#pulmonology

[mandana-the-service-pup]

I’m just going to ignore how physically grueling yesterday was and get to the point:

Rheumatologist wasn’t interested in ordering the abdominal ultrasound. I was hopeful but not surprised. I’ll have to wait until the end of October to meet with my GI doctor for the first time and go from there. She also thinks it might not be SLE/Lupus but she’s going to leave that as a possible dx bc it opens up more treatment options for me.

The Rheumatologist thinks I’m in too much pain and wants to put me on Methotrexate which is a low dose of chemo once a week. It could be revolutionary for my quality of life but it’s got a lot of side effect so I’m going to have to jump through a bunch of hoops before I can start it.

1) Skin biopsy is at the end of this month. Methotrexate is a risk factor for skin cancer so definitely need to be cleared by the Dermatologist before taking it.

2) GI doctor is at the end of October. Need to check on abdominal aorta stuff but also figure out the stomach pain, nausea and appetite issues I’m already having. Methotrexate mainly causes GI problems so I need to be as stable as possible going into it and have a game plan for dealing with the side effects with my GI Dr.

3) Try to get a handle on the oxygen stuff. I still haven’t received my sleep apnea test so hopefully that will show something. I really need to catch these episodes during a Pulmonologist apt so they can put me on supplemental oxygen to see if that will help. Methotrexate can cause really serious lung problems so I have to be completely cleared by the Pulmonologist before I can start it. She’s also the one who wanted me to look into the abdominal aorta inflammation stuff so idk if she thinks that is having an effect on my oxygen or if it’s just something she thinks I have that needs to be followed up on.

4) Wisdom teeth removal. I’ve been putting it off bc I wanted to get my oxygen more stable, in my situation it’s not super necessary and EDS can make dental procedures difficult due to less effective numbing. The problem now is that Methotrexate can cause mouth sores, makes you immunocompromised and can’t be used with some anasthesia due to increased toxicity. So I need to be stable enough for the surgery but it needs to be done and healed before I can start the medication.

My next Rheumatology apt is in December. I don’t think I can get all of this stuff done (and move!) before then but I guess it’s worth a shot

I also taught myself cross stitch last night and for a cheap sick-in-bed activity it’s not bad 🥲

#bad health day #health flare #doctors appointment #rheumatology #pulmonology #cardiology #gastroenterology #tw healthcare #methotrexate #dysautonomia #postural orthostatic tachycardia syndrome #gastroparesis #ehlers danlos syndrome #hashimoto thyroiditis #inflammatory arthritis

[napthaliii]

28 June 2023 | Pneumonia

Cardio/pulm are among my top favorites to learn about (ɔ◔‿◔)ɔ♥

#100 days of productivity #notes #study motivation #GoodNotes #student nurse #cardiology #studyblr #pharmacology #pulmonology #napthaliii

[teachingrounds]

Not all "difficulty breathing during exertion" is "exercise-induced asthma."

If someone has SOB, wheezing, and difficulty EXhaling with any kind of exercise, treat as asthma with a beta-2 agonist.

Exercise-induced bronchoconstriction (EIB) develops after 5-15 minutes of exertion (especially in dry air, like a track rather than the wet air of a pool) and lasts ~15 mins. Warm up for 10-15 mins +/- beta-2 agonist. May be asthma precursor.

Exercise-induced laryngeal dysfunction and/or vocal-cord dysfunction (VCD) is difficulty INhaling +/- stridor due to exertion. Refer to Speech for vocal relaxation rather than a beta-2 agonist.

#TeachingRounds #FOAMed #pulmonology #sportsmedicine #ENT

[sriramakrishnahospital]

World Tuberculosis Day

March 24th marks #worldtuberculosisday, a day to raise awareness about the fight against TB💪Let's unite in the battle against this preventable and curable disease. Knowledge is power - educate, test, and treat to make a TB-free world a reality. 🌏

#sriramakrishnahospital #tuberculosis #tuberculosisday #tuberculosisday2024 #pulmonology #healthcare #pulmonologistincoimbatore #coimbatore #hospitalincoimbatore

[postcard-from-the-past]

Pulmonology clinic of Falkenstein, Königstein im Taunus, Hesse, Germany

German vintage postcard, mailed in 1902 to Sprötau

#old #postcard #postkaart #germany #taunus #german #clinic #vintage #briefkaart #postal #pulmonology #m #ansichtskarte #sprötau #ephemera #1902 #photography #falkenstein #photo #postkarte #tarjeta #mailed #sprtau #königstein im taunus #historic #sepia #knigstein #hesse #carte postale

[valentinepills]

A Miracle for World PH Day 2023

TRIGGER Warning: Mention of Miscarriage in this post and unflattering photos of myself.

in December of 2019, I noticed a significant difference in my health. Shortness of Breath, even when walking a short distance, heart palpitations, cough & wheezing, chest pain and occasional nose bleeds. Untreated Anxiety and Depression associated with my Bipolar Disorder, Uncontrolled Diabetes and Intermittent Asthma were believed to be the cause of these symptoms despite my growing concerns. Each year my symptoms worsened. In February 2022, it had gotten so bad that I could not walk from my bedroom to my kitchen without feeling like I had just ran a marathon. My pulmonologist agreed that my condition was rapidly worsening and begged me to give a CPAP another try. I was also switched to the highest dosage of Advair and regular use of my emergency inhaler. My PCP told me to get my A1C down and consider weight loss surgery to expedite my weight loss journey. I was determined to do everything they advised, this way I could prove to them that something more serious was occurring. At this time, I had already quit smoking and began lowering my A1C.

To my surprise, June 30, 2022 it was confirmed that I was pregnant. It shocked me because a couple years ago in 2020 I suffered a miscarriage at 16 weeks. I was advised to consider birth control because my body could not hold a fetus. Well... they were wrong about that one! The doctor confirmed a healthy fetus made it’s way and there was a heartbeat. It was a miracle and I knew God had other plans for me. I prayed every day and every night, thanking my heavenly Father and thy Earthly Mother for all the blessings they bestowed upon me; also asking for guidance, clarity and strength to lead me in the right direction.

I began to communicate with my Perinatologist more as I learned to trust her. During an appointment in September 2022, I opened up and told her,

Doctor, something is wrong with me and I need someone to listen to me. I can’t do my seated exercise anymore and that concerns me. I can’t even walk in place but for 4 minutes, then I have to stop and lay down. I think something is wrong with my heart. I’ve been having these issues before I was pregnant. Please help me. I want to live.

She asked me had I seen a cardiologist. I explained to her that after an urgent care visit in May I was put on a heart monitor for a few weeks but no results were communicated to me. She fought to get my referral to a cardiology approved. My visit with the cardiologist in October is when I was told, I have Pulmonary Hypertension. An ultrasound of my heart confirmed that I had heart disease and heart failure.

My breath was too short for a sigh of relief. The weight on my chest applied pressure instead of being lifted. I was in my third trimester of pregnancy, when a right heart catheterization confirmed my diagnosis in November 2022. Then, the cardiology team with my healthcare provider advised for my care to be transferred to out-of-network team that can provide the care that I needed. I had gained over 40lbs in fluid due to heart failure and my new health team was confident that we could reverse it before labor.

My mother was in fear that she would lose her only daughter. I was in fear that I would never get to hold my daughter. My love was afraid that he would lose me and be alone. My father was scared and speechless. Everything made sense in these moments and everything mattered. It mattered who was there and who wasn't. It mattered where I was and where I was going. It mattered how and why.

3 weeks away from my due date, a team of 20+ assembled in the cardiac care unit to bring Zenobia in to the world. My father waited at home by the phone, my mother waited alone in the labor & delivery room and my love was by my side as they tilted me back and began to operate. After 4 hours of pre-op and 45 minutes of surgery, it was a success. My daughter was born, healthy and strong. Doctors, Nurses and many people stopped by to visit me when I left ICU, curious to meet the miracle baby and her parents. A nurse who was not in my station came to visit and said, 

"I hope you don't mind that I came to visit. Although I'm not your nurse, I was on call when the entire floor heard that you were being transferred to the cardiac operating room. Every nurse gathered and we prayed for you. Everyone is celebrating you, a miracle." 

My eyes filled with tears and joy. Other doctors and their students came to visit and were glad to see me. Another nurse encouraged me to tell my story and document my journey because it will inspire others. The doctors that worked directly with my care and surgery were impressed, proud and says that I'm their model story.

That was almost 4 months ago in January 2023 but also when my journey began. My team was honest with me, that labor and delivery was the least of their concern. Surviving postpartum, preparing for cardiac therapy and rehabilitation was top priority. I would be lying if I said it is easy. Most days I am sad. Learning to adjust to my new way of life has been challenging and difficult to accept. I promised myself to do all that I can to live, to change and to never give up. Meeting people who have PH and joining the association has been a great help to me and how I learned of World Pulmonary Hypertension Day on May 5, 2023. 

One thing I have learned since giving birth with Pulmonary Hypertension is how much time and creating memories mean to me. Also, how important it is to talk about how you’re feeling no matter how that looks for you or how it makes anyone else feel. It’s easy to look down and frown when you’re faced with this challenge. Make the conscious decision today, right now to look up and forward. Be good to yourself and your body. When you need to rest, do so and don’t feel bad for not being able to push through on bad days. You’re a survivor, a PHighter.

I have so much to look forward to. Raising my daughter, therapies and rehabilitation and none of it will be easy but I give praise to the Most High for this blessing. Thank you Lord for blessing every hand that was laid upon me. Thank you for hearing my prayers. Thank you for every person who prayed for me. Thank you for those who have been there and rooting for me. Thank you for giving me the strength and bravery to share what you have done for me and what you will continue to do. Thank you to everyone following me, befriending me and joining me. I got you. Let’s live, let’s fight for a cure.

#worldphday #worldphday2023 #pulmonary hypertension #pulmonary #pulmonology #cardiology #heart disease #lung disease #pregnancy #women health

[anuraghospital]

Anurag Multi Speciality Hospital offers comprehensive and compassionate care to patients of all ages. Our expert staff is made up of experienced physicians, nurses, and health care professionals who are dedicated to providing the highest quality of care.

For more information: Call us : [phone]

#hospital #multispecialityhospitalsinhyderabad #neurology #neurosurgeon #infertility #pulmonology #pulmonologist #pain #painmanagementsolutions #painmanagement #enthospital #emergencymedicine #emergency #nephrology #urology #nephrologist #pediatrics #jant #criticalcare

[er-cryptid]

#studyblr #notes #medblr #medical notes #med notes #emergency medicine #emergency medicine notes #ems #ems notes #emt #emt notes #paramedic #paramedic notes #breathing conditions #respiratory conditions #respiratory illnesses #pulmonary system #pulmonary conditions #pulmonology #pulmonology notes

[medical-health-edu]

Symptoms of Jaundice. #jaundice #hcv #breathing #heart #doctor #copd #pulmonary #respiratory #medical #pulmonology #nurse #pulmonologist #respiratorycare #lungdisease #cancer #lung #respiratorytherapy #chronicillness #hospital #lungcancer #music #asthmatic #anatomy #asthmaattack #healthcare #asthmaproblems #allergies #asthmasucks #oxygene #asthmalife What is Temperature: https://youtu.be/bddmVwMsXXI Sides for Temperature: https://youtu.be/r7JvvMrJ_8k What is Pulse: https://youtu.be/j1txWMm8G1M Youtube: https://youtube.com/channel/UCo9X_nRo9_DGvD65i7fkU8w Facebook: https://www.facebook.com/107031415133699/posts/176283054875201/ Twitter: https://twitter.com/MedichealthMHA?t=3UOnUC6QCj8ToRSBX6es3Q&s=09 (at China中国) https://www.instagram.com/p/ChCzKjxMQsQ/?igshid=NGJjMDIxMWI=

#jaundice #hcv #breathing #heart #doctor #copd #pulmonary #respiratory #medical #pulmonology #nurse #pulmonologist #respiratorycare #lungdisease #cancer #lung #respiratorytherapy #chronicillness #hospital #lungcancer #music #asthmatic #anatomy #asthmaattack #healthcare #asthmaproblems #allergies #asthmasucks #oxygene #asthmalife

[drdrtom]

This week we will be showing a case series of chest radiographs. Take a minute to look at the image before you read on. Can you spot the problem?

...

...

...

...

This case demonstrates a mass at the left hilum. In addition, the left hemidiaphragm is elevated, indicating volume loss, and there is air outlining the aortic arch and proximal descending aorta (the so-called "Luftsichel sign," or "air sickle" due to its shape). Findings are classic for left upper lobe collapse (in this case post-obstructive due to the mass). The hyperinflated superior segment of the left lower lobe is what creates the air sickle, as it is situated betwixt the collapsed lung and the aorta.

Case courtesy of Dr Charlie Chia-Tsong Hsu, Radiopaedia.org, rID: 35263

#TeachingRounds #FOAMed #FOAMRad #chestrad #xray #chestxray #radiograph #pulmonology #oncology #lungcancer

[mandana-the-service-pup]

Last night I had a health crisis in my sleep and it manifested as a nightmare about Mandana being stolen while doing public access. My oxygen levels dropped over 100 times (my normal is about 10) I must have subconsciously attributed the persistent drops as my service dog being gone and unable to alert me.

It’s interesting that Mandana didn’t wake me. She is naturally very conscious of my heart rate, blood pressure and blood glucose but I’ve suspected for a while she isn’t able to pick up the oxygen issues and this confirmed it.

My Pulmonology appointments are Sept 6th & 11th. I’m desperately hoping they can help me.

#belgian malinois #3 years #service dog in training #medical alert service dog #medical alert #pulmonology #nightmare #bad health day #health crisis #service dogblr

[didanawisgi]

#antibody dependent enhancement #ADE #Covid-19 #Covid-19 vaccine #pulmonology

[teachingrounds]

For autonomic symptoms of long COVID, try hydration (with electrolytes), compression stockings, and antihistamines a la MCAS treatment (fexofenadine, famotidine, montelukast). Pro-Tip: Orthostatic tachycardia is more common than orthostatic hypotension.

#TeachingRounds #FOAMed #pulmonology #IDMedEd #long covid

[dratefahmed1]

Symptoms and Signs of Asthma Attacks Recognizing Triggers #asthma, #asthmaattack, #asthmasymptoms,

#asthma, #asthmaattack, #asthmasymptoms, #asthmamanagement, #asthmatreatment, #asthmaawareness, #asthmalife, #asthmasupport, #asthmacontrol, #asthmacommunity, #asthmamom, #asthmadad, #asthmatriggers, #asthmarelief, #asthmaprevention, #asthmacare, #asthmamedication, #asthmainhaler, #asthmaproblems, #asthmastruggle, #asthmasufferer, #asthmacoping, #asthmatips, #asthmatracker, #asthmamonitor,…

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#Asthma #asthma (disease or medical condition) #asthma attack #asthma disease #asthma disease and treatment #asthma symptoms #asthma treatment #chest foundation #Health (Industry) #Healthcare #lung #lung disease #lung health #lungs #pulmonary #pulmonologist #pulmonology #pulmonology test #respiratory care #respiratory health #severe asthma #severe asthma attack #severe asthma attack treatment #severe asthma symptoms #types of asthma

[sriramakrishnahospital]

Know the Symptoms of Tuberculosis

Recognize the warning signs: coughing for weeks, chest pain, fever, and fatigue. TB can be treated, but early detection is crucial. Don't hesitate to seek medical help if you experience any symptoms!

Learn more>> https://www.sriramakrishnahospital.com/

#tuberculosis #pulmonology #sriramakrishnahospital #coimbatore #multispecialityhospital #healthandwellness #medical #hospital #patientcare #bookyourappointment #wellness

[valentinepills]

Post-Partum Cardiology Visit

Appointment went well today, no signs of heart failure. Swelling and fluid are significantly reduced. I’m still losing weight and I can wear my own shoes and clothing again! Blood Pressure is still in normal range. Although I’m still in the critical stages of recovery all of this is GREAT NEWS! 🥳 All the doctors and staff were excited to meet Zenobia and were happy to see me standing with no wheelchair in sight!

For my PHriends and PHollowers, I plan on writing about my birthing experience with PH (Pulmonary Hypertension) soon. I haven’t been feeling up to it. Finding the words to say about a traumatic but also best day of my life… there’s a lot of feelings there! I’m still going through it mentally and emotionally.

With all said… I’m so grateful! 😍 I still have a lot of healing and get frustrated on days like this when I’m in a lot of pain and don’t feel like myself. I’m exhausted so it’s WWE Raw while resting in bed and spending time with my baby girl.

#pulmonologist #pulmonary hypertension #pulmonary #hypertension #heart disease #pregnancy #birth #pulmonology #cardiology #plus size pregnancy