PSA: all pet ERs are completely full and wait times are easily 4-6 hours minimum. Even at urgent care we often have to block new patients from coming in as it's impossible to get everyone seen with the limited staff and time we have.
I strongly recommend NOT taking your dogs to any dog parks or off leash areas this summer to avoid lacerations, dog bites and other trauma. Yes: we see those all the time. My dogs don't go to dog parks. This will also minimize kennel cough.
Do not feed them any human food or switch food suddenly.
Make your appointments for follow up on chronic conditions with your primary now if you will need meds or follow ups in September timeframe.
Tick removal is not a technically challenging task. Google it.
Get your dogs on all appropriate preventatives. Lyme disease is something we see often too.
Clip your dogs nails every once in a while or they will break them at some point. (I'm guilty of this too)
Lastly, don't be a dick. We are doing the best we can in an unprecedented caseload. This job is very hard, but we are still here and still care about your pets. Rudness and entitlement are absolutely not OK.
Copied & Pasted from Facebook: Anastasiya Mia
Chronic fatigue guidelines scrap ME exercise therapy advice
The updated guidance for England and Wales recommends people judge their own "energy limit" when undertaking activity of any kind, and a physical activity programme should only be considered in specific circumstances.
It warns practitioners: "Do not advise people with ME/CFS to undertake exercise that is not part of a programme overseen by an ME/CFS specialist team, such as telling them to go to the gym or exercise more, because this may worsen their symptoms."
It also clarifies advice on a talking therapy, known as CBT, stressing that it is only helpful in treating anxiety around the condition, not the illness itself.
And it emphasises the need for early and accurate diagnosis.
Baroness Finlay, a consultant in palliative medicine and vice-chairwoman of the guideline committee, said: "Those with ME/CFS need to be listened to, understood and supported to adapt their lives. The committee members involved in this guideline have worked particularly hard to ensure care becomes more empathetic and focused on the individual's needs."
ME Research UK said the publication was "a significant step in both the acceptance of ME as a physical illness and recognition of appropriate treatment needs of those affected by the condition".
Sian Leary from the campaign group ME Action UK, said not publishing the guideline in August had been "devastating to thousands of people with ME", who she said had been "seriously harmed by graded exercise therapy".
Dr Charles Shepherd, medical adviser to the ME Association, said: "This new guideline will have a big impact on care for people with ME, and draws a line under the damaging therapies of the past."
Dr Alastair Miller, an NHS consultant physician in acute medicine and infectious disease in North Cumbria, said exercise programmes could be helpful: "It is unfortunate that so much emphasis is given to working 'within current energy limits' rather than a gentle and controlled pushing of those limits.
"However, it is to be welcomed that clinics will still be able to provide appropriate personalised activity and exercise programmes for those patients in whom it is felt to be appropriate."
Prof Peter White from Queen Mary University of London said: "I worry that this guideline seems to suggest that patients need to learn to live with CFS/ME, rather than be helped to recover from it.
"NICE have banned graded exercise therapy, in spite of it being found to be helpful in a major Cochrane systematic review, while recommending an energy management programme, which involves 'staying within your energy limits', for which there is little evidence for it helping, and some evidence that it doesn't."
i learned that a cancer treatment known as Dynamic Phototherapy has the side effect of giving humans a slight level of night vision. Under this treatment, the retina becomes able to process light at wavelengths higher than the visible light domain (x)
"OCD is the doubting disorder, you will doubt everything, in one second you can easily be completely convinced of something you didn’t see a moment ago."
-robert bray, ocdrecovery
Many doctors have stopped calling cancer treatment a “fight” or “battle.” They suggest these terms misrepresent how treatment works, and if treatments fail, the patient is left with guilt and a false belief they didn’t “fight” hard enough.