The document describes a patient's experience undergoing and recovering from a nephrectomy (kidney removal surgery) over the course of several weeks in March. Key details include significant delays in being transported to the hospital for admission, a cancerous lesion being discovered in the removed kidney requiring additional scans, and a very painful recovery process complicated by issues like paralytic ileus that required the patient to slowly advance their diet.
The student attended the first day of a college-level career exploration course. The instructor reviewed the syllabus and schedule, which included movies, speakers from different medical fields, and recommended books. The first speaker, a nuclear chemist with advanced degrees, discussed his educational path and stressed the importance of passion over salary in one's career. He outlined potential earnings increases with higher degrees and the three main career areas for science degrees: academia, industry, and government work.
The author recounts experiencing severe anemia that led to her diagnosis of Wilson's disease at age 15. She describes being hospitalized multiple times and undergoing various tests while doctors struggled to determine the cause. Her mother provided constant love and support through the difficult period. After two weeks of misdiagnosed chemotherapy that caused hair loss, testing revealed the author had Wilson's disease, an inherited liver disorder. She was transferred to a specialized hospital and experienced periods of insomnia, hallucinations, and mental instability before eventually recovering and returning home with treatment.
Kelsey Brown participated in the St. Gianna Catholic Health Academy program, where she completed rotations in various medical departments including radiology, labor and delivery, surgery, and the pediatric intensive care unit. She learned medical skills and terminology which helped her decide to pursue a career in nursing or as a medical professional. The program provided valuable hands-on experience and insight into potential health careers.
1. The document contains equations relating variables u, v, w, x, and expressions involving i and j.
2. Key steps show that r = 4, s = 2, and the expression for w is w = 2u - 3v.
3. Another part derives expressions for m and n in terms of another variable, finding m = 3/5, n = 2/7.
Este documento resume la literatura del siglo XV en España. Explica que fue una época de transición entre la Edad Media y la Edad Moderna, con elementos medievales y renacentistas. Se divide en secciones sobre el Prerrenacimiento, la poesía culta como los Cancioneros y las Coplas de Jorge Manrique, la poesía popular como el romance, y la prosa y teatro del siglo como La Celestina. En general, describe los principales géneros literarios y autores de esta época en España.
Direct and indirect speech are two ways of reporting what someone has said. Direct speech uses quotation marks to report the exact words. Indirect speech does not use quotation marks and makes certain changes to reflect that it is a report of what was said rather than the exact words. Some key changes in indirect speech include changing pronouns, adverbs of time and place, and verb tenses. Indirect speech can also add conjunctions like "if" or "whether" for yes/no questions or retain question words for questions introduced with interrogative words.
An animated PowerPoint presentation that offers some inspiration for posting on the blog.
This accompanies Ways To Have Your Say from the Tips and Tricks section from the Burnet News Club Handbook.
www.burnetnewsclub.com
El documento presenta el cronograma de actividades para el primer semestre del grado 7°C. Incluye 30 actividades programadas para enero a junio, asignando responsables y semanas específicas. Las actividades se enfocan en temas de tecnología e informática como ambientación de equipos, construcción de un pacto de convivencia, talleres lógico-matemáticos, uso de plataformas y creación de páginas web y vehículos solares.
The student attended the first day of a college-level career exploration course. The instructor reviewed the syllabus and schedule, which included movies, speakers from different medical fields, and recommended books. The first speaker, a nuclear chemist with advanced degrees, discussed his educational path and stressed the importance of passion over salary in one's career. He outlined potential earnings increases with higher degrees and the three main career areas for science degrees: academia, industry, and government work.
The author recounts experiencing severe anemia that led to her diagnosis of Wilson's disease at age 15. She describes being hospitalized multiple times and undergoing various tests while doctors struggled to determine the cause. Her mother provided constant love and support through the difficult period. After two weeks of misdiagnosed chemotherapy that caused hair loss, testing revealed the author had Wilson's disease, an inherited liver disorder. She was transferred to a specialized hospital and experienced periods of insomnia, hallucinations, and mental instability before eventually recovering and returning home with treatment.
Kelsey Brown participated in the St. Gianna Catholic Health Academy program, where she completed rotations in various medical departments including radiology, labor and delivery, surgery, and the pediatric intensive care unit. She learned medical skills and terminology which helped her decide to pursue a career in nursing or as a medical professional. The program provided valuable hands-on experience and insight into potential health careers.
1. The document contains equations relating variables u, v, w, x, and expressions involving i and j.
2. Key steps show that r = 4, s = 2, and the expression for w is w = 2u - 3v.
3. Another part derives expressions for m and n in terms of another variable, finding m = 3/5, n = 2/7.
Este documento resume la literatura del siglo XV en España. Explica que fue una época de transición entre la Edad Media y la Edad Moderna, con elementos medievales y renacentistas. Se divide en secciones sobre el Prerrenacimiento, la poesía culta como los Cancioneros y las Coplas de Jorge Manrique, la poesía popular como el romance, y la prosa y teatro del siglo como La Celestina. En general, describe los principales géneros literarios y autores de esta época en España.
Direct and indirect speech are two ways of reporting what someone has said. Direct speech uses quotation marks to report the exact words. Indirect speech does not use quotation marks and makes certain changes to reflect that it is a report of what was said rather than the exact words. Some key changes in indirect speech include changing pronouns, adverbs of time and place, and verb tenses. Indirect speech can also add conjunctions like "if" or "whether" for yes/no questions or retain question words for questions introduced with interrogative words.
An animated PowerPoint presentation that offers some inspiration for posting on the blog.
This accompanies Ways To Have Your Say from the Tips and Tricks section from the Burnet News Club Handbook.
www.burnetnewsclub.com
El documento presenta el cronograma de actividades para el primer semestre del grado 7°C. Incluye 30 actividades programadas para enero a junio, asignando responsables y semanas específicas. Las actividades se enfocan en temas de tecnología e informática como ambientación de equipos, construcción de un pacto de convivencia, talleres lógico-matemáticos, uso de plataformas y creación de páginas web y vehículos solares.
This document is a link to a Facebook profile page for a user named BrowniedoRapha. The page likely contains photos, posts, and other information about the person. However, without accessing the linked page, no other specifics about the profile or user can be determined from the given information.
O documento discute o Dia Internacional da Memória do Holocausto, celebrado em 27 de janeiro para lembrar as vítimas do genocídio nazista. Também recomenda filmes sobre o Holocausto disponíveis na biblioteca e fornece informações sobre o campo de extermínio de Auschwitz.
The document provides tips for marketing on YouTube, including how to optimize one's YouTube channel, produce effective videos, and optimize videos for success. Key tips include creating compelling content in the first 15 seconds, adding calls to action to get viewers to subscribe, like, comment and share, and regularly creating new content. It also recommends optimizing video metadata like titles, descriptions and tags, as well as using custom thumbnails.
El documento describe un experimento para identificar objetos dentro de una bolsa utilizando solo el sentido del tacto. Los estudiantes introdujeron las manos en la bolsa y tocaron diferentes objetos para determinar su forma, textura y otros atributos tactiles. Pudieron identificar correctamente todos los objetos debido a su experiencia previa tocando dichos objetos. El documento concluye que el sentido del tacto es muy desarrollado en los humanos y crucial para distinguir objetos a nuestro alrededor.
Este documento menciona brevemente a varios líderes mundiales del siglo XX y principios del siglo XXI, incluyendo presidentes de Estados Unidos, primeros ministros y otros líderes políticos de alto perfil.
El documento resume cinco tendencias online para 2011 y recomendaciones para la banca: 1) Los clientes buscan información y servicios en tiempo real a través de múltiples dispositivos. 2) El mundo virtual y real se fusionan para los clientes, requiriendo experiencias integradas. 3) Los clientes eligen canales y controlan sus interacciones, exigiendo personalización. 4) Las marcas deben ser transparentes y ganar confianza. 5) Los clientes priorizan la seguridad online.
This document is an obituary for Mary Plues who passed away on April 24th 2013 at the age of 81. It also includes a short message from someone who misses and loves Mary very much.
Este documento describe varias estrategias y actividades para enseñar una segunda lengua de manera efectiva a niños preescolares. Propone usar imágenes para ayudar a los estudiantes a asociar nombres en la segunda lengua con objetos del mundo real. También recomienda enseñar la pronunciación, escritura, lectura y conversación para desarrollar las cuatro habilidades lingüísticas. El autor concluye que crear un ambiente donde se usen ambas lenguas de manera natural es fundamental para preservar la lengua origin
Silabo informatica ti cs psicologia educativavivigata1794
Este documento presenta el sílabo de la asignatura de Informática TICs de la Facultad de Ciencias de la Educación Humanas y Tecnologías de la Universidad Nacional de Chimborazo para el primer semestre. El curso abarca cuatro unidades que cubren temas sobre introducción a la informática, sistemas operativos, internet y sus servicios, y ofimática. Los objetivos del curso son que los estudiantes reconozcan los componentes de un computador, manejen herramientas de sistemas operativos y de internet, y utilicen aplic
El documento presenta las 11 clases de un curso de capacitación virtual para docentes. Cada clase cubre un tema como el uso de la página web, creación de mapas conceptuales, hipertextualidad y wikipedia. El curso busca enseñar herramientas digitales que pueden utilizarse en el aula de manera amigable y respetando los tiempos de cada docente.
The document discusses the cleaning of windows at the Lou Ruvo Center for Brain Health in Las Vegas. It notes the different sizes and shapes of windows, as well as the surrounding areas that need to be cleaned. It also mentions ascending the windows, cleaning stainless steel, and using a cleaning solution.
Salamanca es una ciudad situada en la comunidad autónoma de Castilla y León, con una población de 155.740 habitantes. Alberga importantes centros de investigación como el Centro de Investigación del Cáncer y el Instituto de Neurociencias. Su economía se basa principalmente en la agricultura, la ganadería y la industria hidroeléctrica. Fundada en el siglo XIII, Salamanca es conocida por su rica historia y su destacada Universidad.
The audio discusses how the media product represents various social groups. It aims to be inclusive of people of all backgrounds by featuring diverse characters and stories. While not perfect, the goal is to provide balanced and authentic representation that appeals to a wide audience.
This document provides a summary of Sara Olivieri's experience with her daughter Makayla's premature birth and subsequent health issues. Some key points:
- Sara had a miscarriage in 2011 and later developed placenta previa and placenta accretia during her pregnancy with Makayla, requiring extensive bedrest and eventual hospitalization.
- Makayla was born extremely prematurely at 27 weeks via emergency c-section. She required extensive medical intervention and spent 2.5 months in the NICU.
- After coming home, Makayla developed NEC and a bowel stricture, requiring additional surgeries and hospitalizations. Her care was complicated by ongoing breathing and
Rachel white powerpoint electronic portfoliorachelxxmarie
Rachel White completed a 6-week rotation program at St. Gianna Health Academy. She spent a week in each of the following units: PICU, NICU, Burn Unit, CTICU/CICU, NCCU, and the Laboratory. In each unit, she observed various medical procedures, learned from nurses, and gained hands-on experience in patient care. The rotations gave her valuable insights into different areas of nursing and medicine.
This document is a link to a Facebook profile page for a user named BrowniedoRapha. The page likely contains photos, posts, and other information about the person. However, without accessing the linked page, no other specifics about the profile or user can be determined from the given information.
O documento discute o Dia Internacional da Memória do Holocausto, celebrado em 27 de janeiro para lembrar as vítimas do genocídio nazista. Também recomenda filmes sobre o Holocausto disponíveis na biblioteca e fornece informações sobre o campo de extermínio de Auschwitz.
The document provides tips for marketing on YouTube, including how to optimize one's YouTube channel, produce effective videos, and optimize videos for success. Key tips include creating compelling content in the first 15 seconds, adding calls to action to get viewers to subscribe, like, comment and share, and regularly creating new content. It also recommends optimizing video metadata like titles, descriptions and tags, as well as using custom thumbnails.
El documento describe un experimento para identificar objetos dentro de una bolsa utilizando solo el sentido del tacto. Los estudiantes introdujeron las manos en la bolsa y tocaron diferentes objetos para determinar su forma, textura y otros atributos tactiles. Pudieron identificar correctamente todos los objetos debido a su experiencia previa tocando dichos objetos. El documento concluye que el sentido del tacto es muy desarrollado en los humanos y crucial para distinguir objetos a nuestro alrededor.
Este documento menciona brevemente a varios líderes mundiales del siglo XX y principios del siglo XXI, incluyendo presidentes de Estados Unidos, primeros ministros y otros líderes políticos de alto perfil.
El documento resume cinco tendencias online para 2011 y recomendaciones para la banca: 1) Los clientes buscan información y servicios en tiempo real a través de múltiples dispositivos. 2) El mundo virtual y real se fusionan para los clientes, requiriendo experiencias integradas. 3) Los clientes eligen canales y controlan sus interacciones, exigiendo personalización. 4) Las marcas deben ser transparentes y ganar confianza. 5) Los clientes priorizan la seguridad online.
This document is an obituary for Mary Plues who passed away on April 24th 2013 at the age of 81. It also includes a short message from someone who misses and loves Mary very much.
Este documento describe varias estrategias y actividades para enseñar una segunda lengua de manera efectiva a niños preescolares. Propone usar imágenes para ayudar a los estudiantes a asociar nombres en la segunda lengua con objetos del mundo real. También recomienda enseñar la pronunciación, escritura, lectura y conversación para desarrollar las cuatro habilidades lingüísticas. El autor concluye que crear un ambiente donde se usen ambas lenguas de manera natural es fundamental para preservar la lengua origin
Silabo informatica ti cs psicologia educativavivigata1794
Este documento presenta el sílabo de la asignatura de Informática TICs de la Facultad de Ciencias de la Educación Humanas y Tecnologías de la Universidad Nacional de Chimborazo para el primer semestre. El curso abarca cuatro unidades que cubren temas sobre introducción a la informática, sistemas operativos, internet y sus servicios, y ofimática. Los objetivos del curso son que los estudiantes reconozcan los componentes de un computador, manejen herramientas de sistemas operativos y de internet, y utilicen aplic
El documento presenta las 11 clases de un curso de capacitación virtual para docentes. Cada clase cubre un tema como el uso de la página web, creación de mapas conceptuales, hipertextualidad y wikipedia. El curso busca enseñar herramientas digitales que pueden utilizarse en el aula de manera amigable y respetando los tiempos de cada docente.
The document discusses the cleaning of windows at the Lou Ruvo Center for Brain Health in Las Vegas. It notes the different sizes and shapes of windows, as well as the surrounding areas that need to be cleaned. It also mentions ascending the windows, cleaning stainless steel, and using a cleaning solution.
Salamanca es una ciudad situada en la comunidad autónoma de Castilla y León, con una población de 155.740 habitantes. Alberga importantes centros de investigación como el Centro de Investigación del Cáncer y el Instituto de Neurociencias. Su economía se basa principalmente en la agricultura, la ganadería y la industria hidroeléctrica. Fundada en el siglo XIII, Salamanca es conocida por su rica historia y su destacada Universidad.
The audio discusses how the media product represents various social groups. It aims to be inclusive of people of all backgrounds by featuring diverse characters and stories. While not perfect, the goal is to provide balanced and authentic representation that appeals to a wide audience.
This document provides a summary of Sara Olivieri's experience with her daughter Makayla's premature birth and subsequent health issues. Some key points:
- Sara had a miscarriage in 2011 and later developed placenta previa and placenta accretia during her pregnancy with Makayla, requiring extensive bedrest and eventual hospitalization.
- Makayla was born extremely prematurely at 27 weeks via emergency c-section. She required extensive medical intervention and spent 2.5 months in the NICU.
- After coming home, Makayla developed NEC and a bowel stricture, requiring additional surgeries and hospitalizations. Her care was complicated by ongoing breathing and
Rachel white powerpoint electronic portfoliorachelxxmarie
Rachel White completed a 6-week rotation program at St. Gianna Health Academy. She spent a week in each of the following units: PICU, NICU, Burn Unit, CTICU/CICU, NCCU, and the Laboratory. In each unit, she observed various medical procedures, learned from nurses, and gained hands-on experience in patient care. The rotations gave her valuable insights into different areas of nursing and medicine.
After being bitten by a rattlesnake while landscaping, Robert Campanile endured a lengthy and difficult recovery process. He was rushed to the hospital where doctors were unable to administer antivenom. Over the next month, Robert experienced multiple organ failures, underwent surgery, received blood transfusions, and had his heart stop three times. Despite facing a grim prognosis without antivenom treatment, Robert was eventually able to recover and was told he was very lucky to have survived a 95% fatal snake bite. He expresses gratitude to his family and medical team for their support during his recovery journey.
ATTENTION Insomnia Sufferers: True Cause Of InsomniaVick Caulmont
A new scientific breakthrough has finally revealed the true neurological cause of your insomnia… and researchers at the University of Oxford have discovered a simple, natural technique to cure your insomnia as soon as tonight. Read more ....
This document summarizes a student's experiences in various clinical rotations during their health academy program. Over the course of 8 weeks, the student shadowed nurses and doctors in different units including cardiac, pediatric intensive care, operating rooms, emergency room, and medical intensive care. In each rotation, the student observed patient care, procedures, and gained a better understanding of the challenges and rewards of different medical careers. The rotations provided valuable hands-on learning experiences and insights into caring for patients.
This document summarizes a student's experiences in various clinical rotations during their health academy program. Over the course of 8 weeks, the student shadowed nurses and doctors in different units including cardiac, pediatric intensive care, operating rooms, emergency room, and medical intensive care. In each rotation, the student observed patient care, procedures, and gained a better understanding of the challenges and rewards of different medical careers. The rotations provided valuable hands-on learning experiences and insights into caring for patients.
This document summarizes Daniela Guzman's experiences in her Health Academy program. It describes rotations she completed in various hospital departments including the NICU, radiology, rehabilitation, and the operating room. It discusses careers she learned about such as neonatal nursing, surgical technician, physical therapist, and occupational therapist. The document expresses gratitude for the opportunities and experiences provided by the Health Academy program.
Jill Brown is a student at St. Gianna Health Academy interested in pursuing a career in nursing. She has experience volunteering and working in healthcare settings like lifeguarding. For her current rotation, she shadowed in the respiratory therapy department where she observed a patient having difficulty breathing and saw a nurse use a tube to clear their airway. Jill is considering entry-level jobs like respiratory therapist, certified nursing assistant, and occupational therapy assistant. She believes these roles would allow her to help others and gain experience for her goal of becoming a registered nurse.
The document summarizes Jill Brown's experiences shadowing different areas of a hospital through the St. Gianna Health Academy program. Some of the rotations discussed include the operating room, burn unit, cardiac catheterization lab, neonatal intensive care unit, and cardiac intensive care unit. Jill observed several medical procedures and found that she particularly enjoyed observing surgeries in the operating room. Overall, the reflections provide insights into Jill's experiences and help her explore different areas of nursing as a potential career.
This document describes a patient's experience becoming physically dependent on prescription opioids after undergoing multiple surgeries for injuries sustained in a motorcycle accident. When attempting to wean off the opioids, he experienced severe withdrawal symptoms that no doctor was able to help manage. He had to endure weeks of misery before finally tapering off on his own. The patient argues that physicians have an ethical duty to ensure patients can safely withdraw from addictive medications they prescribe, and that the medical system needs reforms to pain education and responsibilities to better support patients.
Jill Brown is a student at St. Gianna Health Academy who has been doing rotations at various medical facilities. At the OR at St. Francis, she observed several surgeries including a total hip replacement, artery repair, and tonsil removal. She found the total hip replacement most interesting as she was able to see the procedure and fake hip implanted. Brown also did a rotation in the burn unit where she observed the treatment of a man who was electrocuted, including scraping off his dead skin. She finds she could see herself working in either the OR or burn unit.
Jill Brown is a student at St. Gianna Health Academy who has been doing rotations at various medical facilities. At the OR, she observed a total hip replacement procedure and a femoral artery repair. She found the OR atmosphere fun and enjoyed seeing the surgical procedures. In the burn unit, she watched as a patient's dead skin was scraped off after being electrocuted. She found she could see herself working in the burn unit.
Geoff had an appointment with his ENT consultant to discuss his medical condition following a "rough patch" with difficulties eating, drinking, and talking for almost ten weeks. The consultant found that Geoff's gullet had narrowed significantly from radiation therapy, putting pressure on his valve and causing leaks. The options discussed were allowing the valve hole to close, preventing eating and drinking but allowing normal speech, or trying another dilation and new dual-flap valve to possibly allow eating, drinking, and talking. Geoff opted to proceed with the dilation and new valve. He was scheduled for the procedure in two days.
Noah was born prematurely and had various health issues from a young age including projectile vomiting, kidney infections, and ear infections. Over time, Noah began experiencing episodes where he would space out and move his hands in front of his face. After numerous medical tests, it was discovered that Noah had a Chiari malformation type 1, where his skull was too small for his brain and it was pushing down into his spinal cord. Noah underwent brain surgery to decompress the Chiari malformation.
1) Noah was born prematurely in 2008 and had various health issues as an infant including projectile vomiting and ear infections.
2) At around 1 year old, Noah began having episodes where he would space out and move his hands in front of his face, leading to a diagnosis of seizures.
3) After multiple tests and second opinions, Noah was eventually diagnosed with Chiari malformation type 1 in 2010, where the skull is too small for the brain and it pushes down into the spinal cord. He had brain surgery to correct this.
This document summarizes a student's experience in a health academy portfolio. It describes their family background in healthcare, orientation activities at the beginning of the program, and reflections on 11 week-long rotations in different areas of the hospital including the ER, NICU, burn unit, and more. The student found some rotations more interesting and suitable for future careers than others. They also learned medical terminology and heard presentations from various healthcare professionals.
When the faith rubber meets the road mile 3Donald Jacobs
Ruth's lung cancer has spread to her liver and she is too weak for chemotherapy. She is transferred to a skilled nursing facility for rehabilitation but develops pneumonia. She is sent back to the hospital for treatment and the author realizes the nursing facility may not have been equipped to handle Ruth's needs. God's plan was for Ruth to receive care at home with support from family and friends.
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.
Noah was born prematurely and had various health issues from a young age including vomiting, ear infections, and episodes where he would space out and move his hands in front of his face. After many tests, he was diagnosed with a Chiari malformation type 1 where his brain was pushing down into his spinal cord. Noah underwent brain surgery to decompress the malformation.
The author's water broke at 19 weeks and 2 days into her pregnancy. Doctors advised terminating the pregnancy since the fetus would not survive and risk lifelong disabilities if it did. The author refused and hoped for the best outcome. After 24 days, her son was born prematurely and only survived a few minutes. The author found immense grief and pain in losing her son but would not change experiencing the brief time she had with him, as it has made her appreciate her other children even more.
Travel vaccination in Manchester offers comprehensive immunization services for individuals planning international trips. Expert healthcare providers administer vaccines tailored to your destination, ensuring you stay protected against various diseases. Conveniently located clinics and flexible appointment options make it easy to get the necessary shots before your journey. Stay healthy and travel with confidence by getting vaccinated in Manchester. Visit us: www.nxhealthcare.co.uk
Hiranandani Hospital in Powai, Mumbai, is a premier healthcare institution that has been serving the community with exceptional medical care since its establishment. As a part of the renowned Hiranandani Group, the hospital is committed to delivering world-class healthcare services across a wide range of specialties, including kidney transplantation. With its state-of-the-art facilities, advanced medical technology, and a team of highly skilled healthcare professionals, Hiranandani Hospital has earned a reputation as a trusted name in the healthcare industry. The hospital's patient-centric approach, coupled with its focus on innovation and excellence, ensures that patients receive the highest standard of care in a compassionate and supportive environment.
Our backs are like superheroes, holding us up and helping us move around. But sometimes, even superheroes can get hurt. That’s where slip discs come in.
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.
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
Integrating Ayurveda into Parkinson’s Management: A Holistic ApproachAyurveda ForAll
Explore the benefits of combining Ayurveda with conventional Parkinson's treatments. Learn how a holistic approach can manage symptoms, enhance well-being, and balance body energies. Discover the steps to safely integrate Ayurvedic practices into your Parkinson’s care plan, including expert guidance on diet, herbal remedies, and lifestyle modifications.
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Does Over-Masturbation Contribute to Chronic Prostatitis.pptxwalterHu5
In some case, your chronic prostatitis may be related to over-masturbation. Generally, natural medicine Diuretic and Anti-inflammatory Pill can help mee get a cure.
Osteoporosis - Definition , Evaluation and Management .pdfJim Jacob Roy
Osteoporosis is an increasing cause of morbidity among the elderly.
In this document , a brief outline of osteoporosis is given , including the risk factors of osteoporosis fractures , the indications for testing bone mineral density and the management of osteoporosis
share - Lions, tigers, AI and health misinformation, oh my!.pptxTina Purnat
• Pitfalls and pivots needed to use AI effectively in public health
• Evidence-based strategies to address health misinformation effectively
• Building trust with communities online and offline
• Equipping health professionals to address questions, concerns and health misinformation
• Assessing risk and mitigating harm from adverse health narratives in communities, health workforce and health system
share - Lions, tigers, AI and health misinformation, oh my!.pptx
Nephrectomy journal
1. Nephrectomy Timeline
March 11th
Today is admission day, according to my letter admission time will be 1pm. This
being so, there's time to prepare and eat lunch, nor time for a midmorning snack,
firstly because lunchtime would be while I am on transport, and between 8am and
11am no food is allowed because of taking my immunosuppressants at 10am.
It's gone 1pm, a call to the hospital assured me that transport was on its way, to sit
tight and I'd be picked up soon. 2pm now still no sign of transport, another call illicited
the same response. 3pm, same nonsense all over again. Really annoyed now, I
explain that I hadn't had lunch and was very hungry, adding because I live on my own
(which they've known for ages) I'd be in no position to get something to eat and just
leave it if the transport was to turn up in the middle of everything.
Time still dragging, I'm still frustrated, because now it's 4:30pm and there's still no
transport. Another call to the hospital and I'm assured my driver is just dropping of
the last one on his current run and is on his way to pick me up as he's in my area. No
surprise that transport has yet to turn up, it's gone 5pm. If he'd been in my area, it
should've taken no more than 15 minutes to arrive.
At last! Transport has arrived it's about 6:20pm, I'm finally on my way. Got to the ward
at 7:40pm barely time for half a sandwich before 8pm arrived, no food allowed now
until 11pm, all due to my having to have my immunosuppressants at 10pm. But who
wants to eat at that time of night? Paperwork followed, met surgeon, more
paperwork, next bloods and an ECG. Because of the operation being due tomorrow
morning, I'm not allowed to eat after midnight.
March 12th
I've only been allowed sips of water since 4am and enough water to take my tablets.
I've been told to take my immunosuppressants at 8am instead of 10am, this is
because I'm going to the theatre very soon. I've also been advised that I may have to
spend the rest of today in ICU and possibly tomorrow as well. That comes as no
surprise being as my nephrectomy is a major operation, more so than the transplant.
I woke up in the recovery area and not ICU as they thought may be necessary, I'm
really glad about that, very glad indeed. 3:30pm, I'm back on the regular renal ward
attached to a catheter (yuck), drain, NG tube (more yuck), and two IVs. I'm very
aware that under the rather long dressing is the incision through which they removed
my left kidney (aka Leftie, aka Brutus).
2. March 13th
I've woken up this morning still feeling weak, very uncomfortable and very, very sore
indeed. I've been told the catheter and the NG tube will be coming out today. That's
great news from where I'm standing (laying down).
They've removed those items and one IV as well, it's nearly lunchtime and I intend to
try and start eating as soon as possible.
Lunch is sausage, mash and peas with a good onion gravy, I'm looking forward to it.
My dear sweet #1 angel bought it to me herself, and cut up my sausages exactly how
I would've cut them up myself, she really knows me so well despite the very brief and
too infrequent times we share.
Lunchtime is over, I managed one delicious sausage, a few forks worth of peas and
mashed potato. This worried #1 angel, so I gently told her it would be a while yet
before I could do justice to her cooking.
It's a curious thing really, when she cooks the food, although it's very plain fare, it
tastes fantastic, but when she's off and someone else cooks the same food in the
same way, it's lifeless, tasteless and just plain awful. She puts her heart and soul into
her cooking, the others don't seem to do that, and there's the difference.
March 14th
Received an email from my surgeon this morning with eight photographs of my
kidney attached. The left side of my abdomen is still incredibly painful and tender
despite my regular pain medications. Dear, sweet #1 angel is very worried about my
continuing lack of appetite, especially as she's going home for a two week holiday.
March 15th
Today is the first day of twice daily subcutaneous heparin injections, oh joy, not! It's
bizarre how the vast majority of subcutaneous injections only present a mild to
moderate pain in myself, yet heparin injections are moderate to very painful, I often
wonder why that's the case?
Immediately after taking my early morning medications I threw up, over a litre of
gruesome, greenish fluid. Still very little appetite, in fact I don't relish eating at all
because of this morning's incident.
3. March 16th
There isn't very much to tell about today. Early hours were dreadful, numerous hot
flushes and bouts of nausea and then before medication time another massive throw
up. I still have very little appetite for food, I had no breakfast. I managed a little lunch
and dinner, later on in the evening I threw up again.
March 17th
In the very early hours of this morning I had been booked for a CT scan, the doctor
attempted to put an NG tube in to administer the contrast fluid, I couldn't cope with
that so I have to drink the contrast instead.
Went to the CT scan room, and they injected a different contrast substance via my
cannula. I have a metallic taste in the back of my throat and a rather strange fluid-like
hot sensation around mon derrière. After the scan we finally got the smallest NG tube
in me, not pleasant at all. Later on I heard that the initial findings suggested trapped
air, constipation and possibly a sharp kink in the bowels, somewhere.
It's been confirmed I've got paralytic ileus, which may have been caused by the
trauma of the sit very or the general anesthetic.
Much later that evening it started getting windy for the first time since before the
nephrectomy. Also I began burping quite a lot, but each uto was accompanied by
very painful churnings as if my stomach was a nest of vipers, and I don't mean paper
handkerchiefs. lol
Footnote: I even got out of bed today walking from my bed to the bay door and back
again. It was like climbing Mount Everest while doing a marathon at the same time.
March 18th
First bowel movement in a week, lots of wind throughout the day, I'm now on soft
foods (yogurt, mousse and jelly) plus two bottles of Fortisip Compact Protein.
Exciting eh?
Today I met with the senior physiotherapist, I told her all about my mobility issues as
well as how I was feeling post-operatively. She assessed my mobility with all that in
mind and provided a number of exercises for working my left leg. She also gave me
one for my abdomen that is incredibly hard to do, I've got to lay down flat on my
back, I really don't know if I can do this one.
I've been knocked back somewhat by one thing, while the removed kidney was being
examined in the laboratory they discovered a cancerous lesion in it, just over an inch
4. long. Talk about falling into the Slough of Despond.
Then about an hour or so later an experienced consultant who I've known for over a
decade and who is familiar with my case from its very beginning turned up with a
bundle of student doctors. He looked at me with his hand on my shoulder and
concern all over his face, he asked me to say what I'd been told.
I slowly recounted the news I'd been given, and my reaction to it, as I was also
nearing the end of my account of the news I began to struggle with it and I felt him
give my hand a reassuring squeeze. That helped me carry on, and as they walked
away, he squeezed my hand again.
March 19th
More wind throughout the night and early hours. There's going to be a multi-
disciplinary meeting today of nephrologists, urologists and oncologists to discuss my
kidney and the measures that need to be carried out.
I told the doctors later yesterday evening that I need to see the renal psychologist as
I needed to talk about what had happened. I was surprised and pleased when she
came today to start discussing how to move forward. This was very helpful as I
effectively was using her as a sounding board for the turmoil in my head.
The physiotherapist came again today to review my progress and to check I was
doing the exercises properly.
The outcome of the meeting I mentioned was there'd be three annual scans, if the
third is clear the next scan will be two years later and the one after that will be two
years later as well. If the final one of those scans is clear, then I'll be classified as
completely clear.
The was a single bowel movement today as well.
March 20th
There's a distinct possibility the drain and the NG tube will come out today, I'm
hoping this happens. Still only on soft foods in order to allow the intestines to recover
gradually. Too many false alarms sent me lurching towards the commode, I seem to
have fallen into a general malaise and lethargy, I wasn't even up to walking for the
physiotherapist today. I feel hungry, but don't feel like eating, I feel thirsty, but don't
feel like drinking. But I know I must do these things as they are part of getting better.
The NG tube has come out, this will enable me to eat more easily, but must be
cautious in how much and how fast I eat. I'm having meatballs and pasta for dinner
5. this evening. The drain didn't come out today, but is certainly coming out tomorrow,
it's being replaced by something called a stoma bag.
March 21st
Very windy throughout the night and early hours, bowels are still sluggish but are
moving in the right direction. Had an unprompted bowel movement before breakfast
and another after breakfast, hopefully this will mean no more subpoenas .. I mean
suppositions ... oh heck, suppositories.
The exit site of the drain is leaking, I've been told that because of this the drain will
definitely come out today and that they'll place a bag over the exit site. Initially the
drain will just be clamped to start with. The exit site is inflamed and very sore despite
my regular pain medications, so I was given an oral solution of Oxynom, a morphine
derivative that is safer for kidney patients than regular morphine.
Because they heavily taped the drain tube to my stomach and thigh to reduce
movement of the tube, moving about has become ververy difficult. Even the simple
act of walking for the physiotherapist was hellishly difficult. Another very productive
talk with the psychologist today, I'm sure she realises as I do that I'm using her as a
sounding board for all the stuff churning around in my head.
The surgeon and another doctor turned up just after I'd eaten my evening meal. I
declined explaining that having just eaten I wasn't very keen on the idea. So it's been
agreed the removal will occur around 10am tomorrow.
March 22nd
A very windy night again, two false alarms then a very small movement after a great
deal of effort, then an inordinate amount of paperwork. After a dry night, the drain exit
site is leaking again. It leaked even more while I was sitting up before, during and
after breakfast, had to wait until after handover before I could talk to anyone about
this.
Today's meals were prepared by a diminutive lady of Asian appearance, it turns out
that she was trained up by dear, sweet #1 angel, and she considers #1 angel an
excellent rôle model to respect and emulate. I didn't think I could've been made any
more proud of my love, but this raised my pride in her even higher.
I had another dose of oxynom before the drain can be removed, less than an hour
after the drain is out and the bag is on. It feels rather weird. Sitting in the chair I'm
feeling wobbly and light-headed, after an hour of this I went back to bed, these side-
effects soon disappeared.
6. I tried to be rather adventurous today, my deodorant had fallen on the floor, so I
carefully walked around the bed, put one hand on the table and one on the bedside
cabinet. I lowered myself down slowly onto one knee keeping my back straight,
retrieved the deodorant then tried to stand back up. I just couldn't manage it, so two
nurses had to help me get back on my feet.
I made my concerns known about the serious weakness in my left knee, which
somehow occurred during my visit to ICU back in October 2013 but hadn't been
addressed despite the physiotherapy department knowing about it.
Now the drain is out and the stoma bag's in place some of the nurses and doctors
are getting rather pushy, so I've told them I'll make better progress in my own time as
long as I don't feel harassed. That's made them back off, at least for a while.
March 23rd
Not so windy last night, but this morning I've had several false alarms that were just
wind. I hope I can move my bowels before lunchtime. Half my staples are coming out
today, that's good news, they did it without the help of the oxynom, that's bad news.
Five massive efforts produced four very small jobs, and one wet and windy one, all
requiring large amounts of paperwork which is very annoying. Then effort number six
arrived an actual decent sized movement. That was actually followed by a windy
false alarm. They decided that I'd have to have another dose of Lactulose before
bedtime.
March 24th
Two small jobs in the early hours, one good sized job at 6am, two more small jobs at
8am and 9am, medium at 10:30am. Big job just before noon, and around 2pm.
I'm scheduled for a CT scan of my chest this afternoon, this means another flipping
cannula has to be inserted. Cannulated after lunch, expecting to go for the scan
anytime now. Then I'm informed that it may be this evening, that isn't a problem. But
then I'm told it won't be happening until tomorrow morning.
One doctor told me they could leave the cannula in and bandage my arm to keep it
secured, or I could have it removed and another inserted again in the morning. Then
another doctor out-and-out told me it would have to stay in, he disregarded the fact
that this would prevent me from being comfortable overnight, and I strongly objected
to this, demanding to see the other doctor again. That doctor didn't come back, but a
little later a nurse came along and told me she would be taking my cannula out.
There is an interesting conflict of views between the doctors and the physiotherapist,
7. the doctors have told me that they will be happy for me to be discharged if the
physiotherapist is happy with the idea. And the physiotherapist has told me that she
will be happy for me to be discharged if the doctors are happy with the idea. There's
a puzzlement indeed.
March 25th
Overnight was only slightly windy, cannulated and bloods taken before breakfast. I
discovered today that the physiotherapist had asked to see me way back on the 17th
of March and was told that I was too ill to see her. As I said to her, even if we didn't
work on any exercises she could have got the necessary things going that much
earlier.
The bag collected less than half it's capacity over the last few days, the bulk being in
the first twenty-four hours. It's been removed and a pressure dressing has been put
in place over the hole that remains which will heal as all wounds do from the inside
out. I'm now all packed and ready to leave. Read in the next part what happened to
prevent my departure.
March 26th
It's about 5:20am, I'm still in hospital. Yesterday I should've been discharged, the last
of the staples were out, the stoma bag replaced by a dressing, and the last cannula
removed. But then while talking with the renal psychologist all hell let loose inside. In
fact I've a better idea of the feeling of that Shakespearean line "Cry havoc! And let
slip the dogs of war!" Why? Well now, imagine your worst pain emerging like this.
It starts soft, and focused in a single spot, slowly it becomes a little harder, and
harder, harderstill love, all the while becoming sharper too. It becomes as hard and
as sharp as a diamond tipped drill. Just when you think it can't get any worse, it
destroys you like a depleated uranium tipped shell vapourizing a box of man-sized
paper tissues. That's what hit me yesterday, starting at a small point between the
lower lumbar region and the high blade of the pelvis on the left of my back, pushing
through me and fanning out as it arrives between the midline incision site and the
drain's exit site.
Add now to that a churning nest of massive boa constrictors writhing about like
there's no tomorrow. And such a constant urge to have a bowel movement that you
visit the bathroom three times in under two hours. Each time ridding yourself of so
much that it shouldn't be possible to have anymore waiting in the wings, but then as
much as before departs your body.
That was yesterday afternoon between 3pm and 6pm, with just the pain alone
continuing throughout the rest of the evening. Ouch just doesn't cover it.
8. Thinking about the whole event, the drain while removing fluid from the abdominal
cavity was inhibiting the peritoneal membrane from doing that small, but significant
part of its duties. I had been told that removing the drain would trigger this, it did after
a fashion. But the brown stuff didn't hit the whirly thing until the bag was replaced by
the dressing. That's when it all kicked off, it would explain the churning of my guts,
the strong and almost constant urge to empty my bowels, and the pain as well. Why?
Because after so many days of not doing that part of its job, it must have swung too
far the other way. That's only my educated guess, and I could in fact be completely
wrong about that.
March 27th
It's great to be home, slept better last night than all those nights in hospital. Big
problem I'm seriously short on certain medications, so I'm going to do something that
is considered unacceptable in my doctor's surgery, I'm going to put through a
telephone request for these medications. It's incredible, the receptionist accepted my
request, the prescription will be prepared and signed by the doctor sometime this
morning. She said she'd do it because I've never made a habit of doing that sort of
thing, I replied that I thought it may be the very first time I had done so. I've been with
that surgery since later 2006 and I've always done my best to comply with their rules
and guidelines.
Emboldened by this I called my pharmacy, which is just across the road from my
surgery, advised them that the prescription will be prepared sometime this morning
and could one of them pop across the road later and pick it up. They confirmed that
they will do so, and I asked if the medications could be delivered tomorrow, and they
have agreed to that as well. I just can't believe how incredibly fortunate I am to have
such good support in my community.
Someone came from the local Intermediate Care Team this morning, to see if there
was any support or advice they could provide. The silly person talked loudly and
simply as if I was deaf and daft. So I just answered calmly, quietly and intelligently in
response to her initial parroting. She soon realized that I was neither deaf or daft, and
continued in a normal manner. They couldn't offer me anything, because over
yesterday evening and this morning I'd figured it all out for myself.
Well that's the whole of the tale as best as I can put it down in plain English. I hope it
has been informative and given you an insight as to the things that went on with
respect to my nephrectomy. I'm not saying all such operations will go the same way,
every operation will always have a different outcome.
Thank you for taking time to read this account of my days in hospital.