Advair expired

Metabolic acidosis diagnosed yesterday, feeling worse

2024.05.07 01:30 Flunose_800 Metabolic acidosis diagnosed yesterday, feeling worse

36F, almost 5’9” 147 lbs. Severe eosinophilic asthma, numerous environmental allergies and oral allergy syndrome, hypothyroid, migraines, currently undiagnosed constellation of symptoms including muscle weakness (including diaphragm weakness that briefly led to intubation about a month ago), areflexia, and numbness in hands and feet. Have cervical spine MRI in a week and a half.
Meds: Dupixent, Advair, Spiriva, Singulair for eosinophilic asthma. Albuterol PRN.
Levocetirizine and famotidine for allergies. Topiramate BID for migraine prophylaxis. Birth control pill. Multivitamin and vitamin D OTC.
Woke up with a random virus on Friday. Went to urgent care to be tested for Covid as my at home tests expired and given my history of frequent asthma exacerbations when sick, would need Paxlovid if positive. Was negative for flu, Covid, strep, and RSV.
Woke up Saturday with my asthma worse. Was unable to manage it with frequent nebulizer treatments at home so went to the ED and was admitted overnight for observation. Had some IV steroids and breathing treatments. Asthma is a lot better and throat feels better too.
Diagnosed with non anion gap metabolic acidosis while there based on lab work. My CO2 level was 13 mmol/L, chloride was 105 mmol/L. Told to take sodium bicarbonate 650 mg three times a day for a week and then repeat labs.
I woke up this morning feel pretty sick. Terrible muscle burning and intense nausea. No appetite and a headache. Slightly fast heart rate. I had a post hospital telehealth followup with my PCP and he said to go back to the ER if I am unable to keep anything down.
I have vomited 4 times since my appointment; 3 times around 1:30 and then about 30 min ago. I did take 4 mg of zofran that I am prescribed for migraines around 2 pm and that helped the nausea for a bit. I am just so burned out with being in the hospital that I don’t want to go back. I am also not sure if I am still a bit sick with whatever virus I had, although nausea was not one of my initial symptoms.
Any advice would be greatly appreciated.
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2023.12.26 06:05 INFINITUMFOREVER_ asthma has really made me depressed

i don’t wanna make this long but, i’ve had asthma since i was 10. i remember the first attack i had was when i was in gym and out of nowhere it just got so hard to breathe. ever since than i was put on several medications, im 17 now. nothing has worked, and if anything it has gotten worse. advair made me have allergic reactions, which later lead to face swelling. it went from not being able to play sports for more than 10 mins to not being able to walk for 5. it has limited my ability to play sports that i love, like soccer or boxing. going out with friends without being the one that holds everyone behind. i even have difficulty breathing out of nowhere in my own home when im doing literally nothing. no one understands what’s going on, we’ve went to several doctors. nothing has been helping. we’ve taken allergy testing several times and i’m not allergic to anything but mold from expired foods. i feel as if my body is against me, i feel like it hates me. and i’m starting to hate myself for it, i also believe it’s reduced my development. regardless, it’s weighing on me more and more everyday. i can’t even walk to school without having to fight for my breath the second i get there, i’ve tired sea moss, black seed oil and a lot more but nothing helps. damn near willing to sell my soul to get this out of me. i’m tired. so tired.
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2023.12.24 19:01 Hercules0118 anxiety dread and overall need someone to talk to

my father started with a sore throat on Thursday and a fever my brother was next with body aches chills and fever I had a tingling in my throat we took a covid test that was expired by one year brother was positive I was negative but this morning I woke up with chills and muscle aches im paranoid as I have controlled asthma but was hearing about the new medication I can take but it would require me not to mix my Advair preventive inhaler with it which would cause me to start having asthma flare ups that aren't pleasant so I guess im asking has anyone had this covid with asthma and recovered fine without the paxlovid I think its called I am paranoid its gonna get my lungs and give me pneumonia or ill be intubated and dead can someone talk to me here
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2023.12.24 18:57 Hercules0118 30 healthy fit male controlled asthma

I have a question regarding this medication Thursday my father started with a fever and throat ache yesterday my brother had a fever and sore body I had a mild tingling in my throat today I have body aches and sensitivity I've had controlled asthma for over a year and take my Advair preventive inhaler daily twice in the morning and twice at night before bed.
my mom had a expired covid kit at home my brother tested positive and me negative.
so I if I were to request this medication I can't mix them as it can have some severe side effects so if I get off my Advair im gonna have wheezing and asthma symptoms that aren't pretty so my question is im aware the medication really helps im covid boosted never got the new round that came out my concern is will I get pnemunioa and die? im freaking out if I don't get this medication im worried ill die or has anyone on here got this covid with asthma without the medication and recovered fine?
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2023.05.26 19:16 kaibugg1210 How to treat asthma?

23f who has had a history about having mild - moderate asthma. I got diagnosed with asthma in about freshman year of hs. It started with treatment consisting of an allergy pill, nasal spray, albuterol inhaler when needed, and advair disk at night. Throughout the years, frankly, I never payed attention to my meds other than my rescue inhaler. It never really bothered me too much. Interestingly enough I got into weightlifting and became super active around 2017-early 2020. It was almost like i didn’t have asthma anymore at all. Never had any issues. I was in great shape and felt like the healthiest I could be. Up until the pandemic where I got covid a few times. My asthma has come back full force, worse than ever before. I was treated at the time with high dose inhalers, nebulizar treatments, and pill medications. The issue is after the covid related healthcare expired in my state I don’t have affordable access to see an asthma specialist or get refills. With healthcare issues from not being able to qualify for Medicaid or afford my employer provided care, I don’t know how to get treatment since my symptoms have worsened. I have a cabinet FULL of previous prescriptions but I’m not sure if I should take any due to their strengths. Daily I have issues with taking deep breaths, horribly allergies, mucous constantly stuck in my throat, if I do exercise of any sort (running, yoga, hiking, walking long distances, going to gym) I get so winded within 20mins and my chest gets so unbearably tight I feel like I can’t open my lungs to get air. Using my last prescribed rescue inhaler, it takes me about 30-45 minutes to completely cool down. It’s becoming a really big issue.
Are there ways to self-treat asthma? I’ve been seeing supplements like mullien is helpful for lung health but am not sure how to move forward.
Any and all suggestions are appreciated.
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2023.05.03 20:00 taraclaire Eye Injury. Burn or something else?

Female, Age 42
5’0, 178lbs
No drinking/recreational drugs/nicotine
Conditions: Asthma, ADHD, Anxiety, Depression, Migraines
Meds: Advair 250/50 (daily), albuterol inhaler (as needed), Vyvanse 60mg (daily), Prozac 40mg (daily), clonazepam 0.5mg (as needed), Zofran (as needed), Trizepatide 5mg (1 x week), Claritin (as needed, multiple times per week)
Allergies: Cats (I have 3), Florida (I live there), Penicillin
Pets: 3 cats
I am not sure what I did to my eye, but maybe this was it:
Today is Wednesday. Sunday night I was air frying steak and got some juice got in my left eye when flipping it. I didn’t think anything of it at the time since it didn’t hurt enough to slow me down. I actually forgot about it entirely and put in contact lenses the next day. It felt like I got an eyelash trapped in that eye, so I swapped it out with another fresh one and wore it with little noticeable irritation for about six hours. About an hour after I took out the lenses, I realized my eye was kind of aching a bit. Then I looked in the mirror and saw my eye!
I put bacitracin/polymyxin b drops in it and made an eye patch for that night. It felt a little better the next morning (yesterday). I continued the drops throughout the day (oh hey guess what, they expired in 2020…). Obviously they’re not doing much because two days later my eye still looks like this. It’s a little sore inside the outer corner.
My questions are:
A) Does this look like a thermal burn from cooking?
B) If not, what else could it be? It doesn’t feel like “pink eye” and only one side of my eyeball is irritated.
C) Can I wait another day to go to the doctor? I don’t have a dollar to my name today and I really don’t want to go to the ER.
Link to Pics
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2022.10.28 00:20 pulsatingcomfort Should I Stock Up On Inhalers?

My asthma is well controlled, currently. (I know that can change).
Doctor gave me 12 refills, advair and albuterol inhalers:
Should I keep refilling them?
Action items:
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2022.02.20 13:19 Infanatis Mother hospitalized/intubated, confused on labs (59/F)

My mother has been hospitalized for the most of February due to "COPD exasperation," and has been released from the hospital numerous times only to be brought back by the ambulance. Most recently she was released on the 18th while I was at work, and only a few hours later brought back to the hospital. I'm including the notes from this hospitalization + labs, which also gives a general history of her hospitalizations over this last month.
What I'm confused on is the discrepancy in her labs - why/how are her labs looking worse while intubated on a ventilator? Due to my hours, I can't go in and get an answer due to COVID protocols and limited visitation, and my phone conversations leave me even more confused.
I've tried to SS everything while redacting info for privacy, but it proved tedious - so I copy/pasted provider notes below, and recent labs can be seen here
I apologize if this is a lot, I can clean it up as best I can.

ED Triage Notes by , RN at 2/18/2022 11:25 PM

Pt BIB WMF from home after experiencing SOB at home. Upon EMS arrival, pt was in active respiratory distress, O2 in the 80s. EMS placed pt on CPAP and gave pt a duoneb and Solumedrol. Pt arrives tachypneic with labored breathing.

Nursing Note by , RN at 2/18/2022 12:25 AM

After being discharged, pt repeatedly (8-10 times) called back to the hospital to inquire about medications given during admission and medical questions. Pt also requested a medical release of information to be mailed to her house - educated pt about calling back in the morning to speak with medical records. Education given about discharge paperwork, pt responded with "I'm blind, that should be in the chart stating this." Medication pt requested given verbally over the phone with the patient. Pt stated that Apria did not change the bipap settings as they were here in the hospital during her admission - educated pt about speaking with Apria again. Informed MD Scott of the situation and he was told that Apria made the appropriate changes to the settings. Prior to taking pt down to the front emergency entry - educated about the importance of quitting smoking. Brother - Gordon picked up patient with no difficulties. Pt was on 5LNC O2 (same settings while she was waiting in the room to be discharged) when settled into the vehicle. No s/s of respiratory distress. Discussed with brother the importance of quitting smoking for the patient - his response "We have been telling her that for years." Pt and brother left with 2 tanks of full O2.

ED Provider Notes by Wu, MD at 2/18/2022 11:18 PM
EMERGENCY DEPARTMENT ENCOUNTER
Assessment & Plan
Patient presents to the emergency department emergently via EMS with chief complaint of shortness of breath. She has a long history of COPD and CHF, and recent admission to hospital for this. She was just discharged, but reportedly went home and started smoking again. EMS put her on CPAP, gave her inline DuoNeb and 125 mg Solu-Medrol. History limited secondary to critical nature of the patient in respiratory distress.
History is limited secondary to acuity of illness.
Patient is obtunded upon arrival. VBG demonstrates a pH of 7.1 and a PCO2 of 116. At this plan, decision was made to perform rapid sequence intubation. Ketamine and rocuronium was used and she was intubated without difficulty.
ED Course as of 02/19/22 0047
Sat Feb 19, 2022
0024 WBC White Blood Count(!): 28.6 [MW]
0024 pH, Venous (POC)(!): 7.21 [MW]
0024 pCO2, Venous (POC)(!): 79 [MW]
0025 pH, Venous (POC)(!!): 7.11 [MW]
0025 pCO2, Venous (POC)(!): 117 [MW]
0044 Discussed with Dr. , with ICU. He agrees with admitting the patient and further management. CTA of the chest also ordered. [MW]
0044 Sepsis alert initiated. [MW]
ED Course User Index
[MW] Ming-Jay Jeffrey Wu, MD
Sepsis core measure:
Infection was first suspected after WBC.
The patient met SIRS criteria if two or more were present: See nurse's notes and HR > 90
The criteria for acute organ damage was based on: AMS (GCS < 13)
The onset time of severe sepsis occurred when the organ damage criterion was met or when infection was first suspected, whichever came later.
The sepsis alert protocol was initiated.
Blood cultures were drawn before antibiotics.
Antibiotics were broad spectrum or based on culture data.
An initial lactate was obtained.
The initial lactate was elevated and was repeated.
30 cc/kg of crystalloid fluid was administered based on ideal body weight because of BMI > 30.
Vasopressors were not indicated (either the patient was not hypotensive after the fluid bolus or oscillometric hypotensive readings in the hour after the fluids were not felt to be reflective of true hypotension requiring vasopressors).
I performed a sepsis focused exam. Time of exam: 02/19/22 at 12:46 AM MST
My critical care time in the management of severe sepsis as described above was at least 45 minutes, excluding procedures.
CLINICAL IMPRESSION:
Final diagnoses:
Acute on chronic respiratory failure with hypoxia and hypercapnia (CMS/HCC)
COPD with acute exacerbation (CMS/HCC)
ED Prescriptions
None 
COMPLAINT / HISTORY OF PRESENT ILLNESS
CHIEF COMPLAINT: Respiratory failure
HISTORY OF PRESENT ILLNESS:
Patient presents to the emergency department emergently via EMS with chief complaint of shortness of breath. She has a long history of COPD and CHF, and recent admission to hospital for this. She was just discharged, but reportedly went home and started smoking again. EMS put her on CPAP, gave her inline DuoNeb and 125 mg Solu-Medrol. History limited secondary to critical nature of the patient in respiratory distress.
ROS: Limited secondary to acuity of illness. As is my standard practice, ALL positives from the ROS are documented in the HPI.
PAST HISTORIES / MEDICATIONS / ALLERGIES
Past Medical History:
Diagnosis Date
• Ambulates with cane
• Asthma
• Cataracts, bilateral
• COPD (chronic obstructive pulmonary disease) (CMS/HCC)
• GERD (gastroesophageal reflux disease)
• Hemoptysis 3/18/2019
• Hypertension
• Neck mass 9/12/2017
Formatting of this note might be different from the original. Last Assessment & Plan: H/O recurrent cystic neck masses, patient recall poor Patient concerned today for a posterior neck mass. Submental fullness on exam. CTA ordered for eval of neck and mass- she has not done this yet. She says she had a carotid ultrasound last week, but I do not see this in her chart- will request records from 
• Obesity
• On home oxygen therapy
6LNC 
• Pneumonia 3/18/2019
• Smoker
• Unemployed
pt states she is unemployed due to Covid. Own mobile salon, multiservice =junk, cleaning, organization company. 
Past Surgical History:
Procedure Laterality Date
• BREAST SURGERY
• OOPHORECTOMY
• THROAT SURGERY
• TUMOR REMOVAL
chest wall 
Family History
Problem Relation Age of Onset
• Breast Cancer Unilateral (or unspecified) Mother's Sister 69
• Stroke Mother
• Heart disease Father
• Hypertension Mother
• Heart attack Father
• Diabetes Father
• Obesity Father
Social History
Tobacco Use
• Smoking status: Current Every Day Smoker
Packs/day: 0.50
Years: 40.00
Pack years: 20.00
Types: Cigarettes
• Smokeless tobacco: Never Used
• Tobacco comment: pt is quitting; down to 8 cigs a day
Vaping Use
• Vaping Use: Never used
Substance Use Topics
• Alcohol use: No
• Drug use: No
ED Current OP Medications
Medication Sig Dispense Start Date End Date Doc. Provider albuterol 2.5 mg /3 mL (0.083 %) nebulizer solution Inhale 3 mL (2.5 mg) by nebulization every 4 hours as needed for wheezing. 90 mL 7/8/2020 , MD albuterol 90 mcg/actuation inhaler Inhale 1-2 puffs by mouth every 6 hours as needed for wheezing. 54 g 1/29/2022 2/28/2022 , DO amLODIPine (NORVASC) 5 MG tablet Take 1 tablet (5 mg) by mouth daily. May take additional 5 mg in the morning if BP is elevated during the day 30 tablet 2/18/2022 3/20/2022 , MD aspirin 325 MG EC tablet Take 1 tablet (325 mg) by mouth nightly. 30 tablet 2/18/2022 3/20/2022 v, MD atorvastatin (LIPITOR) 20 MG tablet (Expired) Take 1 tablet (20 mg) by mouth nightly. 30 tablet 4/8/2021 2/2/2022 , MD azithromycin (ZITHROMAX) 250 MG tablet Take 1 tablet (250 mg) by mouth 3 times a week. M W F 12 tablet 2/18/2022 3/20/2022 , MD famotidine (PEPCID) 20 MG tablet Take 1 tablet (20 mg) by mouth 2 times a day. 60 tablet 3/27/2021 , MD fluticasone propion-salmeteroL (ADVAIR) 500-50 mcg/dose DISKUS Inhale 1 puff by mouth 2 times a day. Historical Provider, MD furosemide (LASIX) 20 MG tablet Take 1 tablet (20 mg) by mouth daily. 30 tablet 2/19/2022 3/21/2022 , MD guaiFENesin (MUCINEX) 1,200 mg tablet extended release 12hr ER tablet Take 1 tablet (1,200 mg) by mouth 2 times a day. 60 tablet 2/18/2022 3/20/2022  MD loratadine (CLARITIN) 10 mg tablet (Expired) Take 1 tablet (10 mg) by mouth daily. 30 tablet 3/28/2021 2/2/2022 , MD LORazepam (ATIVAN) 0.5 MG tablet Take 1 tablet (0.5 mg) by mouth every 4 hours as needed for anxiety. 21 tablet 2/18/2022 2/25/2022 , MD predniSONE (DELTASONE) 10 MG tablet Take 4 tablets (40 mg) by mouth daily with breakfast for 4 days, THEN 2 tablets (20 mg) daily with breakfast for 4 days, THEN 1 tablet (10 mg) daily with breakfast for 6 days. 30 tablet 2/19/2022 3/5/2022 , MD tiotropium bromide (Spiriva Respimat) 2.5 mcg/actuation mist Inhale 5 mcg by mouth daily. Historical Provider, MD 
Allergies
Allergen Reactions
• Penicillins
Tolerates cephalosporins
PAST MEDICAL RECORDS: A search through past medical records was made. Relevant findings are outlined in the history of present illness, otherwise the findings are not relevant to this visit, or there are no documented emergency department visits that I could find within our system.
PHYSICAL EXAMINATION
ED Triage Vitals [02/18/22 2329]
Temp Pulse Resp BP SpO2
36.6 °C (97.8 °F) (!) 138 (!) 22 (!) 233/109 98 %
Temp Source Heart Rate Source Patient Position (BP) BP Location FiO2 (%)
Temporal -- -- Right arm --
PHYSICAL EXAM:Vital Signs reviewed. See below for details.
Constitutional: Obtunded, appears ill
HENT/Head: Normocephalic
Eyes: Conjunctivae are normal
Neck: Neck supple
Cardiovascular: Tachycardic
Pulmonary/Chest: Tachypneic, with prolonged expiratory phase
Abdominal: Benign
Musculoskeletal: No deformity
Neurological: Obtunded
Skin: No pallor
Psychiatric: Obtunded
ED COURSE / PROCEDURES / DIAGNOSTICS
MDM
DIFFERENTIAL DIAGNOSIS (prior to diagnostic data acquisition):
COPD exacerbation, CHF, pneumonia, COVID-19, among others
ED COURSE & TREATMENTS:
Vitals:
02/18/22 2328 02/18/22 2329 02/18/22 2330 02/19/22 0000 
BP: (!) 233/109 (!) 206/110 121/81
Pulse: (!) 138 (!) 136 (!) 134
Resp: (!) 22 (!) 22 18
Temp: 36.6 °C (97.8 °F)
TempSrc: Temporal
SpO2: 98% 99% 99%
Weight: 116 kg (255 lb 11.7 oz)
Height: 170.2 cm (5' 7")
Medications
albuterol 2.5 mg /3 mL (0.083 %) nebulizer solution 15 mg (has no administration in time range)
cefTRIAXone (ROCEPHIN) 2 g in sodium chloride 0.9 % 20 mL IV solution (has no administration in time range)
ketamine (KETALAR) 1000 mg in sodium chloride 0.9 % 250 mL (4 mg/mL) infusion (premix) (has no administration in time range)
propofoL (DIPRIVAN) 10 mg/mL infusion (premix) (60 mcg/kg/min × 118 kg intravenous Rate/Dose Change 2/19/22 0042)
etomidate (AMIDATE) 2 mg/mL injection - ADS Override Pull (has no administration in time range)
albuterol 2.5 mg /3 mL (0.083 %) nebulizer solution - ADS Override Pull (has no administration in time range)
lactated Ringer's bolus bolus 1,848 mL (has no administration in time range)
rocuronium injection 100 mg (100 mg intravenous Given 2/18/22 2334)
ketamine (KETALAR) 50 mg/mL injection - ADS Override Pull (250 mg Given 2/18/22 2333)
ipratropium (ATROVENT) 0.02 % nebulizer solution - ADS Override Pull (0.5 mg Given 2/18/22 2341)
LABS ORDERED AND REVIEWED:
Labs Reviewed
BASIC METABOLIC PANEL - Abnormal; Notable for the following components:
Result Value
CO2 Carbon Dioxide 33 (\*) Glucose 155 (\*) All other components within normal limits 
BNP PROBRAIN NATRIURETIC PEPTIDE - Abnormal; Notable for the following components:
BNP Pro Brain Natriuretic Peptide 165 (\*) All other components within normal limits Narrative: Interpretation Guidance for BNP Pro 
Patients presenting with acute dyspnea
BNP Pro values <300 pg/mL have 99% negative predictive value for excluding acute congestive heart failure (CHF) at any age.
A cutoff of 1,200 pg/mL for patients with an eGFR <60 yields a diagnostic sensitivity and specificity of 89% and 72% for acute CHF
50-75 years of age
A diagnostic BNP Pro cutoff of 900 pg/mL has been suggested in adults 50 to 75 years of age in the absence of renal failure
BNP Pro values 300-900 pg/mL grey zone with heart failure possible depending on clinical history
LACTATE VENOUS - Abnormal; Notable for the following components:
Lactate, Venous 2.1 (\*) All other components within normal limits 
BLOOD GAS VENOUS - Abnormal; Notable for the following components:
pH, Venous (POC) 7.21 (\*) pCO2, Venous (POC) 79 (\*) HCO3, Venous (POC) 32 (\*) O2 Saturation, Venous (POC) 98 (\*) All other components within normal limits 
CBC WITH DIFFERENTIAL REFLEX MANUAL DIFF - Abnormal; Notable for the following components:
WBC White Blood Count 28.6 (\*) Neutrophils Absolute 17.63 (\*) Immature Granulocytes Absolute 1.47 (\*) Lymphocytes Absolute 6.8 (\*) Monocytes Absolute 2.5 (\*) Basophils Absolute 0.2 (\*) All other components within normal limits Narrative: Slide referred to Pathologist for review 
This is an appended report. These results have been appended to a previously verified report.
POC BLOOD GAS VENOUS - Abnormal; Notable for the following components:
pH, Venous (POC) 7.11 (\*) pCO2, Venous (POC) 117 (\*) HCO3, Venous (POC) 37 (\*) BE Base Excess, Venous (POC) 3 (\*) All other components within normal limits 
POC GLUCOSE - Abnormal; Notable for the following components:
Glucose (POC) 160 (\*) All other components within normal limits 
POC LACTATE, VENOUS - Abnormal; Notable for the following components:
Lactate, Venous (POC) 2.2 (\*) All other components within normal limits 
POC CREATININE BLOOD - Abnormal; Notable for the following components:
Creatinine (POC) 1.03 (\*) GFR Glomerular Filtration Rate (POC) 59.6 (\*) All other components within normal limits Narrative: Units = mL/min/1.73 m2 
GFR results <60 for 3 months or longer: Chronic kidney disease
GFR results <15: Kidney failure
If African American is indicated, calculation includes multiplier of 1.159.
Formula used is the CKD-EPI equation.
POCT TOTAL CO2 - Abnormal; Notable for the following components:
CO2 Total (POC) 39 (\*) All other components within normal limits 
HEPATIC FUNCTION PANEL - Normal
TROPONIN HIGH SENSITIVITY - Normal
POC HEMATOCRIT - Normal
POCT CHLORIDE - Normal
POCT UREA NITROGEN - Normal
POCT SODIUM - Normal
POCT POTASSIUM - Normal
POCT IONIZED CALCIUM - Normal
POC HEMOGLOBIN - Normal
POCT ANION GAP - Normal
Narrative: Anion gap = (Na+K)-(Cl+HCO3) 
(HCO3=TCO2-1)
CULTURE BLOOD (2 SETS)
Narrative: The following orders were created for panel order Culture Blood (2 sets). 
Procedure Abnormality Status
--------- ----------- ------
Culture Blood[434268230] In process
Culture Blood[434268232]
Please view results for these tests on the individual orders.
CULTURE BLOOD
CULTURE BLOOD
COVID-19 PCR DIAGNOSTIC
CULTURE URINE
CULTURE RESPIRATORY WITH GRAM STAIN
CBC AND DIFFERENTIAL
Narrative: The following orders were created for panel order CBC with Differential reflex Manual Diff. 
Procedure Abnormality Status
--------- ----------- ------
CBC with Differential re...[434268228] Abnormal Final result
Please view results for these tests on the individual orders.
CBC CELLAVISION DIFFERENTIAL
TROPONIN HIGH SENSITIVITY
PATH COMMENT HEMATOLOGY
LACTATE VENOUS
TESTS AND IMAGING ORDERED AND REVIEWED:
XR Chest 1 View AP Portable
Result Date: 2/19/2022
Appropriately placed in GE and endotracheal tubes. Thank you for this referral. This examination was interpreted by a Colorado Imaging Associates radiologist. Providers with questions may reach a radiologist directly at 303-223-4448. WS: LFIELDING-HOME- DICTATED BY: MIKETIC-FIELDING, LINDA Date: 02/19/2022 00:01 MT TRANSCRIBED DATE: 02/19/2022 00:01 MT
Procedures
Procedure: Endotracheal Intubation
Consent: Emergent
Indication: Respiratory failure and airway protection
Description: Patient was preoxygenated.
Induction agent: Ketamine
Paralytic: Rocuronium
Patient was intubated using a 3.0 glide scope blade with 7.5 ET tube
Tracheal position of ETT was confirmed using direct visualization, ETCO2, tube fog, ausculation. Breath sounds were auscultated equally. Chest xray confirms ETT in good position.
Complications: None
Disposition: Procedure well tolerated with no immediate complications.
Procedure was performed by myself
MEDICINE SECTION OF CPT: Ordered and Reviewed
O2 Sat: 98% BiPAP
OBTAIN HISTORY FROM SOMEONE OTHER THAN THE PATIENT:
EMS
INDEPENDENT VISUALIZATION OF IMAGES, TRACINGS, OR SPECIMENS:
12 lead EKG:
Indication: Respiratory failure
Rhythm: Sinus tachycardia, rate of 135
Axis: Normal
Intervals: Normal
QRS: Normal
ST segments: Normal
INTERPRETATION: Sinus tachycardia
The 12 lead EKG was interpreted by myself.
DISCUSSED THE PATIENT WITH ANOTHER PROVIDER:
All Consulting Physicians - Current Visit Chat With All Active Members
Provider Specialty From To v, DO Critical Care 02/19/22 0029 — 
Critical care
Risk of Complications, Morbidity, and/or Mortality:
Presenting Problems: High. Critical Care
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2021.04.29 19:12 Domisal Ways to donate medicine?

I have been trying to find a way to donate/get my extra asthma meds to people without insurance or can’t afford their copays. Any ideas?
I have a bunch of advair that is now the wrong dose for me. Rather than letting it expire/throw it out I’d like to get to to people who need it. Having gone without insurance before I know how expensive these meds can be. But since they’re prescription necessary it seems to give away my unneeded medicine is actually illegal? Is that correct? Has anyone had success finding a place to do this before?
Thanks!
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2021.04.16 19:38 iamelloyello Expired Advair?

It says to ditch after 30 days after taking it out of the foil, I only use it once a day and this shit is just bonkers expensive. It's maybe like 2 months out of the "30 days removed from foil" Because I currently have another one at home. Do I really need to ditch it? I assume it loses potency, more worried about side-effects of using an expired advair diskus. I also don't want to pay $236 each month lol
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2020.07.28 21:33 HeyT00ts11 Assuming they're legit, where do these people get these Rx medicines to resell? Example ad in comments.

Here's the ad I saw on Craiglist:
Misc Inhalers available STARTING @ $25ea...
(2) Pro-Air / ProAir Albuterol ($65ea) (12) Generic Albuterol/Salbutamol ($40ea or 3 for $110) BREO (Temp out) (3) Symbicort ($75ea) Advair (Wilexa Brand) 250/50 (Temp out) (1) Incruse Ellipta ($60) (1) Spiriva ($25/just expired but good) (1) Combivent Respimat ($80) Albuterol Nebuizer Solution (30 @ $30, 60 @ $55) Z-Pack / Zpack and Ampicillin
All are New & Sealed (2021-22 exp dates)
I can ship if out of area
submitted by HeyT00ts11 to NoStupidQuestions [link] [comments]


2017.05.19 13:12 SIThereAndThere JPM Early Look at the Market – Fri 5.19.17 **PLEASE DO NOT FORWARD THIS DOCUMENT**

Find the rest on /the_street

JPM Early Look at the Market – Fri 5.19.17

Trading Desk Commentary; For Institutional Investors Only
Market Intelligence website: xxxxx
PLEASE DO NOT FORWARD THIS DOCUMENT

Institutional Investor – please vote for the Early Look

Morning Levels

Trading Update

Top Headlines for Friday

Calendar of events to watch for the Week of Mon May 22

Catalysts for 2017 – big events to watch for 2017 (preliminary list – additional events likely to be

added)

US – fiscal/monetary policy, economic growth

US – domestic policy

US – foreign policy

Europe (USSR 2.0)

M&A/Strategic Actions

Financials

Tech – post CQ1 earnings: events to watch over the coming weeks

Full catalyst list

  • Mon May 22 – Eurozone fin mins meet in Brussels. 5/22-23.
  • Mon May 22 – Fed speakers: Harker, Kashkari
  • Mon May 22 – analyst meetings: Samsung Electronics, XLNX
  • Mon May 22 – earnings after the close: A, CRMT, LXFT, NDSN
  • Mon May 22 - Electrical Products Group (EPG) Conference (May 22-24).
  • Mon May 22 - JP Morgan Global Technology, Media and Telecom Conference (May 22-24)
  • Mon May 22 - UBS Global Healthcare Conference (May 22-24)
  • Tues May 23 – German IFO for May. 4amET.
  • Tues May 23 - Eurozone fin mins meet in Brussels. 5/22-23.
  • Tues May 23 – US new home sales for Apr. 10amET.
  • Tues May 23 – analyst meetings: CCMP, CTXS, NATI, Volvo
  • Tues May 23 – earnings before the open: AZO, DSW, KIRK, TOL
  • Tues May 23 – earnings after the close: HEI, INTU, TCS, TLYS, TTWO
  • Tues May 23 - Electrical Products Group (EPG) Conference (May 22-24).
  • Tues May 23 - JP Morgan Global Technology, Media and Telecom Conference (May 22-24)
  • Tues May 23 - UBS Global Healthcare Conference (May 22-24)
  • Wed May 24 – Eurozone flash PMIs for May. 4amET.
  • Wed May 24 – US FHFA house price index for Mar.
  • Wed May 24 – US flash PMIs for May. 9:45amET.
  • Wed May 24 – US existing home sales for Apr. 10amET.
  • Wed May 24 – Fed minutes from May 3 meeting. 2pmET.
  • Wed May 24 – analyst meetings: AMAG, DV, RPXC, TSS
  • Wed May 24 – earnings before the open: AAP, Bank of Montreal, CHS, EV, LOW, TIF
  • Wed May 24 – earnings after the close: CSRA, GES, HPQ, NTAP, PSTG
  • Wed May 24 - Electrical Products Group (EPG) Conference (May 22-24).
  • Wed May 24 - JP Morgan Global Technology, Media and Telecom Conference (May 22-24)
  • Wed May 24 - UBS Global Healthcare Conference (May 22-24)
  • Thurs May 25 – US advance goods trade balance for Apr. 8:30amET.
  • Thurs May 25 – US wholesale inventories for Apr. 8:30amET.
  • Thurs May 25 – analyst meetings: CIR, DATA, DVA, QRVO
  • Thurs May 25 – earnings before the open: ANF, BBY, BURL, CBK, GCO, HRL, MDT, NOMD, Royal Bank of Canada, SIG
  • Thurs May 25 – earnings after the close: BRCD, COST, DXC, EGHT, GME, LGF, MRVL, NTNX, SCVL, SPLK, ULTA, VEEV, VNET, ZOES
  • Fri May 26 – US Q1 GDP revisions. 8:30amET.
  • Fri May 26 – US durable goods for Apr. 8:30amET.
  • Fri May 26 – Michigan confidence numbers for May. 10amET.
  • Sat May 27 – China industrial profits for Apr. Fri night/Sat morning.
  • Mon May 29 – Eurozone M3 money supply for Apr. 4amET.
  • Mon May 29 – US markets closed for Memorial Day
  • Tues May 30 – Eurozone confidence measures for May.
  • Tues May 30 – US personal income/spending/PCE for Apr. 8:30amET.
  • Tues May 30 – US S&P home prices for Mar. 9amET.
  • Tues May 30 – US conf. board confidence for May. 10amET.
  • Tues May 30 – earnings before the open: Bank of Nova Scotia
  • Tues May 30 - Deutsche Bank Global Financial Services Conference. May 30-31.
  • Wed May 31 – China NBS manufacturing/non-manufacturing PMI for May. Tues night/Wed morning.
  • Wed May 31 – Eurozone UR for Apr and CPI for May. 5amET.
  • Wed May 31 – US Chicago purchasing managers for May. 9:45amET.
  • Wed May 31 – US pending home sales for Apr. 10amET.
  • Wed May 31 – US Beige Book. 2pmET.
  • Wed May 31 – Brazil rate decision
  • Wed May 31 – earnings before the open: ADI, KORS, VRA
  • Wed May 31 – earnings after the close: BOX, PANW
  • Wed May 31 - Bernstein Strategic Decisions Conference (May 31-June 2)
  • Wed May 31 - Cowen and Company Technology, Media & Telecom Conference. May 31- June 1.
  • Wed May 31 - Deutsche Bank Global Financial Services Conference. May 30-31.
  • Wed May 31 - KeyBanc Capital Markets 2017 Industrial, Automotive & Transportation Conference. May 31-June 1.
  • Thurs June 1 – China Caixin manufacturing PMI for May (Wed night/Thurs morning).
  • Thurs June 1 – Eurozone manufacturing PMI for May. 4amET.
  • Thurs June 1 – US ADP jobs report for May. 8:15amET.
  • Thurs June 1 – US nonfarm productivity/Q1 unit labor costs for Q1. 8:30amET.
  • Thurs June 1 – US Markit manufacturing PMI for May. 9:45amET.
  • Thurs June 1 – US manufacturing ISM for May. 10amET.
  • Thurs June 1 – US construction spending for Apr. 10amET.
  • Thurs June 1 – US auto sales for May.
  • Thurs June 1 – analyst meetings: CAH
  • Thurs June 1 – earnings before the open: CIEN
  • Thurs June 1 – earnings after the close: AVGO, COO, VMW, WDAY
  • Thurs June 1 - Bernstein Strategic Decisions Conference (May 31-June 2)
  • Thurs June 1 - Cowen and Company Technology, Media & Telecom Conference. May 31-
  • Thurs June 1 - KeyBanc Capital Markets 2017 Industrial, Automotive & Transportation Conference. May 31-June 1.
  • Fri June 2 – Eurozone PPI for Apr. 5amET.
  • Fri June 2 – US trade balance for Apr. 8:30amET.
  • Fri June 2 – US jobs report for May. 8:30amET.
  • Fri June 2 – analyst meetings: ICE
  • Fri June 2 - Bernstein Strategic Decisions Conference (May 31-June 2)
  • Mon June 5 – China Caixin services PMI for May (Sun night/Mon morning)
  • Mon June 5 – US Markit services PMI for May. 9:45amET.
  • Mon June 5 – US non-manufacturing ISM for May. 10amET.
  • Mon June 5 – US factory orders/durable goods for Apr. 10amET.
  • Mon June 5 – analyst meetings: CNO
  • Mon June 5 – AAPL WWDC 2017. June 5-9. San Jose.
  • Tues June 6 – New Zealand rate decision (early Tues morning).
  • Tues June 6 – Eurozone services PMI for May. 4amET.
  • Tues June 6 – Eurozone retail sales for Apr. 5amET.
  • Tues June 6 – US JOLTs job openings data for Apr. 10amET.
  • Tues June 6 – US labor market conditions index for May. 10amET.
  • Tues June 6 – analyst meetings: M, PRU
  • Tues June 6 – earnings before the open: CSIQ
  • Tues June 6 – earnings after the close: AMBA
  • Tues June 6 - Bank of America Merrill Lynch 2017 Global Technology Conference. June 6-7. San Francisco.
  • Tues June 6 - Jefferies Global Healthcare Conference. June 6-9. NYC.
  • Tues June 6 - RBC Capital Markets Global Energy Conference. June 6-7. NYC.
  • Tues June 6 – REITWeek: NAREIT Investor Forum. June 6-8. NYC.
  • Tues June 6 – Wells Fargo Financial Services Investor Forum. June 6-7. San Francisco.
  • Wed June 7 – China FX reserve numbers for May (Tues night/Wed morning)
  • Wed June 7 – India RBI rate decision. 5amET.
  • Wed June 7 – US consumer credit for Apr. 3pmET.
  • Wed June 7 – analysts meetings: RJF, TAP, WCC
  • Wed June 7 – earnings after the close: TLRD
  • Wed June 7 - Bank of America Merrill Lynch 2017 Global Technology Conference. June 6-7. San Francisco.
  • Wed June 7 - Jefferies Global Healthcare Conference. June 6-9. NYC.
  • Wed June 7 - RBC Capital Markets Global Energy Conference. June 6-7. NYC.
  • Wed June 7 - REITWeek: NAREIT Investor Forum. June 6-8. NYC.
  • Thurs June 8 – China May imports/exports (Wed night/Thurs morning)
  • Thurs June 8 – ECB meeting (7:45amET statement, 8:30amET press conf.).
  • Thurs June 8 – analyst meetings: SYMC
  • Thurs June 8 – earnings before the open: Dell, SJM
  • Thurs June 8 – earnings after the close: Hudson’s Bay, PAY
  • Thurs June 8 - Jefferies Global Healthcare Conference. June 6-9. NYC.
  • Thurs June 8 - REITWeek: NAREIT Investor Forum. June 6-8. NYC.
  • Fri June 9 – China May CPI/PPI (Thurs night/Fri morning)
  • Fri June 9 – US wholesale inventories/trade sales for Apr. 10amET.
  • Fri June 9 - Jefferies Global Healthcare Conference. June 6-9. NYC.
  • Tues June 13 – US PPI for May. 8:30amET.
  • Tues June 13 – Morgan Stanley Financials Conf. June 13-14.
  • Wed June 14 – US CPI and retail sales for May. 8:30amET.
  • Wed June 14 – US business inventories for Apr. 10amET.
  • Wed June 14 – Fed decision (2pmET statement; 2:30pmET press conf.).
  • Wed June 14 – analyst meetings: MAT
  • Wed June 14 - Morgan Stanley Financials Conf. June 13-14.
  • Thurs June 15 – US Empire Manufacturing for June. 8:30amET.
  • Thurs June 15 – US import price index for May.
  • Thurs June 15 – US industrial production for May. 9:15amET.
  • Thurs June 15 – NAHB housing market index for June. 10amET.
  • Fri June 16 – BOJ rate decision (Thurs night/Fri morning)
  • Fri June 16 – US housing starts/building permits for May. 8:30amET.
  • Fri June 16 – US Michigan Confidence for June. 10amET.
  • Fri June 16 – analyst meetings: GLW
submitted by SIThereAndThere to wallstreetbets [link] [comments]


2017.05.19 13:07 SIThereAndThere JP Morgan Early Look at the Market - Fri 5-19-17

J.P. Morgan Early Look at the Market – Fri 5.19.17 Trading Desk Commentary; For Institutional Investors Only
Market Intelligence website: xxxxx
PLEASE DO NOT FORWARD THIS DOCUMENT

Institutional Investor – please vote for the Early Look

Morning Levels

Trading Update

Top Headlines for Friday

Calendar of events to watch for the Week of Mon May 22

Catalysts for 2017 – big events to watch for 2017 (preliminary list – additional events likely to be

added)

US – fiscal/monetary policy, economic growth

US – domestic policy

US – foreign policy

Europe (USSR 2.0)

M&A/Strategic Actions

Financials

Tech – post CQ1 earnings: events to watch over the coming weeks

Full catalyst list

  • Mon May 22 – Eurozone fin mins meet in Brussels. 5/22-23.
  • Mon May 22 – Fed speakers: Harker, Kashkari
  • Mon May 22 – analyst meetings: Samsung Electronics, XLNX
  • Mon May 22 – earnings after the close: A, CRMT, LXFT, NDSN
  • Mon May 22 - Electrical Products Group (EPG) Conference (May 22-24).
  • Mon May 22 - JP Morgan Global Technology, Media and Telecom Conference (May 22-24)
  • Mon May 22 - UBS Global Healthcare Conference (May 22-24)
  • Tues May 23 – German IFO for May. 4amET.
  • Tues May 23 - Eurozone fin mins meet in Brussels. 5/22-23.
  • Tues May 23 – US new home sales for Apr. 10amET.
  • Tues May 23 – analyst meetings: CCMP, CTXS, NATI, Volvo
  • Tues May 23 – earnings before the open: AZO, DSW, KIRK, TOL
  • Tues May 23 – earnings after the close: HEI, INTU, TCS, TLYS, TTWO
  • Tues May 23 - Electrical Products Group (EPG) Conference (May 22-24).
  • Tues May 23 - JP Morgan Global Technology, Media and Telecom Conference (May 22-24)
  • Tues May 23 - UBS Global Healthcare Conference (May 22-24)
  • Wed May 24 – Eurozone flash PMIs for May. 4amET.
  • Wed May 24 – US FHFA house price index for Mar.
  • Wed May 24 – US flash PMIs for May. 9:45amET.
  • Wed May 24 – US existing home sales for Apr. 10amET.
  • Wed May 24 – Fed minutes from May 3 meeting. 2pmET.
  • Wed May 24 – analyst meetings: AMAG, DV, RPXC, TSS
  • Wed May 24 – earnings before the open: AAP, Bank of Montreal, CHS, EV, LOW, TIF
  • Wed May 24 – earnings after the close: CSRA, GES, HPQ, NTAP, PSTG
  • Wed May 24 - Electrical Products Group (EPG) Conference (May 22-24).
  • Wed May 24 - JP Morgan Global Technology, Media and Telecom Conference (May 22-24)
  • Wed May 24 - UBS Global Healthcare Conference (May 22-24)
  • Thurs May 25 – US advance goods trade balance for Apr. 8:30amET.
  • Thurs May 25 – US wholesale inventories for Apr. 8:30amET.
  • Thurs May 25 – analyst meetings: CIR, DATA, DVA, QRVO
  • Thurs May 25 – earnings before the open: ANF, BBY, BURL, CBK, GCO, HRL, MDT, NOMD, Royal Bank of Canada, SIG
  • Thurs May 25 – earnings after the close: BRCD, COST, DXC, EGHT, GME, LGF, MRVL, NTNX, SCVL, SPLK, ULTA, VEEV, VNET, ZOES
  • Fri May 26 – US Q1 GDP revisions. 8:30amET.
  • Fri May 26 – US durable goods for Apr. 8:30amET.
  • Fri May 26 – Michigan confidence numbers for May. 10amET.
  • Sat May 27 – China industrial profits for Apr. Fri night/Sat morning.
  • Mon May 29 – Eurozone M3 money supply for Apr. 4amET.
  • Mon May 29 – US markets closed for Memorial Day
  • Tues May 30 – Eurozone confidence measures for May.
  • Tues May 30 – US personal income/spending/PCE for Apr. 8:30amET.
  • Tues May 30 – US S&P home prices for Mar. 9amET.
  • Tues May 30 – US conf. board confidence for May. 10amET.
  • Tues May 30 – earnings before the open: Bank of Nova Scotia
  • Tues May 30 - Deutsche Bank Global Financial Services Conference. May 30-31.
  • Wed May 31 – China NBS manufacturing/non-manufacturing PMI for May. Tues night/Wed morning.
  • Wed May 31 – Eurozone UR for Apr and CPI for May. 5amET.
  • Wed May 31 – US Chicago purchasing managers for May. 9:45amET.
  • Wed May 31 – US pending home sales for Apr. 10amET.
  • Wed May 31 – US Beige Book. 2pmET.
  • Wed May 31 – Brazil rate decision
  • Wed May 31 – earnings before the open: ADI, KORS, VRA
  • Wed May 31 – earnings after the close: BOX, PANW
  • Wed May 31 - Bernstein Strategic Decisions Conference (May 31-June 2)
  • Wed May 31 - Cowen and Company Technology, Media & Telecom Conference. May 31- June 1.
  • Wed May 31 - Deutsche Bank Global Financial Services Conference. May 30-31.
  • Wed May 31 - KeyBanc Capital Markets 2017 Industrial, Automotive & Transportation Conference. May 31-June 1.
  • Thurs June 1 – China Caixin manufacturing PMI for May (Wed night/Thurs morning).
  • Thurs June 1 – Eurozone manufacturing PMI for May. 4amET.
  • Thurs June 1 – US ADP jobs report for May. 8:15amET.
  • Thurs June 1 – US nonfarm productivity/Q1 unit labor costs for Q1. 8:30amET.
  • Thurs June 1 – US Markit manufacturing PMI for May. 9:45amET.
  • Thurs June 1 – US manufacturing ISM for May. 10amET.
  • Thurs June 1 – US construction spending for Apr. 10amET.
  • Thurs June 1 – US auto sales for May.
  • Thurs June 1 – analyst meetings: CAH
  • Thurs June 1 – earnings before the open: CIEN
  • Thurs June 1 – earnings after the close: AVGO, COO, VMW, WDAY
  • Thurs June 1 - Bernstein Strategic Decisions Conference (May 31-June 2)
  • Thurs June 1 - Cowen and Company Technology, Media & Telecom Conference. May 31-
  • Thurs June 1 - KeyBanc Capital Markets 2017 Industrial, Automotive & Transportation Conference. May 31-June 1.
  • Fri June 2 – Eurozone PPI for Apr. 5amET.
  • Fri June 2 – US trade balance for Apr. 8:30amET.
  • Fri June 2 – US jobs report for May. 8:30amET.
  • Fri June 2 – analyst meetings: ICE
  • Fri June 2 - Bernstein Strategic Decisions Conference (May 31-June 2)
  • Mon June 5 – China Caixin services PMI for May (Sun night/Mon morning)
  • Mon June 5 – US Markit services PMI for May. 9:45amET.
  • Mon June 5 – US non-manufacturing ISM for May. 10amET.
  • Mon June 5 – US factory orders/durable goods for Apr. 10amET.
  • Mon June 5 – analyst meetings: CNO
  • Mon June 5 – AAPL WWDC 2017. June 5-9. San Jose.
  • Tues June 6 – New Zealand rate decision (early Tues morning).
  • Tues June 6 – Eurozone services PMI for May. 4amET.
  • Tues June 6 – Eurozone retail sales for Apr. 5amET.
  • Tues June 6 – US JOLTs job openings data for Apr. 10amET.
  • Tues June 6 – US labor market conditions index for May. 10amET.
  • Tues June 6 – analyst meetings: M, PRU
  • Tues June 6 – earnings before the open: CSIQ
  • Tues June 6 – earnings after the close: AMBA
  • Tues June 6 - Bank of America Merrill Lynch 2017 Global Technology Conference. June 6-7. San Francisco.
  • Tues June 6 - Jefferies Global Healthcare Conference. June 6-9. NYC.
  • Tues June 6 - RBC Capital Markets Global Energy Conference. June 6-7. NYC.
  • Tues June 6 – REITWeek: NAREIT Investor Forum. June 6-8. NYC.
  • Tues June 6 – Wells Fargo Financial Services Investor Forum. June 6-7. San Francisco.
  • Wed June 7 – China FX reserve numbers for May (Tues night/Wed morning)
  • Wed June 7 – India RBI rate decision. 5amET.
  • Wed June 7 – US consumer credit for Apr. 3pmET.
  • Wed June 7 – analysts meetings: RJF, TAP, WCC
  • Wed June 7 – earnings after the close: TLRD
  • Wed June 7 - Bank of America Merrill Lynch 2017 Global Technology Conference. June 6-7. San Francisco.
  • Wed June 7 - Jefferies Global Healthcare Conference. June 6-9. NYC.
  • Wed June 7 - RBC Capital Markets Global Energy Conference. June 6-7. NYC.
  • Wed June 7 - REITWeek: NAREIT Investor Forum. June 6-8. NYC.
  • Thurs June 8 – China May imports/exports (Wed night/Thurs morning)
  • Thurs June 8 – ECB meeting (7:45amET statement, 8:30amET press conf.).
  • Thurs June 8 – analyst meetings: SYMC
  • Thurs June 8 – earnings before the open: Dell, SJM
  • Thurs June 8 – earnings after the close: Hudson’s Bay, PAY
  • Thurs June 8 - Jefferies Global Healthcare Conference. June 6-9. NYC.
  • Thurs June 8 - REITWeek: NAREIT Investor Forum. June 6-8. NYC.
  • Fri June 9 – China May CPI/PPI (Thurs night/Fri morning)
  • Fri June 9 – US wholesale inventories/trade sales for Apr. 10amET.
  • Fri June 9 - Jefferies Global Healthcare Conference. June 6-9. NYC.
  • Tues June 13 – US PPI for May. 8:30amET.
  • Tues June 13 – Morgan Stanley Financials Conf. June 13-14.
  • Wed June 14 – US CPI and retail sales for May. 8:30amET.
  • Wed June 14 – US business inventories for Apr. 10amET.
  • Wed June 14 – Fed decision (2pmET statement; 2:30pmET press conf.).
  • Wed June 14 – analyst meetings: MAT
  • Wed June 14 - Morgan Stanley Financials Conf. June 13-14.
  • Thurs June 15 – US Empire Manufacturing for June. 8:30amET.
  • Thurs June 15 – US import price index for May.
  • Thurs June 15 – US industrial production for May. 9:15amET.
  • Thurs June 15 – NAHB housing market index for June. 10amET.
  • Fri June 16 – BOJ rate decision (Thurs night/Fri morning)
  • Fri June 16 – US housing starts/building permits for May. 8:30amET.
  • Fri June 16 – US Michigan Confidence for June. 10amET.
  • Fri June 16 – analyst meetings: GLW
submitted by SIThereAndThere to The_Street [link] [comments]


2017.05.07 04:37 rob-on-reddit Anyone ever experience Taiwan health insurance denying a needed medicine that was previously covered?

Recently my doctor changed my asthma medication to a step down because it was controlled. We went from Seretide (Advair off-brand) to Alvesco.
After two weeks off of my old medicine, I had to go to the ER for a breathing treatment and some steroids to temporarily reduce inflammation. Returning to my doctor, he said the issue was not the medicine change, but rather that I must have gotten sick.
I knew that was wrong and visited another doctor. He wouldn't change my medicine, citing the same reason, even ordering a chest x-ray, suggesting I might have an infection. I said I didn't think it was an infection. When he looked at the x-ray, he claimed there were signs of an infection.
The next day, I returned to my original doctor who ordered another chest x-ray. Both he and the radiologist confirmed that I have no sign of pneumonia or infection.
I asked him to explain why changing back to my original medication was a problem. He said the insurance wouldn't allow him to prescribe the Seretide for another three months.
I explained that I pay for my coverage and am not covered under Taiwan's insurance program. (There was some confusion, I guess, because I have an insurance card, but it's expired and I just use it to register for appointments so I can see my # in the queue.)
After he understood that, he offered to give me 6 months worth of the original medication, since I was paying for it. No mention of a follow-up appointment or anything! We both knew this would solve my problem. And, it did. After I got my old medication back, I was back to normal in a day.
Has anyone experienced something similar? This was my first negative experience with healthcare in Taiwan and it scared me a little. When I am sick, I need Advair or Seretide, or I will have a lot of difficulty breathing. Otherwise, I have really enjoyed the healthcare system in Taiwan.
I understand why insurance might want doctors to try to step-down medication when a patient is healthy. But, when it doesn't work and the patient is clearly sick, they should be allowed to return to previous medicine and not wait some arbitrary number of months.
submitted by rob-on-reddit to taiwan [link] [comments]


2016.08.17 23:24 wheezyno Wheezing on inhale and the unknown triggers..

Hey guys! I was wondering if anyone has any insight for me.
I had asthma as a kid but haven't needed to use an inhaler or nebulizer or anything for like.. 12-15 years. Recently (2 weeks ago) I started getting shortness of breath and wheezing on the inhale (not exhale). I thought it was an allergic reaction, but at the time I was already on a TON of antihistamines (seriously.. like 4 different ones) so I took some expired albuterol (2 years old) and it helped.
I brought it up to my allergist and she mentioned that whatever is causing my other allergic symptoms (hives and itching) is probably making my asthma reactive. She started me on prednisone.
Here's the issue.. I'm day 7 into prednisone (40mg tapered 3 days, 30 3 days, 20 3 days, 10 3 days). I'm taking allegra, zyrtec (x2), pepcid (x2) and I'm taking albuterol every 4-6 hours (closer to 4) and I'm still getting this shortness of breath/wheezing only on inhale. I'm also super extra mucousy constantly.
Now, honestly, I'm a pretty anxious person and my doctor mentioned we could start something like Advair but I'm terrified of it and it's reviews (it took me like three days to work up the courage to take prednisone..). I also have NO idea what is going on thats causing this reaction. It happens at work, at home, in the car. It happens when I wake up, before I eat, after I eat..every day I check the pollen/mold levels and they're low in the area. The only thing I can think is there's a huge wildfire approx 100 miles from here but the air quality is rated as normal. I've lived in this town for 4 years and never had any issues with my asthma or environmental allergies.. any suggestions as to what the cause could be? Any thoughts on taking advair to help? Is there an alternate thats not so scary?
Also.. does anyone only wheeze on inhale?
submitted by wheezyno to Asthma [link] [comments]


2010.09.14 20:38 Tomthefolksinger Texas Now Prosecuting TWO Medical Marijuana Patients

from TexasCompassion.com
Texas Now Prosecuting TWO Medical Marijuana Patients by Phillip Smith, August 18, 2010, 11:51pm, (Issue #645)
Asthmatic medical marijuana patient Chris Diaz sits in jail in Brownwood, Texas, facing up to life in prison for a half ounce of marijuana and three grams of hash. Quadraplegic medical marijuana patient Chris Cain may be joining Diaz behind bars in Beaumont, Texas, after he goes to trial next week. When it comes to medical marijuana, Texas isn't California (or even Rhode Island), and don't you forget it, boy!
seat of injustice
Chris Diaz is learning that the hard way. He was supposedly pulled over for an expired license tag (his defenders say the tag was not expired) while en route from Amarillo to Austin, and according to the DPS trooper's report, would not produce a drivers' license or proof of insurance. He was then arrested for failure to identify, and during a subsequent search, police found a small amount of hashish on his person. A search of the vehicle then turned up additional hash and marijuana in a pill bottle from a California medical marijuana provider. Now, Diaz is facing up to life in prison after being indicted by a Brown County grand jury. He is charged with possession of a controlled substance with intent to deliver, a first-degree felony in the Lone Star State.
Under Texas law, possession of less than two ounces of marijuana is a Class B misdemeanor punishable by up to six months in jail, while possession of hashish is either a state jail felony punishable by up to two years for less than a gram, or a second-class felony punishable by up to 20 years if less than four grams, although probation is also possible.
But because police allegedly read a text message on Diaz's seized cell phone advising a friend that he had some great hash and asking if he wanted any, he was instead indicted on the trafficking charge, punishable by up to life in prison. He remains behind bars -- without his medicine -- on a $40,000 cash bond.
Diaz was diagnosed with asthma just before he turned three, his mother, Rhonda Martin said. "He was on medications ever since. He used a nebulizer, all kinds of inhalers, Albuteral, Advair. He stopped taking them when he was 14 because he didn't like the effects," she recalled. "He said the steroids made him feel agitated and wouldn't take those chemical medications anymore."
While the family was aware of medical marijuana, it was only when Diaz fell ill during a family vacation in California and was hospitalized in intensive care that they first learned about medical marijuana for the treatment of asthma. "We were put in touch with a doctor there, and he recommended it. It was his recommendation Chris was carrying," said Martin.
Neither Brown County prosecutors nor Diaz's court-appointed public defender had responded to Chronicle requests for comment by press time.
Diaz and some of his strongest supporters, including his mother, consider themselves "sovereign citizens," and have a web site, I Am Sovereign, in which they argue their case and attempt to win support for Diaz. But that set of beliefs, which precludes carrying government-issued identification, is also complicating things for Diaz. "Failure to identify" was the first charge he faced, and he was searched and the cannabis was found subsequent to being charged with that. Similarly, the authorities' lack of any records or ID for Diaz played a role in the setting of the high bail.
He's not having an easy time of it in jail, said Martin. "He is not receiving any medical attention. He eats only organic food, but he's not getting that. He was assaulted last Sunday by a jailer when he asked for medication. The jailer got in his face and started screaming and pushing him. Chris didn't react. He is a peaceful man."
"The reality is that this kid is in jail for having medical marijuana and is looking at life in prison," said Stephen Betzen, director of the Texas Coalition for Compassionate Care, which is lobbying for a medical marijuana bill next year in the state legislature. "You've got to be kidding me. You don't give drug addicts life in prison, so why would you do that to a patient with a legitimate recommendation from another state?"
Chris Cain
Betzen also had real issues with Diaz being stopped in the first place. "The fact of the matter is that Chris was driving home to Austin with legal plates," he said. "The cops lied and said they were expired. Not only did they lie to pull him over, they took a kid with no record and charged him with a life sentence offense for three grams of hash. The people who are perpetrating this need to be brought to justice and their victims need to be released from jail," said Betzen. "You can't just pull people over because they're brown or from California and begin to search them. There's a whole amendment about that."
"I'm surprised somebody is facing a life sentence for basically half an ounce," said Kris Hermes, spokesman for the medical marijuana support group Americans for Safe Access. "But in states that don't have medical marijuana laws, authorities are free to arrest and prosecute regardless of whether it is being used medicinally."
Meanwhile, over in Hardin County in East Texas, Chris Cain, 39, will be rolling his wheelchair to court next week, where the quadriplegic faces a jail sentence for possessing less than two ounces of medical marijuana. Cain, who was paralyzed in a diving accident as a teenager, has been an outspoken medical marijuana advocate for a decade.
He was arrested in 2005 when the Hardin County Sheriff's Office raided his home with the assistance of two helicopters, seized three joints, and threw him in jail. He wound up on probation, but could not use his medicine.
"Within six weeks, the spasticity was so bad he was developing bed sores," said Betzen, so he started using again. "The cops would come by every two weeks to see if he was healthy enough to go to jail."
Now, he faces trial again for possession. "They actually want to put him in jail," exclaimed Betzen. "The sheriff there really has a vendetta against him."
While Texas certainly needs to enter the 21st Century when it comes to medical marijuana, the problem is larger than the Lone Star State, said Hermes. "It's critical that we develop a federal medical marijuana law so that people are not treated differently in Texas than in California, and patients who need this medicine in Texas should be allowed to use it with fear of arrest and prosecution. Americans for Safe Access is committed not only to encouraging states to pass medical marijuana laws irrespective of federal policy, but also to push the federal government to develop a policy that will treat patients equitably no matter where in the US they live."
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