#pneumology

[twilit-tragedy]

Got blood tests and a gyno ultrasound done yesterday and yikes! I'm just barely not anemic anymore, despite the iron supplements. I got high cholesterol out of nowhere, a severe vitD deficiency and my ovaries look like a battlefield but "not concerning", apparently. Bruh.

#she told me to find a specialist and get an MRI to check for endometriosis elsewhere. bruh. #oh yeah my left ovary looked like it swallowed two footballs while the right looked like lumpy scar tissue all over lmao #alternatively my left ovary looks like a cartoon character that got hit by two cannonballs #but she meant there weren't endometriomas i get it #(i mean. not like i know what to look for lol. i'm waiting for the report) #also my FSH and estradiol were within limits on my blood tests but I was on a combined pill until two weeks ago so #and the 'healthy' interval is one of those 2-20000 types #testosterone also normal as it was last time i tested for it #pissed about the iron / hemoglobin. I used to donate blood and make fun of my brother for not eating enough spinach now look at me #like a victorian woman fainting cuz of bleeding #also my left ovary stabs me on most ovulations and I suspect it's the footballs' fault #twilit personal #in other news leucocytes in the low normal which is usual for me but lymphocytes POPPING off. whatchu doing girl #i'm also salty about that. my leuco numbers are normal or high and a cold now puts me in bed for two days #but when i asked my doctors about being evaluated for long covid i got a ''we don't do that anymore. you'll have to go through pneumatology #*pneumology apparently. lung doctors whatever #grrrrrrrrr #everything is fine :))))))

[datenarche]

#Alice-Salomon-HochschuleBerlin #Corona-Ausschuss #dieBASIS #EnquetekommissionEthikundRechtdermodernenMedizin #EU #EuropäischeUnion #Europarat #FalschePandemien #Gesundheitsamt #Gesundheitswesen #H1N1Pandemie #Hygiene #Internist #IQWIG #Korruption #ParlamentarischeVersammlungdesEuroparates #Pneumologe #Sozialmedizin #SPD #StiftungCorona-Auschuss #StiftungCorona-Ausschuß #TransparencyInternational #Umweltmedizin #UniversitätFlensburg #WolfgangWodarg

[studzblr]

Save what can be saved: Day 23/48

Hey!

This is your reminder to do a breast self examination, it takes 2min!

Today I studied a little bit of gynecology then solved many pneumology questions.. I still need to recheck some details before the exam but maalich I think I'm good so far lhamdoullah.

#studzblr #studyblr #medicine #studying #study #study motivation #medecine #student #October #study aesthetic #productivity challenge #motivation #studies #islam #islamblr #medblr #breast cancer #breast cancer awareness #pink october

[bpod-bpod]

Model Scar

Just like a scar might form over an injury on your skin, damage to your organs can result in rigid tissue which restricts movement and function. When this happens in the lungs, such as in the major post-COVID complication lung fibrosis, stiffened tissue can stop the lungs working and be fatal. Current methods for investigating this in the lab are limited, so researchers have made a mini-lung model equipped with real-time monitoring of cell mechanics under life-like conditions. An ultra-thin membrane supports the growth of cells (such as the false-coloured purple air sac lining cell pictured on a bed of green matrix proteins). The membrane is compatible with the body’s cells, and is permeable and flexible to mimic lung tissue. The researchers measured cell stiffness as a marker of disease progression or improvement, and can test the impact of any treatments, which will help the development of any new therapies.

Written by Anthony Lewis

Image from work by Ali Doryab and colleagues

Institute of Lung Health and Immunity (LHI) and Comprehensive Pneumology Center (CPC), Helmholtz Munich, Member of the German Center for Lung Research (DZL), Neuherberg, Germany

Video originally published with a Creative Commons Attribution 4.0 International (CC BY 4.0)

Published in Advanced Materials, August 2022

You can also follow BPoD on Instagram, Twitter and Facebook

#science #biomedicine #lung fibrosis #lung #fibrosis #scar tissue #post-covid #pulmonary #electron microscopy #tissue repair #tissue healing

[jess-unkommentiert]

[18] Concern

-> Heartbeats 💕 Masterlist → The story on Wattpad

CW: This chapter is hard stuff. If you don't feel good with reading it, please skip. Warning: panic attacks, emotional roller coaster, descriptions of injuries and accidents.

But I promise: The end is adorable. ♡

December 4th 2022 - Atlanta Anthony's words shocked her and it felt like her body forgot how breathing works. Her heart stopped beating and her lung screamed for oxygen when she finally took a deep breath. Her hand that was holding the phone was trembling and she felt like she would collapse.

„Y/N are you there?" Anthony asked concerned.

„Can I see him?" was the only response y/n was able to give him.

„He is unconscious at the moment because he needed to have surgery, but of course you can see him. I'll send you an Uber. You're not gonna drive on your own right now." Anthony said and y/n could hear him sigh.

Of course he was scared and concerned as well. Seb was one of his best friends and they knew each other for years. Their job was dangerous but thankfully nothing worse than a sprained ankle had happened before. Until last evening.

„Thanks Mackie", y/n whispered and ended the call.

She was still shocked and didn't know what to do. So she tried to focus on the upcoming trip to the hospital. She needed to change her clothes and pack her stuff.

It felt like the world happened in slow motion now when she changed into the outfit from yesterday night and grabbed her phone, a phone charger, her purse and some other stuff to put it into her handbag.

A notification on her phone told her that the Uber driver was waiting outside of her apartment complex so she grabbed her keys and ran out or the apartment.

She needed to see him. As soon as possible.

The drive to the hospital were the longest 30 minutes y/n ever experienced. It seemed like time just decided to not go by anymore. As if there was someone punishing y/n so that she was not able to see Sebastian.

The Uber held right in front of the main entrance of the hospital and she could see Anthony waiting outside - smoking a cigarette.

She didn't knew that he was smoking. Maybe he was just trying to calm his nerves.

The door shut behind her and she wasn't even able to thank the driver. She hurried to Anthony who stub out his cigarette on the floor.

When he saw her pale face and the trembling in her whole body, he pulled her into a hug. Tears were falling down her cheeks and soaked Anthony's shirt. He could hear a snob from his shoulder.

„He's gonna be okay, y/n. Everything is going to be fine." he whispered before letting her go from the hug. She wasn't sure if he just said that to convince her (and maybe himself) that it will be alright or if it was the truth.

„What happened?" she stumbled.

Anthony saw that she was not looking good and pointed on a bench next to the entrance. No need for her to be admitted to the hospital as well.

„No, I want to see him. Can we just see him and then you explain to me what happened?" she said and tears were falling down her cheeks again.

„Sure!" he said and put his palm on her back to support her on the way to the elevators.

„His room is in the second floor" he said, pushed the button in the elevator and y/n could read „2nd floor - Pneumology / Internal Medicine" on the sign next to it.

Y/N's gaze was locked on her feet and her whole body was still trembling. Why did the elevator took so long to arrive at the second floor? Anthony caressed her back to comfort her, but that didn't work very well.

Finally the elevator reached the second floor and with a loud „ding" the door opened. Anthony went ahead and turned right to go into a corridor. Right in front of Room 217 he stopped and turned around to face y/n.

„Don't be scared, it looks worse than it is. I don't need you to collapse in front of me, okay? I couldn't handle that today as well." he sighed and y/n could see tears in the corner of his eyes.

She nodded and Anthony opened the door to Sebastian's room.

Sebastian was laying on the hospital bed - still unconscious. It was dark outside and the light was turned out. Just a shallow light from the moon and the lanterns on the streets lightened the room.

The strange lighting made Sebastian appear even more pale and ill than he actually was.

She couldn't see any wounds or injuries other than a bruise on his left eye. He had a nasal applicator with a breathing tube in his face that helped him to breath. She could see that his chest was raising and lowering in a faster rhythm than usually when he was laying next to her.

Maybe he had trouble breathing and needed support with oxygen through the nasal applicator.

Next to his bed were three different machines. One showed his heart rate and it was connected with a lot of colorful cables to patches all over his upper body. She could see the cables run into different directions under the hospital gown he was wearing.

The second machine showed the oxygen saturation in his blood. It was around 94% but she wasn't sure if that was good or not. The machine was attached to a clip on his left index finger.

She didn't exactly know what the third machine did but it looked like different syringes were placed inside the machine. Each one had like a control panel next to it. Three of the syringe slots were filled and each of them had a tube coming out of it. The three tubes merged halfway on the way to Seb's body in some kind of device. From that device one single tube was attached to him with an IV at his left arm bend.

Anthony was right. It looked bad.

She headed to his bed and Anthony pointed on the chair that was standing right next to Seb's bed. She sat down and carefully touched his lifeless right hand.

It was cold. Not like dead-cold but a lot colder than usual. Tears were falling down her cheeks again as she looked at the man she loved laying in a very miserable form in front of her.

Yep, she loved that man. No denial any longer.

She wanted to say something. Wanted to tell him that everything was going to be okay and that she was here by his side. But her mouth was dry and it felt like she had swallowed five cotton balls - what made her unable to speak.

Anthony saw her struggle and started with the explanation of what happened while she carefully draw circles with her thumb on his cold hand.

„Bucky was supposed to do a small jump off a canopy onto the street. John - his stunt double - was there to do the stunt but Seb said he wanted to do it on his own. It was a 2-2,5m jump and we knew that he was able to do it. But, you know. Because of insurance stuff Marvel likes the stunt guys to do even the easiest things."

He sighed and y/n had an idea what was about to come next.

„But stubborn as he is sometimes he wanted to do this on his own. To proof himself that he was still able to do it - even with 40."

Anthony decided that he didn't want to stand anymore so he grabbed another chair and placed it at the end of the bed to sit down.

„You need to know that in the street set there were some kind of bollards that should prevent people from park right before the shop. The shop with the canopy. Bucky should simply jump off the canopy and ran after a bad guy."

He paused and looked into her watery eyes. It seems like he was still in shock and explaining the happenings for her would take him back to the situation a few hours ago.

„So Seb jumped off the canopy and I don't know exactly what happened but he landed correctly and then stumbled and fell with his stomach on one of the bollards."

Y/N eyes widened in shock. Did he had internal bleedings? Was it that bad?

„He was screaming in pain and wasn't able to breath properly so we called an ambulance. He was conscious all the time and mumbled your name and that we should call you, but we thought he was just in shock. He said something about dinner and we had to let you know, but none of us really knew what he was talking about.

When the medics came and gave him pain killers he seemed to be even more confused and then he became unconscious because of the medicine."

Y/N was still looking at Anthony and then turned her head to face the sleeping Seb. She squeezed his hand and a quiet snob filled the room.

Before she could say a word Anthony added „I will never forget his scream in pain. Never. This was the worst thing I've heard in my life." and a single tear rolled down his cheek.

Y/N wanted to hug him and comfort him as well. It must have been indescribable hard so see his best friend getting hurt. But her body was not reacting - she was still in complete shock. So was her mouth and she had an internal fight ongoing to make her body say or do something.

„So what is wrong with him? What are his injuries? What was the surgery about?" y/n was finally able to ask all the questions that were stuck in her throat since they entered the room.

Anthony jumped of his chair, said: „let me get a doctor so that he can explain it to you properly!" and ran out of the room.

Y/N looked at Seb and was still not able to say something. It felt so unreal.

He was laying in the bed sleeping and it looks like she just needed to shake him a bit so that he wakes up. She really wanted him to wake up. To know that he was okay.

She carefully caressed with her fingertips over his right forearm. Very gentle because she was scared to hurt him. He looked like he was made out of porcelain and she didn't want to break him. More than he was already broken.

Anthony re-entered the room - followed by a man in a white coat.

„Hi Miss Y/L/N? My name is Dr. Smith and I did the surgery of Mr. Stan. You wanted to know what happened?"

She was only able to nod. Her heartbeat was very fast and she felt dizzy out of nowhere.

„Mr. Stan hat a trauma on the left side of his abdomen which led to three broken rips. We call that multiple adjacent rip fractures.  That is very painful but would normally heal on its own. The problem was that one of the bone-fracture-parts punctured his lung."

He gave her a few seconds to understand what he explained to her. It sounded bad, very bad. So she was scared and concerned even more.

„We needed to do surgery because his lung was collapsed. It's called a pneumothorax. For your explanation: There are two layers of protective tissue called the visceral and parietal pleura that surround the lung. The space between the two layers is called the pleural cavity or pleural space. When air collects in the pleural space - for example after an injury like Mr. Stan had - it is called a pneumothorax. With a pneumothorax you're not able to breath because the lung is not able to unfold itself like it is supposed to do to keep your body working. That also means the organs don't get enough oxygen which can lead to multiple organ failure and then to death."

Y/N tried to process what he had said but she didn't understand half of the words. So she just nodded as a sign that the doctor should continue.

„We needed to get the air out of the pleural space so we inserted a hollow needle and draw the excess air with a syringe. As we did that his lung was able to unfold properly and he was able to breath again."

„That sounds like his life was really in danger" y/n whispered in a very quiet voice but the doctor had heard her. It wasn't a question. It was a statement.

„I'm not gonna lie to you. It was a dangerous situation. But because he was admitted here so fast we were able to do the surgery in time. There will be no lasting damages. But it takes time to heal. Broken rips are very painful and the lung needs time to recover as well. That's why we support him with oxygen through the nasal applicator."

He could have died. Sebastian could have died.

This was the only thing she heard from the doctor's speech and the tears - that had stopped while the doctor explained everything - started to fall again. She was trembling even more and it was heartbreaking to watch.

The doctor came to her side and placed his hand on her shoulder before he said:

„He's going to be fine. The oxygen saturation is good after the surgery and the rips will heal on its own. You don't need to worry. Your boyfriend will be alright soon."

Her boyfriend. Did he just say that?

Anthony heard it too but decided that it wasn't the time to do a joke. Although he really wanted to lighten y/n's mood.

„When will he wake up?" y/n asked the doctor and took Sebastian's hand in hers. Hoping that he would suddenly squeeze it like in a Hollywood movie.

„He went out of surgery an hour ago. Normally it takes some time to get the sedatives out of his system. I think he will wake up some-when during the night. But he will be in a lot of pain so if we give him more painkillers he will pretty sure sleep again. These are strong painkillers." the doctor answered.

„And how long does he need to be in the hospital?" Anthony asked. Seemed like he hadn't ask that before.

„I think we can release him at the end of the week. But he will still need someone to take care of him. His movements will be limited so that there won't be any further damage in the abdomen." the doctor explained to Anthony who was now standing on the opposite side of Sebastian's bed than y/n.

„Thank you for the explanation doctor. I want to stay with him, is that okay?" y/n asked and finally the tears had stopped.

„Of course. You can sleep on the couch over there. I will let a nurse bring you a blanket. Let us know if you need anything. You look very pale and you're pretty sure in a shock. Please let us know when you're not feeling good, miss Y/L/N." the doctor said and raised an eyebrow.

„I'll be fine. But thank you, Dr. Smith"

„Yes, thanks doc!" Anthony said and the doctor nodded before he left the room.

Y/N stood up and leaned over Sebastian to give him a kiss on his forehead. She didn't care about Anthony. She wanted to let Sebastian know that she was here.

Anthony smiled at her and said: „If it's okay for you I will head home now. I am here for a few hours. Sorry for calling you so late. I wanted to wait for the surgery to end so that you could immediately see him. I am pretty sure that will help him wake up earlier."

„Thank you for calling me Anthony. That means a lot to me." y/n answered and went around the bed to give Anthony a hug.

„I know he means a lot to you as well. And you mean a lot to him. I support you. You're cute." he chuckled and managed to see a smile from y/n as well. The first smile since she got the call.

Right after the hug Anthony left the hospital room to head home. He wanted to talk to the Russos and maybe Kevin Feige tomorrow to see how Sebastian's accident would effect the time schedule of the movie.

But at the moment the most important thing was for Seb to get better soon.

Y/N stepped around the bed one more time to fall down on the chair again. But before she did so, she pushed the chair right next to Sebastian and leaned her head on his right shoulder while her left hand was intertwined with his right one.

„Hey honey." she said and turned her head to place a kiss on his shoulder.

„You really scared me. I hope you wake up soon so that I can hear your beautiful voice again. The doctor said you will be fine. I hope he's right. It kills me to see you laying here with all this stuff attached to your body."

The tears were falling again and started to soak the fabric of Sebastian's hospital gown. But she didn't care. She wasn't able to control her emotions anymore as the last six hours were like a roller coaster for her. Excitement, anger, concern, fear. Too many emotions for that short period of time.

„I really wish you were awake" she mumbled in the wet fabric.

She waited for him to say something because it was the right timing to do so. Or to squeeze her hand. Or to turn his head to face her and place a kiss on her head. Like it would be in a romantic movie.

But that didn't happen.

Sebastian was still unconscious and the only sound that filled the room was the constant beeping of the heart rate monitor - showing y/n that her loved one was still alive.

She must have fallen asleep in that position because it was 01:30 am in the morning when she looked at her phone again.

It showed a message from an unknown number:

„Please let me know when he wakes up. I'll be back in the morning and bring you some breakfast and coffee. Let me know if you need anything else. Anthony"

He must have copied her number out of Sebastian's phone because she remembered he called her from Seb's phone yesterday. After the accident.

She stretched her hurting back and neck and decided to switch to the couch. Out of nowhere a blanket had appeared on the couch - it seemed like a nurse was in the room while she was asleep.

She took off her shoes and laid down on the couch. It didn't need much time as exhaustion hit her and she fell asleep again.

~~~

The sun was starting to raise but that wasn't the reason why y/n woke up the next morning.

Suddenly the constant beeping from the heart rate monitor changed into a faster pace that activated some warning beeping as well.

Her eyes shut open and she sat up on the couch - turning towards Sebastian immediately.

Her brain needed a second to realize what the terrific sound meant, but as realization hit she jumped off the couch and ran to Seb's bed.

His head was turned towards her and she could see his eyes flicker below still closes eyelids. His head was trembling and his right hand was clenched in a fist.

Before she was even able to push the panic button on the bed two nurses and Dr. Smith ran into the room.

„Miss Y/L/N you need to wait outside!" one of the nurses said and gave her a hard push out of the way. She didn't want to wait outside but she needed them to do their work and save Sebastian.

The door was closed behind her so she couldn't hear or see what was going on. She thought about calling Anthony but he was exhausted at well and he needed his well-deserved sleep.

So the only thing she could do was wait and do nothing. She felt helpless.

As time went by and the doctors were still in Sebastian's room she felt a pressure on her chest - making it harder to breath with every second.

One of the other nurses walked by and realized that y/n was pale and clung with her hands on the railing that was attached to the wall. She had major struggles to breath and felt dizzy.

The male nurse stopped in front of her and asked: „Are you okay?"

Y/N wasn't able to answer so she shook her head as response.

The nurse realized what happened and said in a calm voice: „You're having a panic attack. Look at me. Look me in the eyes."

She did as she was told.

„Try to copy me. Breath in through your nose and out through your mouth"

He did some exaggerated breaths and y/n tried to follow him. Her hands left the railing and held his. She was trembling and the male nurse - his name was Simon - hold her tight to prevent her from collapsing on the ground.

She didn't know how long they were just standing there and took breath after breath together but she felt that the pressure on her chest disappeared with ever molecule of oxygen that entered her body.

Suddenly it was all gone and she didn't feel dizzy anymore.

„Thank you so much." she whispered at Simon - now realizing that Dr. Smith was standing behind the male nurse.

„Panic attack?" he asked and y/n nodded.

„No need for that. He's fine, Miss Y/L/N."

„But the heart rate monitor didn't sound like he was fine", y/n said scared and when she felt the pressure coming back again she forced herself to take three deep breaths.

„This might sound crazy, but he was having a bad dream. His body reacted to that. But that is actually a good sign. That means that his body is ready to wake up. When you're under sedatives you don't dream. The dreams will come when the medicine is out of the system and your body sleeps in a normal way. We see that often - although his body's reaction was intense." Dr. Smith explained.

„Can I go back inside?" she asked quiet.

„Of course. I expect him to wake up within the next two hours. And I am pretty sure he will be happy to see you by his side." the doctor smiled at her and stepped aside so that y/n could enter the room again.

She could see that Sebastian's body was shifted a little so that he was not laying straight on his back anymore but more turned on his right side.

Y/N went around the bed and grabbed the chair again to place it next to Seb. The doctor and nurses must have put it away to have enough space to examine him.

His breath was still faster than usual but he looked better and not as pale as before. The heart rate monitor showed a normal heartbeat again. She saw that there was sweat on his forehead.

She grabbed his hand again and gave him a small squeeze. In reaction to her touch he turned his head on the other side - away from her. It looked like he was still dreaming.

„Hey honey, I'm here. It's okay." she whispered, leaned over him and kissed his sweaty forehead. She didn't care. She wanted him to know that she was there for him. That they would go through this nightmare together.

His head turned back in her direction and she could see his eyes open a little.

Was he awake? Or was it still the dream?

But then his eyes opened more and she could see that his pupils reacted to the light.

He was awake.

There was a very confused look in his eyes and he slowly turned his head around to see where the hell he was.

When he tried to move his upper body to have a better look around he groaned in pain and immediately put his left hand on his left abdomen. Which made him groan once again.

He seemed very confused while he looked at the IV on his arm and the cables on his chest. His right hand moved to his face and he touched the nasal applicator while his left one touched a bigger tube that was coming out of his gown. Y/N hadn't seen it before but it was attached to a bag that was filled with blood. It must be a wound drainage, she thought.

She grabbed his right hand with one of hers and tried to comfort him so that he didn't pull on any of the tubes or cables and would hurt himself even more.

„Shhh, honey. It's alright. Everything is okay. You're in the hospital."

His blue eyes finally met her green ones but there was still a lot of confusion in it. At least he gave up to move his upper body so he wasn't in bad pain anymore.

„Hospital?" he asked with a husky voice.

„Yeah, you had an accident on set yesterday. You had to have surgery, but you'll be fine." y/n answered and gave him another kiss on the forehead before she leaned back and locked her eyes with his again.

She saw how the confused looked changed into a knowing-one before he said:

„I'm so sorry I missed dinner. I told Anthony to contact you!" he said with despair in his voice.

„Shhh. Honey, it's okay. It doesn't matter right now. I am just so happy that you're fine and awake. I was so scared." y/n answered and tears were falling down her cheeks again.

Sebastian raised his right arm to place it on her cheek. By his furrowed eyebrows and the pinched eyes she could tell that it must have hurt him to move the arm like that.

But he did it anyway and gently caressed his thump over her cheek to catch the tears.

„Please don't cry, prinţesă. I don't like to see you like that. I love you too much to see you hurt like that." Seb said with a lovable voice - y/n could see sparkles and passion in his eyes.

The biggest possible firework exploded in her stomach, she placed her hand above Sebastian's - that was still on her cheek - and she answered:

„I love you too, honey. You can't even imagine how much."

_____

[AN]: Love is in the air! Finally ladies and gentlemen. Finally the two lovebirds realized that they are in love with each other.

#sebastian stan x reader #sebastian stan reader #sebastian stan fandom #sebastian stan fanfiction #sebastian stan #sebastian stan x female reader #sebastian stan x y/n #sebastian stan x femalereader #sebastian stan x you #female reader #fanfiction #fanfic #mcu #marvel fanfic #marvel fanfiction #marvel fanfic writer #marvel #bucky x oc #james bucky barnes #buckybarnes #bucky barnes #winter soldier #wintersoldier #anthony mackie #the avengers #avengers #love at first sight #lovestory

[autolesionistra]

Caro diario, sono ormai entrato da qualche annetto negli "anta" e ho avuto la conferma di un sospetto che ho sempre avuto. Tralasciamo il declino fisico, quella è una curva esponenziale: chi è più vecchio di te avrà sempre qualche tracollo in più da lamentare, e di fatto gli unici che si potrebbero lagnare sono gli ultracentenari che però sono troppo impegnati a rilasciare interviste ai tigì regionali dove dicono che sono arrivati a cent'anni facendosi una sigaretta e un grappino ogni sera, impedendo così a un sacco di pneumologi e epatologi di arrivare a loro volta a cent'anni perché colti da attacchi cardiaci mentre inveiscono contro il tigì regionale. Sto divagando.

Sul declino cognitivo/comportamentale però credo non esista un periodo in cui il tracollo sia più netto di quello fra i 40 e i 50 anni. Con poche, rare e gradite eccezioni (di cui non faccio parte, chiariamoci), compiuti i 40 i difetti che uno si ritrova diventano di dimensione mazinga mentre i pregi (se presenti), atletici e baldanzosi, fanno la fine di Oberyn Martell (never forget). A corredo, l'autocoscienza viene presa, bastonata, legata in cantina e sostituita da un individualismo edonistico malamente cammuffato che suggerisce come soluzione a qualsiasi problema personale l'isolazionismo autoassolutorio e la proiezione esterna dei problemi. (e se mi dite che sto esagerando siamo ad un’impasse ideologica perché potreste avere o meno di quarant’anni o l’autocoscienza legata in cantina)

Credo sia anche un problema relazionale oltre che neurologico perché progressivamente vengono a mancare alcuni elementi di riferimento tipo l'Amico/a Che Ti Insulta™, figura atavica destinata ad attivare l'autoconsapevolezza quando stai facendo una qualche minchiata. Con gli anni però uno tende a privilegiare interazioni sociali più da diporto e meno impegnative, cosa da un lato comprensibile, dall'altro, come diceva Eraclito di Efeso che la sapeva lunga: "per le persone, che accada tutto ciò che desiderano, non è la cosa migliore".

[biotech-news-feed]

Opinion/decision on a Paediatric investigation plan (PIP): Palforzia, defatted powder of Arachis hypogaea L., semen (peanuts), decision type: PM: decision on the application for modification of an agreed PIP, therapeutic area: Pneumology-allergology #BioTech #science

#Blockchain #Crypto

[asploroopenaccesspublications]

Pulmonary Actinomycosis, A Lesson Learned Story

Claudia Moreno-Diaz1ID, César Prócel-Ramírez2ID, Lucy Baldeón-Rojas3ID* 1Internal Medicine Department, Pneumology Service, Vozandes Hospital, Quito and Internal Medicine Department, Pneumology Service, Metropolitan Hospital, Quito, Ecuador 2Internal Medicine Department, Metropolitan Hospital, Quito, Ecuador 3Research Institute of Biomedicine and Faculty of Medicine, Central University of Ecuador,…

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[vipnoviny]

Oficiální zpráva: Ventilátory zabily téměř VŠECHNY pacienty s COVIDEM

Téměř všichni pacienti s COVIDEM-19, kteří zemřeli v nemocnici během rané fáze pandemie, byli zabiti v přímé příčině tím, že byli nasazení na ventilátory, došla k závěru nová znepokojivá zpráva. Nová analýza naznačuje, že u většiny pacientů, kteří byli nuceni být připojeni k ventilátoru kvůli infekci COVIDU-19, se také vyvinula sekundární bakteriální pneumonie. Tato pneumonie byla zodpovědná za vyšší úmrtnost než infekce COVID-19. Takže zatímco COVID-19 mohl být záminkou umístit tyto pacienty do nemocnice, skutečnou hrozbou byly ventilátory, které způsobily jejich smrt. „Naše studie zdůrazňuje důležitost prevence, výzkumu a agresivní léčby sekundární bakteriální pneumonie u kriticky nemocných pacientů s těžkým zápalem plic, včetně pacientů s COVIDEM-19,“ říká Benjamin Singer, pneumolog z Northwestern University v Illinois. Sciencealert.com píše: Tým se podíval na záznamy o 585 lidech přijatých na jednotku intenzivní péče (JIP) v Northwestern Memorial Hospital, v Illinois. Všichni měli těžký zápal plic a/nebo respirační selhání a 190 mělo COVID-19. Pomocí přístupu strojového učení k procházení dat vědci seskupili pacienty na základě jejich stavu a množství času, který strávili v intenzivní péči. Zjištění vyvracejí myšlenku, že cytokinová bouře po COVID-19 – ohromující zánětlivá reakce způsobující selhání orgánů – byla zodpovědná za významný počet úmrtí. U sledovaných pacientů nebyly žádné známky multiorgánového selhání.

Prezentace znázorňuje průběh vzniku pneumonie v důsledku "léčby" ventilátorem.   Místo toho bylo u pacientů s COVIDEM-19 pravděpodobnější, že se u nich rozvine dlouhodobá ventilátorová pneumonie (VAP). Případy, kdy VAP neměla pozitivní odezvu v léčbě, byly významné z hlediska celkové úmrtnosti, vyplývá ze studie. „Ti, kteří byli vyléčeni ze sekundárního zápalu plic, pravděpodobně přežili, zatímco ti, jejichž zápal plic neustoupil, s větší pravděpodobností zemřeli,“ říká Singer. "Naše údaje naznačují, že úmrtnost související s virem samotným je relativně nízká, ale jiné věci, které se dějí během pobytu na JIP, jako sekundární bakteriální pneumonie, to kompenzují." Tyto výsledky naznačují, že výsledky na JIP by se mohly zlepšit, pokud by existovaly lepší strategie pro diagnostiku a léčbu příhod VAP – což je podle výzkumníků potřeba v budoucnu řešit. Je třeba mít na paměti, že pokud potřeba dát pacienta na ventilátor k léčbě komplikací způsobených COVIDEM-19 vede k VAP, neznamená to, že je infekce COVID-19 méně nebezpečná, ani to nesnižuje počet úmrtí na COVID-19. Jak autoři píší ve své práci: „Relativně dlouhá doba pobytu na ventilátoru u pacientů s COVIDEM-19 je primárni příčinou prodlouženého respiračního selhání, které je vystavuje vyššímu riziku VAP.“ Zjištění však zdůrazňují potřebu dalšího studia a opatrnosti při vytváření předpokladů o příčině úmrtí v případech COVIDU-19. Podrobná molekulární analýza ze stejné studie by měla odhalit více o tom, jaký je rozdíl mezi zotavením, nebo nezotavením se z VAP Je to také další příklad toho, jak umělá inteligence strojového učení dokáže zpracovat obrovské množství dat a odhalit vzorce v nás lidech – ať už jde o analýzu proteinů nebo pokrok v matematice. "Aplikace strojového učení a umělé inteligence v klinických datech může být použita k vývoji lepších způsobů léčby nemocí, jako je COVID-19, a pomoci lékařům na JIPCE při léčbě těchto pacientů," říká Catherine Gao, rovněž pneumonoložka v Northwesternu. Výzkum byl publikován v Journal of Clinical Investigation. Překlad: Martin Kirschner (www.vipnoviny.cz), Zdroj: thepeoplevoice.tv Poznámka MK: O smrticích účincích ventilátorů varoval Dr. Andrew Kaufman již v květnu 2020. Mainstreamem však byl tento doktor označen za konspiračního teoretika a nikdo jej nebral vážně. Dnes už i oficiální studie přiznávají, že na ventilátorech byli lidé zabíjení. Read the full article

#BenjaminSinger #covid-19 #depopulace #genocida #léčbacovidu #ventilátor #ventilátory

[gobelluno]

Giornata mondiale del sonno: i consigli

BELLUNO – Oggi, 17 marzo 2023, si celebra in tutto il mondo la Giornata Mondiale del Sonno (World Sleep Day), un evento annuale dedicato alla cultura e consapevolezza dell’importanza del sonno, che si tiene ogni anno nel venerdì che precede l’equinozio di primavera. Ne parliamo con i pneumologi Stefano Calabro, direttore dell’UOC di Pneumologia dell’Ospedale di Feltre, e Edda Enzo. Perché il…

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#Belluno #News #Unità Locale Socio Sanitaria (ULSS)

[rumahsakitbekasi]

Dokter Paru di Bekasi - Pulmonologi adalah spesialisasi medis yang berhubungan dengan penyakit yang melibatkan saluran pernapasan. Istilah ini berasal dari kata Latin pulmo, pulmōnis ("paru-paru") dan akhiran Yunani -λογία, -logia ("studi tentang"). Pulmonologi sama dengan pneumologi (dari bahasa Yunani πνεύμων ("paru") dan -λογία), respirologi dan kedokteran respirasi.

Pulmonologi dikenal sebagai cabang kedokteran dada (chest medicine) dan kedokteran respirasi (respiratory medicine) di beberapa negara dan daerah. Pulmonologi juga dianggap sebagai cabang penyakit dalam, dan berhubungan dengan perawatan intensif. Pulmonologi sering melibatkan pengelolaan pasien yang membutuhkan dukungan hidup dan ventilasi mekanis. Ahli pulmonologi dilatih secara khusus dalam penyakit-penyakit dan kondisi-kondisi yang ada di dada, terutama pneumonia, asma, tuberkulosis, emfisema, dan infeksi dada yang rumit.

Pengenalan Paru paru

Paru-paru merupakan sepasang organ yang memiliki tekstur kenyal dan berisi udara, dibantu oleh trakea dalam penghantaran udara. Paru-paru berfungsi sebagai tempat pertukaran oksigen dari udara dengan karbon dioksida dari darah. Paru-paru mengambil oksigen dari udara yang dihirup kemudian masuk ke aliran darah dan didistribusikan ke seluruh bagian sel, ketika sel bekerja maka dihasilkan gas buangan berupa karbon dioksida dilepaskan melalui aliran darah. Organ paru-paru terlibat dalam sintesis, penyimpanan, transformasi dan degradasi zat.

Anatomi Paru

Paru-paru terletak dibagian rongga dada bagian atas, otot dan rusuk membatasi bagian samping dan diafragma membatasi bagian di bawah paru. Bagian paru terbagi atas dua yaitu pulmo dekster dengan 3 lobus dan pulmo sinister dengan 2 lobus. Paru-paru kiri lebih kecil dibandingkan paru-paru kanan. Setiap lobus dari paru seperti balon yang diisi dengan spons, udara masuk dan keluar melalui satu jalan. Paru-paru dibungkus oleh selaput yang mengelilingi kedua paru-paru dan memisahkan paru-paru dari dinding dada disebut pleura.

Mekanisme cara kerja

Ketika proses pernapasan berlangsung, udara masuk melalui mulut dan hidung kemudian melewati trakea untuk bisa sampai ke paru-paru. Sampailah pada bagian bronkus (kanan dan kiri) kemudian masuk pada bagian bronkuiolus yang lebih kecil sampai di alveoli. Bagian alveoli ditutupi oleh pembuluh darah kapiler dan terjadilah pertukaran O2 dan CO2. Darah yang terdeoksigenasi dari jantung menuju ke paru-paru. Ketika darah melewati kapiler berdinding tipis maka oksigen akan dibawah dari alveoli dan menukarkan dengan CO2. Darah dengan kandungan O2 tinggi dari paru-paru dikirim kembalikan ke jantung dan dipompa ke seluruh tubuh dan CO2 dikeluarkan dari paru-paru

Kelainan atau gangguan

Fungsi Paru Paru

Baca Juga : Dokter Jantung Bekasi

Alamat Dokter Paru di Bekasi

Alamat: Jl. Mekar Sari, RT.001/RW.010, Bekasi Jaya, Kec. Bekasi Tim., Kota Bks, Jawa Barat 17112

Jadwal Dokter Paru di Rumah Sakit Mekar Sari Bekasi

[studzblr]

Save what can be saved: Day 6/48

Hi!

Immunology is done. God knows how boring the last lessons were..

Pneumology is the new boss, I only studied one lesson due to ... OK I'll say it, I'm stressing up a little too much.. any advice?

Hopefully I will get my life together tomorrow nchallah.

#studzblr #48 days to save what can be saved

[kneedeepincynade]

The shaoshan collective father explains the situation with covid and and China restrictions

The post is machine translated

The translation is at the bottom

The collective is on telegram

⚠️ ALLENTAMENTO DELLE MISURE DI PREVENZIONE E CONTROLLO, PARTE 2 - DALLA PREVENZIONE DEL VIRUS ALLA PREVENZIONE DI CASI GRAVI E DECESSI | PATOGENICITÀ E VIRULENZA ⚠️

📄 Nel post precedente è stato citato Wang Guangfa - Esperto di Pneumologia presso il Primo Ospedale dell'Univeristà di Pechino - che ha affermato come i nuovi aggiustamenti non debbano essere visti come completa apertura, ma come ottimizzazione delle misure di prevenzione e controllo in linea con le caratteristiche della variante del virus, e questo sarà il tema del post.

🦠 Per contenere un virus altamente contagioso, ma con virulenza più debole, il costo delle Misure di Controllo dell'Epidemia è molto più elevato rispetto quello delle misure precedenti nel trattare ceppi con minore contagiosità, ma con maggiore virulenza come la Variante DELTA, il che rende necessario gli attuali adeguamenti, ma "è improbabile che usciremo dalla pandemia in breve tempo questo inverno, poiché molti paesi stanno affrontando simili rinascite", ha dichiarato Wang Guangfa.

🔬Un Team di Ricerca Cinese ha dimostrato che la patogenicità di OMICRON è diminuita rispetto al Ceppo originale del Coronavirus e alle sue altre Varianti 📉

🏨 Patogenicità e Virulenza delle Varianti del COVID-19 sono le questioni-chiave su cui si sono concentrati gli scienziati cinesi, ed è stato scientificamente dimostrato al Laboratorio di Virologia dell'Università di Wuhan la drastica diminuzione della patogenicità di OMICRON 📉

🔬Per chi fosse interessato al processo e all'esperimento che ha portato alla dimostrazione, può leggere qui 📄

💬 Lan Ke, Direttore del Laboratorio, ha affermato che i risultati ottenuti dimostrano che rispetto al Ceppo Originale, OMICRON ha una capacità più debole di causare malattie combinata con una virulenza inferiore - e che quindi non bisogna farsi prendere dal panico per OMICRON, in quanti i danni che causa sono notevolmente minori rispetto al Ceppo Originale 📉

🧾 In precedenza, un Documento di Ricerca pubblicato da scienziati dell'Università di Hong Kong e della Università Medica dell'Hainan nel gennaio del 2022 aveva dimostrato che la replicazione di OMICRON si è sostanzialmente attenuata nelle cellule umane Calu3 e CaCO2, e che OMICRON - rispetto a BETA e DELTA - provoca il più basso tasso di mortalità 📉

📑 Il Processo di Apertura e Uscita dalla Pandemia da COVID-19 dovrebbe procedere passo dopo passo e non subire brusche virate, come ha affermato Chen Xi - Assistente Professore di Sanità Pubblica dell'Università Yale, e il nuovo focus sarà la preparazione e l'impiego di più risorse mediche per i casi gravi, dato che la virulenza di OMICRON è minore alle precedenti Varianti.

📊 Come ad Hong Kong, anche nelle altre zone della Cina la priorità è quale di completare il processo di vaccinazione - che in Cina non è obbligatorio - degli ultra-ottantenni, e poi tra i 60-69 e i 70-79, in quanto gruppi ad alto rischio 🏥

💬 "Per uscire dall'Epidemia, è fondamentale costruire l'immunità tra i gruppi vulnerabili e il lavoro futuro non si concentrerà sull'eliminazione completa del virus attraverso i Test, ma dovrebbe concentrarsi sul mantenere la virulenza del virus ad un livello molto basso", ha dichiarato Zhang Wenhong, Epidemiologo di Shanghai.

💬 "Ora stiamo spostando la nostra strategia dalla prevenzione del virus alla prevenzione di casi gravi e decessi, quindi dobbiamo concentrarci maggiormente sulla popolazione vulnerabile chiave", ha affermato Wang Guangfa.

🌸 Iscriviti 👉 @collettivoshaoshan

⚠️ RELEASE OF PREVENTION AND CONTROL MEASURES, PART 2 - FROM VIRUS PREVENTION TO PREVENTION OF SERIOUS CASES AND DEATHS | PATHOGENICITY AND VIRULENCE ⚠️

📄 The previous post quoted Wang Guangfa - Pneumology expert at the First Hospital of Beijing University - who said that the new adjustments should not be seen as a complete opening, but as an optimization of prevention and control measures in line with the characteristics of the variant of the virus, and this will be the topic of the post.

🦠 To contain a highly contagious but weaker virulence virus, the cost of Epidemic Control Measures is much higher than that of the previous measures in dealing with less contagious but higher virulence strains such as the DELTA Variant, which makes current adjustments necessary, but "we are unlikely to emerge from the pandemic any time soon this winter, as many countries are facing similar resurgences," said Wang Guangfa.

🔬A Chinese Research Team has shown that the pathogenicity of OMICRON is decreased compared to the original Coronavirus Strain and its other Variants 📉

🏨 Pathogenicity and Virulence of COVID-19 Variants are the key issues on which Chinese scientists have focused, and the drastic decrease in the pathogenicity of OMICRON has been scientifically demonstrated at the Wuhan University Virology Laboratory 📉

🔬For those interested in the process and the experiment that led to the demonstration, you can read here 📄

💬 Lan Ke, Director of the Laboratory, said that the obtained results demonstrate that compared to the Original Strain, OMICRON has a weaker ability to cause disease combined with lower virulence - and therefore one should not panic about OMICRON, as many the damage it causes is considerably less than the Original Strain 📉

🧾 Earlier, a Research Paper published by scientists from Hong Kong University and Hainan Medical University in January 2022 showed that OMICRON replication substantially attenuated in human Calu3 and CaCO2 cells, and that OMICRON - compared to BETA and DELTA - causes the lowest mortality rate 📉

📑 The Process of Opening and Exiting the COVID-19 Pandemic should go step by step and not take sharp turns, as Chen Xi - Assistant Professor of Public Health at Yale University said, and the new focus will be preparation and use of more medical resources for severe cases, since the virulence of OMICRON is lower than the previous variants.

📊 As in Hong Kong, also in other areas of China the priority is which one to complete the vaccination process - which is not mandatory in China - of over-80 year olds, and then between 60-69 and 70-79, as groups high risk 🏥

💬 "To emerge from the Epidemic, it is crucial to build immunity among vulnerable groups and future work will not focus on eliminating the virus completely through Testing, but should focus on keeping the virulence of the virus at a very low level" said Zhang Wenhong, an epidemiologist in Shanghai.

💬 "We are now shifting our strategy from preventing the virus to preventing severe cases and deaths, so we need to focus more on the key vulnerable population," said Wang Guangfa.

🌸 Subscribe 👉 @collettivoshaoshan

#socialism #china #italian #translated #china news #communism #collettivoshaoshan #covid 19 #china covid #china coronavirus #lockdown #covid pandemic #covid prevention #covid mention #covid19 #covid

[stireazileiuk]

Medicii pneumologi din Timişoara atrag atenţia că sunt multe cazuri nediagnosticate de fibroză chistică / Care sunt simptomele bolii şi cum se poate interveni

[furotukak]

Diagnosis of pneumonia guidelines pdf

 DIAGNOSIS OF PNEUMONIA GUIDELINES PDF >>Download vk.cc/c7jKeU

  DIAGNOSIS OF PNEUMONIA GUIDELINES PDF >> Read (Leia online) bit.do/fSmfG

           de JCP Garcia · 2007 · Citado por 11 — therapeutic guidelines for the treatment of nosocomial pneumonia acquired Keywords: Pneumonia/treatment; Cross infection; Intensive care de MR Donalisio · 2011 · Citado por 28 — Abstract. Objective: To analyze the clinical, etiological, and epidemiological aspects of community-acquired pneumonia. de CM Nascimento‐Carvalho · 2020 · Citado por 46 — Orally administered amoxicillin is the first line outpatient treatment, “community‐acquired pneumonia” + “child” + “etiology” ou “diagnosis” oude CD Silveira · 2012 · Citado por 26 — Adherence to guidelines and its impact on outcomes in patients hospitalized with community-acquired pneumonia at a university hospital*. Patients with the diagnosis of CAP and HCAP admitted to our Pneumology Unit during one radiological involvement, bacteriology, treatment and outcomes. Diagnosis and differential diagnosis of ventilator-associated pneumonia. these infections and includes a guideline of practice recommendations to 5 de jul. de 2022 — These studies led to a debate in the literature on the best way to combine respiratory signs and symptoms for diagnosing pneumonia (38,41). de M Gomes · 2018 · Citado por 4 — After diagnosis, major guidelines recommend that. CAP severity should be assessed against criteria to determine the place of treatment and antibiotic therapy.

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[longhaulerbear]

Xerostomia has been reported as a relevant symptom in COVID‐19 individuals(Amorim Dos Santos et al., 2021), but xerophthalmia has not been associated with this disease(Costa et al., 2021). Nevertheless, our group has recently reported an impressive elevation of Sjögren's syndrome notification (Martelli Junior et al., 2021) during the COVID‐19 pandemic in Brazil. Also, the clinical profile of our small cohort is somewhat distinctive from regular SS patients, being composed of a majority of male individuals (54, 54%). Interestingly, oral dryness was not considered a relevant aspect of post‐COVID‐19 syndrome by Costa et al. (2021), even though their population was less than 30% of critical COVID‐19 cases (Martelli Junior et al., 2021). Notwithstanding, whether this sicca syndrome represents actual Sjögren's syndrome should be better evaluated. Interestingly, a post‐COVID‐19 syndrome in patients with primary Sjögren's syndrome has a frequency of nearly 60% and is associated with hospitalization, baseline CRP levels, and hydroxychloroquine levels, but worsens sicca symptoms were not reported (Brito‐Zerón et al., 2021). Also, the impact of these features on oral health should be a matter of concern for future prospective cohort studies. The long‐term consequences of COVID‐19 are not yet fully understood, and information in the literature is still limited. Our study shows significant changes that should be investigated in this patient profile, highlighting the importance of monitoring these patients after COVID‐19.

#long covid #covid effects #sjogrens