Here's one of our most optimistic and lively patient's story in his own words!
He was diagnosed with kidney disease but the way he and his wife dealt with the situation is commendable!
This document discusses questions from several women about ovulation and LH surges based on home ovulation prediction kit (OPK) tests. It provides responses from a pregnancy advisor addressing topics like irregular cycles, missed LH surges, ovulation pain and timing of intercourse in relation to the fertile window. The advisor provides advice on using OPKs, suggests seeing a doctor if not conceiving after a year, and emphasizes the importance of pinpointing ovulation for getting pregnant.
The document discusses various questions from women about Luteinizing hormone (LH) surge symptoms and ovulation experiences. Several women describe experiencing positive LH surges according to ovulation predictor kits but not having periods arrive or experiencing other confusing symptoms. Respondents provide advice that an LH surge typically means ovulation will occur within 24-48 hours, and confirm that symptoms after ovulation do not necessarily indicate pregnancy.
Here is some advice for those of you who are beginning residency trainingMedico Apps
This document provides advice for residents beginning their training, emphasizing the importance of admitting when you don't know something and asking for help from senior residents or attendings. It also stresses respecting colleagues and patients, prioritizing tasks with potentially life-threatening issues needing immediate attention, and taking responsibility for fully understanding a patient's condition and test results rather than relying only on reports from others. Residents are advised to be diligent learners, reading extensively on their own and not embarrassing peers during rounds or conferences.
This document discusses questions from several women about detecting their LH surge and ovulation through ovulation prediction kits and other signs. The advisor provides answers explaining that an LH surge does not necessarily mean ovulation occurred, cramps can occur before or after ovulation, and continuing intercourse is recommended to increase chances of conception. Cheap ovulation prediction kits may still work but temperature tracking can confirm ovulation occurred.
- The document discusses questions from various people about detecting and timing LH surges using ovulation predictor kits.
- It explains that an LH surge typically occurs 12-48 hours before ovulation, so sex within a day or two of a positive test could result in pregnancy.
- Short or faint surges are normal variations, and multiple tests may be needed to accurately detect the surge. Ovulation may occur even with a normal basal body temperature.
- Having sex 3 days before through 1 day after detecting an LH surge improves chances of pregnancy for those trying to conceive. Irregular cycles can make timing more difficult.
This document contains responses from a pregnancy advisor answering various questions from women about ovulation tests, LH surges, timing of intercourse, early pregnancy symptoms, and using Clomid to conceive. The advisor provides advice on when to take a pregnancy test after ovulation or a positive LH surge, as well as sharing their own experiences with conceiving using Clomid. They recommend waiting until a missed period to test and emphasize the importance of timing intercourse around ovulation for highest chances of pregnancy.
The document discusses various questions from women about their menstrual cycles and ovulation. It provides answers from a pregnancy advisor addressing topics like detecting LH levels after ovulation, cramping after ovulation, confirming the LH surge window to get pregnant, and whether a negative ovulation test means no ovulation will occur that month. The advisor explains that some LH is always present and offers explanations for various symptoms to help interpret menstrual cycles.
The document discusses LH (luteinizing hormone) surges and how they relate to ovulation and pregnancy. It answers several questions from women about positive LH test results in relation to their menstrual cycles and potential pregnancy. It explains that an LH surge can indicate ovulation, and that home pregnancy tests can sometimes not detect pregnancy for several days after conception. A positive LH test could mean the body is gearing up to ovulate or that the test is detecting the similar HCG hormone from an early pregnancy. Proper timing of intercourse in relation to the LH surge and ovulation can impact chances of conception.
This document discusses questions from several women about ovulation and LH surges based on home ovulation prediction kit (OPK) tests. It provides responses from a pregnancy advisor addressing topics like irregular cycles, missed LH surges, ovulation pain and timing of intercourse in relation to the fertile window. The advisor provides advice on using OPKs, suggests seeing a doctor if not conceiving after a year, and emphasizes the importance of pinpointing ovulation for getting pregnant.
The document discusses various questions from women about Luteinizing hormone (LH) surge symptoms and ovulation experiences. Several women describe experiencing positive LH surges according to ovulation predictor kits but not having periods arrive or experiencing other confusing symptoms. Respondents provide advice that an LH surge typically means ovulation will occur within 24-48 hours, and confirm that symptoms after ovulation do not necessarily indicate pregnancy.
Here is some advice for those of you who are beginning residency trainingMedico Apps
This document provides advice for residents beginning their training, emphasizing the importance of admitting when you don't know something and asking for help from senior residents or attendings. It also stresses respecting colleagues and patients, prioritizing tasks with potentially life-threatening issues needing immediate attention, and taking responsibility for fully understanding a patient's condition and test results rather than relying only on reports from others. Residents are advised to be diligent learners, reading extensively on their own and not embarrassing peers during rounds or conferences.
This document discusses questions from several women about detecting their LH surge and ovulation through ovulation prediction kits and other signs. The advisor provides answers explaining that an LH surge does not necessarily mean ovulation occurred, cramps can occur before or after ovulation, and continuing intercourse is recommended to increase chances of conception. Cheap ovulation prediction kits may still work but temperature tracking can confirm ovulation occurred.
- The document discusses questions from various people about detecting and timing LH surges using ovulation predictor kits.
- It explains that an LH surge typically occurs 12-48 hours before ovulation, so sex within a day or two of a positive test could result in pregnancy.
- Short or faint surges are normal variations, and multiple tests may be needed to accurately detect the surge. Ovulation may occur even with a normal basal body temperature.
- Having sex 3 days before through 1 day after detecting an LH surge improves chances of pregnancy for those trying to conceive. Irregular cycles can make timing more difficult.
This document contains responses from a pregnancy advisor answering various questions from women about ovulation tests, LH surges, timing of intercourse, early pregnancy symptoms, and using Clomid to conceive. The advisor provides advice on when to take a pregnancy test after ovulation or a positive LH surge, as well as sharing their own experiences with conceiving using Clomid. They recommend waiting until a missed period to test and emphasize the importance of timing intercourse around ovulation for highest chances of pregnancy.
The document discusses various questions from women about their menstrual cycles and ovulation. It provides answers from a pregnancy advisor addressing topics like detecting LH levels after ovulation, cramping after ovulation, confirming the LH surge window to get pregnant, and whether a negative ovulation test means no ovulation will occur that month. The advisor explains that some LH is always present and offers explanations for various symptoms to help interpret menstrual cycles.
The document discusses LH (luteinizing hormone) surges and how they relate to ovulation and pregnancy. It answers several questions from women about positive LH test results in relation to their menstrual cycles and potential pregnancy. It explains that an LH surge can indicate ovulation, and that home pregnancy tests can sometimes not detect pregnancy for several days after conception. A positive LH test could mean the body is gearing up to ovulate or that the test is detecting the similar HCG hormone from an early pregnancy. Proper timing of intercourse in relation to the LH surge and ovulation can impact chances of conception.
La información proporcionada incluye los datos personales de Viviana Marleny Moreno Herrera como su fecha de nacimiento el 16 de abril de 1994, número de celular 3142171114, perfil de red social "vivis moreno", y correo electrónico vmmoreno83@misena.edu.co. Sus hobbys favoritos son escuchar música, leer cosas nuevas y pasar tiempo con su familia y amigos, y disfruta de la música romántica y la bachata aunque no practica deportes. Su expectativa es aprender mucho para progresar tanto personal como
The EBA has published updated guidelines on remuneration policies for consultation that propose significant changes and will increase regulatory requirements if finalized. Some of the key proposals include stricter proportionality rules that would subject more firms and individuals to remuneration restrictions, sector-specific requirements that could create an uneven playing field, and enhanced processes for identifying material risk-takers. Respondents are encouraged to provide feedback to shape the final guidelines given the broad impact some changes could have beyond firms regulated under the Capital Requirements Directive.
This document provides instructions for recycling different materials using color-coded bins. The blue bin is for paper and cardboard, the yellow bin is for plastic and metal, and the green bin is for glass. The objects in the bins are taken to recycling plants for reuse rather than rubbish dumps. Greenpeace is also mentioned as an international environmental organization focused on peace.
This document discusses a pilot study measuring CO2 levels in primary school classrooms. It found that 85% of classrooms exceeded the recommended limit of 1000ppm CO2, indicating inadequate ventilation. Classrooms with closed windows and blinds had significantly higher CO2 levels than classrooms with open cross-ventilation. While an open window helped somewhat, cross-ventilation was needed to keep levels below 1000ppm. The findings warrant a more extensive study into how classroom design can impact ventilation and CO2 levels.
This document provides a review on leprosy, including its epidemiology, causative agent, classification, symptoms, diagnosis, treatment and preventive measures. Some key points:
- Leprosy is caused by Mycobacterium leprae and mainly affects India, which records the highest number of new cases globally each year.
- It can be classified as paucibacillary or multibacillary depending on symptoms. Multibacillary leprosy involves more organs and is more infectious.
- Diagnosis involves skin smear tests and examination under microscopy. Treatment is multidrug therapy including dapsone, rifampicin and clofazimine over 6-12 months depending
This document discusses Accountable Care Organizations (ACOs) which aim to provide high quality care to patients while sharing responsibility for costs. There are different types of public and private ACOs that serve Medicare, Medicaid, and privately insured patients. ACOs are required to meet quality benchmarks and control costs to earn shared savings, with some taking on two-sided risk models where they share in losses. Successful ACOs require leadership, care coordination across organizations, performance measurement capabilities, and health information technology infrastructure like data analytics and patient portals.
- ABC Holdings is the parent company of banks operating under the BancABC brand in Sub-Saharan Africa, with operations in 5 countries.
- For the first time, all of the Group's operating banking subsidiaries were profitable. Operating profit increased over 4 times from the prior year to BWP111 million.
- The balance sheet grew 36% to BWP6 billion as loans and advances increased 54% and customer deposits grew 46%. Basic earnings per share improved 15% and return on equity was 16%.
Two years ago I was THE ONLY WHITE GUY in the middle of the biggest tribal sex orgy ever...
With hot black women screaming with pleasure everywhere...
And men, both young and old...
Having non-stop wild sex, while sporting some of the longest and hardest penises I've ever seen!
It was absolutely insane!
And it was that precise moment that sent me on a completely unexpected journey...
Which led me to discover the incredible secret of the African Congo tribesmen with 15 inches-long "super-penises"...
A secret closely guarded for generations...
Based on a 3,000-years old "African Penis Growth Cocktail", which can make any penis increase by 35%!
So stick with me for the next 3 minutes, and you'll discover how you too can easily increase the length of your penis with at least 3 inches in just 30 days, like more than 64,000 people before you!
The answers I'm about to reveal will also change everything you think is TRUE about your manhood.
You see... the only reason doctors think a small penis is something normal is because this is so common.
But while it may be common, in NO WAY is it natural, as you will soon discover.
Also, what nobody wants you to know is that a long penis it's NOT because of God's blessing... or genetics!
As the latest scientific evidence shows, if you want a longer penis...
You DON'T have to be a black man born in Africa!
You DON'T have to use crazy and expensive penis pumps!
And you definitely DON'T need any useless pills or dangerous surgeries!
Instead, it's all down to a dangerous "leak" which is happening right now in your body...
Which prevents your penis from getting longer, thicker and fuller, as nature intended it to be.
First, I'll show you a simple test you can do at home to see WITH YOUR OWN EYES how deeply your penis is affected by this leak...
Then I will reveal a simple, 30-seconds African-inspired ritual, which can fix this "leak" and trigger an explosive penis growth of 3... 4 or even 7 inches in practically no time!*
Backed by countless peer-reviewed medical studies from around the world, the clinically proven and highly controversial penis ehnancement secret that I'm about to reveal, will also come with a whole bunch of great advantages: bigger & longer lasting erections, a surge in sex drive and energy, increased sexual confidence and even a loss in weight as well.
So please listen up, because time is running out:
If you're under 40 and believe that your penis should be longer and thicker, but don't know exactly how to make that happen...
If you're concerned about keeping an erection for more than 30 minutes...
If you're over 40 and care not only about the length of your penis, but also about its health and would like to put the brakes on before your manhood becomes completely limp, soft and lifeless...
Or if you just got tired of feeling embarrassed or frustrated, thinking that women will ALWAYS choose a more well-hung man than you are right now...
The Lonely Voices of Autoimmune Disease: Believe It or NotDrBonnie360
Content and Visual Design by Tiffany Simms
Due to the invisible nature of autoimmune diseases, many of its patients look normal and healthy. This presents a challenge for patients’ social sphere, a struggle when seeing doctors for diagnosis, and a lack of general awareness and knowledge of all autoimmune diseases. Despite the many statistics on autoimmune disease, it’s time to put a voice to the numbers.
We present to you, a snippet of our shocking Stanford MedicineX Workshop Survey (http://bit.ly/1JyIvKd) responses.
Believe it or not, these are the real experiences and words of the lonely voices of autoimmune disease
The document discusses natural remedies for opening blocked heart veins and shares a personal story about a heart attack. It provides a recipe for a natural remedy made from lemon juice, ginger juice, garlic juice, apple vinegar, and honey to open blocked veins. It then tells the story of a software employee who had a 94% blocked artery and underwent angioplasty and stent placement. The story emphasizes the importance of exercise, healthy eating, sleep, avoiding smoking, and managing stress and genetics to prevent heart problems.
Heart Block Vein Opening Natural RemedyAzizi Ahmad
The document discusses natural remedies for opening blocked heart veins and shares a personal story about a heart attack. It provides a recipe for a natural remedy made from lemon juice, ginger juice, garlic juice, apple vinegar, and honey to open blocked veins. It then tells the story of a software employee who had a 94% blocked artery and underwent angioplasty and stent placement. The story emphasizes the importance of exercise, healthy eating, sleep, avoiding smoking, and managing stress and genetics to prevent heart problems.
The document discusses natural remedies for opening blocked heart veins and shares a personal story about a heart attack. It provides a recipe for a natural remedy made from lemon juice, ginger juice, garlic juice, apple vinegar, and honey to open blocked veins. It then tells the story of a software employee who had a 94% blocked artery and underwent angioplasty and stent placement. The story emphasizes the importance of exercise, healthy eating, sleep, avoiding smoking, and managing stress and genetics to prevent heart problems.
La información proporcionada incluye los datos personales de Viviana Marleny Moreno Herrera como su fecha de nacimiento el 16 de abril de 1994, número de celular 3142171114, perfil de red social "vivis moreno", y correo electrónico vmmoreno83@misena.edu.co. Sus hobbys favoritos son escuchar música, leer cosas nuevas y pasar tiempo con su familia y amigos, y disfruta de la música romántica y la bachata aunque no practica deportes. Su expectativa es aprender mucho para progresar tanto personal como
The EBA has published updated guidelines on remuneration policies for consultation that propose significant changes and will increase regulatory requirements if finalized. Some of the key proposals include stricter proportionality rules that would subject more firms and individuals to remuneration restrictions, sector-specific requirements that could create an uneven playing field, and enhanced processes for identifying material risk-takers. Respondents are encouraged to provide feedback to shape the final guidelines given the broad impact some changes could have beyond firms regulated under the Capital Requirements Directive.
This document provides instructions for recycling different materials using color-coded bins. The blue bin is for paper and cardboard, the yellow bin is for plastic and metal, and the green bin is for glass. The objects in the bins are taken to recycling plants for reuse rather than rubbish dumps. Greenpeace is also mentioned as an international environmental organization focused on peace.
This document discusses a pilot study measuring CO2 levels in primary school classrooms. It found that 85% of classrooms exceeded the recommended limit of 1000ppm CO2, indicating inadequate ventilation. Classrooms with closed windows and blinds had significantly higher CO2 levels than classrooms with open cross-ventilation. While an open window helped somewhat, cross-ventilation was needed to keep levels below 1000ppm. The findings warrant a more extensive study into how classroom design can impact ventilation and CO2 levels.
This document provides a review on leprosy, including its epidemiology, causative agent, classification, symptoms, diagnosis, treatment and preventive measures. Some key points:
- Leprosy is caused by Mycobacterium leprae and mainly affects India, which records the highest number of new cases globally each year.
- It can be classified as paucibacillary or multibacillary depending on symptoms. Multibacillary leprosy involves more organs and is more infectious.
- Diagnosis involves skin smear tests and examination under microscopy. Treatment is multidrug therapy including dapsone, rifampicin and clofazimine over 6-12 months depending
This document discusses Accountable Care Organizations (ACOs) which aim to provide high quality care to patients while sharing responsibility for costs. There are different types of public and private ACOs that serve Medicare, Medicaid, and privately insured patients. ACOs are required to meet quality benchmarks and control costs to earn shared savings, with some taking on two-sided risk models where they share in losses. Successful ACOs require leadership, care coordination across organizations, performance measurement capabilities, and health information technology infrastructure like data analytics and patient portals.
- ABC Holdings is the parent company of banks operating under the BancABC brand in Sub-Saharan Africa, with operations in 5 countries.
- For the first time, all of the Group's operating banking subsidiaries were profitable. Operating profit increased over 4 times from the prior year to BWP111 million.
- The balance sheet grew 36% to BWP6 billion as loans and advances increased 54% and customer deposits grew 46%. Basic earnings per share improved 15% and return on equity was 16%.
Two years ago I was THE ONLY WHITE GUY in the middle of the biggest tribal sex orgy ever...
With hot black women screaming with pleasure everywhere...
And men, both young and old...
Having non-stop wild sex, while sporting some of the longest and hardest penises I've ever seen!
It was absolutely insane!
And it was that precise moment that sent me on a completely unexpected journey...
Which led me to discover the incredible secret of the African Congo tribesmen with 15 inches-long "super-penises"...
A secret closely guarded for generations...
Based on a 3,000-years old "African Penis Growth Cocktail", which can make any penis increase by 35%!
So stick with me for the next 3 minutes, and you'll discover how you too can easily increase the length of your penis with at least 3 inches in just 30 days, like more than 64,000 people before you!
The answers I'm about to reveal will also change everything you think is TRUE about your manhood.
You see... the only reason doctors think a small penis is something normal is because this is so common.
But while it may be common, in NO WAY is it natural, as you will soon discover.
Also, what nobody wants you to know is that a long penis it's NOT because of God's blessing... or genetics!
As the latest scientific evidence shows, if you want a longer penis...
You DON'T have to be a black man born in Africa!
You DON'T have to use crazy and expensive penis pumps!
And you definitely DON'T need any useless pills or dangerous surgeries!
Instead, it's all down to a dangerous "leak" which is happening right now in your body...
Which prevents your penis from getting longer, thicker and fuller, as nature intended it to be.
First, I'll show you a simple test you can do at home to see WITH YOUR OWN EYES how deeply your penis is affected by this leak...
Then I will reveal a simple, 30-seconds African-inspired ritual, which can fix this "leak" and trigger an explosive penis growth of 3... 4 or even 7 inches in practically no time!*
Backed by countless peer-reviewed medical studies from around the world, the clinically proven and highly controversial penis ehnancement secret that I'm about to reveal, will also come with a whole bunch of great advantages: bigger & longer lasting erections, a surge in sex drive and energy, increased sexual confidence and even a loss in weight as well.
So please listen up, because time is running out:
If you're under 40 and believe that your penis should be longer and thicker, but don't know exactly how to make that happen...
If you're concerned about keeping an erection for more than 30 minutes...
If you're over 40 and care not only about the length of your penis, but also about its health and would like to put the brakes on before your manhood becomes completely limp, soft and lifeless...
Or if you just got tired of feeling embarrassed or frustrated, thinking that women will ALWAYS choose a more well-hung man than you are right now...
The Lonely Voices of Autoimmune Disease: Believe It or NotDrBonnie360
Content and Visual Design by Tiffany Simms
Due to the invisible nature of autoimmune diseases, many of its patients look normal and healthy. This presents a challenge for patients’ social sphere, a struggle when seeing doctors for diagnosis, and a lack of general awareness and knowledge of all autoimmune diseases. Despite the many statistics on autoimmune disease, it’s time to put a voice to the numbers.
We present to you, a snippet of our shocking Stanford MedicineX Workshop Survey (http://bit.ly/1JyIvKd) responses.
Believe it or not, these are the real experiences and words of the lonely voices of autoimmune disease
The document discusses natural remedies for opening blocked heart veins and shares a personal story about a heart attack. It provides a recipe for a natural remedy made from lemon juice, ginger juice, garlic juice, apple vinegar, and honey to open blocked veins. It then tells the story of a software employee who had a 94% blocked artery and underwent angioplasty and stent placement. The story emphasizes the importance of exercise, healthy eating, sleep, avoiding smoking, and managing stress and genetics to prevent heart problems.
Heart Block Vein Opening Natural RemedyAzizi Ahmad
The document discusses natural remedies for opening blocked heart veins and shares a personal story about a heart attack. It provides a recipe for a natural remedy made from lemon juice, ginger juice, garlic juice, apple vinegar, and honey to open blocked veins. It then tells the story of a software employee who had a 94% blocked artery and underwent angioplasty and stent placement. The story emphasizes the importance of exercise, healthy eating, sleep, avoiding smoking, and managing stress and genetics to prevent heart problems.
The document discusses natural remedies for opening blocked heart veins and shares a personal story about a heart attack. It provides a recipe for a natural remedy made from lemon juice, ginger juice, garlic juice, apple vinegar, and honey to open blocked veins. It then tells the story of a software employee who had a 94% blocked artery and underwent angioplasty and stent placement. The story emphasizes the importance of exercise, healthy eating, sleep, avoiding smoking, and managing stress and genetics to prevent heart problems.
Heart Block Vein Opening Natural Remedy P P SSubhas Chandran
The document discusses natural remedies for opening blocked heart veins and shares a personal story about a heart attack. It provides a recipe for a natural remedy made from lemon juice, ginger juice, garlic juice, apple vinegar, and honey to open blocked veins. It then tells the story of a software employee who had a 94% blocked artery and underwent angioplasty and stent placement. The story emphasizes the importance of exercise, healthy eating, sleep, avoiding smoking, and managing stress and genetics to prevent heart problems.
The document discusses natural remedies for opening blocked heart veins and shares a personal story about a heart attack. It provides a recipe for a natural remedy made from lemon juice, ginger juice, garlic juice, apple vinegar, and honey to open blocked veins. It then tells the story of a software employee who had a 94% blocked artery and underwent angioplasty and stent placement. The story emphasizes the importance of exercise, healthy eating, sleep, avoiding smoking, and managing stress and genetics to prevent heart problems.
Real Life Stories Inmate to Inmate Christian Testimony Books are a great Prison Ministry Book and Jail Ministry Book. These Prison Ministry Books and Jail Ministry Books are some of the best Prison Ministry Ideas and Jail Ministry Ideas of all times and are very effective in Prison Ministry and Jail Ministry.Reallifestoriesbooks.com
The document discusses natural remedies for opening blocked heart veins and shares a personal story about a heart attack. It provides a recipe for a natural remedy made from lemon juice, ginger juice, garlic juice, apple vinegar, and honey to open blocked veins. It then tells the story of a software employee who had a 94% blocked artery and underwent angioplasty and stent placement. The story highlights the importance of exercise, healthy eating, sleep, avoiding smoking and stress for heart health.
The document discusses natural remedies for opening blocked heart veins and shares a personal story about a heart attack. It provides details of a natural remedy involving lemon juice, ginger juice, garlic juice, apple vinegar, and honey. It then shares the story of a software employee who had a 94% blocked artery and underwent angioplasty and stent placement. The story highlights the importance of exercise, healthy eating, sleep, avoiding smoking and stress for heart health.
The document discusses natural remedies for opening blocked heart veins and shares a personal story about a heart attack. It provides details of a natural remedy involving lemon juice, ginger juice, garlic juice, apple vinegar, and honey. It then shares the story of a software employee who had a 94% blocked artery and underwent angioplasty and stent placement. The story highlights the importance of exercise, healthy eating, sleep, avoiding smoking and stress for heart health.
This document describes an interactive case scenario where the reader takes on the role of an F1 doctor on their first night on call. They receive a bleep about a postoperative patient, Mrs. M, whose condition is declining. When examining Mrs. M, the reader finds signs of urinary retention but gives intravenous fluids instead of addressing the blocked catheter. After further deterioration, the registrar calls to explain the correct diagnosis and treatment should have been to flush the catheter.
Bill White recently discovered he has type 2 diabetes after experiencing chest pain during walks. Tests showed his blood glucose levels were high, prompting a diagnosis of type 2 diabetes from his doctor. He was told he would need medication and to change his diet for life. Bill plans to use his blog to document his experiences learning to manage diabetes, with the hope of helping others by sharing what he learns. He has appointments upcoming with a diabetes nurse and dietician to learn how to safely adapt his primarily home-cooked vegetarian diet without chocolate and sweets.
Fitnes&health raging bull’ sexual powernareshsaxena7
This document describes a man's struggle with erectile dysfunction (ED) and his desperate efforts to treat it. He tries prescription drugs which cause side effects and an injection that leads to a medical emergency. A doctor tells him ED is a symptom of artery problems and prescribes a "local remedy," an ancient elixir used in Asia to boost sexual energy and performance. The man is instructed to have a taxi driver take him to obtain this natural formula as a treatment for his condition and the underlying artery issues causing it.
Fitnes&health raging bull’ sexual powernareshsaxena6
If You Ever Experience Any Of The
Symptoms I Mentioned, You’re Suffering If You Ever Experience IWhile restoring your sex drive back to when you were in your physical prime, allowing you and your partner to enjoy more intimacy…
Do you want to know about Brian Peskin and his programs? If you get to know about the reviews on his programs, how satisfactory it will be to follow the program. Have a look at this presentation to know about the detailed reviews on his programs.
Tony noticed blood in his urine one day in September 2000. He saw his doctor the next day, and tests revealed he had bladder cancer. He had an operation and chemotherapy, and several years later he still leads an active life. The document provides advice about reducing the risk of kidney and bladder cancers, such as stopping smoking, eating healthy, and maintaining a healthy weight and activity level. It emphasizes that if you notice any blood in your urine, you should tell your doctor right away, as these cancers are more treatable if detected early.
This document provides natural remedies for opening blocked heart veins. It recommends mixing lemon juice, ginger juice, garlic juice, and apple cider vinegar, boiling it for 30 minutes until reduced by half, cooling it, adding honey, and taking 1 tablespoon daily to open blockages without need for angiography or bypass surgery. It then shares a personal story of how unhealthy lifestyle choices like lack of exercise, irregular eating and sleeping, heavy non-vegetarian meals, smoking, and stress led to 94% blockage requiring angioplasty and stents. It urges adopting a healthier lifestyle with daily exercise, regular meals and sleep, limiting oils and smoking, and managing stress and genetics through checkups.
This three-sentence summary provides the key details and events from the document:
Dr. Foster meets with Barbara Dunham, an elderly woman suffering from declining health, and her daughter Catherine to discuss Barbara's condition. During the meeting, Dr. Foster reveals to Catherine that despite previous diagnoses, Barbara has actually been HIV-positive for years and her symptoms are effects of the virus going untreated. Catherine is shocked by this news and unsure how to process it or what steps to take regarding her mother's care and treatment going forward.
Test bank for karp s cell and molecular biology 9th edition by gerald karp.pdfrightmanforbloodline
Test bank for karp s cell and molecular biology 9th edition by gerald karp.pdf
Test bank for karp s cell and molecular biology 9th edition by gerald karp.pdf
Test bank for karp s cell and molecular biology 9th edition by gerald karp.pdf
Cell Therapy Expansion and Challenges in Autoimmune DiseaseHealth Advances
There is increasing confidence that cell therapies will soon play a role in the treatment of autoimmune disorders, but the extent of this impact remains to be seen. Early readouts on autologous CAR-Ts in lupus are encouraging, but manufacturing and cost limitations are likely to restrict access to highly refractory patients. Allogeneic CAR-Ts have the potential to broaden access to earlier lines of treatment due to their inherent cost benefits, however they will need to demonstrate comparable or improved efficacy to established modalities.
In addition to infrastructure and capacity constraints, CAR-Ts face a very different risk-benefit dynamic in autoimmune compared to oncology, highlighting the need for tolerable therapies with low adverse event risk. CAR-NK and Treg-based therapies are also being developed in certain autoimmune disorders and may demonstrate favorable safety profiles. Several novel non-cell therapies such as bispecific antibodies, nanobodies, and RNAi drugs, may also offer future alternative competitive solutions with variable value propositions.
Widespread adoption of cell therapies will not only require strong efficacy and safety data, but also adapted pricing and access strategies. At oncology-based price points, CAR-Ts are unlikely to achieve broad market access in autoimmune disorders, with eligible patient populations that are potentially orders of magnitude greater than the number of currently addressable cancer patients. Developers have made strides towards reducing cell therapy COGS while improving manufacturing efficiency, but payors will inevitably restrict access until more sustainable pricing is achieved.
Despite these headwinds, industry leaders and investors remain confident that cell therapies are poised to address significant unmet need in patients suffering from autoimmune disorders. However, the extent of this impact on the treatment landscape remains to be seen, as the industry rapidly approaches an inflection point.
5-hydroxytryptamine or 5-HT or Serotonin is a neurotransmitter that serves a range of roles in the human body. It is sometimes referred to as the happy chemical since it promotes overall well-being and happiness.
It is mostly found in the brain, intestines, and blood platelets.
5-HT is utilised to transport messages between nerve cells, is known to be involved in smooth muscle contraction, and adds to overall well-being and pleasure, among other benefits. 5-HT regulates the body's sleep-wake cycles and internal clock by acting as a precursor to melatonin.
It is hypothesised to regulate hunger, emotions, motor, cognitive, and autonomic processes.
Lecture 6 -- Memory 2015.pptlearning occurs when a stimulus (unconditioned st...AyushGadhvi1
learning occurs when a stimulus (unconditioned stimulus) eliciting a response (unconditioned response) • is paired with another stimulus (conditioned stimulus)
Breast cancer: Post menopausal endocrine therapyDr. Sumit KUMAR
Breast cancer in postmenopausal women with hormone receptor-positive (HR+) status is a common and complex condition that necessitates a multifaceted approach to management. HR+ breast cancer means that the cancer cells grow in response to hormones such as estrogen and progesterone. This subtype is prevalent among postmenopausal women and typically exhibits a more indolent course compared to other forms of breast cancer, which allows for a variety of treatment options.
Diagnosis and Staging
The diagnosis of HR+ breast cancer begins with clinical evaluation, imaging, and biopsy. Imaging modalities such as mammography, ultrasound, and MRI help in assessing the extent of the disease. Histopathological examination and immunohistochemical staining of the biopsy sample confirm the diagnosis and hormone receptor status by identifying the presence of estrogen receptors (ER) and progesterone receptors (PR) on the tumor cells.
Staging involves determining the size of the tumor (T), the involvement of regional lymph nodes (N), and the presence of distant metastasis (M). The American Joint Committee on Cancer (AJCC) staging system is commonly used. Accurate staging is critical as it guides treatment decisions.
Treatment Options
Endocrine Therapy
Endocrine therapy is the cornerstone of treatment for HR+ breast cancer in postmenopausal women. The primary goal is to reduce the levels of estrogen or block its effects on cancer cells. Commonly used agents include:
Selective Estrogen Receptor Modulators (SERMs): Tamoxifen is a SERM that binds to estrogen receptors, blocking estrogen from stimulating breast cancer cells. It is effective but may have side effects such as increased risk of endometrial cancer and thromboembolic events.
Aromatase Inhibitors (AIs): These drugs, including anastrozole, letrozole, and exemestane, lower estrogen levels by inhibiting the aromatase enzyme, which converts androgens to estrogen in peripheral tissues. AIs are generally preferred in postmenopausal women due to their efficacy and safety profile compared to tamoxifen.
Selective Estrogen Receptor Downregulators (SERDs): Fulvestrant is a SERD that degrades estrogen receptors and is used in cases where resistance to other endocrine therapies develops.
Combination Therapies
Combining endocrine therapy with other treatments enhances efficacy. Examples include:
Endocrine Therapy with CDK4/6 Inhibitors: Palbociclib, ribociclib, and abemaciclib are CDK4/6 inhibitors that, when combined with endocrine therapy, significantly improve progression-free survival in advanced HR+ breast cancer.
Endocrine Therapy with mTOR Inhibitors: Everolimus, an mTOR inhibitor, can be added to endocrine therapy for patients who have developed resistance to aromatase inhibitors.
Chemotherapy
Chemotherapy is generally reserved for patients with high-risk features, such as large tumor size, high-grade histology, or extensive lymph node involvement. Regimens often include anthracyclines and taxanes.
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Histololgy of Female Reproductive System.pptxAyeshaZaid1
Dive into an in-depth exploration of the histological structure of female reproductive system with this comprehensive lecture. Presented by Dr. Ayesha Irfan, Assistant Professor of Anatomy, this presentation covers the Gross anatomy and functional histology of the female reproductive organs. Ideal for students, educators, and anyone interested in medical science, this lecture provides clear explanations, detailed diagrams, and valuable insights into female reproductive system. Enhance your knowledge and understanding of this essential aspect of human biology.
Summer is a time for fun in the sun, but the heat and humidity can also wreak havoc on your skin. From itchy rashes to unwanted pigmentation, several skin conditions become more prevalent during these warmer months.
- Video recording of this lecture in English language: https://youtu.be/Pt1nA32sdHQ
- Video recording of this lecture in Arabic language: https://youtu.be/uFdc9F0rlP0
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How to Control Your Asthma Tips by gokuldas hospital.Gokuldas Hospital
Respiratory issues like asthma are the most sensitive issue that is affecting millions worldwide. It hampers the daily activities leaving the body tired and breathless.
The key to a good grip on asthma is proper knowledge and management strategies. Understanding the patient-specific symptoms and carving out an effective treatment likewise is the best way to keep asthma under control.
How to Control Your Asthma Tips by gokuldas hospital.
Ercon vaz Part I
1.
2.
3.
4. BY ERCON FRANCIS VAZ
A Dialysis Patient
Vikram Hospital, Bangalore
5. Come September every year I am given marching
orders by my wife for blood test. Obediently the
poor man goes for it.
6. Your creatine level is 3
and you must be under
the care of a
Nephrologist for the rest
of your life
All new
vocabulary.
And now a
Doctor, besides
my wife’s care.
Oh God Help
me!
To my shock in 2010, I was asked to report to the Lab
again and informed about something as ‘protein
loss’ and advised to meet the Family Doctor
immediately.
7. Unless you do a biopsy I cannot
tell you anything or start
treatment
Oh God, Something serious
Disappointed, we decided
to leave our fate in
God’s loving hands.
Fortis Doctor
8. Go and see Vikram. You will
surely like it
Vikram
Hospital
Dr. Abraham:
a place where
fear does not exist
9. Mr. Filter has some
problem but we will
deal with it the
traditional way.
I like this
Doctor, and
he has no
objection to
my drinking
a little!
Dr. Satish
– so
pleasant,
friendly ,
no fear
of asking
questions
10. Ercon, your
creatine is
high, I will
not get
sleep, so
you better
do AV
Fistula
I thought you
were a good
Doc, ok I will
do it on Good
Friday
Now I think Ercon
you have to start
with the Dialysis
otherwise I will
not get sleep
What
about my
sleep
11. The word dialysis
sends shivers down
my spine
On July 2nd 2012, there seemed no escape
for me. Dejected and taken to the Dialysis
Centre to register and start my first dialysis.
Met the smiley Technician who quickly made
me comfortable.
12. Doc said three times
a week, 4 hours
Life during
dialysis
days
diet
13. An important routine is taking your weights before and after dialysis.
This really bugs me.
Angry Doctor
14. My advice to people about dialysis is...
Medicines
before food ,
with food
and after
food
Drink and
be merry
Follow Doctors’ Advice
Obey
your
wife