One of my favorite characters I've ever had fits perfectly into #15. She was a tiny goblin that was on a quest to collect as many skulls as possible and had a sheep that she won in a contest as her steed. (She was about 2.5 feet tall and the rest of the party was human-sized or larger, so I had to roll endurance checks to keep up with them sometimes if we were traveling a long distance.)
Another option for diabetes are the SGLT-2 inhibitors like Jardiance. They work by making you pee out all the excess sugar. You won't have the diarrhea issues, but you will be peeing a lot. (It's basically a special diuretic, so it's also really good for blood pressure.) Bonus: they've also gained approval for slowing the progression of diabetic nephropathy (kidney disease), so if that's something you have any trouble with, it can help get it covered.
One of the biggest problems with the GLP-1's (Ozempic, etc) is the fact that people lose weight by just not eating as much, and the things they do eat aren't likely to be very nutritious. Protein malnutrition and muscle wasting are very common sources of weight loss on Ozempic. That's why it's standard of care to get your patient to a licensed dietician before starting them on one of those drugs if at all possible.
The BMI number that is calculated just from weight and height is really just a number that tells us we need to go look at some other numbers. The other numbers are things like body fat percentage, cholesterol levels, blood pressure, blood sugar, etc. It is entirely possible for someone to have a "normal" BMI and still be very fat and unhealthy, and those people are pretty easy to identify visually, just as someone with a "high" BMI who is a powerlifter or something is very easy to visually identify.
I'm a medical student and I have some direct experience with this. Sometimes, the difference between the surgeon who will do the procedure versus the surgeon that won't do the procedure is the availability of specialized facilities and equipment that they have access to. An elective surgery (i.e. not an emergency surgery) can go from routine to very high risk depending on the amount of adipose tissue the patient has.
And it's not just a matter of the fat tissue overlying the surgical site. Morbidly obese patients are much more likely to have things like sleep apnea which can make anesthesia more risky and might require more specialized equipment than a particular surgeon/hospital/anesthesiologist might have access to. The "morbid" part of "morbid obesity" also refers to the fact that people above a certain threshold of weight are much more likely to have other health conditions like heart disease that make anesthesia more risky.
I'm a medical student in America and we're required to know some of the legal cases that define our standards and practices. The legal precedent that requires the breach of confidentiality to report a patient for being a danger to themselves or others is the Tarasoff case.
A patient has to be a direct threat to themselves or others in terms of suicide, self-harm, assault, or murder (i.e. meaningful bodily harm) to justify the breach of confidentiality.
The TL;DR of the Tarasoff case was a patient was talking to his physician about wanting to kill his stalking target and then he did so. The precedent means that a physician is required to notify the potential victim and/or the police if a direct threat is made.
If you have a doctor that you can see, you could ask about trying Prazosin for the nightmares. It's a blood pressure medication that has been shown to reduce PTSD nightmares, and getting better quality sleep can make a huge difference in your ability to handle everything else. It's a dirt-cheap medication with minimal side effects, and it's not a controlled substance that shows up on anything.
I'm just looking forward to when I have time to yeet my uterus (get a hysterectomy). It was a pain to find an OBGyn who would do it without asking too many questions, but I still brought my husband to the consultation appointment just in case there was any push back because I'm a woman in her 30's with no children. I've had previous OBGyn's refuse to even discuss a hysterectomy with me because "what if your future husband wants children" when I wasn't even in a relationship or dating at the time.
That's what I've been seeing. I don't use Netflix anyways and I mostly just have a VPN for when I'm on a university or hospital campus and I'd like to keep my internet usage private. (Or when sailing the high seas for books.)
Yeah, my 2 year plan is up in June. I haven't decided what I'm switching to. I've heard good things about Mullvad's privacy policies and politics, but I've also seen reviews that a bunch of sites and services have them blocked.
They're probably having a better time than the ones that aren't intubated. The intubation is to make sure they're still breathing while they're anesthetized. The ones without tubes are just awake and angry/scared.
The crossovers between veterinary medicine and pediatric medicine are a lot more significant than most people like to think about. The Venn diagram isn't a perfect circle....but it's close.
As an ED tech, I had to clean up C diff and chemo diarrhea off patients, beds, floors, and commodes multiple times. ED boarding meant that patients that should have been admitted to hospital rooms that had a bathroom attached were stuck in the ED for hours or even days.
I worked as an assistant in a plastic surgery office for a while as well, and I had to clean lipoaspirate out of the suction tube/syringe and the erlenmyer flask it was emptied into. That was still preferable to the time it got splattered on my scrubs because the surgeon emptied it into a kidney basin the first time. (The flask was my idea to prevent getting splattered again.)
I have a number of complex chronic health problems and I usually hit my out-of-pocket limit around April every year. I find spiteful glee in costing my health insurance tens of thousands of dollars every year. (And every penny of it is actually medically necessary.)
medgremlin @ medgremlin @midwest.social Posts 7Comments 478Joined 2 yr. ago
And I'm pretty sure she's from the UK....