
Hello everyone, I’m around 5w2d weeks. Wednesday (4w5d) I had my first blood draw at the ER and it was 639. They did an ultrasound sound but said the uterus was empty. Friday (5w) I got my blood drawn and my hcg levels was around 1542. My ob also said she didn’t see anything but my uterus was thickening. So obviously my level are doubling, my question when did you guys first seen something in the ultrasound sound and what was your hcg at the time. Crossing my fingers that this pregnancy is going good.
submitted by No_Note6947 to pregnancy_care [link] [comments]
2024.05.20 19:43 No_Note6947 When did you see anything on the ultrasound?
Hello everyone, I’m around 5w2d weeks. Wednesday (4w5d) I had my first blood draw at the ER and it was 639. They did an ultrasound sound but said the uterus was empty. Friday (5w) I got my blood drawn and my hcg levels was around 1542. My ob also said she didn’t see anything but my uterus was thickening. So obviously my level are doubling, my question when did you guys first seen something in the ultrasound sound and what was your hcg at the time. Crossing my fingers that this pregnancy is going good.
Edit: Both ultrasounds was transvaginal
submitted by No_Note6947 to pregnant [link] [comments]
Edit: Both ultrasounds was transvaginal
2024.05.19 22:36 Raidvn Help understanding results
I went for an Ultrasound after giving birth. Just trying to understand what this means and if I should be worried because my doctor hasn’t contacted me but she was never good with communication either. Is this a sign of endometriosis? Cancer? No idea but not resorting to google haha! Anyone have anything similar?
ENDOMETRIUM: THICKENED UP TO 3.6 CM. NO VASCULARIZED RETAINED PRODUCTS OF CONCEPTION. THERE IS COMPLEX, HETEROGENEOUSLY HYPOECHOIC, AVASCULAR MATERIAL WITHIN THE MID TO LOWER ENDOMETRIAL CAVITY SPANNING APPROXIMATELY 2.5 X 3.0 X 5.0 CM (AP X TR X CC) SHOWING MULTIPLE ANECHOIC CYSTIC SPACES WITHOUT INTERNAL VASCULARITY.
IMPRESSION: THERE IS AN APPROXIMATELY 2.5 X 3.0 X 5.0 CM FOCUS OF AVASCULAR, COMPLEX HETEROGENEOUS MATERIAL WITHIN THE MID TO LOWER ENDOMETRIAL CAVITY FAVORED TO REPRESENT BLOOD PRODUCTS. THE POSSIBILITY OF ENDOMETRITIS CANNOT BE EXCLUDED SONOGRAPHICALLY. RECOMMEND ONGOING CLINICAL AND BIOCHEMICAL FOLLOW-UP, THE NEED FOR FURTHER IMAGING TO BE DETERMINED CLINICALLY.
submitted by Raidvn to Endo [link] [comments]
ENDOMETRIUM: THICKENED UP TO 3.6 CM. NO VASCULARIZED RETAINED PRODUCTS OF CONCEPTION. THERE IS COMPLEX, HETEROGENEOUSLY HYPOECHOIC, AVASCULAR MATERIAL WITHIN THE MID TO LOWER ENDOMETRIAL CAVITY SPANNING APPROXIMATELY 2.5 X 3.0 X 5.0 CM (AP X TR X CC) SHOWING MULTIPLE ANECHOIC CYSTIC SPACES WITHOUT INTERNAL VASCULARITY.
IMPRESSION: THERE IS AN APPROXIMATELY 2.5 X 3.0 X 5.0 CM FOCUS OF AVASCULAR, COMPLEX HETEROGENEOUS MATERIAL WITHIN THE MID TO LOWER ENDOMETRIAL CAVITY FAVORED TO REPRESENT BLOOD PRODUCTS. THE POSSIBILITY OF ENDOMETRITIS CANNOT BE EXCLUDED SONOGRAPHICALLY. RECOMMEND ONGOING CLINICAL AND BIOCHEMICAL FOLLOW-UP, THE NEED FOR FURTHER IMAGING TO BE DETERMINED CLINICALLY.
2024.05.19 22:01 Raidvn Help understanding results
I went for an Ultrasound after giving birth. Just trying to understand what this means and if I should be worried because my doctor hasn’t contacted me but she was never good with communication either. Is this a sign of endometriosis? Cancer? No idea but not resorting to google haha! Anyone have anything similar?
ENDOMETRIUM: THICKENED UP TO 3.6 CM. NO VASCULARIZED RETAINED PRODUCTS OF CONCEPTION. THERE IS COMPLEX, HETEROGENEOUSLY HYPOECHOIC, AVASCULAR MATERIAL WITHIN THE MID TO LOWER ENDOMETRIAL CAVITY SPANNING APPROXIMATELY 2.5 X 3.0 X 5.0 CM (AP X TR X CC) SHOWING MULTIPLE ANECHOIC CYSTIC SPACES WITHOUT INTERNAL VASCULARITY.
IMPRESSION: THERE IS AN APPROXIMATELY 2.5 X 3.0 X 5.0 CM FOCUS OF AVASCULAR, COMPLEX HETEROGENEOUS MATERIAL WITHIN THE MID TO LOWER ENDOMETRIAL CAVITY FAVORED TO REPRESENT BLOOD PRODUCTS. THE POSSIBILITY OF ENDOMETRITIS CANNOT BE EXCLUDED SONOGRAPHICALLY. RECOMMEND ONGOING CLINICAL AND BIOCHEMICAL FOLLOW-UP, THE NEED FOR FURTHER IMAGING TO BE DETERMINED CLINICALLY.
submitted by Raidvn to endometriosis [link] [comments]
ENDOMETRIUM: THICKENED UP TO 3.6 CM. NO VASCULARIZED RETAINED PRODUCTS OF CONCEPTION. THERE IS COMPLEX, HETEROGENEOUSLY HYPOECHOIC, AVASCULAR MATERIAL WITHIN THE MID TO LOWER ENDOMETRIAL CAVITY SPANNING APPROXIMATELY 2.5 X 3.0 X 5.0 CM (AP X TR X CC) SHOWING MULTIPLE ANECHOIC CYSTIC SPACES WITHOUT INTERNAL VASCULARITY.
IMPRESSION: THERE IS AN APPROXIMATELY 2.5 X 3.0 X 5.0 CM FOCUS OF AVASCULAR, COMPLEX HETEROGENEOUS MATERIAL WITHIN THE MID TO LOWER ENDOMETRIAL CAVITY FAVORED TO REPRESENT BLOOD PRODUCTS. THE POSSIBILITY OF ENDOMETRITIS CANNOT BE EXCLUDED SONOGRAPHICALLY. RECOMMEND ONGOING CLINICAL AND BIOCHEMICAL FOLLOW-UP, THE NEED FOR FURTHER IMAGING TO BE DETERMINED CLINICALLY.
2024.05.19 20:25 exinanis_ Please help,epigastric pain, fainting attacks,lost 50lbs severe fatigue ive been deteriorating for months
Male 31 5 11 210 lbs All tests done and the abnormal results: Endoscopy Colonoscopy Abdominal ultrasound Ct head without contrast Ecg(wildly different results but no doctor has said anything about them) Stress test (blood pressure was 237/67 so had to stop Holter monitor (normal) Ct chest Ct pelvis Ct abdomen x 8 (small fat containing ventral hernia, l5 pars defects spondylothesis level 1 one scan said mural wall thickening and they said i had gastritis) Gastric emptying study
I've been to the ER and doctors office quite a bit for this but have only seen mid level practitioners mostly and have been waiting months for specialists. i really need help with understanding what could be wrong. in the last 4 months it started as severe epigastric abdominal pain and "fainting" where my ears would start to ring my vision would become grey and blurry and i would start to loose conciousness but not entirely. I've had 4 episodes of the "fainting" one was accompanied by severe sweating, i was drenched in sweat within 1 minute. I have these attacks that happen where i feel uneasy and have had stomach pain where its difficult to identify where exactly its coming from and then i feel a sense of doom and like im going to die and start to cough and throw up and then i have the "fainting" it peaks and i power through the fainting and then it subsides after about 30 minutes and i am left with severe weakness and constant stomach pain. I have had labs done initially the only abnormal labs were: Lactate 2.8 Elevated bilirubin Elevated protein (this has been constant) Elevated globulin Elevated cortisol Elevated renin
Other labs that have been checked and are normal are Fecal elastase Parasite stool HepAtic panel (besides bilirubin the one time) Lipase Cbc come back normal besides in February i had an infection of some sort. Occasionally low sodium and high calcium Ferritin B12 T4 Tsh Parathyroid
The lactate returned to normal within the same day and hasn't been checked again
In February i had severe elevated white counts and an infection with "left shift" i was tachycardic and was treated with iv antibiotics.
Ive had 14 ct scans all of which have showed nothing besides a ventral hernia and diverticulitis and l5 pars defects This all started in december after a month long strep infection and month long covid infection back to back ive had my gallbladder removed in 2020 and the surgery was complicated i had necrosis and an abcess. The months before this started i had severe diarrhea that wouldn't stop i noticed my food was coming out undigested and I couldn't have a solid stool then i got sick and when i was over covid i was smoking a cigarette coughed extremely forcefully and then about 5 minutes later had the first "fainting" episode which was terrifying. I went to the hospital right away and they chest for a pulmonary embolism since this one episode ive had severe stomach pain that i cant readily identify where its coming from, it feels as though i am missing an essential nutrient or enzyme that is keeping me from thriving.
I have lost 50lbs in the last 4 months it has been difficult to eat.
I feel extremely fatigued mostly due to this abdominal pain and i feel as though i am confused alot of the time, doctors have told me i am fine and to wait for the specialists I have an appointment for an oncologist/hemotologist a cradiology cta scan and for a hida scan but im not sure its any of these things, i feel as though i am dying because i am missing a vitamin of some sort i feel awful I don't know how long i can deal with this weaknesss and pain. I wake up with pain and sleeping doesnt make me feel rested. I also have went from sleeping 9 to 10 hours a day to 6 to 7 since this has started. I am so weak and starting to become delirious over this all I am very worried and appreciate any insight.
submitted by exinanis_ to AskDocs [link] [comments]
I've been to the ER and doctors office quite a bit for this but have only seen mid level practitioners mostly and have been waiting months for specialists. i really need help with understanding what could be wrong. in the last 4 months it started as severe epigastric abdominal pain and "fainting" where my ears would start to ring my vision would become grey and blurry and i would start to loose conciousness but not entirely. I've had 4 episodes of the "fainting" one was accompanied by severe sweating, i was drenched in sweat within 1 minute. I have these attacks that happen where i feel uneasy and have had stomach pain where its difficult to identify where exactly its coming from and then i feel a sense of doom and like im going to die and start to cough and throw up and then i have the "fainting" it peaks and i power through the fainting and then it subsides after about 30 minutes and i am left with severe weakness and constant stomach pain. I have had labs done initially the only abnormal labs were: Lactate 2.8 Elevated bilirubin Elevated protein (this has been constant) Elevated globulin Elevated cortisol Elevated renin
Other labs that have been checked and are normal are Fecal elastase Parasite stool HepAtic panel (besides bilirubin the one time) Lipase Cbc come back normal besides in February i had an infection of some sort. Occasionally low sodium and high calcium Ferritin B12 T4 Tsh Parathyroid
The lactate returned to normal within the same day and hasn't been checked again
In February i had severe elevated white counts and an infection with "left shift" i was tachycardic and was treated with iv antibiotics.
Ive had 14 ct scans all of which have showed nothing besides a ventral hernia and diverticulitis and l5 pars defects This all started in december after a month long strep infection and month long covid infection back to back ive had my gallbladder removed in 2020 and the surgery was complicated i had necrosis and an abcess. The months before this started i had severe diarrhea that wouldn't stop i noticed my food was coming out undigested and I couldn't have a solid stool then i got sick and when i was over covid i was smoking a cigarette coughed extremely forcefully and then about 5 minutes later had the first "fainting" episode which was terrifying. I went to the hospital right away and they chest for a pulmonary embolism since this one episode ive had severe stomach pain that i cant readily identify where its coming from, it feels as though i am missing an essential nutrient or enzyme that is keeping me from thriving.
I have lost 50lbs in the last 4 months it has been difficult to eat.
I feel extremely fatigued mostly due to this abdominal pain and i feel as though i am confused alot of the time, doctors have told me i am fine and to wait for the specialists I have an appointment for an oncologist/hemotologist a cradiology cta scan and for a hida scan but im not sure its any of these things, i feel as though i am dying because i am missing a vitamin of some sort i feel awful I don't know how long i can deal with this weaknesss and pain. I wake up with pain and sleeping doesnt make me feel rested. I also have went from sleeping 9 to 10 hours a day to 6 to 7 since this has started. I am so weak and starting to become delirious over this all I am very worried and appreciate any insight.
2024.05.19 19:56 DryCheesecake1129 Rhinophyma How to diagnose early stage
Hi, So, now i can say for sure i got rhinophyma. I think i will say something about my nearly 2 years journey and how all started. It is very hard to find something on the internet, so i hope it can be useful for some people. Well, so first my problems with redness on face started 15 years ago. I was misdiagnosed with sebderm, later with allergies, but never with rosacea. After 2, 3 years i gave up on all creams and started enjoing my life with sun. And boom, all redness disaperad, at summer my face was looking normal, per winter little bit red but it was not so bad. And then after 10 years, so 2 years ago i wake up one day with a swelling on my left cheek, and pain in this area. I have extremely sensitive skin and can feel even smallest changes. I went to GP and because redness was very small they said it is not dermathological.I was sure from begining it is some kind of phyma, but....i went to whole procedures. First CT scan and ENT visit...all clear.Then MRI, also shows nothing. It was september 2023 when i developed big butterfly red rash on my cheeks. And finally was directed to Dermathology. First doctor said he doesn't see nothing and this type of redness is normal, i could not believe it. Luckly i made revisit and seen another doctor. He examined me and said it is rosacea or lupus, but more like rosacea, prescribed me with ivermectin, metro and doxycyline 40 mg, also has done bloodtest for ANA and ENA to eliminate lupus. Tests came back negative but medications was not helping. At february they done biopsy from my cheek. It was the time( january, february) when i started to notice shape change on my nose. It bacame more boulbus, larger and more bumpy with more thickened skin on right side.At january i mentioned it to my derm but he started laughing and said for sure it is not rhino. Well, again doctors who are not listening patients, they do not understand that patient can see the changes and feel them. But whatever, my biopsy results came back and three weeks ago i had a visit with new derm.Biopsy eliminated lupus but shows skin thickening, and i again mention about my nose, she examinated it( first doctor who touch it) and said, yes skin is more thicker at this places, there is also diffrent skin texture and colour.It is early rhinophyma, she sent me for bloodtest to start isotretinoine, and after 2 weeks i got visit with diffrent derm, if the bloodtest will be ok and he will diagnose rhino as a second opinion i am starting isotretinoine/accutane. I am devastated. My mental is so low that i am afraid of mirrors, i reduced social contacts to minimum. But....couple more sympthoms that i got: 2 years ago on my nose developed two small tiny red spots, it never dissapeared. In this 2 years more of them appeared, always 2 close together. They not disapearing. Too small to squize them, even if i tried there was only blood. Feeling pressure on my nose all the time, right side is bigger and i can feel it is heavier. Itchy mostly on the tip of the nose. Of course bulbous shape, tip is larger, left side at the bottom, right side from the middle of the nose to the bottom, whole nose looks bigger. Oily skin,large pores on the nose. Redness, or more pinkish, more like big pink spots, not whole nose is pink, where the skin is overgrowing it is more like blindspots and skin is tough, when i touch it i can feel like a lizard skin. And the best, sympthom that i never found on the internet but maybe someone got it as well: I can hear, feel some cracking, poping sounds from my nose. First i thought it is from inside, but now i am sure it is skin overgrowing making this sound, maybe because it is pressing airtubes inside the nose, i do not know, but it is horrible. I wake up at night and can't sleep because of that sound. Ok, long post, but i tried my best to mark all the sympthoms.Hope it will help someone else to diagnose it asap. Good luck.
submitted by DryCheesecake1129 to Rosacea [link] [comments]
2024.05.18 21:55 VolkerBach In Praise of the Pig (c. 1340)
 | https://www.culina-vetus.de/2024/05/18/in-praise-of-the-pig/ submitted by VolkerBach to CulinaryHistory [link] [comments] The König vom Odenwald is finished, but I will still need to do some work on the final edit and think about what to do with it. Meanwhile, here is another poem in praise of the pig: https://preview.redd.it/jmuk8m0ip81d1.jpg?width=800&format=pjpg&auto=webp&s=7ac485fda4996e589c1fb007c5c6e225eec5fab3 IX This is a poem about the pig And its usefulness And it was made skilfully By the kunig vom Otenwalde As I have nothing new at this time Many people say: “Very well, We should have something new, Kunig, make us a new poem!” If I have to write something new I will write about the pig. Their squealing should gladly be tolerated Sour liver (lebersoln) come from them Filled and roasted Happy are those who have them! Boiled and smoked They lose none of their virtue. Now I should look at Sausages in four manners Made with brain and with blood And also hot liver sausages And sausages of sheer meat (brod = brät) Those last long Roasts by the embers Give you joy Bread catching dripping (betreift sniten) underneath It is no wonder Head, ears, tail, feet And one part it digs with (the snout) And the four pig legs In vinegar and galantine Tongue, spleen, and stomach Of this, I, the kunig, must say Of this come side dishes Now hark what I say! You also use the bladder well Wherever it is useful. You have bacon with peas In your chickens and on a spit And where there are boiled chickens You must have bacon and parsley with them. Further, I always serve Fried lardons (grieben) in mus and on porridge Pancakes and filled fritters (krepfelin) All come from the pig Dumplings from the rump (buzl) Appear to be so small But they are noble (like) venison (wiltbreht). I will tell you more about the pig: Shoulders and hams Nourish nursemaids and women in childbed Fat cabbage (kruot) come from the pig Bride and bridegroom eat of that This is common custom. All foods are improved with it Adding a little bacon to fish I never forget to do this Use your teeth if you can Women and men both! To use the large bellies and lard You must have salt You use it to smear on many things Wagon sides (leitern) so they become smooth Books, saddles, bucklers, are protected steadily (by greasing) And smiths always wear A (pig)skin apron over their skin Straps on the helm Are carried on the field Points and straps Are inexpensively bought The strop for the razor I have heard and seen this Is needed to swipe over often When you wish to shave beards. You also find, made of the skin Belts, broad and narrow I also tell you of the bristles That they are used to brush hair And every cobbler Cannot be without bristles Weavers and painters, too Have need of bristles And also every goldsmith Works with them. With bristles you make Glasses clean, if you know how And the noble bristles are Put into the holy water sprinkler Which is used in good intent So God may have us in his protection. The kunig has made this poem Whoever can write a better one should do so. This poem completes the series praising domestic animals, following the cow, goose, chicken, and sheep. While it mentions technical applications for pig products, its main focus lies on food. Pigs were kept primarily for eating. The defense of the pig whose squealing seems to have annoyed people begins with a mention of lebersoln. I am not fully sure what these are, but I suspect it is a reference to the frequently attested roasted mashed liver wrapped in a caul. That certainly seems to have been a popular and exclusive dish. Sausages, made with brain, liver, blood, or sheer meat, are specifically addressed as four main types. This seems to be a mental classification that was current. We have surviving recipes for blood sausages, liver sausages, and the high-status bratwurst made from muscle meat. Some surviving recipes involving brain, too, may describe sausages, but I am less confident in identifying those. The poem does not mention lung sausages, a type we have several surviving recipes for. That may be owed to local custom, personal dislike, lack of status, or any other reason you care to imagine. Certainly people ate every part of the pig, and sausage making was a creative discipline. Next, the poem mentions roast pork and the joy of eating the drippings with bread – betreift sniten possibly placed under the roast during cooking, though in my opinion more likely spread on toasted slices or loaves afterwards. I can attest to the fact that this is delicious. The feet, snout, ears and tail are cooked in a galantine. This is harder to interpret than it seems because the various words used to describe jelly today could refer to gelatin, but also to thickened sauces at the time. Clearly, though, these fiddly meat bits were cooked, taken apart, and served in an accressible and highly seasoned form. The next section addresses bacon (speck), a useful ingredient in all kinds of dishes. This could refer to anything from mostly meaty salt-cured pork belly to mostly fat, white Rückenspeck. Interpreting individual recipes can be fraught that way, but it is likely cooks chose what they found served best. One especially interesting note is the poet’s injunction that boiled chicken must always be served with bacon and parsley (here likely meaning the root boiled with the meat). There may be the germ of a recipe in this line. Pig fat is also used as a cooking medium, which provides the connection to pancakes and the broad class of krepfelin fritters. The word usually means a filled fritter like a dumpling, but is often used for other kinds of fritter as well. The lardons (grieben) produced when rendering lard were another way of adding meaty richness to non-meat dishes, served with porridges and vegetable purees. Two social practices are mentioned as asides: Pork shoulders and ham, probably dry-salted and smoked, are served to nursing mothers and fat kraut, most likely a cabbage dish, at weddings. We have other mentions of this and it seems to have been a custom early on. Addiong bacon to fish while culinarily plausible seems a daring suggestion given that fish was mainly eaten during Lent. It would not be a problem on meat days, obviously, so such recipes likely existed, but to find it stated as common practice in a clerical environment is a slight surprise. What follows is a list of technical applications: Pigskin used in aprons razor, strops, helmet straps, and all kinds of other roles, pig fat for greasing leather, and bristles for sewing, in brushes, and in holy water sprinklers, the noblest avocation a humble pig could aspire to. Interestingly, we also learn that drinking glasses, still a luxury item, were kept clean using brushes. This kind of detail makes reading the König’s poems so rewarding. Der König vom Odenwald (literally king of the Odenwald, a mountain chain in southern Germany) is an otherwise unknown poet whose work is tentatively dated to the 1340s. His title may refer to a senior rank among musicians or entertainers, a Spielmannskönig, but that is speculative. Many of his poems are humorous and deal with aspects of everyday life which makes them valuable sources to us today. The identity of this poet has been subject to much speculation. He is clearly associated with the episcopal court at Würzburg and likely specifically with Michael de Leone (c. 1300-1355), a lawyer and scholar. Most of his work is known only through the Hausbuch of the same Michael de Leone, a collection of verse and practical prose that also includes the first known instance of the Buoch von guoter Spise, a recipe collection. This and the evident relish with which he describes food have led scholars to consider him a professional cook and the author of the Buoch von Guoter Spise, but that is unlikely. Going by the content of his poetry, the author is clearly familiar with the lives of the lower nobility and even his image of poverty is genteel. This need not mean he belonged to this class, but he clearly moved in these circles to some degree. Michael de Leone, a secular cleric and canon on the Würzburg chapter, was of that class and may have been a patron of the poet. Reinhardt Olt whose edition I am basing my translation on assumes that the author was a fellow canon, Johann II von Erbach. I only translate the poems that deal with aspects of food or related everyday life here. There are several others which are less interesting as sources. They can be found in the newest extant edition by Reinhard Olt, König vom Odenwald; Gedichte, Carl Winter Verlag, Heidelberg 1988. |
2024.05.18 18:44 cafe_con_chaos Hi, I'm new here.
Can I please get some MRI insight? Confirmed chiari malformation. The term "lesion" is very unsettling.
Suspected dysautonomia with disregulated body temperature, heart rate, and blood pressure. Multiple syncope and pre-syncope episodes. Met with a neurologist who special in dysautonomia and discovered that my daily headaches were considered migraines. I've had the stereotypical migraines and never connected the dots. A batter of labs, tilt table test, and a brain MRI with and without contrast were ordered. Still awaiting TTT results. MRI results came in right before the office closed, so I'm sitting with this for the weekend. Any insight would be greatly appreciated.
FINDINGS: Inferior descent of the cerebellar tonsils through the foramen magnum measuring up to 0.9 cm. Peglike configuration of the herniated cerebellar tonsils. Findings consistent with Chiari I malformation.
Several scattered periventricular and subcortical T2 FLAIR hyperintense lesions in the supratentorial white matter predominantly affecting the right frontoparietal lobes, with additional lesions in the inferior left parietal subcortical and left periatrial white matter.
No acute intracranial hemorrhage. No intracranial mass, mass effect or midline shift. The ventricles are within normal size limits. No diffusion restriction to suggest recent infarct. Partially empty sella. The major intracranial flow voids are maintained. No abnormal intracranial parenchymal or leptomeningeal enhancement. Subcortical developmental venous anomaly in the left middle frontal gyrus.
Focal susceptibility with heterogeneous T2 signal lesion in the subcortical paramedian left parietal lobe measuring up to 4 mm that could reflect a cavernous malformation. No perilesional edema to suggest recent hemorrhage.
The orbits are unremarkable. Mild to moderate polypoid mucosal thickening throughout the left greater than right paranasal sinuses. Fluid levels in the left maxillary sinus and ethmoid air cells could reflect acute on chronic sinusitis. The bilateral mastoid air cells are clear.
IMPRESSION: 1. Nonenhancing supratentorial white matter lesions as detailed above. Appearance could be in keeping with demyelinating lesions in the setting of multiple sclerosis. Correlate clinically. 2. Findings consistent with Chiari I malformation. 3. Cavernous malformation in the subcortical superior paramedian left parietal lobe. 4. Mucosal inflammation in the left greater than right paranasal sinuses with findings that could reflect acute on chronic sinusitis as detailed above.
submitted by cafe_con_chaos to chiari [link] [comments]
Suspected dysautonomia with disregulated body temperature, heart rate, and blood pressure. Multiple syncope and pre-syncope episodes. Met with a neurologist who special in dysautonomia and discovered that my daily headaches were considered migraines. I've had the stereotypical migraines and never connected the dots. A batter of labs, tilt table test, and a brain MRI with and without contrast were ordered. Still awaiting TTT results. MRI results came in right before the office closed, so I'm sitting with this for the weekend. Any insight would be greatly appreciated.
FINDINGS: Inferior descent of the cerebellar tonsils through the foramen magnum measuring up to 0.9 cm. Peglike configuration of the herniated cerebellar tonsils. Findings consistent with Chiari I malformation.
Several scattered periventricular and subcortical T2 FLAIR hyperintense lesions in the supratentorial white matter predominantly affecting the right frontoparietal lobes, with additional lesions in the inferior left parietal subcortical and left periatrial white matter.
No acute intracranial hemorrhage. No intracranial mass, mass effect or midline shift. The ventricles are within normal size limits. No diffusion restriction to suggest recent infarct. Partially empty sella. The major intracranial flow voids are maintained. No abnormal intracranial parenchymal or leptomeningeal enhancement. Subcortical developmental venous anomaly in the left middle frontal gyrus.
Focal susceptibility with heterogeneous T2 signal lesion in the subcortical paramedian left parietal lobe measuring up to 4 mm that could reflect a cavernous malformation. No perilesional edema to suggest recent hemorrhage.
The orbits are unremarkable. Mild to moderate polypoid mucosal thickening throughout the left greater than right paranasal sinuses. Fluid levels in the left maxillary sinus and ethmoid air cells could reflect acute on chronic sinusitis. The bilateral mastoid air cells are clear.
IMPRESSION: 1. Nonenhancing supratentorial white matter lesions as detailed above. Appearance could be in keeping with demyelinating lesions in the setting of multiple sclerosis. Correlate clinically. 2. Findings consistent with Chiari I malformation. 3. Cavernous malformation in the subcortical superior paramedian left parietal lobe. 4. Mucosal inflammation in the left greater than right paranasal sinuses with findings that could reflect acute on chronic sinusitis as detailed above.
2024.05.18 16:54 kenUdigitt Novel Chapter 411
Disclaimer: I do not speak Korean. This is purely translated by machine with a lot of cleanup afterward. With that in mind, I am open to criticism to improve these translations. Enjoy!
Chapter 411
For a moment, it felt as if the world had stopped.
Instincts kicked in faster than my brain could process the situation.
The breaths of people and the roars of monsters seemed miles away, and my heightened senses absorbed every detail.
Shwaaah.
Blood droplets, soil, and dust hung in the air. The mist was so thick it felt like I could carve through it.
And suddenly...
'Qi.'
I felt it. The massive surge of Qi enveloped the area for hundreds of meters. As my survival instincts screamed at me, I launched myself upwards.
“Take cover—!”
Boom!
A blinding flash was followed by a deafening explosion that shook the earth. I scanned the battlefield from about ten meters above.
Just seconds earlier, the spot where I had been standing was now a scorched wasteland, stretching for hundreds of meters.
Through the lingering mist and rising dust clouds, I saw the ground covered in green blood and the shattered remains of monsters.
'Magic Trap.'
Facing an unseen enemy means having to be prepared for every possible scenario.
'There's no room for mercy in war.'
The countless wars recorded in human history serve as witnesses, prosecutors, and judges.
Even humans commit horrific atrocities in wartime; expecting mercy from monsters is absurd.
Thus, vigilance is essential in war. It reduces the risk of falling into enemy traps and minimizes sacrifices.
Just like now.
Tap.
I landed lightly and extended my hand. Bang! Compressed air burst forth, scattering the dust cloud.
Amidst the blood and corpses that littered the area, familiar faces emerged.
“Mr. Choi.”
Mr. Choi nodded after taking a deep breath. Behind him stood about two hundred members of the suicide squad, their faces pale with fright.
“There are a few injuries, but... everyone is safe.”
“That's a relief.”
“It was an incredibly powerful trap. If it weren't for this, most of us, including myself, would probably be dead.”
Swoosh, humm.
Mr. Choi reached out and touched the transparent barrier that appeared before him.
The barrier that enveloped him and the entire suicide squad was a spell inscribed on a scroll by a Grand Mage, one of the greatest mages among billions.
“When the battle is over, we must find Mr. Johnson first. We owe our lives to his magic.”
“Are you going to give him a kiss of gratitude?”
“Based on how I'm feeling now, I might do anything.”
Shao Shen, exhaling a breath he had been holding, responded to Mr. Choi’s words.
「I can do even more than that. This is really...」
He couldn't finish his sentence and looked around.
The explosion had been immense. At least a thousand monsters had been killed or incapacitated.
An indiscriminate trap. The Arch Lich had sacrificed countless minions to trap me and the suicide squad.
‘Look at this bastard...’
I had anticipated some of this, but the Arch Lich’s cunning and boldness exceeded my expectations.
If my signal had been even a moment late, and if we hadn't pushed through the monsters that were serving as bait, the entire suicide squad would have perished here.
‘Just like that day.’
An unforgettable memory. Such a tragedy must never happen again.
I turned and said,
“Keep your distance and follow me. Our goal is not to fight the monsters but to break through them.”
The suicide squad responded with a resounding roar. The monster army, which had lost many members in the explosion and was in disarray, hesitated and retreated.
When crisis turns into opportunity, we must not miss this chance.
“Charge—!”
With a dragon's roar imbued with Qi, I launched myself at the incoming monsters. Swish, the neck of a retreating monster flew into the air.
Toward the monster army, now with gaps created by the explosion, the two hundred members of the suicide squad charged like a spear, while the main force at the rear followed like a crashing wave.
Waaaaaaah—!
A deafening roar echoed across the battlefield. Green blood spread through the mist.
Far above, a flock of crows circled, overlooking the battlefield.
* * *
Upon a throne made of white bones, a being who had been sitting as if asleep suddenly opened its eyes.
From the empty sockets of the skull, a fierce light erupted, and a low murmur flowed out.
- Impressive.
The Arch Lich has hundreds of eyes and ears.
Even now, the familiars deployed across the battlefield were capturing every detail without missing a single moment.
Humans and monsters clashed fiercely, and the group of humans was making swift progress.
‘Suicide squad. That’s what they were called, wasn’t it?’
The Arch Lich recalled an old, dusty memory. A memory that, even after what felt like an eternity submerged in the river of death, he could not forget.
‘The Adversary.’
How could he forget? The human who had been at the center of everything and the suicide squad of humans who had risked death and charged alongside him.
‘It was him who drove the sword into my body.’
The Arch Lich looked at his own body, made of jet-black bones.
In the past, he had not been a lowly undead. He had been a noble and mighty being, trusted by the King, commanding countless monsters.
But on the day of the final battle, he too had fallen, along with the King. And it had been at the hands of a mere human.
- But… where is the Adversary? [Note: speculation time. The switch from the MC's point of view to the Arch Lich's made it seem like the Arch Lich is talking about the MC, but this seems unlikely since the MC hasn't faced any "King" monster before. By the same logic, it probably couldn't be Mr. Choi either, because the Arch Lich would have recognized him when he saw Mr. Choi with the MC. This makes me think that the most likely candidate for this "Adversary" is Lee Jeong-Ryong. If this is true, then the "King" that the Arch Lich used to serve could be Asmodeus, and the Arch Lich was one of the monsters fighting in the Great Cataclysm.]
The Arch Lich's voice was filled with curiosity.
He had surveyed all the fronts using his familiars, but the Adversary, who should have appeared, was nowhere to be seen. He recognized a few humans from his memory, but that was all.
‘Could it be?’
For a moment, the Arch Lich's eyes blazed intensely as he considered the possibility.
It was hard to believe, but if - just if - the Adversary had died... If he had met the fate of a mortal...
- Kha, khahaha!
His statue-like body trembled. The ground shook and the air quivered with his magic-laden laughter.
The guards, realizing their master's mood had changed, prostrated themselves.
- My lord.
- What troubles you?
The appearance of the guards was impressive. Each one rivaled a Named Monster, and there were twenty Death Knights and Liches in total, each cloaked in deeply blackened robes.
Creations made to face the Adversary. But now his thoughts had changed.
The Arch Lich, who had been laughing with joy, finally spoke.
- Listen, my loyal servants.
- At your command.
The Arch Lich stood and looked down at his subordinates. His eerie voice echoed through the space.
- Go to the battlefield. Crush and sweep away those insignificant humans.
The twenty Death Knights and Liches bowed without hesitation.
The Arch Lich was the lord of all undead present. There could be no doubt in following his command.
- We obey the Lord’s command.
With a unified response, they each went their separate ways.
The space became empty again. The Arch Lich, who had been laughing alone, sat on the skull throne and focused his mind.
As he observed the battlefield through the eyes and ears of numerous familiars, he suddenly paused.
- But... who is that human?
In the black eyes of the crows flying across the sky, he saw a young human cutting down monsters amidst a bloodbath.
A face that didn’t exist in his past memories. But it was a face he had seen through a familiar just a few days ago.
- The human who defeated the Death Knight Lord.
The Death Knight Lord, created using Lei Fei, was the Arch Lich’s greatest masterpiece among all his creations.
Though the transformation was incomplete due to Lei Fei's strong soul, the Arch Lich had imbued some of his own power into the Death Knight Lord, leaving no doubt about his strength.
All of his effort was for naught, as the best of his forces and precious magic power had been washed down the drain. All because of that insignificant human.
- Annoying. I’ll take care of him for sure this time.
Having decided to eliminate him, the Arch Lich sent out a thought.
Half of the guards heading to the fronts changed direction according to their Lord’s command.
* * *
Crack!
Wind, weapons, and the incredibly tough bodies of monsters.
Everything caught in the path of the spear blade was sliced apart.
Heads flew, and thick limbs soared through the air.
The troll, still barely alive, didn’t have time to regenerate before its body was shredded, and the ogre, half-decayed and undead, staggered before its upper body was severed by the sword.
Slash! Slash! Slash!
Wielding [Hero’s Soul], Mr. Choi cut down three or four monsters in an instant and shouted.
“Mr. Jin Tae-Kyung! The monsters' assault is too strong!”
His words were true. After breaking through the front line, the number of monsters decreased, but the quality of the troops increased significantly.
‘I expected this.’
The monsters at the front, used to overwhelm us long enough for the magic trap to catch us, were mostly mid to low-tier.
The Arch Lich had placed elites in the rear and used the other monsters as bait and meat shields.
‘To drain our strength.’
In addition, the thickening mist made the battle even more difficult.
The mist not only strengthened the monsters, but it also hindered visibility and hearing.
Conditions that were inevitably advantageous for monsters with superior senses compared to humans.
Of course......
'I'm an exception.'
Ssssss, Phwack!
The spear I flung with all my might skewered seven monsters.
Shao Shen and the rest of the Hunters in the suicide squad nodded their gratitude.
"Everyone, group up towards me!"
「But there are only a few magic scrolls left. If another magic trap activates......」
"No time to explain! To me! Now!"
At my shout, Mr. Choi and Shao Shen nodded and moved forward with the suicide squad.
I know what they are thinking, but we have already passed through three magic traps, and this is where the Arch Lich has gathered his elite forces. The chance of a trap activating is slim.
"Focus on defense rather than attack. Move forward!"
The battle itself has become more difficult, but with the chances of triggering a trap reduced, my heart feels lighter.
It's trivial if I have to deal with the traps by myself, but for the rest of the squad members, they pose a fatal threat.
'The last destination is just ahead. We will minimize casualties and join up with Lee Jeong-Ryong and Wu Hei-Xing.'
Screech! Crunch, crunch!
At that moment, as I led the vanguard and began to feel the accumulating fatigue...
- Everyone, come out!
- Human, by the command of our Monarch, I will take your life.
Like the parting of the Red Sea, the curtain of monsters split left and right. The beings that appeared made me stare in shock.
[Lv.120 Shadow Lich]
[Lv.115 Shadow Death Knight]
There were ten creatures over level 120. Suddenly, I couldn't breathe, and my hands and feet trembled.
Mr. Choi, seeing me shaking like a leaf, shouted in a voice filled with despair.
"We must retreat immediately!"
"Mr. Choi... Mr. Choi."
"Snap out of it, Mr. Jin Tae-Kyung!"
"Lunch is here."
"If this continues, it will be a complete wipeout... Huh?"
I looked at the ten monsters, no, the lunchboxes with trembling eyes.
"The lunch delivery is here."
"......?"
- ……?
- ……?
Put the question marks away, you bastards.
It's One Strike time.
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submitted by kenUdigitt to u/kenUdigitt [link] [comments]
Chapter 411
For a moment, it felt as if the world had stopped.
Instincts kicked in faster than my brain could process the situation.
The breaths of people and the roars of monsters seemed miles away, and my heightened senses absorbed every detail.
Shwaaah.
Blood droplets, soil, and dust hung in the air. The mist was so thick it felt like I could carve through it.
And suddenly...
'Qi.'
I felt it. The massive surge of Qi enveloped the area for hundreds of meters. As my survival instincts screamed at me, I launched myself upwards.
“Take cover—!”
Boom!
A blinding flash was followed by a deafening explosion that shook the earth. I scanned the battlefield from about ten meters above.
Just seconds earlier, the spot where I had been standing was now a scorched wasteland, stretching for hundreds of meters.
Through the lingering mist and rising dust clouds, I saw the ground covered in green blood and the shattered remains of monsters.
'Magic Trap.'
Facing an unseen enemy means having to be prepared for every possible scenario.
'There's no room for mercy in war.'
The countless wars recorded in human history serve as witnesses, prosecutors, and judges.
Even humans commit horrific atrocities in wartime; expecting mercy from monsters is absurd.
Thus, vigilance is essential in war. It reduces the risk of falling into enemy traps and minimizes sacrifices.
Just like now.
Tap.
I landed lightly and extended my hand. Bang! Compressed air burst forth, scattering the dust cloud.
Amidst the blood and corpses that littered the area, familiar faces emerged.
“Mr. Choi.”
Mr. Choi nodded after taking a deep breath. Behind him stood about two hundred members of the suicide squad, their faces pale with fright.
“There are a few injuries, but... everyone is safe.”
“That's a relief.”
“It was an incredibly powerful trap. If it weren't for this, most of us, including myself, would probably be dead.”
Swoosh, humm.
Mr. Choi reached out and touched the transparent barrier that appeared before him.
The barrier that enveloped him and the entire suicide squad was a spell inscribed on a scroll by a Grand Mage, one of the greatest mages among billions.
“When the battle is over, we must find Mr. Johnson first. We owe our lives to his magic.”
“Are you going to give him a kiss of gratitude?”
“Based on how I'm feeling now, I might do anything.”
Shao Shen, exhaling a breath he had been holding, responded to Mr. Choi’s words.
「I can do even more than that. This is really...」
He couldn't finish his sentence and looked around.
The explosion had been immense. At least a thousand monsters had been killed or incapacitated.
An indiscriminate trap. The Arch Lich had sacrificed countless minions to trap me and the suicide squad.
‘Look at this bastard...’
I had anticipated some of this, but the Arch Lich’s cunning and boldness exceeded my expectations.
If my signal had been even a moment late, and if we hadn't pushed through the monsters that were serving as bait, the entire suicide squad would have perished here.
‘Just like that day.’
An unforgettable memory. Such a tragedy must never happen again.
I turned and said,
“Keep your distance and follow me. Our goal is not to fight the monsters but to break through them.”
The suicide squad responded with a resounding roar. The monster army, which had lost many members in the explosion and was in disarray, hesitated and retreated.
When crisis turns into opportunity, we must not miss this chance.
“Charge—!”
With a dragon's roar imbued with Qi, I launched myself at the incoming monsters. Swish, the neck of a retreating monster flew into the air.
Toward the monster army, now with gaps created by the explosion, the two hundred members of the suicide squad charged like a spear, while the main force at the rear followed like a crashing wave.
Waaaaaaah—!
A deafening roar echoed across the battlefield. Green blood spread through the mist.
Far above, a flock of crows circled, overlooking the battlefield.
* * *
Upon a throne made of white bones, a being who had been sitting as if asleep suddenly opened its eyes.
From the empty sockets of the skull, a fierce light erupted, and a low murmur flowed out.
- Impressive.
The Arch Lich has hundreds of eyes and ears.
Even now, the familiars deployed across the battlefield were capturing every detail without missing a single moment.
Humans and monsters clashed fiercely, and the group of humans was making swift progress.
‘Suicide squad. That’s what they were called, wasn’t it?’
The Arch Lich recalled an old, dusty memory. A memory that, even after what felt like an eternity submerged in the river of death, he could not forget.
‘The Adversary.’
How could he forget? The human who had been at the center of everything and the suicide squad of humans who had risked death and charged alongside him.
‘It was him who drove the sword into my body.’
The Arch Lich looked at his own body, made of jet-black bones.
In the past, he had not been a lowly undead. He had been a noble and mighty being, trusted by the King, commanding countless monsters.
But on the day of the final battle, he too had fallen, along with the King. And it had been at the hands of a mere human.
- But… where is the Adversary? [Note: speculation time. The switch from the MC's point of view to the Arch Lich's made it seem like the Arch Lich is talking about the MC, but this seems unlikely since the MC hasn't faced any "King" monster before. By the same logic, it probably couldn't be Mr. Choi either, because the Arch Lich would have recognized him when he saw Mr. Choi with the MC. This makes me think that the most likely candidate for this "Adversary" is Lee Jeong-Ryong. If this is true, then the "King" that the Arch Lich used to serve could be Asmodeus, and the Arch Lich was one of the monsters fighting in the Great Cataclysm.]
The Arch Lich's voice was filled with curiosity.
He had surveyed all the fronts using his familiars, but the Adversary, who should have appeared, was nowhere to be seen. He recognized a few humans from his memory, but that was all.
‘Could it be?’
For a moment, the Arch Lich's eyes blazed intensely as he considered the possibility.
It was hard to believe, but if - just if - the Adversary had died... If he had met the fate of a mortal...
- Kha, khahaha!
His statue-like body trembled. The ground shook and the air quivered with his magic-laden laughter.
The guards, realizing their master's mood had changed, prostrated themselves.
- My lord.
- What troubles you?
The appearance of the guards was impressive. Each one rivaled a Named Monster, and there were twenty Death Knights and Liches in total, each cloaked in deeply blackened robes.
Creations made to face the Adversary. But now his thoughts had changed.
The Arch Lich, who had been laughing with joy, finally spoke.
- Listen, my loyal servants.
- At your command.
The Arch Lich stood and looked down at his subordinates. His eerie voice echoed through the space.
- Go to the battlefield. Crush and sweep away those insignificant humans.
The twenty Death Knights and Liches bowed without hesitation.
The Arch Lich was the lord of all undead present. There could be no doubt in following his command.
- We obey the Lord’s command.
With a unified response, they each went their separate ways.
The space became empty again. The Arch Lich, who had been laughing alone, sat on the skull throne and focused his mind.
As he observed the battlefield through the eyes and ears of numerous familiars, he suddenly paused.
- But... who is that human?
In the black eyes of the crows flying across the sky, he saw a young human cutting down monsters amidst a bloodbath.
A face that didn’t exist in his past memories. But it was a face he had seen through a familiar just a few days ago.
- The human who defeated the Death Knight Lord.
The Death Knight Lord, created using Lei Fei, was the Arch Lich’s greatest masterpiece among all his creations.
Though the transformation was incomplete due to Lei Fei's strong soul, the Arch Lich had imbued some of his own power into the Death Knight Lord, leaving no doubt about his strength.
All of his effort was for naught, as the best of his forces and precious magic power had been washed down the drain. All because of that insignificant human.
- Annoying. I’ll take care of him for sure this time.
Having decided to eliminate him, the Arch Lich sent out a thought.
Half of the guards heading to the fronts changed direction according to their Lord’s command.
* * *
Crack!
Wind, weapons, and the incredibly tough bodies of monsters.
Everything caught in the path of the spear blade was sliced apart.
Heads flew, and thick limbs soared through the air.
The troll, still barely alive, didn’t have time to regenerate before its body was shredded, and the ogre, half-decayed and undead, staggered before its upper body was severed by the sword.
Slash! Slash! Slash!
Wielding [Hero’s Soul], Mr. Choi cut down three or four monsters in an instant and shouted.
“Mr. Jin Tae-Kyung! The monsters' assault is too strong!”
His words were true. After breaking through the front line, the number of monsters decreased, but the quality of the troops increased significantly.
‘I expected this.’
The monsters at the front, used to overwhelm us long enough for the magic trap to catch us, were mostly mid to low-tier.
The Arch Lich had placed elites in the rear and used the other monsters as bait and meat shields.
‘To drain our strength.’
In addition, the thickening mist made the battle even more difficult.
The mist not only strengthened the monsters, but it also hindered visibility and hearing.
Conditions that were inevitably advantageous for monsters with superior senses compared to humans.
Of course......
'I'm an exception.'
Ssssss, Phwack!
The spear I flung with all my might skewered seven monsters.
Shao Shen and the rest of the Hunters in the suicide squad nodded their gratitude.
"Everyone, group up towards me!"
「But there are only a few magic scrolls left. If another magic trap activates......」
"No time to explain! To me! Now!"
At my shout, Mr. Choi and Shao Shen nodded and moved forward with the suicide squad.
I know what they are thinking, but we have already passed through three magic traps, and this is where the Arch Lich has gathered his elite forces. The chance of a trap activating is slim.
"Focus on defense rather than attack. Move forward!"
The battle itself has become more difficult, but with the chances of triggering a trap reduced, my heart feels lighter.
It's trivial if I have to deal with the traps by myself, but for the rest of the squad members, they pose a fatal threat.
'The last destination is just ahead. We will minimize casualties and join up with Lee Jeong-Ryong and Wu Hei-Xing.'
Screech! Crunch, crunch!
At that moment, as I led the vanguard and began to feel the accumulating fatigue...
- Everyone, come out!
- Human, by the command of our Monarch, I will take your life.
Like the parting of the Red Sea, the curtain of monsters split left and right. The beings that appeared made me stare in shock.
[Lv.120 Shadow Lich]
[Lv.115 Shadow Death Knight]
There were ten creatures over level 120. Suddenly, I couldn't breathe, and my hands and feet trembled.
Mr. Choi, seeing me shaking like a leaf, shouted in a voice filled with despair.
"We must retreat immediately!"
"Mr. Choi... Mr. Choi."
"Snap out of it, Mr. Jin Tae-Kyung!"
"Lunch is here."
"If this continues, it will be a complete wipeout... Huh?"
I looked at the ten monsters, no, the lunchboxes with trembling eyes.
"The lunch delivery is here."
"......?"
- ……?
- ……?
Put the question marks away, you bastards.
It's One Strike time.
Previous Table of Contents Next
2024.05.18 16:39 kawaii_ola Fibroid or Hormonal Imbalance? (Pictures Attached)
Hi!
I apologize in advance for this post being so long; I want to make sure I don’t skip any major, important points! Thank you so much for reading through this and any help!
35F, very active, 5’4” tall, 128 lbs, Caucasian. Gravita 0, Para 0 if that’s helpful.
I had a copper IUD inserted in December of 2019. I absolutely loved it. I couldn’t describe how happy I was to be off hormonal birth control. For years, I had no issues, and I was one of the very few lucky women who had no complains on the side effects that other women did experience. This year, though, starting around February, I started noticing mild changes in my menstrual bleeding. It started coming and going, almost what seemed like mid-cycle, and then I would only have about 2 weeks before my next period would start.
I had a lot of stress this year, so I didn’t think anything of it. In March, my period was suspiciously light, which was something I didn’t initially complain about. The problem started getting more concerning when I noticed that this time my period wasn’t going away. It was almost as if it “tried” to lighten and go away, but I just kept bleeding repeatedly. It’s never been profuse but annoying enough for me to be inconvenienced by it, especially since I work at a busy hospital. Then I started getting mild pressure in the abdomen and some back pain. The old blood that I was shedding looked like strange, hair-like coils, and I’ve never seen anything like it.
I decided to go for a checkup. On examination, everything looked normal. My NP told me that the coils I was seeing were in the shape of the IUD, so she didn’t think it was anything to worry about. She sent me for a transvaginal ultrasound, and they found a small, posterior fibroid measuring less than 2 cm. I wasn’t told specifically what kind of fibroid it was, but I was prescribed, in a short span, three different birth control pills to lighten the bleeding more- first Provera, then Portia (BID), and now finally Nortrel 1/35. Provera put me in the heaviest period I’ve ever had. Portia stopped the bleeding after day 3, but it returned shortly after while I was still taking the pills. I wasn’t sure if the bleeding truly stopped after that massive period I had from Provera, or if it was Portia. I was confused. Nortrel gave me the heaviest, most painful breasts and chills along with hot flashes.
I went on vacation to visit my family in Poland a little over a week ago. On Monday, 5/13, I had debilitating cramps and more bleeding with clots. I immediately called my local private OB/GYN, and she took me in the next day. What’s awesome is that in Poland it’s the gyn herself that did the transvaginal ultrasound herself, and she was pointing out and explaining everything. She also found the same fibroid and told me it’s a subserosal fibroid. She immediately told me, though, that it simply can’t be contributing to my problem because it’s so small and in a location where it wouldn’t be symptomatic quite yet. She immediately linked the bleeding and cramping to the copper IUD and told me she’s been seeing progressively more complaints about it as well as unwanted pregnancies. She told me she’s seen women’ uteruses trying to push the IUD out after years, and sometimes it just needs to be taken out. I asked if she would be willing to do it, and she did. The IUD was taken out.
I immediately felt relief and almost as if someone deflated my abdomen. I was told that I must be very patient now because I was juggled hormonal therapy so much that I need to give my body a lot of grace to adapt. She didn’t tell me to stop Nortrel (which we don’t have the equivalent of in Poland). Instead, she told me to wait it out because she was positive the copper IUD was the culprit. My NP in the U.S. wanted to do a biopsy after my return, but the OB/GYN in Poland told me it’s currently unwarranted since she didn’t see any thickening of the endometrium or any other alarming signs. It’s been 4 days since the copper IUD was taken out; I have zero cramps, but the bleeding is persisting. It’s not profuse, but it’s there enough for me to use light tampons or pads.
I arrived at my questions:
1) Should I continue taking Nortrel, or should I try to stop taking it to see if my body can level itself out and then restart it? Regardless, both NP and GYN agreed that I need to be on hormonal therapy now to protect my uterus from more fibroids
2) Looking at the attached ultrasound pictures, would you agree that this fibroid wouldn’t cause symptoms?
https://imgur.com/a/XIMMCBD
Thank you so much in advance!
submitted by kawaii_ola to AskDocs [link] [comments]
I apologize in advance for this post being so long; I want to make sure I don’t skip any major, important points! Thank you so much for reading through this and any help!
35F, very active, 5’4” tall, 128 lbs, Caucasian. Gravita 0, Para 0 if that’s helpful.
I had a copper IUD inserted in December of 2019. I absolutely loved it. I couldn’t describe how happy I was to be off hormonal birth control. For years, I had no issues, and I was one of the very few lucky women who had no complains on the side effects that other women did experience. This year, though, starting around February, I started noticing mild changes in my menstrual bleeding. It started coming and going, almost what seemed like mid-cycle, and then I would only have about 2 weeks before my next period would start.
I had a lot of stress this year, so I didn’t think anything of it. In March, my period was suspiciously light, which was something I didn’t initially complain about. The problem started getting more concerning when I noticed that this time my period wasn’t going away. It was almost as if it “tried” to lighten and go away, but I just kept bleeding repeatedly. It’s never been profuse but annoying enough for me to be inconvenienced by it, especially since I work at a busy hospital. Then I started getting mild pressure in the abdomen and some back pain. The old blood that I was shedding looked like strange, hair-like coils, and I’ve never seen anything like it.
I decided to go for a checkup. On examination, everything looked normal. My NP told me that the coils I was seeing were in the shape of the IUD, so she didn’t think it was anything to worry about. She sent me for a transvaginal ultrasound, and they found a small, posterior fibroid measuring less than 2 cm. I wasn’t told specifically what kind of fibroid it was, but I was prescribed, in a short span, three different birth control pills to lighten the bleeding more- first Provera, then Portia (BID), and now finally Nortrel 1/35. Provera put me in the heaviest period I’ve ever had. Portia stopped the bleeding after day 3, but it returned shortly after while I was still taking the pills. I wasn’t sure if the bleeding truly stopped after that massive period I had from Provera, or if it was Portia. I was confused. Nortrel gave me the heaviest, most painful breasts and chills along with hot flashes.
I went on vacation to visit my family in Poland a little over a week ago. On Monday, 5/13, I had debilitating cramps and more bleeding with clots. I immediately called my local private OB/GYN, and she took me in the next day. What’s awesome is that in Poland it’s the gyn herself that did the transvaginal ultrasound herself, and she was pointing out and explaining everything. She also found the same fibroid and told me it’s a subserosal fibroid. She immediately told me, though, that it simply can’t be contributing to my problem because it’s so small and in a location where it wouldn’t be symptomatic quite yet. She immediately linked the bleeding and cramping to the copper IUD and told me she’s been seeing progressively more complaints about it as well as unwanted pregnancies. She told me she’s seen women’ uteruses trying to push the IUD out after years, and sometimes it just needs to be taken out. I asked if she would be willing to do it, and she did. The IUD was taken out.
I immediately felt relief and almost as if someone deflated my abdomen. I was told that I must be very patient now because I was juggled hormonal therapy so much that I need to give my body a lot of grace to adapt. She didn’t tell me to stop Nortrel (which we don’t have the equivalent of in Poland). Instead, she told me to wait it out because she was positive the copper IUD was the culprit. My NP in the U.S. wanted to do a biopsy after my return, but the OB/GYN in Poland told me it’s currently unwarranted since she didn’t see any thickening of the endometrium or any other alarming signs. It’s been 4 days since the copper IUD was taken out; I have zero cramps, but the bleeding is persisting. It’s not profuse, but it’s there enough for me to use light tampons or pads.
I arrived at my questions:
1) Should I continue taking Nortrel, or should I try to stop taking it to see if my body can level itself out and then restart it? Regardless, both NP and GYN agreed that I need to be on hormonal therapy now to protect my uterus from more fibroids
2) Looking at the attached ultrasound pictures, would you agree that this fibroid wouldn’t cause symptoms?
https://imgur.com/a/XIMMCBD
Thank you so much in advance!
2024.05.18 16:00 DecadesForgotten Possible NET, intestinal
Hi everyone, I just need to get this off my chest while I'm awaiting diagnosis (or not). I don't want to discuss with friends/family and worry unnecessarily. Here is my story. Long post and TMI as it relates to stomach issues.
For the past several years I have been struggling with stomach cramps, diarrhea, weight loss, nausea, fatigue. The first Dr I went to I was having diarrhea roughly 20xs a day. Sometimes bloody. I had lost 15lbs. I thought I was dying. She told me I was anxious, that the horrible stomach pain was gas or IBS. Eventually I ended up in the ER and had a CT scan done which showed multiple spots of "thickening" in my colon. The thought at that time was I likely had some type of IBD.
When I saw the gastro I had tons of tests, endoscopy, colonoscopy, lots of blood work. Everything ruled out IBD and any other GI issues they could think of. I was eventually diagnosed with gastroparesis. The gastric emptying scan showed initially fast digestion, but over the course of the 4 hours it was overall slow. The gastro Dr had no explanation for my positive CT scan, just said sometimes stuff can show, but it doesn't mean anything? Well, there's no real treatment for gastroparesis, just treat the symptoms, so I'd take zofran for nausea, and Imodium for diarrhea and try to live my life.
More recently I started experiencing sweating which got me referred to an endocrinologist. He saw the CT scan in my chart and asked me about it. He also asked if I experienced flushing with the diarrhea which I do. He said this would be a rare thing, but when I looked up the likelihood, it seems about as rare as idiopathic gastroparesis. So this weekend I'm doing the 24hr 5HIAA urine test. So I'll turn that in Monday and hopefully get my results back in the next few days
submitted by DecadesForgotten to neuroendocrinetumors [link] [comments]
For the past several years I have been struggling with stomach cramps, diarrhea, weight loss, nausea, fatigue. The first Dr I went to I was having diarrhea roughly 20xs a day. Sometimes bloody. I had lost 15lbs. I thought I was dying. She told me I was anxious, that the horrible stomach pain was gas or IBS. Eventually I ended up in the ER and had a CT scan done which showed multiple spots of "thickening" in my colon. The thought at that time was I likely had some type of IBD.
When I saw the gastro I had tons of tests, endoscopy, colonoscopy, lots of blood work. Everything ruled out IBD and any other GI issues they could think of. I was eventually diagnosed with gastroparesis. The gastric emptying scan showed initially fast digestion, but over the course of the 4 hours it was overall slow. The gastro Dr had no explanation for my positive CT scan, just said sometimes stuff can show, but it doesn't mean anything? Well, there's no real treatment for gastroparesis, just treat the symptoms, so I'd take zofran for nausea, and Imodium for diarrhea and try to live my life.
More recently I started experiencing sweating which got me referred to an endocrinologist. He saw the CT scan in my chart and asked me about it. He also asked if I experienced flushing with the diarrhea which I do. He said this would be a rare thing, but when I looked up the likelihood, it seems about as rare as idiopathic gastroparesis. So this weekend I'm doing the 24hr 5HIAA urine test. So I'll turn that in Monday and hopefully get my results back in the next few days
2024.05.18 01:18 cafe_con_chaos Can I please get some MRI insight?
F, 35. Suspected dysautonomia with disregulated body temperature, heart rate, and blood pressure. Multiple syncope and pre-syncope episodes. Saw a neurologist who ordered brain MRI with and without contrast. Results came in right before the office closed, so I'm sitting with this for the weekend. Any insight would be greatly appreciated.
FINDINGS: Inferior descent of the cerebellar tonsils through the foramen magnum measuring up to 0.9 cm. Peglike configuration of the herniated cerebellar tonsils. Findings consistent with Chiari I malformation.
Several scattered periventricular and subcortical T2 FLAIR hyperintense lesions in the supratentorial white matter predominantly affecting the right frontoparietal lobes, with additional lesions in the inferior left parietal subcortical and left periatrial white matter.
No acute intracranial hemorrhage. No intracranial mass, mass effect or midline shift. The ventricles are within normal size limits. No diffusion restriction to suggest recent infarct. Partially empty sella. The major intracranial flow voids are maintained. No abnormal intracranial parenchymal or leptomeningeal enhancement. Subcortical developmental venous anomaly in the left middle frontal gyrus.
Focal susceptibility with heterogeneous T2 signal lesion in the subcortical paramedian left parietal lobe measuring up to 4 mm that could reflect a cavernous malformation. No perilesional edema to suggest recent hemorrhage.
The orbits are unremarkable. Mild to moderate polypoid mucosal thickening throughout the left greater than right paranasal sinuses. Fluid levels in the left maxillary sinus and ethmoid air cells could reflect acute on chronic sinusitis. The bilateral mastoid air cells are clear.
IMPRESSION: 1. Nonenhancing supratentorial white matter lesions as detailed above. Appearance could be in keeping with demyelinating lesions in the setting of multiple sclerosis. Correlate clinically. 2. Findings consistent with Chiari I malformation. 3. Cavernous malformation in the subcortical superior paramedian left parietal lobe. 4. Mucosal inflammation in the left greater than right paranasal sinuses with findings that could reflect acute on chronic sinusitis as detailed above.
submitted by cafe_con_chaos to AskDocs [link] [comments]
FINDINGS: Inferior descent of the cerebellar tonsils through the foramen magnum measuring up to 0.9 cm. Peglike configuration of the herniated cerebellar tonsils. Findings consistent with Chiari I malformation.
Several scattered periventricular and subcortical T2 FLAIR hyperintense lesions in the supratentorial white matter predominantly affecting the right frontoparietal lobes, with additional lesions in the inferior left parietal subcortical and left periatrial white matter.
No acute intracranial hemorrhage. No intracranial mass, mass effect or midline shift. The ventricles are within normal size limits. No diffusion restriction to suggest recent infarct. Partially empty sella. The major intracranial flow voids are maintained. No abnormal intracranial parenchymal or leptomeningeal enhancement. Subcortical developmental venous anomaly in the left middle frontal gyrus.
Focal susceptibility with heterogeneous T2 signal lesion in the subcortical paramedian left parietal lobe measuring up to 4 mm that could reflect a cavernous malformation. No perilesional edema to suggest recent hemorrhage.
The orbits are unremarkable. Mild to moderate polypoid mucosal thickening throughout the left greater than right paranasal sinuses. Fluid levels in the left maxillary sinus and ethmoid air cells could reflect acute on chronic sinusitis. The bilateral mastoid air cells are clear.
IMPRESSION: 1. Nonenhancing supratentorial white matter lesions as detailed above. Appearance could be in keeping with demyelinating lesions in the setting of multiple sclerosis. Correlate clinically. 2. Findings consistent with Chiari I malformation. 3. Cavernous malformation in the subcortical superior paramedian left parietal lobe. 4. Mucosal inflammation in the left greater than right paranasal sinuses with findings that could reflect acute on chronic sinusitis as detailed above.
2024.05.18 01:13 GoalAccomplished412 Over this feeding plan
My daughter has to be on thickened feeds. She can JUST NOW (last week) finally take my milk with gelmix and my husband didn’t tell me we ran out. So now I have to try and get her to drink thin liquids (it’s not that it’s unsafe, she’s just more effective with thicker liquids) and she’s not doing it. It makes me want to stop pumping it’s making my freaking blood boil. I just want to scream. Gelmix is expensive, my dr won’t write a script without seeing her. I’m just so over this. I wish they would’ve just sent us home with an NG and we could work towards full feeds at home, this is just setting us so far back and I’m just FRUSTRATED. My husband doesn’t get why it makes me so mad but I pump 6-7x per day, for 30 minutes each time and when she came drink my milk it makes me crazy. That’s three to almost four hours in a 24 hour period stuck to the wall. Idk I’m just venting. Just over this. Over this plan. Over her not being able to eat like a normal baby.
submitted by GoalAccomplished412 to NICUParents [link] [comments]
2024.05.18 00:19 Intelligent_Bee0117 Can someone please help explain.
Hello,
My 35 female, just received 15yr old female daughters, MRI results.
Just asking if someone wouldn't mind explaining this to me, as I am waiting for the doctor to call about this but would like be somewhat informed when he calls and be prepared if I have questions.
Background my daughter has had wrist pain, we dont know exactly what hurts, joints, blood vessels, ligaments, etc,(don't know what else we could be looking for) for over 8 years and multiple doctor visits and exams but nothing.
Is there anything in this that would attribute to daily constant pain for her? Or anything I am missing or the doctors are missing that I can ask?
HISTORY: Bilateral wrist pain, chronic. The patient also has ankle pain. As discussed with Dr. Berger and with the mother, it was decided to proceed first with the MRI arthrogram of the most symptomatic wrist which happens to be the dominant side (right side). The patient has the MRI arthrogram of the contralateral side is scheduled in 2 weeks.
TECHNIQUE: A multisequence, multiplanar MRI of the right wrist was obtained. CONTRAST: 3 mL of a mixture of 15 cc of NS, 5 cc of Optiray 320 and 0.1 ml of Gadavist. SEDATION: Versed was administered orally for anxiolysis. COMPARISON: radiographs of the wrist from September 29, 2023 and prior
FINDINGS: Skeletal maturity: Skeletally mature Marrow pattern: Normal physiologic distribution
Bones and bone marrow: There is a branching, T2 hyperintense area in the body of the capitate that may represent intraosseous vasculature. There is mild surrounding bone marrow edema. Otherwise, the bones are intact without evidence of erosions.
Joints: Mild dorsal decentering of the distal ulna at the radioulnar joint is identified of approximately 3 mm. There is preservation of the joint space. Articular cartilage: Preserved.
Effusion: There is adequate distention of the distal radio- and ulnocarpal joints by the injected fluid.
Ganglion/synovial cysts: There is a small synovial cyst arising from the volar aspect of the distal radioulnar joint extending proximally. The cyst measures approximately 1.1 cm in caudocranial dimension x1 cm in transverse diameter x0.3 cm in AP dimension Intrinsic ligaments. Scapholunate ligament: Intact. Lunotriquetral ligament: Intact. Triangular fibrocartilage complex: Intact. Extrinsic ligaments: Not defined but there is no edema in or under the volapalmar or dorsal capsular region. Extensor tendons: EXT carpi radialis longus and brevis. Lister tubercle: There is mild fluid in the tendon sheath of the extensor carpi radialis longus in keeping with tenosynovitis. EXT pollicis longus: Intact. EXT pollicis brevis and abductor pollicis longus: intact EXT digitorum, EXT indicis: Intact. EXT digiti minimi: Intact. EXT carpi ulnaris: There is subluxation of the extensor carpi ulnaris with a heterogeneous, intermediate increased signal of the tendon distal to the joint line. No definite fiber interruption is identified. In addition, there is mild thickening and edema of the tendon sheath at that level in keeping with mild tenosynovitis. Flexor retinaculum: Defined. Flexor tendons and median nerve: Defined, no abnormal signal. Carpal tunnel at level of hamate hook: No abnormal signal. Pisiform level Guyon canal, ulnar artery and nerve: Defined without abnormal signal. Muscles: Pronator quadratus, intrinsic muscles: Intact. Subcutaneous soft tissues: Infiltration site is identified at the dorsum of the wrist
CONCLUSION: Slightly heterogeneous intermediate increased intrasubstance signal of the distal aspect of the extensor carpi ulnaris distal to the joint line in keeping with tendinosis. In addition, there is subluxation of the tendon and mild tenosynovitis. These findings suggest chronic repetitive stress. Mild incongruency of the distal radioulnar joint. Mild tenosynovitis of the extensor carpi radialis longus. Small ganglion cyst arising from the volar aspect of the distal radio-carpal joint.
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My 35 female, just received 15yr old female daughters, MRI results.
Just asking if someone wouldn't mind explaining this to me, as I am waiting for the doctor to call about this but would like be somewhat informed when he calls and be prepared if I have questions.
Background my daughter has had wrist pain, we dont know exactly what hurts, joints, blood vessels, ligaments, etc,(don't know what else we could be looking for) for over 8 years and multiple doctor visits and exams but nothing.
Is there anything in this that would attribute to daily constant pain for her? Or anything I am missing or the doctors are missing that I can ask?
HISTORY: Bilateral wrist pain, chronic. The patient also has ankle pain. As discussed with Dr. Berger and with the mother, it was decided to proceed first with the MRI arthrogram of the most symptomatic wrist which happens to be the dominant side (right side). The patient has the MRI arthrogram of the contralateral side is scheduled in 2 weeks.
TECHNIQUE: A multisequence, multiplanar MRI of the right wrist was obtained. CONTRAST: 3 mL of a mixture of 15 cc of NS, 5 cc of Optiray 320 and 0.1 ml of Gadavist. SEDATION: Versed was administered orally for anxiolysis. COMPARISON: radiographs of the wrist from September 29, 2023 and prior
FINDINGS: Skeletal maturity: Skeletally mature Marrow pattern: Normal physiologic distribution
Bones and bone marrow: There is a branching, T2 hyperintense area in the body of the capitate that may represent intraosseous vasculature. There is mild surrounding bone marrow edema. Otherwise, the bones are intact without evidence of erosions.
Joints: Mild dorsal decentering of the distal ulna at the radioulnar joint is identified of approximately 3 mm. There is preservation of the joint space. Articular cartilage: Preserved.
Effusion: There is adequate distention of the distal radio- and ulnocarpal joints by the injected fluid.
Ganglion/synovial cysts: There is a small synovial cyst arising from the volar aspect of the distal radioulnar joint extending proximally. The cyst measures approximately 1.1 cm in caudocranial dimension x1 cm in transverse diameter x0.3 cm in AP dimension Intrinsic ligaments. Scapholunate ligament: Intact. Lunotriquetral ligament: Intact. Triangular fibrocartilage complex: Intact. Extrinsic ligaments: Not defined but there is no edema in or under the volapalmar or dorsal capsular region. Extensor tendons: EXT carpi radialis longus and brevis. Lister tubercle: There is mild fluid in the tendon sheath of the extensor carpi radialis longus in keeping with tenosynovitis. EXT pollicis longus: Intact. EXT pollicis brevis and abductor pollicis longus: intact EXT digitorum, EXT indicis: Intact. EXT digiti minimi: Intact. EXT carpi ulnaris: There is subluxation of the extensor carpi ulnaris with a heterogeneous, intermediate increased signal of the tendon distal to the joint line. No definite fiber interruption is identified. In addition, there is mild thickening and edema of the tendon sheath at that level in keeping with mild tenosynovitis. Flexor retinaculum: Defined. Flexor tendons and median nerve: Defined, no abnormal signal. Carpal tunnel at level of hamate hook: No abnormal signal. Pisiform level Guyon canal, ulnar artery and nerve: Defined without abnormal signal. Muscles: Pronator quadratus, intrinsic muscles: Intact. Subcutaneous soft tissues: Infiltration site is identified at the dorsum of the wrist
CONCLUSION: Slightly heterogeneous intermediate increased intrasubstance signal of the distal aspect of the extensor carpi ulnaris distal to the joint line in keeping with tendinosis. In addition, there is subluxation of the tendon and mild tenosynovitis. These findings suggest chronic repetitive stress. Mild incongruency of the distal radioulnar joint. Mild tenosynovitis of the extensor carpi radialis longus. Small ganglion cyst arising from the volar aspect of the distal radio-carpal joint.