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They do this to trans guys too. Recent hospitalization was 50/50 “she” versus “he” from the nurses and docs of course.
They refused to put me out and barely gave me pain meds while I was screaming as they stabbed and dug around to drain an abscess. Worst pain I have ever experienced was “anxiety.”
"It's because you are fat"
"That will be $5900".
Found the American
Funnily enough, I'm one of the few Americans that gets socialized healthcare because I served in the Navy.
I've been pushing for everyone to get it over here
u're are
🤦♂️
Idk, but "u're" gave me a minor aneurysm
u'rr'ar're
Straight to the gulag with you!
Spouse was at a dentist visit and her blood pressure was so high they threatened to call an ambulance. Has been that high off and on for weeks.
Take her to the doctor, doc knows she's had a full hysterectomy, knows she doesn't exaggerate, knows she refuses to take anything medincinal unless forced. This lady raw dogs migraines to avoid Ibuprofen.
First words out if doc's mouth, "BP that high isn't unheard of in women having their periods. Are you sure it's not your time of the month?" Followed by, "well I'm sure you're just nervous around doctors, it will go down when you get home."
We need to start beating them
Ideally with sticks.
doc knows she's had a full hysterectomy, knows she doesn't exaggerate, knows she refuses to take anything medincinal unless forced.
Sounds like medical PTSD. I’ve fucked my liver taking OTC meds in very high dozes cuz I don’t trust doctors. Had to have an emergency hysterectomy at 28 because they wouldn’t listen. That kind of pain is indescribable.
Had a cardiologist come into my room with a team of students to prove I only had anxietyand hypochondria a few years ago. Shortly after, Was diagnosed with Dysautonomia shortly after and I now have a pacemaker.
I’m done with doctors and would rather just die at home at this point. Fuck them.
Sorry for your spouse. ‘Womanly’ pain is the worst pain there is, imo.
High blood pressure alone is not an emergency. Definitely something to be concerned about preventing/treating in the long term, but no blood pressure number alone warrants an ambulance without also having symptoms of something like a heart attack or stroke that indicates organ damage.
That said, that kind of blasé approach to markedly elevated blood pressure with no real plan to reassess or find a root cause is still unacceptable, especially lazily blaming it on menstruation like is so common. So not trying to undermine your experience, I just had to chime in bc the “hypertensive crisis” thing is a pet peeve of mine.
but no blood pressure number alone warrants an ambulance without also having symptoms of something like a heart attack or stroke that indicates organ damage.
Idk, I'd say a blood pressure of 300/200 or 50/20 would warrant an ER ambulance trip, even without symptoms
I guess we could argue at what point it is no longer physically possible to be asymptomatic with an extremely high blood pressure, but to date there is no evidence to support the treatment of the blood pressure number alone in the acute setting.
Low blood pressure is a separate issue, but also only really treated if causing issues for a patient; however similarly, one questions the plausibility that a patient could be properly perfusing their organs and therefore have no other signs/symptoms of organ damage with a mean arterial pressure of ~30 mm Hg.
I think once I got near that level post dialysis and had no symptoms...
Until the moment I stood up. Then it was all the symptoms.
Likewise, I haven't have 300/200, but did have 200+/150+, and didn't have symptoms... Until I went to try to sleep for the night.
That's the issue with your premise. It's reactionary treatment rather than preventative, and from personal experience preventative is much more pleasant.
But I suppose in the USA the standard for example is reactionary treatment due to healthcare only being private and the insurance companies not wanting to pay up.
I know it feels wrong, but the data supports outpatient management of asymptomatic high blood pressure.
And the European Society of Cardiology agrees with the AHA, so it’s not just an American thing. Check out section 10, or ctrl+F “hypertensive urgency”.
Yeah this very much depends on the actual specific number. I work inpatient so I don't blink at 155 systolic because we're gonna take it again in 12h and honestly these days the hospitalist says current evidence supports not even treating emergently until 170. The ED actually keeps insisting that 180 isn't their problem for patients they want admitted to psych. A small dentists office might not be up to date on current best practice for treating hypertension.
When I interviewed for a CSU they were even like "how would you approach an intake where your new pt has a BP of 180?" and I, coming from the university hospital where I had residents subject to my whims I struggled to come up with an answer that wasn't "page the oncall I guess?" But I did manage "...tell them to take some deep breaths and take it again...?" which was apparently the right answer???
150s to me is a GP/PCP's problem 3 months from now and ultimately they'll probably just tell the person to start with eating less salt. It also sounds like it was asymptomatic and there's also the possibility that the doctor just figured she wouldn't take anything anyway based on this person's description.
I was hospitalised before by ambulance purely for a hypertensive crisis and heart palpitations, no other concerning symptoms. Magnesium infusion sorted it out, felt so much better after that.
It came out of nowhere, couldn't sleep due to heart palpitations so I checked BP and it was wildly high along with pulse. Root cause was essentially C677T homozygous SNP, taking methylated folate and b12, and trimethylglycine helps a lot and prevents further episodes
Yeah, heart palpitations would be a great example of a symptom associated with markedly elevated bp that indicates you should be treated emergency. I’m glad you got effective treatment.
"We're just gonna do a pregnancy test to rule that out"
Sure, we can all see the x-ray, but when was your last period?
I mean I get it's a joke in the case of this X-ray, but maybe you SHOULD lose some weight, quit smoking, drink less, and check if you're pregnant? Your body is your temple but we don't have to be that literal about it.
This is textbook hysteria. This woman needs a lobotomy, stat, before the damage spreads to her vagina. Without that, she's only got her mouth.
Our latest research has shown that anal sex is a very humane way to give a woman's life meaning after losing her vaginato hysteria.
Is this the inside of a llama's stomach? Perhaps one wearing a hat?
"You'd be prettier if you smiled more".
Multiple compound and comminuted fractures in carpometacarpal particularly on the right as well as compound and comminuted fractures on the left distal radial and ulnar bones.
Amputating 100%, but where will depend on the possible presence of any severe lacerations, contusions, and third or fourth degree burns.
At this level of trauma the orthopedist isnt going to get that specific. It's just going to be a trans carpal traumatic amputation of the left icd-10 S68.412 (Complete) and a traumatic trans metacarpal amputation of the right icd-10 S68.711.
More than likely both will end up being a distal transradial amputations.
Im not a doctor but I think she might be on her period. meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow
I'm thinking how this injury could have been caused by a single incident. Like both hands dismembered, with the right hand's (on the left side?) thumb broken but otherwise relatively ok, whereas the left hand (on the right side) got basically cleaved, with the index finger flattened/elongated/crushed with the thumb looking fine (I think? looks sus, but can't really say...).
first thought is a car accident, but then the whole bits of hands and them arranged wrongly doesn't really make sense in my head, like, this xray wouldn't even be taken in the process of saving their life, I would think (unless they are dead, and this is a post mortem xray, but then at that point, why wouldn't you arrange it properly then?)
So I am thinking of some heavy machinery accident, and they managed recover whatever is left of their hands and limbs, rushed into the hospital, thus taking a quick xray to immediately see the extent of the damage.
Or it could be ai, no idea, not a doctor...
Article from 2014 says it was a factory accident to an 18 year old worker. CW: pictures of his hands post-repair but still bloody.
first link is my attempt to keep the preview from coming up, which didn't work on my app. :(
Damn, that absolutely sucks :(
WALK IT OFF.
You get a response from a doctor? Is this some non-UK joke I'm too UK to understand?
When was your last period?
